floyd medical center annual report 2009

20
Annual Report Focus on 2009

Upload: jennie-pruitt

Post on 15-Mar-2016

220 views

Category:

Documents


1 download

DESCRIPTION

Floyd Medical Center reports on the accomplishments and events of the past year.

TRANSCRIPT

Page 1: Floyd Medical Center Annual Report 2009

Annual ReportFocus on 2009

Page 2: Floyd Medical Center Annual Report 2009
Page 3: Floyd Medical Center Annual Report 2009

This past year was a good one for Floyd. As you will see in the

financial statements, we had one of our best years ever. We

have added new services. We earned distinction for quality

achievement. Our patient satisfaction and employee

satisfaction continue to be good. We call these five areas of

people, patient satisfaction, quality, strategy, and finance our

“Value Compass.”

The Value Compass is our balanced scorecard, and true to the metaphor of a compass, it

enables us to set our direction, and further, for the compass to function properly it must

remain in balance. Finances are important, make no mistake about that, but so are the

other areas of quality, people, patient satisfaction, and strategy. And in fact, overemphasis

in one area of the Value Compass may be detrimental to other areas. We strive for

achievement in all areas. We set ambitious goals each year in these five areas, and we

measure our progress.

As you read the annual report you will learn of our Breast Center, Urgent Care in Calhoun,

initiation of angioplasty services, EMS in the Rockmart area of Polk County, our new Sleep

Disorders Center, and the new initiative of our electronic medical record. These are all

important developments in Floyd’s capability to meet the needs of our patients and the

communities we serve.

We won several awards, launched a new fundraising campaign through Floyd Healthcare

Foundation, and saw continued growth in many of our service lines, all while we continue

to deliver outstanding community benefits as a premier not-for-profit organization. And,

the economic benefit from Floyd to our region is estimated at over $437 million annually. In

addition, our people give countless hours of volunteer time both to our organization and

to other worthy causes in our region.

Floyd is a great place. It is made so by our calling, and by our people. Every day our board

members, physicians on our medical staff, volunteers and employees do an outstanding

job in bringing our mission to life for the betterment of society.

Welcome from the President and CEO

1

Page 4: Floyd Medical Center Annual Report 2009

New in 2009Bariatric Surgery Center of Excellence®

Floyd Medical Center and Harbin Clinic announced in February 2009 that

their collaborative Bariatric Surgery, or surgical weight loss, programs

earned Bariatric Surgery Center of Excellence® designation from

the American Society for Metabolic and Bariatric Surgery (ASMBS).

Dr. Ryland Scott, a Harbin Clinic surgeon, directs the Harbin Clinic Bariatric

Center and is the Medical Director and primary surgeon for Floyd Center for Bariatric

Services. Bariatric Surgery Center of Excellence® designation recognizes surgical

programs with a demonstrated track record of favorable outcomes in bariatric

surgery. The ASMBS Centers of Excellence program recognizes bariatric surgery

centers that perform well, provide top-quality care and have

effective results.

Interventional CardiologyInterventional cardiology, or angioplasty, is an important and frequently

used intervention for patients with heart disease. Also called therapeutic cardiac

catheterization, the introduction of this service in September 2009 is the logical next 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.

SPOTLIGHT121 Bariatric Surgeries were performed at Floyd in FY 2009.

Floyd began offering bariatric surgery in 2003.

609 patients have received bariatric surgery at Floyd from FY 2003 through FY 2009

SPOTLIGHT830 cardiac catheterizations were performed at Floyd in FY 2009.

Floyd began providing diagnostic cardiac catheterization in 1992.

Floyd opened its permanent in-house cardiac catheterization lab in 2002.

From FY 2002 through FY 2009, Floyd performed 5,651 cardiac catheterizations.

2

Page 5: Floyd Medical Center Annual Report 2009

SPOTLIGHTThe Breast Center opened in November 2008.

During its first year of operation, The Breast Center provided 8,477 mammograms to women.

The Mobile Mammography coach performed 1,801 screening mammograms.

The Mobile Mammography coach covered 10,146 miles.

The Breast CenterIn October 2008, The Breast Center at

Floyd opened with a vision to touch the

lives of the women of northwest Georgia

and northeast Alabama. In addition, Floyd

began providing screening mammograms on

the Mobile Mammography coach, traveling to

communities throughout the region to help make

this important service more accessible to the women

who need it. In 2011 The Breast Center will relocate to the new

cancer center building now under construction on the Floyd Medical

Center campus. The move will allow The Breast Center staff to better

accommodate the growing number of patients choosing Floyd for their

breast health care and help consolidate services for those women who are

diagnosed with cancer.

Floyd’s Sixth Urgent Care OpensFloyd opened a new Urgent Care center in Calhoun

in October 2009 in response to the concentrated

population growth northward along Georgia’s

Interstate 75 corridor. Offering immediate care and

after-hours service to residents of Gordon County

and northern Bartow County, Floyd Urgent Care is

staffed with two physicians and equipped with lab

and x-ray facilities. Urgent Care centers provide

medical care for minor illnesses, accidents and

work-related injuries that require prompt attention,

but are not life-threatening. Floyd also operates Urgent

Care centers in Cartersville, Cedartown, Rome, Rockmart

and Summerville.

3

SPOTLIGHTTotal Urgent Care visits is 80,884 in FY 2009.

Floyd Urgent Care in Rome recorded 26,406 patient visits in FY 2009.

The Urgent Care in Calhoun isFloyd’s sixth area Urgent Care center.

Floyd Urgent Care in Cedartown recorded 12,292 patient visits in FY 2009.

Floyd Urgent Care in Cartersville recorded 14,754 patient visits in FY 2009.

Floyd Urgent Care in Rockmart recorded 11,487 patient visits in FY 2009.

Floyd Urgent Care in Summerville recorded 15,945 patient visits in FY 2009.

Page 6: Floyd Medical Center Annual Report 2009

New in 2009Pediatric & Neonatal Response TeamIn June, Floyd began offering a Mobile Intensive Care transport service for newborn babies

in need of higher-level care. This new service is supported by a Pediatric and Neonatal

Response Team composed of physicians, nurses, respiratory therapists and Emergency

Medical Service personnel, all specifically trained in the care of high-risk infants. The

team is on standby 24 hours a day, seven days a week to provide immediate, quality care.

Patients transported using the Mobile Intensive Care unit are brought to Floyd’s Level II

Neonatal Intensive Care Unit for specialized intensive care.

Emergency Medical Services in Eastern PolkIn July 2009, Floyd Emergency Medical Services began providing around-the-clock

ambulance service to Rockmart and eastern Polk County, establishing two fully-staffed

and fully-equipped stations to meet the emergency response needs of families in

these communities. In addition, Floyd EMS has established relationships with

other first responders and health and safety partners to provide education and

services to this growing community.

SPOTLIGHTFloyd Emergency Medical Services employs 70 paramedics, emergency medical technicians and support staff with a combined total of over 800 years of experience.

In FY 2009, Floyd EMS responded to 14,473 requests for service

Floyd EMS ambulances covered 175,000 miles in FY 2009.

4

Page 7: Floyd Medical Center Annual Report 2009

5

Sleep Disorders CenterThe Sleep Disorders Center relocated to

a larger, quieter space on the first floor

of Floyd Medical Center and expanded its

services to become the only sleep lab in the

region able to perform pediatric sleep studies.

This new capability allows children as young as

six years old to be monitored during their regular

sleep cycle to help diagnose any potential sleep-

related issues these young patients may have. In addition

to Sleep Number® mattresses, the new location is designed

and furnished to resemble a luxury hotel to facilitate the most

restful environment possible, while giving our sleep experts the

clinical tools they need to accurately monitor and record each patient’s

unique sleep-related issues.

Electronic Medical Record In 2009, Floyd completed Phase 1 of the organization’s Electronic

Medical Record (EMR) initiative and began work on Phase 2, which

will bring the implementation of the Electronic Medical Record to the

bedside and all across the patient care spectrum. EMR will transform

and consolidate the patient medical record into a single source to allow

the same patient information to be safely and securely communicated to all

providers of care who need to see it. Patients will begin seeing the EMR replace

paper records and doctors and nurses using computers at the bedside beginning

in the fall of 2010. By incorporating this technology, patients can be assured that our

providers are using the most up-to-date information available.

SPOTLIGHTDuring FY 2009, 413 sleep studies were performed over the course of 240 nights at Floyd–more than any previous year. In FY 2009, The Sleep Disorders Center expanded from two to four beds and relocated to a state-of-the-art facility. The Sleep Disorders Center at Floyd began providing pediatric sleep studies for children as young as 6 years old during FY 2009. It is the only sleep lab in Rome that conducts studies of pediatric patients to help diagnose their unique sleep issues.

Page 8: Floyd Medical Center Annual Report 2009

Awards in 2009

6

Stroke Silver AwardOur efforts to improve the quality of care given to stroke patients earned a Silver Award in

2009 and a Silver Plus Award in 2010 from the American Heart Association/American Stroke

Association. The award is given to hospitals in which 85 percent of eligible stroke patients

are treated according to nationally recognized stroke care guidelines. Most hospitals that

implement these guidelines realize improved patient outcomes and fewer recurring events,

helping improve the lives of patients and their families, employee satisfaction and the

financial health of the organization.

Materials Management AwardsMaterials Management’s work to ensure an efficient, effective and cost-conscious

supply chain earned the department several peer awards in 2009 for its efforts

to improve the process of ordering, purchasing, stocking and delivering the

supplies Floyd departments need. The department was one of only eight VHA

member- hospitals in the United States to earn a 2009 Leadership Award for

Supply Chain Management. Floyd won the award for its successful transition

to an electronic purchase order management system in conjunction with

automating the purchasing process for organizational supplies. The change

reduced work time, provided the ability to monitor order variables and reduced

price discrepancies from 18.7 percent to 6.6 percent. Also in 2009, the department

received a Global Healthcare Exchange Excellence Award for Most Improved Purchase

Order Growth and was recognized in the May 2009 issue of Purchasing Magazine as Best in

Class for sourcing and procurement of office supplies.

Quality AwardOur efforts to continuously improve safety and quality resulted in the organization being

named to the Georgia Hospital Association’s Presidential Honor Roll. Medicare established

Core Measures in 2000 to quantify the specific actions, such as the administration of

aspirin to patients with symptoms of heart attack, doctors and hospitals take to improve

a patient’s chances for good health results. Floyd reports how many of our patients have

had heart attacks, heart failure, or pneumonia, and whether we provided each of the

Core Measures for those patients. The Quality Honor Roll and Presidential Honor Roll was

developed to recognize Georgia hospitals who achieve a 90 percent or higher compliance

rate as part of an initiative to have Georgia rank among the top 10 states in the country

for Core Measure compliance. This means Floyd exceeds national benchmarks for Core

Measure provision by having a compliance rate greater than 93 percent.

SPOTLIGHTMaterials Management handles more than 25,000 purchase orders per year, each holding over 85,000 separate order lines. The Materials Management department delivers 2.1 million items to Floyd departments each year.

Floyd’s supply chain spends $41 million annually.

Floyd’s mail room processes 29,400 pieces of mail coming in each month and 27,900 pieces of mail going out each month.

Page 9: Floyd Medical Center Annual Report 2009

7

Floyd Healthcare FoundationFloyd Healthcare Foundation Campaign for The Breast Center For nearly three decades Floyd Healthcare Foundation has

partnered with Floyd employees, community leaders and

other philanthropic organizations to help support Floyd

Medical Center and its many endeavors. In April 2010 the

Foundation launched a campaign to raise $3 milllion to

expand and relocate The Breast Center. Through SPIRIT,

the Foundation’s initiative to give Floyd employees the

opportunity to invest in their employer, employees support

numerous organizational services and expansions including

the hospital’s main lobby and Mobile Mammography outreach

program, which began in 2008.

In addition, the Foundation maintains several other programs, including:

Kiki’s Kids Camp, a summer camp for children with diabetes. Campers learn

how they can incorporate nutrition and disease management into their lives

without sacrificing fun and recreation.

Focus on the Future, an endeavor that funds health-related programs for

youth in our community.

The Diabetes Council of Northwest Georgia, which raises funds for

diabetes research and brings experts and resources into our community.

Floyd Healthcare Foundation 2009 Board of DirectorsGardner WrightPresident

Sam FreemanVice President

Katey TempleSecretary

Katey TempleRobert Battey Fellowship

Charlie WilliamsInvestment Committee

Karen SablonSPIRIT Committee

Iris FranklinAnnual Fund Committee

Denise McKinneyFocus on the Future

SPOTLIGHTSince 1979, Floyd Healthcare Foundation has raised over $8 million for Floyd Medical Center and its affiliates.

In FY 2009, the Foundation raised over $482,000

In FY 2009, Floyd employees donated $287,435 to the Foundation through SPIRIT.

Kay ChumblerTreasurer

Katie DempseyImmediate Past President

Rhonda WallaceAnnual Fund Committee

Michael McDougaldRobert Battey Fellowship

Hal StoreyDiabetes Council

Kiki’s Kids Committee

Page 10: Floyd Medical Center Annual Report 2009

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

individuals in northwest Georgia and northeast Alabama through 22 physician offices,

six Urgent Care facilities, diagnostic services, hospice, behavioral health and hospital

services.

At the center of this medical hub is Floyd Medical Center, a 304-bed, full-service acute

care hospital and regional referral center that includes a Joint Commission-accredited

Primary Stroke Center and Joint Replacement (Total Hip and Total Knee) programs, a

Bariatric Surgery Center of Excellence, 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 to

grief support, and includes the following medical specialties:

Alcohol and Chemical Dependency Services

Bariatric Surgery and Aftercare

Behavioral Health

Cardiac Catheterization

Cardiology

Critical Care

Diabetes Services

Emergency Care

Hospice

Hospitalist

Imaging Services

IV Therapy

Intensive Care

Laboratory Services

Services

Level II Neonatal Intensive Care Unit

Level II Trauma Care

Maternity Services

Occupational Medicine

Oncology

Outpatient Surgery

Pediatrics

Pharmacy, Inpatient and Outpatient

Physical Therapy and Rehabilitation

Radiology

Surgical Services

Sleep Diagnostics

Urgent Care

Wound Care & Hyperbarics

8

Page 11: Floyd Medical Center Annual Report 2009

9

Health Care Delivery Statistics

66,342ECC Visits

197,769Outpatient Visits

11,487Urgent Care

Rockmart Visits

18,738Family Medicine

Visits

94,589RadiologyProcedures

15,945Urgent Care

Summerville Visits

203,207Family Primary Care

Patient Visits

26,406Urgent CareRome Visits

29,181Heyman HospiceCare

Patient Days

14,754Urgent Care

Cartersville Visits

12,292Urgent Care

Cedartown Visits

11,459Inpatient Discharges

1,770Behavioral Health

Admissions

6,681Inpatient Surgeries

2,398Births

4,064Outpatient Surgeries

830Cardiac CathProcedures

697,876Laboratory Tests

Page 12: Floyd Medical Center Annual Report 2009

Community BenefitsThe Floyd health care system, which includes Floyd Medical Center, Floyd Behavioral

Health, Floyd Primary Care, Floyd Urgent Care, 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 area. In addition to health

care services in over 40 specialties, Floyd serves as an economic force and civic leader in

the region.

Economic ImpactAs the largest employer in Floyd County and among the largest in northwest Georgia,

Floyd is not only a health care leader, but an economic leader in our community. The most

recent statistics indicate Floyd had a $437.8 million economic impact on the local economy

in 2007, while sustaining more than 4,412 full-time jobs and generating household

earnings of $115.7 million throughout Rome and the rest of the state. Our impact includes

$177 million in direct expenditures in 2006. In addition, the organization provided

approximately $19.2 million in uncompensated care, including

$11.6 million in indigent care, $2.4 million in charity

care and $5.2 million in bad debt.

Individually and corporately,

Floyd continues to be actively

involved in communities

where we have a presence

lending leadership, time

and other valuable

resources to efforts to

improve the quality

of life for families in

northwest Georgia

and northeast

Alabama.

10

Page 13: Floyd Medical Center Annual Report 2009

In fiscal year 2009, the organization’s outreach into the community touched 345,608

people through educational programs and screenings, physical examinations for athletes,

childbirth classes, support groups and publications. Floyd co-workers and volunteers

contributed 9,755 hours to community endeavors at an expense of $246,175:

Staff members and volunteers spent 2,538 hours sharing their talents with 30,790 patients

and family members through Floyd’s Arts in Medicine program.

197 individuals learned about pregnancy, labor, delivery and newborn care through

Floyd Medical Center’s childbirth classes at a cost to the organization of $3,665.

1,710 area students learned about careers in health care from Floyd employees who

took time out of their day to speak to classes.

1,641 students learned about automobile safety and safe play from Buckle Bear, Little

Green ambulance, Emergency Care Center, Public Relations and Emergency Medical

Services personnel at a cost of more than $5,179.

Floyd reached 22,049 individuals at health fairs and screenings where employees spent

350 hours discussing health issues and concerns with attendees.

Floyd employees donated 175 hours of their time to help raise funds, assist on the

sidelines or provide other support for community-wide charitable endeavors and reached

5,580 people in the process.

Our Emergency Medical Services (EMS) team stood ready to serve at sporting events and

community events to provide peace of mind and support and also visited schools and clubs,

directly reaching 20,845 people. EMS crews spent 693 hours with activities ranging from

providing immediate care at football games to giving ambulance tours to preschoolers.

Floyd.org, the organization’s website, served as a resource with yearly hits totaling over

259,762, or over 711 visitors to the site a day, at a cost of $51,948.

Representatives of Floyd donated over 183 hours of their time speaking to schools,

churches, clubs and individuals educating more than 4,072 people about Floyd and

a variety of health and healthcare-related topics.

Floyd physicians donated over 95 hours of their time to perform physical examinations

for 1,217 middle school, high school and college athletes.

In addition, Floyd employees donated more than $318,000 in fiscal year 2009 including over

$28,000 to the United Way Campaign, $287,435 to Floyd Healthcare Foundation and over

$3,085 to Toys for Tots and Rome Action Ministries food pantries. In addition, the Floyd

organization donated over $45,000 to support other community initiatives in FY 2009.

11

Page 14: Floyd Medical Center Annual Report 2009

OutreachAs a community hospital, Floyd is continuously looking for opportunities to reach further

into our community to meet the needs of the full spectrum of individuals who require

medical care in northwest Georgia. We currently have several outreach programs aimed

at improving access to health care in our community.

Floyd County ClinicIn 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 deemed

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 550 patients

in Floyd County were served by this program in fiscal year 2009, assuring them medical care

is available at Floyd.

We Care programIn addition, 105 low income, uninsured patients from throughout our region with chronic

health problems, such as diabetes or congestive heart failure, received free primary care

through the We Care program in fiscal year 2009 as part of the Floyd Family Medicine

Residency program. These patients also 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.

Indigent Outpatient Pharmacy ProgramFloyd 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.

Since 2003, Floyd has provided over $12.8 million in prescription pharmaceuticals to low

income, uninsured outpatients.

Community Benefits

12

Page 15: Floyd Medical Center Annual Report 2009

Free Clinic of RomeFloyd 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. A Floyd staff member

serves on the Free Clinic board, and many Floyd employees volunteer their time and

expertise with this clinic.

Northwest Georgia Dental ClinicIn 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 no

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

Mobile MammographyFloyd’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 over 1,800

mammograms to women in our service area in fiscal year 2009.

The goal of this program is to reach women who have never had

a mammogram in hopes of reducing the breast cancer mortality

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

coach travels to four counties to make mammography and clinical

breast exams convenient. This program seeks to provide services

and education for the purpose of improving quality of life for these

women and their families.

13

Page 16: Floyd Medical Center Annual Report 2009

Medical Staff OfficersJames M. Crane, M.D.President

Ryland Scott, M.D.Secretary-Treasurer

Vincent C. Pearson, M.D.Past President

Medical Staff Department ChairmenMark A. Jester, M.D.Department of Medicine

James D. Riley, M.D.Department of Surgery

Dixon L. Freeman, M.D.Department of Obstetrics and

Gynecology

Randy Robinson, M.D.Department of Family Medicine

Hope R. Hamilton-Rodgers, M.D. Department of Pediatrics

Allan M. Stephenson, 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

LeadershipFloydHealthcareManagement 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 Authorityof Floyd CountyJerry 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

FloydExecutiveTeamKurt 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

Mary MaireVice President and

Corporate Compliance

Officer

C. Wade MonkGeneral Counsel

Greg PolleyVice President

Dan SweitzerVice President of

Market Development

14

Page 17: Floyd Medical Center Annual Report 2009

Medical Staff OfficersJames M. Crane, M.D.President

Ryland Scott, M.D.Secretary-Treasurer

Vincent C. Pearson, M.D.Past President

Medical Staff Department ChairmenMark A. Jester, M.D.Department of Medicine

James D. Riley, M.D.Department of Surgery

Dixon L. Freeman, M.D.Department of Obstetrics and

Gynecology

Randy Robinson, M.D.Department of Family Medicine

Hope R. Hamilton-Rodgers, M.D. Department of Pediatrics

Allan M. Stephenson, 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

15

New Medical StaffIntroducingMichael Amendola, M.D. Vascular Surgery

Oladiran Amosu, M.D. Anesthesiology

Natasha Ballard, M.D. Family Medicine

Ruta Bhargava, M.D. Internal Medicine (Hospitalist)

Brandon Bushnell, M.D. Orthopedics

Dana Cason, M.D. Neonatology

Angela Coleman, M.D. Family Medicine (Floyd Primary Care)

Jennifer Davis, M.D. Pulmonology

John Desmond, M.D. Family Medicine

Paul Dominique, D.M.D.Pediatric Dentistry

Manolo Gallego, M.D. Nephrology

Michael Gonsalves, M.D. Family Medicine

David Hale, M.D. Neurology

Cline Jackson, M.D. Emergency Medicine

Christopher Keenan, D.D.S. Dentistry

Philip Lamptey, M.D. Internal Medicine (Hospitalist)

Aldrich Mendoza, M.D. Family Medicine

Leverett Neville, M.D. Diagnostic Radiology

Shaila Nupur, M.D. Internal Medicine (Hospitalist)

John Moss, M.D. Neonatology

Shalini Reddy, M.D. Family Medicine

Sara Rogers, M.D. Pediatrics

Richita Surana, M.D. Anesthesiology

Kary VanAllen, M.D. Anesthesiology

Page 18: Floyd Medical Center Annual Report 2009

FinancesAssets 2009 2008

2009 2008

2009 2008 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

$ 23,584,6386,714,274

109,279

35,355,117 590,031

9,152,3004,710,176

80,215,815

25,975,435

7,185,945

6,751,422

39,912,802

(6,714,274)

33,198,528

120,487,997

1,085,466 3,340,5114,425,977

$238,328,317

$ 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 Due to the Hospital Authority of Floyd County

Total current liabilities

Long-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

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

6,102,432 8,064,137 9,927,850 8,560,114

51,148,977

110,266,885 15,334,009 176,749,871

93,873,419

$270,623,290

$ 2,061,3389,753,3704,718,0004,432,793

4,801,9557,319,9726,943,8628,422,458

48,453,748

91,812,4125,592,024

145,858,184

92,470,133

$238,328,317

$259,926,012 6,162,001

266,088,013

$ 12,779,155

214,533,593 13,607,574 4,067,368 22,703,014

254,911,549

11,176,464

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

( 105,264) ( 163,229)

1,602,691

$232,278,300 5,048,277

237,326,577

$ 11,320,814

191,683,048 13,636,377 4,580,736 20,674,624

230,574,785

6,751,792

471,711 4,139,651

( 42,340) -

4,569,022

16

Page 19: Floyd Medical Center Annual Report 2009

Assets 2009 2008

2009 2008

2009 2008 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

$ 23,584,6386,714,274

109,279

35,355,117 590,031

9,152,3004,710,176

80,215,815

25,975,435

7,185,945

6,751,422

39,912,802

(6,714,274)

33,198,528

120,487,997

1,085,466 3,340,5114,425,977

$238,328,317

$ 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 Due to the Hospital Authority of Floyd County

Total current liabilities

Long-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

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

6,102,432 8,064,137 9,927,850 8,560,114

51,148,977

110,266,885 15,334,009 176,749,871

93,873,419

$270,623,290

$ 2,061,3389,753,3704,718,0004,432,793

4,801,9557,319,9726,943,8628,422,458

48,453,748

91,812,4125,592,024

145,858,184

92,470,133

$238,328,317

$259,926,012 6,162,001

266,088,013

$ 12,779,155

214,533,593 13,607,574 4,067,368 22,703,014

254,911,549

11,176,464

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

( 105,264) ( 163,229)

1,602,691

$232,278,300 5,048,277

237,326,577

$ 11,320,814

191,683,048 13,636,377 4,580,736 20,674,624

230,574,785

6,751,792

471,711 4,139,651

( 42,340) -

4,569,022

17

Page 20: Floyd Medical Center Annual Report 2009

www.floyd.ordhealthline 1.800.677.1536