2017-05-12T16:32:02-04:00 2016-06-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2015-07-01 800785570 TANNER MEDICAL CENTER GROUP RETURN TANN 7708369580 705 DIXIE STREET CARROLLTON GA 301173818 CAROL CREWS CFO 7708369580 2017-05-15 true JACQUELINE G ATKINS P00861721 2298837878 2017-05-12 2015 2021-01-29 14:40:06Z LOY HOWARD 705 DIXIE STREET CARROLLTON GA 301173818 187720231 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 10 0 97 409900 407900 110301 413304 165954834 186477645 -328580 -213244 1436295 826892 167172850 187504597 459250 950000 0 79554094 86261275 0 0 95719856 101326790 175733200 188538065 -8560350 -1033468 118374034 117293059 36218684 36171177 82155350 81121882 TO SERVE COMMUNITIES THROUGHOUT WEST GEORGIA AND EAST ALABAMA BY OFFERING A WIDE RANGE OF PRIMARY CARE AND SPECIALTY PRACTICES. false false 64571500 38313925 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. 30547792 32883746 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. 86727605 950000 115250289 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 82-BED INPATIENT PSYCHIATRIC FACILITY THAT SERVES PATIENTS FROM ALL ACROSS THE UNITED STATES. 181846897 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 true false true false false false false false false false true false false false false false true false false false true 0 0 0 true true false false false false false false false false false X 11 10 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 DANIEL JACKSON CHAIRMAN 1.00 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 JERRY CLAYTON DIRECTOR 1.00 1.00 X 0 0 0 KYLE MARRERO DIRECTOR 1.00 1.00 X 0 0 0 ROBERT PITTS MD 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 LARRY BOGGS PAST DIRECTO 1.00 1.00 X 0 0 0 NITA PRICE PAST DIRECTO 1.00 1.00 X 0 0 0 LOY HOWARD CEO 17.00 24.00 X 626152 847146 126294 WILLIAMS WATERS MD CMO 17.00 23.00 X 451589 610975 58754 WILLIAM HINES CAO 30.00 10.00 X 449672 149891 0 JIM GRIFFITH COO 17.00 23.00 X 186707 252604 27936 MARIA RUSSO PAST CIO 17.00 23.00 X 184584 249732 34365 CAROL CREWS CFO 17.00 24.00 X 165546 223973 40647 WAYNE SENFELD SR. VP, BUS 17.00 23.00 X 160745 217479 29101 DENISE TAYLOR CCH 17.00 23.00 X 136842 185140 26864 DEBORAH MATTHEWS CNO 17.00 23.00 X 129631 175382 20219 BONNIE BOLES MD ADMIN VILLA 40.00 X 383596 0 19652 VAUGHN CLAGETTE MD VICE PRESIDE 17.00 23.00 X 152311 206068 32638 MIKE ALEXANDER ADMIN, HIGGI 40.00 X 350896 0 26529 BEN CAMP MD VP, MEDICAL 17.00 23.00 X 147149 199084 40772 CYNTHIA MASTERS PAST SVP, SV 17.00 23.00 X 116541 157674 6557 SUSAN FOX SVP, TMG 17.00 23.00 X 114369 154736 22704 STEPHANIE YATES VP, COMPLIAN 17.00 23.00 X 102345 138467 21032 PAULA GRESHAM ADMIN WILLOW 40.00 X 227149 0 25054 SHAZIB KHAWAJA MD PHYSICIAN 40.00 X 1185536 0 29500 CHRISTOPHER ARANT MD PHYSICIAN 40.00 X 1038424 0 28703 ONAJE GREENE MD PHYSICIAN 40.00 X 691081 0 28954 WILLIAM PARRISH MD PHYSICIAN 40.00 X 612745 0 26045 GLENN WHITNEY MD PHYSICIAN 40.00 X 524353 0 29401 LARRY STEED FORMER COO 0.00 0.00 X 98896 133801 0 8236859 3902152 701721 116 true true true SOUTHERN THERAPY SERVICES INC 120 EAST CENTER STREET CARROLLTON GA 301173303 THERAPY SVCS 2256542 MULTIPLE SCLEROSIS CENTER 3200 DOWNWOOD CIRCLE NW SUITE 550 ATLANTA GA 303271624 MS MGMT/RENT 1640962 WEST GEORGIA HOSPITALIST LLC 4551 JENKINS WAY DOUGLASVILLE GA 30135 HOSPITALIST 969770 PEACOCK PARTNERSHIP INC 5525 INTERSTATE NORTH PARKWAY ATLANTA GA 30328 CONSTRUCTION 678481 HORIZON LITHOTRIPSY LLC 175 COUNTRY CLUB DRIVE BLDG 300 SUITE D STOCKBRIDGE GA 30281 LITHOTRIPSY 664000 25 90130 323174 413304 NET PATIENT SERVICE REVENUE 623000 186067745 186067745 REFERENCE LAB - VR 621500 217586 217586 REFERENCE LAB - HIGGINS 621500 192314 192314 186477645 2390 215634 -213244 -213244 -213244 CAFETERIA 722514 426210 426210 MISCELLANEOUS 621990 212157 212157 MEANINGFUL USE REVENUES 621990 167136 167136 21389 922 20467 826892 187504597 186447960 409900 233433 950000 950000 3923030 3923030 98896 98896 75070632 74119542 951090 2849998 2751792 98206 -627874 -439267 -188607 4946593 4619468 327125 1215000 1215000 11834982 11173575 661407 73708 66546 7162 8587141 8367801 219340 1740058 1575621 164437 363654 342382 21272 274685 247285 27400 8888747 8731823 156924 656999 656999 SHARED SERVICES 53522448 53522448 MEDICAL SUPPLIES 11858100 11858100 LICENSES 1464514 1363704 100810 REPAIRS AND MAINTENANCE 597159 546475 50684 249595 177603 71992 188538065 181846897 6691168 0 10121565 10158378 16996746 16031087 25000 1918208 2279603 195456 256927 153008486 69400688 85044975 83607798 3636000 3707115 436084 1252151 118374034 117293059 8102630 7547542 28116054 28623635 36218684 36171177 X 82155350 81121882 82155350 81121882 118374034 117293059 -1033468 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10020772 10020772 92715887 38828222 53887665 3304728 1017329 2287399 42937263 29555137 13382126 4029836 4029836 83607798 DUE TO RELATED PARTIES 27386035 THIRD PARTY SETTLEMENTS 1237600 28623635 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 MANAGEMENT'S 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, 2016 AND 2015 OR FOR THE YEARS THEN ENDED. THE MEDICAL CENTER'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. TANNER MEDICAL GROUP IS PART OF A TAX-EXEMPT ORGANIZATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE AFFILIATED BUSINESS SERVICES PROVIDED ARE, HOWEVER, SUBJECT TO UNRELATED BUSINESS INCOME TAXES AND A FORM 990-T, EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN IS FILED FOR THESE SERVICES. AS OF 2016 AND 2015, TANNER MEDICAL GROUP HAS NOT RECORDED INCOME TAX EXPENSE DUE TO NET OPERATING LOSSES. true true X true X true X true true true false true true 3563024 3563024 0.01890 26482556 27887471 30045580 27887471 3563024 0.01890 2573819 676234 1897585 0.01010 58300 58300 0.00030 635609 635609 0.00340 3267728 676234 2591494 0.01370 33313308 28563705 6154518 0.03260 1375 1375 53151 53151 0.00030 10152 10152 0.00010 1875 1875 165000 165000 0.00090 231553 231553 0.00120 true 27220951 36075921 33534694 2541227 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 200.000000000000 200.000000000000 X X X true true X X X X true X WWWTANNERORG X WWWTANNERORG X WWWTANNERORG X X X X X true X true X X X X true X false false 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 GROUP A, FACILITY 2, TMC/VILLA RICA HOSPITAL, INC. - PART V, LINE 6A THE CHNA WAS CONDUCTED FOR ALL HOSPITAL FACILITIES, INCLUDING: TANNER MEDICAL CENTER, INC. 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. 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 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 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 EMERGENCY DEPARTMENT 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 LIMIT 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 GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - PART V, LINE 22D GROUP A, FACILITY 2, TMC/VILLA RICA HOSPITAL, INC. - PART V, LINE 22D THE HOSPITAL FACILITY USED AN AVERAGE OF COMMERCIAL INSURANCE RATES AND MEDICARE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. 9 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 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 PAGE 12 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 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 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 ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY ONCE EVERY THREE YEARS. THIS INFORMATION IS UTILIZED IN DEVELOPING A STRATEGY TO ADDRESS PRIORITIZED NEEDS AND IMPROVE THE HEALTH OF THE COMMUNITY TANNER SERVES. THE COMPREHENSIVE, MULTIFACTOR ASSESSMENT INCLUDED THE COLLECTION AND ANALYSIS OF QUANTITATIVE DATA, AS WELL AS QUALITATIVE INPUT DIRECTLY FROM RESIDENTS GATHERED THROUGH COMMUNITY SURVEYS, INTERVIEWS AND FOCUS GROUPS. THROUGH THE CHNA PROCESS, TANNER HAS IDENTIFIED THE GREATEST HEALTH NEEDS OF ITS COMMUNITY, ENABLING TANNER TO ENSURE ITS RESOURCES ARE APPROPRIATELY DIRECTED TOWARDS 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 2014-2016 BY TANNER INCLUDED: (1) ACCESS TO CARE; (2) CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT; AND (3) MENTAL HEALTH. EACH OF THE ABOVE HEALTH TOPICS CORRELATES WELL TO THE PRIORITY HEALTH TOPICS SELECTED FOR THE CURRENT CHNA (COMPLETED IN FY 2016), THUS TANNER WILL BE BUILDING UPON EFFORTS OF PREVIOUS YEARS. UPON REVIEW, ANALYSIS AND PRIORITIZATION OF THE FY 2016 CHNA FINDINGS, THE PRIORITY AREAS TO BE ADDRESSED DURING THE FY 2017-2019 IMPLEMENTATION STRATEGY 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 200% 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 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 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 CARROLL COUNTY IS LOCATED IN THE WEST CENTRAL SECTION OF GEORGIA, ALONG THE GEORGIA-ALABAMA STATE LINE. REGIONALLY, CARROLL COUNTY IS AN ECONOMIC CENTER WITH SEVEN INCORPORATED MUNICIPALITIES. DEMOGRAPHICS OF CARROLL COUNTY (WHICH IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA, COMMUNITY SERVED BY TANNER MEDICAL CENTER/VILLA RICA)INCLUDE: POPULATION 110,527; DIVERSITY 76.8 PERCENT CAUCASIAN, 18.2 PERCENT AFRICAN-AMERICAN, 5 PERCENT OTHER; AVERAGE INCOME 46,147; UNINSURED 20 PERCENT; UNEMPLOYMENT 8.2 PERCENT; BELOW POVERTY LEVEL 18.9 PERCENT. HARALSON COUNTY IS LOCATED IN THE WEST CENTRAL SECTION OF GEORGIA, ALONG THE GEORGIA-ALABAMA STATE LINE. REGIONALLY, HARALSON COUNTY IS AN ECONOMIC CENTER WITH SEVEN INCORPORATED MUNICIPALITIES. DEMOGRAPHICS OF HARALSON COUNTY (DESIGNATED AS A PARTIAL MEDICALLY UNDERSERVED AREA, COMMUNITY SERVED BY HIGGINS GENERAL HOSPITAL) INCLUDES: POPULATION 28,780; DIVERSITY 92.1 PERCENT CAUCASIAN, 4.6 PERCENT AFRICAN-AMERICAN, 1.2 PERCENT HISPANIC, 2.1 PERCENT OTHER; AVERAGE INCOME 39,993; UNINSURED 19 PERCENT; UNEMPLOYMENT 7.8 PERCENT; BELOW POVERTY LEVEL 22.8 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. 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 180-BED ACUTE CARE HOSPITAL AND A 21-BED INPATIENT REHABILITATION FACILITY 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 82-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, 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 THE MULTIPLE SCLEROSIS CENTER OF ATLANTA 3200 DOWNWOOD CIRCLE NW ATLANTA GA 30327 550821471 501C3 950000 GENERAL SUPPORT 1 SCHEDULE I, PAGE 1, PART I, LINE 2 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 ORGANIZATION'S COMMUNITY BENEFIT IMPLEMENTATION STRATEGY AND MONITORING PROGRESS TOWARD IDENTIFIED GOALS. true true false false false false false false false LOY HOWARD CEO 328906 444991 77655 105062 219591 297093 41666 56372 12009 16247 679827 919765 WILLIAMS WATERS MD CMO 307998 458898 59103 79963 84488 72114 13281 17969 11689 15815 476559 644759 WILLIAM HINES CAO 449672 149891 449672 149891 JIM GRIFFITH COO 138020 186733 27251 36869 21436 29002 11873 16063 198580 268667 MARIA RUSSO PAST CIO 72109 97559 34803 47087 77672 105086 6589 8915 8016 10845 199189 269492 CAROL CREWS CFO 135275 183018 30271 40955 6178 8358 11097 15014 182821 247345 WAYNE SENFELD SR. VP, BUS DEV 130175 176119 30384 41108 186 252 3963 5362 8405 11371 173113 234212 DENISE TAYLOR CCH 104728 141691 25739 34823 6375 8626 5226 7071 6191 8376 148259 200587 DEBORAH MATTHEWS CNO 104042 140762 23245 31449 2344 3171 8593 11626 138224 187008 BONNIE BOLES MD ADMIN VILLA RICA 305008 41250 37338 19652 403248 VAUGHN CLAGETTE MD VICE PRESIDENT 152311 206068 13871 18767 166182 224835 MIKE ALEXANDER ADMIN, HIGGINS 292748 52148 6000 26529 377425 BEN CAMP MD VP, MEDICAL AFFAIRS 147080 198991 69 93 25887 14885 173036 213969 CYNTHIA MASTERS PAST SVP, SVC INTEG 29235 39554 10413 14088 76893 104032 2787 3770 119328 161444 SUSAN FOX SVP, TMG 91112 123270 20933 28321 2324 3145 9649 13055 124018 167791 STEPHANIE YATES VP, COMPLIANCE 90789 122832 11380 15396 176 239 8673 12359 111018 150826 PAULA GRESHAM ADMIN WILLOWBROOKE 195086 25648 6415 25054 252203 SHAZIB KHAWAJA MD PHYSICIAN 1028917 128244 28375 29500 1215036 CHRISTOPHER ARANT MD PHYSICIAN 932468 35956 70000 28703 1067127 ONAJE GREENE MD PHYSICIAN 609047 78544 3490 28954 720035 WILLIAM PARRISH MD PHYSICIAN 222522 319223 71000 26045 638790 GLENN WHITNEY MD PHYSICIAN 404353 120000 29401 553754 LARRY STEED FORMER COO 98896 133801 98896 133801 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 98,038 0 MARIA RUSSO 151,180 0 0 CYNTHIA MASTERS 180,925 0 0 LARRY STEED 232,697 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. SEVERANCE PAY: LARRY STEED VACATED THE COO POSITION IN JULY 2014. HE RECEIVED SEVERANCE COMPENSATION IN ACCORDANCE WITH THE TERMS OF HIS EMPLOYMENT AGREEMENT. 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 593,750 A YEAR PLUS TRAVEL. THE TOTAL AMOUNT PAID TO CYPRESS HEALTHCARE PARTNERS, LLC DURING CALENDAR YEAR 2015 WAS 599,563. 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 100958 AMBULANCE SERVICES false WEST GEORGIA HOSPITALIST LLC VP/DOCTOR 415130 HOSPITALIST false HGA VILLA RICA LLC VP/DOCTOR 108000 MANAGEMENT SERVICES false SCHEDULE L, PART V STEVE ADAMS, BOARD MEMBER, OWNS WEST GEORGIA AMBULANCE, WHICH PROVIDES PATIENT TRANSPORTATION SERVICES TO THE ORGANIZATION. 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. VAUGHN CLAGETTE, VICE-PRESIDENT, 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, VICE-PRESIDENT, IS FIFTY PERCENT OWNER OF HGA VILLA RICA, LLC WHICH PROVIDES MANAGEMENT SERVICES TO THE ORGANIZATION. 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. 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