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        <Identifier>LOBBYING EXPENDITURES</Identifier>
        <ReturnReference>Schedule C, Part II-B, Line 1I</ReturnReference>
        <Explanation>A portion of the annual membership fees paid to the Georgia Hospital association is used for lobbying expenses to support and voice hospital concerns at the state level. In addition, Tanner pays Azimuth Consulting, Inc. to facilitate an ongoing relationship with members of the legislative body to support or oppose various legislative issues concerning the healthcare industry. Massey, Watson, Bowers, &amp; Hembree, LLC are also retained to help Tanner in the area of public affairs support with the State of Georgia.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYear>
        <BeginningOfYearBalance>1935550</BeginningOfYearBalance>
        <Contributions>33000</Contributions>
        <InvestmentEarningsOrLosses>198196</InvestmentEarningsOrLosses>
        <EndOfYearBalance>2166746</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>1593273</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>342277</InvestmentEarningsOrLosses>
        <EndOfYearBalance>1935550</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>1359108</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>234165</InvestmentEarningsOrLosses>
        <EndOfYearBalance>1593273</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>1134911</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>224197</InvestmentEarningsOrLosses>
        <EndOfYearBalance>1359108</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <CurrentYearMinus4Years>
        <BeginningOfYearBalance>1371828</BeginningOfYearBalance>
        <Contributions>5000</Contributions>
        <InvestmentEarningsOrLosses>-241917</InvestmentEarningsOrLosses>
        <EndOfYearBalance>1134911</EndOfYearBalance>
      </CurrentYearMinus4Years>
      <PermanentEndowmentEOYBalance>0.76681</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.23319</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>true</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>true</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>3548619</OtherCostOrOtherBasis>
        <BookValue>3548619</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>178477197</OtherCostOrOtherBasis>
        <Depreciation>67674634</Depreciation>
        <BookValue>110802563</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>2206524</OtherCostOrOtherBasis>
        <Depreciation>1465972</Depreciation>
        <BookValue>740552</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>107188524</OtherCostOrOtherBasis>
        <Depreciation>71220999</Depreciation>
        <BookValue>35967525</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>10622150</OtherCostOrOtherBasis>
        <BookValue>10622150</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>161681409</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO RELATED PARTIES</Description>
        <Amount>8126618</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO THIRD PARTIES</Description>
        <Amount>1354977</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER ACCRUED</Description>
        <Amount>3065017</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>12546612</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>ASC 740 DISCLOSURE</Identifier>
        <ReturnReference>Schedule D, Part X</ReturnReference>
        <Explanation>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 recognized 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. Effective November 15, 2010, Tanner Medical Center/Villa Ricas tax-exempt status under Internal Revenue Code Section 501(c)(3) was automatically revoked by the Internal Revenue Service (IRS) for failure to file an annual return for three consecutive years. Specifically, Tanner Medical Center/Villa Rica was improperly included in the parent entitys group IRS Form 990 for the tax years ended June 30, 2007, 2008, and 2009, rather than also filing a separate return. The Medical Center subsequently filed appropriate returns with the IRS for the tax year ended June 30, 2009 relative to Tanner Medical Center/Villa Rica, as well as Form 1023, Application for Recognition of Exemption Under Section 501(c)(3) of the Internal Revenue Code. On August 27, 2013, the IRS approved Tanner Medical Center/Villa Ricas application for exempt status effective July 25, 2012, the posting date of its application. The IRS is currently considering approval of the Medical Centers request for retroactive reinstatement of Tanner Medical Center/Villa Ricas tax-exempt status for the period November 15, 2010 through July 24, 2012. Given the nature of the initial revocation of tax-exempt status and the remedies provided to the IRS to-date in accordance with its established reinstatement protocols, the Medical Centers position is that a favorable outcome is more than 50% likely of being sustained. 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, 2013 and 2012 or for the years then ended. 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 2013 and 2012, Tanner Medical Group has not recorded income tax expense due to net operating losses.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
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      <WrittenPolicy>true</WrittenPolicy>
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      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
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        <Other>X</Other>
        <FreeOtherPercentage>125.</FreeOtherPercentage>
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      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
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      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
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      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
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        <PercentOfTotalExpense>0.07440</PercentOfTotalExpense>
      </CharityCareAtCost>
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        <NetCommunityBenefitExpense>5993116</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02910</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>40857290</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>21308981</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.10350</PercentOfTotalExpense>
      </TotalCharityCare>
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        <TotalCommunityBenefitExpense>1047653</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1047653</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00510</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>26351</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>26351</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </HealthProfessionsEducation>
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        <TotalCommunityBenefitExpense>393693</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>393693</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00190</PercentOfTotalExpense>
      </Research>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>1467697</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1467697</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00710</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
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        <DirectOffsettingRevenue>19548309</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>22776678</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.11060</PercentOfTotalExpense>
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        <TotalCommunityBuildingExpense>11009</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>11009</NetCommunityBuildingExpense>
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        <NetCommunityBuildingExpense>50852</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
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        <NetCommunityBuildingExpense>7208</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
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      <LeadershipDevelopment>
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        <NetCommunityBuildingExpense>8658</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
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        <NetCommunityBuildingExpense>27770</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
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        <TotalCommunityBuildingExpense>977444</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>977444</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00470</PercentOfTotalExpense>
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        <NetCommunityBuildingExpense>1082941</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00530</PercentOfTotalExpense>
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      <BadDebtExpenseAmount>12815680</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>50678611</AmountReimbursedByMedicare>
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      <MedicareSurplusOrShortfall>-2588331</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
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        </Name>
        <Address>
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          <City>CARROLLTON</City>
          <State>GA</State>
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        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
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        </HospitalFacilityName>
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        <HowDataObtained>X</HowDataObtained>
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        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>13</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>true</OtherFacilities>
        <CHNAWidelyAvailable>true</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <DevelopCommunityPlan>X</DevelopCommunityPlan>
        <ParticipateCommunityPlan>X</ParticipateCommunityPlan>
        <IncludeOperationalPlans>X</IncludeOperationalPlans>
        <AdoptBudget>X</AdoptBudget>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <PrioritizeServices>X</PrioritizeServices>
        <AllNeedsAddressed>false</AllNeedsAddressed>
        <OrganizationIncurExciseTax>false</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>125.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>200.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
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        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <MedicareRate>X</MedicareRate>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>1</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>TANNER MEDICAL CENTER SUBACUTE CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>705 DIXIE STREET</AddressLine1>
            <City>CARROLLTON</City>
            <State>GA</State>
            <ZIPCode>30117</ZIPCode>
          </Address>
          <FacilityType>SKILLED NURSING FACILITY</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>COSTING METHODOLOGY</Identifier>
        <ReturnReference>SCHEDULE H, PART I, LINE 7</ReturnReference>
        <Explanation>CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COSTS WERE DETERMINED USING DATA FROM THE AUDITED FINANCIAL STATEMENTS AND MEDICARE AND MEDICAID COST REPORTS. PART I, LINE 7, COLUMN F: THIS IS THE PERCENTAGE OF NET COMMUNITY BENEFIT OF TOTAL FUNCTIONAL EXPENSES OF TANNER MEDICAL CENTER.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY BUILDING ACTIVITIES</Identifier>
        <ReturnReference>SCHEDULE H, PART II</ReturnReference>
        <Explanation>Tanner provides the funding for a 24-hour information hotline, provided free to callers. The Hotline - 770-214-2273 - provides callers with information on physicians and specialists, and provides referrals to medical staff based on a caller's needs, location and insurance information. The line also provides callers with information on a wide range of free health education classes and health screenings provided by Tanner, and allows callers to register for classes and events over the phone. In addition to the 24-hour hotline, Tanner also provides a web site, www.tanner.org, with a free, extensive health library with articles covering a range of subjects, from medical tests and procedures to symptoms, conditions and more. Visitors can also access free online health assessments, health news, healthy recipes and more. To improve access to medical care in the region, Tanner continued its work to recruit more physicians to practice in the area, enabling patients to choose from a greater number of providers in an expanded field of specialties. In addition, Tanner supports the University of West Georgia's Nursing Program, West Central Tech and Georgia Highland's medical programs on an annual basis.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT EXPENSE</Identifier>
        <ReturnReference>Schedule H, Part III, Line 4</ReturnReference>
        <Explanation>EXCERPT FROM THE FINANCIAL STATEMENTS - THE SYSTEM INCURRED BAD DEBT EXPENSE, VALUED AT ESTABLISHED CHARGES, OF $12,815,680 AND $28,862,327 FOR YEARS ENDED JUNE 30, 2013 AND 2012, RESPECTIVELY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MEDICARE</Identifier>
        <ReturnReference>Schedule H, Part III, Line 8</ReturnReference>
        <Explanation>AMOUNTS REPORTED ON SCHEDULE B ARE BASED ON THE MEDICARE COST REPORTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COLLECTION PRACTICES</Identifier>
        <ReturnReference>Schedule H, Part III, Line 9B</ReturnReference>
        <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. Patients approved for financial assistance receive a Letter of Notification 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 disposable wages and ability to pay. Needs Assessment: Tanner Medical Center, Inc. conducts a study of its service area to determine locations where access to medical care is limited, as well as to determine the appropriate number of primary care and specialty providers based on the needs of the communities that Tanner serves. The organization also works closely with community partners with similarly-aligned missions, including partnering with the Carroll County Health Department in community-wide vaccination programs and providing financial assistance to sponsor further research into specific community needs. Tanner also works closely with two local clinics that provide low-cost and free medical services to area residents who could not otherwise afford care. Patient Education of Eligibility for Assistance: Tanner patients are provided with information pertaining to the organization's charity/indigent program at the time of registration. Any self-pay or under-insured patients must meet criteria for indigent care in order to have the cost of their care written off by the system. Patients are interviewed and financial statements are prepared. Patients who meet the criteria for Medicaid eligibility are referred to an outside vendor for assistance. Charity patients are defined as falling between 125 to 200 percent of the federal poverty guidelines; indigent patients are defined as falling below the 125 percent federal poverty guidelines and receive a 100 percent write off. Translation assistance is provided for patients as needed. Community Information: Carroll County is located in the west central section of Georgia, along the Georgia-Alabama state line. It is home to a growing state university with an enrollment of more than 11,000 students. The county has a population of just more than 110,000 residents. Most recently, growth in the area has been hampered by the economic impact from the lingering recession, and housing prices have fallen more than 20 percent. The county's unemployment rate is at 8.2 percent, higher than the state or national rates. Regionally, Carroll County is an economic center with seven incorporated municipalities. Health of Community in Relation to Exempt Purpose: Tanner Medical Center, Inc. is committed to providing care for every member of the community it serves, regardless of ability to pay. That care will be provided in advanced facilities with a focus on patient satisfaction and achievement of best possible outcomes. During the year, Tanner provided free health screenings to almost 5200 residents. More health education was provided through Tanner's sponsorship of the "Community Voice" radio program on a local station, which featured a number of physicians and health professionals discussing and taking calls on a wide range of subjects. Tanner hosted educational events focusing on cancer, heart disease and other diseases, and provided instructional classes to teach CPR, safe babysitting and more to almost 11,000 attendees. Tanner staff provided free vision screenings to more than 260 Pre-K students and organized local blood drives with over 725 community participants. Over 5,000 people attended programs on health and wellness topics through Tanner's speakers program. Tanner's website www.tanner.org was viewed almost 1.2 million times by residents. The website contains a wealth of wellness and health information, including free health quizzes and sources to find a physician. Tanner's Harmony for Healing music therapy program offered over 170 performances to audiences of patients, their families, staff and members of the community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>AFFILIATED HEALTH CARE SYSTEM</Identifier>
        <Explanation>TANNER MEDICAL CENTER, INC. IS A HEALTHCARE SYSTEM PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. TANNER MEDICAL CENTER PROVIDES COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 180-BED ACUTE CARE HOSPITAL AND A 20-BED SKILLED NURSING FACILITY IN CARROLLTON, GEORGIA. COMMUNITY BENEFIT REPORT: The Tanner Medical Center community benefit report, filed in Georgia, can be found on the web at: http://www.tanner.org/Main/HealthyLivingmagazine.aspx</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>INPUT FROM REPRESENTATIVES OF THE COMMUNITY</Identifier>
        <ReturnReference>SCHEDULE H, PART V, SECTION B, LINE 3</ReturnReference>
        <Explanation>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 for Tanner Medical Center/Carrollton consisted of community leaders, public officials, school officials, philanthropic organizations, businesses and a wide range of social service organizations. Additionally, two key informant interviews were held: one with Jack Birge, MD, chairman of the Carroll County Board of Public Health; and another with Cherry Toney, 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, Brenda Fitzgerald, MD.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS NOT ADDRESSED</Identifier>
        <ReturnReference>SCHEDULE H, PART V, SECTION B, LINE 7</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>CHNA CONDUCTED FOR ALL HOSPITAL FACILITIES</Identifier>
        <ReturnReference>SCHEDULE H, PART V, LINE 4</ReturnReference>
        <Explanation>THE CHNA WAS CONDUCTED FOR ALL HOSPITAL FACILITIES, INCLUDING: Tanner Medical Group, Inc. TMC/Higgins General Hospital Inc. TMC/Villa Rica Hospital, Inc. TMC Woodland Family Healthcare, Inc. TMC Tanner Neurology Inc. TMC Carousel Pediatrics Inc. TMC Internal Medicine of Villa Rica TMC Childrens Healthcare of West GA TMC Gastroenterology Associates, Inc. TMC Infectious Diseases of West Georgia, Inc. TMC West Georgia Behavioral Health TMC West GA Family Medicine, Inc. TMC Internal Medicine of Carrollton, Inc. TMC Carrollton Family Healthcare, Inc. TMC Internal Medicine Associates TMC West Georgia Cardiology, Inc. Tanner Medical Group, 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.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
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      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
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      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
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      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
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      <Form990ScheduleJPartII>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TOMMY FREEMAN</NamePerson>
        <Title>ULTRASOUND TECH</Title>
        <BaseCompensationFilingOrg>179837</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>3655</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>29904</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>213396</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartIII>
        <Identifier>FRINGE OR EXPENSE</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 1A</ReturnReference>
        <Explanation>Social club dues are paid on behalf of several executives, but are approved by the CEO and actual invoices must be submitted prior to reimbursement. These reimbursements are included in the individuals' taxable income.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>NON-FIXED PAYMENTS PROVIDED</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 7</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>OTHER ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE J, PART III</ReturnReference>
        <Explanation>Loy Howard, CEO participates in an ineligible unfunded 457(F) plan provided to senior executives as set by his employment contract. The plan payments 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. Vesting occurs in 10% increments yearly and fully vests June 30, 2021. Plan payments are subject to substantial risk of forfeiture and are conditioned upon the future performance of services. Mr. Howard is also eligible for the Tanner Advantage Deferred Compensation Plan which is an eligible unfunded 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. Contributions for all three plans remain the sole property of Tanner and are subject to the claims of general creditors until distributed to the participant.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4</ReturnReference>
        <Explanation>Severance Nonqualified Equity-Based Loy Howard 0 89,214 0 Dale Dreiling 331,230 0 0</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 3</ReturnReference>
        <Explanation>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 2013.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
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      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>CARROLL CITY-COUNTY HOSPITAL AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>581790149</IssuerEIN>
        <CUSIPNumber>144709FK3</CUSIPNumber>
        <DateIssued>2008-03-11</DateIssued>
        <IssuePrice>32970000</IssuePrice>
        <DescriptionOfPurpose>CONSTRUCTION</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>CARROLL CITY-COUNTY HOSPITAL AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>581790149</IssuerEIN>
        <CUSIPNumber>144709GC0</CUSIPNumber>
        <DateIssued>2010-08-31</DateIssued>
        <IssuePrice>81569188</IssuePrice>
        <DescriptionOfPurpose>CONSTRUCTION</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
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        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>32837800</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
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        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>837414</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>32000386</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
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        <BondReferenceCd>B</BondReferenceCd>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>81569188</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>35910031</RefundingEscrow>
        <IssuanceCostsFromProceeds>657030</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>45002127</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2012</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0</PrcntgePrvtBusinessUseByOthers>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <RemedialActionTaken>false</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>false</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0</PrcntgePrvtBusinessUseByOthers>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <RemedialActionTaken>false</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>false</NonQualifiedBondRemedProcdrs>
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        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <ExceptionToRebate>true</ExceptionToRebate>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>false</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
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        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <ExceptionToRebate>true</ExceptionToRebate>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>false</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>false</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>B</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>false</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartVI>
        <Identifier>PART II, LINE 3</Identifier>
        <ReturnReference>0</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoanTable>
        <NamePerson>DR JOHN BURSON</NamePerson>
        <RelationshipWithOrganization>BOARD MEMBER</RelationshipWithOrganization>
        <PurposeOfLoan>PURCHASE PROPERTY</PurposeOfLoan>
        <LoanToOrganization>X</LoanToOrganization>
        <OriginalPrincipalAmount>1600000</OriginalPrincipalAmount>
        <BalanceDue>443373</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>443373</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>STEVE ADAMS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER</Relationship>
        <AmountOfTransaction>209489</AmountOfTransaction>
        <DescriptionOfTransaction>AMBULANCE SERVICE</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ROBERT PITTS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER/PHYSICIAN</Relationship>
        <AmountOfTransaction>197650</AmountOfTransaction>
        <DescriptionOfTransaction>MANAGEMENT SERVICES AGREEMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE L, PART II</ReturnReference>
        <Explanation>The organization purchased property from Dr. John Burson, JHB Properties at fair market value of $1,600,000 and a note payable was established in June 2002. In March 2003, a lump sum payment was made and the note was reduced to $1,000,000. The balance of the note is $443,373 as of June 30, 2013 and was subsequently paid in its entirety shortly after year end.</Explanation>
      </Form990ScheduleLPartV>
      <Form990ScheduleLPartV>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE L, PART IV</ReturnReference>
        <Explanation>Steve Adams, Board Member, owns an ambulance company that provides patient transportation services to the system. 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 physican 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 it 's 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 thatare reviewed quarterly with Medical Staff Management and reported annually.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>As of June 30, 2013, Tanner Medical Center, Inc. is a regional healthcare provider with more than 300 physicians representing 35 unique medical specialties. Tanner provides a wide range of comprehensive medical services for residents in a region of west Georgia and east Alabama. Tanner's facilities include the 202-bed acute care Tanner Medical Center/Carrollton; The Roy Richards, Sr. Cancer Center, Tanner Heart and Vascular Center, Tanner Breast Health, The Tanner Advanced Wound Center, employee assistance program (Tanner EAP) and more. More information on Tanner Medical Center, Inc. is available in the health system's annual community benefit report, which can be downloaded at http://www.tanner.org/main/healthlivingmagazine.aspx Tanner Medical Center, Inc. is a not-for-profit healthcare system. The medical center provides inpatient, outpatient and emergency care services to residents of west Georgia and surrounding areas. Admitting physicians are primarily practitioners in the local area and employed physicians. Tanner Medical Center, Inc. Includes the Following: Tanner Medical Center/Carrollton, established to provide comprehensive healthcare services through the operation of a 180-bed acute care hospital and a 20-bed skilled nursing facility in Carrollton, Georgia. Tanner Medical Center, Inc. is responsible for allocating resources and for approving budgets, major contracts and debt financing for all entities.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS TO REVIEW FORM 990</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11B</ReturnReference>
        <Explanation>The organization's VP of Finance gathers information for the Form 990 and consults with the CFO and compliance officer on certain matters. A draft copy is reviewed by the VP of Finance and CFO for accuracy. The final version is presented to the Executive Committee for review and questions. The Chairman of the Executive Committee then presents this at the next board meeting to the full Board. The 2012 Form 990 (FYE June 30, 2013) was presented to the Board after filing due to time constraints.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c</ReturnReference>
        <Explanation>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 service 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SIGNIFICANT CHANGES TO PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 3</ReturnReference>
        <Explanation>Tanner Medical Center, Inc. ceased operations of the Skilled Nursing Facility during the 2013 fiscal year.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15</ReturnReference>
        <Explanation>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 2013.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Reason for amended return</Identifier>
        <ReturnReference>Form 990, Question B</ReturnReference>
        <Explanation>An amended return is filed due to a corrected W-2 for Mr. Loy Howard. No other information on the returns changed.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TANNER MEDICAL FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>705 DIXIE STREET</AddressLine1>
          <City>CARROLLTON</City>
          <State>GA</State>
          <ZIPCode>30117</ZIPCode>
        </AddressUS>
        <EIN>581790152</EIN>
        <PrimaryActivities>FOUNDATION</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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          <City>CARROLLTON</City>
          <State>GA</State>
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        </AddressUS>
        <EIN>581790151</EIN>
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        <PublicCharityStatus>9</PublicCharityStatus>
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          <BusinessNameLine1>TMC</BusinessNameLine1>
        </DirectControllingEntityName>
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          <BusinessNameLine1>TMCWEST GEORGIA CARDIOLOGY INC</BusinessNameLine1>
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          <City>CARROLLTON</City>
          <State>GA</State>
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        <LegalDomicileState>GA</LegalDomicileState>
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        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
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        <LegalDomicileState>GA</LegalDomicileState>
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        </DirectControllingEntityName>
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      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
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      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
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      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
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      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
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      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
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      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>TANNER MEDICAL FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TANNER MEDICAL CENTER GROUP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>1Q</TransactionType>
        <AmountInvolved>41745281</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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  </ReturnData>
</Return>