2025-05-13T14:06:08-05:00 2024-06-30 621046406 JOHNSON HICKEY & MURCHISON PC 2215 OLAN MILLS DRIVE CHATTANOOGA TN 37421 990 2023-07-01 621220402 SISKIN HOSPITAL FOR PHYSICAL REHABILITATION INC SISK 4236341200 1 SISKIN PLAZA CHATTANOOGA TN 37403 CAROL ARNHART CFO 4236341200 2025-05-13 1 1 DIANA BOLEN P01425228 4237560052 2025-05-12 2023 2025-03-06 01:10:19Z MATTHEW GIBSON ONE SISKIN PLAZA CHATTANOOGA TN 37403 156598361 0 X WWW.SISKINREHAB.ORG X 1984 TN REHABILITATION HEALTH CARE 19 18 732 0 6374 1635 1276109 1100102 49022782 52030540 2861866 919080 1646150 915967 54806907 54965689 63396 55341 0 0 33047687 35251542 0 0 101680 16752898 17093920 49863981 52400803 4942926 2564886 146934399 157519524 34491776 36281416 112442623 121238108 X SISKIN HOSPITAL FOR PHYSICAL REHABILITATION IS COMMITTED TO PROVIDING A WIDE RANGE OF HIGH QUALITY PHYSICAL REHABILITATION SERVICES WHERE POSITIVE OUTCOMES ARE ACHIEVED THAT BENEFIT THE INDIVIDUAL SERVED, AS WELL AS THE COMMUNITY AT LARGE. 0 0 19537817 25085340 DURING THE FYE 06/30/24 THE HOSPITAL PROVIDED QUALITY NURSING SERVICES FOR ALL CATEGORIES OF PATIENTS. 29,052 INPATIENT REHABILITATION SERVICE DAYS AND 9,844 SUBACUTE WEST REHAB SERVICE DAYS WERE PROVIDED DURING THIS PERIOD. 8846156 11357913 THE HOSPITAL PROVIDED 145,226 INPATIENT UNITS AND 105,690 OUTPATIENT UNITS OF PHYSICAL THERAPY SERVICE DURING FYE 06/30/24. 4452751 5717055 THE HOSPITAL PROVIDED 88,042 INPATIENT UNITS AND 23,397 OUTPATIENT UNITS OF OCCUPATIONAL THERAPY SERVICE DURING THE FYE 06/30/24. 7952453 55341 10210456 ALL OTHER ACHIEVEMENTS - SERVICES PROVIDED BY THE HOSPITAL INCLUDING SPEECH THERAPY AND OTHER SERVICES. 7952453 55341 10210456 40789177 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 59 0 732 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 19 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 TN X CAROL ARNHART 4236341200 ONE SISKIN PLAZA CHATTANOOGA TN 37403 TRUDY A HARPER VICE CHAIR 1.00 X X 0 0 0 ROSE E DECOSIMO CPA CGMA DIRECTOR 1.00 X 0 0 0 MICHAEL FILLAUER DIRECTOR 1.00 X 0 0 0 MICHAEL G MATHIS TREASURER 1.00 X X 0 0 0 JONES KROGH CPA CFP SECRETARY 1.00 X X 0 0 0 RICHARD P MCKENNEY DIRECTOR 1.00 X 0 0 0 KEITH SANFORD DIRECTOR 1.00 X 0 0 0 CHARLES L ARANT DIRECTOR 1.00 X 0 0 0 ELIZABETH BETSY MCCRIGHT CHAIR 1.00 X X 0 0 0 RUCHIR A SHAH MD DIRECTOR 1.00 X 0 0 0 JENNIFER L WEAVER DIRECTOR 1.00 X 0 0 0 MINA SARTIPI PHD DIRECTOR 1.00 X 0 0 0 LAUREL GRAEFE DIRECTOR 1.00 X 0 0 0 MARCUS K SHAW DIRECTOR 1.00 X 0 0 0 WILLIAM F WILDER JR DIRECTOR 1.00 X 0 0 0 WILLIAM E GODBOLD III DIRECTOR 1.00 X 0 0 0 MATTHEW A GIBSON PHD FACHE PRESIDENT AND CEO 50.00 X X 626035 0 66517 DAVID BINDER DIRECTOR 1.00 X 0 0 0 CHRISTINE CHRIS SMITH PHD APRN DIRECTOR 1.00 X 0 0 0 CAROL E ARNHART VP FINANCE/CFO 50.00 X 258420 0 25820 MICHAEL PILCHER INFO SYS DIRECTOR 40.00 X 185394 0 16770 TRACY REED VP PATIENT CARE 50.00 X 209956 0 33002 CURTIS POWELL VP QUALITY 50.00 X 175976 0 30458 TERESA DINGER VP MARKETING AND REFERRAL RELATIONS 40.00 X 194502 0 8147 AARON SPINKS CHIEF OPERATING OFFICER 40.00 X 237146 0 9900 JODY NIX CHIEF ADMIN OFFICER 40.00 X 224362 0 6980 JOHN C YOUNG PSYCHOLOGIST 40.00 X 140903 0 11920 HOLLY TROTTER PHARMACY DIRECTOR 40.00 X 171080 0 21972 WENDY KEEF REGISTERED NURSE 40.00 X 127727 0 6852 AMY BURBA THERAPY DIRECTOR 40.00 X 111345 0 21728 LACY GRAY CONTROLLER 50.00 X 178076 0 11582 2840922 0 271648 29 0 1 0 GENTECH CONTRUCTION 820 BROAD ST SUITE 400 CHATTANOOGA TN 37402 CONSTRUCTION SERVICES 2965611 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 FOOD & FOOD SERVICE 2316459 ERLANGER MEDICAL CENTER 975 E THIRD STREET CHATTANOOGA TN 37403 MEDICAL SERVICES 866826 MAXIM HEALTHCARE SERVICES INC 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CONTRACT LABOR 660730 CHATTANOOGA SPINE & REHAB 1 SISKIN PLAZA SUITE 101 CHATTANOOGA TN 37403 MEDICAL SERVICES 521818 12 208382 125307 766413 1100102 NET PATIENT REVENUE 621990 52030540 52030540 52030540 1680787 6374 1674413 593944 0 593944 593944 593944 100769770 101531477 -761707 -761707 -761707 82994 208382 101195 -18201 -18201 CAFETERIA 621990 248556 248556 MISCELLANEOUS 621990 87102 87102 MEDICAL RECORD FEE 621990 4566 4566 340224 54965689 52370764 6374 1488449 55341 55341 2168414 2159784 8630 27639418 22198558 5371150 69710 581306 432912 148394 2847296 2121354 725942 2015108 1922943 86964 5201 158416 117976 40440 93850 69892 23958 3880298 3696805 181044 2449 506 262 244 4169657 3164030 1002382 3245 63025 46266 16038 721 128620 100705 23329 4586 905020 680824 224196 3612992 2690676 922316 628563 468105 160458 UBIT TAX 3688 3688 MEDICAL SUPPLIES & DRUG 1884767 1884767 OTHER SUPPLIES 386313 339045 40440 6828 EQUIPMENT RENTAL 351822 339144 12678 826383 459572 366501 310 52400803 40789177 11509946 101680 1200 2562 16526864 16112923 175000 43303 6301707 5877405 916017 623790 447319 402520 555071 652050 98410606 52757710 41922256 45652896 21888789 23689472 56485489 60974214 1714687 3488389 146934399 157519524 4665449 6519416 27876382 26210618 1949945 3551382 34491776 36281416 X 110754381 118850544 1688242 2387564 112442623 121238108 146934399 157519524 X 2564886 6230599 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11386 11386 0 PART II-B, LINE 1: PORTION OF HOSPITAL ASSOCIATION MEMBERSHIP DUES THAT ARE USED FOR LOBBYING. 23630386 2025931 25656317 21572465 2057921 23630386 25205505 -3633040 21572465 18887151 6318354 25205505 18301418 585733 18887151 1 0 260000 260000 61161112 27312335 33848777 29243818 23253939 5989879 7745676 2191436 5554240 45652896 GT EMERGING MARKETS (QP) LP 3072818 F GT INTERNATIONAL EQUITY QP FUND LP 13088385 F GT OFFSHORE FUND LTD CLASS A 15998934 F GT OFFSHORE FUND LTD CLASS B 14971558 F GT REAL ASSETS II LP 1791713 F GT SPECIAL OPPORTUNITIES III LP 2262396 F GT US QP FUND LP 9788410 F 60974214 SWAP AGREEMENT-LIABILITY 98029 RESIDENT TRUST FUND 4493 ESTIMATED THIRD-PARTY SETTLEMENT 948 OPERATING LEASE LIABILITIES 2729957 FINANCE LEASE LIABILITIES 717955 3551382 X 60980658 6230599 6230599 54750059 215630 215630 54965689 52185173 0 52185173 215630 215630 52400803 PART V, LINE 4: TO PROVIDE RESOURCES FOR VARIOUS ACTIVITIES CONSISTENT WITH THE MISSION OF THE HOSPITAL. PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE HOSPITAL ACCOUNTS FOR UNCERTAIN TAX POSITIONS WITH PROVISIONS OF FASB ASC 740-10 "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES." ASC 740-10 PROVIDES GUIDANCE ON DERECOGNITION OF TAX BENEFITS, CLASSIFICATION ON THE BALANCE SHEET, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. THE HOSPITAL DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2024 AND 2023. AS OF JUNE 30, 2024 AND 2023, THE HOSPITAL DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE HOSPITAL'S FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, FOR THE YEARS 2021 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED GAIN ON INTEREST RATE SWAP AGREEMENT 6,167,114. UNREALIZED GAIN ON OTHER THAN TRADING SECURITIES 63,485. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT NETTED AGAINST REVENUE 215,630. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT NETTED AGAINST REVENUE 215,630. GOLF TOURNAMENT 95293 47899 47394 23482 16353 6446 3947 POSSIBILI- TIES LUNCH 196083 160483 35600 11698 26430 9073 3766 291376 208382 82994 23482 28051 32876 9073 7713 101195 -18201 1 1 1 X 1 X 0 1 1 0 0 203028 203028 0.00390 1320921 1001061 319860 0.00610 1523949 1001061 522888 0.01000 1429705 331070 1098635 0.02110 18000 18000 0.00030 1447705 331070 1116635 0.02140 2971654 1332131 1639523 0.03140 1 1247408 0 23992698 19400445 4592253 X 0 1 1 SISKIN HOSPITAL FOR PHYSICAL REHABILITATION 1 SISKIN PLAZA CHATTANOOGA TN 37403 WWW.SISKINREHAB.ORG #67 X INPATIENT REHABILITATION SISKIN HOSPITAL FOR PHYSICAL REHABILITAT 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X WWW.SISKINREHAB.ORG 1 23 1 WWW.SISKINREHAB.ORG 0 1 X 200.000000000000 400.000000000000 X X X 0 1 X X X 1 X WWW.SISKINREHAB.ORG X WWW.SISKINREHAB.ORG X WWW.SISKINREHAB.ORG X X X X 0 1 X X 0 X X 0 0 SISKIN HOSPITAL FOR PHYSICAL REHABILITATION PART V, SECTION B, LINE 5: SISKIN HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO DETERMINE THE NEEDS OF OUR COMMUNITY. DATA WAS COLLECTED AND ANALYZED FORM LOCAL, REGIONAL, AND STATE AGENCIES IN ORDER TO ACCURATELY AND ADEQUATELY IDENTIFY THE NEEDS OF OUR COMMUNITY THROUGH SERVICES PROVIDED BY SISKIN HOSPITAL.INCLUDED IN THE ASSESSMENT WERE THE FOLLOWING:- SURVEYS WERE SENT TO 533 INDIVIDUALS, INCLUDING PATIENTS AND CAREGIVERS, WHOSE EMAIL ADDRESSES WERE AVAILABLE FOR SURVEY DISSEMINATION AND WHO HAD RECEIVED INPATIENT HEALTH CARE SERVICES AT SISKIN HOSPITAL IN 2023.- VARIOUS PUBLICATIONS CONTAINING HEALTH STATUS INFORMATION FROM A VARIETY OF SOURCES INCLUDING SECONDARY HEALTH ASSESSMENT RESEARCH CONDUCTED BY GOVERNMENT AGENCIES. SISKIN HOSPITAL FOR PHYSICAL REHABILITATION PART V, SECTION B, LINE 11: THE FOLLOWING AREAS OF CONSUMER AND COMMUNITY NEED WERE IDENTIFIED IN THE MOST RECENT CHNA:ACCESS TO REHABILITATION SERVICES:- TWO ADDITIONAL OUTPATIENT CLINICS WERE OPENED WITHIN THE PAST YEAR. ONE OF THE ADDITIONAL CLINICS IS LOCATED INSIDE THE NORTH RIVER YMCA IN HIXSON, TENNESSEE, AND THE OTHER IS IN RINGGOLD, GEORGIA WHICH IS SISKIN'S FIRST OUT OF STATE CLINIC.- THE "DIRECT ACCESS" PROGRAM ALLOWS FOR PATIENT SELF-REFERRAL FOR OUTPATIENT PHYSICAL THERAPY SERVICES.- SISKIN'S TEAM OF NURSE LIAISONS WORKS CLOSELY WITH AREA HOSPITALS TO IDENTIFY PATIENTS IN NEED OF INPATIENT THERAPY SERVICES AND HELP THEM BE ADMITTED TO SISKIN HOSPITAL.QUALITY OF HEALTHCARE AND CAREGIVING:- PATIENT DISCHARGE SURVEYS ARE UTILIZED WITH THE GOAL OF CONTINUOUS IMPROVEMENT IN CUSTOMER SATISFACTION.- SISKIN HOSPITAL'S SUBACUTE PROGRAM HAS BEEN DESIGNATED A CMS 5-STAR FACILITY AND WAS VOTED THE BEST SKILLED NURSING FACILITY IN THE CHATTANOOGA TIMES FREE PRESS 2023 BEST OF THE BEST AWARDS.- NEWSWEEK (AUGUST 2023) RECOGNIZED SISKIN HOSPITAL AS BEING AMONG THE NATION'S BEST PHYSICAL REHABILITATION FACILITIES, THE HIGHEST IN OUR REGION. SISKIN HOSPITAL HAS RECEIVED THIS DESIGNATION FOR THE PAST THREE YEARS.- U.S. NEWS AND WORLD REPORT (DECEMBER 2023) RECOGNIZED SISKIN AS BEING AMONG THE NATION'S TOP FIFTEEN PERCENT OF BEST-PERFORMING SHORT-TERM REHABILITATION FACILITIES.- BECKER'S HOSPITAL REVIEW REPORTED SISKIN HOSPITAL AS THIRD IN THE NATION FOR LOWEST READMISSION RATES FOR AN INPATIENT REHABILITATION FACILITY IN 2023.- SISKIN HOSPITAL HAS CONTINUED COLLABORATION WITH THE UNIVERSITY OF TENNESSEE CHATTANOOGA AND HAMILTON COUNTY SCHOOLS TO PROVIDE THE CLINICAL PORTION OF A NEW CERTIFIED NURSING ASSISTANT (CNA) COURSE. THIS EFFORT TO MEET THE GROWING NEEDS OF FRONT-LINE CAREGIVERS WILL HELP SISKIN HOSPITAL, AMONG OTHER HEALTHCARE ORGANIZATIONS, CONTINUE TO PROVIDE QUALITY CARE TO OUR PATIENTS.KNOWLEDGE OF RESOURCES AVAILABLE:- WHILE COVID-19 LIMITED SUPPORT GROUPS WHICH PREVIOUSLY MET IN PERSON AT SISKIN HOSPITAL, SOME OF THE GROUPS CONTINUED VIRTUALLY. THESE SUPPORT GROUPS TRANSITIONED TO MONTHLY IN PERSON SESSIONS AT SISKIN HOSPITAL FOLLOWING THE END OF THE COVID-19 PHE. THESE SUPPORT GROUPS ARE OPEN TO THE PUBLIC AND ARE DESIGNED FOR INDIVIDUALS WITH DISABILITIES, THEIR CAREGIVERS, FAMILY AND FRIENDS. SUPPORT GROUPS EXIST FOR APHASIA, BRAIN INJURIES, PARKINSON'S DISEASE, SPINAL CORD INJURIES, AND STROKES.- CONDITION-SPECIFIC PRINT AND DIGITAL EDUCATIONAL MATERIALS ARE PROVIDED TO OUR PATIENTS AND THEIR FAMILIES.QUALITY OF LIFE:- COMPREHENSIVE INPATIENT CARE INCLUDES INSTRUCTION TO PATIENTS AND FAMILIES ON NAVIGATING A LIFE WITH DISABILITY. PATIENT EDUCATION CONTINUES WITH OUTPATIENT TREATMENT TO BUILD ON THE PROGRESS BEING MADE. ADDITIONALLY, OUR MEDICAL MODEL FITNESS CENTER GUIDES INDIVIDUALS POST RECOVERY TO OPTIMIZING HEALTH AND FITNESS LEVELS DESPITE A DISABILITY.CHARITY ADMISSIONS:- SISKIN HOSPITAL'S CHARITY PROGRAM SERVES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITHOUT ADEQUATE INSURANCE. INSURANCE LIMITATIONS:- SISKIN HOSPITAL WILL CONTINUE TO IDENTIFY AND SECURE CONTRACTS WITH INSURANCE PROVIDERS AND NETWORKS.THE FOLLOWING PROGRAMS BENEFIT COMMUNITIES SERVED:COMMUNITY CARE PROGRAM - SISKIN HOSPITAL PROVIDES CHARITY CARE TO THOSE WHO HAVE SUSTAINED A DISABILITY THROUGH ACCIDENT, ILLNESS, OR INJURY.CHARITABLE ASSISTANCE FOR ASSISTIVE DEVICES - SISKIN HOSPITAL'S PATIENT CARE FUND ALONG WITH COMMUNITY RESOURCES HELPS PROVIDE ASSISTIVE EQUIPMENT AND EDUCATION FOR PATIENTS BEING DISCHARGED.PROFESSIONAL TRAINING, EDUCATION, CLINICAL RESEARCH ACTIVITIES - SISKIN HOSPITAL BELIEVES IN THE IMPORTANCE OF CONTINUING EDUCATION AND PROFESSIONAL TRAINING FOR ITS ASSOCIATES TO BETTER SERVICE THOSE WITH DISABILITIES IN THE COMMUNITY. - THE NEUROLOGIC PHYSICAL THERAPY RESIDENCY PROGRAM EQUIPS NEW PHYSICAL THERAPISTS WITH THE MOST CURRENT EVIDENCE-BASED PRACTICES TO PROVIDE NEUROLOGIC PATIENTS WITH THE HIGHEST STANDARD OF CARE. AS OF JANUARY 2024, THE PROGRAM HAS A 100% PASS RATE AND NCS EXAMINATION PASS RATE.- THE TRANSITION-TO-PRACTICE NURSE RESIDENCY PROGRAM PROVIDES ANNUAL TRAINING IN A REHABILITATION SETTING FOR NEW LPN OR RN GRADUATES. THE PARTICIPANTS RECEIVE EDUCATIONAL SUPPORT IN LEADERSHIP, PATIENT OUTCOMES, AND THE ROLE AND RESPONSIBILITIES OF THE PROFESSIONAL NURSE.- SISKIN HOSPITAL PROVIDES CLINICAL ROTATIONS FOR NURSING STUDENTS FROM AREA COLLEGES AND UNIVERSITIES INCLUDING LEE UNIVERSITY, SOUTHERN ADVENTIST UNIVERSITY, UNIVERSITY OF TENNESSEE CHATTANOOGA, CLEVELAND STATE COMMUNITY COLLEGE, CHATTANOOGA STATE COMMUNITY COLLEGE, AND CHATTANOOGA COLLEGE.- SISKIN HOSPITAL COLLABORATES WITH THE UNIVERSITY OF TENNESSEE CHATTANOOGA AND HAMILTON COUNTY SCHOOLS TO DEVELOP AN ACCREDITED CERTIFIED NURSING ASSISTANT (CNA) PROGRAM TO SUPPORT CURRENT AND FUTURE DEMAND FOR FRONTLINE HEALTHCARE WORKERS. TWO SEPARATE PROGRAMS, ONE FOR HIGH SCHOOL STUDENTS AND ANOTHER FOR COMMUNITY MEMBERS, ARE OFFERED. ALL PROGRAM PARTICIPANTS COMPLETE CLINICAL ROTATIONS AT SISKIN HOSPITAL AS PART OF THE CERTIFICATION PROCESS.- AS OF APRIL 2024, 37% OF SISKIN HOSPITAL'S ELIGIBLE NURSING ASSOCIATES ARE CRRN (CERTIFIED REHABILITATION REGISTERED NURSE) CERTIFIED. - IN ADDITION TO CRRNS, A DIVERSE RANGE OF CERTIFICATIONS IS HELD BY SISKIN HOSPITAL ASSOCIATES. THESE INCLUDE NEUROLOGICAL CLINICAL SPECIALIST, CERTIFIED BRAIN INJURY SPECIALIST, GERIATRIC CERTIFIED SPECIALIST, ORTHOPEDIC CLINICAL SPECIALIST, LOW VISION REHABILITATION, WOUND AND OSTOMY NURSE CERTIFICATION, LSVT BIG, NEUROMUSCULAR ELECTRICAL STIMULATION, MANUAL LYMPH DRAINAGE AND COMPLETE DECONGESTIVE THERAPY, AND VESTIBULAR REHABILITATION.- A FALLS PREVENTION PROJECT, THE "NO PASS ZONE," WAS IMPLEMENTED TO HEIGHTEN THE FOCUS ON FALL PREVENTION.THE SISKIN HOSPITAL HEALTH AND FITNESS CENTER IS A PLACE WHERE ABLE-BODIED AND DISABLED INDIVIDUALS CAN WORK OUT SIDE BY SIDE, FOCUSING ON PERSONAL STRENGTHENING AND FITNESS GOALS. THE HEALTH AND FITNESS CENTER PROVIDES THE IDEAL TRANSITION FOR PATIENTS TO CONTINUE TO EXPAND AND STRENGTHEN THEIR FUNCTIONAL INDEPENDENCE FOLLOWING OUTPATIENT REHABILITATION. MEMBERSHIP IN THE HEALTH AND FITNESS CENTER IS AVAILABLE TO THE COMMUNITY AT LARGE.- ADVOCACY- ADVANCING CONTINUING EDUCATION- COMMUNITY SUPPORT GROUPS- FOOD AND CLOTHING DRIVES- COMMUNITY EDUCATION PROGRAMS- UNIQUE THERAPY PROGRAMS INCLUDE O AQUATIC THERAPY O BALANCE AND FALL RISK ASSESSMENT O CENTER FOR NEURORECOVERY O LOW VISION O VESTIBULAR REHABILITATION O WHEELCHAIR SEATING AND POSITIONING 6 1 - SISKIN SUBACUTE WEST 1 SISKIN PLAZA CHATTANOOGA TN 37403 SKILLED NURSING FACILITY 2 - SISKIN HOSPITAL THERAPY SERVICES 1309 PANORAMA DRIVE SUITE 103 CHATTANOOGA TN 37421 OUTPATIENT THERAPY CLINIC 3 - SISKIN HOSPITAL THERAPY SERVICES 3820 KEITH STREET CLEVELAND TN 37312 OUTPATIENT THERAPY CLINIC 4 - SISKIN HOSPITAL THERAPY SERVICES 271 NORTHGATE MALL R0040 CHATTANOOGA TN 37415 OUTPATIENT THERAPY CLINIC 5 - SISKIN HOSPITAL THERAPY SERVICES 4138 HIXSON PIKE CHATTANOOGA TN 37415 OUTPATIENT THERAPY CLINIC 6 - SISKIN HOSPITAL THERAPY SERVICES 4618 BATTLEFIELD PARKWAY RINGGOLD GA 30736 OUTPATIENT THERAPY CLINIC PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED IN FORM 990, PART IX, LINE 24D BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $215,630. PART III, LINE 4: TO DETERMINE THE AMOUNTS REPORTS IN PART III, LINE 2, SISKIN HOSPITAL REVIEWS INDIVIDUAL PATIENT ACCOUNTS ON AN ONGOING BASIS TO DETERMINE BAD DEBTS. THE AMOUNT IS ADJUSTED TO REFLECT COST USING COST TO CHARGE RATIO. BAD DEBT EXPENSE HAS NOT BEEN INCLUDED AS A COMMUNITY BENEFIT. SEE NOTE 2 OF THE ATTACHED FINANCIAL STATEMENTS WHICH DESCRIBES CHANGE IN ESTIMATES OF TRANSACTION PRICE FOR AMOUNTS DUE FROM PATIENTS. PART VI, LINE 2: HEALTHCARE NEEDS ARE ASSESSED BY SISKIN HOSPITAL FOR PHYSICAL REHABILITATION THROUGH A VARIETY OF MECHANISMS, INCLUDING SURVEYS OF THOSE SERVED BY OUR PROGRAMS, FEEDBACK FROM VARIOUS SUPPORT GROUPS, INPUT VIA SURVEYS CONDUCTED, AND THE TRIENNIAL CHNA PROCESS. THE HOSPITAL ALSO CONSIDERS COMMUNITY NEEDS THROUGH ITS STRATEGIC PLANNING PROCESS WHERE INPUT IS SOUGHT FROM A VARIETY OF STAKEHOLDERS, INCLUDING COMMUNITY LEADERS, BOARD MEMBERS, OTHER PROVIDERS, ASSOCIATES, AND PATIENTS. PART VI, LINE 3: INFORMATION TO INFORM AND EDUCATE PATIENTS REGARDING ASSISTANCE UNDER FEDERAL, STATE OR LOCAL PROGRAMS AND SISKIN HOSPITAL'S POLICIES IS AVAILABLE UPON ADMISSION AND IS POSTED IN PATIENT ROOMS. HOSPITAL BUSINESS OFFICE REPRESENTATIVES ARE AVAILABLE BEFORE, DURING AND FOLLOWING PATIENT STAYS TO DISCUSS PAYMENT ARRANGEMENTS, FINANCIAL ASSISTANCE, AND QUESTIONS ABOUT BILLING OR INSURANCE MATTERS. FOR INPATIENT AND SUBACUTE REFERRALS, THE HOSPITAL'S NURSE LIAISONS ARE THE FIRST POINT OF CONTACT FOR INFORMATION DISSEMINATION TO PROSPECTIVE PATIENTS REGARDING AVAILABILITY OF ASSISTANCE, ELIGIBILITY CRITERIA, AND APPLICATION INFORMATION. PART VI, LINE 4: SISKIN HOSPITAL FOR PHYSICAL REHABILITATION HAS A SERVICE AREA IN THE TRI-STATE AREA OF TENNESSEE, GEORGIA, AND ALABAMA. THIS INCLUDES URBAN AND RURAL AREAS OF THE CUMBERLAND PLATEAU. SISKIN HOSPITAL OPERATES SEVERAL OUTPATIENT THERAPY CLINICS IN ADDITION TO ITS MAIN FACILITY LOCATED IN DOWNTOWN CHATTANOOGA, TENNESSEE. THE POPULATIONS SERVED ENCOMPASS ALL ECONOMIC LEVELS. PART VI, LINE 5: SISKIN HOSPITAL IS AN INDEPENDENT, FREESTANDING REHABILITATION HOSPITAL WHICH IS GOVERNED BY A COMMUNITY BOARD. SISKIN HOSPITAL OFFERS A CONTINUUM OF REHABILITATION SERVICES FROM ACUTE INPATIENT REHABILITATION TO SUBACUTE AND OUTPATIENT REHABILITATION INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND PSYCHOLOGY. PROGRAMS THAT BENEFIT COMMUNITIES SERVED, SOME OF WHICH ARE UNFUNDED OR UNDERFUNDED, ARE AS FOLLOWS:-TELEHEALTH THERAPY SERVICES - COVID-19 NECESSITATED THE DEVELOPMENT AND IMPLEMENTATION OF ALTERNATE DELIVERY METHODS FOR VARIOUS OUTPATIENT THERAPY SERVICES. FROM THE COMFORT AND SAFETY OF THEIR HOMES, PATIENTS MAY OPT TO CONTINUE THEIR THERAPY VIA REAL-TIME VIDEO CALLS WITH PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS AS WELL AS BEHAVIORAL MEDICINE WITH PSYCHOLOGISTS.-COMMUNITY CARE PROGRAM - SISKIN HOSPITAL PROVIDES CHARITY CARE TO THOSE WHO HAVE SUSTAINED A DISABILITY THROUGH ACCIDENT, ILLNESS, OR INJURY.-CHARITABLE ASSISTANCE FOR ASSISTIVE DEVICES - SISKIN HOSPITAL'S PATIENT CARE FUND ALONG WITH COMMUNITY RESOURCES HELPS PROVIDE ASSISTIVE EQUIPMENT AND EDUCATION FOR PATIENTS BEING DISCHARGED.-PROFESSIONAL TRAINING, EDUCATION, CLINICAL RESEARCH ACTIVITIES - SISKIN HOSPITAL BELIEVES IN THE IMPORTANCE OF CONTINUING EDUCATION AND PROFESSIONAL TRAINING FOR ITS ASSOCIATES TO BETTER SERVICE THOSE WITH DISABILITIES IN THE COMMUNITY. -THE NEUROLOGIC PHYSICAL THERAPY RESIDENCY PROGRAM EQUIPS NEW PHYSICAL THERAPISTS WITH THE MOST CURRENT EVIDENCE-BASED PRACTICES TO PROVIDE NEUROLOGIC PATIENTS WITH THE HIGHEST STANDARD OF CARE.-THE TRANSITION-TO-PRACTICE NURSE RESIDENCY PROGRAM PROVIDES ANNUAL TRAINING IN A REHABILITATION SETTING FOR NEW LPN OR RN GRADUATES. THE PARTICIPANTS RECEIVE EDUCATIONAL SUPPORT IN LEADERSHIP, PATIENT OUTCOMES, AND THE ROLE AND RESPONSIBILITIES OF THE PROFESSIONAL NURSE.-SISKIN HOSPITAL PROVIDES CLINICAL ROTATIONS FOR NURSING STUDENTS FROM AREA COLLEGES AND UNIVERSITIES INCLUDING LEE UNIVERSITY, SOUTHERN ADVENTIST UNIVERSITY, UNIVERSITY OF TENNESSEE CHATTANOOGA, CLEVELAND STATE COMMUNITY COLLEGE, AND CHATTANOOGA STATE COMMUNITY COLLEGE.-SISKIN HOSPITAL COLLABORATED WITH THE UNIVERSITY OF TENNESSEE CHATTANOOGA AND HAMILTON COUNTY SCHOOLS TO DEVELOP AN ACCREDITED CERTIFIED NURSING ASSISTANT (CNA) PROGRAM TO SUPPORT CURRENT AND FUTURE DEMAND FOR FRONTLINE HEALTHCARE WORKERS.-AS OF JUNE 2023, 23% OF SISKIN HOSPITAL'S ELIGIBLE NURSING ASSOCIATES ARE CRRN (CERTIFIED REHABILITATION REGISTERED NURSE) CERTIFIED.-IN ADDITION TO CRRNS, A DIVERSE RANGE OF CERTIFICATIONS IS HELD BY SISKIN HOSPITAL ASSOCIATES. THESE INCLUDE NEUROLOGICAL CLINICAL SPECIALIST, CERTIFIED BRAIN INJURY SPECIALIST, GERIATRIC CERTIFIED SPECIALIST, ORTHOPEDIC CLINICAL SPECIALIST, LOW VISION REHABILITATION, WOUND AND OSTOMY NURSE CERTIFICATION, LSVT BIG, AND NEUROMUSCULAR ELECTRICAL STIMULATION.-A GRANT FROM THE ACADEMY OF NEUROLOGIC PHYSICAL THERAPY IS FUNDING THE SISKIN HOSPITAL KNOWLEDGE TRANSLATION PROJECT, WHICH SEEKS TO IMPLEMENT STANDARDIZED MEASUREMENT ON THE INPATIENT STROKE UNIT.-A FALLS PREVENTION PROJECT, THE "NO PASS ZONE," WAS IMPLEMENTED TO HEIGHTEN THE FOCUS ON FALL PREVENTION.-THE SISKIN HOSPITAL HEALTH AND FITNESS CENTER IS A PLACE WHERE ABLE-BODIED AND DISABLED INDIVIDUALS CAN WORK OUT SIDE BY SIDE, FOCUSING ON PERSONAL STRENGTHENING AND FITNESS GOALS. THE HEALTH AND FITNESS CENTER PROVIDES THE IDEAL TRANSITION FOR PATIENTS TO CONTINUE TO EXPAND AND STRENGTHEN THEIR FUNCTIONAL INDEPENDENCE FOLLOWING OUTPATIENT REHABILITATION. MEMBERSHIP IN THE HEALTH AND FITNESS CENTER IS AVAILABLE TO THE COMMUNITY AT LARGE.-ADVOCACY-ADVANCING CONTINUING EDUCATION-COMMUNITY SUPPORT GROUPS-COMMUNITY EDUCATION PROGRAMS-UNIQUE THERAPY PROGRAMS 1 SCHOLARSHIP/TUITION REIMBURSEMENT 8 55341 PART I, LINE 2: APPLICATIONS ARE FILED TO DETERMINE QUALIFICATIONS. SCHOLARSHIPS ARE AWARDED ON A NONDISCRIMATORY BASIS BASED ON NEED AND QUALIFICATIONS. X 1 1 X X X 0 0 0 0 0 0 0 0 0 MATTHEW A GIBSON PHD FACHE PRESIDENT AND CEO 448994 0 147577 0 29464 0 27718 0 38799 0 692552 0 0 0 CAROL E ARNHART VP FINANCE/CFO 210772 0 33042 0 14606 0 9900 0 15920 0 284240 0 0 0 AARON SPINKS CHIEF OPERATING OFFICER 206316 0 24032 0 6798 0 9900 0 0 0 247046 0 0 0 TRACY REED VP PATIENT CARE 165321 0 21672 0 22963 0 8688 0 24314 0 242958 0 0 0 JODY NIX CHIEF ADMIN OFFICER 197021 0 25567 0 1774 0 0 0 6980 0 231342 0 0 0 CURTIS POWELL VP QUALITY 143859 0 19213 0 12904 0 6144 0 24314 0 206434 0 0 0 TERESA DINGER VP MARKETING AND REFERRAL RELATIONS 162174 0 20221 0 12107 0 8147 0 0 0 202649 0 0 0 MICHAEL PILCHER INFO SYS DIRECTOR 162843 0 15614 0 6937 0 8398 0 8372 0 202164 0 0 0 HOLLY TROTTER PHARMACY DIRECTOR 146485 0 1646 0 22949 0 7577 0 14395 0 193052 0 0 0 LACY GRAY CONTROLLER 142476 0 31393 0 4207 0 3210 0 8372 0 189658 0 0 0 JOHN C YOUNG PSYCHOLOGIST 88661 0 52242 0 0 0 3434 0 8486 0 152823 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN WILL BE REVIEWED BY THE AUDIT COMMITTEE AND DISTRIBUTED TO ALL DIRECTORS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPITAL'S CONFLICT OF INTEREST POLICY REQUIRES ANNUAL DISCLOSURE AND COVERS ALL MEMBERS OF THE BOARD OF DIRECTORS, THOSE SERVING ON BOARD COMMITTEES, AND PERSONNEL OF SISKIN HOSPITAL WHO ARE IN A POSITION TO INFLUENCE ANY SUBSTANTIVE BUSINESS DECISION BY SISKIN HOSPITAL. DISCLOSURES BY COVERED PERSONNEL ARE REVIEWED BY THE HOSPITAL'S CHIEF COMPLIANCE OFFICER WHO DETERMINES IF A MATERIAL CONFLICT OF INTEREST EXISTS AND RECOMMENDS TO THE COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS AN APPROPRIATE COURSE OF CONDUCT OR CORRECTIVE ACTION FOR SISKIN HOSPITAL AND INVOLVED PERSONNEL. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION PROCESS FOR TOP OFFICIAL: THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FUNCTIONS AS THE COMPENSATION COMMITTEE FOR THE PERFORMANCE REVIEW OF THE CHIEF EXECUTIVE OFFICER AND FOR ANY ADJUSTMENTS IN COMPENSATION. THE EXECUTIVE COMMITTEE UTILIZES DATA FROM SALARIES AND COMPENSATION PROGRAMS AND SELECTED BENEFIT PROGRAMS USING DATA FROM EXTERNAL COMPENSATION SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN NET UNREALIZED GAINS ON OTHER THAN TRADING SECURITIES 6,167,114. UNREALIZED GAIN ON INTEREST SWAP AGREEMENT 63,485.