2019-05-13T12:50:54-05:00 2018-06-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2017-07-01 800785570 TANNER MEDICAL CENTER GROUP RETURN TANN 7708369580 705 DIXIE STREET CARROLLTON GA 301173818 CAROL CREWS CFO 7708369580 2019-05-15 true JACQUELINE G ATKINS P00861721 2298837878 2019-05-10 208.73.87.26 2019-05-13 12:50:54 CD P 3DB754BF4A86932C7270BAD44D636E9B352C5FAB 3DB754BF4A86932C7270BAD44D636E9B352C5FAB 2017 2019-02-21 02:37:17Z LOY HOWARD 705 DIXIE STREET CARROLLTON GA 301173818 242869064 true false 9705 X WWW.TANNER.ORG X 1999 GA TO SERVE COMMUNITIES THROUGHOUT WEST GEORGIA AND EAST ALABAMA BY OFFERING A WIDE RANGE OF PRIMARY CARE AND SPECIALTY PRACTICES. 11 9 0 94 362016 127771 301771 1178791 198606735 240712796 -10454 -96881 911278 977477 199809330 242772183 0 0 91958944 107869746 0 0 105049788 128183272 197008732 236053018 2800598 6719165 126766509 159249932 42844029 95825852 83922480 63424080 TO SERVE COMMUNITIES THROUGHOUT WEST GEORGIA AND EAST ALABAMA BY OFFERING A WIDE RANGE OF PRIMARY CARE AND SPECIALTY PRACTICES. false false 76698291 52806238 TANNER MEDICAL CENTER, INC. GROUP PHYSICIANS OFFER A WIDE RANGE OF MEDICAL SPECIALTIES, INCLUDING INTERVENTIONAL AND NON-INTERVENTIONAL CARDIOLOGY, FAMILY MEDICINE, GASTROENTEROLOGY, GENERAL SURGERY, INFECTIOUS DISEASES, INTERNAL MEDICINE, NEUROLOGY, OBSTETRICS AND GYNECOLOGY, PEDIATRICS, PSYCHIATRY, PULMONARY AND CRITICAL CARE MEDICINE, SURGICAL BREAST CARE AND VASCULAR SURGERY. TANNER HOSPICE CARE PROVIDES HOSPICE CARE SERVICES TO COMMUNITIES THROUGHOUT WEST GEORGIA REGARDLESS OF ABILITY TO PAY. TANNER HOME HEALTH PROVIDES HOME HEALTH CARE TO COMMUNITIES THROUGHOUT WEST GEORGIA REGARDLESS OF ABILITY TO PAY. 32531058 35513212 TMC/HIGGINS GENERAL HOSPITAL, INC. PROVIDES MEDICAL SERVICES WHICH INCLUDE INPATIENT, OUTPATIENT, SWING BED, AND ANCILLARY SERVICES. AS A NOT FOR PROFIT CORPORATION, THE ORGANIZATION PROVIDES SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. 119514937 152478248 TMC/VILLA RICA HOSPITAL, INC. (VILLA RICA) OPERATES A 40-BED ACUTE CARE HOSPITAL THAT SERVES THE RESIDENTS OF CARROLL, DOUGLAS, AND PAULDING COUNTIES AND OTHER WEST GEORGIA COMMUNITIES. VILLA RICA ALSO OPERATES A 92-BED INPATIENT PSYCHIATRIC FACILITY THAT SERVES PATIENTS FROM ALL ACROSS THE UNITED STATES. 228744286 true true false false false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false true false false false false true true false false false true 0 0 0 true true false false false false false false false false false X 11 9 false true false false false true false true true false false true true true true true true false false false GA X CAROL CREWS 7708369580 705 DIXIE STREET CARROLLTON GA 30117 CHRISTOPHER ARANT MD DIRECTOR/PHY 40.00 1.00 X 1022158 0 41717 DANIEL JACKSON CHAIRMAN 1.00 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 STEVE ADAMS DIRECTOR 1.00 2.00 X 0 0 0 ANNA BERRY DIRECTOR 1.00 1.00 X 0 0 0 KYLE MARRERO DIRECTOR 1.00 1.00 X 0 0 0 HOWARD RAY DIRECTOR 1.00 1.00 X 0 0 0 TIMOTHY WARREN DIRECTOR 1.00 2.00 X 0 0 0 LYNN CLARKE DIRECTOR 1.00 2.00 X 0 0 0 ROBERT PITTS MD PAST DRCTR ( 1.00 1.00 X 0 0 0 LOY HOWARD CEO 17.00 23.00 X 787925 1066016 166443 WILLIAM WATERS MD CMO 17.00 23.00 X 652043 882175 32310 WILLIAM HINES CONTRACT CAO 30.00 10.00 X 1072877 357626 0 WAYNE SENFELD SR. VP, BUS 17.00 23.00 X 254669 344553 29537 JIM GRIFFITH COO 17.00 23.00 X 225447 305015 30736 CAROL CREWS CFO 17.00 23.00 X 224501 303736 29882 DEBORAH MATTHEWS CNO 17.00 23.00 X 161466 218454 21301 DENISE TAYLOR CCH 17.00 23.00 X 157187 212666 14890 BEN CAMP MD VP, MEDICAL 17.00 23.00 X 198700 268829 31109 SUSAN FOX SVP, TMG 17.00 23.00 X 163266 220889 21987 BONNIE BOLES MD ADMIN VR/HIG 40.00 X 348362 0 29942 MIKE ALEXANDER PAST ADMIN, 40.00 X 276660 0 11119 PAULA GRESHAM ADMIN WILLOW 40.00 X 246344 0 26672 VAUGHN CLAGETTE MD PAST VP (8-1 17.00 23.00 X 82273 111311 20282 SHAZIB KHAWAJA MD PHYSICIAN 40.00 X 1250653 0 31203 TIMOTHY ALBERT MD PHYSICIAN 40.00 X 690029 0 30558 ONAJE GREENE MD PHYSICIAN 40.00 X 577552 0 30897 DAVID GRIFFIN PHYSICIAN 40.00 X 542319 0 31115 RAJAT JHANJEE MD PHYSICIAN 40.00 X 246344 0 26672 9180775 4291270 658372 185 false true false RK REDDING CONSTRUCTION INC 412 SANGAMORE ROAD BREMEN GA 301100426 CONSTRUCTION 3555005 MULTIPLE SCLEROSIS CENTER 3200 DOWNWOOD CIRCLE NW SUITE 550 ATLANTA GA 303271624 MS MGMT/RENT 2581244 SOUTHERN THERAPY SERVICES INC 120 EAST CENTER STREET CARROLLTON GA 301173303 THERAPY SVCS 2409623 RA-LIN & ASSOCIATES INC 101 PARKWOOD CIRCLE CARROLLTON GA 301178756 CONSTRUCTION 1542992 WEST GEORGIA HOSPITALIST LLC 4551 JENKINS WAY DOUGLASVILLE GA 30135 HOSPITALIST 1100330 36 63535 1115256 1178791 NET PATIENT SERVICE REVENUE 623000 239281153 239281153 BEHAVIORAL HLTH MGMT - VR 621990 1069627 1069627 REFERENCE LAB - VR 621990 193408 193408 REFERENCE LAB - HIGGINS 621500 168420 168420 EMPLOYEE PARKING - VR 900099 188 188 240712796 96881 -96881 -96881 -96881 CAFETERIA 722514 507567 507567 MISCELLANEOUS 621990 333451 333451 MEANINGFUL USE REVENUES 621990 113172 113172 23287 107 23180 977477 242772183 240797510 362016 433866 4033580 4033580 40576 40576 94016743 92513289 1503454 3810059 3762989 47070 56238 40115 16123 5912550 5658833 253717 1215000 1215000 16381080 15581267 799813 25443 25443 9950272 9770671 179601 1696479 1543513 152966 347146 308597 38549 333161 307605 25556 8497069 8345725 151344 922139 922139 SHARED SERVICES 56238175 56238175 MEDICAL SUPPLIES 28934267 28934267 LICENSES 1595694 1636708 -41014 MISCELLANEOUS 1306331 1226382 79949 741016 713568 27448 236053018 228744286 7308732 0 6970347 9889367 130626 21691573 25208236 2450741 2853828 301314 298793 198051568 82534383 90301302 115517185 3636000 3636000 1415232 1715897 126766509 159249932 8996068 10050846 33847961 85775006 42844029 95825852 X 83922480 63424080 83922480 63424080 126766509 159249932 X 6719165 -27217565 X false true X true false X 11599303 11599303 104350206 47936571 56413635 4162374 1504610 2657764 46545584 33093202 13452382 31394101 31394101 115517185 DUE TO RELATED PARTIES 83925185 THIRD PARTY SETTLEMENTS 1849821 85775006 X 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, 2018 AND 2017 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 4735280 4735280 0.02010 30006258 26308271 3697987 0.01570 34741538 26308271 8433267 0.03570 2227942 366569 1861373 0.00790 63560 63560 0.00030 2542623 1069627 1472996 0.00620 109420 109420 0.00050 632901 632901 0.00270 5576446 1436196 4140250 0.01750 40317984 27744467 12573517 0.05330 92032 92032 0.00040 10132 10132 500 500 111375 111375 0.00050 214039 214039 0.00090 true 29778087 39514849 38708832 806017 X true true 2 1 TMCHIGGINS GENERAL HOSPITAL 200 ALLEN MEMORIAL DRIVE BREMEN GA 30110 WWW.TANNER.ORG 071-584 X X X X SWING BEDS, RHCS A 2 TMCVILLA RICA HOSPITAL INC 705 DALLAS HIGHWAY VILLA RICA GA 30180 WWW.TANNER.ORG 022-424 X X X PSYCH UNIT A A 12 false false true X X X X X X X X X X 16 true true true true X WWW.TANNER.ORG X X true 16 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 GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - 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 88 OF THE 2016 CHNA. GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - PART V, LINE 5 GROUP A, FACILITY 2, TMC/VILLA RICA HOSPITAL, INC. - PART V, LINE 5 TANNER'S 2016 CHNA INCORPORATES DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH-COMMUNITY SURVEYS WITH 1,011 TOTAL RESPONDENTS AND A SUB-SET CANCER PATIENT SURVEY WITH 103 RESPONDENTS-AND SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). THESE QUANTITATIVE COMPONENTS ALLOW FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH FOUR COMMUNITY FOCUS GROUPS (CARROLL COUNTY, HARALSON COUNTY, HEARD COUNTY AND VILLA RICA) HELD IN MARCH 2016 AND APRIL 2016 THAT GATHERED INPUT FROM A TOTAL OF 34 AREA COMMUNITY LEADERS. A COMMUNITY LISTENING SESSION WAS ALSO HELD IN MARCH 2016 THAT GATHERED INPUT FROM 91 AREA RESIDENTS. TANNER PARTNERED WITH THE GEORGIA HEALTH POLICY CENTER AT GEORGIA STATE UNIVERSITY TO CONDUCT THE COMMUNITY FOCUS GROUPS AND COMMUNITY LISTENING SESSION. THIS DATA WAS USED TO DIVERSIFY THE TYPES OF INFORMATION GATHERED AND TO ENGAGE A DIVERSE GROUP OF INTERNAL AND EXTERNAL STAKEHOLDERS TO INFORM THE CHNA. THE 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, INDIVIDUALS, OR ORGANIZATIONS REPRESENTING THE INTERESTS OF SUCH POPULATIONS ALSO PROVIDED INPUT. FOR FURTHER PUBLIC HEALTH INPUT, THE CHNA WAS REVIEWED BY REPRESENTATIVES FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND THE GEORGIA DEPARTMENT OF PUBLIC HEALTH (DPH), INCLUDING THE DPH'S COMMISSIONER AND STATE HEALTH OFFICER. GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - 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. GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - PART V, LINE 6B GROUP A, FACILITY 2, TMC/VILLA RICA HOSPITAL, 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 GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - PART V, LINE 7D 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. GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - PART V, LINE 11 GROUP A, FACILITY 2, TMC/VILLA RICA HOSPITAL, INC. - PART V, LINE 11 IN FY 2013, TANNER COMPLETED A CHNA FOR EACH OF IT FACILITIES TO BETTER UNDERSTAND THE COMMUNITY'S HEALTH CONCERNS AND NEEDS. WITH THIS INFORMATION, AN ACTION PLAN WAS DEVELOPED TO HELP IMPROVE THE HEALTH OF LOCAL COMMUNITY MEMBERS. A KEY PIECE OF THE THREE YEAR CHNA CYCLE IS REVISITING THE PROGRESS MADE ON PRIORITY HEALTH TOPICS SET FORTH IN THE PRECEDING CHNA. BY REVIEWING ACTIONS TAKEN TO ADDRESS A PRIORITY HEALTH ISSUE AND EVALUATING THE IMPACT THOSE ACTIONS HAVE MADE IN THE COMMUNITY, IT IS POSSIBLE TO BETTER TARGET RESOURCES AND EFFORTS DURING THE NEXT ROUND OF THE CHNA CYCLE. TANNER'S PRIORITY TOPICS FOR FY 2014 - 2016 WERE: (1) ACCESS TO CARE; (2) CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT; (3) MENTAL HEALTH. EACH OF THESE HEALTH TOPICS CORRELATES WELL TO THE PRIORITY HEALTH TOPICS SELECTED FOR THE CURRENT CHNA (FY 2016), THUS TANNER WILL BE BUILDING UPON EFFORTS OF PREVIOUS YEARS. 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 2013 CHNA, SEE THE FY 2016 CHNA REPORTS FOR EACH OF TANNER'S HOSPITAL FACILITIES LOCATED ON TANNER'S WEB SITE AT: HTTP://WWW.TANNER.ORG/ABOUT US/THE COMMUNITY/COMMUNITY HEALTH NEEDS ASSESSMENTS. AS AN OUTCOME OF THE PRIORITIZATION PROCESS 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 2017 - 2019 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 WILL NOT BE ADDRESSED AS A PRIMARY NEED IN THE IMPLEMENTATION STRATEGY, BUT WILL BE IMPACTED THROUGH THE ACCESS TO CARE PRIORITY. TANNER WILL CONTINUE 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. THE 2016 CHNA AND RELATED IMPLEMENTATION STRATEGY IS LOCATED ON TANNER'S WEB SITE AT: HTTP://WWW.TANNER.ORG/ABOUT-US/THE-COMMUNITY/COMMUNITY- HEALTH-NEEDS-ASSESSMENTS 10 TALLAPOOSA FAMILY HEALTHCARE 25 W LYON ST TALLAPOOSA GA 30176 RURAL HEALTH CLINIC HARALSON FAMILY HEALTHCARE 204 ALLEN MEMORIAL DR SUITE 201 BREMEN GA 30110 RURAL HEALTH CLINIC BUCHANAN FAMILY HEALTHCARE 30 BUCHANAN BYPASS BUCHANAN GA 30113 RURAL HEALTH CLINIC TANNER FAMILY HEALTHCARE OF FRANK 2906 FRANKLIN PARKWAY FRANKLIN GA 30217 RURAL HEALTH CLINIC TANNER PRIMARY CARE OF WEDOWEE 1030 SOUTH MAIN STREET WEDOWEE AL 36278 RURAL HEALTH CLINIC WEST CARROLL FAMILY HEALTHCARE 1125 E HIGHWAY 166 BOWDON GA 30108 RURAL HEALTH CLINIC WOODLAND FAMILY HEALTHCARE 76 COUNTY ROAD 64 SUITE 3 WOODLAND AL 36280 RURAL HEALTH CLINIC TMCHOME HEALTH INC 705 DIXIE STREET CARROLLTON GA 30117 HOME HEALTH AGENCY TMCHOSPICE CARE INC 705 DIXIE STREET CARROLLTON GA 30117 HOSPICE TMC OCCUPATIONAL HEALTH INC 705 DIXIE STREET CARROLLTON GA 30117 THERAPY 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 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, TEENS IN ACTION, AND TANNER TEEN INSTITUTE PROGRAMS, A PARTNERSHIP BETWEEN TANNER AND LOCAL HIGH SCHOOLS THAT PROVIDE 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 12-13 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS FOR THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE DISCLOSURE. 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 2016, 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 AND DEVELOPED AN IMPLEMENTATION STRATEGY RESPONDING TO APPROPRIATE POPULATION SUB GROUPS AND HEALTH CONDITIONS FOR IMPROVED COMMUNITY HEALTH. THESE COMPREHENSIVE, MULTIFACTOR ASSESSMENTS INCLUDED THE COLLECTION AND ANALYSIS OF QUANTITATIVE DATA, AS WELL AS QUALITATIVE INPUT DIRECTLY FROM RESIDENTS GATHERED THROUGH COMMUNITY SURVEYS, 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 2017 - 2019 BY TANNER MEDICAL CENTER, INC. INCLUDE: (1) ACCESS TO CARE; (2) CHRONIC DISEASE PREVENTION AND MANAGEMENT-WITH A FOCUS ON OBESITY, HEART DISEASE, DIABETES AND CANCER; (3) BEHAVIORAL HEALTH; AND (4) HEALTH EDUCATION AND LITERACY. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS ARE PROVIDED WITH INFORMATION PERTAINING TO THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM AT THE TIME OF REGISTRATION AND ON THE ORGANIZATION'S 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 ORGANIZATION. 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 250% OF THE FEDERAL POVERTY GUIDELINES (FPG) BASED ON FAMILY SIZE RECEIVES 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 ALLOWANCE. PATIENTS WHOSE FAMILY INCOME EXCEEDS 3.5 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 FLYERS AVAILABLE AT THE REGISTRATION DESKS FOR PATIENTS AND FAMILIES; 3) PRINTED ON FLYERS AND POSTED ON WALLS MOUNTS THROUGHOUT THE HOSPITAL; 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 ALICE'S HOUSE, DFACS, HEALTH DEPARTMENTS; 8) PRINTED IN LOCAL NEWSPAPER ANNUALLY FOR THE COMMUNITY; 9) PROVIDED TO LOCATION PHYSICIAN OFFICE MANAGEMENT MEETINGS ANNUALLY; 10) POSTED ON THE ORGANIZATION'S WEBSITE AT 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 2018 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 6 PERCENT; BELOW POVERTY LEVEL 14.9 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 5.8 PERCENT; BELOW POVERTY LEVEL 18.5 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 15 PERCENT; UNEMPLOYMENT 5.9 PERCENT; BELOW POVERTY LEVEL 19.7 PERCENT. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH AS A NONPROFIT ORGANIZATION, THE ORGANIZATION IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES. THE ORGANIZATION 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, THE ORGANIZATION 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 BOARD 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 RECEIVES 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 HOSPITALS COMMUNITY BENEFIT IMPLEMENTATION STRATEGY AND MONITORING PROGRESS TOWARD IDENTIFIED GOALS. IN FISCAL YEAR 2018, TANNER MEDICAL CENTER, INC. PROVIDED MORE THAN 4.1 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. 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 2018, TANNER MEDICAL CENTER, INC. PROVIDED MORE THAN 6.2 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 2018, TANNER WELCOMED 12 NEW PHYSICIANS AND 8 ADVANCED PRACTICE PROVIDERS TO ITS MEDICAL STAFF. TANNER ALSO PROVIDED EIGHT "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 24 TASK FORCES CONSISTING OF MORE THAN 550 COMMUNITY VOLUNTEERS AND MORE THAN 160 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 SIX 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, AND A HEALTHY GEORGIA COMMUNITY INNOVATION AWARD IN OCTOBER 2016 BY THE GEORGIA DEPARTMENT OF PUBLIC HEALTHAND A FINALIST FOR THE INTERNATIONAL HOSPITAL FEDERATIONS EXCELLENCE AWARD FOR CORPORATE SOCIAL RESPONSIBILITY IN AUGUST 2017. DURING FISCAL YEAR 2018, MORE THAN MORE THAN 9,000 INDIVIDUALS ATTENDED A GET HEALTHY, LIVE WELL OR OTHER COMMUNITY-BASED EDUCATIONAL EVENT (I.E., ADVANCING YOUR HEALTH EDUCATION SERIES) FOCUSED ON A WIDE RANGE OF SUBJECTS TO LEARN MORE ABOUT THEIR HEALTH AND HOW TO LIVE WELL. MORE HEALTH EDUCATION WAS PROVIDED THROUGH TANNERS 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 ALSO HOSTED BLOOD DRIVES AT EACH OF ITS HOSPITALS, IN WHICH 894 UNITS OF BLOOD WERE DONATED THROUGHOUT THE FISCAL YEAR. TANNER PROVIDED AND/OR SPONSORED SEVERAL SUPPORT GROUPS ON A WIDE RANGE OF DISEASES/TOPICS, INCLUDING BREAST CANCER, CANCER, DIABETES AND GRIEF, IN WHICH MORE THAN 700 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 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. 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 true false false false false false false false CHRISTOPHER ARANT MD DIRECTOR/PHYSICIAN 946427 15731 60000 13053 28664 1063875 LOY HOWARD CEO 364544 493205 176829 239239 246552 333572 75427 63616 11645 15755 874997 1145387 WILLIAM WATERS MD CMO 295149 399319 356639 482511 255 345 5738 7763 7994 10815 665775 900753 WILLIAM HINES CONTRACT CAO 650797 216932 415892 138631 6188 2063 1072877 357626 WAYNE SENFELD SR. VP, BUS DEV 158016 213787 96398 130421 255 345 5738 7763 6815 9221 267222 361537 JIM GRIFFITH COO 164826 222999 60366 81671 255 345 5737 7762 7326 9911 238510 322688 CAROL CREWS CFO 177258 239820 47243 63916 5738 7763 6962 9419 237201 320918 DEBORAH MATTHEWS CNO 130424 176456 30787 41653 255 345 5738 7763 3315 4485 170519 230702 DENISE TAYLOR CCH 113717 153853 43215 58468 255 345 5700 7712 628 850 163515 221228 BEN CAMP MD VP, MEDICAL AFFAIRS 161349 218295 37096 50189 255 345 5737 7762 7484 10126 211921 286717 SUSAN FOX SVP, TMG 131720 178209 31291 42335 255 345 5132 6943 4213 5699 172611 233531 BONNIE BOLES MD ADMIN VR/HIGGINS 306511 41251 600 12649 17293 378304 MIKE ALEXANDER PAST ADMIN, HIGGINS 116800 24111 135749 7233 3886 287779 PAULA GRESHAM ADMIN WILLOWBROOKE 207152 32592 6600 10032 16640 273016 VAUGHN CLAGETTE MD PAST VP (8-17) 77866 105349 4407 5962 4879 6601 5061 3741 92213 121653 SHAZIB KHAWAJA MD PHYSICIAN 1038126 165513 47014 13500 17703 1281856 TIMOTHY ALBERT MD PHYSICIAN 595517 45835 48677 13030 17528 720587 ONAJE GREENE MD PHYSICIAN 575952 1600 13500 17397 608449 DAVID GRIFFIN PHYSICIAN 392925 149394 13500 17615 573434 RAJAT JHANJEE MD PHYSICIAN 207152 32592 6600 10032 16640 273016 SCHEDULE J, PAGE 1, PART I, LINE 3 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. SCHEDULE J, PAGE 1, PART I, LINE 4 LOY HOWARD 0 108,893 0 MIKE ALEXANDER 134,364 0 0 SCHEDULE J, PART III RETIREMENT PLAN: LOY HOWARD, CEO PARTICIPATES IN AN INELIGIBLE UNFUNDED 457(F) PLAN PROVIDED TO SENIOR EXECUTIVES AS SET BY HIS EMPLOYMENT CONTRACT. THE PLAN BENEFITS ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE AND ARE CONDITIONED UPON THE FUTURE PERFORMANCE OF SERVICES. TANNER MEDICAL CENTER, INC. LONG TERM RETENTION PLAN IS AN UNFUNDED TOP-HAT PLAN THAT IS PROVIDED TO MR. HOWARD. UNPAID PLAN BENEFITS ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. ALL PLAN BENEFITS ARE SCHEDULED TO VEST ON OR BEFORE JUNE 30, 2021. MR. HOWARD IS ALSO ELIGIBLE FOR THE TANNER ADVANTAGE DEFERRED COMPENSATION PLAN WHICH IS AN ELIGIBLE 457(B) TOP-HAT PLAN AVAILABLE TO SENIOR EXECUTIVES AND PHYSICIANS. A CONTRIBUTION EQUAL TO THE IRS MAXIMUM CONTRIBUTION LIMIT FOR THE YEAR IS MADE ON MR. HOWARD'S BEHALF EACH YEAR. 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 1,430,501, 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. WEST GEORGIA AMBULANCE BOARD MEMBER 123100 AMBULANCE SERVICES false CARROLLTON EAR NOSE AND THROAT PC DIRECTOR/DOCTOR 233050 MANAGEMENT SERVICES false WEST GEORGIA HOSPITALIST LLC VP/DOCTOR 896700 HOSPITALIST false HGA VILLA RICA LLC VP/DOCTOR 128000 MANAGEMENT SERVICES 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. DR. ROBERT PITTS, BOARD MEMBER (RESIGNED JANUARY 2018), IS A PART OWNER OF CARROLLTON EAR, NOSE, AND THROAT. TANNER MEDICAL CENTER ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH CARROLLTON EAR, NOSE, AND THROAT TO PROVIDE CLINICAL CO-MANAGEMENT AND PHYSICIAN COVERAGE FOR THE CLINICAL PROGRAM FOR THE PURPOSE OF IMPROVING THE QUALITATIVE PERFORMANCE, EFFICIENCY, EFFECTIVENESS AND SCOPE OF THE CLINICAL PROGRAM. CARROLLTON EAR, NOSE, AND THROAT THROUGH ITS PHYSICIANS ARE RESPONSIBLE FOR CONTINUITY OF PATIENT CARE THROUGH THE DEVELOPMENT OF POLICIES AND PROCEDURES NEEDED TO IMPROVE CALL COVERAGE FOR ALL PATIENTS. IN ADDITION, PHYSICIANS SHALL ENDEAVOR TO CONTINUALLY ENHANCE THE QUALITY OF SERVICE PROVIDED TO PATIENTS WITH EMPHASIS PLACED ON SPECIFIC QUALITY PERFORMANCE MEASURES THAT ARE REVIEWED QUARTERLY WITH MEDICAL STAFF MANAGEMENT AND REPORTED ANNUALLY. DR. VAUGHN CLAGETTE, TMC VICE-PRESIDENT (RESIGNED IN AUGUST 2017), IS A PART OWNER OF WEST GEORGIA HOSPITALIST, LLC, WHICH MANAGES THE HOSPITALIST PROGRAM AND PROVIDES ON CALL AND LOCUM PHYSICIAN COVERAGE FOR ALL FACILITIES. DR. VAUGHN CLAGETTE, TMC VICE-PRESIDENT (RESIGNED IN AUGUST 2017), IS FIFTY PERCENT OWNER OF HGA VILLA RICA, LLC WHICH PROVIDES MANAGEMENT SERVICES TO TMC. FORM 990 PAGE 1, LINE H(B)-AFFLIATED GROUP TANNER MEDICAL CENTER ALABAMA, INC. (FEI 47-5348597) HAS FILED A FORM 1023, APPLICATION FOR RECOGNITION OF EXEMPTION UNDER SECTION 501(C)(3), REQUESTING RETROACTIVE RECOGNITION OF TAX EXEMPT STATUS FROM THE DATE THE ORGANIZATION WAS INCORPORATED. THE ORGANIZATION WAS INCORPORATED ON SEPTEMBER 14, 2015. THE APPLICATION FOR RECOGNITION OF TAX EXEMPT STATUS WAS FILED IN NOVEMBER 2017 WHICH IS THE MONTH THE ORGANIZATION BEGAN OPERATING AND IS WITHIN 27 MONTHS OF THE DATE OF ITS INCORPORATION. THE ORGANIZATION WAS ORIGINALLY AND INADVERTENTLY INCLUDED IN THE GROUP EXEMPTION FOR TANNER MEDICAL CENTER, INC. (FEI 80-0785570). 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. 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 7A 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. FORM 990, PAGE 6, PART VI, LINE 11B 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. FORM 990, PAGE 6, PART VI, LINE 12C 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. 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 PUBIC WHO MAKE THEIR REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. FORM 990, PART XI, LINE 9 PERMANENT EQUITY TRANSFERS - CLINICS -27,217,565 EIGHT CLINICS WHICH FILED SEPARATE FORM 990S WERE ADDED TO THE GROUP IN FYE 6/30/18. THE DECREASE REPRESENTS THE NET ASSETS BALANCE AS OF FYE 6/30/17 FOR ALL EIGHT CLINICS NOW CONSOLIDATED IN THE GROUP RETURN. TANNER BEHAVIORAL HEALTH MGMT CO LL 705 DIXIE STREET CARROLLTON GA 30117 813549718 HEALTHCARE GA 1069627 TMC TANNER MEDICAL FOUNDATION INC 109 COLLEGE STREET CARROLLTON GA 301173136 581790152 FOUNDATION GA 501C3 7 TMC false TANNER MEDICAL CENTER INC 705 DIXIE STREET CARROLLTON GA 301173818 581790149 HOSPITAL GA 501C3 3 N/A false TMC BUCHANAN FAMILY HEALTHCARE CTR 705 DIXIE STREET CARROLLTON GA 301173818 582502339 RHC GA 501C3 3 TMC false TANNER MEDICAL CENTER ALABAMA INC 705 DIXIE STREET CARROLLTON GA 301173818 475348597 HOSPITAL AL 501C3 3 TMC 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 false false false false false true false false false false false false false true true true false true false false TMC INTERNAL MEDICINE OF VILLA RICA 705 DIXIE STREET CARROLLTON GA 301173818 262988495 TANN TMC CAROUSEL PEDIATRICS INC 705 DIXIE STREET CARROLLTON GA 301173818 263590073 TANN TMC-TANNER NEUROLOGY ASSOCIATES INC 705 DIXIE STREET CARROLLTON GA 301173818 263911032 TANN TANNER MEDICAL GROUP INC 705 DIXIE STREET CARROLLTON GA 301173818 264045534 TANN TANNER PRIMARY CARE OF HEFLIN 140 B TOMPKINS ST HEFLIN AL 362640000 273857816 TANN TANNER PRIMARY CARE OF WEDOWEE INC 705 DIXIE STREET CARROLLTON GA 301173818 454857914 TANN TMC HIGGINS GENERAL HOSPITAL INC 705 DIXIE STREET CARROLLTON GA 301173818 582414416 TANN TMC VILLA RICA HOSPITAL INC 705 DIXIE STREET CARROLLTON GA 301773818 582453303 TANN TMC-HOSPICE CARE INC 705 DIXIE STREET CARROLLTON GA 301173818 582453302 TANN TMC-HOME HEALTH INC 705 DIXIE STREET CARROLLTON GA 301173818 582453296 TANN TMC-BEHAVIORAL HEALTH OF WEST GEORGIA 705 DIXIE STREET CARROLLTON GA 301173818 812238385 TANN TANNER FAMILY HEALTHCARE OF FRANKLIN INC 705 DIXIE STREET CARROLLTON GA 301173818 260585684 TANN TANNER INTENSIVE MEDICAL SERVICES 705 DIXIE STREET CARROLLTON GA 301173818 200336940 TANN TMC HARALSON FAMILY HEALTH CARE CENTER INC 705 DIXIE STREET CARROLLTON GA 301173818 582378722 TANN TMC IMMEDIATE CARE INC 705 DIXIE STREET CARROLLTON GA 301173818 200379196 TANN TMC OCCUPATIONAL HEALTH INC 705 DIXIE STREET CARROLLTON GA 301173818 582362404 TANN TMC TALLAPOOSA FAMILY HEALTH CARE CENTER INC 705 DIXIE STREET CARROLLTON GA 301173818 582378724 TANN TMC WEST CARROLL FAMILY HEALTHCARE CENTER INC 705 DIXIE STREET CARROLLTON GA 301173818 582504393 TANN TMC WEST GEORGIA ANESTHESIA ASSOCIATES INC 705 DIXIE STREET CARROLLTON GA 301173818 203604642 TANN