2O15 REPORT TO THE COMMUNITY STRAIGHTFORWARD

2O15 REPORT TO THE COMMUNITY STRAIGHTFORWARD

Year In Review Floyd Begins $2O Million Construction Project In 2015, work began on a phased $2O million construction project that will improve the dining experience for visitors and employees, consolidate critical care services at Floyd and add new services. This latest investment in construction and renovation will continue into 2017, and includes two large projects that either began or were completed in 2015. Renovated Food Service Area Opens The newly remodeled service area in the Floyd Medical Center cafeteria opened in October. The renovation added a doublesided soup and salad bar, pizza station, a Coca-Cola Freestyle machine, hot rotisserie chicken and a Grab N Go takeout center for faster checkout. A remodel of the kitchen area that serves the cafeteria and patient meals is scheduled for completion in 2016. Consolidation of Coronary Care and Intensive Care Units Construction on a new, consolidated critical care nursing unit began in late October 2015 and will continue through the end of 2016. The project, which includes the construction of a new service elevator, creates a 26-bed critical care unit on the third floor of Floyd Medical Center that will house both intensive care patients and coronary care patients. The existing Coronary Care Unit on the fifth floor will be converted to a dedicated Observation Unit after the new critical care unit is completed. Observation status is for patients who need additional medical supervision to help determine whether the patient should be admitted to the hospital. 1

New in 2O15 2O15 Floyd now offering Fetal Echocardiography Floyd Medical Center began offering fetal echocardiography in June 2015. This ultrasound procedure allows physicians to see a baby s heart while still in the mother s womb. Previously, patients had to travel to Atlanta or Chattanooga for this test. This painless and non-invasive examination takes about an hour and is performed in the Outpatient Cardiology Lab. The test can be ordered by the mother s obstetrician, her primary care physician or any other physician providing care during pregnancy. Floyd Creates Accountable Care Organization In July 2015 the Floyd Healthcare Management board voted to create an Accountable Care Organization, or ACO. The Accountable Care Organization of Floyd Medical Center LLC works to ensure that patients get the right care at the right time without duplication of services. ACOs are health care partnerships in which physicians, hospitals and other stakeholders work together to manage patient care and patient outcomes by reducing hospital readmissions, keeping patients in the outpatient setting rather than the inpatient setting. Cancer Navigators Becomes Affiliated with Floyd Cancer Navigators became affiliated with Floyd in August 2015, strengthening the day-to-day operations of Cancer Navigators through management and administrative support from Floyd Medical Center, while ensuring that cancer patients, regardless of where they are receiving care, and their families, will continue to receive support. Cancer Navigators provides education, counseling and access to valuable resources for cancer patients and their families from diagnosis, continuing through treatment and beyond. Now, Floyd will support much of the administrative costs for Cancer Navigators, freeing funds raised by the organization, with the assistance of Floyd Healthcare Foundation, to go directly to patient and family services. In October 2015, Cancer Navigators relocated to the third floor of the Harbin Clinic Tony E. Warren, M.D. Cancer Center on the Floyd Medical Center campus. Cardiac Catheterization Lab Added, New Inpatient Dialysis Opens A third cardiac cath lab opened in August 2015, and a new dialysis services area opened in September. The third cath lab adds capacity to the busy lab, which has increased in volume from 562 procedures in 2003 to 1,634 in 2015. Behavioral Health Center Renovation Begins The first of three phases of construction at Floyd Behavioral Health Center was completed in October 2015. This first phase involved renovating patient rooms on the existing west wing to provide a safer environment. The second phase, renovating patient rooms on the existing east wing, was completed in December 2015. The third phase, construction of a new area equipped to handle a variety of patients, depending on need, was completed in February 2016. 2

Awards and Honors Healthgrades Patient Safety Award Healthgrades, a company that provides online information about health care providers to consumers, recognized Floyd Medical Center with its 2015 Patient Safety Excellence Award, ranking in the top 5 percent nationally. Floyd also received the award in 2014. The award is based on patient claims data from the Centers for Medicare and Medicaid Services. The hospitals whose scores were in the top 10 percent were recognized for Patient Safety Excellence. Leapfrog Group Recognizes Floyd for Safety Excellence Leapfrog Group, a company that measures the quality of care in hospitals with the aim of improving patient safety and outcomes, awarded Floyd Medical Center a grade of A on its Hospital Safety Score Card in 2015. The score is based on hospital safety metrics: Safety problems with surgery Staff follows steps to make surgery safer Infections and safety problems Right staffing to prevent safety problems Hospital uses Standard Safety Procedures Verras Recognizes Floyd as a Georgia 10 Best Value Hospital Verras Healthcare International, a company that provides continuous quality improvement techniques for hospitals and medical staffs, recognized Floyd Medical Center as one of Georgia s 10 Best Value Hospitals. The award is based on Verras Medical Value Index, which takes into account service, quality and price in ranking hospitals. Center for Bariatric Services Passes Site Survey Floyd s Center for Bariatric Services was re-certified in June as a metabolic and bariatric surgery accreditation and quality improvement program. The certification is through the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery (ASMBS). The program seeks to advance safe, highquality care for bariatric surgical patients. A bariatric surgical center achieves accreditation following a rigorous review of physical resources, human resources and standards of practice. All accredited centers report their outcomes to the MBSAQIP database. The grade is based on the hospital s ability to prevent errors, accidents, injuries and infections. The peer-reviewed score is calculated by patient safety experts. 3

Wound Care Board Honors Floyd for Employer Recognition Floyd Medical Center was honored in June with the 2015 WOCNCB Employer Recognition Award from the Wound, Ostomy and Continence Nursing Certification Board. The award is given annually to an organization that has demonstrated exemplary support of the certification process in WOC nursing. The award demonstrates Floyd s support of professional excellence and focus on expert care. The Wound, Ostomy and Continence Nursing Society is a professional, international nursing society of health care professionals who are specialists in the care of patients with wound, ostomy and continence needs. Heyman HospiceCare named Hospice Honors Elite Recipient Heyman HospiceCare was named a 2015 Hospice Honors TM Elite recipient in May. The award honors hospice organizations that continuously provide the highest level of satisfaction through their care, as measured from the caregiver s point of view. Deyta, a survey and data company focusing on hospice and home health care, identified award recipients by evaluating hospices performance on 18 satisfaction indicator measures. Elite recipients are those hospices scoring above the Deyta National Average on all evaluation questions. Deyta collects information from approximately 1,700 partnering hospices. Stroke Program Receives Get with the Guidelines Gold Plus Award Floyd Medical Center s stroke program received the Get With The Guidelines -Stroke Gold Plus Quality Achievement Award with Target: Stroke SM Honor Roll in May 2015. To receive the Gold Plus Quality Achievement Award, hospitals must adhere to Get With The Guidelines-Stroke achievement indicators for two or more consecutive 12-month periods and comply with Get With The Guidelines-Stroke Quality measures. Get With The Guidelines establishes quality measures that are designed to help hospital teams provide the most up-to-date, evidence-based guidelines with the goal of speeding recovery and reducing death and disability for stroke patients. The Joint Commission Recertifies Disease-Specific Programs Floyd has four programs that hold disease-specific certification by The Joint Commission. In fiscal year 2015, each of those programs was recertified: Advanced Inpatient Diabetes Advanced Primary Stroke Hip and Knee Joint Replacement Spinal Surgery Certification means these programs have met The Joint Commission s stringent quality-based guidelines. Programs are reviewed every two years by The Joint Commission. 2O15 4

Community Benefits The Floyd health care system, which, for the purposes of this report, includes Floyd Medical Center, Polk 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 area. The Georgia Hospital Association estimates that Floyd generates more than $620.1 million in economic activity in the state, including a $146.3 million annual payroll and benefits, as well as purchases and other business relationships. The organization also is Floyd County s largest employer, with approximately 2,800 employees. Services Floyd s health care system provides a complete continuum of medical care to serve the healthcare needs of individuals in northwest Georgia and northeast Alabama. Our Primary Care network includes 45 physicians and 15 mid-level providers at 25 Primary Care and Urgent Care locations. Floyd also provides inpatient and outpatient diagnostic, 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, spinal surgery, inpatient diabetes care and palliative care. In addition, Floyd is a designated Bariatric Surgery Center of Excellence and The Breast Center at Floyd is a Breast Imaging Center of Excellence and a Quality Breast Center of Excellence. Floyd also is home to a state-designated level II Trauma Center, a level III Neonatal Intensive Care Unit and has specialty centers for Pediatrics and Wound Care and Hyperbarics. In 2012, Polk Medical Center, a 25-bed, critical access hospital in Cedartown, Georgia, became part of the Floyd family under a management agreement. Through these locations Floyd is uniquely positioned to provide the full circle of care, including the following medical specialties and programs: Alcohol and Chemical Dependency Services Bariatric Medicine, Surgery and Aftercare Behavioral Health Breast Health Cardiac Catheterization Cardiology Cardiac Rehabilitation Diabetes Care Diagnostic Radiology Echocardiography Emergency Care Family Medicine Family Medicine Residency Program Gynecology Hospice Hospitalist Hyperbarics and Wound Care Intensive Care Interventional Cardiology IV Therapy Laboratory Services Level III Neonatal Intensive Care Unit Level II Trauma Care Maternity Neurology Neuropsychology Neurosurgery Neonatal Care, Intermediate and Intensive Occupational Medicine Oncology Orthopedics Palliative Care Pediatrics Pediatric Intermediate Care Pharmacy, Inpatient and Outpatient Radiology Inpatient Rehabilitation Services Outpatient Rehabilitation Services Sleep Disorders Surgery, Inpatient and Outpatient Urgent Care Vascular Surgery 5

2O15 Industry Leader Floyd is a recognized state and national leader in customer engagement, and our comprehensive health care services have earned Floyd regional, state and national accolades and certifications. Over the past fiscal year, Floyd Medical Center and its affiliates received state, national and international recognition: 2015 Wound, Ostomy and Continence Nursing (WOCN) Certification Board Employer Recognition Award for support of the WOCN nursing certification. 2015 Hospice Honors Elite award for Heyman HospiceCare at Floyd, recognizing hospice organizations that continuously provide the highest level of satisfaction through their care as measured from the caregiver s point of view. 2015 Target Awards from the Georgia Society of Healthcare Marketing and Public Relations for total integrated campaign, social media marketing and direct mail (Floyd s Got Heart initiative), writing (Outstanding Story of Care: People are Not Disposable), web sites (floyd.org), employee communication (GreenLink, Floyd s employee intranet) and issues management (floydstraightforward.org). 2015 Telly Awards for videography efforts in three categories. 2015 American Heart Association/American Stroke Association Get With The Guidelines Stroke Gold Plus Quality Achievement Award and Target Stroke SM Honor Roll, recognizing Floyd s success in ensuring stroke patients receive the most appropriate treatment. 2015 Patient Safety Excellence Award from Healthgrades, based on data gathered from 2011 to 2013 from the federal Centers for Medicare and Medicaid Services. 2015 Women s Choice Awards for Patient Experience, Patient Safety and Best Stroke Centers. 2015 U.S. News and World Report Best Hospital and High Performer for orthopedics. 2015 Patient Saftey Excellence Award from Healthgrades for being in the top 5% in the nation for Patient Saftey. Indigent Care 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 2015, $57.84 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 $61.5 million. While these statistics represent our best efforts to quantify the myriad services Floyd and its employees provide, the numbers in this report cannot fully tell the story of Floyd and its community service. 6

Community Benefits Community Service 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 efforts to improve the quality of life for families in Northwest Georgia and Northeast Alabama. In FY 2015, the organization s outreach into the community, along with the provision of trauma and neonatal intensive care services touched more than 70,000 people through educational programs and screenings, physical examinations for athletes, childbirth classes, support groups and publications. Floyd co-workers and volunteers contributed 134,444 hours to community endeavors at an expense of $946,626. 148 individuals learned about childbirth, breastfeeding and newborn care through childbirth education classes at a cost to the organization of $7,341. 2,098 indigent or charity individuals received free or reduced cost prescriptions at a cost to the organization of $92,017. Working with 697 nursing students, Floyd staff members provided 50,775 hours of clinical education at a cost of $301,655 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. Working with 326 clinical students in such areas as physical therapy, nutrition services and the pharmacy, Floyd staff members provided 48,181 hours of clinical education at a cost of $288,209. Working with 98 medical students studying to become physicians, Floyd staff members provided 31,788 hours of clinical education at a cost of $188,852. 900 individuals received information about diabetes at a cost to the organization of $861, and another 129 were screened for diabetes at a cost of $558. 45,670 individuals benefitted from the presence of Floyd Emergency Medical Services at community events at a cost to the organization of $46,199. 6,815 students learned about safety and health education in school-based health education programs at a cost of $10,282. 1,940 student athletes received free sports physicals at a cost to the organization of $1,579. 7

2O15 Outreach As a community hospital, Floyd is continuously looking for opportunities to reach farther 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. Members of the Floyd team are committed to the community in many ways. In FY 2015 Floyd coworkers loaned their talents and leadership skills to school, civic and professional organizations. A partial list of the leadership roles Floyd and our employees held during 2015 includes: President-Elect, Georgia Society for Healthcare Materials Management Board Member, Georgia Hospital Association Member, Georgia Association of Development Professionals At-Large Member, Georgia Faith Community Nurse Board President, Georgia Hospital Association Managed Care Chair, VHA Georgia Revenue Cycle Council Member, Floyd County March of Dimes Committee Member, Child Abuse Protocol Committee Member, Child Death Review Committee Member, Georgia Northwestern Technical College Phlebotomy Program Advisory Board Member, Dalton College Phlebotomy/Medical Lab Technician Advisory Board Member, Blood Assurance Rome Advisory Board Member, Polk County Local Emergency Planning Committee President-Elect, Georgia Society for Respiratory Care School Governance Committee, Pepperell Middle School Advisory Council, Floyd County Schools Member, Respiratory Therapy Advisory Committee, Georgia Northwestern Technical College Member, Respiratory Therapy Advisory Committee, Dalton State College Member, Respiratory Therapy Advisory Committee, Jacksonville State University Board Member, The Free Clinic of Rome Board Member, HIS Financial Services (part of VHA Georgia) Fellow and Georgia Past President, Healthcare Financial Management Association Coble Elementary School Board Member, Calhoun, Georgia Secretary, NW GONL district board Member, Client Advisory Board, ivision Neonatal Resuscitation Program volunteer instructor Program Chair, Rome chapter of Society of Human Resources Chairman, Polk County Schools Career and College Academy Challenger Sports Spring Formal PR Chairperson, Board Member Rome-Floyd Parks & Recreation Authority Board Member Challenger Sports Board Member and Coach Berry College PRSSA Professional Advisor Board Member, Floyd County College and Career Academy Board Member and Target Awards Chairman, Georgia Hospital Association, Georgia Society for Healthcare Marketing and Public Relations President, Rome High School Parent Teacher Student Organization Board Member, Action Ministries Rome 8

Community Benefits Floyd County Clinic and We Care program The Floyd County Clinic, which Floyd Medical Center operates through the Family Medicine Residency program, had 1,836 outpatient visits in FY 2015. The Clinic provides assistance to financially and medically indigent patients in an effort to reduce their need for emergency and inpatient hospital care. The Floyd Medical Center pharmacy provided prescriptions to 312 Floyd County Clinic patients in FY 2015. We Care, which is aimed at controlling and improving chronic conditions with preventive care, assists lowincome patients without health insurance or governmental benefits. In FY 2015, the We Care program provided prescriptions to 46 patients at a cost of $17,201.84. Indigent Outpatient Pharmacy Program Floyd provides maintenance prescriptions to low-income, uninsured outpatients at no or minimal cost to the patient through its hospital pharmacy. Any qualified, lowincome patient under the care of the Family Medicine Residency program may be eligible to receive the prescribed medications. In FY 2015, Floyd provided over $195,000, of which $192,000 was recovered in replacement medicines from pharmaceutical companies, and Polk provided $1,239.61 in prescription pharmaceuticals to low-income, uninsured patients. 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 lowincome, 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. During FY 2015, physicians from the Floyd Family Medicine Residency program provided 34 hours of volunteer care to 120 Free Clinic patients at a cost to the organization of $1,098. 9

2O15 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 mammography equipment, seeks to reach out to the mostly rural and underserved areas around Rome. This outreach program provided 2,810 mammograms to women in our service area in FY 2015. Of those, 1,046 patients were past due for a mammogram, 195 women had never had a mammogram; before; and 269 screenings revealed an abnormality that required further testing. Eight 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 7,086 miles in FY 2015 to women in six Georgia counties and two Alabama 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. In conclusion, Floyd and Polk s commitment to our role as an excellent community hospital may be best illustrated by the extraordinary acts of kindness and compassion that permeate our culture. We believe that it is important to always keep our values and our mission in front of us. On a daily basis, the employees of Floyd realize that each encounter is an opportunity to put our mission into action. Our commitment to our values and to high levels of employee and patient satisfaction enables a culture of high performance. 10

Quality Initiatives Falls Reduction at Polk Medical Center Over the course of an intensive, two and a half day event, the Lean Six Sigma department worked with Polk Medical Center s West Wing nursing unit to reduce the number of patient falls. The team simulated the patient experience, examined multiple processes and worked through various tools to develop an exhaustive action plan. The team completed over 23 action items that were identified. Their efforts have resulted in a reduction in falls of approximately 15 percent. Patient falls are a national initiative of The Joint Commission. Hip Fracture Program The Hip Fracture Program sought to improve patient outcomes and education with patients admitted to Floyd Medical Center for surgery after a hip fracture. The goals of the program are to decrease overall mortality, reduce post-operative complications and surgical risks, improve patient and family education, and improve efficiency. The team developed a hip fracture guidebook for patients, a flow chart that tracks each patient s care from an initial visit to the Emergency Care Center (ECC) through rehabilitation, a specific admission order set for hip fracture patients and the designation of 4 East and 4 North as specific areas of care for hip fracture patients. These changes enhance the patient experience and help nursing staff to better manage these patients while at the hospital and helping direct them to proper follow-up care. 11

Health Care Delivery Statistics Bariatric Surgery Cases Births Cardiac Cath Lab Cases Emergency Care Center Visits Total Floyd Medical Center & Behavioral Health Center Admissions Floyd Medical Center Inpatient Admissions (includes babies and rehab) Floyd Medical Center Observation Admissions Behavioral Health Center Admissions Floyd Medical Center & FBH Patient Days Floyd Medical Center Inpatient Days (includes babies and rehab) Floyd Medical Center Observation Patient Days Behavioral Health Center Patient Days Floyd Primary Care visits (excludes Urgent Care) Family Practice Visits Floyd Urgent Care visits, Rome Floyd Urgent Care visits, Cedartown Floyd Urgent Care visits, Cartersville Floyd Urgent Care visits, Summerville Floyd Urgent Care visits, Rockmart Floyd Urgent Care visits, Calhoun Heyman HospiceCare Patient Days Laboratory Billable Tests Outpatient Visits Radiology Procedures Floyd Medical Center Surgeries Total Inpatient Surgeries Total Outpatient Surgeries 2O15 170 2,260 1,634 76,250 24,625 14,887 8,175 1,563 90,336 68,155 11,609 10,572 133,079 16,560 23,103 10,752 15,636 23,067 15,627 8,358 31,007 1,089,513 187,146 116,194 11,206 7,048 4,158 12

Medical Staff Officers Medical Staff Officers and Department Chairmen Floyd depends on physicians to provide guidance in all aspects of patient care and to provide leadership in the ongoing effort to improve quality and efficiency. Jennifer Barbieri, M.D. President Christopher Merritt, M.D. Secretary-Treasurer W. Barritt Gilbert, M.D. Past-President Lisa Blake, M.D. Chairman, Department of Obstetrics-Gynecology James E. Collins, M.D. Chairman, Department of Family Medicine Steven G. Hom, M.D. Chairman, Department of Pathology Mark A. Jester, M.D. Chairman, Department of Medicine Kirk Kizziah, M.D. Chairman, Department of Radiology Jodi Kuhlman, M.D. Chairman, Department of Anesthesiology J. Kelly Mayfield, M.D. Chairman, Department of Surgery Nadia Meyer, M.D. Chairman, Departent of Psychiatry Raj Miniyar, M.D. Chairman, Department of Pediatrics 13

New Physicians 2O15 These physicians have joined our medical staff since July 1, 2014. Ron Alleyne, M.D. Family Medicine Haval Amedi, M.D. Internal Medicine Erick Anderson, M.D. Family Medicine Takele Chala, M.D. Internal Medicine Jacquelyn Cheatham-Terry, D.O. Family Medicine Lindsay Claroni, D.O. Family Medicine Justin Dunn, M.D. Orthopedic Surgery Aidenojie Ihenyen, M.D. H. Whitney Jennings, M.D. Gastroenterology Kenneth Jones, M.D. Emergency Medicine Patrick Lynn, M.D. Family Medicine Robert Madden, M.D. Internal Medicine Michael Moss, M.D. Internal Medicine Ayorinde Ogunbameru, M.D. Internal Medicine Michael Paxten, M.D. Orthopedic Surgery Amanda Reeves, D.O. Family Medicine Stephen Rodes, M.D. Orthopedic Surgery Jason Rogers, M.D. Orthopedic Surgery Ashley Ryan, M.D. Anesthesiology Henaro Sabino, M.D. Pediatric Cardiology Photos were not available for these physicians: Donald Cornutt, M.D. Anesthesiology Ross Sommers, M.D. Neonatology Jessica Stepp, D.O. Family Medicine Jarrod Wiegman, M.D. Family Medicine Katherine Wiegman, M.D. Family Medicine 14

Board Members Bruce Casey Member, Polk Medical Center Inc.; Member, Cedartown-Polk County Hospital Authority George Bosworth, M.D. Chairman, Floyd Healthcare Management Inc., Resources Inc. James Collins, M.D. Management Inc. David Johnson Chairman, Hospital Authority of Floyd County; Management Inc. Lee Cummings Member, Polk Medical Center Inc.; Member, Cedartown-Polk County Hospital Authority Mark Manis Chairman, Floyd Healthcare Resources Inc.; Member, Floyd Healthcare Management Inc. Katie Dempsey Resources Inc. Harold Wyatt Jr. Chairman, Cedartown-Polk County Hospital Authority Polk Medical Center Inc. Denise Downer-McKinney Member, Hospital Authority of Floyd County; Member, Floyd Healthcare Resources Inc. Kay Chumbler Vice Chairman, Floyd Healthcare Management Inc. Darroll Freeman Member, Polk Medical Center Inc.; Member, Cedartown-Polk County Hospital Authority John Bennett Member, Hospital Authority of Floyd County Sam Freeman Member, Floyd Healthcare Management Inc.; Member, Polk Medical Center Inc. 15

Garry Fricks Management Inc. Timothy Mahanay Management Inc. 2O15 Daniel Hanks Jr., M.D. Resources Inc.; Member, Hospital Authority of Floyd County Carl Herring, M.D. Management Inc. Robert Holcombe, M.D. Management Inc. Richard Jewell, O.D. Member, Cedartown-Polk County Hospital Authority Larry Kuglar Member, Polk Medical Center Inc.; Member, Floyd Healthcare Management Inc.; Member, Cedartown- Polk County Hospital Authority Ann Lule, M.D. Management Inc. David Newby Resources Inc.; Member, Hospital Authority of Floyd County Frank Shelley Management Inc.; Member, Polk Medical Center Inc.; Member, Cedartown-Polk County Hospital Authority Kurt Stuenkel Management Inc., and Polk Medical Center Inc.; Secretary, ex-officio non-voting officer, Floyd Healthcare Resources Inc. and Hospital Authority of Floyd County Roger Sumner Past Chairman, Floyd Healthcare Management Inc. member Floyd Healthcare Resources Inc. Rhonda Wallace Management Inc. Brad Ward, M.D. Management Inc. Floyd Executive Team Kurt Stuenkel President and Chief Executive Officer Warren A. (Sonny) Rigas Executive Vice President and Chief Operating Officer Joseph Biuso, M.D. Executive Vice President and Chief Medical Officer Sheila Bennett, D.N.P. Senior Vice President and Chief of Patient Services Rick Sheerin Senior Vice President and Chief Financial Officer Jeff Buda Vice President and Chief Information Officer Rick Childs Vice President, Revenue Cycle Management David Early Vice President, Support Services Greg Polley Vice President Beth Bradford Chief Human Resources Officer Matt Gorman Administrator, Polk Medical Center Tommy Manning Corporate Counsel Julie Rogers Corporate Compliance Officer 16

Financial Statements Assets 2015 2014 Current assets: Cash and cash equivalents Assets limited as to use, current Patient accounts receivable, net of estimated uncollectibles of $184,400,000 in 2015 and $227,200,000 in 2014 Inventories Other current assets $ 80,284,808 5,699,837 57,206,360 9,532,186 7,243,970 $ 47,909,199 5,093,887 65,024,825 9,727,134 7,806,403 Total current assets Assets limited as to use: By board for capital improvements 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 costs Other Total other assets Total assets 159,967,161 62,634,865 9,889,787 72,524,652 5,699,837 66,824,815 194,441,757 1,799,948 4,575,077 6,375,025 $427,608,758 135,561,448 51,352,665 9,283,867 60,636,532 5,093,887 55,542,645 189,891,080 1,896,085 4,333,738 6,229,823 $387,224,996 17

2O15 Liabilities and Net Assets 2015 2014 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 Long-term debt, net of current portion Non-current pension liability Due to the Hospital Authority of Floyd County Total liabilities Net assets - unrestricted Total liabilities and net assets $ 3,387,436 15,107,788-4,650,472 6,221,571 14,471,436 10,511,119 54,349,822 174,411,262 23,741,527 6,466,195 258,968,806 168,639,952 $427,608,758 $ 2,751,058 14,146,073 5,898,643 2,193,351 9,268,551 12,455,626 10,736,970 57,450,272 165,436,636 16,588,495 2,140,089 241,615,492 145,609,504 $387,224,996 Income Statement Unrestricted revenues, gains and other support: Patient service revenue (net of contractual allowances and discounts) Provision for bad debt Net patient service revenue Other operating revenue Total revenues, gains and other support 2015 $414,346,168 (37,878,643) 376,467,525 2,556,315 379,023,840 2014 $365,524,668 (39,998,496) 325,526,172 5,717,911 331,244,083 Expenses: Operating expenses Depreciation and amortization Interest Total expenses Operating income 320,743,970 25,612,413 6,356,505 352,712,888 26,310,952 293,700,759 22,897,041 6,347,969 322,945,769 8,298,314 Nonoperating income: Investment income Gain on acquisition of Polk Medical Center Total nonoperating income 5,614,555 1,044,237 6,658,792 4,834,878-4,834,878 Excess of revenues over expenses $32,969,744 $13,133,192 18

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