2020-07-15T07:03:15-05:00 2019-06-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2018-07-01 581790149 TANNER MEDICAL CENTER INC TANN 7708369580 705 DIXIE STREET CARROLLTON GA 301173818 CAROL CREWS CFO 7708369580 2020-07-15 true JACQUELINE G ATKINS P00861721 2298837878 2020-07-14 208.73.87.26 2020-07-15 07:03:15 CD P 3DB754BF4A86932C7270BAD44D636E9B352C5FAB BCE9FDEBD4CA8CCF95D3BA2F4EBE0DF2FFF03695 2018 2020-09-23 17:36:50Z LOY HOWARD 705 DIXIE STREET CARROLLTON GA 301173818 541121509 false X WWW.TANNER.ORG X 1988 GA TO PROVIDE A CONTINUUM OF QUALITY HEALTHCARE SERVICES WITHIN OUR RESOURCE CAPABILITIES. TO SERVE AS A LEADER IN A COLLABORATIVE EFFORT WITH THE COMMUNITY TO PROVIDE HEALTH EDUCATION, SUPPORT SERVICES, AND CARE FOR THE COUNTY AND SURROUNDING AREA. 11 9 3781 179 1249158 807810 614396 380547 262853495 280603710 19380423 17746877 62427451 66530054 345275765 365261188 5621942 1574001 0 141018326 145364280 0 0 144422100 165817116 291062368 312755397 54213397 52505791 719724624 776893468 219340229 224242937 500384395 552650531 X TO PROVIDE A CONTINUUM OF QUALITY HEALTHCARE SERVICES WITHIN OUR RESOURCE CAPABILITIES. TO SERVE AS A LEADER IN A COLLABORATIVE EFFORT WITH THE COMMUNITY TO PROVIDE HEALTH EDUCATION, SUPPORT SERVICES, AND CARE FOR THE COUNTY AND SURROUNDING AREA. false false 215981887 1574001 344186650 TANNER MEDICAL CENTER, INC. PROVIDES HEALTHCARE TO THE POPULATION OF NORTHWEST GEORGIA AND EAST ALABAMA. SERVICES ARE FOR BOTH INPATIENT SERVICE AND OUTPATIENT ANCILLARY SERVICES INCLUDING PHYSICIAN OFFICES. AS A NOT FOR PROFIT CORPORATION, TANNER PROVIDES SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. SEE SCHEDULE O TANNER MEDICAL CENTER, INC. IS A REGIONAL HEALTHCARE PROVIDER WITH MORE THAN 300 PHYSICIANS REPRESENTING 35 UNIQUE MEDICAL SPECIALTIES. TANNER PROVIDES A WIDE RANGE OF COMPREHENSIVE MEDICAL SERVICES FOR RESIDENTS IN A REGION OF WEST GEORGIA AND EAST ALABAMA. TANNER'S FACILITIES INCLUDE THE 180-BED ACUTE CARE TANNER MEDICAL CENTER/CARROLLTON; THE ROY RICHARDS, SR. CANCER CENTER, TANNER HEART AND VASCULAR CENTER, TANNER BREAST HEALTH, THE TANNER ADVANCED WOUND CENTER, EMPLOYEE ASSISTANCE PROGRAM (TANNER EAP) AND MORE. MORE INFORMATION ON TANNER MEDICAL CENTER, INC. IS AVAILABLE IN THE HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH CAN BE DOWNLOADED AT HTTP://WWW.TANNER.ORG/MAIN/HEALTHLIVINGMAGAZINE.ASPX TANNER MEDICAL CENTER, INC. IS A NOT-FOR-PROFIT HEALTHCARE SYSTEM. THE MEDICAL CENTER PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA AND EMPLOYED PHYSICIANS. TANNER MEDICAL CENTER, INC. INCLUDES THE FOLLOWING: TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES THROUGH THE OPERATION OF A 180-BED ACUTE CARE HOSPITAL IN CARROLLTON, GEORGIA. 215981887 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true false true true false false false false false false false false false true false false false false true true true true false false true 313 0 3781 true true true false false false false false false false false false true false X 11 9 false true false false false false false true true false true true true true true true true true true true false GA X X CAROL CREWS 7708369580 705 DIXIE STREET CARROLLTON GA 301173818 DANIEL JACKSON CHAIRMAN 1.00 2.00 X X 0 0 0 JEFFREY LINDSEY DMD VICE CHAIRMA 1.00 1.00 X X 0 0 0 MARY COVINGTON SECRETARY 1.00 1.00 X X 0 0 0 GELON WASDIN TREASURER 1.00 1.00 X X 0 0 0 FREDERICK O'NEAL DIRECTOR 1.00 1.00 X 0 0 0 STEVE ADAMS DIRECTOR 1.00 1.00 X 0 0 0 ANNA BERRY DIRECTOR 1.00 1.00 X 0 0 0 KYLE MARRERO DIRECTOR (LE 1.00 1.00 X 0 0 0 HOWARD RAY DIRECTOR 1.00 1.00 X 0 0 0 LYNN CLARKE DIRECTOR 1.00 1.00 X 0 0 0 TIMOTHY WARREN DIRECTOR 1.00 X 0 0 0 DENISE TAYLOR CCH 23.00 18.00 X 172738 127675 13517 GREG SCHULENBURG CIO 23.00 17.00 X 251782 83927 25094 DEBORAH MATTHEWS CNO 23.00 18.00 X 203864 150682 20228 SUSAN FOX SVP, TMG 23.00 18.00 X 209304 154702 20834 WAYNE SENFELD SR. VP, BUS 23.00 18.00 X 262928 194338 28288 JIM GRIFFITH COO 23.00 18.00 X 274025 202540 27973 QUIANA SCOTLAND MD PHYSICIAN 40.00 X 595231 0 17758 ALYSSIA HOWARD MD PHYSICIAN 40.00 X 601159 0 19188 CAROL CREWS CFO 23.00 19.00 X 356540 263530 28441 BEN CAMP MD VP, MEDICAL 23.00 18.00 X 359831 265963 31121 TUNICIA GIRON MD PHYSICIAN 40.00 X 632700 0 31121 ANNA HARRIS MD PHYSICIAN 40.00 X 673374 0 30199 RICHIE BLAND MD PHYSICIAN 40.00 X 818085 0 28514 WILLIAM HINES CONTRACT CAO 10.00 31.00 X 642236 214079 0 WILLIAM WATERS MD CMO 23.00 18.00 X 526954 389488 32310 LOY HOWARD CEO 23.00 21.00 X 1129084 834540 154398 CHRIS ARANT MD DIRECTOR 1.00 41.00 X 0 1079280 31069 7709835 3960744 540053 215 false true true RA-LIN & ASSOCIATES INC 101 PARKWOOD CIRCLE CARROLLTON GA 301178756 CONSTRUCTION 27661619 IMPACT ADVISORS LLC 400 E DIEHL ROAD SUITE 190 NAPERVILLE IL 60563 CONSULTING 4863352 RK REDDING CONSTRUCTION INC 412 SANGAMORE RD BREMEN GA 301102278 CONSTRUCTION 2947083 TRIMEDX 5451 LAKEVIEW PARKWAY S DRIVE INDIANAPOLIS IN 46268 CLINICAL ENGIN 2675201 SOLIANT HEALTH INC 1979 LAKESIDE PARKWAY SUITE 800 ATLANTA GA 30084 CONTRACT NURSES 2344238 63 380547 380547 NET PATIENT SERVICE REVENUE 623000 279786125 279786125 REFERENCE LAB 621500 817585 817585 280603710 13055281 13055281 180551917 175715871 144450 4836046 -144450 4691596 4691596 SHARED SERVICE REVENUE 621990 61686986 61686986 PROPERTY MANAGEMENT FEE 531310 1752488 1752488 CAFETERIA 722514 1470959 1470959 1619621 958554 431573 229494 66530054 365261188 344184153 1249158 19447330 X 1574001 1574001 4609048 4609048 103502404 71506635 31995769 4471130 3510641 960489 25514761 25258127 256634 7266937 5701707 1565230 468618 468618 1440952 1440952 236912 236912 153000 153000 577535 577535 37490618 20989118 16501500 1465965 976957 489008 37970533 33462309 4508224 6878866 5624849 1254017 218089 121072 97017 762095 292537 469558 208540 208540 24858511 15806445 9052066 4637371 12721 4624650 MEDICAL SUPPLIES 24333506 24333506 REPAIRS AND MAINTENANCE 16315271 2213790 14101481 LICENSES 4278225 4040239 237986 MISCELLANEOUS 2353104 549726 1803378 1169405 7507 1161898 312755397 215981887 96773510 0 2063959 2280456 149832370 153898011 31330909 36302186 2728429 2964964 4744657 5007650 6107539 8573593 454664805 224126875 182187362 230537930 282232622 248360089 3556522 4768361 54940255 84200228 719724624 776893468 40236759 47158817 168508972 173530279 8466667 2066667 2127831 1487174 219340229 224242937 X 489617584 541025794 7645081 8216343 3121730 3408394 500384395 552650531 719724624 776893468 52505791 -239655 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 289715 false true 42815 332530 false SCHEDULE C, PART II-B, LINE 1 A PORTION OF THE ANNUAL MEMBERSHIP FEES PAID TO THE GEORGIA HOSPITAL ASSOCIATION IS USED FOR LOBBYING EXPENSES TO SUPPORT AND VOICE HOSPITAL CONCERNS AT THE STATE LEVEL. IN ADDITION, TANNER PAYS AZIMUTH CONSULTING, INC. TO FACILITATE AN ONGOING RELATIONSHIP WITH MEMBERS OF THE LEGISLATIVE BODY TO SUPPORT OR OPPOSE VARIOUS LEGISLATIVE ISSUES CONCERNING THE HEALTHCARE INDUSTRY. CONNECT SOUTH ARE ALSO RETAINED TO HELP TANNER IN THE AREA OF PUBLIC AFFAIRS SUPPORT WITH THE STATE OF GEORGIA. IN MAY 2016, BRIAN DILL WAS HIRED AS VP, GOVERNMENT RELATIONS TO REPRESENT TANNER HEALTH SYSTEM STAY ABREAST OF LEGISLATIVE ISSUES RELATED TO HEALTHCARE. 10766811 1412001 49325 603400 11624737 8237661 3138455 150463 759768 10766811 7228875 1905178 240311 1136703 8237661 6785533 1159187 -39629 676216 7228875 6336437 1340398 48958 940260 6785533 0.29320 0.70680 false true true 13633640 13633640 219896111 113054101 106842010 3970914 2125776 1845138 147576907 108946998 38629909 69587233 69587233 230537930 DUE FROM RELATED PARTIES 60201305 BENEFICIAL INTEREST IN FOUNDATION 13975299 OTHER RECEIVABLES 8069366 INSURANCE RECEIVABLE 1043960 BOND ISSUE COSTS 910298 84200228 DUE TO THIRD PARTIES 1487174 1487174 X SCHEDULE D, PAGE 2, PART V, LINE 4 ENDOWMENT FUNDS HELP SUPPORT HEALTH CARE SERVICES INCLUDING MAMMOGRAMS FOR THE INDIGENT, CANCER PATIENT ASSISTANCE, CAPITAL IMPROVEMENTS, EDUCATION AND SCHOLARSHIPS, HOSPICE CARE, CARDIOLOGY ASSISTANCE, AND CHILDREN'S ASSISTANCE. SCHEDULE D, PAGE 3, PART X THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEDICAL CENTER APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE MEDICAL CENTER ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENTS EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2019 AND 2018 OR FOR THE YEARS THEN ENDED. THE MEDICAL CENTERS TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. TANNER MEDICAL GROUP IS PART OF A TAX-EXEMPT ORGANIZATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE AFFILIATED BUSINESS SERVICES PROVIDED ARE, HOWEVER, SUBJECT TO UNRELATED BUSINESS INCOME TAXES AND A FORM 990-T, EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN IS FILED FOR THESE SERVICES. true true X true X 2.500000000000 true X true true true false true true 14904235 14904235 0.04770 27551672 19413740 8137932 0.02600 42455907 19413740 23042167 0.07370 1171638 40309 1131329 0.00360 54137 54137 0.00020 233760 233760 0.00070 87865 87865 0.00030 582519 582519 0.00190 2129919 40309 2089610 0.00670 44585826 19454049 25131777 0.08040 1000 1000 65700 65700 0.00020 13935 13935 800 800 1850 1850 94875 94875 0.00030 178160 178160 0.00060 true 31474132 55823480 64511440 -8687960 X true true WEST GEORGIA ENDOS GASTROENTEROLOGY 0.51000 0.49000 1 1 TANNER MEDICAL CENTER INC 705 DIXIE STREET CARROLLTON GA 301173818 WWW.TANNER.ORG 022-426 X X X TANNER MEDICAL CENTER INC 1 false false true X X X X X X X X X X 19 true true true true X WWW.TANNER.ORG X X true 19 true WWW.TANNER.ORG false false true X 250.000000000000 350.000000000000 X true true X X X X true X WWW.TANNER.ORG X WWW.TANNER.ORG X WWW.TANNER.ORG X X X X X X true X false X X X X true X false false FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 3E THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IS IDENTIFIED AND THE METHODOLOGY FOR PRIORITIZING EACH NEED IS DESCRIBED ON PAGE 76 OF THE 2019 CHNA. FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 5 TANNER'S FY 2019 CHNA PROCESS INVOLVED LOCAL RESIDENTS, COMMUNITY PARTNERS AND STAKEHOLDERS, ALONG WITH HOSPITAL LEADERSHIP. EACH HOSPITAL'S CHNA WAS LED BY A TEAM COMPRISED OF MEMBERS OF TANNER'S GET HEALTHY, LIVE WELL COALITION THAT INCLUDED HOSPITAL LEADERS, COMMUNITY ACTIVISTS, RESIDENTS, FAITH BASED LEADERS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS AND OTHER STAKEHOLDERS. COALITION MEMBERS USED POPULATION LEVEL DATA AND FEEDBACK FROM COMMUNITY FOCUS GROUPS AND LISTENING SESSIONS TO CREATE RECOMMENDATIONS FOR EACH HOSPITAL'S HEALTH PRIORITIES, POTENTIAL IMPLEMENTATION STRATEGIES AND TO IDENTIFY KEY PARTNERS. NEARLY 135 PEOPLE WERE INVOLVED IN THE CHNA PROCESS, INCLUDING THOSE WHO PARTICIPATED IN COMMUNITY FOCUS GROUPS, A LISTENING SESSION OR KEY INFORMANT INTERVIEW. THE KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND LISTENING SESSION WERE COMPRISED OF AREA RESIDENTS, PARTNERS AND PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF, OR EXPERTISE IN, PUBLIC HEALTH. MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS SERVED BY THE HOSPITAL OR INDIVIDUALS OR ORGANIZATIONS REPRESENTING THE INTERESTS OF SUCH POPULATIONS ALSO PROVIDED INPUT. FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 6A THE HOSPITAL FACILITIES TANNER MEDICAL CENTER/CARROLLTON, TANNER MEDICAL CENTER/VILLA RICA AND HIGGINS GENERAL HOSPITAL WORKED COLLABORATIVELY TO LEVERAGE EXISTING ASSETS AND RESOURCES THROUGHOUT TANNERS OVERALL PRIMARY SERVICE AREA OF CARROLL, HARALSON AND HEARD COUNTIES TO ASSESS THE HEALTH NEEDS OF THEIR COMMUNITIES. FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 6B TANNER MEDICAL GROUP, INC. TMC WOODLAND FAMILY HEALTHCARE, INC. TMC TANNER NEUROLOGY, INC. TMC CAROUSEL PEDIATRICS, INC. TMC INTERNAL MEDICINE OF VILLA RICA TMC CHILDREN'S HEALTHCARE OF WEST GEORGIA TMC GASTROENTEROLOGY ASSOCIATES, INC. TMC INFECTIOUS DISEASES OF WEST GEORGIA, INC. TMC WEST GEORGIA BEHAVIORAL HEALTH TMC WEST GEORGIA FAMILY MEDICINE, INC. TMC INTERNAL MEDICINE OF CARROLLTON, INC. TMC INTERNAL MEDICINE ASSOCIATES TMC WEST GEORGIA CARDIOLOGY, INC. TMC HOME HEALTH, INC. TMC HOSPICE CARE, INC. TMC OCCUPATIONAL HEALTH, INC. TMC HARALSON FAMILY HEALTHCARE TMC TALLAPOOSA FAMILY HEALTHCARE TMC WEST GEORGIA ANESTHESIA ASSOCIATES, INC. TANNER INTENSIVE MEDICAL SERVICES TMC WEST CARROLL FAMILY HEALTHCARE TANNER FAMILY HEALTHCARE OF FRANKLIN TMC IMMEDIATE CARE VILLA RICA OB GYN, INC. TMC TANNER GYNECOLOGY, INC. TANNER PRIMARY CARE OF HEFLIN TANNER PRIMARY CARE OF WEDOWEE, INC. WEST GEORGIA CENTER FOR PLASTIC SURGERY FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 7D IN ADDITION TO BEING MADE AVAILABLE ON TANNER'S WEB SITE, WWW.TANNER.ORG, AND MADE AVAILABLE UPON REQUEST FROM THE HOSPITAL, COPIES OF THE CHNA WERE DISSEMINATED TO THE HOSPITAL'S BOARD AND EXECUTIVE LEADERSHIP; THE ASSESSMENT TEAM; COMMUNITY STAKEHOLDERS WHO CONTRIBUTED TO THE ASSESSMENT; AND MULTIPLE COMMUNITY LEADERS, VOLUNTEERS AND ORGANIZATIONS THAT COULD BENEFIT FROM THE INFORMATION. OTHER COMMUNICATION EFFORTS INCLUDED PRESENTATIONS OF ASSESSMENT FINDINGS THROUGHOUT THE COMMUNITY. FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 11 TANNER'S PRIORITY TOPICS FOR THE FY 2020-2022 IMPLEMENTATION STRATEGY WERE: (1) ACCESS TO CARE; (2) HEALTHY AND ACTIVE LIFESTYLES AND EDUCATION; (3)CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT; (4) MENTAL/BEHAVIORAL HEALTH; (5) SUBSTANCE ABUSE; AND (6) SOCIAL DETERMINANTS OF HEALTH. TANNER'S LONG-STANDING COMMITMENT TO THE COMMUNITY IS DEEPLY ROOTED IN ITS MISSION. THE ORGANIZATION REMAINS COMMITTED TO IMPROVING THE COMMUNITY'S HEALTH, NOT ONLY THROUGH DAILY PATIENT CARE ACTIVITIES BUT ALSO OUTREACH, PREVENTION, EDUCATION AND WELLNESS OPPORTUNITIES. TANNER IS DEDICATED TO MAKING WEST GEORGIA A HEALTHIER PLACE TO LIVE, LEARN, WORK, PLAY AND GROW. WITH THE HELP OF COMMUNITY PARTNERS, TANNER HAS SUCCESSFULLY IMPLEMENTED PROGRAMS THAT HELP WEST GEORGIA RESIDENTS WITH THE HEALTHCARE AND PREVENTIVE SERVICES THEY NEED. FOR A DETAILED DESCRIPTION OF THE STEPS TAKEN TO MEET THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN TANNER'S FY 2016 CHNA, SEE THE FY 2019 CHNA, IN THE COMMUNITY IMPACT SECTION, LOCATED ON TANNER'S WEB SITE AT HTTPS://WWW.TANNER.ORG/COMMUNITY HEALTH NEEDS ASSESSMENT. AS AN OUTCOME OF THE PRIORITIZATION PROCESS FOR THE FY 2016 CHNA, AND TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, SEVERAL POTENTIAL HEALTH NEEDS OR ISSUES FLOWING FROM THE PRIMARY AND SECONDARY DATA WERE NOT IDENTIFIED AS SIGNIFICANT CURRENT HEALTH NEEDS AND WERE NOT ADVANCED FOR CONSIDERATION FOR THE FY 2020 IMPLEMENTATION STRATEGY. CONCERNS WERE IDENTIFIED IN THE CHNA REGARDING LACK OF DENTAL SERVICES IN THE WEST GEORGIA REGION. WHILE NOT DIRECTLY ADDRESSED IN TANNER'S IMPLEMENTATION STRATEGY, TANNER WILL CONTINUE TO PARTNER WITH LOCAL DENTISTS AND ORAL SURGEONS TO PROVIDE URGENT DENTAL CARE IN THE HEALTH SYSTEM'S EMERGENCY DEPARTMENTS AND CLINICS, ALONG WITH WORKING COLLABORATIVELY WITH PROVIDERS, SOCIAL SERVICE AND COMMUNITY ORGANIZATIONS TO PROMOTE ROUTINE DENTAL CARE. TANNER ALSO PROVIDES FINANCIAL ASSISTANCE TO A LOCAL INDIGENT CLINIC, THE RAPHA CLINIC, WHICH PROVIDES DENTAL CARE TO THOSE WITHOUT INSURANCE OR THE MEANS TO AFFORD SUCH CARE. LACK OF PUBLIC TRANSPORTATION WAS IDENTIFIED AS A FACTOR IMPACTING COMMUNITY HEALTH. WHILE TANNER IS COMMITTED TO FINDING SOLUTIONS TO LIMITED TRANSPORTATION NEEDS IN THE REGION, PUBLIC TRANSPORTATION IS OUT OF THE SCOPE OF THE ORGANIZATION'S RESOURCES AND WAS NOT ADDRESSED AS A PRIMARY NEED IN THE FY 2020-2022 IMPLEMENTATION STRATEGY. TANNER HAS CONTINUED TO WORK COLLABORATIVELY WITH COUNTY AND CITY GOVERNMENTS, SOCIAL SERVICE AGENCIES AND MORE TO EVALUATE AND IDENTIFY OPPORTUNITIES TO INCREASE ACCESS TO TRANSPORTATION SERVICES IN THE REGION. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION 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. PART II - COMMUNITY BUILDING ACTIVITIES 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. TANNER ACTIVELY ENGAGES IN HEALTH CAREER MENTORING PROGRAMS, SUCH AS THE TANNER CONNECTIONS AND TANNER TEEN INSTITUTE PROGRAMS - A PARTNERSHIP BETWEEN TANNER AND LOCAL HIGH SCHOOLS THAT PROVIDES UNPAID INTERNSHIP OPPORTUNITIES THAT GIVE AREA STUDENTS A LOOK INSIDE HEALTHCARE CAREERS AND THE IMPORTANCE OF LIVING A HEALTHY LIFESTYLE, WHILE EARNING HIGH SCHOOL COURSE CREDIT. 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. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY 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. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS SEE PAGES 20-22 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE DISCLOSURE REGARDING UNINSURED AND UNDERINSURED PATIENTS. PART III, LINE 8 - MEDICARE EXPLANATION 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. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION 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. PART VI, LINE 2 - NEEDS ASSESSMENT 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. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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/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. PART VI, LINE 4 - COMMUNITY INFORMATION 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 2019 COUNTY HEALTH RANKINGS AND THE US CENSUS BUREAU, 2017 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 117,812; DIVERSITY 70.7 PERCENT CAUCASIAN, 19.6 PERCENT AFRICAN AMERICAN, 7.0 PERCENT HISPANIC, 2.7 PERCENT OTHER; AVERAGE INCOME 45,486; UNINSURED 16 PERCENT; UNEMPLOYMENT 5 PERCENT; BELOW POVERTY LEVEL 18.2 PERCENT. DEMOGRAPHICS OF HARALSON COUNTY (DESIGNATED AS A PARTIAL MEDICALLY UNDERSERVED AREA, COMMUNITY SERVED BY HIGGINS GENERAL HOSPITAL): POPULATION 29,256; DIVERSITY 91.1 PERCENT CAUCASIAN, 4.8 PERCENT AFRICAN AMERICAN, 1.7 PERCENT HISPANIC, 2.4 PERCENT OTHER; AVERAGE INCOME 42,281; UNINSURED 15 PERCENT; UNEMPLOYMENT 4.8 PERCENT; BELOW POVERTY LEVEL 19.2 PERCENT. DEMOGRAPHICS OF HEARD COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA, COMMUNITY SERVED BY TANNER MEDICAL CENTER/CARROLLTON): POPULATION 11,730; DIVERSITY 84.8 PERCENT CAUCASIAN, 10.1 PERCENT AFRICAN AMERICAN, 2.7 PERCENT HISPANIC, 2.4 PERCENT OTHER; AVERAGE INCOME 44,185; UNINSURED 16 PERCENT; UNEMPLOYMENT 5.0 PERCENT; BELOW POVERTY LEVEL 15.5 PERCENT. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH 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. 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 2019, TANNER MEDICAL CENTER, INC. PROVIDED MORE THAN 15 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. 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 2019, TANNER WELCOMED 8 NEW PHYSICIANS AND 16 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 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. RECOGNIZING THAT MOST OF THE SOCIAL AND ENVIRONMENTAL DETERMINANTS OF HEALTH EXIST OUTSIDE THE SPHERE OF INFLUENCE OF THE HEALTH SECTOR, TANNER REACHED OUT TO MUTUALLY SUPPORTIVE EFFORTS TO OBTAIN A COMPREHENSIVE UNDERSTANDING OF THE POLICIES, ENVIRONMENTS AND INFRASTRUCTURE IN THE REGION TO EFFECTIVELY ADDRESS IDENTIFIED BARRIERS TO HEALTH. WITH THIS INFORMATION, 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 FOR THE 151,000 RESIDENTS OF CARROLL, HARALSON AND HEARD COUNTIES BY DECREASING HEALTH DISPARITIES, REDUCING OBESITY RATES, ELIMINATING TOBACCO USE, INCREASING PHYSICAL ACTIVITY AND IMPROVING NUTRITION. 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. TO SOLIDIFY THESE EFFORTS, TANNER ESTABLISHED A NEW COMMUNITY BENEFIT DEPARTMENT WITH A STAFF OF DEDICATED PROFESSIONALS WHO ARE WORKING WITH GET HEALTHY, LIVE WELL'S NETWORK OF ESTABLISHED TASK FORCES AND VOLUNTEERS TO IDENTIFY ONGOING NEEDS AND DEVELOP SERVICES TO REACH THE TOTAL POPULATION. IN JUST SEVEN YEARS 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. THE TANNER LED GET HEALTHY, LIVE WELL COALITION'S EFFORTS HAVE RECEIVED MULTIPLE ACCOLADES FOR EFFECTIVELY ADDRESSING PUBLIC HEALTH CHALLENGES THROUGH COLLABORATIVE EFFORTS, INCLUDING BEING NAMED A PARTNER UP FOR PUBLIC HEALTH HERO BY THE GEORGIA DEPARTMENT OF PUBLIC HEALTH IN 2013, ALONG WITH RECEIVING THE GEORGIA HOSPITAL ASSOCIATION'S COMMUNITY LEADERSHIP AWARD IN JULY 2014, THE GEORGIA ALLIANCE OF COMMUNITY HOSPITAL'S LARGE HOSPITAL OF THE YEAR AWARD IN OCTOBER 2014, THE LEADERSHIP CHALLENGE AWARD IN AUGUST 2015 BY THE NATIONAL CENTER FOR HEALTHCARE LEADERSHIP, THE AMERICAN HOSPITAL ASSOCIATION'S NOVA AWARD IN JULY 2016, A HEALTHY GEORGIA COMMUNITY INNOVATION AWARD IN OCTOBER 2016 BY THE GEORGIA DEPARTMENT OF PUBLIC HEALTH, A FINALIST FOR THE INTERNATIONAL HOSPITAL FEDERATION'S EXCELLENCE AWARD FOR CORPORATE SOCIAL RESPONSIBILITY IN AUGUST 2017, A FINALIST FOR THE AMERICAN HOSPITAL ASSOCIATION'S FOSTER MCGAW PRIZE; AND A FINALIST FOR THE ROBERT WOOD JOHNSON FOUNDATION'S CULTURE OF HEALTH PRIZE (CITY OF CARROLLTON). DURING FISCAL YEAR 2019, MORE THAN MORE THAN 19,000 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 600 PEOPLE ATTENDED DURING THE YEAR. TANNER PROVIDES FUNDING FOR A 24 HOUR INFORMATION HOTLINE, PROVIDED FREE TO CALLERS. THE HOTLINE - 770.214.2273 - PROVIDES CALLERS WITH INFORMATION ON PHYSICIANS AND SPECIALISTS, AND PROVIDES REFERRALS TO MEDICAL STAFF BASED ON A CALLER'S NEEDS, LOCATION AND INSURANCE INFORMATION. THE LINE ALSO PROVIDES CALLERS WITH INFORMATION ON A WIDE RANGE OF FREE HEALTH EDUCATION CLASSES AND HEALTH SCREENINGS PROVIDED BY TANNER AND ALLOWS CALLERS TO REGISTER FOR CLASSES AND EVENTS OVER THE PHONE. IN ADDITION TO THE 24 HOUR HOTLINE, TANNER PROVIDES A WEB SITE, WWW.TANNER.ORG, WITH A VARIETY OF EDUCATIONAL HEALTH INFORMATION THAT INCLUDES AN EXTENSIVE PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM TANNER MEDICAL CENTER, INC. PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. TANNER MEDICAL CENTER, INC. IS PART OF AN AFFILIATED HEALTH CARE SYSTEM WHICH INCLUDES THE FOLLOWING: TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 181-BED ACUTE CARE HOSPITAL IN CARROLLTON, GEORGIA. TANNER MEDICAL CENTER/VILLA RICA, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 40-BED ACUTE CARE HOSPITAL AND WILLOWBROOK AT TANNER/VILLA RICA, A 92-BED PSYCHIATRIC FACILITY IN VILLA RICA, GEORGIA. TANNER MEDICAL CENTER/HIGGINS GENERAL HOSPITAL, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 25-BED CRITICAL ACCESS HOSPITAL IN BREMEN, GEORGIA. TANNER MEDICAL GROUP, ESTABLISHED TO OPERATE PHYSICIAN PRACTICES IN WEST GEORGIA AND EASTERN ALABAMA. TANNER MEDICAL CENTER/EAST ALABAMA, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 15-BED ACUTE CARE HOSPITAL IN WEDOWEE, ALABAMA. TANNER MEDICAL CENTER, INC. IS RESPONSIBLE FOR ALLOCATING RESOURCES AND FOR APPROVING BUDGETS, MAJOR CONTRACTS AND DEBT FINANCING FOR ALL ENTITIES. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT GEORGIA true TANNER MEDICAL FOUNDATION INC 109 COLLEGE STREET CARROLLTON GA 301173136 581790152 501C3 59000 FUNDING PROJECTS CARROLL COUNTY ECONOMIC DEVELOPMENT FOUNDATION INC 200 NORTHSIDE DRIVE CARROLLTON GA 30117 582589709 501C3 120000 ECONOMIC DEVELOPMENT UNIVERSITY OF WEST GEORGIA 1601 MAPLE STREET CARROLLTON GA 30118 586002055 GOV 205001 WORKFORCE DEVELOPMNT THE MULTIPLE SCLEROSIS CENTER OF ATLANTA 3200 DOWNWOOD CIRCLE NW ATLANTA GA 30327 550821471 501C3 1080000 GENERAL SUPPORT LATINOS UNITED OF CARROLL COUNTY 409 NEWNAN ROAD CARROLLTON GA 30117 010594059 50000 GENERAL SUPPORT RAPHA CLINIC OF WEST GEORGIA 253 EAST HIGHWAY 78 TEMPLE GA 30179 271188932 501C3 60000 GENERAL SUPPORT 5 1 SCHEDULE I, PAGE 1, PART I, LINE 2 THE ORGANIZATION MONITORS TANNER MEDICAL FOUNDATION'S USE OF ASSISTANCE THROUGH A COMMON MANAGEMENT TEAM AND GOVERNING BOARD. THE ORGANIZATION'S BOARD OF DIRECTORS ESTABLISHES KEY MEASURES OF SYSTEM- WIDE COMMUNITY BENEFIT PERFORMANCE AND RECEIVE REGULAR REPORTS ON PROGRESS TOWARD ESTABLISHED GOALS. IN FULFILLING THESE RESPONSIBILITIES, THE BOARD DESIGNATED A COMMUNITY BENEFIT COMMITTEE THAT INCLUDES AT LEAST THREE BOARD MEMBERS, WITH A MAJORITY REPRESENTATION FROM A RANGE OF COMMUNITY STAKEHOLDERS WHO HAVE EXPERTISE IN AREAS SUCH AS THE CHARACTERISTICS AND HISTORY OF LOCAL COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS, CLINICAL SERVICE DELIVERY, ANALYSIS OF SERVICE UTILIZATION AND POPULATION HEALTH DATA, PRIMARY PREVENTIVE HEALTH INITIATIVES, SOCIAL SERVICES, YOUTH AND FAMILY SERVICES, FINANCE AND ACCOUNTING. THE COMMUNITY BENEFIT COMMITTEE OF THE BOARD PARTICIPATES IN THE PROCESS OF ESTABLISHING PROGRAM PRIORITIES BASED ON COMMUNITY NEEDS AND ASSETS, DEVELOPING THE HOSPITAL'S COMMUNITY BENEFIT IMPLEMENTATION STRATEGY AND MONITORING PROGRESS TOWARD IDENTIFIED GOALS. X X X X X X true true false false false false false false false DENISE TAYLOR CCH 133394 98595 38999 28825 345 255 7772 5745 180510 133420 GREG SCHULENBURG CIO 222781 74260 28568 9523 433 144 6177 4565 8252 6100 266211 94592 DEBORAH MATTHEWS CNO 158358 117047 45161 33380 345 255 7906 5844 3725 2753 215495 159279 SUSAN FOX SVP, TMG 162168 119863 46791 34584 345 255 7045 5207 4935 3647 221284 163556 WAYNE SENFELD SR. VP, BUS DEV 206589 152696 55994 41387 345 255 7845 5799 8420 6224 279193 206361 JIM GRIFFITH COO 215186 159051 58494 43234 345 255 7906 5844 8178 6045 290109 214429 QUIANA SCOTLAND MD PHYSICIAN 479308 102823 13100 12320 5438 612989 ALYSSIA HOWARD MD PHYSICIAN 467976 102823 30360 13750 5438 620347 CAROL CREWS CFO 227320 168019 62530 46218 66690 49293 7864 5812 8490 6275 372894 275617 BEN CAMP MD VP, MEDICAL AFFAIRS 286890 212050 72596 53658 345 255 7906 5844 9988 7383 377725 279190 TUNICIA GIRON MD PHYSICIAN 504277 102823 25600 13750 17371 663821 ANNA HARRIS MD PHYSICIAN 672674 100 600 13688 16511 703573 RICHIE BLAND MD PHYSICIAN 702385 100 115600 13750 14764 846599 WILLIAM HINES CONTRACT CAO 439806 146602 102492 34164 99938 33313 642236 214079 WILLIAM WATERS MD CMO 213956 158142 101038 74680 211960 156666 7763 5738 10815 7994 545532 403220 LOY HOWARD CEO 607178 447142 126020 93145 395886 294253 79454 58727 9325 6892 1217863 900159 CHRIS ARANT MD DIRECTOR 886807 4087 188386 13698 17371 1110349 SCHEDULE J, PAGE 1, PART I, LINE 4 JIM GRIFFITH 70,427 0 0 WILLIAM WATERS, M.D. 243,302 0 0 LOY HOWARD 0 105,930 0 SCHEDULE J, PART III RETIREMENT PLAN: LOY HOWARD, CEO PARTICIPATES IN AN INELIGIBLE UNFUNDED 457(F) PLAN PROVIDED TO SENIOR EXECUTIVES AS SET BY HIS EMPLOYMENT CONTRACT. THE PLAN BENEFITS ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE AND ARE CONDITIONED UPON THE FUTURE PERFORMANCE OF SERVICES. TANNER MEDICAL CENTER, INC. LONG TERM RETENTION PLAN IS AN UNFUNDED TOP-HAT PLAN THAT IS PROVIDED TO MR. HOWARD. UNPAID PLAN BENEFITS ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. ALL PLAN BENEFITS ARE SCHEDULED TO VEST ON OR BEFORE JUNE 30, 2021. MR. HOWARD IS ALSO ELIGIBLE FOR THE TANNER ADVANTAGE DEFERRED COMPENSATION PLAN WHICH IS AN ELIGIBLE 457(B) TOP-HAT PLAN AVAILABLE TO SENIOR EXECUTIVES AND PHYSICIANS. A CONTRIBUTION EQUAL TO THE IRS MAXIMUM CONTRIBUTION LIMIT FOR THE YEAR IS MADE ON MR. HOWARD'S BEHALF EACH YEAR. 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 856,315, PLUS TRAVEL. MANAGEMENT SERVICES PROVIDED BY WILLIAM HINES INCLUDE DIRECTING VARIOUS DEPARTMENTAL OPERATIONS (TMC ENGINEERING, DIETARY, HUMAN RESOURCES ETC.), MANAGING PHYSICIAN PRACTICES, AND HOSPICE AND HOME HEALTH OPERATIONS. BONUS/INCENTIVE: THE 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. A CARROLL CITY-COUNTY HOSP AUTHORITY 2010 SERIES BONDS 581790149 144709GC0 2010-08-31 81569188 CONSTRUCTION false false false B CARROLL CITY-COUNTY HOSP AUTHORITY 2015 SERIES BONDS 581790149 144709GGI 2015-07-01 71560000 CONSTRUCTION false false false C CARROLL CITY-COUNTY HOSP AUTHORITY 2016A SERIES BONDS 581790149 144709HB1 2016-03-01 26255000 REFUNDING SERIES 2008 BONDS false false false D CARROLL CITY-COUNTY HOSP AUTHORITY 2016B SERIES BONDS 581790149 144709HW5 2016-09-26 36855000 REFUNDING SERIES 2010 BONDS false false false A 25964188 36855000 81569188 35910031 657030 45002127 2012 false true true true B 75846532 429360 75000000 false false false true C 105000 29251274 28827106 424168 false true false true D 485000 41148747 40650485 528262 false true false true A false false false false false false false B false false false false false false false C false false false false false false false D false false false false false false false A false false true false false false false false true B false false true false false false false false true C false false true false false false false false true D false false true false false false false false true A true B true C true D true SCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATION CARROLL CITY-COUNTY HOSP AUTHORITY SERIES 2015 BONDS: THE PART I, COLUMN (E), ROW (C) ISSUE PRICE DOES NOT AGREE WITH THE PART II, COLUMN (C) LINE 3 TOTAL PROCEEDS OF ISSUE DUE TO THE NET ORIGINAL ISSUE PREMIUM OF 4,289,532. CARROLL CITY-COUNTY HOSP AUTHORITY SERIES 2016A BONDS: THE PART I, COLUMN (E), ROW (D) ISSUE PRICE DOES NOT AGREE WITH THE PART II, COLUMN (D) LINE 3 TOTAL PROCEEDS OF ISSUE DUE TO THE NET ORIGINAL ISSUE PREMIUM OF 2,996,274. CARROLL CITY-COUNTY HOSP AUTHORITY SERIES 2016B BONDS: THE PART I, COLUMN (E), ROW (D) ISSUE PRICE DOES NOT AGREE WITH THE PART II, COLUMN (D) LINE 3 TOTAL PROCEEDS OF ISSUE DUE TO THE NET ORIGINAL ISSUE PREMIUM OF 4,232,747. WEST GEORGIA AMBULANCE DIRECTOR 118308 AMBULANCE SERVICE false SCHEDULE L, PART V STEVE ADAMS, BOARD MEMBER, OWNS WEST GEORGIA AMBULANCE, WHICH PROVIDES PATIENT TRANSPORTATION SERVICES TO TANNER MEDICAL CENTER, INC. THE ORGANIZATION FOLLOWS A SPECIFIC PROCESS TO BID OUT THESE SERVICES VIA OUTSIDE LEGAL COUNSEL TO ENSURE THESE SERVICES ARE AT FAIR MARKET VALUE. FORM 990 - ORGANIZATION'S MISSION TO PROVIDE A CONTINUUM OF QUALITY HEALTHCARE SERVICES WITHIN OUR RESOURCE CAPABILITIES. TO SERVE AS A LEADER IN A COLLABORATIVE EFFORT WITH THE COMMUNITY TO PROVIDE HEALTH EDUCATION, SUPPORT SERVICES, AND CARE FOR THE COUNTY AND SURROUNDING AREA. FORM 990, PAGE 2, PART III, LINE 4A TANNER MEDICAL CENTER, INC. PROVIDES HEALTHCARE TO THE POPULATION OF NORTHWEST GEORGIA AND EAST ALABAMA. SERVICES ARE FOR BOTH INPATIENT SERVICE AND OUTPATIENT ANCILLARY SERVICES INCLUDING PHYSICIAN OFFICES. AS A NOT FOR PROFIT CORPORATION, TANNER PROVIDES SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. SEE SCHEDULE O TANNER MEDICAL CENTER, INC. IS A REGIONAL HEALTHCARE PROVIDER WITH MORE THAN 300 PHYSICIANS REPRESENTING 35 UNIQUE MEDICAL SPECIALTIES. TANNER PROVIDES A WIDE RANGE OF COMPREHENSIVE MEDICAL SERVICES FOR RESIDENTS IN A REGION OF WEST GEORGIA AND EAST ALABAMA. TANNER'S FACILITIES INCLUDE THE 180-BED ACUTE CARE TANNER MEDICAL CENTER/CARROLLTON; THE ROY RICHARDS, SR. CANCER CENTER, TANNER HEART AND VASCULAR CENTER, TANNER BREAST HEALTH, THE TANNER ADVANCED WOUND CENTER, EMPLOYEE ASSISTANCE PROGRAM (TANNER EAP) AND MORE. MORE INFORMATION ON TANNER MEDICAL CENTER, INC. IS AVAILABLE IN THE HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH CAN BE DOWNLOADED AT HTTP://WWW.TANNER.ORG/MAIN/HEALTHLIVINGMAGAZINE.ASPX TANNER MEDICAL CENTER, INC. IS A NOT-FOR-PROFIT HEALTHCARE SYSTEM. THE MEDICAL CENTER PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA AND EMPLOYED PHYSICIANS. TANNER MEDICAL CENTER, INC. INCLUDES THE FOLLOWING: TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES THROUGH THE OPERATION OF A 180-BED ACUTE CARE HOSPITAL IN CARROLLTON, GEORGIA. FORM 990, PAGE 6, PART VI, LINE 3 CYPRESS HEALTHCARE PARTNERS, LLC, AN UNRELATED ORGANIZATION, IS A CONSULTING FIRM PROVIDING MANAGEMENT SERVICES TO TANNER. CYPRESS HEALTHCARE PARTNERS, LLC ASSIGNED WILLIAM HINES AS CHIEF ADMINISTRATIVE OFFICER. SERVICE PROVIDED BY WILLIAM HINES INCLUDES DIRECTING VARIOUS DEPARTMENTAL OPERATIONS (TMC ENGINEERING, DIETARY, HUMAN RESOURCES ETC.), MANAGING PHYSICIAN PRACTICES, AND HOSPICE AND HOME HEALTH OPERATIONS. FORM 990, PAGE 6, PART VI, LINE 11B THE ORGANIZATION'S ACCOUNTING DEPARTMENT GATHERS INFORMATION FOR THE PREPARATION OF THE FORM 990 AND CONSULTS WITH THE CFO AND COMPLIANCE OFFICER ON CERTAIN MATTERS. PRIOR TO FILING WITH THE IRS, A DRAFT COPY AS PREPARED BY THE EXTERNAL ACCOUNTING FIRM IS REVIEWED BY THE CFO FOR ACCURACY. ONCE CORRECTIONS ARE MADE, THE FINAL VERSION IS DISTRIBUTED TO ALL VOTING BOARD MEMBERS VIA ELECTRONIC MEANS PRIOR TO FILING WITH THE IRS. FORM 990, PAGE 6, PART VI, LINE 12C THE POLICY COVERS ALL EMPLOYEES, SUPPLIERS, MEDICAL STAFF AND VOLUNTEERS. CONFLICTS ARE REVIEWED BY THE COMPLIANCE OFFICER FOR RESOLUTION. THE COMPLIANCE OFFICER THEN CONSULTS WITH THE EXECUTIVE TEAM AND THE CEO FOR FINAL RESOLUTION. PER THE POLICY, ANY PERSON WITH A CONFLICT WILL EXCUSE THEMSELVES FROM THE DECISION MAKING PROCESS COMPLETELY. BOARD MEMBERS PHYSICALLY LEAVE THE ROOM WHEN DISCUSSIONS OCCUR THAT ARE POTENTIAL CONFLICTS. TANNER BIDS OUT SERVICES AND IF A COMPANY OWNED BY A BOARD MEMBER CHOOSES TO BID, THERE ARE ADDITIONAL STEPS FOR TRANSPARENCY, SUCH AS ADVERTISING THE BIDDING PROCESS IN THE NEWSPAPER. ALL SERVICES ARE COMPARED TO FAIR MARKET VALUE. TRANSACTIONS INVOLVING ANY POTENTIAL CONFLICT OF INTEREST ARE HANDLED BY THE ATTORNEY TO MAKE SURE ALL STEPS ARE TAKEN TO COMPLY WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PAGE 6, PART VI, LINE 15A THE ORGANIZATION'S COMPENSATION COMMITTEE REVIEWS RECOMMENDATIONS AND APPROVES COMPENSATION PACKAGES FOR ALL SENIOR MANAGEMENT. TMC USES AN OUTSIDE NATIONALLY KNOWN COMPENSATION AND BENEFITS FIRM THAT USES SURVEY INFORMATION, REVIEWS JOB STANDARDS, ETC. FOR ALL SENIOR MANAGEMENT. THE OUTSIDE FIRM ANALYZES COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS AND PRESENTS THE DATA TO THE COMPENSATION COMMITTEE. WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT, OFFICIAL MINUTES ARE KEPT. THE EXECUTIVE ASSISTANT TO THE CEO MAINTAINS THE MINUTES. THIS PROCESS IS COMPLETED EVERY YEAR IN MARCH. FORM 990, PAGE 6, PART VI, LINE 15B SEE NARRATIVE FOR LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO MEMBERS OF THE PUBLIC WHO MAKE THEIR REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. FORM 990, PART IX, LINE 11G PHYSICIAN FEES 11,184,713 0 0 CONTRACT SERVICES 5,823,623 4,206,852 0 PURCHASED SERVICES 3,782,338 8,061,578 0 CONSULTANT FEES 131,355 1,849,140 0 OTHER FEES 67,089 28,522 0 COLLECTION FEES 0 2,355,408 0 TOTAL 20,989,118 16,501,500 0 TMC CAMPUS HEALTH CENTER LLC 705 DIXIE STREET CARROLLTON GA 30117 823790957 CLINIC GA 164770 5206477 TMC TANNER MEDICAL FOUNDATION INC 109 COLLEGE STREET CARROLLTON GA 301173136 581790152 FOUNDATION GA 501C3 7 TMC true TANNER MEDICAL CENTER GROUP RETURN 705 DIXIE STREET CARROLLTON GA 301173818 800785570 HEALTHCARE GA 501C3 3 TMC true TANNER MEDICAL CENTER ALABAMA INC 705 DIXIE STREET CARROLLTON GA 301173818 475348597 HOSPITAL AL 501C3 3 TMC true HEALTHLIANT INC 705 DIXIE STREET CARROLLTON GA 301173818 581790151 HEALTHCARE GA 501C3 12B NA false HEALTHLIANT INC 705 DIXIE STREET CARROLLTON GA 301173818 581790151 HEALTHCARE GA N/A false HEALTHLIANT ENTERPRISES INC 705 DIXIE STREET CARROLLTON GA 301173818 824529412 HEALTHCARE GA N/A false WEST GEORGIA ENDOSCOPY CTR LLC 160 CLINIC AVENUE CARROLLTON GA 30117 753182533 ENDOSCOPY GA N/A S CORP 417077 634708 0.51000 false false true true true false false false false false false false true true false true false true false false TANNER MEDICAL FOUNDATION INC B 59000 FMV TANNER MEDICAL FOUNDATION INC C 380547 FMV ALL ENTITIES E 60201305 GENERAL LEDGER ALL ENTITIES L VALUE UNDETERMINED ALL ENTITIES M VALUE UNDETERMINED ALL ENTITIES O VALUE UNDETERMINED TANNER MEDICAL CENTER GROUP Q 61686986 FMV SCHEDULE R HEALTHLIANT, INC. WAS GRANTED TAX-EXEMPT STATUS AS A 501(C)(3) ORGANIZATION ON MAY 15, 2019.