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Our mission is to be responsive to the communities we serve with a comprehensive and technologically advanced health care system committed to the delivery of care that is characterized by continually improving quality, accessibility, affordability and personal dignity. 2010 Annual Report.

2010 Floyd Annual report

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this contains accomplishments and an overview of the year for 2101 for Floyd Medical Center. It explains major changes in technology

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Page 1: 2010 Floyd Annual report

Our mission is to be responsive

to the communities we serve

with a comprehens ive and

techno log i ca l l y advanced

health care system committed

to the delivery of care that is

characterized by continually

improving quality, accessibility,

affordabi l i ty and personal

dignity. 2010 Annual Report.

Page 2: 2010 Floyd Annual report

1

For the coworkers at Floyd, 2010 will be remembered as the year that we completed phase

2 of our transition from a paper patient record to an electronic medical record. I hope

that much of this work was viewed by patients and the public as behind-the-scenes and

uneventful, but in reality it is a very important event. With this initiative comes the ability

to improve quality of care, efficiency and patient satisfaction, and it is the result of years

of research, planning, training and implementation. The benefits of an Electronic Medical

Record (EMR) are numerous: increased levels of patient safety, reduction of medical errors,

simultaneous access by multiple care providers to the patients chart, and legibility of the

patient’s chart, to name a few. In 2011, we will begin implementation of Computerized

Physician Order Entry (CPOE) to further leverage and drive the benefits of an EMR.

Although the transition to digital records is a big achievement in 2010, it is not the sole

accomplishment of the year. Our efforts to continually improve in every facet of our

balanced scorecard, our value compass, with its objectives of high achievement in Quality,

Satisfaction, Strategy, Finance and People, produced a first-ever VHA Georgia President’s

Award for earning leadership recognition in every available award category. In addition,

Floyd received Gold Plus recognition from the American Stroke Association. We earned a

Healthcare Management Council Top Quality Award and we ranked as the top hospital and

employer in the nation for job satisfaction in our most recent H.R. Solutions survey. We also

earned President’s Level status on the Georgia Hospital Association’s Quality Honor Roll.

The years ahead will be very challenging s we face the dramatic changes that health reform

are bringing us. I am confident that our team of nearly 2,400 men and women who work

at Floyd along with our board members, physicians on our medical staff, volunteers and

community supporters are up to the challenge. We appreciate everyone who plays a role in

helping to deliver the health care and service to pursue meeting our mission.

Sincerely,

Message from President & CEO

2O1OMission

Leadership

FloydHealthcareManagement Inc.

J. Roger SumnerChairman

George A. Bosworth, M.D.

J. Sam Freeman

Garry Fricks

Carl. J. Herring, M.D.

Wesley F. Johnson

Timothy I. Mahanay

Mark W. Manis

John W. Mayes

Jerry F. Norman

William V. Wigley

C. Wade MonkGeneral Counsel

Kurt StuenkelSecretary

President and

Chief Executive Officer

FloydHealthcareResources Inc.

Mark W. ManisChairman

Billy D. Burk, M.D.

Samuel T. Burrell Sr.

Kay Chumbler*

Katie M. Dempsey

David W. Johnson

J. Roger Sumner

C. Wade MonkGeneral Counsel

Kurt StuenkelSecretary

President and

Chief Executive Officer

* New Member in 2010

Hospital Authority of Floyd County

Jerry F. NormanChairman

Billy D. Burk, M.D.

Samuel T. Burrell Sr.

Albert Q. Hales

David W. Johnson

Timothy I. Mahanay

John W. Mayes

C. Wade MonkGeneral Counsel

Kurt StuenkelSecretary

President and

Chief Executive Officer

FloydExecutiveTeam

Kurt StuenkelPresident and

Chief Executive Officer

Dee Russell, M.D.Executive Vice President

and Chief of Medical Affairs

Sonny RigasSenior Vice President and

Chief Operating Officer

Rick SheerinVice President and

Chief Financial Officer

Shea BennettVice President and

Chief Nursing Officer

Alison LandVice President

Mary MaireVice President and

Corporate Compliance

Officer

C. Wade MonkGeneral Counsel

Greg PolleyVice President

Dan SweitzerVice President of

Market Development

Leadership

2010 Annual Report

The Floyd health care system, which includes Floyd Medical Center, Floyd Behavioral Health

Center, Floyd Primary Care practices, Floyd Urgent Care Centers, Floyd Outpatient Surgery

Center, Floyd Physical Therapy and Rehab, Heyman HospiceCare and a host of ancillary

services, is a vital contributor to Rome, Floyd County and the entire Coosa Valley region. In

addition to health care services in over 40 specialties, Floyd serves as an economic force and

civic leader in the region.

Page 3: 2010 Floyd Annual report

FocusedContinuum

Comprehensive Care

Floyd provides a complete continuum of medical care to serve the health care needs of

individuals in northwest Georgia and northeast Alabama through Primary Care physician

offices, Urgent Care Centers, diagnostic services, hospice, behavioral health, hospital and

ancillary services.

At the hub is Floyd Medical Center, a 304 bed, full-service acute care hospital and regional

referral center that includes a Primary Stroke Center and Joint Replacement Program that

have received the Joint Commission Gold Seal of Approval®, a Bariatric Surgery Center of

Excellence, a Breast Imaging Center of Excellence, a state-designated level II Trauma Center,

a level II Neonatal Intensive Care Unit, as well as specialty centers for Pediatrics, Wound Care

and Hyperbarics. Floyd is uniquely positioned to provide the full circle of care from prenatal

care to grief support, and includes the following medical specialties:

Alcohol and Chemical Dependency Services

Bariatrics

Behavioral Health

Diabetes Care

Diagnostic Radiology

ICAEL-accredited Echocardiography

Emergency Care

Family Medicine

Family Medicine Residency Program

Gynecology

Hospice

Hospitalist

Intensive Care

Interventional Cardiology

IV Therapy

Laboratory Services

Level II Neonatal Intensive Care Unit

Level II Trauma Care

Maternity Services

2 3

Neurology

Neuropsychology

Neurosurgery

Neonatal care, intermediate and intensive

Occupational Medicine

Oncology

Orthopedics

Pediatrics

Pediatric Intermediate Care

Pharmacy, Inpatient and Outpatient

Radiology

CARF-accredited inpatient Rehabilitation Services

Outpatient Rehabilitation Services

Sleep Disorders

Surgical Services

Urgent Care

Vascular Diagnostics and Surgery

Wound Care and Hyperbarics

•Interventional cardiology, or angioplasty, is an important and frequently used intervention for patients with heart

disease. The introduction of this service in September 2009 was the next logical step in growing Floyd’s cardiology

service line, which also includes cardiac catheterization, echocardiography, electrocardiography, a dedicated coronary

intensive care unit and a specialized coronary care specialty nursing unit. Cardiologists at Harbin Clinic worked closely

with our team to prepare for this new service, and now perform the interventional studies and therapies at Floyd.

Our cardiology staff has received additional training to provide these interventional cardiology services.

Health Care Delivery Statistics

Primary Care Visits - 214,943

Heyman Hospice Patient Days - 31,427

ER Visits - 70,509

Outpatient Visits - 220,537

Inpatient Surgery Cases - 6,869

Outpatient Surgery Cases - 4,331

Radiology Procedures - 104,567

Family Practice Visits - 17,629

Laboratory Billable Tests - 784,572

Births - 2,404

Total Surgery Cases - 11,200

Total Floyd Medical Center Patient Days - 63,044

Urgent Care Visits -84,353

Primary Care, excluding Urgent Care - 131,198

Behavioral Health Admissions - 1,960

Floyd Medical Center and Behavioral Health Admissions - 13,812

Floyd Medical Center and Behavioral Health Patient Days - 66,472

Cardiac Cath Lab Cases -1,022

Bariatric Surgery Cases -143

Surgical Procedures - 17,730

Page 4: 2010 Floyd Annual report

Technology

EMRGrowing

Providing

4 5

Long before federal government mandated health

care providers to incorporate technology into the

patient record, Floyd determined to move from a

paper-based system to an electronic record. This will

ultimately result in a safer patient experience and the

ability to share patient information with other health

care providers for a true continuum of care.

Advanced Technology Expanding Care

In October 2010, Floyd completed the second phase of our transition from a paper-based

patient record to a digital patient record bringing a cultural and practical shift in the way

we document patient care. This change resulted in improved patient safety through the

use of digital identification, an immediate electronic medication administration record

and medical history as well as built-in alerts. All of this capability and information is

immediately available at the patient bedside through

the use of portable workstations available to every

clinician. This technology initiative brought the

integration of the electronic medical record

(EMR) for patient care throughout the hospital

environment and will expand in 2011 to include

physician order entry.

In response to the growing need for services in booming Bartow County, Floyd opened

a new Urgent Care center and Primary Care office in Cartersville in FY 2010. Staffed by

Mark Wigley, M.D., and R. David Simons, D.O., Urgent Care in Cartersville is open from

8 a.m. until 8 p.m. Monday through Thursday, from 8 a.m. until 6 p.m. on Fridays and

from 9 a.m. until 5 p.m. on Saturdays.

The newly built, 12,263-square-foot facility replaces a much smaller space on the same site

and also houses the Primary Care office of Dr. Hope McDaniel-Desarmes as well as digital

x-ray capability.

Floyd also operates Urgent Care centers in Calhoun, Cedartown, Rockmart, Summerville

and Rome, and 20 additional Primary Care offices in Adairsville, Armuchee, Cedartown,

Centre (Alabama), Rockmart, Rome, Shannon, Summerville and Taylorsville.

In addition to this new construction, work is progressing on a new facility for Floyd Primary

Care and Center for Diabetes in Taylorsville. When completed, the 12,000-square-foot

building will be the new location for Brad Ward, M.D., Ann Ward, M.D., and their staffs,

including nurse practitioners Sarah Barber and Dona Childers. It will feature 20 examination

rooms and x-ray capability.

Page 5: 2010 Floyd Annual report

High StandardsAward Winning

6 7

Imaging Center of Excellence, Quality Participant

Since opening in 2008, The Breast Center at Floyd has continued to distinguish itself as

a quality program. In 2010, the center received designation as a Breast Imaging Center

of Excellence by the American College of Radiology and the National Quality Measures

for Breast Centers Program has accepted the Center as a participant in its program.

Breast Imaging Centers of Excellence are fully accredited in mammography, stereotactic

breast biopsy, breast ultrasound and ultrasound-guided breast biopsy and have

demonstrated high practice standards in image quality, personnel qualifications, facility

equipment, quality control procedures and quality insurance programs.

Participation in the National Quality Measures for Breast Centers Program is the first step

toward being named a Certified Quality Breast Center of Excellence. The program develops

national quality benchmarks for breast care. It also recognizes centers that share the

quality commitment of the National Consortium of Breast Centers, which is to provide the

patient with accurate evaluation and appropriate services with compassion in a technically

competent and timely manner, with good communication and shared decision making

in a culturally sensitive fashion.

Stroke Gold Plus Quality Award

In FY 2010, Floyd received the American Heart Association/American Stroke Association’s Get

With The Guidelines® Stroke Silver Plus Quality Award. The award recognizes commitment

and success in implementing a higher standard of stroke care by ensuring 85 percent or

more of our patients have received treatment according to nationally accepted standards

and recommendations for 24 consecutive months. In addition, honorees have demonstrated

long-term compliance in specific areas: aggressive use of medications, smoking cessation,

stroke education and rehabilitation therapy evaluation.

Quality Care

Floyd’s efforts to improve quality earned a Top Quality Award from the Healthcare

Management Council, Inc. (HMC) for Most Improvement Quality scores. Our efforts

to improve quality go hand-in-hand with our compassion and medical expertise

in providing the best possible experience and the best possible outcomes for our

patients.

Floyd is an award

winning health care

provider, and our

comprehensive health

care services have

earned Floyd regional,

state and national

accolades:

American Stroke

Association Silver Plus

Performance Award

Four 2010 VHA

Leadership Awards for

Community Benefits,

Clinical Excellence,

Operational Excellence

and Supply Chain

Management

Healthcare

Management Council

Top Quality Award,

Most Improvement

Top employer for Job

Satisfaction among

Health Care Workers

in the nation. (H.R.

Solutions Inc.)

President’s Level,

Georgia Hospital

Association’s Quality

Honor Roll

Page 6: 2010 Floyd Annual report

InvolvedTime

8 9

Community Service

Staff members and volunteers spent 3,168

hours sharing their talents with 34,589

patients and family members through

Floyd’s Arts in Medicine program.

190 individuals learned about pregnancy,

labor, delivery and newborn care through

Floyd Medical Center’s childbirth classes at

a cost to the organization of $2,799.

2,303 area students learned about careers

in health care from Floyd employees who

took time out of their day to speak to classes.

5,678 students learned about automobile

safety and safe play from Buckle Bear; Floyd,

the Little Green Ambulance; Emergency

Care Center, Public Relations and EMS

personnel at a cost of more than $10,623.

More than 3,000 individuals received

information and services at Floyd health

fairs and screenings where employees

spent 172 hours discussing health

issues and concerns with attendees.

Staff members spent 61 hours teaching

cardiopulmonary resuscitation to 158

people in our community.

Floyd donated more than $20,000 in life-

saving and health-improving equipment to

our community, including the donation of

several automated external defibrillators

to provide first-responder assistance to

heart attack victims in public places.

Floyd employees donated 1,555 hours of

their time to help raise funds, assist on

the sidelines or provide other support for

community-wide charitable endeavors and

reached 65,000 people in the process.

Individually and corporately, Floyd continues to be

actively involved in the communities where we have a

presence, lending leadership, time and other valuable

resources to improve the quality of life for families in

northwest Georgia and northeast Alabama.

In FY 2010, the organization’s outreach into the

community, touched more than 338,000 people

through educational programs and screenings,

physical examinations for athletes, childbirth classes,

support groups and publications. Floyd co-workers and

volunteers contributed 161,526 hours to community

endeavors at an expense of $1,198,401.

www.floyd.org, Floyd’s website, was a resource

with 204,111 yearly visitors, or 563 visitors

to the site a day, at a cost of $25,926.

Floyd physicians donated over 89 hours of

their time to perform physical examinations

for 2,640 middle school, high school and

college athletes.

Our organization’s public health education

efforts reached 6,828 individuals at which

Floyd employees provided information and

awareness about such topics as breast health,

tobacco cessation, hospice care, depression

and ergonomics in the workplace.

Working with 942 nursing, physical therapy,

physician and other clinical students, Floyd

staff members provided 152,982 hours of

clinical education at a cost of $836,749 to

the organization. Many of these students

eventually accept jobs in our service area,

providing much-needed medical expertise

in our primary and secondary service areas.

Floyd spent $2.6 million in FY 2010 to

maintain staff and equipment 24-hours a

day to ensure trauma patients receive the

medical attention they need within the

golden hour of care that is so important to

trauma survival.

Floyd employees donated $329,255 in FY

2010 including $28,800 to the United Way

Campaign, $297,200 to Floyd Healthcare

Foundation, $1,100 to Toys for Tots and

$2,155 to Rome Action Ministries food

pantries. In addition, the Floyd organization

donated $81,216.24 to support other

community initiatives.

Page 7: 2010 Floyd Annual report

OutreachImproving Access

Service

10 11

Outreach

As a community hospital, Floyd seeks out opportunities to deliver service in our community

to meet the health care needs of the full spectrum of individuals in our service area. We

currently have several outreach programs aimed at improving access to health care in our

community.

Floyd County Clinic

In partnership with the Floyd County Commission, Floyd County Department of Family

and Children Services (DFCS) and physicians in the community, Floyd sponsors the Floyd

County Clinic. Low income, uninsured residents of Floyd County determined to be eligible

by DFCS receive free primary medical care services through the faculty and residents of

the Floyd Family Medicine Residency program. Clinic patients also receive all outpatient

ancillary services, pharmacy services, emergency services and inpatient services through

Floyd at no cost. In addition, many physicians in the community have agreed to take

referral of clinic patients who need specialty physician care. More than 12,014 physician

services were provided to financially and medically indigent patients in Floyd County

in FY 2010.

We Care program

In addition, 87 low income, uninsured patients with chronic health care problems such

as diabetes or congestive heart failure received free primary care through the We Care

program in FY 2010 as part of the Floyd Family Medicine Residency program. These

patients received 1,550 physician services in FY 2010. They receive all outpatient ancillary

services, pharmacy services, emergency services and inpatient services through Floyd

at no cost. The purpose of this program is to give patients with chronic medical conditions

a medical home to help them manage their disease rather than the emergency room.

Indigent Outpatient Pharmacy Program

Floyd provides all prescription pharmaceuticals to low income uninsured outpatients at

no cost to the patient through its 24/7 hospital pharmacy. Any low-income patient under

the care of any Floyd physician, including the Family Medicine residents, Emergency Care

Center physicians or Floyd Primary Care physicians, are eligible to receive the prescribed

medications. In FY 2010, Floyd provided over $1,252,984 in prescription pharmaceuticals

to low income uninsured outpatients.

Free Clinic of Rome

Floyd helped to create, contributed supplies and provided seed money to fund the Free

Clinic of Rome, a local organization that provides free primary medical care to low income,

uninsured patients in our community. The Free Clinic traces its roots to a volunteer mission

effort to provide basic medical care services to Floyd County’s homeless community. Now

housed at the Floyd County Health Department, patients schedule appointments with

volunteer physicians, dentists and nurses and receive free lab tests (via the Floyd Medical

Center laboratory) and assistance with prescription medications.

Northwest Georgia Dental Clinic

In caring for low-income, uninsured patients through our clinics and the We Care program,

it became apparent that there is also a need for dental care for low-income, uninsured

families in Rome and Floyd County. To help meet this need, Floyd partnered with the

District Public Health office to plan and fund (in part by a federal grant) the construction

and operation of a comprehensive dental clinic for low-income residents of the region. In

addition, Floyd makes its Outpatient Surgery Center facilities and staff available at not cost

to dental clinic dentists to perform dental surgery on high risk patients.

Mobile Mammography

Floyd’s Mobile Mammography Coach, equipped with state-of-the-art digital mammography

equipment, seeks to reach out to the mostly rural and underserved areas around Rome. This

outreach program, which began service in November, 2008, provided 1,074 mammograms

to women in our service area in FY 2010. Of those, 401 of the patients were past due for

a mammogram, 124 women had never had a mammogram before and 123 screenings

revealed an abnormality that required further testing. Six women were diagnosed with

cancer as a result of their visit to the mobile mammography coach. The goal of this

program is to reach women who have never had a mammogram, in hope of reducing the

breast cancer mortality rate in our region, which is among the highest in the nation. The

coach traveled 3,309 miles in FY 2010 to women in four counties to make mammography

and clinical breast exams convenient for them. This program seeks to provide services and

education to these women in hopes of reducing that mortality rate and improving the lives

of these women and their families.

Page 8: 2010 Floyd Annual report

CommitmentDeliver

Volunteer

As the county’s largest employer with one of the largest workforces in the region, Floyd

had an economic impact of $437.8 million in 2007 (the most recent year for which these

statistics are available). Floyd sustains more than 4,412 full-time jobs throughout Rome and

the rest of the state, including nearly 2,400 full and part-time employees at Floyd. Floyd’s

impact includes $177 million in direct expenditures and household earnings of $115.7

million.

12 13

Economic Leader

Volunteer Services

Outreach Haiti

Before earthquakes devastated the poor Caribbean nation of Haiti in January of 2010,

Floyd Medical Center’s Family Medicine Residency Program already had planned a medical

mission trip there with doctors Melvin Thomas, Tommy Simpson, Adrian Long and Margaret

Thorhallsdottir. The earthquakes did not change their plans, but it did change their mission.

This was the eighth year Dr. Thomas has led a medical mission trip to Haiti and the

Dominican Republic with Floyd residents, and typically the trips provide hands-on,

third-world medical experience for young doctors. General medical care was the original

intent, but this was a different mission.

Earthquake evacuees poured into the clinic. The Floyd team also traveled to help care

for earthquake victims. Over the course of the week, the Floyd team helped hundreds

of patients.

Arts in Medicine

In 2010, Floyd’s Arts in Medicine team was recognized as the Georgia Volunteer Group of

the Year by the Georgia Association for Volunteer Administration, Inc. The award is given

to a group of individuals who have made a commitment to connect to others through

service to help meet critical needs in their community while making a difference in the lives

of others.

The Arts in Medicine team consists of expressive arts coordinator, Sue Lavigne, and three

contracted artists, Judy Schmidt, visual artist and resident, Dekie Hicks, creative writing

specialist, and Mary Ellen Broome, music coordinator. The artists plan arts projects and

demonstrations for patients and guests and enlist and train arts volunteers to assist with

projects that enhance the clinical aspects of healing.

In FY 2010, Floyd volunteers created 1,737 individual art projects, led 1,258 music

performances and provided music for 29,885 patients in their rooms. In addition, volunteers

made 1,084 contacts at Floyd Behavioral Health Center.

Perhaps most significant is the continuing commitment of Floyd to provide comprehensive

health care services to all individuals regardless of ability to pay. In FY 2010, $62.9 million

in care was delivered to individuals either in the form of indigent and charity care or

medically indigent care.

Indigent and Charity Care

Page 9: 2010 Floyd Annual report

Medical Staff Officers

James M. Crane, M.D.President

Ryland Scott, M.D.President-Elect

Todd Kelley, M.D.Secretary-Treasurer

Medical Staff Department Chairmen

Mark A. Jester, M.D.Department of Medicine

Trent Prault, M.D.Department of Surgery

Asa Peek, M.D.Department of Obstetrics

and Gynecology

Randy G. Robinson, M.D.Department of

Family Medicine

Anne Lule, M.D. Department of Pediatrics

Kevin Phillips, M.D.Department of Radiology

Steven G. Hom, M.D.Department of Pathology

Brian T. Kinder, M.D.Department of

Anesthesiology

Vibhakar Patel, M.D.Department of Psychiatry

14 15

Introducing

Charles Baggett, M.D.Cardiology

Frank Don Diego, M.D.Family Medicine

Daniel Gober, M.D.Diagnostic Radiology

Jonathan Gore, M.D.Emergency Medicine

Yasser Jabri, M.D.Nephrology

Michael Jackson, M.D.Family Medicine

Kristine Mull, M.D.Family Medicine

Kirby Peden, M.D.Emergency Medicine

Michael Pesce, M.D.Anesthesiology

Maxwell Prempeh, M.D. Cardiology

Daniel Robitshek, M.D.Hospitalist

Dominic Seymore, M.D.Physical Medicine

and Rehabilitation

Andrew Stevens, M.D.Neurosurgery

Edward Wren, M.C.Anesthesiology

Medical Staff Floyd Healthcare FoundationExpanding Breast Health Care

In 2010, Floyd Healthcare Foundation launched a campaign to raise $3 million to add to

the capabilities of Floyd Medical Center’s Mobile Mammography initiative and The Breast

Center, which will relocate in April of 2011 to the third floor of the new Harbin Clinic

cancer center under construction on the Floyd Medical Center campus.

In its new location The Breast Center will include ultrasound, stereotactic biopsy, digital

mammography, space for conferences and cancer support programs and a resource library

in addition to expanded private exam rooms, family consultation rooms, staff offices and

a refreshment bar for patients and families.

Gardner Wright is the campaign chairman. Kay Chumbler is vice chairwoman. Other

members of the campaign leadership are Jamie Doss, planned gifts division chairman;

Karen Sablon, employee gifts division chairwoman; Brad Roberts, annual gifts division

chairman, Katey Temple and Paige Swiger, major gifts division chairwomen, and Ron

Tomlinson, corporate gifts division chairman. Dr. and Mrs. Paul Brock are the honorary

chairman and chairwoman. Dr. Brock, a Harbin Clinic surgeon, championed The Breast

Center concept.

Floyd Healthcare Foundation Board of Directors

Sam FreemanPresident

Kay ChumblerVice President &

Campaign Vice Chairwoman

Katey TempleSecretary &

Battey Fellowship

Co-chairwoman Treasurer

Brad RobertsTreasurer,

Annual Fund Chairman

Paige SwigerBattey Fellowship

Co-chairwoman

Hal StoreyDiabetes Council Chairman

Kiki’s Kids Committee

Charles WilliamsInvestment Committee Chairman

Karen SablonSPIRIT Committee Chairwoman

Denise Downer McKinneyFocus on the Future Chairwoman

Ron TomlinsonCorporate Gifts Chairman

Jamie DossPlanned Giving Chairman

Page 10: 2010 Floyd Annual report

Assets 2010 2009

2010 2009

2010 2009 Liabilities and Net Assets

Income Statement

Current assets:Cash and cash equivalentsAssets limited as to useTemporary investmentsPatient accounts receivable, net of estimated uncollectibles of $97,058,000 in 2009 and $80,742,000 in 2008Estimated third party payor settlementsInventoriesOther current assets

Total current assets

Assets limited as to use: By board for capital improvements Under malpractice funding arrangement - held by trustee Under indenture agreement - held by trustee

Total assets limited as to use

Less amount required to meet current obligations

Noncurrent assets limited as to use

Property, plant and equipment, net

Other assets:Unamortized bond issue costsOther Total other assets Total assets

$ 14,949,311 9,840,406

40,899,343

9,109,654 6,416,110

81,214,824

39,684,184

6,587,396

9,616,830

55,888,410

(9,840,406)

46,048,004

151,363,034

1,371,321

3,276,163 4,647,484

$283,273,346

$ 25,173,435 9,831,314 99,938

38,015,466

292,928 8,546,173 4,011,386

85,970,640

34,784,416

6,768,535

14,208,283

55,761,234

(9,831,314)

45,929,920

134,052,430

1,447,691 3,222,609 4,670,300

$270,623,290

Current liabilities:Current portion of long-term debtAccounts payableShort-term notes payableEstimated third party payor settlementsAccrued expenses: Salaries and compensation Employee benefits Other Total current liabilities

Due to the Hospital Authority of Floyd CountyLong-term debt, net of current portionOther long-term liabilities Total Liabilities

Net assets - unrestricted

Total liabilities and net assets

Unrestricted revenues, gaines and other support:Net patient service revenueOther operating revenue

Total revenues, gaines and other supportExpenses: Operating expenses Depreciation and amortization Interest Provision for bad debts

Total expenses

Operating IncomeNonoperating income (expense): Investment income (loss) Contributions Gain (loss) on sale of assets Loss on early extinguishment of debt

Total non operating income

Excess of revenues over expenses

$ 2,273,180 9,106,836 7,917,000 2,104,393

6,374,270 8,328,600 11,644,846

47,749,125

8,621,884107,931,650

16,473,583

180,776,242

102,497,104

$283,273,346

$ 2,208,952 9,366,394 5,514,000 1,405,098

6,102,432 8,064,137 9,927,850

51,148,977

8,560,114110,266,885

15,334,009

176,749,871

93,873,419

$270,623,290

$281,993,573

6,604,387

288,597,960

$ 12,685,213

231,833,276 15,316,805 5,754,421 26,696,921

279,601,423

8,996,537

1,395,616 2,503,940

( 210,880)

3,688,676

$258,738,626

6,162,001

264,900,627

$ 12,779,155

213,346,207 13,607,574 4,067,368 22,703,014

253,724,163

11,176,464

( 3,620,572) 5,491,756

( 105,264) ( 163,229)

1,602,691

16 17

Finances

Page 11: 2010 Floyd Annual report

www.floyd.orghealthline 1.800.677.1536