HOSPITAL AUTHORITY OF FLOYD COUNTY SELF INSURANCE TRUST
P O BOX 233 304 TURNER MCCALL BLVD, ROME, GA 301620233

Total Revenue
$10,254
Total Expenses
$3,321,180
Net Assets
$1,061,817

Organizations Filed Purposes: SUPPORT 501(C)(3)HOSPITAL

THE HOSPITAL AUTHORITY OF FLOYD COUNTY SELF INSURANCE TRUST (TRUST) WAS CREATED TO SUPPORT THE HOSPITAL AUTHORITY OF FLOYD COUNTY, GEORGIA (AUTHORITY), A POLITICAL SUBDIVISION AND EXEMPT ORGANIZATION. THIS ORGANIZATION PROVIDES FUNDING TO SATISFY MALPRACTICE AND COMPREHENSIVE GENERAL PATIENT CLAIMS AGAINST THE AUTHORITY AND FLOYD HEALTHCARE MANAGEMENT INC. DBA FLOYD MEDICAL CENTER. BEGINNING IN NOVEMBER 1991, THE AUTHORITY'S OPERATIONS WERE MANAGED BY FLOYD HEALTHCARE MANAGEMENT, INC. ("FHMI"), A TAX-EXEMPT NOT-FOR- DESCRIPTION OF EXEMPT PURPOSE ACHIEVEMENT CONTINUED ON SCHEDULE O. PROFIT CORPORATION AS DETERMINED BY SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ON JANUARY 1, 1998, PURSUANT TO THE LEASE, TRANSFER, AND REVERSION AGREEMENT BETWEEN THE AUTHORITY AND FHMI (LEASE), THE AUTHORITY LEASED ITS OPERATIONS AND SUBSTANTIALLY ALL OF ITS NET ASSETS TO FHMI. CONCURRENT WITH MANAGEMENT AGREEMENT AND CONTINUING UNDER THE LEASE, THE TRUST SUPPORTS FHMI AS WELL AS THE AUTHORITY.

Executives Listed on Filing

Total Salary includes financial earnings, benefits, and all related organization earnings listed on tax filing

NameTitleHours Per WeekTotal Salary
TRUSTEE10$4,241
Richard T SheerinCFO1$0
Mark ManisTRUSTEE1$0
William V WigleyVICE CHAIRMA1$0
Larry KuglarTRUSTEE1$0
Timothy MahanayTRUSTEE1$0
Carl Herring MdTRUSTEE1$0
Garry FricksTRUSTEE1$0
David JohnsonTRUSTEE1$0
Frank ShelleyTRUSTEE1$0
J Roger SumnerPAST CHAIRMA1$0
Sam FreemanTRUSTEE1$0
John MayesTRUSTEE1$0
Kay ChumblerTRUSTEE1$0
George A BosworthCHAIRMAN1$0
Jerry NormanTRUSTEE1$0
James Collins Jr MdTRUSTEE1$0
Brad Ward MdTRUSTEE1$0
Robert Holcombe Jr MdTRUSTEE1$0
Kurt StuenkelPRESIDENT1$0

Data for this page was sourced from XML published by IRS (public 990 form dataset) from: https://s3.amazonaws.com/irs-form-990/201541359349309149_public.xml