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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.TANNER.ORG</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>19</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>HTTPS://WWW.TANNER.ORG</StrategyWebsiteURLTxt>
        <StrategyAttachedInd referenceDocumentId="RetDoc2">false</StrategyAttachedInd>
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        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>250.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>350.000000000000</FPGFamilyIncmLmtDscntCarePct>
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        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.TANNER.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.TANNER.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.TANNER.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
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        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, TANNER MEDICAL CENTER ALABAMA, INC. - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IS IDENTIFIED AND THE METHODOLOGY FOR PRIORITIZING EACH NEED IS DESCRIBED ON PAGE 30 OF THE 2019 CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, TANNER MEDICAL CENTER ALABAMA, INC. - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>TANNER MEDICAL CENTER/EAST ALABAMAS CHNA PROCESS INVOLVED LOCAL RESIDENTS, COMMUNITY PARTNERS AND STAKEHOLDERS, ALONG WITH HOSPITAL LEADERSHIP. THESE REPRESENTATIVES USED POPULATION-LEVEL DATA AND FEEDBACK FROM A COMMUNITY FOCUS GROUP TO CREATE RECOMMENDATIONS FOR THE HOSPITALS HEALTH PRIORITIES, POTENTIAL IMPLEMENTATION STRATEGIES AND TO IDENTIFY KEY PARTNERS. THIRTEEN PEOPLE WERE INVOLVED IN THE CHNA PROCESS THROUGH PARTICIPATION IN A FOCUS GROUP OR KEY INFORMANT INTERVIEW. THE DATA SOURCES FOR THE CHNA INCLUDED QUANTITATIVE SECONDARY POPULATION-LEVEL DATA, AND QUALITATIVE KEY INFORMANT INTERVIEWS AND A COMMUNITY FOCUS GROUP SESSION. THESE DATA WERE USED TO BROADEN THE TYPES OF INFORMATION GATHERED AND TO ENGAGE A DIVERSE GROUP OF INTERNAL AND EXTERNAL STAKEHOLDERS TO INFORM THE CHNA PROCESS AND DELIVERABLES. COMMUNITY INPUT SESSION DISCUSSIONS: TANNER MEDICAL CENTER/EAST ALABAMA FACILITATED COMMUNITY DISCUSSIONS WITH A DIVERSE GROUP OF COMMUNITY STAKEHOLDERS TO IDENTIFY THE MOST IMPORTANT COMMUNITY HEALTH ISSUES. GUIDED DISCUSSION AREAS INCLUDED TOPICS RELATED TO COMMUNITY HEALTH AND WELLNESS, ACCESS TO CARE AND SERVICES AND THE SOCIAL DETERMINANTS OF HEALTH.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, TANNER MEDICAL CENTER ALABAMA, INC. - PART V, LINE 7D</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHNA REPORT IS AVAILABLE TO THE COMMUNITY ON TANNERS WEBSITE: WWW.TANNER.ORG. ADDITIONALLY, COPIES WILL BE DISSEMINATED TO THE HOSPITALS 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 WILL INCLUDE PRESENTATIONS OF ASSESSMENT FINDINGS THROUGHOUT THE COMMUNITY. COPIES WILL ALSO BE MADE AVAILABLE FOR DISTRIBUTION UPON REQUEST FROM THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, TANNER MEDICAL CENTER ALABAMA, INC. - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>AS AN OUTCOME OF THE PRIORITIZATION PROCESS AND TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE MISUSE WERE BOTH IDENTIFIED AS SIGNIFICANT HEALTH NEEDS FLOWING FROM THE PRIMARY AND SECONDARY DATA BUT WERE NOT ADVANCED FOR CONSIDERATION FOR THE IMPLEMENTATION STRATEGY. WHILE TANNER IS COMMITTED TO PROVIDING BEHAVIORAL/MENTAL HEALTH SERVICES AND SUBSTANCE ABUSE SERVICES TO ADULTS, ADOLESCENTS AND CHILDREN IN THE REGION THROUGH WILLOWBROOKE AT TANNERS MANY PROGRAMS AND SERVICES, THE ADDITION OF THESE SERVICES IN TMC/EAST ALABAMAS SERVICE AREA TO ADDRESS THESE IDENTIFIED NEEDS IS CURRENTLY OUTSIDE OF TANNERS SCOPE OF RESOURCES. TANNER WILL CONTINUE TO WORK COLLABORATIVELY WITH VARIOUS COMMUNITY ORGANIZATIONS AND AGENCIES IN THE LOCAL REGION TO FURTHER ADDRESS GAPS IN THE PROVISION OF MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE MISUSE SERVICES AND CONTINUE TO CONNECT INDIVIDUALS TO WILLOWBROOKE AT TANNERS EXISTING MENTAL HEALTH AND SUBSTANCE SERVICES IN WEST GEORGIA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TMC EAST ALABAMA SWING BED UNIT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1032 MAIN STREET SOUTH</AddressLine1Txt>
            <CityNm>WEDOWEE</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>36278</ZIPCd>
          </USAddress>
          <FacilityTxt>SWING BED-SNF</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION</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>PART II - COMMUNITY BUILDING ACTIVITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BUILDING ACTIVITIES: 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. 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>PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY</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>BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE PAGES 21-22 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE DISCLOSURE ADDRESSING UNINSURED PATIENTS AND BAD DEBTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8 - MEDICARE EXPLANATION</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>PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION</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>PART VI, LINE 2 - NEEDS ASSESSMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>TANNER MEDICAL CENTER ALABAMA, INC. ASSESSES 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. AS A NONPROFIT ORGANIZATION, TANNER'S CHNA ALIGN WITH GUIDELINES ESTABLISHED BY THE AFFORDABLE CARE ACT AND COMPLY WITH INTERNAL REVENUE SERVICE (IRS) REQUIREMENTS. THE MOST RECENT CHNA CONDUCTED IN TANNER MEDICAL CENTER/EAST ALABAMA'S PRIMARY SERVICE AREA OF CLEBURNE AND RANDOLPH COUNTIES WAS COMPLETED IN FY 2019. BOTH THE 2019 CHNA AND IMPLEMENTATION PLAN ARE POSTED ON THE FACILITY'S HOME WEBPAGE. IN ADDITION, TMCA DEVELOPS A STRATEGIC PLAN THAT IS UPDATED ANNUALLY. THE STRATEGIC PLAN TAKES INTO CONSIDERATION HEALTH NEEDS FOR OUR SERVICE AREA IN ADDITION TO UTILIZATION OF SERVICES, COMMUNITY PARTICIPATION, AND QUALITY OF SERVICES PROVIDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</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 200% (2 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/SOCIAL SERVICE AGENCIES SUCH AS DFACS, HEALTH DEPARTMENTS, ETC.; 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>PART VI, LINE 4 - COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>TANNER MEDICAL CENTER/EAST ALABAMA DEFINES THE COMMUNITY AS THE GEOGRAPHIC AREA SERVED BY THE HOSPITAL, CONSIDERING ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREA INCLUDES RANDOLPH AND CLEBURNE COUNTIES, CONSISTING OF 1,141 SQUARE MILES OF PREDOMINATELY RURAL AREA (89 PERCENT) WITH A TOTAL POPULATION OF 37,570 (US CENSUS BUREAU, POPULATION ESTIMATES 2017). DEMOGRAPHICS (DATA GATHERED FROM 2018 COUNTY HEALTH RANKINGS AND THE US CENSUS BUREAU, 2017 ESTIMATES) OF RANDOLPH COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA): POPULATION 22,670; DIVERSITY 75.3 PERCENT CAUCASIAN, 19.7 PERCENT AFRICAN AMERICAN, 7.0 PERCENT HISPANIC, 1.6 PERCENT OTHER; AVERAGE INCOME 37,496; UNINSURED 18 PERCENT; UNEMPLOYMENT 4.4 PERCENT; BELOW POVERTY LEVEL 18 PERCENT. DEMOGRAPHICS OF CLEBURNE COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA): POPULATION 14,900; DIVERSITY 92.7 PERCENT CAUCASIAN, 3.2 PERCENT AFRICAN AMERICAN, 7.0 PERCENT HISPANIC, 1.6 PERCENT OTHER; AVERAGE INCOME 36,316; UNINSURED 15 PERCENT; UNEMPLOYMENT 4.4 PERCENT; BELOW POVERTY LEVEL 16.9 PERCENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A NONPROFIT ORGANIZATION DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES, TANNER MEDICAL CENTER/EAST ALABAMA 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/EAST ALABAMA IS GOVERNED BY A BOARD OF DIRECTORS, THE MAJORITY OF WHICH IS COMPRISED OF PERSONS WHO RESIDE THROUGHOUT TANNER'S SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION (NOR FAMILY MEMBERS THEREOF). THE TANNER MEDICAL CENTER ALABAMA, INC. BOARD OF DIRECTORS IS RESPONSIBLE FOR ENSURING THAT THE HOSPITAL 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 HOSPITAL COMMUNITY BENEFIT PERFORMANCE AND RECEIVE REGULAR REPORTS ON PROGRESS TOWARD ESTABLISHED GOALS. TANNER MEDICAL CENTER/EAST ALABAMA 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 2019, TANNER MEDICAL CENTER/EAST ALABAMA PROVIDED APPROXIMATELY 1 MILLION IN CHARITY AND INDIGENT CARE (AT COST). THE NUMBER OF MEDICAL PROVIDERS AVAILABLE IN A COMMUNITY HAS A DIRECT IMPACT ON THAT COMMUNITY'S ABILITY TO ACCESS CARE. TANNER MEDICAL CENTER/EAST ALABAMA'S PRIMARY SERVICE AREA OF RANDOLPH AND CLEBURNE COUNTIES ARE BOTH 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 2018, TANNER WELCOMED 12 NEW PHYSICIANS AND 8 ADVANCED PRACTICE PROVIDERS TO ITS MEDICAL STAFF. TANNER ALSO PROVIDED "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. TANNER MEDICAL CENTER/EAST ALABAMA OPENED IN NOVEMBER 2017, SERVING AS A REPLACEMENT HOSPITAL FOR WEDOWEE HOSPITAL. THIS FACILITY WILL ENSURE THE HEALTH NEEDS OF THIS REGION ARE MET FOR YEARS TO COME. TANNER MEDICAL CENTER/EAST ALABAMA'S MORE THAN 50,000-SQUARE-FOOT, THREE-STORY MODERN HOSPITAL FACILITY PROVIDES 24-HOUR EMERGENCY CARE, CRITICAL CARE SUPPORT, INPATIENT AND OBSERVATION BEDS, A STATE-OF-THE-ART SURGICAL SUITE AND ADVANCED DIAGNOSTIC IMAGING SERVICES. TANNER MEDICAL CENTER/EAST ALABAMA WILL REMAIN COMMITTED TO IMPROVING THE COMMUNITY'S HEALTH, NOT ONLY THROUGH DAILY PATIENT CARE ACTIVITIES BUT ALSO OUTREACH, PREVENTION, EDUCATION AND WELLNESS OPPORTUNITIES. A CHNA PROCESS COMPLETED IN FY 2019 BY TANNER MEDICAL CENTER/EAST ALABAMA FURTHER DEFINES THE NEEDS OF THE COMMUNITIES SERVED BY THE HOSPITAL TO ENSURE THAT ITS RESOURCES ARE APPROPRIATELY DIRECTED TOWARD CLINICAL PROGRAM DEVELOPMENT, SERVICES, OUTREACH, PREVENTION, EDUCATION AND WELLNESS OPPORTUNITIES WHERE THE GREATEST IMPACT CAN BE MADE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM</FormAndLineReferenceDesc>
        <ExplanationTxt>TANNER MEDICAL CENTER, INC. (MEDICAL CENTER) 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 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>ALABAMA</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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        <PersonNm>DENISE TAYLOR</PersonNm>
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        <PersonNm>GREG SCHULENBURG</PersonNm>
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        <PersonNm>DEBORAH MATTHEWS</PersonNm>
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        <PersonNm>SUSAN FOX</PersonNm>
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        <PersonNm>WAYNE SENFELD</PersonNm>
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        <PersonNm>JIM GRIFFITH</PersonNm>
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        <PersonNm>CAROL S CREWS</PersonNm>
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        <PersonNm>BENJAMIN CAMP MD</PersonNm>
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        <PersonNm>WILLIAM HINES</PersonNm>
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        <PersonNm>WILLIAM WATERS MD</PersonNm>
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        <PersonNm>LOY HOWARD</PersonNm>
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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 70,427 0 0 WILLIAM WATERS, MD 243,302 0 0 LOY HOWARD 0 105,930 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. 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 856,314, 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 CEO 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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 1, ITEM C</FormAndLineReferenceDesc>
        <ExplanationTxt>TANNER MEDICAL CENTER/EAST ALABAMA</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION OPERATES EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES SPECIFICALLY OPERATING A 15-BED ACUTE CARE HOSPITAL IN WEDOWEE, ALABAMA OFFERING MEDICAL SERVICES TO RESIDENTS OF THE COMMUNITY REGARDLESS OF ABILITY TO PAY.</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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THE ORGANIZATION IS TANNER MEDICAL CENTER, INC. (TMC), A 501(C)(3) NONPROFIT CORPORATION FORMED AND EXISTING PURSUANT TO THE GEORGIA NONPROFIT CORPORATION CODE, TITLE 14, CHAPTER 3 OF THE OFFICIAL CODE OF GEORGIA ANNOTATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS CONSISTS OF NINE MEMBERS. ONE TO BE APPOINTED BY THE RANDOLPH COUNTY COMMISSION; ONE HELD BY THE CURRENT CHAIRMAN OF THE RANDOLPH COUNTY HEALTH CARE AUTHORITY; ONE SEAT OCCUPIED BY THE PRESIDENT/CEO OF THE SOLE MEMBER; TWO MEMBERS APPOINTED BY THE SOLE MEMBER; AND THE REMAINING FOUR SEATS MUST BE RANDOLPH COUNTY RESIDENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER HAS CERTAIN RESERVED RIGHTS OR POWERS CONCERNING THE ORGANIZATION REQUIRING THE APPROVAL OR ACTION OF THE MEMBER INCLUDING DISSOLUTION OF THE ORGANIZATION; SALE, MERGER OR DISPOSITION OF SUBSTANTIALLY ALL ASSETS; APPROVAL OF BUDGETS; TERMINATION OF CONTRACTS OR LEASES BETWEEN THE ORGANIZATION AND RANDOLPH COUNTY HEALTH CARE AUTHORITY; ACTIONS JEOPARDIZING TAX EXEMPT STATUS; INCURRENCE OF ANY DEBT IN EXCESS OF 300,000; SELECTION OR REMOVAL OF THE ORGANIZATION'S PRESIDENT/CEO OR HOSPITAL ADMINISTRATOR; CHANGES TO THE MISSION, STRATEGIC PLANS OR MASTER FACILITY PLANS; AMENDMENT OF GOVERNING DOCUMENTS OR BYLAWS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER'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.</ExplanationTxt>
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      <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 SOLE MEMBER'S 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.</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 PUBLIC WHO MAKE THEIR REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES 370,109 56,803 0 PHYSICIAN FEES 1,506,467 0 0 CONTRACT SERVICES 490,725 13,094 0 CONSULTING 0 23,575 0 TOTAL 2,367,301 93,472 0</ExplanationTxt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WEST GEORGIA ENDOSCOPY CTR LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>160 CLINIC AVENUE</AddressLine1Txt>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHLIANT, INC. WAS GRANTED TAX-EXEMPT STATUS AS A 501(C)(3) ORGANIZATION ON MAY 15, 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>