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      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN FOX</PersonNm>
        <TitleTxt>SVP, TMG</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>24.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>172316</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>233135</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25361</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WAYNE SENFELD</PersonNm>
        <TitleTxt>SR. VP, BUS</TitleTxt>
        <AverageHoursPerWeekRt>17.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>24.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>212054</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>286897</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25180</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIM GRIFFITH</PersonNm>
        <TitleTxt>FORMER COO</TitleTxt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>3991</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>5399</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER ARANT MD</PersonNm>
        <TitleTxt>DIRECTOR/PHY</TitleTxt>
        <AverageHoursPerWeekRt>41.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1185629</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23801</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL CREWS</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>17.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>25.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>265638</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>359392</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25612</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHELIF JUNOR MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>671919</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>17535</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEN CAMP MD</PersonNm>
        <TitleTxt>VP, MEDICAL</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>24.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>259339</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>350871</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24652</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAJAT JHANJEE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>885469</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24989</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM HINES</PersonNm>
        <TitleTxt>CONTRACT CAO</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>11.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>204914</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>614740</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM WATERS MD</PersonNm>
        <TitleTxt>FORMER CMO</TitleTxt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>298721</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>404152</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHAZIB KHAWAJA MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1580110</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25542</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LOY HOWARD</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>17.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>27.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>1362728</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1843691</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>152267</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL PERROTTI</PersonNm>
        <TitleTxt>PAST COO (LE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>24.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>155868</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>210880</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18364</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIFFANCY STANFILL MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>624174</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16964</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ONAJE GREENE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>578594</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24386</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>9297506</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>5121792</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>496989</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>188</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>true</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>APOGEE MEDICAL MGMT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>15059 N SCOTTSDALE RD SUITE 600</AddressLine1Txt>
            <CityNm>SCOTTSDALE</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>852542685</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIANS</ServicesDesc>
        <CompensationAmt>9277364</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MULTIPLE SCLEROSIS CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3200 DOWNWOOD CIRCLE NW SUITE 550</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303271624</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MS MGMT/RENT</ServicesDesc>
        <CompensationAmt>3276764</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RA-LIN &amp; ASSOCIATES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>101 PARKWOOD CIRCLE</AddressLine1Txt>
            <CityNm>CARROLLTON</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>301178756</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>2488327</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RK REDDING CONSTRUCTION INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>412 SANGAMORE ROAD</AddressLine1Txt>
            <CityNm>BREMEN</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>301100426</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>2187247</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTHERN THERAPY SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>120 EAST CENTER STREET</AddressLine1Txt>
            <CityNm>CARROLLTON</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>301173303</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY SVCS</ServicesDesc>
        <CompensationAmt>1975502</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>56</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>149109</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>9582256</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>912707</AllOtherContributionsAmt>
      <TotalContributionsAmt>10644072</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>251448347</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>251448347</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>BEHAVIORAL HLTH MGMT - VR</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>1204043</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1204043</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REFERENCE LAB - VR</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>308856</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>308856</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REFERENCE LAB - HIGGINS</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>160595</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>160595</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>253121841</TotalProgramServiceRevenueAmt>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>50000</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>2842563</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-2792563</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-2792563</TotalRevenueColumnAmt>
        <ExclusionAmt>-2792563</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>515894</TotalRevenueColumnAmt>
        <ExclusionAmt>515894</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PROFESSIONAL FEE REVENUES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>374071</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>374071</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>INCENTIVES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>265960</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>265960</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>223291</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>200533</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>22758</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>1379216</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>262352566</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>253492954</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>469451</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-2253911</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>4842528</TotalAmt>
        <ProgramServicesAmt>1209428</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3633100</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
        <TotalAmt>302712</TotalAmt>
        <ManagementAndGeneralAmt>302712</ManagementAndGeneralAmt>
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        <TotalAmt>105447032</TotalAmt>
        <ProgramServicesAmt>102425628</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3021404</ManagementAndGeneralAmt>
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        <TotalAmt>4393364</TotalAmt>
        <ProgramServicesAmt>4262546</ProgramServicesAmt>
        <ManagementAndGeneralAmt>130818</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>36755</TotalAmt>
        <ProgramServicesAmt>31338</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5417</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6358272</ProgramServicesAmt>
        <ManagementAndGeneralAmt>387663</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>2212033</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>11537</TotalAmt>
        <ManagementAndGeneralAmt>11537</ManagementAndGeneralAmt>
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        <TotalAmt>17102400</TotalAmt>
        <ProgramServicesAmt>15756186</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1346214</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>49909</ProgramServicesAmt>
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        <ProgramServicesAmt>1863666</ProgramServicesAmt>
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        <ProgramServicesAmt>305719</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36264</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>147684</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11577</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>832999</ProgramServicesAmt>
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        <Desc>SHARED SERVICES</Desc>
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        <ProgramServicesAmt>63239120</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>34039104</ProgramServicesAmt>
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        <ProgramServicesAmt>1255149</ProgramServicesAmt>
        <ManagementAndGeneralAmt>159306</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>803415</ProgramServicesAmt>
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        <ProgramServicesAmt>260901050</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9552164</ManagementAndGeneralAmt>
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        <EOYAmt>146271402</EOYAmt>
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        <EOYAmt>2908800</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>2448802</BOYAmt>
        <EOYAmt>236691349</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>170390180</BOYAmt>
        <EOYAmt>430161441</EOYAmt>
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        <EOYAmt>12275042</EOYAmt>
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        <EOYAmt>343691802</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>372457247</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <BOYAmt>65804842</BOYAmt>
        <EOYAmt>57704194</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>65804842</BOYAmt>
        <EOYAmt>57704194</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>430161441</EOYAmt>
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        <ExplanationTxt>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 OVERAGE 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 2019, TANNER RECEIVED STATE APPROVAL TO EXPAND ITS CARDIAC SERVICES TO INCLUDE AN OPEN HEART SURGERY PROGRAM. IN ADDITION, TANNER BEGAN CONSTRUCTION OF AN INDEPENDENT AND ASSISTED LIVING FACILITY IN VILLA RICA, TO OPEN IN FY 2021. TANNER ALSO OPENED A NEW LOCATION FOR THE BUCHANAN MEDICAL CLINIC IN HARALSON COUNTY DURING THE FISCAL YEAR. ADDITIONAL CLINICAL SERVICES ADDED DURING FY 2020 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 NUMBER OF MEDICAL PROVIDERS AVAILABLE IN A COMMUNITY HAS A DIRECT IMPACT ON THAT COMMUNITY'S ABILITY TO ACCESS CARE. TANNER'S PRIMARY SERVICE AREA OF CARROLL, HARALSON AND HEARD COUNTIES ARE ALL DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND HEALTH PROFESSIONAL SHORTAGE AREAS. TO COMBAT THIS PROBLEM AND IMPROVE ACCESS TO MEDICAL CARE IN THE REGION, TANNER CONTINUED ITS WORK 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 FISCAL YEAR 2020, TANNER WELCOMED 10 NEW PHYSICIANS TO ITS MEDICAL STAFF, REPRESENTING SPECIALTIES IN: OBSTETRICS AND GYNECOLOGY, PSYCHIATRY, VASCULAR SURGERY, ADDICTION, AND CARDIOLOGY. TANNER ALSO PROVIDED FIVE "FUTURE OF HEALTH CARE" SCHOLARSHIPS 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, TANNER'S 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 FISCAL YEAR 2020, 124 NURSING STUDENTS PARTICIPATED IN THE PRECEPTORSHIP PROGRAM, COMPLETING OVER 2,250 HOURS. TANNER IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED OR UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, AND OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATIONS. CONSISTENT WITH ITS MISSION TO PROVIDE QUALITY HEALTH CARE TO ALL CITIZENS, TANNER STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTHCARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE. DURING FISCAL YEAR 2020, TANNER MEDICAL CENTER, INC. PROVIDED MORE THAN 12.8 MILLION IN CHARITY AND INDIGENT CARE (AT COST). TANNER ALSO WORKS CLOSELY WITH AND PROVIDES FINANCIAL SUPPORT TO TWO COMMUNITY BASED INDIGENT CLINICS, THE RAPHA CLINIC AND LATINOS UNITED CARROLL COUNTY CLINIC, TO PROVIDE LOW COST AND FREE MEDICAL SERVICES TO AREA RESIDENTS WHO OTHERWISE COULD NOT AFFORD CARE. IN ADDITION, GET HEALTHY, LIVE WELL'S HEALTHY HARALSON INCREASE AWARENESS OF EXISTING RESOURCES TASK FORCE CONTINUED TO PROMOTE AND UPDATE A NEW, COMPREHENSIVE COMMUNITY RESOURCE GUILD AND TELEPHONE SUPPORT LINE: WWW.GETHEALTHYHARALSON.ORG AND 678.647.HELP (4357). IN FY 2020, AN ADDITIONAL TEXTING CAPACITY WAS ADDED, ALLOWING ONE TO TEXT HCHELP TO 555888 TO RECEIVE THE GUIDE THROUGH TEXT MESSAGING. EDUCATIONAL TRAINING HAS BEEN PROVIDED TO OVER 40 TASK FORCE MEMBERS AND 35 COMMUNITY MEMBERS REPRESENTING 77 LOCAL ORGANIZATIONS ON THE RESOURCE GUIDE TOOLS TO HELP CONNECT THEIR CLIENTS, STUDENTS OR EMPLOYEES TO NEEDED COMMUNITY RESOURCES. HEALTHY AND ACTIVE LIFESTYLES AND EDUCATION: TANNER HAS A LONG STANDING COMMITMENT TOWARD ADVANCING COMMUNITY HEALTH AND SUCCESSFULLY DEVELOPING AND IMPLEMENTING POPULATION HEALTH APPROACHES TO BEST MEET THE NEEDS OF THE COMMUNITIES IT SERVES, EMPLOYING A VARIETY OF STRATEGIES AIMED AT THE DETERRENCE, EARLY DETECTION AND MINIMIZATION OR CESSATION OF DISEASE AT THE POPULATION LEVEL. TANNER ESTABLISHED GET HEALTHY, LIVE WELL IN 2012, A MULTI SECTOR COALITION (WITH MORE THAN 35 TASK FORCES CONSISTING OF MORE THAN 600 COMMUNITY VOLUNTEERS AND MORE THAN 270 LOCAL, STATE AND NATIONAL PARTNERS) THAT IS ENGAGING PEOPLE, IDEAS AND RESOURCES ACROSS MULTIPLE SETTINGS (COMMUNITY, EARLY CHILDCARE, FAITH BASED, HEALTHCARE, SCHOOL AND WORK SITE) TO DEVELOP AND IMPLEMENT A VARIETY OF EVIDENCE BASED INTERVENTIONS TO REDUCE CHRONIC DISEASE RISKS AND PROMOTE HEALTHY LIFESTYLES FOR THE 151,000 RESIDENTS OF CARROLL, HARALSON AND HEARD COUNTIES. TASK FORCE MEMBERSHIPS INCLUDES REPRESENTATIVES FROM COUNTY AND CITY GOVERNMENTS, PARKS AND RECREATION DEPARTMENTS, SCHOOL BOARDS AND SCHOOLS, COLLEGES AND UNIVERSITIES, RESTAURANTS, BOYS AND GIRLS CLUBS, CONVENIENCE STORES, FARMERS AND FARMERS' MARKETS, CIVIC GROUPS, FAITH BASED INSTITUTIONS, CHAMBERS OF COMMERCE, BUSINESS AND INDUSTRY, SOCIAL SERVICE AGENCIES, STATE AND LOCAL PUBLIC HEALTH DEPARTMENTS, RURAL HEALTH CLINICS, PRIVATE HEALTH CARE PROVIDERS AND MORE. SINCE ITS ESTABLISHMENT, THE TANNER LED GET HEALTHY, LIVE WELL COALITION IS MAKING SIGNIFICANT GAINS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES TANNER SERVES. ADDITIONAL INFORMATION ON GET HEALTHY, LIVE WELL CAN BE FOUND AT HTTPS://WWW.TANNER.ORG/GET HEALTHY LIVE WELL. DURING FISCAL YEAR 2020, MORE THAN MORE THAN 19,400 INDIVIDUALS WERE TOUCHED BY A GET HEALTHY, LIVE WELL PROGRAM, HEALTH SCREENING OR OTHER COMMUNITY BASED EDUCATIONAL EVENT (I.E., ADVANCING YOUR HEALTH EDUCATION SERIES, TASK FORCE MEETINGS, ETC.) FOCUSED ON A WIDE RANGE OF SUBJECTS TO LEARN MORE ABOUT THEIR HEALTH AND HOW TO LIVE WELL. MORE HEALTH EDUCATION WAS PROVIDED THROUGH TANNER'S SPONSORSHIP OF THE "COMMUNITY VOICE" RADIO PROGRAM, WHICH FEATURED A NUMBER OF PHYSICIANS AND HEALTH PROFESSIONALS DISCUSSING AND TAKING CALLS ON A WIDE RANGE OF SUBJECTS. TANNER PROVIDED AND/OR SPONSORED SEVERAL SUPPORT GROUPS ON A WIDE RANGE OF DISEASES/TOPICS, INCLUDING BREAST CANCER, CANCER, DIABETES, PARKINSON'S AND GRIEF, IN WHICH MORE THAN 400 PEOPLE ATTENDED DURING THE YEAR. TANNER GET HEALTHY, LIVE WELL IMPLEMENTED A VARIETY OF EFFORTS TO REDUCE EXPOSURE TO SECONDHAND SMOKE AND REDUCE TOBACCO USE AMONG YOUTH AND ADULTS DURING THE FISCAL YEAR. AN INTERACTIV</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - PART V, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - PART V, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>GROUP A, FACILITY 2, TMC/VILLA RICA HOSPITAL, INC. - PART V, LINE 6B TANNER MEDICAL GROUP, 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 TMC IMMEDIATE CARE VILLA RICA OB GYN, INC. TMC TANNER GYNECOLOGY, INC. TANNER PRIMARY CARE OF HEFLIN WEST GEORGIA CENTER FOR PLASTIC SURGERY TMC BUCHANAN FAMILY HEALTHCARE CENTER, INC.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - PART V, LINE 7D</FormAndLineReferenceDesc>
        <ExplanationTxt>GROUP A, FACILITY 2, TMC/VILLA RICA HOSPITAL, 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>AS AN OUTCOME OF THE PRIORITIZATION PROCESS FOR THE FY 2019 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>7</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TALLAPOOSA FAMILY HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>25 W LYON ST</AddressLine1Txt>
            <CityNm>TALLAPOOSA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30176</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HARALSON FAMILY HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>204 ALLEN MEMORIAL DR SUITE 201</AddressLine1Txt>
            <CityNm>BREMEN</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30110</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BUCHANAN MEDICAL CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>30 BUCHANAN BYPASS</AddressLine1Txt>
            <CityNm>BUCHANAN</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30113</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WEST CARROLL FAMILY HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1125 E HIGHWAY 166</AddressLine1Txt>
            <CityNm>BOWDON</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30108</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TMCHOME HEALTH INC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>705 DIXIE STREET</AddressLine1Txt>
            <CityNm>CARROLLTON</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30117</ZIPCd>
          </USAddress>
          <FacilityTxt>HOME HEALTH AGENCY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TMCHOSPICE CARE INC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>705 DIXIE STREET</AddressLine1Txt>
            <CityNm>CARROLLTON</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30117</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TMC OCCUPATIONAL HEALTH INC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>705 DIXIE STREET</AddressLine1Txt>
            <CityNm>CARROLLTON</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30117</ZIPCd>
          </USAddress>
          <FacilityTxt>THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>AT TANNER, EFFORTS TO PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES GO BEYOND PROVIDING HEALTH SERVICES. TANNER TAKES A PROACTIVE APPROACH TO ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH AND THE UNDERLYING ROOT CAUSES OF POOR HEALTH, 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 AIMED AT ENSURING THE ECONOMIC DEVELOPMENT, GROWTH AND STABILITY OF THEIR LOCAL COMMUNITIES. TANNER PARTICIPATES IN AND SUPPORTS YOUTH PROGRAMS THAT FOCUS ON ACTIVITIES TO DEVELOP LEADERSHIP SKILLS, ENHANCE ACADEMIC SUCCESS, IMPROVE HEALTH, CULTIVATE COMMUNITY RESPONSIBILITY AND OFFER 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE PAGES 18-22 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS FOR FOOTNOTE DISCLOSURE RELATED TO UNINSURED PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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 PERCENT RURAL) WITH A TOTAL POPULATION OF 151,141 (U.S. CENSUS BUREAU, 2010). CARROLL, HARALSON AND HEARD COUNTIES CONSIST OF A MIXTURE 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 CLOSE 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 AND IN TANNER'S SECONDARY SERVICE AREA OF DOUGLAS, PAULDING, POLK, CLEBURNE (ALA.) AND RANDOLPH (ALA.) COUNTIES TO BEST MEET THE HEALTH NEEDS OF THEIR COMMUNITIES. DEMOGRAPHICS (DATA GATHERED FROM 2020 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 70.7 PERCENT CAUCASIAN, 19.6 PERCENT AFRICAN AMERICAN, 7.2 PERCENT HISPANIC; AVERAGE INCOME 49,608; UNINSURED 16 PERCENT; UNEMPLOYMENT 4 PERCENT; BELOW POVERTY LEVEL 16.8 PERCENT. DEMOGRAPHICS OF HARALSON COUNTY (DESIGNATED AS A PARTIAL MEDICALLY UNDERSERVED AREA, COMMUNITY SERVED BY HIGGINS GENERAL HOSPITAL): POPULATION 29,792; DIVERSITY 90.9 PERCENT CAUCASIAN, 4.7 PERCENT AFRICAN AMERICAN, 1.8 PERCENT HISPANIC; AVERAGE INCOME 46,353; UNINSURED 15 PERCENT; UNEMPLOYMENT 3.9 PERCENT; BELOW POVERTY LEVEL 15.9 PERCENT. DEMOGRAPHICS OF HEARD COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA, COMMUNITY SERVED BY TANNER MEDICAL CENTER/CARROLLTON): POPULATION 11,923; DIVERSITY 84.7 PERCENT CAUCASIAN, 9.8 PERCENT AFRICAN AMERICAN, 2.8 PERCENT HISPANIC; AVERAGE INCOME 48,094; UNINSURED 15 PERCENT; UNEMPLOYMENT 3.9 PERCENT; BELOW POVERTY LEVEL 17.1 PERCENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>IN FISCAL YEAR 2020, TANNER MEDICAL CENTER, INC. PROVIDED MORE THAN 12.8 MILLION IN COMMUNITY BENEFIT SERVICES, INCLUDING CHARITY CARE AT COST AND A RANGE OF DIVERSE PROGRAMS DESIGNED TO ENHANCE ACCESS AND PROMOTE THE HEALTH OF THE COMMUNITY. AS A NONPROFIT ORGANIZATION DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES, TANNER MEDICAL CENTER, INC. REINVESTS ALL OF ITS SURPLUS FUNDS FROM ITS OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE ACCESS TO CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, 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 APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE AND COMPETENCE, AND TO ULTIMATELY MAKE A DECISION 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 WHICH 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 IS RESPONSIBLE FOR ENSURING THAT THE HEALTH SYSTEM DEVELOPS PROGRAMS TO ADDRESS THE DISPROPORTIONATE UNMET HEALTH RELATED NEEDS OF THE COMMUNITIES IT SERVES, ALONG WITH ENSURING THE DEVELOPMENT OF COMMUNITY BENEFIT INITIATIVES TO PROMOTE THE BROAD HEALTH OF THE COMMUNITY. THE BOARD ALSO ESTABLISHES KEY MEASURES OF SYSTEM WIDE COMMUNITY BENEFIT PERFORMANCE AND RECEIVE REGULAR REPORTS ON PROGRESS TOWARD ESTABLISHED GOALS. IN FULFILLING THESE RESPONSIBILITIES, IN FISCAL YEAR 2014 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. 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 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 DISSEMINATE 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 COVID 19. TANNER IMPLEMENTED SEVERAL EMERGENCY MEDICAL CARE ACTIVITIES, INCLUDING: PURCHASING AND DISTRIBUTING COVID 19 DIAGNOSTIC TESTING EXAMS AND A VARIETY OF PERSONAL PROTECTIVE EQUIPMENT (FACE SHIELDS, GLOVES, MASKS, GOWNS, SCRUBS); LEASING ADDITIONAL RESPIRATORY EQUIPMENT (OXYGEN, RESPIRATORS, BIPAP) TO TREAT COVID 19 PATIENTS; RETROFITTING SEPARATE AREAS TO SCREEN AND TREAT INDIVIDUALS WITH SUSPECTED COVID 19 INFECTIONS, INCLUDING ESTABLISHING TEMPORARY EXTERIOR PATIENT CARE FACILITIES OUTSIDE ITS EMERGENCY DEPARTMENTS TO ASSESS POTENTIALLY LARGE NUMBERS OF PERSONS UNDER INVESTIGATION FOR COVID 19 INFECTION; ESTABLISHING DRIVE THRU TESTING CENTERS AND ACUTE HOSPITAL TESTING CENTERS; RETROFITTING EXISTING HOSPITAL ROOMS TO BECOME NEGATIVE PRESSURE ROOMS AT EACH HOSPITAL FACILITY; RENTING ADDITIONAL HOSPITAL BEDS TO INCREASE CAPACITY TO TREAT COVID 19 PATIENTS; INCREASING MEDICAL WASTE DISPOSAL SERVICES AND CLEANING/DISINFECTION COSTS OF SCRUBS, MASKS, LINEN BAGS AND GOWNS; AND EXPANDING THE USE OF TELEHEALTH TECHNOLOGIES TO FURTHER SUPPORT PHYSICAL DISTANCING EFFORTS TO REDUCE VIRUS TRANSMISSION AND ENSURE CARE AVAILABILITY TO THOSE WHO NEED IT MOST BY TRIAGING LOW RISK URGENT CARE, AND PROVIDING FOLLOW UP APPOINTMENTS FOR CHRONIC DISEASE AND BEHAVIORAL HEALTH PATIENTS WHO MAY REQUIRE ROUTINE CHECK INS. IN ADDITION, TANNER HEALTH SYSTEM WAS ONE OF ALMOST 2,200 HEALTH CARE SYSTEMS ACROSS THE COUNTRY THAT JOINED THE MAYO CLINIC EXPANDED ACCESS PROGRAM TO TEST THE EFFICACY OF CONVALESCENT PLASMA - PLASMA FROM SOMEONE WHO HAS OVERCOME COVID 19 - TO HELP OTHER SICK PATIENTS SURVIVE THE DISEASE OR RECOVER FASTER. TANNER ALSO QUICKLY ASSESSED ITS INVENTORIES OF CRITICAL INFECTION PREVENTION SUPPLIES AND CHEMICALS WHICH INCLUDED PANDEMIC DESIGNATED SUPPLIES FROM ITS EMERGENCY PREPAREDNESS EFFORTS. PERSONAL PROTECTIVE EQUIPMENT (PPE) SUCH AS FACE MASKS, SHIELDS AND GOWNS - AS WELL AS CLEANING AND DISINFECTING MATERIALS - WERE AT THE TOP OF NOT ONLY TANNER'S LIST, BUT ALSO THAT OF MANY CONSUMERS AND OTHER HOSPITAL SYSTEMS. FOR THOSE HIGH PRIORITY NEEDS, TANNER FOUND SUPPORT CLOSE TO HOME FROM ITS COMMUNITY, INCLUDING INDIVIDUALS AND CORPORATE CITIZENS. FOR EXAMPLE, THOUSANDS OF CLOTH FACE MASKS WERE HAND OR MACHINE STITCHED AND DONATED BY VOLUNTEERS THROUGHOUT THE REGION FOR USE BY PATIENTS AND STAFF. DOZENS OF NEIGHBORS VOLUNTEERED TO MAKE SPECIAL, PLASTIC FACE SHIELDS FOR TANNER STAFF TO PROVIDE PROTECTION DURING PATIENT CARE FROM RESPIRATORY DROPLETS ASSOCIATED WITH COVID 19 AND KNOWN TO CARRY THE DISEASE. IN ADDITION, THOUSANDS OF MEALS WERE DONATED FROM THE COMMUNITY TO SUPPORT FRONT LINE HEALTHCARE WORKERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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. TANNER MEDICAL CENTER/VILLA RICA, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 52-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. TANNER MEDICAL CENTER, INC. IS RESPONSIBLE FOR ALLOCATING RESOURCES AND FOR APPROVING BUDGETS, MAJOR CONTRACTS AND DEBT FINANCING FOR ALL ENTITIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>GEORGIA</ExplanationTxt>
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        <TotalCompensationFilingOrgAmt>276523</TotalCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHELIF JUNOR MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <OtherCompensationFilingOrgAmt>16100</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12488</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5047</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>689454</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BEN CAMP MD</PersonNm>
        <TitleTxt>VP, MEDICAL AFFAIRS</TitleTxt>
        <BaseCompensationFilingOrgAmt>212940</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>288095</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>6651</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>269816</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>365046</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAJAT JHANJEE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <TotalCompensationFilingOrgAmt>910458</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM HINES</PersonNm>
        <TitleTxt>CONTRACT CAO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>423813</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationRltdOrgsAmt>97688</OtherCompensationRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>204914</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>614740</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM WATERS MD</PersonNm>
        <TitleTxt>FORMER CMO</TitleTxt>
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        <TotalCompensationFilingOrgAmt>298721</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>404152</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHAZIB KHAWAJA MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <BonusFilingOrganizationAmount>302811</BonusFilingOrganizationAmount>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LOY HOWARD</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>7221</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1427442</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1931244</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL PERROTTI</PersonNm>
        <TitleTxt>PAST COO (LEFT 1/20)</TitleTxt>
        <BaseCompensationFilingOrgAmt>129533</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>175250</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>11460</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>15505</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>14875</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>20125</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>6073</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>4486</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>163673</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>221439</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIFFANCY STANFILL MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ONAJE GREENE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <TotalCompensationFilingOrgAmt>602980</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION MUST RELY ON THE METHODS EMPLOYED BY THE RELATED ORGANIZATION, TANNER MEDICAL CENTER INC. (TMC), TO DETERMINE REASONABLE COMPENSATION FOR THE INDIVIDUALS. COMPENSATION DETERMINATION BY TMC INCLUDES AN INDEPENDENT COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION SURVEYS AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>JIM GRIFFITH 9,390 0 0 WILLIAM WATERS, M.D. 702,873 0 0 LOY HOWARD 0 106,708 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>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 EXECUTIVES 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 819,654, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>WEST GEORGIA AMBULANCE</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
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        <TransactionDesc>AMBULANCE SERVICES</TransactionDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>STEVE ADAMS, BOARD MEMBER, OWNS WEST GEORGIA AMBULANCE AND VERIDA INC. 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>
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    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>PAGE 1, LINE H(B)-AFFLIATED GROUP TANNER MEDICAL CENTER ALABAMA, INC. (FEI 47-5348597) WAS GRANTED TAX EXEMPT STATUS UNDER SECTION 501(C)(3) EFFECTIVE SEPTEMBER 10, 2015. THE ORGANIZATION WAS ORIGINALLY AND INADVERTENTLY INCLUDED IN THE GROUP EXEMPTION FOR TANNER MEDICAL CENTER, INC. (FEI 80-0785570) UPON ITS ORGANIZATION. IN ORDER TO OBTAIN ITS STAND-ALONE EXEMPTION STATUS, THE ORGANIZATION HAS REQUESTED THAT IT BE REMOVED FROM THE GROUP RULING FROM THE DATE OF ITS INCLUSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S DIRECTORS ARE THE DIRECTORS OF TANNER MEDICAL CENTER, INC. (TMC), A 501(C)(3) TAX EXEMPT ENTITY AND RELATED ORGANIZATION. THE DIRECTORS ARE ELECTED AS PROVIDED BY THE BYLAWS OF TMC. A DIRECTOR SERVES ONLY SO LONG AS THEY SERVE AS TMC DIRECTOR. PERSONS REMOVED FROM THE TMC GOVERNING BOARD SHALL AUTOMATICALLY BE REMOVED FROM THE ORGANIZATION'S GOVERNING BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>TMC'S ACCOUNTING DEPARTMENT GATHERS INFORMATION FOR THE PREPARATION OF THE FORM 990 AND CONSULTS WITH THE CFO AND TMC 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POLICY COVERS ALL EMPLOYEES, SUPPLIERS, MEDICAL STAFF AND VOLUNTEERS. CONFLICTS ARE REVIEWED BY THE TMC 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 RECUSE 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 TAKEN FOR TRANSPARENCY, SUCH AS ADVERTISING THE BIDDING PROCESS IN THE NEWSPAPER. ALL SERVICES ARE COMPARED TO FAIR MARKET VALUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO MEMBERS OF THE PUBIC WHO MAKE THEIR REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION.</ExplanationTxt>
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          <AddressLine1Txt>109 COLLEGE STREET</AddressLine1Txt>
          <CityNm>CARROLLTON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>301173136</ZIPCd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WEST GEORGIA ENDOSCOPY CTR LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>160 CLINIC AVENUE</AddressLine1Txt>
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        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
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      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
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