ACCOMPLISHMENT CHANGE CHALLENGE GROWTH AN N UA L R E P O RT Accomplishment, Change, Challenge and Growth Floyd County Hospital began accepting In addition, our Palliative Care program patients on July 4, 1942. It was the received a LIVESTRONGTM grant, and Ricky community’s hospital, built with voter- Knight, director of Coordinated Care, was approved tax dollars to meet the health named a Georgia Hospital Hero. Finally, care needs of a growing community. Floyd received international recognition. Representatives of The Breast Center Although no longer supported by tax at Floyd traveled to South Korea to dollars, Floyd Medical Center remains the sign an agreement to teach the staff at community’s hospital. Floyd is the region’s Presbyterian Medical Center in Jeon Ju how largest employer with the largest payroll. to implement a breast health care program Babies begin their lives here, and families that can provide diagnostic results within turn to us for preventive care, urgent care, 24 hours. emergencies, surgery, and physical and emotional healing. Floyd continued its tradition of reinvesting resources in the community. The newly Every day we touch thousands of lives, renovated and expanded Emergency Care and we are committed to providing great Center opened. Floyd Primary Care and service with every encounter. We firmly Floyd Urgent Care relocated to a new believe every patient should have access facility in Rockmart. And, a new Emergency to quality health care, and we seek to Medical Services station opened at Polk continuously develop our services to ensure Medical Center. that this happens. The agreement to lease and manage In 2012, our efforts were recognized Polk Medical Center grabbed headlines by our peers. Our Inpatient Diabetes in 2012, and rightfully so. Approximately program, Primary Stroke Center and Spinal 45,000 Polk County patients come to Floyd Surgery program all earned important County for health care. The decision to recognition. The Floyd Center for Bariatric pursue this agreement was vital to both the Surgery and The Breast Center were each Floyd and Polk communities to ensure the recognized for a second time as Centers of long-standing relationship between Polk Excellence, and the Floyd Family Medicine County patients and Floyd providers would Residency program earned accreditation continue. Ultimately, the Polk County from the National Committee for Quality Hospital Authority chose Floyd, and a key Assurance. The Joint Commission Center provision in the agreement is that a new for Transforming Healthcare invited Floyd hospital will be built between Cedartown to participate in an initiative to reduce and Rockmart. It will provide emergency sepsis mortality. care, expanded inpatient and outpatient Our job is to be responsive and responsible services, and surgery in a convenient and in meeting those needs, and one of our easily accessible location. The application key objectives is to have Floyd services to build the hospital has been approved, not only at Floyd Medical Center and Polk and construction will begin in mid-2013. Medical Center, but also at other locations throughout the region. Looking forward, we are in a time of unprecedented change. The passage of Floyd is led by boards that work to ensure the Patient Protection and Affordable the connection between the community and Care Act has ushered in a new era for Floyd is ever present. Photos of our board medical care. The list of changes and members can be found on pages 21 and requirements is exhaustive. To name a few: 22. New to our boards are Bruce Casey, Lee elimination of pre-existing conditions and Cummings, Darroll Freeman, Dr. Dan Hanks, plan maximums, extension of coverage to Dr. Richard Jewell, Larry Kuglar, David young adults, Medicaid expansion, health Newby, Frank Shelley and Harold Wyatt. insurance exchanges, mandated health care coverage, required coverage for Finally, it is important to note that in employees of companies with more 2012 a momentous change occurred on than 50 workers, Accountable Care our board. Our long-time chairman of Organizations, Patient-Centered Medical Floyd Healthcare Management Inc., Roger Homes, pay for performance and bundling Sumner, stepped down. He will continue services for billing. to serve as a board member as Dr. George Bosworth takes on the role of chairman. Floyd’s response to the new environment Read more about Mr. Sumner’s dedication is to continue to do what we do well and and accomplishments on page 23. to carefully step forward. We don’t know how all of this is going to play out, but we The leadership and dedication of 2,700 do know that everyone eventually needs Floyd and Polk employees helped us health care and emergency services. We navigate 2012, now defined as a year of know that babies will continue to be born accomplishment, change, challenge and and that diseases and illness will always be growth. Keep reading to learn more about with us. The need for health care services this past year and what we are planning will continue. for 2013. 2 New in 2012 New Primary Care and Urgent Care Facility in Rockmart Emergency Care Center Expansion Construction was completed on a new Floyd Medical Center’s Emergency Care Primary and Urgent Care facility in Center underwent major changes in 2012. Rockmart in 2012. The new center is part The $6 million renovation included a of a strategy to expand Floyd’s presence in new entrance, expanded waiting area, Polk County. The building is located at the additional triage rooms and 12 additional intersection of U.S. Hwy. 278 and Georgia patient rooms, bringing the capacity to 52. Hwy. 113. Other changes included improvements to The larger, more convenient location the registration area, physicians lounge, houses the practices of Floyd Primary Care radiology and stat lab. family medicine specialist Dr. Thomas Garcia, physician assistant Stephanie Floyd is the service area’s only state- Hyson-Guevara, nurse practitioner Caye designated Level II Trauma Center. Burch and urgent care physicians Dr. Greg Therapy & Rehab also has an office in the New EMS Station at Polk Medical Center new facility. Floyd Medical Center’s Emergency Medical Matechak and Dr. Leia Dawson. Physical Service (EMS) opened a third Polk County location at Polk Medical Center in April 2012. This new station provides the department with a Cedartown location to better meet the needs of residents in western Polk County. Floyd also has two emergency medical stations in Rockmart. 3 Polk Medical Center: The Next Phase Construction of the new Polk Medical Center is expected to start in late summer or early fall of 2013 and last 12 to 14 months. Architectural drawings are being finalized, and financing is being secured. The new hospital complex will include a medical office building, which will contain primary care physician offices and outpatient services. The campus will be located three miles from the existing hospital, closer to Rockmart, on U.S. Hwy. 278. 4 New in 2012 Joint Replacement Center Opens In April, the east wing of the fourth floor Floyd Center for Joint Replacement. The Joint Commission Certification for Spinal Surgery center contains 16 patient rooms and an Floyd earned The Joint Commission’s Gold activity room and gym used for patient Seal of Approval™ for its Spinal Surgery rehabilitation. program by demonstrating compliance with of Floyd Medical Center became the The Joint Commission’s national standards The center’s goal is to help patients regain for health care quality and safety in disease- mobility and return to a more active specific care. lifestyle. It provides total hip replacement, total knee replacement, shoulder surgery To earn this certification, Floyd’s Spinal and treatment for other joint-related issues. Surgery program underwent a rigorous on-site survey. A team of Joint Commission expert surveyors evaluated Floyd for compliance with standards of care specific to the needs of patients and families, including infection prevention and control, leadership and medication management. 5 Level III Neonatal Intensive Care Unit Floyd Medical Center advanced to a Level III Neonatal Intensive Care Unit in 2012. This enabled Floyd to increase the offerings of care with two specific modalities not previously performed at Floyd. One is the use of High Frequency Oscillatory Ventilation (HFOV). This allows for the safe removal of carbon dioxide and increased delivery of oxygen while protecting the immature lung from stretching and tearing. Expansion of Preoperative Evaluation Center The second therapy is the use of inhaled The Preoperative Evaluation Center nitric oxide. This advanced therapy delivers underwent major renovations in 2012. nitric oxide through a ventilator directly to The center doubled its space, adding the baby’s lungs. This treatment helps relax more rooms for evaluations and a larger the muscles and blood vessels surrounding remodeled waiting room, which is more the lungs to promote increased circulation. visible to patients. The center is located on the first floor of 330 Physicians Center. 6 Awards & Achievements The Breast Center at Floyd First in Georgia to be Named Certified Quality Breast Center of Excellence The outstanding care provided at The Breast Center at Floyd earned recognition from the National Consortium of Breast The Breast Center at Floyd Collaborates with Korean Hospital Centers as a Certified Quality Breast Center of Excellence, the consortium’s highest certification level. Representatives from Floyd Medical Center traveled to Presbyterian Medical It recognizes The Breast Center’s Center in Jeon Ju, South Korea, to sign performance as being in the top 25 a memorandum of understanding that percent of all quality measures, including includes a visit to our facility in 2013. mammography, biopsy and pathology, as measured by the consortium’s National The hospital is interested in replicating Quality Measures for Breast Centers The Breast Center’s unique model of program. comprehensive care and rapid diagnosis time. Floyd is the only breast center in Georgia to hold the certification and is one of The delegation included Kurt Stuenkel, only 21 breast centers in the nation to President and CEO, Dr. Dee Russell, Chief of be a Certified Quality Breast Center of Medical Affairs, and Aimee Griffin, director Excellence. of The Breast Center at Floyd as well as Harbin Clinic physicians Dr. Paul Brock and Dr. Jim Crane. 7 Statewide Patient Safety Award for Diabetes Care The Partnership for Health and Accountability (PHA) presented its prestigious Quality and Patient Safety Award to Floyd Medical Center for its project that reduced medication errors. The project, titled “Inpatient Diabetes Care: Building a Framework for Excellence,” won second place in the Hospitals with Greater than 300 Beds category. Collaborative Bariatric Surgery Programs Earn Center of Excellence Designation These annual awards recognize Georgia Floyd and Harbin Clinic’s collaborative in reducing the risk of medical errors and bariatric surgery programs earned improving patient safety and medical recertification as a Bariatric Surgery outcomes. health care organizations for achievement Center of Excellence® from the American Society for Metabolic and Bariatric Surgery (ASMBS). Dr. Ryland Scott, Harbin Clinic general surgeon, directs the Harbin Clinic Bariatric Center and is the Medical Director and primary surgeon for the Floyd Center for Bariatric Services. To maintain the Bariatric Surgery Center of Excellence designation, Floyd, Harbin and Dr. Scott underwent a series of site inspections during which all aspects of the program’s surgical processes were closely examined, and data on health outcomes was collected. 8 Awards & Achievements Palliative Care Grant Floyd Medical Center’s Palliative Care program is among four programs in the Southeastern United States to receive a $10,000 Livestrong Community Impact Project grant. Grant recipients were determined Family Medicine Residency Clinic Earns Three-Year Recognition through an online voting campaign. Floyd The Family Medicine Clinic operated by employee intranet. promoted the campaign on Facebook, Twitter, YouTube and on the organization’s the Floyd Family Medicine Residency program has earned a three-year Patient- The Livestrong grant will be used to help Centered Medical Home Accreditation Floyd’s Palliative Care program achieve from the National Committee for Quality Advanced Certification for Palliative Assurance. Care. This Joint Commission designation acknowledges hospitals that are providing The accreditation recognizes practices that use the Patient-Centered Medical Home model, an evidence-based, patientcentered process that focuses on highly coordinated care and long-term patient/ physician relationships. A clinician-led care team provides all the patient’s health care needs and coordinates treatments across the health care system. The process is designed to improve the quality and efficiency of care by promoting partnerships between individual patients and their personal physicians. This relationship is fostered through open scheduling, expanded hours and the use of proven health information systems. 9 quality palliative care programs. Primary Stroke Center Receives Joint Commission Reaccreditation Floyd Medical Center’s Primary Stroke Center earned renewed advanced certification from The Joint Commission, in conjunction with the American Heart Association. Coordinated Care Director Wins Statewide Hero Award The certification recognizes centers that Director of Coordinated Care Ricky Knight, term success in improving outcomes for R.N., was awarded the prestigious Georgia stroke patients. Floyd underwent a rigorous Hospital Heroes Award at the Georgia on-site review with an expert from The Hospital Association’s (GHA) annual Joint Commission. have the critical elements to achieve long- luncheon, December 4, in Atlanta. Primary Stroke Centers access resources Knight, who was one of only 10 individuals from across a hospital and act as a central statewide to receive the award, was point for stroke treatment. As a result, recognized for his extraordinary dedication stroke patients are quickly identified and to the care of patients and compassion for diagnosed, rapidly receive the best and most their families. appropriate treatment, experience fewer complications and go home from Knight is known as a dedicated teacher the hospital earlier. and mentor. He developed a comprehensive orientation program for new case managers and utilization reviewers, and he visits staff daily to facilitate any processes and find teachable moments. 10 Community Benefit The Floyd health care system, which, for the purposes of this report, includes Floyd Medical Center, Floyd Behavioral Health Center, Floyd Primary Care, Floyd Urgent Care, Floyd Outpatient Surgery Center, Floyd Physical Therapy & Rehab, Heyman HospiceCare and numerous ancillary services, is vital to Rome, Floyd County and the entire Coosa Valley. The Georgia Hospital Association estimates that Floyd generates more than $504.6 million in economic activity in the state, including a $137 million annual payroll and benefits, as well as purchases and other business relationships. The organization also is Floyd County’s largest employer, with more than 2,700 employees. 2,718 49 Employees 29 Primary Care Physician offices Primary Care and Urgent Care locations $504.6 Million Economic activity in Georgia 11 Services Floyd’s health care system provides a complete continuum of medical care to serve the health care needs of individuals in Northwest Georgia and Northeast Alabama through 49 physician offices at 29 primary care and urgent care locations, as well as diagnostic services, hospice, behavioral health and hospital services. At the hub is Floyd Medical Center, a 304-bed, full-service, acute care hospital and regional referral center that includes Joint Commission-certified specialty programs in stroke care, hip replacement surgery, knee replacement surgery and spinal surgery; a Bariatric Surgery Center of Excellence; and The Breast Center at Floyd, which is a Breast Imaging Center of Excellence and a Quality Breast Center of Excellence. In addition, Floyd is a state-designated Level II Trauma Center, and provides a Level III Neonatal Intensive Care Unit (NICU). Floyd also has specialty centers for pediatrics, and wound care and hyperbarics. Floyd is uniquely positioned to provide the full circle of care from prenatal care to grief support, including the following medical specialties and services: • Alcohol and Chemical Dependency • Level II Trauma Care • Bariatric Medicine, Surgery and Aftercare • Maternity • Behavioral Health • Neurology • Cardiac Catheterization • Neuropsychology • Cardiology • Neurosurgery • Cardiac Rehabilitation • Occupational Medicine • Diabetes Care • Oncology • Echocardiography • Orthopedics • Emergency Care • Pediatrics • Family Medicine • Pediatric Intermediate Care • Family Medicine Residency Program • Pharmacy, Inpatient and Outpatient • Gynecology • Pulmonary Rehabilitation • Hospice • Radiology • Hospitalist Care • Inpatient Rehabilitation • Hyperbarics and Wound Care • Outpatient Rehabilitation • Intensive Care • Sleep Disorders • Interventional Cardiology • Surgery, Inpatient and Outpatient • IV Therapy • Urgent Care • Laboratory • Vascular Surgery • Level III Neonatal Intensive Care Unit 12 Community Benefit Community Service Individually and corporately, Floyd continues to be actively involved in the communities where it has 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. In FY 2012, the organization’s outreach into the community, along with the provision of trauma and neonatal intensive care services, touched more than 230,000 people through educational programs and screenings, physical examinations for athletes, childbirth classes, support groups and publications. Floyd employees and volunteers contributed 138,743.25 hours to community endeavors at an expense of $1,188,997: • 264 individuals learned about pregnancy, • Medical residents provided free sports labor, delivery and newborn care through physicals for 2,063 area high school and Floyd Medical Center’s childbirth classes at college athletes at a cost of $5,248. a cost to the organization of $8,812. • 9,909 people received free or discounted services at community health fairs at a cost of $38,626. • Floyd staff members provided assistance to organizations such as Toys for Tots and the Alzheimer’s Association, spending 174 hours at a cost of $17,570. • Support groups for individuals experiencing grief and those recovering from stroke reached 102 people at a cost of $2,284. • Floyd.org, Floyd’s website, was a resource with 178,416 unique visitors seeking health information at a cost of $49,835. • Working with 645 nursing students, Floyd staff members provided 73,700 hours of • Floyd staff members worked 516 hours clinical education at a cost of $482,057 to at community events, football games, the organization. Many of these students athletic events, environmental clean-up eventually accept jobs in our service area, projects, fairs and festivals, providing providing much-needed medical expertise medical coverage at these events at a cost in our primary and secondary service areas. of $46,248. • 4,435 students learned about automobile • Working with 182 clinical students in such areas as physical therapy, nutrition services safety, bicycle safety and safe play from and the pharmacy, Floyd staff members Buckle Bear; Floyd, the Little Green provided 40,715 hours of clinical education Ambulance; and emergency personnel at a at a cost of $266,309. cost of more than $10,791. • Working with 106 medical students studying to become physicians, Floyd staff members provided 19,400 hours of clinical education at a cost of $126,892. 13 Indigent Care Perhaps most significant is Floyd’s continuing commitment to provide comprehensive health care services to all individuals regardless of ability to pay. In FY 2012, $57.29 million in unreimbursed care was delivered to individuals in the form of traditional charity care and through public programs and services. The value of all community benefit activities combined totaled $61.87 million. While these statistics represent our best efforts to quantify the myriad of services Floyd and its employees provide, the numbers in this report cannot fully tell the story of Floyd and its community service. $57.29 million Unreimbursed care delivered 14 Community Benefit Technology Floyd is committed to incorporating technology into the medical setting to enhance screening and diagnostics, and to improve and ensure patient safety. In FY 2012, Floyd began implementing the third of three phases to bring Electronic Medical Records (EMRs) fully into the organization. Customized, computer-based modules ensure patients are properly identified, that appropriate medicines are dispensed, that the correct services are ordered and performed, and that bills accurately reflect the services provided. The result is instantly accessible information that already has impacted the areas of quality and safety. The third phase of this initiative will fully incorporate physicians into the process. In FY 2012, Floyd added three new diagnostic tools: Electromagnetic Navigation Bronchoscopy allows physicians to locate and biopsy spots on patients’ lungs using a high-tech navigation system and a tiny catheter. Floyd is only the second Georgia hospital to use this minimally invasive tool, which uses a patient’s natural airways to access lesions that previously were either impossible or difficult to reach. The procedure can result in a quicker diagnosis and treatment of lung cancer. Open-concept, high-field magnetic resonance imaging (MRI) provides clearer images, eliminates the enclosed feeling that claustrophobic patients find uncomfortable and includes a dedicated breast imaging table that provides the ability to focus scans on breast tissue. Three-dimensional, low-radiation dose computed tomography (CT) provides diagnostic imaging to larger patients and includes the ability to create higher quality, three-dimensional images of a patient’s anatomy, using radiation doses of 30 to 50 percent less than previously available to patients in the region. In addition, our website, www.floyd.org, serves as an instant reference to the community, providing access to information about health concerns through our health library and information about Floyd services. We use social media such as YouTube, Facebook, Twitter and Linkedin to find new ways to talk to our customers and direct them to quality health care. 15 Industry Leader Floyd is a recognized state and national leader in customer satisfaction and employee satisfaction, and our comprehensive health care services have earned Floyd regional, state and national accolades and certifications: • 2012 Partnership for Health and • 2011 VHA Georgia Regional Leadership Accountability Quality and Patient Safety Award for Most Sustainable Clinical Award for Inpatient Diabetes Care Improvement process • 2012 Livestrong Community Impact Project grant for Palliative Care • 2011 VHA Georgia Regional Leadership Award for Most Transferable Clinical Improvement process • The Floyd Family Medicine Clinic earned Patient Centered Medical • 2011 VHA Georgia Regional Leadership Award for Best Overall Clinical Improvement process • 2011 VHA Georgia Regional Leadership Award for Most Innovative Operations process • 2011 VHA Georgia Regional President’s Home Accreditation from the National Award for winning an award in all Committee for Quality Assurance categories • 2012 Georgia Society for Healthcare Marketing and Public Relations. Nine Target Awards for excellence in public relations and marketing efforts. • Disease-Specific Certification from The Joint Commission for Spinal Surgery, Inpatient Diabetes Care and Stroke Care • 2011 VHA Georgia Regional Leadership Award for Best Clinical Results and Outcomes 16 Community Benefit Outreach As 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 seek medical care in northwest Georgia and northeast Alabama. We currently have several outreach programs aimed at improving access to health care in our community. Floyd County Clinic and We Care program The Floyd County Clinic, which Floyd Medical Center operates through the Family Medicine Residency program, had 2,652 outpatient visits in FY 2012. The Clinic provides assistance to financially and medically indigent patients in an effort to reduce their need for emergency and inpatient hospital care. During FY 2012, there were 380 outpatient visits through Floyd’s We Care program. We Care, which is aimed at controlling and ameliorating chronic conditions with preventive care, assists low-income patients without health insurance or governmental benefits. Indigent Outpatient Pharmacy Program Floyd provides maintenance prescription pharmaceuticals to low-income, uninsured outpatients at no cost to the patient through its 24/7 hospital pharmacy. Any qualified low-income patient under the care of any Floyd physician, including the Family Medicine Residency Program, the Emergency Care Center physicians or Floyd Primary Care physicians, is eligible to receive the prescribed medications. In FY 2012, Floyd provided more than $1,700,000 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 380 Free, We Care outpatient visits 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 (through the Floyd Medical Center laboratory) and assistance with prescription medications. 2,652 Free, Floyd County Clinic outpatient visits 17 $1.7 million Free, prescription pharmaceuticals 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 no 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 equipment, seeks to reach out to the mostly rural and underserved areas around Rome. This outreach program, which began service in November 2008, provided 2,285 mammograms to women in our service area in FY 2012. Of those, 605 patients were past due for a mammogram; 144 women had never had a mammogram before; and 223 screenings revealed an abnormality that required further testing. Seven 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 the hope of reducing the breast cancer mortality rate in our region, which is among the highest in the nation. The coach traveled 7,873 miles in FY 2012 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 with the goal of reducing that mortality rate and improving the lives of these women and their families. Mobile mammograms to women in our service area Screenings revealed an abnormality that required further testing Women who had never had a mammogram Miles traveled 18 Floyd Healthcare Foundation Since 1979, Floyd Healthcare Foundation has raised more than $10 million for Floyd Medical Floyd Healthcare Foundation Board of Directors Center and its affiliates. In FY 2012, the Foundation raised more than $697,000, including $302,000 from employees giving through SPIRIT, the Foundation’s initiative to give Floyd employees the opportunity to invest in their employer. Through SPIRIT, employees support numerous organizational services and expansions, including the hospital’s main lobby and Kay Chumbler Mobile Mammography outreach program, which began in 2008. In 2012, a new branch of President, Campaign Vice Chairwoman SPIRIT was formed at Polk Medical Center. Funds raised there will go toward projects at the new Ron Tomlinson hospital. In October 2012, the Foundation hosted the second annual Three Rivers Run, a 5K road Vice President race and 2-mile health walk, raising more than $20,000 for The Breast Center at Floyd. Katey Temple Secretary, Robert Battey Fellowship Co-chairwoman Brad Roberts In addition, the Foundation maintains several other programs: • 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 Treasurer, Annual Fund Chairman Sam Freeman Immediate Past President Gardner Wright Campaign Chairman, Signature Gifts Chairman Paige Swiger 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. • A newly formed Polk Medical Center Development Council. Robert Battey Fellowship Co-chairwoman Rob Harbison Corporate Partners Chairman Charles Norris Investment Committee Chairman $697,000 Raised by the Foundation Hal Storey Diabetes Council of Northwest Georgia Chairman Karen Sablon SPIRIT Committee Chairwoman Denise Downer McKinney Focus on the Future Chairwoman Jamie Doss Planned Giving Chairman Lauren Adams Foundation Director, Ex-Officio Member Kurt Stuenkel Floyd President and CEO, Ex-Officio Member 19 $302,000 Raised through SPIRIT Health Care Delivery Statistics Floyd Urgent Care, Cedartown Bariatric Surgery Cases Floyd Urgent Care, Rockmart Births Floyd Urgent Care, Rome Cardiac Cath Lab Cases Floyd Urgent Care, Summerville Emergency Care Center (ECC) Visits Urgent Care, Total Family Practice Visits Heyman HospiceCare Patient Days Floyd Behavioral Health Admissions Floyd Medical Center and Floyd Behavioral Health Admissions Laboratory Billable Tests Floyd Medical Center and Floyd Behavioral Health Patient Days Outpatient Visits Radiology Procedures Floyd Medical Center Patient Days Surgeries, Inpatient Floyd Primary Care, excluding Urgent Care Floyd Urgent Care, Calhoun Floyd Urgent Care, Cartersville Surgeries, Outpatient 11,180 Surgeries, Total 20 Leadership 21 George Bosworth, M.D. Roger Sumner Chairman, Floyd Healthcare Management Inc. Floyd Healthcare Resources Inc. Past Chairman, Floyd Healthcare Management Inc. Floyd Healthcare Resources Inc. Mark Manis Jerry Norman Chairman, Floyd Healthcare Resources Inc. Floyd Healthcare Management Inc. Chairman, Hospital Authority of Floyd County Floyd Healthcare Management Inc. Polk Medical Center Inc. Harold Wyatt Jr. Billy Burk, M.D. Chairman, Cedartown-Polk County Hospital Authority Polk Medical Center Inc. Floyd Healthcare Management Inc. Hospital Authority of Floyd County Samuel Burrell, Sr. Bruce Casey Floyd Healthcare Resources Inc. Hospital Authority of Floyd County Cedartown-Polk County Hospital Authority Polk Medical Center Inc. Kay Chumbler Lee Cummings Floyd Healthcare Management Inc. Cedartown-Polk County Hospital Authority Polk Medical Center Inc. Katie Dempsey Darroll Freeman Floyd Healthcare Resources Inc. Cedartown-Polk County Hospital Authority Polk Medical Center Inc. Garry Fricks Sam Freeman Floyd Healthcare Management Inc. Floyd Healthcare Management Inc. Polk Medical Center Inc. Floyd Executive Team Kurt Stuenkel President and Chief Executive Officer Warren A. (Sonny) Rigas Executive Vice President/ Chief Operating Officer Daniel Hanks Jr., M.D. Carl Herring, M.D. Floyd Healthcare Resources Inc. Hospital Authority of Floyd County Floyd Healthcare Management Inc. Dee Russell, M.D. Vice President and Chief of Medical Affairs Joseph Biuso, M.D. Chief Medical Officer Sheila Bennett Richard Jewell, O.D. David Johnson Cedartown-Polk County Hospital Authority Floyd Healthcare Management Inc. Hospital Authority of Floyd County Vice President and Chief Nursing Officer Rick Sheerin Vice President and Chief Financial Officer Alison Land Vice President Dan Sweitzer Larry Kuglar Timothy Mahanay Floyd Healthcare Management Inc. Cedartown-Polk County Hospital Authority Polk Medical Center Inc. Floyd Healthcare Management Inc. Vice President of Market Development Greg Polley Vice President Kim Scoggins Administrator, Polk Medical Center Wade Monk John Mayes David Newby Legal Counsel Floyd Healthcare Management Inc. Hospital Authority of Floyd County Floyd Healthcare Resources Inc. Hospital Authority of Floyd County Julie Rogers Frank Shelley William Wigley Floyd Healthcare Management Inc. Cedartown-Polk County Hospital Authority Polk Medical Center Inc. Floyd Healthcare Management Inc. Corporate Compliance Officer 22 Roger Sumner In stepping down from his role as chairman of Floyd Healthcare Management Inc. in 2012, Roger Sumner handed to his successor a 30-year legacy of leadership and direction that has helped Floyd become a comprehensive health care provider and economic force. Mr. Sumner has served Floyd as an inspired leader, mentor and friend, helping guide Floyd from a small town community hospital into a successful, multifaceted health care organization. Since 1982, he worked tirelessly on Floyd’s behalf, building relationships with elected officials, businesses and industry to further our mission. He was instrumental in moving Floyd from an authority-governed organization to a governance structure that allowed Floyd to focus on growing its business and meeting the needs of the community. Working with President and CEO Kurt Stuenkel, he helped create a corporate culture based on the patient experience, employee engagement, and high levels of employee satisfaction. This helped promote creativity and growth, resulting in state and national recognition for patient and employee satisfaction, customer satisfaction, financial performance and clinical, operational and community benefit excellence. Convinced that Floyd could improve the resources available to indigent and charity patients, Mr. Sumner appointed a task force that has improved reimbursement for indigent care, developed better programs for caring for uninsured patients and improved accessibility to services. In addition, he worked diligently to keep Floyd moving toward financial excellence, even as other health care providers saw financial performance falter. Throughout his tenure, Mr. Sumner has remained accessible and encouraging, listening to our community leaders, our patients, their families, our staff, our physicians and our volunteers. His vision and guidance have not only made Floyd an outstanding organization, his leadership has helped our region be strong economically. Retired pediatrician Dr. George Bosworth replaced Mr. Sumner as chairman of Floyd Healthcare Management Inc. Dr. Bosworth also serves on the board of Floyd Healthcare Resources Inc. He has served on the Resources Board since 1997 and the Management Board since 2001. 23 Medical Staff Floyd Medical Center Medical Staff Officers 2012-2013 Ryland Scott, M.D. President W. Barritt Gilbert, M.D. President Elect New Physicians 2012 Jennifer Barbieri, M.D Leia Dawson, D.O. Secretary-Treasurer Family Medicine Physicians by the Numbers Active Leena Dutta, M.D. Floyd Medical Center Department Chairmen 2012-2013 Mark Jester, M.D. Department of Medicine J. Kelly Mayfield. M.D. Department of Surgery Mark Dean, M.D. Department of Obstetrics-Gynecology Randy Robinson, M.D. Department of Family Medicine Raj. Miniyar, M.D. Department of Pediatrics Kevin Phillips, M.D. Department of Radiology Steven Hom, M.D. Department of Pathology Jodi Kuhlman, M.D. Department of Anesthesiology Quresh Bandukwala, M.D. Department of Psychiatry Internal Medicine Tom Garcia, D.O. Family Medicine Jason Guyotte, M.D. Internal Medicine Sara Harbin, M.D. Pediatrics Michael Holcombe, M.D. Diagnostic Radiology George Hotz, M.D. Family Medicine Muhammad Ishaque, M.D. Nephrology Charles Jackson, M.D. Cardiology Nadia Meyer, M.D. Psychiatry Emily Natarella, M.D. Anesthesiology Adanna Nwachukwu, M.D. Internal Medicine Ola Okundaye, M.D. Internal Medicine Emergency Cyrus Parsa, M.D. Cardiothoracic Surgery Jason Ramirez, M.D. Family Medicine Daniela Rusu, M.D. Anesthesiology Floyd Soriano, M.D. Courtesy Family Medicine Michelle Strickland, M.D. Sports and Family Medicine Bernard Tortorice, M.D. Anesthesiology Honorary Allen Tucker, M.D. Anesthesiology Mark Virtue, M.D. Family Medicine David Wilson, M.D. Consulting Vascular Surgery Maaya Wilton, M.D. Dental/Oral Pathology Family Medicine Residents 24 Finances Assets Current assets: Cash and cash equivalents Assets limited as to use Temporary investments Patient accounts receivable, net of estimated uncollectibles of $155,000,000 in 2012 and $148,000,000 in 2011 Estimated third-party payor settlements Inventories Other current assets Total current assets 2011 $ 21,216,985 7,208,786 $ 10,110,165 10,041,722 49,651,985 47,957,467 10,956,932 10,197,821 9,641,637 6,317,317 98,432,509 84,068,308 40,739,757 43,030,600 Assets limited as to use: By board for capital improvements Under malpractice funding arrangement held by trustee Under indenture agreement held by trustee 4,704,998 5,682,978 10,197,576 9,735,904 Total assets limited as to use 55,642,331 58,449,482 Less amount required to meet current obligations (7,208,786) (10,041,722) Noncurrent assets limited as to use 48,433,545 48,407,760 171,816,042 168,246,690 1,255,540 559,424 3,694,679 5,549,643 $324,231,739 1,295,904 3,645,365 4,941,299 $305,664,057 Property, plant and equipment, net Other assets: Unamortized bond issue costs Due from the Hospital Authority of Floyd County Other Total other assets Total assets 25 2012 Liabilities and Net Assets 2012 2011 $ 1,633,731 13,233,580 7,793,670 2,556,059 $ 2,526,108 11,789,840 7,429,914 2,421,103 7,373,452 10,925,541 9,587,035 6,605,647 8,669,225 11,829,670 53,103,068 51,271,507 130,501,970 32,398,591 8,532,887 112,512,087 13,885,361 216,003,629 186,201,842 108,228,210 119,462,215 $324,231,739 $305,664,057 2012 2011 $344,941,459 $331,080,123 (33,715,038) (29,913,260) Net patient service revenue Other operating revenue Total revenue, gains and other support 311,226,421 6,729,675 317,956,096 301,166,863 6,823,695 307,990,558 Expenses: Operating expenses Depreciation and amortization Interest 281,734,003 22,277,120 5,929,019 274,750,747 19,438,798 5,728,382 309,940,142 299,917,927 8,015,954 8,072,631 2,431,169 687,254) 3,798,740 - 1,743.915 3,798,740 $ 9,759,869 $ 11,871,371 Current liabilities: Current portion of long-term debt Accounts payable Short-term notes payable Estimated third-party payor settlements Accrued expenses: Salaries and compensation Employee benefits Other Total current liabilities Due to the Hospital Authority of Floyd County Long-term debt, net of current portion Other long-term liabilities Total liabilities Net assets - unrestricted Total liabilities and net assets Income Statement Unrestricted revenues, gains and other support: Patient service revenue (net of contractual allowances and discounts) Provision for bad debt Total expenses Operating Income Nonoperating income (expense): Investment income (loss) Loss of defeasance Total nonoperating income Excess of revenues over expenses ( 26 The Floyd health care system, which includes Floyd Medical Center, Polk Medical Center, Floyd Behavioral Health Center, Floyd Primary Care practices, Floyd Urgent Care centers, Floyd Outpatient Surgery Center, Floyd Physical Therapy & 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 more than 40 specialties, Floyd serves as an economic force and civic leader in the region. www.floyd.org healthline 1.800.677.1536
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