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        <PersonNm>LOY HOWARD</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>18.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>836791</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>618498</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>129348</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAMS WATERS MD</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>396747</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>293248</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53987</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY STEED</PersonNm>
        <TitleTxt>PAST COO</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>331248</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>244837</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13312</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA RUSSO</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>222132</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>164185</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44852</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WAYNE SENFELD</PersonNm>
        <TitleTxt>SR. VP, BUS</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>211197</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>156102</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48147</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL CREWS</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>18.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>210313</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>155448</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39560</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENISE TAYLOR</PersonNm>
        <TitleTxt>CCH</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>183751</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>135816</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33454</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIM GRIFFITH</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>74380</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>54977</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5129</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM HINES</PersonNm>
        <TitleTxt>CAO</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CYNTHIA MASTERS</PersonNm>
        <TitleTxt>SVP, SVC INT</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>188348</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>139214</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21019</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH MATTHEWS</PersonNm>
        <TitleTxt>CNO</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>185139</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>136842</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21025</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VAUGHN CLAGETTE MD</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>184297</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>136219</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32638</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN FOX</PersonNm>
        <TitleTxt>SVP, TMG</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>139984</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>103466</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22216</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE YATES</PersonNm>
        <TitleTxt>VP, COMPLIAN</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>115810</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>85599</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30577</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEN CAMP</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>267976</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33055</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES CHESSER</PersonNm>
        <TitleTxt>MEDICAL PHYS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>204372</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22451</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VIVIAN BARR</PersonNm>
        <TitleTxt>HR DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>184909</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17148</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LYNN BARRETT</PersonNm>
        <TitleTxt>PHARMACY DIR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>182894</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30376</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GARY THOMAS</PersonNm>
        <TitleTxt>SUPPORT SVC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>175455</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26335</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>4295743</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>2424451</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>624629</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>137</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>true</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PREMIER INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5375 OAKDALE ROAD STE 100</AddressLine1Txt>
            <CityNm>SMYRNA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>300825251</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>4006757</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ARAMARK</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12483 COLLECTIONS DRIVE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606930001</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLINICAL ENGIN</ServicesDesc>
        <CompensationAmt>3109986</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>LABORATORY CORPORATION OF AMERICA</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 12140</AddressLine1Txt>
            <CityNm>BURLINGTON</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>272162140</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAB SERVICES</ServicesDesc>
        <CompensationAmt>1835300</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SOUTHERN THERAPY SERVICES INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>120 EAST CENTER STREET</AddressLine1Txt>
            <CityNm>CARROLLTON</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>301173303</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY SVCS</ServicesDesc>
        <CompensationAmt>1298641</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CLARUS LINEN SYSTEMS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>60 GRIDER STREET</AddressLine1Txt>
            <CityNm>BUFFALO</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>142154030</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAUNDRY SVCS</ServicesDesc>
        <CompensationAmt>1054885</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>77</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>1043792</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>729954</GovernmentGrantsAmt>
      <TotalContributionsAmt>1773746</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>224289115</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>224289115</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REFERENCE LAB</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>538471</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>538471</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>224827586</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>7454926</TotalRevenueColumnAmt>
        <ExclusionAmt>7454926</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>79294468</SecuritiesAmt>
        <OtherAmt>107206</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>77556661</SecuritiesAmt>
        <OtherAmt>2856204</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1737807</SecuritiesAmt>
        <OtherAmt>-2748998</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-1011191</TotalRevenueColumnAmt>
        <ExclusionAmt>-1011191</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>SHARED SERVICE REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>52882566</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>52882566</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>1308546</TotalRevenueColumnAmt>
        <ExclusionAmt>1308546</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>1080468</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1080468</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>1622409</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1457003</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>8241</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>157165</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>56893989</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>289939056</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>279709152</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>546712</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>7909446</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>943000</TotalAmt>
        <ProgramServicesAmt>943000</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>3564913</TotalAmt>
        <ManagementAndGeneralAmt>3564913</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>82839153</TotalAmt>
        <ProgramServicesAmt>56429481</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26409672</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>3281226</TotalAmt>
        <ProgramServicesAmt>2384443</ProgramServicesAmt>
        <ManagementAndGeneralAmt>896783</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>24319296</TotalAmt>
        <ProgramServicesAmt>24187589</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131707</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>5961314</TotalAmt>
        <ProgramServicesAmt>4443861</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1517453</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1048050</TotalAmt>
        <ManagementAndGeneralAmt>1048050</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>290400</TotalAmt>
        <ManagementAndGeneralAmt>290400</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>143264</TotalAmt>
        <ProgramServicesAmt>143264</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>503932</TotalAmt>
        <ManagementAndGeneralAmt>503932</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>26960122</TotalAmt>
        <ProgramServicesAmt>12325210</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14634912</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>1191639</TotalAmt>
        <ProgramServicesAmt>384210</ProgramServicesAmt>
        <ManagementAndGeneralAmt>807429</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>28214320</TotalAmt>
        <ProgramServicesAmt>24290938</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3923382</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>3059582</TotalAmt>
        <ProgramServicesAmt>2241144</ProgramServicesAmt>
        <ManagementAndGeneralAmt>818438</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>251175</TotalAmt>
        <ProgramServicesAmt>192110</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59065</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>724583</TotalAmt>
        <ProgramServicesAmt>279971</ProgramServicesAmt>
        <ManagementAndGeneralAmt>444612</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>4363831</TotalAmt>
        <ManagementAndGeneralAmt>4363831</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>22007718</TotalAmt>
        <ProgramServicesAmt>16121129</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5886589</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1635666</TotalAmt>
        <ProgramServicesAmt>149310</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1486356</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>13852164</TotalAmt>
        <ProgramServicesAmt>13852164</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>12090514</TotalAmt>
        <ProgramServicesAmt>362161</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11728353</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES</Desc>
        <TotalAmt>2888655</TotalAmt>
        <ProgramServicesAmt>2629309</ProgramServicesAmt>
        <ManagementAndGeneralAmt>259346</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>2796038</TotalAmt>
        <ProgramServicesAmt>643471</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2152567</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>724954</TotalAmt>
        <ManagementAndGeneralAmt>724954</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>243655509</TotalAmt>
        <ProgramServicesAmt>162002765</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81652744</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>251291</BOYAmt>
        <EOYAmt>546339</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>39099132</BOYAmt>
        <EOYAmt>52294878</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>23336143</BOYAmt>
        <EOYAmt>23187556</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
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        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <FAPNoticeDisplayedInd>X</FAPNoticeDisplayedInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>true</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedBeforeDischargeInd>X</FAPNotifiedBeforeDischargeInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSESSMENT PROCESS WAS CONDUCTED IN TWO PHASES: PHASE ONE, WHICH CONSISTED OF THE COLLECTION AND REVIEW OF SECONDARY QUANTITATIVE DATA FROM EXISTING PUBLIC HEALTH DATA AND REPORTS; AND PHASE TWO, WHICH INCLUDED THE COLLECTION OF PRIMARY, QUALITATIVE DATA THROUGH COMMUNITY SURVEYS, KEY INFORMANT INTERVIEWS AND COMMUNITY FOCUS GROUPS. FOR PHASE TWO, TANNER REACHED OUT TO A VAST AREA OF THE COMMUNITY THROUGH ITS HEALTHY LIVING MAGAZINE, PUBLISHED QUARTERLY AND DISTRIBUTED TO 46,525 HOMES, AS WELL AS THROUGH AN ADDITIONAL 3,000 COPIES DISTRIBUTED TO AREA MEDICAL OFFICES AND PUBLIC AREAS IN TANNER FACILITIES THROUGHOUT CARROLL, HARALSON AND HEARD COUNTIES. IN ADDITION, TANNER CONDUCTED THREE MASS E-MAIL MESSAGES TO 6,500 COMMUNITY MEMBERS WHO HAVE VOLUNTARILY JOINED THE HEALTH SYSTEM'S E-MAIL DISTRIBUTION LIST. THESE E-MAIL BLASTS WENT OUT ON NOVEMBER 30, 2011; DECEMBER 30, 2011; AND FEBRUARY 25, 2012. ALSO, 2,600 PAPER SURVEYS WERE DISTRIBUTED TO A BROAD RANGE OF COMMUNITY STAKEHOLDERS, INCLUDING INDIVIDUALS FROM A WIDE RANGE OF PUBLIC AND PRIVATE ORGANIZATIONS AND HIGH-RISK GROUPS IN CARROLL, HARALSON AND HEARD COUNTIES; AND MEMBERS OF THE BOARDS OF TANNER MEDICAL CENTER, INC., AND TANNER MEDICAL FOUNDATION, INC., WERE PROVIDED SURVEYS TO BE COMPLETED AT THEIR NOVEMBER 2011 BOARD MEETINGS. ALONG WITH THE LARGE-SCALE EFFORT TO COLLECT DATA FROM COMMUNITY SURVEYS DURING PHASE TWO, THE COMMUNITY BENEFIT TEAM ALSO CONDUCTED COMMUNITY FOCUS GROUPS THROUGHOUT TANNER HEALTH SYSTEM'S PRIMARY SERVICE AREA OF CARROLL, HARALSON AND HEARD COUNTIES. THE FOCUS GROUPS CONSISTED OF COMMUNITY LEADERS, PUBLIC OFFICIALS, SCHOOL OFFICIALS, PHILANTHROPIC ORGANIZATIONS, PUBLIC HEALTH REPRESENTATIVES, BUSINESSES AND A WIDE RANGE OF SOCIAL SERVICE ORGANIZATIONS. (FOR A FULL LIST OF FOCUS GROUP PARTICIPANTS, SEE TANNER'S COMPLETED CHNA REPORT LOCATED AT HTTP://WWW.TANNER.ORG/ABOUT- US/THE-COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS.) ADDITIONALLY, TWO KEY INFORMANT INTERVIEWS WERE HELD: ONE WITH THE CHAIRMAN OF THE CARROLL COUNTY BOARD OF PUBLIC HEALTH; AND ANOTHER WITH A CERTIFIED NURSE PRACTITIONER PRACTICING IN TWO RURAL PRIMARY CARE CLINICS IN CARROLL COUNTY AND A CLINIC IN HEARD COUNTY. THESE FOCUS GROUPS AND INTERVIEWS PROVIDED MORE IN-DEPTH INFORMATION REGARDING THE LEADING HEALTH ISSUES AND PRIORITIES IN THE AREA, AS WELL AS THE OPPORTUNITY TO IDENTIFY POTENTIAL PARTNERS FOR FUTURE COLLABORATIONS TO ADDRESS THE HEALTH ISSUES FOUND IN THE COMMUNITY. FOR FURTHER PUBLIC HEALTH INPUT, THE ASSESSMENT 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHNA WAS CONDUCTED FOR ALL HOSPITAL FACILITIES, INCLUDING: TMC/HIGGINS GENERAL HOSPITAL, INC. TMC/VILLA RICA HOSPITAL, INC.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 7D</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE CHNA WERE DISSEMINATED TO THE HOSPITAL'S BOARD AND EXECUTIVE LEADERSHIP; THE ASSESSMENT TEAM; COMMUNITY STAKEHOLDERS WHO CONTRIBUTED TO THE ASSESSMENT; AND MULTIPLE COMMUNITY LEADERS, VOLUNTEERS AND ORGANIZATIONS THAT COULD BENEFIT FROM THE INFORMATION. OTHER COMMUNICATION EFFORTS INCLUDED PRESENTATIONS OF ASSESSMENT FINDINGS THROUGHOUT THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS NOT ADDRESSED: COMMUNITY FOCUS GROUP PARTICIPANTS VOICED CONCERNS REGARDING ACCESS TO DENTAL CARE SERVICES. 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 LOCAL, LONG-TERM SUBSTANCE ABUSE TREATMENT CENTERS WAS NOTED AS AN AREA OF CONCERN BY COMMUNITY FOCUS GROUP PARTICIPANTS. WHILE TANNER IS COMMITTED TO PROVIDING BEHAVIORAL/MENTAL HEALTH SERVICES AND SUBSTANCE ABUSE SERVICES TO ADULTS, ADOLESCENTS AND CHILDREN IN THE WEST GEORGIA REGION THROUGH THE MANY PROGRAMS AND SERVICES OF ITS INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICE, WILLOWBROOKE AT TANNER, THE ADDITION OF A LONG-TERM RESIDENTIAL SUBSTANCE ABUSE TREATMENT PROGRAM IS CURRENTLY OUTSIDE OF TANNER'S SCOPE OF RESOURCES. TANNER WILL CONTINUE TO WORK COLLABORATIVELY WITH VARIOUS COMMUNITY ORGANIZATIONS AND AGENCIES TO FURTHER ADDRESS GAPS IN THE PROVISION OF SUBSTANCE ABUSE CARE, ALONG WITH CONDUCTING A COMPREHENSIVE EVALUATION TO IDENTIFY OPPORTUNITIES TO IMPROVE SUBSTANCE ABUSE TREATMENT SERVICES THROUGHOUT THE COMMUNITY. PROGRESS ON CHNA IMPLEMENTATION STRATEGIES 2014-2015: 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 INCLUDE 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. FOR ITS EXEMPLARY ACCOMPLISHMENTS IN COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT, TANNER HEALTH SYSTEM RECEIVED THE GEORGIA HOSPITAL ASSOCIATION'S COMMUNITY LEADERSHIP AWARD IN JULY 2014, ALONG WITH RECEIVING THE GEORGIA ALLIANCE OF COMMUNITY HOSPITAL'S LARGE HOSPITAL OF THE YEAR AWARD IN OCTOBER 2014. IN JUST THREE 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, WITH EFFORTS AND ACCOMPLISHMENTS OVER FISCAL YEAR 2015 DESCRIBED BELOW. GET HEALTHY, LIVE WELL LED A NUMBER OF INITIATIVES TO IMPROVE HEALTHY FOOD ACCESS IN WEST GEORGIA DURING FISCAL YEAR 2015. THE COALITION CONTINUED TO WORK WITH ITS WEST GEORGIA REGIONAL FOOD SYSTEM COLLABORATIVE TO WORK ON UNDERSTANDING THE SYSTEMIC INFRASTRUCTURE, POLICY ISSUES AND ECONOMIC CONCERNS THAT MUST BE ADDRESSED TO MAKE HEALTHY FOOD MORE VIABLE IN WEST GEORGIA. THE GROUP INCLUDES MORE THAN 30 REPRESENTATIVES, INCLUDING LOCAL FARMERS, BUSINESS AND RESTAURANT OWNERS, CHEFS, SCHOOL NUTRITION DIRECTORS, MASTER GARDENERS AND CONCERNED CITIZENS. DURING FISCAL YEAR 2015, ITS TASK FORCES HAVE CONDUCTED STUDIES ON FOOD INSECURITY FOR RURAL RESIDENTS, DEVELOPED A LOCAL FARM AND FOOD RESOURCE GUIDE, DEVELOPED EDUCATIONAL POINT OF PURCHASE MATERIALS TO IMPROVE THE INTAKE AND PURCHASE OF HEALTHY FOOD/MENU ITEMS IN LOCAL RESTAURANTS AND CONVENIENCE STORES, WORKED WITH THREE LOCAL SUMMER FEEDING PROGRAMS TO PROMOTE THE AVAILABILITY OF AND CONSUMPTION OF HEALTHY LUNCHES, AND OFFERED TRAININGS TO AREA NUTRITION DIRECTORS/MANAGERS TO FACILITATE SUCCESSFUL POLICY IMPLEMENTATION OF IMPROVED NUTRITION STANDARDS THROUGH THE HEALTHY, HUNGER FREE KIDS ACT AND SMART SNACK GUIDELINES. THE COLLABORATIVE CONTINUED TO SUPPORT EFFORTS TO MAINTAIN DOUBLE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS AT TWO AREA FARMERS' MARKETS. GET HEALTHY, LIVE WELL ALSO SUPPORTED THE IMPLEMENTATION OF POWER OF PRODUCE (POP) CLUBS AT TWO AREA FARMERS MARKETS TO EMPOWER KIDS TO MAKE HEALTHIER FOOD CHOICES (EVERY TIME KIDS AGES 4 TO 12 COME TO THE FARMERS MARKET AND PARTICIPATE IN A FUN ACTIVITY, THEY RECEIVE 2 TO SPEND ON FRESH FRUITS AND VEGETABLES). SIX POP CLUB PROGRAMS IMPLEMENTED DURING MAY AND JUNE 2015 GARNERED 156 VISITS BY PARTICIPANTS. DURING THE FISCAL YEAR, GET HEALTHY, LIVE WELL AND ITS COMMUNITY PARTNERS PLANTED 16 NEW GARDEN BEDS (FOUR GARDENS) AT FAITH-BASED ORGANIZATIONS IN WEST GEORGIA. SINCE 2013, GET HEALTHY, LIVE WELL HAS PLANTED A TOTAL OF 66 GARDEN BEDS (16 GARDENS) THROUGHOUT CARROLL, HARALSON AND HEARD COUNTIES, WITH GARDENS BEING PLANTED AT CHURCHES WITH PRIMARILY LOW-INCOME MEMBERS, AT LOCAL SCHOOLS AND PARKS IN RURAL COMMUNITIES AND AT YOUTH CENTERS SERVING ECONOMICALLY DISADVANTAGED KIDS AND TEENS. EACH GROUP HAS RECEIVED ASSISTANCE WITH GARDEN PLANNING, INSTALLATION, MAINTENANCE AND SUSTAINABILITY PLANS. THE PROJECT HAS ENHANCED ACCESS TO HEALTHY FRUITS AND VEGETABLES, ADDED PUBLIC GREEN SPACES AND ENCOURAGED COMMUNITY INVOLVEMENT. THE GROWING COALITION OF GARDEN PARTNERS CONTINUES TO ORGANIZE PLANTING AND WORK DAYS AT THE GARDENS, WITH SEASONAL EVENTS FOCUSING ON MAINTENANCE, SPECIALIZED TRAINING AND GUIDANCE ON HOW TO PRESERVE AND PREPARE CROPS. MANY GARDEN PARTNERS HAVE SHARED THEIR HARVEST WITH LOCAL FOOD BANKS, IMPROVING THE QUANTITY AND QUALITY OF HEALTHY FOOD AVAILABLE TO LOW-INCOME RESIDENTS IN THE REGION. THE EVIDENCE-BASED COOKING MATTERS PROGRAM HAS BROUGHT NUTRITION EDUCATION AND COOKING INSTRUCTION TO LOW INCOME FAMILIES AND INDIVIDUALS THROUGHOUT WEST GEORGIA. OVER THE PAST TWO YEARS, THE COALITION HAS TRAINED A TOTAL OF 46 VOLUNTEER INSTRUCTORS WHO HAVE CONDUCTED 21 COOKING MATTERS CLASS SERIES, A TOTAL OF 126 CLASSES, THAT HAVE HELPED 242 LOW-INCOME FAMILIES LEARN HOW TO EAT HEALTHY FOR LESS (13 CLASS SERIES/78 CLASSES WERE HELD IN FISCAL YEAR 2015, REACHING APPROXIMATELY 150 INDIVIDUALS). CLASSES HAVE BEEN HELD AT BOYS AND GIRLS CLUBS, HOUSING AUTHORITIES, CHURCHES, UNIVERSITIES, COMMUNITY CENTERS AND BUSINESSES. GET HEALTHY, LIVE WELL ALSO PARTNERED WITH THE WEST GEORGIA CHILDCARE COALITION TO OFFER A FULL DAY COOKING MATTERS FOR CHILD CARE PROFESSIONALS CLASS IN DECEMBER 2014, TEACHING 27 AREA CHILD CARE PROFESSIONALS FROM SEVEN EARLY CHILD CARE CENTERS ABOUT HEALTHY MEAL PREPARATION AND CREATING A POSITIVE FOOD ENVIRONMENT FOR THE CHILDREN IN THEIR CARE. GET HEALTHY, LIVE WELL IS HELPING THOUSANDS OF RESIDENTS LOSE WEIGHT, EXERCISE MORE AND IMPROVE THEIR NUTRITION THROUGH A COMBINATION OF EDUCATION, MOTIVATIONAL SUPPORT AND ONLINE TOOLS. GET HEALTHY, LIVE WELL NOW HAS MORE THAN 4,500 PARTICIPANTS USING SPECIALIZED TRACKING SOFTWARE ACCESSED THROUGH WWW.GETHEALTHYLIVEWELL.ORG TO LOG THEIR EXERCISE, KEEPS FOOD DIARIES, TRACK WEIGHT LOSS, CALCULATE BODY MASS INDEX, PARTICIPATE IN LOCAL AND REGIONAL EXERCISE CHALLENGES, ACCESS AN INTERACTIVE MAP OF REGIONAL PARKS AND TRAILS AND MORE. A SIX-WEEK COMMUNITY-WIDE WEIGHT LOSS CHALLENGE WAS IMPLEMENTED IN JANUARY 2015 THAT INCLUDED 629 PARTICIPANTS, WITH AN AVERAGE OF 3.8 POUNDS LOST PER PARTICIPANT THROUGHOUT THE CHALLENGE. TO FURTHER SUPPORT WEIGHT LOSS CHALLENGE PARTICIPANTS, A WEIGHT LOSS CHALLENGE EDUCATION SERIES WAS IMPLEMENTED THAT INCLUDED IN-PERSON EDUCATIONAL SESSIONS THAT COMBINED EDUCATION WITH GROUP FITNESS</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 22D</FormAndLineReferenceDesc>
        <ExplanationTxt>TANNER MEDICAL CENTER, INC. USED AN AVERAGE OF COMMERCIAL AND MEDICARE RATES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>TANNER MEDICAL CENTER IP REHAB FAC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>705 DIXIE STREET</AddressLine1Txt>
            <CityNm>CARROLLTON</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>301173818</ZIPCd>
          </USAddress>
          <FacilityTxt>INPATIENT REHABILITATION FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTS FOR PART I, LINES 7A AND 7B WERE CALCULATED USING THE RCC COMPUTED IN ACCORDANCE WITH WORKSHEET 2 FROM THE IRS SCHEDULE H INSTRUCTIONS. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS WHICH UTILIZES THE CBISA COST ACCOUNTING SOFTWARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II - COMMUNITY BUILDING ACTIVITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>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 TEENS IN ACTION 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. DURING THE PAST FISCAL YEAR, 42 STUDENTS PARTICIPATED IN TANNER CONNECTIONS AND TEENS IN ACTION PROGRAMS. THROUGH PARTNERSHIPS SUCH AS KEEP CARROLL BEAUTIFUL, THERE ARE ONGOING EFFORTS BY TANNER TO REDUCE COMMUNITY ENVIRONMENTAL HAZARDS IN THE AIR, WATER AND GROUND, AS WELL AS THE SAFE REMOVAL OF OTHER TOXIC WASTE PRODUCTS. TANNER PROVIDES SUPPORT TO SEVERAL LOCAL ADVOCACY ORGANIZATIONS THAT PROMOTE THE COMMUNITY'S HEALTH AND SAFETY. TANNER ACTIVELY AND CONTINUALLY PREPARES FOR EMERGENCIES, UTILITY FAILURES, NATURAL DISASTERS AND OTHER POTENTIAL DISRUPTIONS, WORKING CLOSELY WITH FEDERAL, STATE AND LOCAL GOVERNMENTS, AREA BUSINESS CONSORTIUMS, COMMUNITY LEADERS AND PUBLIC SAFETY AGENCIES TO ENSURE EFFECTIVE COMMUNITY-WIDE RESPONSES TO UNPLANNED EVENTS. TO ADDRESS THE HEALTHCARE WORKFORCE SHORTAGE, TANNER CONTINUES TO FOSTER ITS ESTABLISHED, STRONG PARTNERSHIPS WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES, INCLUDING THE UNIVERSITY OF WEST GEORGIA AND WEST GEORGIA TECHNICAL COLLEGE. THE UNIVERSITY OF WEST GEORGIA'S NURSING PROGRAM, WHICH IS NAMED THE TANNER HEALTH SYSTEM SCHOOL OF NURSING, IS USING AN INVESTMENT FROM TANNER TO ENHANCE ITS FACILITIES WHILE OFFERING SCHOLARSHIP AND EDUCATIONAL OPPORTUNITIES FOR THOSE IN WEST GEORGIA AND EAST ALABAMA INTERESTED IN A CAREER IN NURSING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE MEDICAL CENTERS ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS 97.8% AND 97.5% FOR FISCAL YEARS 2015 AND 2014, RESPECTIVELY. IN ADDITION, THE MEDICAL CENTERS SELFPAY WRITE-OFFS INCREASED APPROXIMATELY 2,000,000 FROM 50,000,000 FOR FISCAL YEAR 2014 TO 52,000,000 FOR FISCAL YEAR 2015. THE INCREASE WAS A RESULT OF AN OVERALL INCREASE IN REVENUES FOR FY 2015, WHICH INCLUDED UNINSURED SELF-PAY PATIENTS. THE MEDICAL CENTER DID NOT CHANGE ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEAR 2015. THE MEDICAL CENTER DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8 - MEDICARE EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS THAT QUALIFY FOR A CHARITY WRITE OFF ARE ONLY HELD RESPONSIBLE FOR THE PORTION REMAINING AFTER WRITE OFF. PATIENTS THAT QUALIFY AS INDIGENT RECEIVE A 100% WRITE OFF AND ARE NOT RESPONSIBLE FOR ANY PORTION OF THEIR BILL. PATIENTS APPROVED FOR FINANCIAL ASSISTANCE RECEIVE A LETTER OF NOTIFICATION AND WALLET CARD THAT IS GOOD FOR ONE YEAR FROM THE DETERMINATION DATE. INTEREST FREE INSTALLMENT PLANS ARE AVAILABLE TO ALL PATIENTS AND PAYMENT AMOUNTS ARE DETERMINED BY THE PATIENT'S ABILITY TO PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 - NEEDS ASSESSMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>TANNER MEDICAL CENTER, INC. (TMC) 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 TMC 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, TMC HAS IDENTIFIED THE GREATEST HEALTH NEEDS OF ITS COMMUNITY, ENABLING TMC TO ENSURE ITS RESOURCES ARE APPROPRIATELY DIRECTED TOWARDS OUTREACH, PREVENTION, EDUCATION AND WELLNESS OPPORTUNITIES, WHERE THE GREATEST IMPACT CAN BE REALIZED. IN SELECTING PRIORITIES, TMC CONSIDERED THE DEGREE OF COMMUNITY NEED FOR ADDITIONAL RESOURCES, THE CAPACITY OF OTHER AGENCIES TO MEET THE NEED AND THE SUITABILITY OF TMC'S EXPERTISE TO ADDRESS THE ISSUE. IN PARTICULAR, TMC 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 TMC INCLUDED: (1) ACCESS TO CARE; (2) CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT; AND (3) MENTAL HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>TMC PATIENTS ARE PROVIDED WITH INFORMATION PERTAINING TO THE ORGANIZATION'S CHARITY/INDIGENT 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 TMC. 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 REGISTRATION DESKS FOR PATIENTS AND FAMILIES; 3) PRINTED IN FLYERS 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 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 TMC'S WEBSITE AT WWW.TANNER.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4 - COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>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)INCLUDE: POPULATION 110,527; DIVERSITY 72.9 PERCENT CAUCASIAN, 25.4 PERCENT AFRICAN-AMERICAN, 6.2 PERCENT HISPANIC, 2.7 PERCENT OTHER; AVERAGE INCOME 45,559; UNINSURED 22 PERCENT; UNEMPLOYMENT 9.6 PERCENT; BELOW POVERTY LEVEL 18.1 PERCENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A NONPROFIT ORGANIZATION, TMC IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES. TMC 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, TMC 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 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM</FormAndLineReferenceDesc>
        <ExplanationTxt>TANNER MEDICAL CENTER, INC. PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. TANNER MEDICAL CENTER, INC. IS PART OF AN AFFILIATED HEALTH CARE SYSTEM WHICH INCLUDES THE FOLLOWING: TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>GEORGIA</ExplanationTxt>
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          <AddressLine1Txt>409 NEWNAN ROAD</AddressLine1Txt>
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          <AddressLine1Txt>253 EAST HIGHWAY 78</AddressLine1Txt>
          <CityNm>TEMPLE</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30179</ZIPCd>
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        <ExplanationTxt>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.</ExplanationTxt>
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        <TotalCompensationFilingOrgAmt>202987</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>150034</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM HINES</PersonNm>
        <TitleTxt>CAO</TitleTxt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CYNTHIA MASTERS</PersonNm>
        <TitleTxt>SVP, SVC INTEGRATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>168424</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>124487</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>19924</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>14727</BonusRelatedOrganizationsAmt>
        <NontaxableBenefitsFilingOrgAmt>12086</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8933</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>200434</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>148147</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBORAH MATTHEWS</PersonNm>
        <TitleTxt>CNO</TitleTxt>
        <BaseCompensationFilingOrgAmt>161540</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>119399</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>20149</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>14893</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3450</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2550</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12089</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8936</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>197228</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>145778</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VAUGHN CLAGETTE MD</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>184297</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>136219</CompensationBasedOnRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18767</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>13871</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>203064</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>150090</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN FOX</PersonNm>
        <TitleTxt>SVP, TMG</TitleTxt>
        <BaseCompensationFilingOrgAmt>121207</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>89588</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>14232</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>10519</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>4545</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>3359</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12774</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>9442</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>152758</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>112908</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHANIE YATES</PersonNm>
        <TitleTxt>VP, COMPLIANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>99997</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>73911</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15813</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>11688</BonusRelatedOrganizationsAmt>
        <NontaxableBenefitsFilingOrgAmt>17582</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>12995</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>133392</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>98594</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BEN CAMP</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>267976</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33055</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>301031</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES CHESSER</PersonNm>
        <TitleTxt>MEDICAL PHYSICIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>204372</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22451</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>226823</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VIVIAN BARR</PersonNm>
        <TitleTxt>HR DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>164020</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>18935</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1954</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17148</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>202057</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LYNN BARRETT</PersonNm>
        <TitleTxt>PHARMACY DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>164768</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>18126</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>30376</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>213270</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GARY THOMAS</PersonNm>
        <TitleTxt>SUPPORT SVC DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>151800</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>15201</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>8454</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26335</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>201790</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>LOY HOWARD 0 95,169 0 LARRY STEED 192,312 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>RETIREMENT PLAN: LOY HOWARD, CEO PARTICIPATES IN AN INELIGIBLE UNFUNDED 457(F) PLAN PROVIDED TO SENIOR EXECUTIVES AS SET BY HIS EMPLOYMENT CONTRACT. THE PLAN BENEFITS ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE AND ARE CONDITIONED UPON THE FUTURE PERFORMANCE OF SERVICES. TANNER MEDICAL CENTER, INC. LONG TERM RETENTION PLAN IS AN UNFUNDED TOP-HAT PLAN THAT IS PROVIDED TO MR. HOWARD. UNPAID PLAN BENEFITS ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. ALL PLAN BENEFITS ARE SCHEDULED TO VEST ON OR BEFORE JUNE 30, 2021. MR. HOWARD IS ALSO ELIGIBLE FOR THE TANNER ADVANTAGE DEFERRED COMPENSATION PLAN WHICH IS AN ELIGIBLE 457(B) TOP-HAT PLAN AVAILABLE TO SENIOR EXECUTIVES AND PHYSICIANS. A CONTRIBUTION EQUAL TO THE IRS MAXIMUM CONTRIBUTION LIMIT FOR THE YEAR IS MADE ON MR. HOWARD'S BEHALF EACH YEAR. SEVERANCE PAY: LARRY STEED VACATED HIS 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 PLUS TRAVEL. THE TOTAL AMOUNT PAID TO CYPRESS HEALTHCARE PARTNERS, LLC DURING CALENDAR YEAR 2014 OF 748,968 INCLUDED SERVICES PROVIDED BUT UNBILLED IN A PRIOR YEAR. MANAGEMENT SERVICES PROVIDED BY WILLIAM HINES INCLUDE DIRECTING VARIOUS DEPARTMENTAL OPERATIONS (TMC ENGINEERING, DIETARY, HUMAN RESOURCES ETC.), MANAGING PHYSICIAN PRACTICES, AND HOSPICE AND HOME HEALTH OPERATIONS. BONUS/INCENTIVE: THE CEO OF THE ORGANIZATION IS ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION IN SUCH AMOUNT, IF ANY, AS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD IN ITS SOLE DISCRETION, BASED ON, AMONG OTHER THINGS, THE ATTAINMENT OF ANNUAL OBJECTIVES ESTABLISHED BY THE BOARD. VARIOUS EMPLOYEES ARE ELIGIBLE TO RECEIVE BONUSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc9">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CARROLL CITY-COUNTY HOSP AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>581790149</BondIssuerEIN>
        <CUSIPNum>144709FK3</CUSIPNum>
        <BondIssuedDt>2008-03-11</BondIssuedDt>
        <IssuePriceAmt>32970000</IssuePriceAmt>
        <PurposeDesc>CONSTRUCTION</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CARROLL CITY-COUNTY HOSP AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>581790149</BondIssuerEIN>
        <CUSIPNum>144709GC0</CUSIPNum>
        <BondIssuedDt>2010-08-31</BondIssuedDt>
        <IssuePriceAmt>81569188</IssuePriceAmt>
        <PurposeDesc>CONSTRUCTION</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>4059945</RetiredAmt>
        <TotalProceedsAmt>32837800</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>837414</IssuanceCostsFromProceedsAmt>
        <WorkingCapitalExpendituresAmt>32000386</WorkingCapitalExpendituresAmt>
        <SubstantialCompletionYr>2009</SubstantialCompletionYr>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>12359675</RetiredAmt>
        <TotalProceedsAmt>81569188</TotalProceedsAmt>
        <RefundingEscrowAmt>35910031</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>657030</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>45002127</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2012</SubstantialCompletionYr>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>true</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>CARROLL CITY-COUNTY HOSP AUTHORITY THE PART I, COLUMN (E) ISSUE PRICE DOES NOT AGREE WITH THE PART II, LINE 3 TOTAL PROCEEDS OF ISSUE DUE TO THE INCLUSION OF INTEREST AND OTHER INVESTMENT EARNINGS ON THE PROCEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc10">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>STEVE ADAMS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>78002</TransactionAmt>
        <TransactionDesc>AMBULANCE SERVICE</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ROBERT PITTS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR/DOCTOR</RelationshipDescriptionTxt>
        <TransactionAmt>215350</TransactionAmt>
        <TransactionDesc>MANAGEMENT SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>VAUGHN CLAGETTE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>VP/DOCTOR</RelationshipDescriptionTxt>
        <TransactionAmt>1116374</TransactionAmt>
        <TransactionDesc>HOSPITALIST</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>VAUGHN CLAGETTE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>VP/DOCTOR</RelationshipDescriptionTxt>
        <TransactionAmt>128000</TransactionAmt>
        <TransactionDesc>MANAGEMENT SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>STEVE ADAMS, BOARD MEMBER, OWNS AN AMBULANCE COMPANY THAT 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, 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, 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 TMC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc11">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>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 AND A 20-BED INPATIENT REHABILITATION FACILITY IN CARROLLTON, GEORGIA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CYPRESS HEALTHCARE PARTNERS, LLC, AN UNRELATED ORGANIZATION, IS A CONSULTING FIRM PROVIDING MANAGEMENT SERVICES TO TANNER. CYPRESS HEALTHCARE PARTNERS, LLC ASSIGNED WILLIAM HINES AS CHIEF ADMINISTRATIVE OFFICER. SERVICE PROVIDED BY WILLIAM HINES INCLUDES DIRECTING VARIOUS DEPARTMENTAL OPERATIONS (TMC ENGINEERING, DIETARY, HUMAN RESOURCES ETC.), MANAGING PHYSICIAN PRACTICES, AND HOSPICE AND HOME HEALTH OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POLICY COVERS ALL EMPLOYEES, SUPPLIERS, MEDICAL STAFF AND VOLUNTEERS. CONFLICTS ARE REVIEWED BY THE COMPLIANCE OFFICER FOR RESOLUTION. THE COMPLIANCE OFFICER THEN CONSULTS WITH THE EXECUTIVE TEAM AND THE CEO FOR FINAL RESOLUTION. PER THE POLICY, ANY PERSON WITH A CONFLICT WILL EXCUSE THEMSELVES FROM THE DECISION MAKING PROCESS COMPLETELY. BOARD MEMBERS PHYSICALLY LEAVE THE ROOM WHEN DISCUSSIONS OCCUR THAT ARE POTENTIAL CONFLICTS. TANNER BIDS OUT SERVICES AND IF A COMPANY OWNED BY A BOARD MEMBER CHOOSES TO BID, THERE ARE ADDITIONAL STEPS FOR TRANSPARENCY, SUCH AS ADVERTISING THE BIDDING PROCESS IN THE NEWSPAPER. ALL SERVICES ARE COMPARED TO FAIR MARKET VALUE. TRANSACTIONS INVOLVING ANY POTENTIAL CONFLICT OF INTEREST ARE HANDLED BY THE ATTORNEY TO MAKE SURE ALL STEPS ARE TAKEN TO COMPLY WITH THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>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 LAST COMPLETED IN 2015.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO MEMBERS OF THE PUBLIC WHO MAKE THEIR REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PHYSICIAN FEES 4,530,048 0 0 CONTRACT SERVICES 3,130,402 3,991,979 0 PURCHASED SERVICES 4,608,261 4,978,701 0 CONSULTANT FEES 23,369 4,337,690 0 OTHER FEES 33,130 57,150 0 COLLECTION FEES 0 1,269,392 0</ExplanationTxt>
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