TANNER MEDICAL CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: TANNER MEDICAL CENTER INC (EIN 58-1790149)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-13
IRS object ID: 202241339349308534
Schema version: 2020v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-13T16:14:34-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	580914992	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DRAFFIN & TUCKER LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 71309	AddressLine1Txt
City	ALBANY	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	317081309	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	581790149	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TANNER MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	TANN	BusinessNameControlTxt
Phone	7708369580	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	705 DIXIE STREET	AddressLine1Txt
City	CARROLLTON	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	301173818	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CAROL CREWS	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7708369580	PhoneNum
Signature	2022-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	CAROL	PersonFirstNm
Person Last	CREWS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JACQUELINE G ATKINS	PreparerPersonNm
PTIN	P00861721	PTIN
Phone	2298837878	PhoneNum
Preparation	2022-05-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	LOY HOWARD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	705 DIXIE STREET	AddressLine1Txt
City	CARROLLTON	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	301173818	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$482,277,573	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.TANNER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1988	FormationYr
Legal Domicile State	GA	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE A CONTINUUM OF QUALITY HEALTHCARE SERVICES WITHIN OUR RESOURCE CAPABILITIES. TO SERVE AS A LEADER IN A COLLABORATIVE EFFORT WITH THE COMMUNITY TO PROVIDE HEALTH EDUCATION, SUPPORT SERVICES, AND CARE FOR THE COUNTY AND SURROUNDING AREA.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	4068	TotalEmployeeCnt
Total Volunteers	79	TotalVolunteersCnt
Total Gross UBI	$973,158	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$536,788	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$19,975,354	PYContributionsGrantsAmt
CY Contributions Grants	$8,915,068	CYContributionsGrantsAmt
PY Program Service Revenue	$269,104,723	PYProgramServiceRevenueAmt
CY Program Service Revenue	$303,498,119	CYProgramServiceRevenueAmt
PY Investment Income	$22,220,153	PYInvestmentIncomeAmt
CY Investment Income	$23,136,237	CYInvestmentIncomeAmt
PY Other Revenue	$72,970,415	PYOtherRevenueAmt
CY Other Revenue	$76,493,633	CYOtherRevenueAmt
PY Total Revenue	$384,270,645	PYTotalRevenueAmt
CY Total Revenue	$412,043,057	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,566,701	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,348,829	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$149,078,058	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$156,859,046	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$174,959,714	PYOtherExpensesAmt
CY Other Expenses	$202,556,922	CYOtherExpensesAmt
PY Total Expenses	$325,604,473	PYTotalExpensesAmt
CY Total Expenses	$360,764,797	CYTotalExpensesAmt
PY Revenues Less Expenses	$58,666,172	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$51,278,260	CYRevenuesLessExpensesAmt
Total Assets BOY	$876,761,987	TotalAssetsBOYAmt
Total Assets EOY	$1,025,880,697	TotalAssetsEOYAmt
Total Liabilities BOY	$280,378,860	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$319,542,032	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$596,383,127	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$706,338,665	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE A CONTINUUM OF QUALITY HEALTHCARE SERVICES WITHIN OUR RESOURCE CAPABILITIES. TO SERVE AS A LEADER IN A COLLABORATIVE EFFORT WITH THE COMMUNITY TO PROVIDE HEALTH EDUCATION, SUPPORT SERVICES, AND CARE FOR THE COUNTY AND SURROUNDING AREA.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$259,410,546	ExpenseAmt
Grant	$1,348,829	GrantAmt
Revenue	$377,936,813	RevenueAmt
Desc	TANNER MEDICAL CENTER, INC. PROVIDES HEALTHCARE TO THE POPULATION OF NORTHWEST GEORGIA AND EAST ALABAMA. SERVICES ARE FOR BOTH INPATIENT SERVICE AND OUTPATIENT ANCILLARY SERVICES INCLUDING PHYSICIAN OFFICES. AS A NOT FOR PROFIT CORPORATION, TANNER PROVIDES SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. TANNER MEDICAL CENTER, INC. IS A REGIONAL HEALTHCARE PROVIDER WITH MORE THAN 300 PHYSICIANS REPRESENTING 35 UNIQUE MEDICAL SPECIALTIES. TANNER PROVIDES A WIDE RANGE OF COMPREHENSIVE MEDICAL SERVICES FOR RESIDENTS IN A REGION OF WEST GEORGIA AND EAST ALABAMA. TANNER'S FACILITIES INCLUDE THE 180-BED ACUTE CARE TANNER MEDICAL CENTER/CARROLLTON; THE ROY RICHARDS, SR. CANCER CENTER, TANNER HEART AND VASCULAR CENTER, TANNER BREAST HEALTH, THE TANNER ADVANCED WOUND CENTER, EMPLOYEE ASSISTANCE PROGRAM (TANNER EAP) AND MORE. MORE INFORMATION ON TANNER MEDICAL CENTER, INC. IS AVAILABLE IN THE HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH CAN BE DOWNLOADED AT HTTP://WWW.TANNER.ORG/MAIN/HEALTHLIVINGMAGAZINE.ASPX TANNER MEDICAL CENTER, INC. IS A NOT-FOR-PROFIT HEALTHCARE SYSTEM. THE MEDICAL CENTER PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA AND EMPLOYED PHYSICIANS. TANNER MEDICAL CENTER, INC. INCLUDES THE FOLLOWING: TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES THROUGH THE OPERATION OF A 180-BED ACUTE CARE HOSPITAL IN CARROLLTON, GEORGIA.	Desc
Total Program Service Expenses	$259,410,546	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	315	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	4068	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CAROL CREWS	PersonNm
Phone	7708369580	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	705 DIXIE STREET	AddressLine1Txt
City	CARROLLTON	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	301173818	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DANIEL JACKSON
CHAIRMAN	1.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
JEFFREY LINDSEY DMD
VICE CHAIRMA	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
MARY COVINGTON
SECRETARY	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
GELON WASDIN
TREASURER	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
FREDERICK O'NEAL
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
STEVE ADAMS
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
ANNA BERRY
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
HOWARD RAY
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
LYNN CLARKE
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
TIMOTHY WARREN
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
CHRIS ARANT MD
DIRECTOR	1.00	41.00	Yes (X)		$0	$1,162,620	$23,122
DENISE TAYLOR
CCH	23.00	18.00		Yes (X)	$229,637	$169,732	$14,264
GREG SCHULENBURG
CIO/COO	23.00	18.00			$563,539	$187,846	$47,715	Yes (X)
DEBORAH MATTHEWS
CNO	23.00	18.00			$284,819	$210,517	$44,986	Yes (X)
SUSAN FOX
SVP, TMG	23.00	18.00			$318,093	$235,112	$27,103	Yes (X)
WAYNE SENFELD
SR. VP, BUS	23.00	18.00		Yes (X)	$331,148	$244,761	$25,406
QUIANA SCOTLAND MD
PHYSICIAN	40.00				$545,351	$0	$20,495		Yes (X)
ALYSSIA HOWARD MD
PHYSICIAN	40.00				$599,153	$0	$15,698		Yes (X)
CAROL CREWS
CFO	23.00	20.00		Yes (X)	$425,991	$314,862	$25,109
BEN CAMP MD
VP, MEDICAL	23.00	18.00			$488,932	$361,385	$27,793	Yes (X)
TUNICIA GIRON MD
PHYSICIAN	40.00				$572,425	$0	$24,296		Yes (X)
WILLIAM HINES
CONTRACT CAO	10.00	31.00		Yes (X)	$629,486	$209,829	$0
WILLIAM WATERS MD
FORMER CMO					$264,253	$195,318	$0			Yes (X)
LOY HOWARD
CEO	23.00	20.00		Yes (X)	$1,251,698	$925,167	$179,280
PAUL PERROTTI
PAST COO (LE	23.00	17.00			$327,152	$241,808	$11,402			Yes (X)
RYAN CORTEZ MD
PHYSICIAN	40.00				$558,017	$0	$20,794		Yes (X)
MICHAEL HAMNER MD
PHYSICIAN	40.00				$543,507	$0	$28,547		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,933,201	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,458,957	TotReportableCompRltdOrgAmt
Total Other Compensation	$536,010	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	272	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AYA HEALTHCARE INC
DEPT 3519 P O BOX 12351	DALLAS	TX	75312	NURSING SERVICE	$13,244,147
RK REDDING CONSTRUCTION INC
P O BOX 426 412 SANGAMORE RD	BREMEN	GA	301102278	CONSTRUCTION	$6,492,552
EPIC SYSTEMS CORPORATION
PO BOX 88314	MILWAUKEE	WI	53288	SOFTWARE SVCS	$6,235,922
APOGEE MEDICAL MANAGEMENT
15059 N SCOTTSDALE RD SUITE 600	SCOTTSDALE	AZ	85254	PHYSICIANS	$5,260,356
RA-LIN & ASSOCIATES INC
101 PARKWOOD CIRCLE	CARROLLTON	GA	301178756	CONSTRUCTION	$5,201,883

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	126	CntrctRcvdGreaterThan100KCnt
Related Organizations	$484,232	RelatedOrganizationsAmt
Government Grants	$8,405,836	GovernmentGrantsAmt
All Other Contributions	$25,000	AllOtherContributionsAmt
Total Contributions	$8,915,068	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	623000	$302,909,978	$302,909,978
REFERENCE LAB	621500	$588,141		$588,141

Field	Value	IRS element (for citing)
Total Program Service Revenue	$303,498,119	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,735,614	TotalRevenueColumnAmt
Exclusion	$15,735,614	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$77,089,428	SecuritiesAmt
Other	$545,711	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$69,708,600	SecuritiesAmt
Other	$525,916	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$7,380,828	SecuritiesAmt
Other	$19,795	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,400,623	TotalRevenueColumnAmt
Exclusion	$7,400,623	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SHARED SERVICE REVENUE	621990	$71,450,502	$71,450,502
PROPERTY MANAGEMENT FEE	531310	$1,816,177	$1,816,177
MISCELLANEOUS	722514	$943,662	$943,662

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,283,292	TotalRevenueColumnAmt
Related Or Exempt Func Income	$816,494	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$385,017	UnrelatedBusinessRevenueAmt
Exclusion	$1,081,781	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$76,493,633	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$412,043,057	TotalRevenueColumnAmt
Related Or Exempt Func Income	$377,936,813	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$973,158	UnrelatedBusinessRevenueAmt
Exclusion	$24,218,018	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,348,829	TotalAmt
Program Services	$1,348,829	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,746,491	TotalAmt
Management And General	$4,746,491	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$597,960	TotalAmt
Management And General	$597,960	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$110,036,898	TotalAmt
Program Services	$77,435,550	ProgramServicesAmt
Management And General	$32,601,348	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,141,639	TotalAmt
Program Services	$3,217,703	ProgramServicesAmt
Management And General	$923,936	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$29,180,212	TotalAmt
Program Services	$28,999,535	ProgramServicesAmt
Management And General	$180,677	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,155,846	TotalAmt
Program Services	$6,226,593	ProgramServicesAmt
Management And General	$1,929,253	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$591,242	TotalAmt
Management And General	$591,242	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,118,478	TotalAmt
Management And General	$1,118,478	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$342,188	TotalAmt
Management And General	$342,188	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$261,491	TotalAmt
Management And General	$261,491	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$628,485	TotalAmt
Management And General	$628,485	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$58,019,425	TotalAmt
Program Services	$42,341,759	ProgramServicesAmt
Management And General	$15,677,666	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,632,030	TotalAmt
Program Services	$930,635	ProgramServicesAmt
Management And General	$701,395	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$51,967,355	TotalAmt
Program Services	$47,378,999	ProgramServicesAmt
Management And General	$4,588,356	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,430,054	TotalAmt
Program Services	$7,879,753	ProgramServicesAmt
Management And General	$1,550,301	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$141,676	TotalAmt
Program Services	$68,828	ProgramServicesAmt
Management And General	$72,848	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$315,774	TotalAmt
Program Services	$91,394	ProgramServicesAmt
Management And General	$224,380	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,368,018	TotalAmt
Program Services	$17,376,683	ProgramServicesAmt
Management And General	$10,991,335	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,251,663	TotalAmt
Program Services	$22,291	ProgramServicesAmt
Management And General	$3,229,372	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
REPAIRS AND MAINTENANCE	$19,998,501	$2,387,947	$17,610,554
MEDICAL SUPPLIES	$19,178,726	$19,178,726
LICENSES	$4,133,409	$3,858,569	$274,840
MISCELLANEOUS	$2,236,822	$655,995	$1,580,827

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$941,585	TotalAmt
Program Services	$10,757	ProgramServicesAmt
Management And General	$930,828	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$360,764,797	TotalAmt
Program Services	$259,410,546	ProgramServicesAmt
Management And General	$101,354,251	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$53,088,790	BOYAmt
EOY	$54,172,978	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$190,449,084	BOYAmt
EOY	$251,743,222	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$46,406,959	BOYAmt
EOY	$50,093,647	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$3,032,470	BOYAmt
EOY	$2,817,642	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,979,280	BOYAmt
EOY	$7,111,800	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,514,071	BOYAmt
EOY	$8,518,018	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$448,328,392	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$236,020,726	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$227,969,293	BOYAmt
EOY	$212,307,666	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$245,655,753	BOYAmt
EOY	$321,620,623	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$5,106,441	BOYAmt
EOY	$6,326,027	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$91,559,846	BOYAmt
EOY	$111,169,074	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$876,761,987	BOYAmt
EOY	$1,025,880,697	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$44,774,152	BOYAmt
EOY	$54,076,059	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$190,497,448	BOYAmt
EOY	$214,332,180	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$21,228,276	BOYAmt
EOY	$19,260,004	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,878,984	BOYAmt
EOY	$31,873,789	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$280,378,860	BOYAmt
EOY	$319,542,032	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$584,120,130	BOYAmt
EOY	$688,553,113	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,262,997	BOYAmt
EOY	$17,785,552	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$596,383,127	BOYAmt
EOY	$706,338,665	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$876,761,987	BOYAmt
EOY	$1,025,880,697	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$51,278,260	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$58,407,078	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$270,200	PriorPeriodAdjustmentsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$261,491	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$47,833	OtherActivitiesAmt
Total Lobbying Expenditures	$309,324	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	A PORTION OF THE ANNUAL MEMBERSHIP FEES PAID TO THE GEORGIA HOSPITAL ASSOCIATION IS USED FOR LOBBYING EXPENSES TO SUPPORT AND VOICE HOSPITAL CONCERNS AT THE STATE LEVEL. CONNECT SOUTH AND LIVE OAK PUBLIC STRATEGIES ARE RETAINED TO HELP TANNER IN THE AREA OF PUBLIC AFFAIRS SUPPORT WITH THE STATE OF GEORGIA. BRIAN DILL, ALONG WITH A HIRED LIAISON, SERVES AS TANNER'S VICE PRESIDENT OVER GOVERNMENT RELATIONS WHOSE DUTIES INCLUDE HELPING TANNER HEALTH SYSTEM STAY ABREAST OF LEGISLATIVE ISSUES RELATED TO HEALTHCARE.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,262,997	BeginningYearBalanceAmt
Contributions	$4,044,069	ContributionsAmt
Investment Earnings Or Losses	$2,103,405	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$624,919	GrantsOrScholarshipsAmt
End Year Balance	$17,785,552	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,624,737	BeginningYearBalanceAmt
Contributions	$1,344,454	ContributionsAmt
Investment Earnings Or Losses	-$382,537	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$323,657	GrantsOrScholarshipsAmt
End Year Balance	$12,262,997	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,766,811	BeginningYearBalanceAmt
Contributions	$1,412,001	ContributionsAmt
Investment Earnings Or Losses	$49,325	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$603,400	GrantsOrScholarshipsAmt
End Year Balance	$11,624,737	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,237,661	BeginningYearBalanceAmt
Contributions	$3,138,455	ContributionsAmt
Investment Earnings Or Losses	$150,463	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$759,768	GrantsOrScholarshipsAmt
End Year Balance	$10,766,811	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,228,875	BeginningYearBalanceAmt
Contributions	$1,905,178	ContributionsAmt
Investment Earnings Or Losses	$240,311	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,136,703	GrantsOrScholarshipsAmt
End Year Balance	$8,237,661	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.37820	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.62180	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,851,216	OtherCostOrOtherBasisAmt
Book Value	$14,851,216	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$223,948,283	OtherCostOrOtherBasisAmt
Depreciation	$109,360,967	DepreciationAmt
Book Value	$114,587,316	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,252,495	OtherCostOrOtherBasisAmt
Depreciation	$1,853,979	DepreciationAmt
Book Value	$4,398,516	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$198,836,354	OtherCostOrOtherBasisAmt
Depreciation	$124,805,780	DepreciationAmt
Book Value	$74,030,574	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,440,044	OtherCostOrOtherBasisAmt
Book Value	$4,440,044	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$212,307,666	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM RELATED PARTIES	$66,286,761
BENEFICIAL INTEREST IN FOUNDATION	$22,348,483
OTHER RECEIVABLES	$9,422,442
RIGHT OF USE LEASED ASSETS	$9,261,030
BOND ISSUE COSTS	$1,194,986
INSURANCE RECEIVABLE	$1,043,960
ACCRUED INCOME - PREMIER	$921,423
DUE FROM THIRD PARTY PAYORS	$689,989

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$111,169,074	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
MEDICARE ADVANCE PAYMENTS	$21,083,271
OPERATING LEASE LIABILITIES	$5,737,490
FINANCE LEASE LIABILITIES	$3,684,521
CARES ACT FUNDING	$1,311,344
DUE TO THIRD PARTIES	$57,163

Field	Value	IRS element (for citing)
Total Liability	$31,873,789	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PAGE 2, PART V, LINE 4

ENDOWMENT FUNDS HELP SUPPORT HEALTH CARE SERVICES INCLUDING MAMMOGRAMS FOR THE INDIGENT, CANCER PATIENT ASSISTANCE, CAPITAL IMPROVEMENTS, EDUCATION AND SCHOLARSHIPS, HOSPICE CARE, CARDIOLOGY ASSISTANCE, AND CHILDREN'S ASSISTANCE.

SCHEDULE D, PAGE 3, PART X

THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEDICAL CENTER APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE MEDICAL CENTER ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING COMBINED BALANCE SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2021 AND 2020 OR FOR THE YEARS THEN ENDED. THE MEDICAL CENTER'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. TANNER MEDICAL GROUP IS PART OF A TAX-EXEMPT ORGANIZATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE AFFILIATED BUSINESS SERVICES PROVIDED ARE, HOWEVER, SUBJECT TO UNRELATED BUSINESS INCOME TAXES AND A FORM 990-T, EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN IS FILED FOR THESE SERVICES.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	2.500000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,398,557	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,398,557	NetCommunityBenefitExpnsAmt
Total Expense	0.02330	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,524,603	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,696,994	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,827,609	NetCommunityBenefitExpnsAmt
Total Expense	0.04110	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,923,160	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,696,994	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,226,166	NetCommunityBenefitExpnsAmt
Total Expense	0.06440	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,049,827	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,870	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,002,957	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,271	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,271	NetCommunityBenefitExpnsAmt

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$333,760	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$333,760	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$105,450	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$105,450	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$578,951	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$578,951	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,070,259	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,870	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,023,389	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,993,419	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,743,864	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,249,555	NetCommunityBenefitExpnsAmt
Total Expense	0.07000	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,000	NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,075	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$67,075	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,575	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,575	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,000	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$190,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$190,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$277,650	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$277,650	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$33,532,545	BadDebtExpenseAmt
Reimbursed By Medicare	$53,867,260	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$63,773,970	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,906,710	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	WEST GEORGIA ENDOS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	GASTROENTEROLOGY	PrimaryActivitiesTxt
Org Profit Or Ownership	0.51000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.49000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TANNER MEDICAL CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	705 DIXIE STREET	AddressLine1Txt
City	CARROLLTON	CityNm
State Abbreviation	GA	StateAbbreviationCd
ZIP	301173818	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.TANNER.ORG	WebsiteAddressTxt
State License	022-426	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TANNER MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
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Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
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Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.TANNER.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.TANNER.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.TANNER.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
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Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 3E	THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IS IDENTIFIED AND THE METHODOLOGY FOR PRIORITIZING EACH NEED IS DESCRIBED ON PAGE 76 OF THE 2019 CHNA. TANNER'S PRIORITY TOPICS FOR THE FY 2020-2022 IMPLEMENTATION STRATEGY ARE: (1) ACCESS TO CARE; (2) HEALTHY AND ACTIVE LIFESTYLES AND EDUCATION; (3) CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT; (4) MENTAL/BEHAVIORAL HEALTH; (5) SUBSTANCE MISUSE; (6) SOCIAL DETERMINANTS OF HEALTH. TANNER'S LONG-STANDING COMMITMENT TO THE COMMUNITY IS DEEPLY ROOTED IN ITS MISSION. THE ORGANIZATION REMAINS COMMITTED TO IMPROVING THE COMMUNITY'S HEALTH, NOT ONLY THROUGH DAILY PATIENT CARE ACTIVITIES BUT ALSO OUTREACH, PREVENTION, EDUCATION AND WELLNESS OPPORTUNITIES. TANNER IS DEDICATED TO MAKING WEST GEORGIA A HEALTHIER PLACE TO LIVE, LEARN, WORK, PLAY AND GROW. WITH THE HELP OF COMMUNITY PARTNERS, TANNER HAS SUCCESSFULLY IMPLEMENTED PROGRAMS THAT HELP WEST GEORGIA RESIDENTS WITH THE HEALTHCARE AND PREVENTIVE SERVICES THEY NEED. DESCRIBED BELOW ARE THE STEPS TAKEN TO MEET THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN TANNER'S FY 2019 CHNA BY COMMUNITY HEALTH IMPLEMENTATION STRATEGY PRIORITY AREA. ACCESS TO CARE: TANNER CONTINUED TO DEVELOP NEW CLINICAL PROGRAMS TO EXPAND TREATMENT CAPABILITIES AND ENSURE A FULL CONTINUUM OF COVERAGE AND OPTIMAL DISEASE MANAGEMENT. DURING FY 2020, TANNER OPENED THE 130,000-SQUARE-FOOT TANNER HEALTH PAVILION, HOUSING A VARIETY OF MEDICAL SERVICES, INCLUDING TANNER HEALTHCARE FOR CHILDREN, TANNER HEALTHCARE FOR WOMEN, TANNER BREAST HEALTH, COMPREHENSIVE BREAST CARE CENTER, TANNER IMAGING CENTER AND WEST GEORGIA INTERNAL MEDICINE, A PHARMACY AND MORE. WITH A FOCUS ON WELLNESS, THE FACILITY HAS PARK-LIKE GROUNDS, A TRAILHEAD TO THE CARROLLTON GREENBELT, INCLUDING A NEW CONNECTION TO A GREENBELT SPUR TO DOWNTOWN CARROLLTON. IN OCTOBER 2018, TANNER OPENED A NEONATAL INTENSIVE CARE UNIT (NICU) AT TANNER MEDICAL CENTER/CARROLLTON. THE UNIT HAS SEEN 128 ADMISSIONS OVER THE PAST TWO YEARS, WITH AN AVERAGE CENSUS OF 4.5. THAT CENSUS IS GROWING, INDICATING INCREASED NEED/USE BY OUR COMMUNITY, WITH OUR MOST RECENT MONTHLY CENSUS AT 8.9. IN OCTOBER 2019, TANNER RECEIVED STATE APPROVAL TO EXPAND ITS CARDIAC SERVICES TO INCLUDE AN OPEN-HEART SURGERY PROGRAM. IN FY 2020, TANNER ALSO OPENED A NEW LOCATION FOR THE BUCHANAN MEDICAL CLINIC IN HARALSON COUNTY. IN ADDITION, TANNER COMPLETED THE CONSTRUCTION OF THE BIRCHES AT VILLA RICA, AN INDEPENDENT AND ASSISTED LIVING FACILITY, IN FY 2021. THE BIRCHES, WHICH IS FULLY INCORPORATED INTO A FULL-SERVICE REGIONAL HEALTH SYSTEM, IS HELPING OVERCOME ONE OF THE GREATEST CHALLENGES FOR SENIOR LIVING RESIDENTS: ACCESS TO MEDICAL CARE. ADDITIONAL CLINICAL SERVICES ADDED DURING FY 2020 AND FY 2021 INCLUDE: A DIRECT ACCESS COLONOSCOPY SCREENING PROGRAM, ALLOWING PATIENTS MEETING CLINICAL CRITERIA TO SCHEDULE A COLORECTAL CANCER SCREENING WITHOUT A PHYSICIAN OFFICE VISIT BEFOREHAND; MRI FUSION PROSTATE BIOPSY, WHICH ALLOWS FOR UROLOGISTS TO USE A COMPUTER NAVIGATION SYSTEM FOR PRECISION BIOPSY OF CANCER TUMORS, A SERVICE PREVIOUSLY UNAVAILABLE FOR PATIENTS IN TANNER'S SERVICE AREA; ENDOFLIP ESOPHAGEAL DIAGNOSTIC TECHNOLOGY, A DEVICE THAT ALLOWS TANNER'S GI PHYSICIANS TO DIAGNOSE COMPLEX SWALLOWING DISORDERS THAT CAN HAVE HEARTBURN-LIKE SYMPTOMS; EXPANSION OF ELECTROPHYSIOLOGISTS ACCESS AT TANNER; EXPANSION OF TANNER'S SLEEP CENTER IN VILLA RICA TO ACCOMMODATE MORE PATIENTS; EXPANSION OF GENERAL SURGERY TO TANNER MEDICAL CENTER/VILLA RICA; EXPANSION OF ORTHOPEDIC TOTAL JOINT REPLACEMENT AND SAME-DAY TOTAL JOINT REPLACEMENT TO TANNER MEDICAL CENTER/VILLA RICA; AND EXPANSION OF ROBOTIC SURGERY CAPABILITIES FOR GYN AND GENERAL SURGERY TO TANNER MEDICAL CENTER/VILLA RICA. THE COVID-19 PANDEMIC FORCED TELEMEDICINE TO AN EVEN MORE IMPORTANT ROLE IN CURBING THE EXPOSURE TO AND TRANSMISSION OF INFECTIOUS DISEASE WHILE HELPING KEEP OUR FRONT LINES SAFE AND ENSURE THEY HAVE THE RESOURCES TO RESPOND ADEQUATELY TO THE CHALLENGES PRESENTED BY COVID-19. THROUGH ASSISTANCE FROM THE FEDERAL COMMUNICATION'S COMMISSION (FCC) COVID-19 TELEHEALTH PROGRAM GRANT IN 2020, TANNER HAS BEEN ABLE TO EXPAND ITS EXISTING TELEMEDICINE PLATFORM THROUGH INTOUCH HEALTH, TO INCLUDE ADDITIONAL SPECIALTIES AND LOCATIONS, AND NEW REMOTE PATIENT MONITORING TECHNOLOGIES THROUGH VIVIFY HEALTH, ALL INTEGRATED WITH TANNER'S NEWLY LAUNCHED ELECTRONIC HEALTH RECORD, EPIC. TANNER UTILIZES ITS TELEHEALTH PLATFORM TO EXPAND INPATIENT, OUTPATIENT, AND POST-ACUTE CARE SERVICES TO ALL PATIENTS THROUGHOUT THE COMMUNITY. TANNER'S INPATIENT TEAMS USE ROBOTS AND TABLETS INTEGRATED INTO THE TELEHEALTH PLATFORM TO ALLOW REMOTE SPECIALISTS TO CONSULT PATIENTS FOR COMPLEX CONDITIONS RELATING TO PSYCHIATRY, MATERNAL FETAL MEDICINE, INTERNAL MEDICINE, AND EMERGENCY MEDICINE. ALL OF TANNER'S MEDICAL GROUP PRACTICES HAVE THE ABILITY TO COMPLETE PATIENT VISITS VIA TELEHEALTH. INPATIENT AND AMBULATORY CARE MANAGEMENT CAN NOW ASSIGN PATIENTS A REMOTE MONITORING KIT AS PATIENTS DISCHARGE FOR HOSPITAL CARE TO ENSURE CLOSE TRACKING OF VITAL SIGNS AS PATIENTS CONVALESCE IN THEIR HOMES. THE INTOUCH PLATFORM AND DEVICES INTEGRATE TO ALLOW TANNER'S TEAMS TO SCHEDULE AND LAUNCH VISITS OUT OF EPIC FOR IMPROVED CLINICIAN WORKFLOWS. THE INTEGRATION ALSO PROVIDES AN ADDED LAYER OF SECURITY TO ENSURE THE VISITS ARE TIED TO A SPECIFIC PATIENT. THE REMOTE PATIENT MONITORING TECHNOLOGY FROM VIVIFY ALSO INTEGRATES WITH EPIC TO ALLOW FOR PATIENT INFORMATION TO FLOW ACROSS FOR REGISTRATION INTO THE VIVIFY SYSTEM. TANNER'S EXPANSION OF ITS TELEHEALTH PLATFORM HAS FREED UP RESOURCES TO MANAGE OUR CURRENT REALITY THROUGH SEVERAL KEY MEASURES. TELEHEALTH HAS SUPPORTED PHYSICAL DISTANCING EFFORTS TO REDUCE COVID-19 VIRUS TRANSMISSION AND ENSURED CARE AVAILABILITY TO THOSE WHO NEED IT MOST BY TRIAGING LOW- RISK URGENT CARE. IT HAS ALSO PROVIDED FOLLOW-UP APPOINTMENTS FOR CHRONIC DISEASE AND BEHAVIORAL HEALTH PATIENTS WHO MAY REQUIRE ROUTINE CHECK-INS. BY REDUCING UNNECESSARY VISITS TO HEALTH CARE ENVIRONMENTS, TANNER'S EXPANDED TELEHEALTH PLATFORM AIMS TO CURB THE EXPOSURE TO AND TRANSMISSION OF INFECTIOUS DISEASE WHILE HELPING TO KEEP OUR FRONT LINES SAFE AND ENSURE THEY HAVE THE RESOURCES NEEDED TO TAKE ON THE CHALLENGES PRESENTED BY COVID-19. IN FEBRUARY 2021, TANNER PARTNERED WITH WEST GEORGIA AMBULANCE TO LAUNCH A COMMUNITY PARAMEDIC PROGRAM IN CARROLLTON. AS PART OF THE PROGRAM, PARAMEDICS MAKE DAILY HOME VISITS TO ASSESS A PATIENT'S HEALTH WITHIN 24 HOURS OF BEING DISCHARGED FROM THE HOSPITAL. TANNER'S MEDICAL STAFF DETERMINES THE NUMBER OF VISITS REQUIRED. DURING EACH VISIT, PARAMEDICS ASSESS THE HOME ENVIRONMENT AND CHECK THE PATIENT'S VITALS. THEY ALSO DETERMINE IF THE PATIENT IS COMPLYING WITH DISCHARGE INSTRUCTIONS, MEDICATIONS AND PROTOCOLS BASED ON THEIR DIAGNOSIS. THE GOAL OF THE PROGRAM IS TO REDUCE THE LIKELIHOOD OF READMISSIONS IMMEDIATELY AFTER DISCHARGE. THE NUMBER OF MEDICAL PROVIDERS AVAILABLE IN A COMMUNITY DIRECTLY IMPACTS THAT COMMUNITY'S ABILITY TO ACCESS CARE. TANNER'S PRIMARY SERVICE AREAS OF CARROLL, HARALSON AND HEARD COUNTIES ARE MEDICALLY UNDERSERVED AND HEALTH PROFESSIONAL SHORTAGE AREAS. TO COMBAT THIS PROBLEM AND IMPROVE ACCESS TO MEDICAL CARE IN THE REGION, TANNER CONTINUED TO RECRUIT MORE PHYSICIANS TO PRACTICE IN THE AREA, ENABLING PATIENTS TO CHOOSE FROM A GREATER NUMBER OF PROVIDERS IN AN EXPANDED FIELD OF SPECIALTIES. DURING FY 2020, TANNER WELCOMED 10 NEW PHYSICIANS TO ITS MEDICAL STAFF, REPRESENTING SPECIALTIES IN OBSTETRICS AND GYNECOLOGY, PSYCHIATRY, VASCULAR SURGERY, ADDICTION, AND CARDIOLOGY. DURING FY 2021, TANNER WELCOMED 15 NEW PHYSICIANS AND 11 ADVANCED PRACTICE PROVIDERS TO ITS MEDICAL STAFF, REPRESENTING SPECIALTIES IN ANESTHESIA, CARDIOLOGY, FAMILY MEDICINE, INTERNAL MEDICINE, NEUROLOGY, OBSTETRICS AND GYNECOLOGY, PSYCHIATRY AND RADIATION ONCOLOGY. TANNER ALSO PROVIDED FIVE "FUTURE OF HEALTH CARE" SCHOLARSHIPS IN FY 2020 TO STUDENTS FROM ACROSS THE REGION THAT ARE ENROLLED IN MEDICAL SCHOOL OR ADVANCED PRACTICE PROVIDER PROGRAMS, AND ALSO OFFERED CLINICAL, EDUCATIONAL OPPORTUNITIES FOR NURSING STUDENTS AT THE UNIVERSITY OF WEST GEORGIA AND WEST GEORGIA TECHNICAL COLLEGE THROUGHOUT THE HEALTH SYSTEM'S HOSPITALS AND CLINICS. IN ADDITION, GET HEALTHY, LIVE WELL IS CONNECTING SENIOR NURSING STUDENTS AT THE UNIVERSITY OF WEST GEORGIA TO A VARIETY OF COMMUNITY HEALTH OPPORTUNITIES IN WEST GEORGIA THROUGH A PRECEPTORSHIP PROGRAM THAT WILL HELP THEM INCREASE KNOWLEDGE AND GAIN SKILLS IN COMMUNITY HEALTH WORK. EACH NURSING STUDENT IS REQUIRED TO COMPLETE 20 HOURS OF PROGRAMMING ASSISTANCE WITH GET HEALTHY, LIVE WELL. IN FY 2020, 124 NURSING STUDENTS PARTICIPATED IN THE PRECEPTORSHIP PROGRAM, COMPLETING OVER 2,250 HOURS. IN FY 2021, 65 NURSING STUDENTS PARTICIPATED IN THE PRECEPTORSHIP PROGRAM, COMPLETING OVER 1,300 HOURS. TANNER IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED OR UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PR
FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 5	TANNER'S FY 2019 CHNA PROCESS INVOLVED LOCAL RESIDENTS, COMMUNITY PARTNERS AND STAKEHOLDERS, ALONG WITH HOSPITAL LEADERSHIP. EACH HOSPITAL'S CHNA WAS LED BY A TEAM COMPRISED OF MEMBERS OF TANNER'S GET HEALTHY, LIVE WELL COALITION THAT INCLUDED HOSPITAL LEADERS, COMMUNITY ACTIVISTS, RESIDENTS, FAITH-BASED LEADERS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS AND OTHER STAKEHOLDERS. COALITION MEMBERS USED POPULATION-LEVEL DATA AND FEEDBACK FROM COMMUNITY FOCUS GROUPS AND LISTENING SESSIONS TO CREATE RECOMMENDATIONS FOR EACH HOSPITAL'S HEALTH PRIORITIES, POTENTIAL IMPLEMENTATION STRATEGIES AND TO IDENTIFY KEY PARTNERS. NEARLY 135 PEOPLE WERE INVOLVED IN THE CHNA PROCESS, INCLUDING THOSE WHO PARTICIPATED IN COMMUNITY FOCUS GROUPS, A LISTENING SESSION OR KEY INFORMANT INTERVIEW. THE KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND LISTENING SESSION WERE COMPRISED OF AREA RESIDENTS, PARTNERS AND PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF, OR EXPERTISE IN, PUBLIC HEALTH. MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS SERVED BY THE HOSPITAL OR INDIVIDUALS OR ORGANIZATIONS REPRESENTING THE INTERESTS OF SUCH POPULATIONS ALSO PROVIDED INPUT.
FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 6A	THE HOSPITAL FACILITIES TANNER MEDICAL CENTER/CARROLLTON, TANNER MEDICAL CENTER/VILLA RICA AND HIGGINS GENERAL HOSPITAL WORKED COLLABORATIVELY TO LEVERAGE EXISTING ASSETS AND RESOURCES THROUGHOUT TANNERS OVERALL PRIMARY SERVICE AREA OF CARROLL, HARALSON AND HEARD COUNTIES TO ASSESS THE HEALTH NEEDS OF THEIR COMMUNITIES.
FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 6B	TANNER MEDICAL GROUP, INC. TMC WOODLAND FAMILY HEALTHCARE, INC. TMC TANNER NEUROLOGY, INC. TMC CAROUSEL PEDIATRICS, INC. TMC INTERNAL MEDICINE OF VILLA RICA TMC CHILDREN'S HEALTHCARE OF WEST GEORGIA TMC GASTROENTEROLOGY ASSOCIATES, INC. TMC INFECTIOUS DISEASES OF WEST GEORGIA, INC. TMC WEST GEORGIA BEHAVIORAL HEALTH TMC WEST GEORGIA FAMILY MEDICINE, INC. TMC INTERNAL MEDICINE OF CARROLLTON, INC. TMC INTERNAL MEDICINE ASSOCIATES TMC WEST GEORGIA CARDIOLOGY, INC. TMC HOME HEALTH, INC. TMC HOSPICE CARE, INC. TMC OCCUPATIONAL HEALTH, INC. TMC HARALSON FAMILY HEALTHCARE TMC TALLAPOOSA FAMILY HEALTHCARE TMC WEST GEORGIA ANESTHESIA ASSOCIATES, INC. TANNER INTENSIVE MEDICAL SERVICES TMC WEST CARROLL FAMILY HEALTHCARE TANNER FAMILY HEALTHCARE OF FRANKLIN TMC IMMEDIATE CARE VILLA RICA OB GYN, INC. TMC TANNER GYNECOLOGY, INC. TANNER PRIMARY CARE OF HEFLIN TANNER PRIMARY CARE OF WEDOWEE, INC. WEST GEORGIA CENTER FOR PLASTIC SURGERY
FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 7D	IN ADDITION TO BEING MADE AVAILABLE ON TANNER'S WEB SITE, WWW.TANNER.ORG, AND MADE AVAILABLE UPON REQUEST FROM THE HOSPITAL, COPIES OF THE CHNA WERE DISSEMINATED TO THE HOSPITAL'S BOARD AND EXECUTIVE LEADERSHIP; THE ASSESSMENT TEAM; COMMUNITY STAKEHOLDERS WHO CONTRIBUTED TO THE ASSESSMENT; AND MULTIPLE COMMUNITY LEADERS, VOLUNTEERS AND ORGANIZATIONS THAT COULD BENEFIT FROM THE INFORMATION. OTHER COMMUNICATION EFFORTS INCLUDED PRESENTATIONS OF ASSESSMENT FINDINGS THROUGHOUT THE COMMUNITY.
FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 11	TANNER'S PRIORITY TOPICS FOR THE FY 2020-2022 IMPLEMENTATION STRATEGY WERE: (1) ACCESS TO CARE; (2) HEALTHY AND ACTIVE LIFESTYLES AND EDUCATION; (3)CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT; (4) MENTAL/BEHAVIORAL HEALTH; (5) SUBSTANCE ABUSE; AND (6) SOCIAL DETERMINANTS OF HEALTH. TANNER'S LONG-STANDING COMMITMENT TO THE COMMUNITY IS DEEPLY ROOTED IN ITS MISSION. THE ORGANIZATION REMAINS COMMITTED TO IMPROVING THE COMMUNITY'S HEALTH, NOT ONLY THROUGH DAILY PATIENT CARE ACTIVITIES BUT ALSO OUTREACH, PREVENTION, EDUCATION AND WELLNESS OPPORTUNITIES. TANNER IS DEDICATED TO MAKING WEST GEORGIA A HEALTHIER PLACE TO LIVE, LEARN, WORK, PLAY AND GROW. WITH THE HELP OF COMMUNITY PARTNERS, TANNER HAS SUCCESSFULLY IMPLEMENTED PROGRAMS THAT HELP WEST GEORGIA RESIDENTS WITH THE HEALTHCARE AND PREVENTIVE SERVICES THEY NEED. FOR A DETAILED DESCRIPTION OF THE STEPS TAKEN TO MEET THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN TANNER'S FY 2016 CHNA, SEE THE FY 2019 CHNA, IN THE COMMUNITY IMPACT SECTION, LOCATED ON TANNER'S WEB SITE AT HTTPS://WWW.TANNER.ORG/COMMUNITY HEALTH NEEDS ASSESSMENT. AS AN OUTCOME OF THE PRIORITIZATION PROCESS FOR THE FY 2016 CHNA, AND TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, SEVERAL POTENTIAL HEALTH NEEDS OR ISSUES FLOWING FROM THE PRIMARY AND SECONDARY DATA WERE NOT IDENTIFIED AS SIGNIFICANT CURRENT HEALTH NEEDS AND WERE NOT ADVANCED FOR CONSIDERATION FOR THE FY 2020 IMPLEMENTATION STRATEGY. CONCERNS WERE IDENTIFIED IN THE CHNA REGARDING LACK OF DENTAL SERVICES IN THE WEST GEORGIA REGION. WHILE NOT DIRECTLY ADDRESSED IN TANNER'S IMPLEMENTATION STRATEGY, TANNER WILL CONTINUE TO PARTNER WITH LOCAL DENTISTS AND ORAL SURGEONS TO PROVIDE URGENT DENTAL CARE IN THE HEALTH SYSTEM'S EMERGENCY DEPARTMENTS AND CLINICS, ALONG WITH WORKING COLLABORATIVELY WITH PROVIDERS, SOCIAL SERVICE AND COMMUNITY ORGANIZATIONS TO PROMOTE ROUTINE DENTAL CARE. TANNER ALSO PROVIDES FINANCIAL ASSISTANCE TO A LOCAL INDIGENT CLINIC, THE RAPHA CLINIC, WHICH PROVIDES DENTAL CARE TO THOSE WITHOUT INSURANCE OR THE MEANS TO AFFORD SUCH CARE. LACK OF PUBLIC TRANSPORTATION WAS IDENTIFIED AS A FACTOR IMPACTING COMMUNITY HEALTH. WHILE TANNER IS COMMITTED TO FINDING SOLUTIONS TO LIMITED TRANSPORTATION NEEDS IN THE REGION, PUBLIC TRANSPORTATION IS OUT OF THE SCOPE OF THE ORGANIZATION'S RESOURCES AND WAS NOT ADDRESSED AS A PRIMARY NEED IN THE FY 2020-2022 IMPLEMENTATION STRATEGY. TANNER HAS CONTINUED TO WORK COLLABORATIVELY WITH COUNTY AND CITY GOVERNMENTS, SOCIAL SERVICE AGENCIES AND MORE TO EVALUATE AND IDENTIFY OPPORTUNITIES TO INCREASE ACCESS TO TRANSPORTATION SERVICES IN THE REGION.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7	COSTS FOR PART I, LINES 7A AND 7B WERE CALCULATED USING THE COST-TO-CHARGE RATIO AS CALCULATED USING WORKSHEET 2 FROM THE IRS SCHEDULE H INSTRUCTIONS. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS WHICH UTILIZES THE CBISA COST ACCOUNTING SOFTWARE.
SCHEDULE H, PART II	AT TANNER, EFFORTS TO PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES GO BEYOND PROVIDING HEALTH SERVICES. TANNER TAKES A PROACTIVE APPROACH TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AND THE UNDERLYING ROOT CAUSES OF POOR HEALTH. TANNER DOES THIS BY SUPPORTING THE WORLD HEALTH ORGANIZATION'S DEFINITION OF HEALTH AS A STATE OF COMPLETE PHYSICAL, MENTAL, AND SOCIAL WELL-BEING AND NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY. TANNER PROVIDES A VARIETY OF COMMUNITY-BUILDING ACTIVITIES TO STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH OF WELL-BEING OF ITS RESIDENTS. REPRESENTING SOME OF THE LARGEST EMPLOYERS IN THEIR COMMUNITIES, TANNER'S HOSPITALS ACTIVELY PARTICIPATE IN AND CONTRIBUTE TO LOCAL CHAMBERS OF COMMERCE AND CIVIC ORGANIZATIONS TO ENSURE THE ECONOMIC DEVELOPMENT, GROWTH AND STABILITY OF THEIR LOCAL COMMUNITIES. TANNER PARTICIPATES IN AND SUPPORTS YOUTH PROGRAMS THAT FOCUS ON DEVELOPING LEADERSHIP SKILLS, ENHANCING ACADEMIC SUCCESS, IMPROVING HEALTH, CULTIVATING COMMUNITY RESPONSIBILITY, AND OFFERING CAREER EXPLORATION OPPORTUNITIES. THROUGH PARTNERSHIPS SUCH AS KEEP CARROLL BEAUTIFUL, THERE ARE ONGOING EFFORTS BY TANNER TO REDUCE COMMUNITY ENVIRONMENTAL HAZARDS IN THE AIR, WATER, AND GROUND, AS WELL AS THE SAFE REMOVAL OF OTHER TOXIC WASTE PRODUCTS. TANNER PROVIDES SUPPORT TO SEVERAL LOCAL ADVOCACY ORGANIZATIONS THAT PROMOTE THE COMMUNITY'S HEALTH AND SAFETY. TANNER ACTIVELY AND CONTINUALLY PREPARES FOR EMERGENCIES, UTILITY FAILURES, NATURAL DISASTERS, AND OTHER POTENTIAL DISRUPTIONS, WORKING CLOSELY WITH FEDERAL, STATE AND LOCAL GOVERNMENTS, AREA BUSINESS CONSORTIUMS, COMMUNITY LEADERS AND PUBLIC SAFETY AGENCIES TO ENSURE EFFECTIVE COMMUNITY-WIDE RESPONSES TO UNPLANNED EVENTS. TO ADDRESS THE HEALTHCARE WORKFORCE SHORTAGE, TANNER CONTINUES TO FOSTER ITS ESTABLISHED, STRONG PARTNERSHIPS WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES, INCLUDING THE UNIVERSITY OF WEST GEORGIA AND WEST GEORGIA TECHNICAL COLLEGE. THE UNIVERSITY OF WEST GEORGIA'S NURSING PROGRAM - WHICH IS NAMED THE TANNER HEALTH SYSTEM SCHOOL OF NURSING - IS USING AN INVESTMENT FROM TANNER TO ENHANCE ITS FACILITIES WHILE OFFERING SCHOLARSHIP AND EDUCATIONAL OPPORTUNITIES FOR THOSE IN WEST GEORGIA AND EAST ALABAMA INTERESTED IN A CAREER IN NURSING.
SCHEDULE H, PART III, LINE 2	AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE.
SCHEDULE H, PART III, LINE 4	SEE PAGES 18-21 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE DISCLOSURE REGARDING PRICE CONCESSIONS, BAD DEBTS AND UNINSURED PATIENTS.
SCHEDULE H, PART III, LINE 8	MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS.
SCHEDULE H, PART III, LINE 9B	PATIENTS THAT QUALIFY FOR A CHARITY WRITE OFF ARE ONLY HELD RESPONSIBLE FOR THE PORTION REMAINING AFTER WRITE OFF. PATIENTS THAT QUALIFY AS INDIGENT RECEIVE A 100% WRITE OFF AND ARE NOT RESPONSIBLE FOR ANY PORTION OF THEIR BILL. PATIENTS APPROVED FOR FINANCIAL ASSISTANCE RECEIVE A LETTER OF NOTIFICATION AND WALLET CARD THAT IS GOOD FOR ONE YEAR FROM THE DETERMINATION DATE. INTEREST FREE INSTALLMENT PLANS ARE AVAILABLE TO ALL PATIENTS AND PAYMENT AMOUNTS ARE DETERMINED BY THE PATIENT'S ABILITY TO PAY.
SCHEDULE H, PART VI, LINE 2	ALL OF TANNER MEDICAL CENTER, INC.'S TAX EXEMPT HOSPITALS ASSESS THE HEALTHCARE NEEDS OF THEIR RESPECTIVE COMMUNITIES ONCE EVERY THREE YEARS. TANNER'S CHNA IS AN ORGANIZED, FORMAL AND SYSTEMATIC APPROACH TO IDENTIFY AND ADDRESS THE NEEDS OF UNDERSERVED COMMUNITIES ACROSS TANNER'S GEOGRAPHIC FOOTPRINT. THE CHNA GUIDES THE DEVELOPMENT AND IMPLEMENTATION OF A COMPREHENSIVE PLAN TO IMPROVE HEALTH OUTCOMES FOR THOSE DISPROPORTIONATELY AFFECTED BY DISEASE. THIS CHNA ALSO INFORMS THE CREATION OF AN IMPLEMENTATION STRATEGY FOR FUTURE COMMUNITY HEALTH PROGRAMMING, AND COMMUNITY BENEFIT RESOURCE ALLOCATION ACROSS TANNER'S HOSPITALS. AS A NONPROFIT ORGANIZATION, TANNER'S CHNAS ALIGN WITH GUIDELINES ESTABLISHED BY THE AFFORDABLE CARE ACT AND COMPLY WITH INTERNAL REVENUE SERVICE (IRS) REQUIREMENTS. IN FY 2019, TANNER MEDICAL CENTER, INC.'S TWO ACUTE CARE HOSPITALS - TANNER MEDICAL CENTER/CARROLLTON AND TANNER MEDICAL CENTER/VILLA RICA - AND TANNER'S CRITICAL ACCESS HOSPITAL, HIGGINS GENERAL HOSPITAL IN BREMEN, EACH COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO FURTHER IDENTIFY THE HEALTH NEEDS OF THEIR COMMUNITIES. PREVIOUS CHNA'S WERE COMPLETED IN FY 2013 AND FY 2016. THESE COMPREHENSIVE, MULTIFACTOR ASSESSMENTS INCLUDED THE COLLECTION AND ANALYSIS OF QUANTITATIVE DATA, AS WELL AS QUALITATIVE INPUT DIRECTLY FROM RESIDENTS GATHERED THROUGH KEY INFORMANT INTERVIEWS, COMMUNITY LISTENING SESSIONS AND FOCUS GROUPS. THROUGH THE CHNA PROCESS, TANNER HAS IDENTIFIED THE GREATEST HEALTH NEEDS AMONG EACH OF ITS HOSPITAL'S COMMUNITIES, ENABLING TANNER TO ENSURE ITS RESOURCES ARE APPROPRIATELY DIRECTED TOWARD OUTREACH, PREVENTION, EDUCATION AND WELLNESS OPPORTUNITIES WHERE THE GREATEST IMPACT CAN BE REALIZED. IN SELECTING PRIORITIES, TANNER CONSIDERED THE DEGREE OF COMMUNITY NEED FOR ADDITIONAL RESOURCES, THE CAPACITY OF OTHER AGENCIES TO MEET THE NEED AND THE SUITABILITY OF TANNER'S EXPERTISE TO ADDRESS THE ISSUE. IN PARTICULAR, TANNER LOOKED FOR HEALTH NEEDS THAT REQUIRE A COORDINATED RESPONSE ACROSS A RANGE OF HEALTHCARE AND COMMUNITY SECTORS. RESPONDING TO KEY CHNA FINDINGS, THE PRIORITY AREAS TO BE ADDRESSED DURING FISCAL YEARS 2020 2022 BY TANNER MEDICAL CENTER, INC. INCLUDE: (1) ACCESS TO CARE; (2) HEALTHY AND ACTIVE LIFESTYLES AND EDUCATION (3) CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT; (4) MENTAL/BEHAVIORAL HEALTH; (5) SUBSTANCE MISUSE; AND (6) SOCIAL DETERMINANTS OF HEALTH. CONTINUED FROM PART V SUBSTANCE MISUSE: WILLOWBROOKE CONTINUED TO EXPAND ITS ADDICTION TREATMENT PROGRAMS TO HELP RESIDENTS FACE AND RECOVER FROM SUBSTANCE MISUSE. ADDICTION TREATMENT PROGRAMS INCLUDE INPATIENT CARE, INPATIENT DETOX, SUBOXONE MAT THERAPY, ADULT PARTIAL HOSPITALIZATION AND INTENSIVE OUTPATIENT PROGRAM (REGAIN AT WILLOWBROOKE). PROGRAMS ALSO INCLUDE ADDICTION GROUP MEETINGS, OUTPATIENT "JOURNEY AT WILLOWBROOKE" SUBSTANCE ABUSE PROGRAM, AND INDIVIDUAL PSYCHIATRY AND MEDICATION MANAGEMENT FROM THE WILLOWBROOKE PSYCHIATRIC CENTER. DURING FY 2020, WILLOWBROOKE AT TANNER ADDED AN ADDICTIONOLOGIST, VINCE RAHAM, MD, TO ITS MEDICAL STAFF. DR. RAHAM HELPS EVALUATE PATIENTS WHO HAVE ADDICTIONS, THEN WORKS WITH EACH PATIENT TO ESTABLISH A PERSONALIZED TREATMENT PLAN. THAT PLAN MAY INCLUDE INPATIENT DETOX, PARTIAL HOSPITALIZATION, AN OUTPATIENT PROGRAM - SUCH AS JOURNEY, OFFERED THROUGH THE WILLOWBROOKE COUNSELING CENTER - OR REGAIN AT WILLOWBROOKE, A RECOVERY PROGRAM FOR WORKING PROFESSIONALS. PLANS MAY ALSO INCLUDE DEPENDENCY AFTERCARE, SOBER LIVING AND MORE. HEALTHY HARALSON'S SUBSTANCE MISUSE TASK FORCE HAS PARTNERED WITH STATE AND LOCAL LAW ENFORCEMENT AGENCIES AND FIRE DEPARTMENTS TO TRAIN FIRST RESPONDERS ON HOW TO PROPERLY CARRY, STORE AND ADMINISTER NALOXONE, IMPACTING OVER 29,500 RESIDENTS. THE AGENCIES AND DEPARTMENTS INCLUDE WEST METRO DRUG ENFORCEMENT TASK FORCE, GEORGIA BUREAU OF INVESTIGATION, BREMEN CITY POLICE, BREMEN FIRE DEPARTMENT, HARALSON COUNTY DRUG TASK FORCE, HARALSON COUNTY FIRE DEPARTMENT AND TALLAPOOSA CITY POLICE DEPARTMENT. POLICY WAS IMPLEMENTED WITH BREMEN POLICE, BREMEN FIRE AND HARALSON COUNTY FIRE AND TALLAPOOSA POLICE, IMPACTING OVER 9,400 RESIDENTS. A SUB-COMMITTEE WAS DEVELOPED TO CONDUCT A FEASIBILITY STUDY OF A PEER-LED COMMUNITY SERVICES RECOVERY CENTER IN HARALSON COUNTY, WITH SITE VISITS TO BE CONDUCTED IN FEBRUARY 2020. A SITE WAS IDENTIFIED IN HARALSON COUNTY FOR THE RECOVERY CENTER, TITLED "YOUR HAVEN: A PLACE OF RECOVERY," WITH RECOVERY SUPPORT MEETINGS STARTING IN NOVEMBER 2020. TANNER PROVIDED THE SITE AT A BELOW-MARKET PRICE. YOUR HAVEN INC. IS A REGISTERED 501C3 NONPROFIT ORGANIZATION, WHICH HAS SERVED 402 PEOPLE THROUGH WEEKLY RECOVERY MEETINGS. DURING FY 2020, GET HEALTHY, LIVE WELL'S HEALTHY HARALSON SENIOR NEEDS TASK FORCE SECURED PARTNERSHIPS AND IMPLEMENTED PROGRAMMING TO DISTRIBUTE DISPOSERX, A PRODUCT THAT ALLOWS FOR THE SAFE DISPOSAL OF PRESCRIPTION MEDICATIONS. PARTNERS INCLUDE FOUR LOCAL PHARMACIES, ONE PHYSICIAN PRACTICE, A LOCAL HOSPICE AGENCY, AMBULANCE SERVICE AND SENIOR CENTERS. SOCIAL DETERMINANTS OF HEALTH: IN NOVEMBER 2019, HEALTHY HARALSON HOSTED BRIDGES OUT OF POVERTY, A THREE- AND-A-HALF-HOUR WORKSHOP DESIGNED FOR CIVIC LEADERS, POLICYMAKERS, EDUCATORS AND THOSE CONCERNED WITH DEVELOPING SUSTAINABLE SOLUTIONS TO POVERTY IN THEIR COMMUNITIES. THE WORKSHOP WAS LED BY NOTED AUTHOR TERIE DREUSSI-SMITH, M.ED. AND HAD OVER 130 COMMUNITY PARTICIPANTS. BRIDGES OUT OF POVERTY PROVIDED A COMPLETE APPROACH TO UNDERSTANDING POVERTY IN THE WEST GEORGIA AREA, OFFERING TOOLS AND STRATEGIES FOR ALLEVIATING POVERTY AND ITS IMPACT. IN JULY 2020, A 12-MONTH PILOT PROGRAM FOR A NEW INNOVATIVE FOOD AS MEDICINE PROGRAM WAS LAUNCHED, PROVIDING 26 PARTICIPANTS (LOW-INCOME, FOOD-INSECURE PATIENTS WITH - A1CS GREATER THAN 8.0 - AND HYPERTENSION) WITH FREE, NUTRITIOUS FOOD AND A COMPREHENSIVE SUITE OF DIABETES, SOCIAL AND ENVIRONMENTAL SERVICES. FOOD AS MEDICINE PARTICIPANTS ARE PROVIDED SUPPORT THAT INCLUDES NUTRITIONIST AND CERTIFIED DIABETES EDUCATOR (CDE) CONSULTATIONS, DIABETES SELF-MANAGEMENT CLASSES AND HEALTHY COOKING CLASSES IN A NEWLY BUILT TEACHING KITCHEN. THEY'RE ALSO PROVIDED WITH ONGOING CARE COORDINATION/NAVIGATION AND ARE ALLOWED TO VISIT THE PROGRAM'S NEW HEALTHY FOOD FARMACY TWICE PER MONTH TO RECEIVE 10-30 POUNDS OF HEALTHY FOOD BASED ON HOUSEHOLD SIZE. A COMPREHENSIVE EVALUATION OF THE FOOD AS MEDICINE PROGRAM IS BEING PROVIDED BY AN EXTERNAL EVALUATION TEAM FROM THE UNIVERSITY OF WEST GEORGIA'S DEPARTMENT OF HEALTH AND COMMUNITY WELLNESS. INITIAL EVALUATION RESULTS SHOW POTENTIALLY SIGNIFICANT IMPROVEMENTS IN BIOMETRIC RESULTS (BMI, A1C, BLOOD PRESSURE) AND EFFICACY TO BETTER MANAGE THEIR DISEASE BY THE END OF THE ONE-YEAR PROGRAM. SINCE ITS LAUNCH, GHLW EXPANDED ITS FOOD AS MEDICINE PROGRAM TO INCLUDE 50 PATIENTS WITH HYPERTENSION. COVID-19 RESPONSE: ON MARCH 16, 2020, GOVERNOR KEMP DECLARED COVID-19 A PUBLIC HEALTH EMERGENCY FOR THE STATE OF GEORGIA, EFFECTIVE MARCH 14, 2020, THE FIRST- EVER PUBLIC HEALTH EMERGENCY DECLARED IN THE STATE. TANNER'S EFFORTS TO RESPOND TO THE COVID-19 PUBLIC HEALTH EMERGENCY IN FY 2020 AND FY 2021 INCLUDED A VARIETY OF ACTIVITIES TO HELP ENSURE THE HIGHEST QUALITY OF CARE FOR OUR COMMUNITIES AND SAFE WORK ENVIRONMENTS FOR OUR EMPLOYEES. THESE ACTIVITIES WERE CLEAR CHANGES TO OPERATIONAL AND CLINICAL NORMS TARGETED TO IDENTIFY, ISOLATE, ASSESS, TRANSPORT, AND TREAT PATIENTS WITH COVID-19 OR PERSONS UNDER INVESTIGATION FOR COVID-19. TANNER HEALTH SYSTEM EMPLOYED A VARIETY OF EMERGENCY PROTECTIVE MEASURES AS A RESULT OF THE COVID-19 PANDEMIC, WITH A VARIETY OF ACTIVITIES AT EACH OF ITS HOSPITAL FACILITIES RELATED TO THE MANAGEMENT, CONTROL, AND REDUCTION OF THE PANDEMIC'S IMMEDIATE THREAT TO PUBLIC HEALTH AND SAFETY, INCLUDING: ESTABLISHING AN EMERGENCY OPERATIONS CENTER (EOC) TO SERVE AS A PRIMARY HUB FOR THE COORDINATION AND CONTROL OF COVID-19 RESPONSE EFFORTS TO QUICKLY AND MORE EFFICIENTLY RESPOND TO NEEDS AS THEY ARISE (I.E., STAFFING, SUPPLIES, TECHNOLOGY, EQUIPMENT) DIRECTLY RELATED TO COVID-19 AND DISSEMINATE CRITICAL INFORMATION TO TANNER LEADERSHIP, PHYSICIANS, CLINICAL STAFF AND OTHER EMPLOYEES; EMPLOYING MARKETING AND COMMUNICATIONS EFFORTS TO SHARE KEY INFORMATION TO THE PUBLIC TO PROVIDE WARNINGS AND GUIDANCE ON THE COVID-19 PANDEMIC; ESTABLISHING A CALL CENTER SPECIFIC TO COVID-19 FOR INFORMATION, REFERRALS AND SCREENING RESOURCES; PURCHASING OF FOOD AND COVERING TEMPORARY LODGING COSTS FOR FRONT-LINE HEALTHCARE PROVIDERS WHO WERE TRIAGING AND CARING FOR POTENTIAL AND POSITIVE COVID-19 PATIENTS AS THESE PROVIDERS WERE WORKING SUCH ABNORMAL AND LONG HOURS THAT GOING HOME AND/OR GOING OUT TO GET FOOD WAS NOT REASONABLE; INCREASING SECURITY OPERATIONS TO SUPPORT COVID-19 RESPONSE EFFORTS TO ENSURE POLICY COMPLIANCE AND SAFETY OF THE PUBLIC (I.E., VISITOR RESTRICTIONS, TEMPORARY FACILITY ACCESS, TESTING CENTERS, ETC.); AND INCREASING DISINFECTION EFFORTS AT EACH OF TANNER'S FACILITIES SPECIFICALLY TO COMBAT THE RISK OF SPREAD OF
SCHEDULE H, PART VI, LINE 3	TANNER PATIENTS ARE PROVIDED WITH INFORMATION PERTAINING TO THE ORGANIZATION'S CHARITY/INDIGENT PROGRAM AT THE TIME OF REGISTRATION AND ON THE TANNER WEBSITE. ANY SELF PAY OR UNDER INSURED PATIENTS MUST MEET CRITERIA FOR INDIGENT CARE IN ORDER TO HAVE THE COST OF THEIR CARE WRITTEN OFF BY THE SYSTEM. PATIENTS ARE INTERVIEWED AND FINANCIAL STATEMENTS ARE PREPARED. PATIENTS WHO MEET THE CRITERIA FOR MEDICAID ELIGIBILITY ARE REFERRED TO AN OUTSIDE VENDOR FOR ASSISTANCE. A PATIENT WITH FAMILY INCOME UP TO 350% (3.5 TIMES) OF THE FEDERAL POVERTY GUIDELINES (FPG) BASED ON FAMILY SIZE RECEIVE A 100% DISCOUNT FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH LARGE, MEDICALLY NECESSARY MEDICAL BILLS WHICH HAVE CREATED A FINANCIAL HARDSHIP ARE CONSIDERED FOR A SLIDING SCALE DISCOUNT. THE LOWER THE PATIENT'S DISCRETIONARY INCOME AND THE HIGHER THE HEALTHCARE BILLS ALLOWS FOR MORE CHARITY ALLOWANCES. PATIENTS WHOSE FAMILY INCOME EXCEEDS TWO TIMES THE APPLICABLE FPG MAY ALSO QUALIFY FOR SLIDING SCALE DISCOUNTS ON MEDICALLY NECESSARY SERVICES. TRANSLATION ASSISTANCE IS PROVIDED FOR PATIENTS AS NEEDED. FINANCIAL ASSISTANCE POLICY INFORMATION IS AVAILABLE FREE OF CHARGE IN PAPER AND ELECTRONIC FORM IN THE FOLLOWING AREAS: 1) POSTED ON HOSPITAL WALLS IN REGISTRATION AREAS FOR PATIENTS, FAMILY AND VISITORS; 2) PRINTED IN FLIERS AVAILABLE AT REGISTRATION DESKS FOR PATIENTS AND FAMILIES; 3) PRINTED IN FLIERS AND POSTED ON WALLS MOUNTS THROUGHOUT HOSPITALS; 4) MAILED TO PATIENTS WITH STATEMENTS; 5) COMMUNICATED TO PATIENTS DURING PHONE CALLS; 6) PRINTED FLYERS AVAILABLE AT LOCAL PHYSICIAN OFFICES; 7) PRINTED FLYERS PROVIDED TO LOCAL ADVOCACY GROUPS/AGENCIES SUCH AS DFACS AND HEALTH DEPARTMENTS; 8) PRINTED IN LOCAL NEWSPAPER ANNUALLY FOR THE COMMUNITY; 9) PROVIDED TO LOCATION PHYSICIAN OFFICE MANAGEMENT MEETINGS ANNUALLY; 9) POSTED ON TANNER WEBSITE WWW.TANNER.ORG.
SCHEDULE H, PART VI, LINE 4	TANNER MEDICAL CENTER, INC. DELIVERS CARE TO DIVERSE COMMUNITIES ACROSS WEST GEORGIA. FOLLOWING IS A SUMMARY AND DEMOGRAPHICS OF THE COMMUNITIES SERVED BY TANNER. TANNER HOSPITALS DEFINE THE COMMUNITY AS THE GEOGRAPHIC AREA SERVED BY THE HOSPITAL, CONSIDERING ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREA FOR ALL THREE OF TANNER'S HOSPITALS - TANNER MEDICAL CENTER/CARROLLTON, TANNER MEDICAL CENTER/VILLA RICA AND HIGGINS GENERAL HOSPITAL IN BREMEN - INCLUDES THE GEOGRAPHIC AREAS OF CARROLL, HARALSON AND HEARD COUNTIES, COVERING 1,077 SQUARE MILES OF PREDOMINANTLY RURAL AREA (53% RURAL) WITH A TOTAL POPULATION OF 161,707 (U.S. CENSUS BUREAU, 2019). CARROLL, HARALSON AND HEARD COUNTIES CONSIST OF RURAL AND SUBURBAN COMMUNITIES WHOSE HEALTH NEEDS ARE MET BY A MIXTURE OF HOSPITAL SYSTEMS, PRIVATE PRACTICES, RURAL HEALTH CLINICS, INDIGENT CLINICS AND OTHER SOCIAL SERVICES. THE PROXIMITY OF TANNER'S ACUTE CARE HOSPITALS (WITHIN A 12-20 MILE RADIUS OF EACH OTHER) - TANNER MEDICAL CENTER/CARROLLTON AND TANNER MEDICAL CENTER/VILLA RICA - AND THE CRITICAL ACCESS HOSPITAL, HIGGINS GENERAL HOSPITAL, PROVIDE WEST GEORGIA RESIDENTS MULTIPLE ACCESS POINTS FOR A VARIETY OF HEALTHCARE-RELATED SERVICES. THESE FACILITIES WORK COLLABORATIVELY TO LEVERAGE EXISTING ASSETS AND RESOURCES THROUGHOUT TANNER'S OVERALL PRIMARY SERVICE AREA OF CARROLL, HARALSON AND HEARD COUNTIES TO BEST MEET THE HEALTH NEEDS OF THEIR COMMUNITIES. THE FACILITIES ALSO LEVERAGE ASSETS AND RESOURCES IN TANNER'S SECONDARY SERVICE AREA OF DOUGLAS, PAULDING, POLK, CLEBURNE (ALABAMA) AND RANDOLPH (ALABAMA) COUNTIES. DEMOGRAPHICS (DATA GATHERED FROM 2021 COUNTY HEALTH RANKINGS AND THE US CENSUS BUREAU, 2019 ESTIMATES) OF CARROLL COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA, WITH A COMMUNITY SERVED BY TANNER MEDICAL CENTER/CARROLLTON AND TANNER MEDICAL CENTER/VILLA RICA): POPULATION 119,992; DIVERSITY 70.4% NON-HISPANIC WHITE, 19.1% NON-HISPANIC BLACK, 7.2% HISPANIC, 0.5% AMERICAN INDIAN AND ALASKA NATIVE, 1% ASIAN, 0.1% NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER; AVERAGE INCOME 59,200; UNINSURED ADULTS 19%, UNINSURED CHILDREN 7%; UNEMPLOYMENT 3.4%; BELOW POVERTY LEVEL 14.9%. DEMOGRAPHICS OF HARALSON COUNTY (DESIGNATED AS A PARTIAL MEDICALLY UNDERSERVED AREA, THE COMMUNITY SERVED BY HIGGINS GENERAL HOSPITAL): POPULATION 29,792; DIVERSITY 90.8% NON-HISPANIC WHITE, 4.4% NON-HISPANIC BLACK, 2% HISPANIC, 0.4% AMERICAN INDIAN AND ALASKA NATIVE, 0.8% ASIAN; AVERAGE INCOME 49,000; UNINSURED ADULTS 19%, UNINSURED CHILDREN 7%; UNEMPLOYMENT 3.3%; BELOW POVERTY LEVEL 14.4%. DEMOGRAPHICS OF HEARD COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA, THE COMMUNITY SERVED BY TANNER MEDICAL CENTER/CARROLLTON): POPULATION 11,923; DIVERSITY 84.6% NON-HISPANIC WHITE, 9.6% NON-HISPANIC BLACK, 2.9% HISPANIC, 0.5% AMERICAN INDIAN AND ALASKA NATIVE, 0.5% ASIAN; AVERAGE INCOME 49,000; UNINSURED ADULTS 18%, UNINSURED CHILDREN 8%; UNEMPLOYMENT 3.3%; BELOW POVERTY LEVEL 16.7%.
SCHEDULE H, PART VI, LINE 5	IN FY 2021, TANNER MEDICAL CENTER, INC. PROVIDED MORE THAN 15.8 MILLION IN COMMUNITY BENEFIT SERVICES, INCLUDING CHARITY CARE AT COST AND A RANGE OF DIVERSE PROGRAMS DESIGNED TO ENHANCE ACCESS AND PROMOTE THE COMMUNITY'S HEALTH. TANNER MEDICAL CENTER IS A NONPROFIT ORGANIZATION DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES. THAT'S WHY TANNER REINVESTS ALL OF ITS SURPLUS FUNDS FROM ITS OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE ACCESS TO CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT AND INVEST IN TECHNOLOGICAL ADVANCEMENTS. THE HEALTH SYSTEM ALSO REINVESTS ITS SURPLUS FUNDS TO SUPPORT COMMUNITY HEALTH PROGRAMS AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH. MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS GATHERS AND VERIFIES CREDENTIALS, ALLOWS THE MEDICAL STAFF TO EVALUATE THE APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE AND COMPETENCE, AND ULTIMATELY DECIDE TO GRANT OR DENY MEDICAL STAFF PRIVILEGES. TO THE BENEFIT OF THE COMMUNITY, TANNER MEDICAL CENTER, INC. IS GOVERNED BY A BOARD OF DIRECTORS. THE MAJORITY OF THE BOARD IS COMPRISED OF PERSONS WHO RESIDE THROUGHOUT TANNER'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION (NOR FAMILY MEMBERS THEREOF). THE TANNER MEDICAL CENTER, INC. BOARD OF DIRECTORS ENSURES THAT THE HEALTH SYSTEM DEVELOPS PROGRAMS TO ADDRESS THE DISPROPORTIONATE UNMET HEALTH- RELATED NEEDS OF THE COMMUNITIES IT SERVES. THE BOARD IS ALSO RESPONSIBLE FOR ENSURING COMMUNITY BENEFIT INITIATIVES ARE DEVELOPED TO PROMOTE THE BROAD HEALTH OF THE COMMUNITY. THE BOARD ESTABLISHES KEY MEASURES OF SYSTEM-WIDE COMMUNITY BENEFIT PERFORMANCE AND RECEIVES REGULAR REPORTS ON PROGRESS TOWARD ESTABLISHED GOALS. IN FULFILLING THESE RESPONSIBILITIES, IN FY 2014, THE BOARD DESIGNATED A COMMUNITY BENEFIT COMMITTEE. THE COMMITTEE INCLUDES AT LEAST THREE BOARD MEMBERS, WITH A MAJORITY REPRESENTATION FROM A RANGE OF COMMUNITY STAKEHOLDERS WHO HAVE EXPERTISE IN CERTAIN AREAS. THESE AREAS INCLUDE THE CHARACTERISTICS AND HISTORY OF LOCAL COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS, CLINICAL SERVICE DELIVERY, ANALYSIS OF SERVICE UTILIZATION AND POPULATION HEALTH DATA, PRIMARY PREVENTIVE HEALTH INITIATIVES, SOCIAL SERVICES, YOUTH AND FAMILY SERVICES, FINANCE AND ACCOUNTING. THE COMMUNITY BENEFIT COMMITTEE OF THE BOARD PARTICIPATES IN ESTABLISHING PROGRAM PRIORITIES BASED ON COMMUNITY NEEDS AND ASSETS, DEVELOPING THE HOSPITAL'S COMMUNITY BENEFIT IMPLEMENTATION STRATEGY AND MONITORING PROGRESS TOWARD IDENTIFIED GOALS.
SCHEDULE H, PART VI, LINE 6	TANNER MEDICAL CENTER, INC. PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. TANNER MEDICAL CENTER, INC. IS PART OF AN AFFILIATED HEALTH CARE SYSTEM WHICH INCLUDES THE FOLLOWING: TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 181-BED ACUTE CARE HOSPITAL IN CARROLLTON, GEORGIA. TANNER MEDICAL CENTER/VILLA RICA, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 40-BED ACUTE CARE HOSPITAL AND WILLOWBROOK AT TANNER/VILLA RICA, A 92-BED PSYCHIATRIC FACILITY IN VILLA RICA, GEORGIA. TANNER MEDICAL CENTER/HIGGINS GENERAL HOSPITAL, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 25-BED CRITICAL ACCESS HOSPITAL IN BREMEN, GEORGIA. TANNER MEDICAL GROUP, ESTABLISHED TO OPERATE PHYSICIAN PRACTICES IN WEST GEORGIA AND EASTERN ALABAMA. TANNER MEDICAL CENTER/EAST ALABAMA, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 15-BED ACUTE CARE HOSPITAL IN WEDOWEE, ALABAMA. CRITICAL ACCESS STATUS WAS GRANTED EFFECTIVE JANUARY 9, 2019. TANNER MEDICAL CENTER, INC. IS RESPONSIBLE FOR ALLOCATING RESOURCES AND FOR APPROVING BUDGETS, MAJOR CONTRACTS AND DEBT FINANCING FOR ALL ENTITIES.
SCHEDULE H, PART VI, LINE 7	GEORGIA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Business Name Line2RecipientBusinessName/BusinessNameLine2Txt	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CARROLL COUNTY ECONOMIC DEVELOPMENT
FOUNDATION INC	200 NORTHSIDE DRIVE	CARROLLTON	GA	30117	582589709	501C3	$120,000	ECONOMIC DEVELOPMENT
UNIVERSITY OF WEST GEORGIA
	1601 MAPLE STREET	CARROLLTON	GA	30118	586002055	GOV	$66,662	WORKFORCE DEVELOPMNT
THE MULTIPLE SCLEROSIS CENTER OF
ATLANTA	3200 DOWNWOOD CIRCLE NW	ATLANTA	GA	30327	550821471	501C3	$1,080,000	GENERAL SUPPORT
LATINOS UNITED OF CARROLL COUNTY
	409 NEWNAN ROAD	CARROLLTON	GA	30117	010594059		$16,667	GENERAL SUPPORT
RAPHA CLINIC OF WEST GEORGIA
	253 EAST HIGHWAY 78	TEMPLE	GA	30179	271188932	501C3	$65,500	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION MONITORS TANNER MEDICAL FOUNDATION'S USE OF ASSISTANCE THROUGH A COMMON MANAGEMENT TEAM AND GOVERNING BOARD. THE ORGANIZATION'S BOARD OF DIRECTORS ESTABLISHES KEY MEASURES OF SYSTEM- WIDE COMMUNITY BENEFIT PERFORMANCE AND RECEIVE REGULAR REPORTS ON PROGRESS TOWARD ESTABLISHED GOALS. IN FULFILLING THESE RESPONSIBILITIES, THE BOARD DESIGNATED A COMMUNITY BENEFIT COMMITTEE THAT INCLUDES AT LEAST THREE BOARD MEMBERS, WITH A MAJORITY REPRESENTATION FROM A RANGE OF COMMUNITY STAKEHOLDERS WHO HAVE EXPERTISE IN AREAS SUCH AS THE CHARACTERISTICS AND HISTORY OF LOCAL COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS, CLINICAL SERVICE DELIVERY, ANALYSIS OF SERVICE UTILIZATION AND POPULATION HEALTH DATA, PRIMARY PREVENTIVE HEALTH INITIATIVES, SOCIAL SERVICES, YOUTH AND FAMILY SERVICES, FINANCE AND ACCOUNTING. THE COMMUNITY BENEFIT COMMITTEE OF THE BOARD PARTICIPATES IN THE PROCESS OF ESTABLISHING PROGRAM PRIORITIES BASED ON COMMUNITY NEEDS AND ASSETS, DEVELOPING THE HOSPITAL'S COMMUNITY BENEFIT IMPLEMENTATION STRATEGY AND MONITORING PROGRESS TOWARD IDENTIFIED GOALS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt
CHRIS ARANT MD
DIRECTOR	$700,434	$57,469	$404,717	$10,734	$12,388	$1,185,742
DENISE TAYLOR
CCH	$122,985	$46,378	$369	$6,062		$175,794	$166,392	$62,746	$499	$8,202	$237,839
GREG SCHULENBURG
CIO/COO	$63,539	$124,083	$224	$14,762	$5,517	$208,125	$394,989	$167,877	$673	$19,972	$590,975	$7,464
DEBORAH MATTHEWS
CNO	$139,692	$69,374	$1,451	$14,918	$4,201	$229,636	$188,866	$93,860	$2,093	$20,183	$310,686	$5,684
SUSAN FOX
SVP, TMG	$146,313	$88,430	$369	$5,747	$5,772	$246,631	$197,953	$119,641	$499	$7,775	$333,677	$7,809
WAYNE SENFELD
SR. VP, BUS DEV	$176,208	$68,172	$381	$5,548	$7,299	$257,608	$238,399	$92,233	$516	$7,506	$343,707	$5,053
QUIANA SCOTLAND MD
PHYSICIAN							$497,042	$47,609	$700	$14,253	$565,846	$6,242
ALYSSIA HOWARD MD
PHYSICIAN							$511,084	$47,609	$40,460	$10,252	$614,851	$5,446
CAROL CREWS
CFO	$194,105	$93,898	$26,859	$6,063	$4,608	$325,533	$262,613	$127,039	$36,339	$8,203	$440,429	$6,235
BEN CAMP MD
VP, MEDICAL AFFAIRS	$217,129	$106,176	$38,080	$6,064	$5,748	$373,197	$289,748	$143,649	$55,535	$8,204	$504,913	$7,777
TUNICIA GIRON MD
PHYSICIAN							$504,116	$47,609	$20,700	$14,259	$596,721	$10,037
WILLIAM HINES
CONTRACT CAO-LEFT'20	$176,365	$33,464				$209,829	$529,095	$100,391			$629,486
WILLIAM WATERS MD
FORMER CMO			$195,318			$195,318			$264,253		$264,253
LOY HOWARD
CEO	$420,481	$205,050	$299,636	$71,113	$5,081	$1,001,361	$568,887	$277,421	$405,390	$96,212	$1,354,784	$6,874
PAUL PERROTTI
PAST COO (LEFT 1/20)	$14,059		$227,749	$4,633	$213	$246,654	$19,021		$308,131	$6,268	$333,708	$288
RYAN CORTEZ MD
PHYSICIAN							$509,708	$47,609	$700	$11,271	$578,811	$9,523
MICHAEL HAMNER MD
PHYSICIAN							$495,198	$47,609	$700	$13,498	$572,054	$15,049

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PAGE 1, PART I, LINE 4

GREG SCHULENBURG 0 20,833 0 DEBORAH MATTHEWS 0 20,833 0 WILLIAM WATERS, M.D. 459,571 0 0 LOY HOWARD 0 133,575 0 PAUL PERROTTI 262,501 0 0

SCHEDULE J, PART III

RETIREMENT PLAN: LOY HOWARD, CEO PARTICIPATES IN AN INELIGIBLE UNFUNDED 457(F) PLAN PROVIDED TO SENIOR EXECUTIVES AS SET BY HIS EMPLOYMENT CONTRACT. THE PLAN BENEFITS ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE AND ARE CONDITIONED UPON THE FUTURE PERFORMANCE OF SERVICES. TANNER MEDICAL CENTER, INC. LONG TERM RETENTION PLAN IS AN UNFUNDED TOP-HAT PLAN THAT IS PROVIDED TO MR. HOWARD. UNPAID PLAN BENEFITS ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. ALL PLAN BENEFITS ARE SCHEDULED TO VEST ON OR BEFORE JUNE 30, 2021. MR. HOWARD IS ALSO ELIGIBLE FOR THE TANNER ADVANTAGE DEFERRED COMPENSATION PLAN WHICH IS AN ELIGIBLE 457(B) TOP-HAT PLAN AVAILABLE TO SENIOR EXECUTIVES AND PHYSICIANS. A CONTRIBUTION EQUAL TO THE IRS MAXIMUM CONTRIBUTION LIMIT FOR THE YEAR IS MADE ON MR. HOWARD'S BEHALF EACH YEAR. A PAYMENT WAS MADE TO THE CEO THAT REPRESENTS AMOUNTS EARNED OVER THE COURSE OF 10 YEARS. THE ANNUAL AMOUNTS WERE HELD IN A DEFERRED COMPENSATION AND RETENTION PLAN DESIGNED TO ENSURE THE EXECUTIVE'S CONTINUED EMPLOYMENT WITH THE HOSPITAL SYSTEM. ALL REMAINING AMOUNTS UNDER THE PLAN WERE RELEASED IN THE 2019 TAX YEAR. UNRELATED ORGANIZATION COMPENSATION: CYPRESS HEALTHCARE PARTNERS, LLC, AN UNRELATED ORGANIZATION, IS A CONSULTING FIRM PROVIDING MANAGEMENT SERVICES TO TANNER. THE CONTRACT FOR SERVICES PROVIDED BY THEIR EMPLOYEE WILLIAM HINES, WHO SERVES AS THE CHIEF ADMINISTRATIVE OFFICER FOR TMC AND ITS AFFILIATES, IS 839,315, PLUS TRAVEL. MANAGEMENT SERVICES PROVIDED BY WILLIAM HINES INCLUDE DIRECTING VARIOUS DEPARTMENTAL OPERATIONS (TMC ENGINEERING, DIETARY, HUMAN RESOURCES ETC.), MANAGING PHYSICIAN PRACTICES, AND HOSPICE AND HOME HEALTH OPERATIONS. BONUS/INCENTIVE: THE EXECUTIVE TEAM OF THE ORGANIZATION IS ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION IN SUCH AMOUNT, IF ANY, AS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD IN ITS SOLE DISCRETION, BASED ON, AMONG OTHER THINGS, THE ATTAINMENT OF ANNUAL OBJECTIVES ESTABLISHED BY THE BOARD. VARIOUS EMPLOYEES ARE ELIGIBLE TO RECEIVE BONUSES AND ARE ACHIEVEMENT BASED. ANNUAL INCENTIVES INTENDED TO SUPPLEMENT RETIREMENT BUT PAID ANNUALLY ARE CURRENTLY IN PLACE FOR CAROL CREWS, CFO AND BENJAMIN CAMP, CMO. THESE WERE APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE AND REVIEWED BY AN INDEPENDENT CONSULTANT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Business Name Line2IssuerName/BusinessNameLine2Txt	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CARROLL CITY-COUNTY HOSP AUTHORITY
A	2015 SERIES BONDS	581790149	144709GGI	2015-07-01	$71,560,000	CONSTRUCTION	false	false	false
CARROLL CITY-COUNTY HOSP AUTHORITY
B	2016A SERIES BONDS	581790149	144709HB1	2016-03-01	$26,255,000	REFUNDING SERIES 2008 BONDS	false	false	false
CARROLL CITY-COUNTY HOSP AUTHORITY
C	2016B SERIES BONDS	581790149	144709HW5	2016-09-26	$36,855,000	REFUNDING SERIES 2010 BONDS	false	false	false
CARROLL CITY-COUNTY HOSPITAL AUTHOR
D	2019A REVENUE BONDS	581790149	NONENONEN	2019-03-01	$10,000,000	ACQUISITION OF HOSPITAL EQUIPMENT	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt
A	$2,890,000	$75,846,532	$429,360	$75,000,000	2016	false	false	false	Yes (true)
B	$1,830,000	$29,251,274	$424,168		2008	false	Yes (true)	false	Yes (true)	$28,827,106
C	$650,000	$41,148,747	$528,262		2010	false	Yes (true)	false	Yes (true)	$40,650,485
D	$1,915,926	$10,000,000		$10,000,000	2019	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false
C	false	false	false	false	false	false	false
D	false	false	false	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	false	false	false	false	Yes (true)
B	false	false	Yes (true)	false	false	false	false	false	Yes (true)
C	false	false	Yes (true)	false	false	false	false	false	Yes (true)
D	false	false	Yes (true)	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DIFFERENCES IN ISSUE PRICE EXPLANATION	CARROLL CITY-COUNTY HOSP AUTHORITY SERIES 2015 BONDS: THE PART I, COLUMN (E), ROW (C) ISSUE PRICE DOES NOT AGREE WITH THE PART II, COLUMN (C) LINE 3 TOTAL PROCEEDS OF ISSUE DUE TO THE NET ORIGINAL ISSUE PREMIUM OF 4,289,532.
DIFFERENCES IN ISSUE PRICE EXPLANATION	CARROLL CITY-COUNTY HOSP AUTHORITY SERIES 2016A BONDS: THE PART I, COLUMN (E), ROW (D) ISSUE PRICE DOES NOT AGREE WITH THE PART II, COLUMN (D) LINE 3 TOTAL PROCEEDS OF ISSUE DUE TO THE NET ORIGINAL ISSUE PREMIUM OF 2,996,274.
DIFFERENCES IN ISSUE PRICE EXPLANATION	CARROLL CITY-COUNTY HOSP AUTHORITY SERIES 2016B BONDS: THE PART I, COLUMN (E), ROW (D) ISSUE PRICE DOES NOT AGREE WITH THE PART II, COLUMN (D) LINE 3 TOTAL PROCEEDS OF ISSUE DUE TO THE NET ORIGINAL ISSUE PREMIUM OF 4,232,747.
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSP AUTHORITY CONSTRUCTION
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSP AUTHORITY REFUNDING SERIES 2008 BONDS
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSP AUTHORITY REFUNDING SERIES 2010 BONDS
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSPITAL AUTHORI ACQUISITION OF HOSPITAL EQUIPMENT

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Business Name Line2IssuerName/BusinessNameLine2Txt	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CARROLL CITY-COUNTY HOSP AUTHORITY
A	2019B REVENUE BOND	581790149	NONENONEN	2019-12-12	$25,000,000	ACQUISITION OF HOSPITAL EQUIPMENT	false	false	false
CARROLL CITY-COUNTY HOSPITAL AUTHOR
B	BONDS PAYABLE 2020	581790149	NONENONEN	2020-08-01	$40,335,000	REFUND REMAINING SERIES 2010 CERTIFICATES AND FINANCE THE COST OF THE ACQUISITION, CONSTRUCTION, REN	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt
A	$3,384,788	$25,000,000	$25,000,000	2019	false	false	Yes (true)	Yes (true)
B		$47,749,058	$33,690,944		false	Yes (true)	false	Yes (true)	$14,058,115

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false
B	false	false	false	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DIFFERENCES IN ISSUE PRICE EXPLANATION	CARROLL CITY-COUNTY HOSPITAL AUTHORI THE DIFFERENCE IN THE ORIGINAL AMOUNT AND ISSUE PRICE OF THE BONDS IS THE RESULT OF AN ISSUE PREMIUM IN THE AMOUNT OF 7,414,058.
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSP AUTHORITY ACQUISITION OF HOSPITAL EQUIPMENT
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSPITAL AUTHORI REFUND REMAINING SERIES 2010 CERTIFICATES AND FINANCE THE COST OF THE ACQUISITION, CONSTRUCTION, RENOVATION, EQUIPPING AND INSTALLATION OF HOSPITAL RELATED EQUIPMENT.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WEST GEORGIA AMBULANCE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	DIRECTOR	RelationshipDescriptionTxt
Transaction	$203,390	TransactionAmt
Transaction	AMBULANCE SERVICE	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V	FormAndLineReferenceDesc
Explanation	STEVE ADAMS, BOARD MEMBER, OWNS WEST GEORGIA AMBULANCE, WHICH PROVIDES PATIENT TRANSPORTATION SERVICES TO TANNER MEDICAL CENTER, INC. THE ORGANIZATION FOLLOWS A SPECIFIC PROCESS TO BID OUT THESE SERVICES VIA OUTSIDE LEGAL COUNSEL TO ENSURE THESE SERVICES ARE AT FAIR MARKET VALUE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSION	TO PROVIDE A CONTINUUM OF QUALITY HEALTHCARE SERVICES WITHIN OUR RESOURCE CAPABILITIES. TO SERVE AS A LEADER IN A COLLABORATIVE EFFORT WITH THE COMMUNITY TO PROVIDE HEALTH EDUCATION, SUPPORT SERVICES, AND CARE FOR THE COUNTY AND SURROUNDING AREA.
FORM 990, PAGE 2, PART III, LINE 4A	TANNER MEDICAL CENTER, INC. PROVIDES HEALTHCARE TO THE POPULATION OF NORTHWEST GEORGIA AND EAST ALABAMA. SERVICES ARE FOR BOTH INPATIENT SERVICE AND OUTPATIENT ANCILLARY SERVICES INCLUDING PHYSICIAN OFFICES. AS A NOT FOR PROFIT CORPORATION, TANNER PROVIDES SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. TANNER MEDICAL CENTER, INC. IS A REGIONAL HEALTHCARE PROVIDER WITH MORE THAN 300 PHYSICIANS REPRESENTING 35 UNIQUE MEDICAL SPECIALTIES. TANNER PROVIDES A WIDE RANGE OF COMPREHENSIVE MEDICAL SERVICES FOR RESIDENTS IN A REGION OF WEST GEORGIA AND EAST ALABAMA. TANNER'S FACILITIES INCLUDE THE 180-BED ACUTE CARE TANNER MEDICAL CENTER/CARROLLTON; THE ROY RICHARDS, SR. CANCER CENTER, TANNER HEART AND VASCULAR CENTER, TANNER BREAST HEALTH, THE TANNER ADVANCED WOUND CENTER, EMPLOYEE ASSISTANCE PROGRAM (TANNER EAP) AND MORE. MORE INFORMATION ON TANNER MEDICAL CENTER, INC. IS AVAILABLE IN THE HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH CAN BE DOWNLOADED AT HTTP://WWW.TANNER.ORG/MAIN/HEALTHLIVINGMAGAZINE.ASPX TANNER MEDICAL CENTER, INC. IS A NOT-FOR-PROFIT HEALTHCARE SYSTEM. THE MEDICAL CENTER PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA AND EMPLOYED PHYSICIANS. TANNER MEDICAL CENTER, INC. INCLUDES THE FOLLOWING: TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES THROUGH THE OPERATION OF A 180-BED ACUTE CARE HOSPITAL IN CARROLLTON, GEORGIA.
FORM 990, PAGE 6, PART VI, LINE 3	CYPRESS HEALTHCARE PARTNERS, LLC, AN UNRELATED ORGANIZATION, IS A CONSULTING FIRM PROVIDING MANAGEMENT SERVICES TO TANNER. CYPRESS HEALTHCARE PARTNERS, LLC ASSIGNED WILLIAM HINES AS CHIEF ADMINISTRATIVE OFFICER. SERVICE PROVIDED BY WILLIAM HINES INCLUDES DIRECTING VARIOUS DEPARTMENTAL OPERATIONS (TMC ENGINEERING, DIETARY, HUMAN RESOURCES ETC.), MANAGING PHYSICIAN PRACTICES, AND HOSPICE AND HOME HEALTH OPERATIONS.
FORM 990, PAGE 6, PART VI, LINE 11B	THE ORGANIZATION'S ACCOUNTING DEPARTMENT GATHERS INFORMATION FOR THE PREPARATION OF THE FORM 990 AND CONSULTS WITH THE CFO AND COMPLIANCE OFFICER ON CERTAIN MATTERS. PRIOR TO FILING WITH THE IRS, A DRAFT COPY AS PREPARED BY THE EXTERNAL ACCOUNTING FIRM IS REVIEWED BY THE CFO FOR ACCURACY. ONCE CORRECTIONS ARE MADE, THE FINAL VERSION IS DISTRIBUTED TO ALL VOTING BOARD MEMBERS VIA ELECTRONIC MEANS PRIOR TO FILING WITH THE IRS.
FORM 990, PAGE 6, PART VI, LINE 12C	THE POLICY COVERS ALL EMPLOYEES, SUPPLIERS, MEDICAL STAFF AND VOLUNTEERS. CONFLICTS ARE REVIEWED BY THE COMPLIANCE OFFICER FOR RESOLUTION. THE COMPLIANCE OFFICER THEN CONSULTS WITH THE EXECUTIVE TEAM AND THE CEO FOR FINAL RESOLUTION. PER THE POLICY, ANY PERSON WITH A CONFLICT WILL EXCUSE THEMSELVES FROM THE DECISION MAKING PROCESS COMPLETELY. BOARD MEMBERS PHYSICALLY LEAVE THE ROOM WHEN DISCUSSIONS OCCUR THAT ARE POTENTIAL CONFLICTS. TANNER BIDS OUT SERVICES AND IF A COMPANY OWNED BY A BOARD MEMBER CHOOSES TO BID, THERE ARE ADDITIONAL STEPS FOR TRANSPARENCY, SUCH AS ADVERTISING THE BIDDING PROCESS IN THE NEWSPAPER. ALL SERVICES ARE COMPARED TO FAIR MARKET VALUE. TRANSACTIONS INVOLVING ANY POTENTIAL CONFLICT OF INTEREST ARE HANDLED BY THE ATTORNEY TO MAKE SURE ALL STEPS ARE TAKEN TO COMPLY WITH THE CONFLICT OF INTEREST POLICY.
FORM 990, PAGE 6, PART VI, LINE 15A	THE ORGANIZATION'S COMPENSATION COMMITTEE REVIEWS RECOMMENDATIONS AND APPROVES COMPENSATION PACKAGES FOR ALL SENIOR MANAGEMENT. TMC USES AN OUTSIDE NATIONALLY KNOWN COMPENSATION AND BENEFITS FIRM THAT USES SURVEY INFORMATION, REVIEWS JOB STANDARDS, ETC. FOR ALL SENIOR MANAGEMENT. THE OUTSIDE FIRM ANALYZES COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS AND PRESENTS THE DATA TO THE COMPENSATION COMMITTEE. WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT, OFFICIAL MINUTES ARE KEPT. THE EXECUTIVE ASSISTANT TO THE CEO MAINTAINS THE MINUTES. THIS PROCESS IS COMPLETED EVERY YEAR IN MARCH.
FORM 990, PAGE 6, PART VI, LINE 15B	SEE NARRATIVE FOR LINE 15A.
FORM 990, PAGE 6, PART VI, LINE 19	THE ORGANIZATION MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO MEMBERS OF THE PUBLIC WHO MAKE THEIR REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION.
FORM 990, PART IX, LINE 11G	PHYSICIAN FEES 11,407,423 0 0 CONTRACT SERVICES 24,434,952 3,313,467 0 PURCHASED SERVICES 6,491,671 8,868,357 0 CONSULTANT FEES 10,600 649,105 0 OTHER FEES -2,887 384,568 0 COLLECTION FEES 0 2,462,169 0 TOTAL 42,341,759 15,677,666 0

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
TMC CAMPUS HEALTH CENTER LLC
705 DIXIE STREET	CARROLLTON	GA	30117	823790957	CLINIC	GA	$81,532	$5,242,938	TMC
TANNER BEHAVIORAL HEALTH MGMT CO LL
705 DIXIE STREET	CARROLLTON	GA	30117	813549718	HEALTHCARE	GA		$100	TMC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
TANNER MEDICAL FOUNDATION INC
109 COLLEGE STREET	CARROLLTON	GA	301173136	581790152	FOUNDATION	GA	501C3	7	TMC	Yes (true)
TANNER MEDICAL CENTER GROUP RETURN
705 DIXIE STREET	CARROLLTON	GA	301173818	800785570	HEALTHCARE	GA	501C3	3	TMC	Yes (true)
TANNER MEDICAL CENTER ALABAMA INC
705 DIXIE STREET	CARROLLTON	GA	301173818	475348597	HOSPITAL	AL	501C3	3	TMC	Yes (true)
HEALTHLIANT INC
705 DIXIE STREET	CARROLLTON	GA	301173818	581790151	HEALTHCARE	GA	501C3	12B	NA	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
HEALTHLIANT ENTERPRISES INC
705 DIXIE STREET	CARROLLTON	GA	301173818	824529412	HEALTHCARE	GA	N/A	false
WEST GEORGIA ENDOSCOPY CTR LLC
160 CLINIC AVENUE	CARROLLTON	GA	30117	753182533	ENDOSCOPY	GA	N/A	Yes (true)	S CORP	$385,017	$619,000	0.51000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt	InvolvedInvolvedAmt
TANNER MEDICAL FOUNDATION INC
B	FMV
TANNER MEDICAL FOUNDATION INC
C	FMV	$484,232
ALL ENTITIES
D	GENERAL LEDGER	$66,286,761
ALL ENTITIES
L	VALUE UNDETERMINED
ALL ENTITIES
M	VALUE UNDETERMINED
ALL ENTITIES
O	VALUE UNDETERMINED
TANNER MEDICAL CENTER GROUP
Q	FMV	$71,450,502