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TANNER MEDICAL CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
TANNER MEDICAL CENTER INC (EIN 58-1790149)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-16
IRS object ID
201321369349300937
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-16T15:15:30-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 North Greene Street Suite 400AddressLine1
CityGreensboroCity
StateNCState
ZIP Code27401ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581790149EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TANNER MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% LEE SHERSETH CFOInCareOfName
Name ControlTANNNameControl
Phone7708369580Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1705 DIXIE STREETAddressLine1
CityCARROLLTONCity
StateGAState
ZIP Code30117ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLEE SHERSETHName
TitleCFOTitle
Date Signed2013-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3362753394Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLOY M HOWARD CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1705 DIXIE STREETAddressLine1
CityCARROLLTONCity
StateGAState
ZIP Code30117ZIPCode
FieldValueIRS element (for citing)
Gross Receipts281041554GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TANNER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTO 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 HEATH EDUCATION, SUPPORT SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1570TotalNbrEmployees
Total Nbr Volunteers151TotalNbrVolunteers
Total Gross UBI526888TotalGrossUBI
Contributions Grants Prior Year1023963ContributionsGrantsPriorYear
Contributions Grants Current Year1034703ContributionsGrantsCurrentYear
Program Service Revenue Prior Year179288294ProgramServiceRevenuePriorYear
Program Service Revenue CY183094526ProgramServiceRevenueCY
Investment Income Prior Year3690485InvestmentIncomePriorYear
Investment Income Current Year6255032InvestmentIncomeCurrentYear
Other Revenue Prior Year38612973OtherRevenuePriorYear
Other Revenue Current Year43948890OtherRevenueCurrentYear
Total Revenue Prior Year222615715TotalRevenuePriorYear
Total Revenue Current Year234333151TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year53867GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year99786125SalariesEtcPriorYear
Salaries Etc Current Year104427257SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year91167659OtherExpensePriorYear
Other Expenses Current Year98173165OtherExpensesCurrentYear
Total Expenses Prior Year191007651TotalExpensesPriorYear
Total Expenses Current Year202600422TotalExpensesCurrentYear
Revenues Less Expenses Prior Year31608064RevenuesLessExpensesPriorYear
Revenues Less Expenses CY31732729RevenuesLessExpensesCY
Total Assets BOY361709831TotalAssetsBOY
Total Assets EOY377671558TotalAssetsEOY
Total Liabilities BOY152898983TotalLiabilitiesBOY
Total Liabilities EOY156486698TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY208810848NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY221184860NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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 HEATH EDUCATION, SUPPORT SERVICES, AND CARE FOR THE COUNTY AND SURROUNDING AREA.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense161057467Expense
Revenue225774378Revenue
DescriptionTanner Medical Center provides healthcare to the population of northwest Georgia and east Alabama. Medical services include inpatient, outpatient, and ancillary services. As a not for profit corporation, Tanner provides services to patients regardless of their ability to pay for these services. See Schedule O.Description
Total Program Service Expense161057467TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096205NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1570NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLEE SHERSETH CFONamePerson
Telephone Number7708369580TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1705 DIXIE STREETAddressLine1
CityCARROLLTONCity
StateGAState
ZIP Code30117ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
STEVE ADAMS
BOARD MEMBER1.0X
NORMAN BANKS
BOARD MEMBER1.0X
LARRY BOGGS
BOARD MEMBER1.0X
JOHN BURSON III MD
BOARD MEMBER1.0X
JERRY CLAYTON
BOARD MEMBER1.0X
MARY COVINGTON
BOARD MEMBER1.0X
DANIEL JACKSON
BOARD MEMBER1.0X
STEPHEN KAHLER MD
BOARD MEMBER1.0X
JEFF LINDSEY DMD
BOARD MEMBER1.0X
ROBERT PITTS MD
BOARD MEMBER1.0X
NITA PRICE
BOARD MEMBER1.0X
LOY HOWARD
CEO23.0X530095391811133711
LEE SHERSETH
CFO23.0X23349617258355194
LARRY STEED
COO23.0X27657320442456268
DENISE TAYLOR
CDO23.0X16090711893149544
WILLIAM WATERS MD
CMO23.0X31822123520761064
MARIA RUSSO
CIO23.0X47111348214306
DEBORAH HOLLENSTEIN
VP, PR MARKETING23.01074957945228433X
CYNTHIA MASTERS
VP, SERVICE INTEGRATION23.01164718608822207X
DEBORAH MATTHEWS
ADMINISTRATOR40.0237788037232X
CAROL CREWS
VP, FINANCE23.0955167059929064X
STEPHANIE YATES
VP, COMPLIANCE23.0976427217021448X
LINDA CONNER
DON40.0165876034861X
DENENE COFIELD
OR DIRECTOR23.0962417113423920X
VIVIAN BARR
HR DIRECTOR23.0932906895435141X
DAVID THORNHILL
IMAGING DIRECTOR23.0892166594222040X
JADA REESE MD
PHYSICIAN40.0529084022438X
JAKE CHESSER
MEDICAL PHYSICIST40.0203071030461X
LYNN BARRETT
PHARMACY DIRECTOR23.01010937472131186X
JANE HORNSBY
CHIEF SONOGRAPHER40.0995027354526423X
DIANNE REED
IT DIRECTOR23.0958577085112988X
JEFF JENNINGS
SR. VICE PRESIDENT23.0129450956800X
DALE DREILING
SR. VP, TMG23.020630615248755687X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4030301TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2139400TotalReportableCompFrmRltdOrgs
Total Other Compensation793616TotalOtherCompensation
Number Individuals GT100 K90NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ROBINS MORTON GROUP
400 SHADES CREEK PARKWAYBIRMINGHAMAL35209CONSTRUCTION29878747
LABORATORY CORPORATION OF AMERICA
PO BOX 12140BURLINGTONNC27216LAB SERVICES3388186
SOUTHERN THERAPY SERVICES INC
120 EAST CENTER STREETCARROLLTONGA30117PHYSICAL THERAPY2119590
ARAMARK
10510 TWIN LAKES PARKWAYCHARLOTTENC28269CLINICAL ENGINEERING1900975
ORACLE TRANSCRIPTION INC
4007-B NORBECK ROADROCKVILLEMD20853TRANSCRIPTION1405655
FieldValueIRS element (for citing)
Number Of Contractors GT100 K85NumberOfContractorsGT100K
Related Organizations1034703RelatedOrganizations
Total Contributions1034703TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE623000182567638182567638
REFERENCE LAB621500508888508888
PHYSICIAN BILLING SERVICES5412001800018000
FieldValueIRS element (for citing)
Total Program Service Revenue183094526TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6546515TotalRevenueColumn
Related Or Exempt Function Income509919RelatedOrExemptFunctionIncome
Exclusion$6,036,596ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities46414249Securities
Other2671Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities46450757Securities
Other257646Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-36508Securities
Other-254975Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-291483TotalRevenueColumn
Exclusion-$291,483ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
SHARED SERVICE REVENUE6219903871736238717362
CAFETERIA6242001036186$1,036,186
WELLNESS623990215883$215,883

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3979459TotalRevenueColumn
Related Or Exempt Function Income3979459RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue43948890TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column234333151TotalRevenueColumn
Related Or Exempt Function Income225774378RelatedOrExemptFunctionIncome
Unrelated Business Revenue526888UnrelatedBusinessRevenue
Exclusion$6,997,182ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3595215Total
Management And General3595215ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total69578967Total
Program Services57757167ProgramServices
Management And General11821800ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2588120Total
Program Services2020953ProgramServices
Management And General567167ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total23702287Total
Program Services22997459ProgramServices
Management And General704828ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4962668Total
Program Services4094187ProgramServices
Management And General868481ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total194496Total
Program Services183996ProgramServices
Management And General10500ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total604892Total
Management And General604892ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total220575Total
Management And General220575ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total143810Total
Management And General143810ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total536544Total
Management And General536544ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total18716718Total
Program Services12713386ProgramServices
Management And General6003332ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total313737Total
Program Services56894ProgramServices
Management And General256843ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total28688092Total
Program Services28112306ProgramServices
Management And General575786ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4306180Total
Management And General4306180ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4980130Total
Program Services2694786ProgramServices
Management And General2285344ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total142111Total
Program Services103372ProgramServices
Management And General38739ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total478673Total
Program Services189353ProgramServices
Management And General289320ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3266705Total
Management And General3266705ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12681387Total
Program Services10313792ProgramServices
Management And General2367595ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1697924Total
Program Services15762ProgramServices
Management And General1682162ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBTS93144559314455
REPAIRS AND MAINTENANCE3817851377187545976
PROVIDER TAX23201722320172
OTHER - FOUNDATION SUPPORT553463553463

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5195250Total
Program Services3844089ProgramServices
Management And General1351161ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total202600422Total
Program Services161057467ProgramServices
Management And General41542955ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY656336BOY
EOY360027EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY71953305BOY
EOY33349320EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19231242BOY
EOY16328622EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3166146BOY
EOY2990966EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3090940BOY
EOY2684954EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4631125BOY
EOY4714859EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis273551277LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec133246846LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY97513231BOY
EOY140304431EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY149329739BOY
EOY175630148EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY304532EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12137767BOY
EOY1003699EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY361709831BOY
EOY377671558EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY24683496BOY
EOY28862385EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY112947580BOY
EOY109595234EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY587797BOY
EOY518283EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14680110BOY
EOY17510796EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY152898983BOY
EOY156486698EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY203311068BOY
EOY215504439EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3909507BOY
EOY4051933EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1590273BOY
EOY1628488EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY208810848BOY
EOY221184860EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY361709831BOY
EOY377671558EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses31732729ReconcilationRevenueExpenses
Reconcilation Other Changes-19358717ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$143,810OtherActivitiesAmount
Total Lobbying Expenditures IIB143810TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING EXPENDITURESIdentifier
Return ReferenceSchedule C, Part II-B, Line 1IReturnReference
ExplanationA 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 the Garner Group 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, & Hembree, LLC are also retained to help Tanner in the area of public affairs support with the State of Georgia.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1593273BeginningOfYearBalance
Investment Earnings Or Losses342277InvestmentEarningsOrLosses
End Of Year Balance1935550EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1359108BeginningOfYearBalance
Investment Earnings Or Losses234165InvestmentEarningsOrLosses
End Of Year Balance1593273EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1134911BeginningOfYearBalance
Investment Earnings Or Losses224197InvestmentEarningsOrLosses
End Of Year Balance1359108EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1371828BeginningOfYearBalance
Contributions5000Contributions
Investment Earnings Or Losses-241917InvestmentEarningsOrLosses
End Of Year Balance1134911EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2465041OtherCostOrOtherBasis
Book Value2465041BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis139544434OtherCostOrOtherBasis
Depreciation62989879Depreciation
Book Value76554555BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1552150OtherCostOrOtherBasis
Depreciation1335007Depreciation
Book Value217143BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis90471962OtherCostOrOtherBasis
Depreciation68921960Depreciation
Book Value21550002BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis39517690OtherCostOrOtherBasis
Book Value39517690BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings140304431TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
DUE TO (FROM) RELATED PARTIES$12,530,495
INSURANCE ALLOWANCE$505,498
BOND INTEREST PAYABLE$3,018,089
PATIENT CREDIT BALANCES$620,991
DUE TO THIRD PARTIES$835,723
FieldValueIRS element (for citing)
Total Of Amounts17510796TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 DISCLOSUREIdentifier
Return ReferenceSchedule D, Part XReturnReference
ExplanationThe 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. 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, 2012 and 2011 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 2012 and 2011, Tanner Medical Group has not recorded income tax expense due to net operating losses.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage125.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense15258720TotalCommunityBenefitExpense
Net Community Benefit Expense15258720NetCommunityBenefitExpense
Percent Of Total Expense0.07890PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense25743169TotalCommunityBenefitExpense
Direct Offsetting Revenue23468756DirectOffsettingRevenue
Net Community Benefit Expense2274413NetCommunityBenefitExpense
Percent Of Total Expense0.01180PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense41001889TotalCommunityBenefitExpense
Direct Offsetting Revenue23468756DirectOffsettingRevenue
Net Community Benefit Expense17533133NetCommunityBenefitExpense
Percent Of Total Expense0.09070PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense898505TotalCommunityBenefitExpense
Net Community Benefit Expense898505NetCommunityBenefitExpense
Percent Of Total Expense0.00440PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense28319TotalCommunityBenefitExpense
Net Community Benefit Expense28319NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense76873TotalCommunityBenefitExpense
Net Community Benefit Expense76873NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1003697TotalCommunityBenefitExpense
Net Community Benefit Expense1003697NetCommunityBenefitExpense
Percent Of Total Expense0.00490PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense42005586TotalCommunityBenefitExpense
Direct Offsetting Revenue23468756DirectOffsettingRevenue
Net Community Benefit Expense18536830NetCommunityBenefitExpense
Percent Of Total Expense0.09560PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense196944TotalCommunityBuildingExpense
Net Community Building Expense196944NetCommunityBuildingExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense50852TotalCommunityBuildingExpense
Net Community Building Expense50852NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense6178TotalCommunityBuildingExpense
Net Community Building Expense6178NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense25977TotalCommunityBuildingExpense
Net Community Building Expense25977NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense17117TotalCommunityBuildingExpense
Net Community Building Expense17117NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1011846TotalCommunityBuildingExpense
Net Community Building Expense1011846NetCommunityBuildingExpense
Percent Of Total Expense0.00520PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense1308914TotalCommunityBuildingExpense
Net Community Building Expense1308914NetCommunityBuildingExpense
Percent Of Total Expense0.00670PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$9,314,455BadDebtExpenseAmount
Amount Reimbursed By Medicare48181343AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare50443610CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2262267MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1TANNER MEDICAL CENTER INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1705 DIXIE STREETAddressLine1
CityCARROLLTONCity
StateGAState
ZIP Code30117ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherSKILLED NURSING FACILITYOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1TANNER MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent125.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1TANNER MEDICAL CENTER SUBACUTE CAREBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1705 DIXIE STREETAddressLine1
CityCARROLLTONCity
StateGAState
ZIP Code30117ZIPCode
FieldValueIRS element (for citing)
Facility TypeSKILLED NURSING FACILITYFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COSTING METHODOLOGYSCHEDULE H, PART I, LINE 7CHARITY 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 EXPENSE OF TANNER MEDICAL CENTER.
COMMUNITY BUILDING ACTIVITIESSCHEDULE H, PART IITanner 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.
BAD DEBT EXPENSESchedule H, Part III, Line 4EXCERPT FROM THE FINANCIAL STATEMENTS - THE SYSTEM INCURRED BAD DEBT EXPENSE, VALUED AT ESTABLISHED CHARGES, OF $28,862,327 AND $32,794,593 FOR YEARS ENDED JUNE 30, 2012 AND 2011, RESPECTIVELY.
MEDICARESchedule H, Part III, Line 8AMOUNTS REPORTED ON SCHEDULE B ARE BASED ON THE MEDICARE COST REPORTS.
COLLECTION PRACTICESSchedule H, Part III, Line 9BPatients 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 300 Pre-K students and organized local blood drives with over 1,000 community participants. Over 6,600 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.
AFFILIATED HEALTH CARE SYSTEMTANNER 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 21-BED SKILLED NURSING FACILITY IN CARROLLTON, GEORGIA. COMMUNITY BENEFIT REPORT: The Tanner Medical Center community benefit report can be found on the web at: http://www.tanner.org/Main/HealthyLivingmagazine.aspx

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LOY HOWARD
395212292115124013916621087080344980536812270792001560697944863800
LEE SHERSETH
18460113644444721330544174308587696481229681697626523319604000
LARRY STEED
20749615336764903479724174308593446906230101700830892722833800
JEFF JENNINGS
1467210844001147788483600001294509568000
DENISE TAYLOR
1250489242731685234194174308563254675221631638118939513998700
DALE DREILING
16594112265236225267754140306080505950239701771723832617615400
WILLIAM WATERS MD
264762195694520383846314211050129389563221741638935333326115900
DEBORAH HOLLENSTEIN
92424683131507111139000016349120841238449153600
CYNTHIA MASTERS
9301368749234581733900001276994381292409552600
DEBORAH MATTHEWS
18753604425206000000372320275020000
CAROL CREWS
81734604121378210187000016712123521122288295100
STEPHANIE YATES
8333261593143101057700001233391151099758128500
LINDA CONNER
15169601418000000348610200737000
DENENE COFIELD
871466441290956722000013754101661099958130000
VIVIAN BARR
842496227190416683000020206149351134968388900
DAVID THORNHILL
81916605467300539600001267393671018897530900
JADA REESE MD
396396095094037594000224380551522000
JAKE CHESSER
202471060000000304610233532000
LYNN BARRETT
915716768395227038000017932132541190258797500
JANE HORNSBY
9890273545600000002642301259257354500
DIANNE REED
8686464204899366470000746855201033257637100

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSESCHEDULE J, PART I, LINE 1ASocial 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
NON-FIXED PAYMENTS PROVIDEDSCHEDULE J, PART I, LINE 7The 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.
OTHER ADDITIONAL INFORMATIONSCHEDULE J, PART IIILoy 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.
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PART I, LINE 4Severance Nonqualified Equity-Based Loy Howard 0 86,618 0 Jeff Jennings 199,614 0 0
COMPENSATION PROCESS FOR TOP OFFICIALSCHEDULE J, PART I, LINE 3The 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 2012.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CARROLL CITY-COUNTY HOSPITAL AUTHORITY
581790149144709FK32008-03-1132970000CONSTRUCTIONfalsefalsefalse
CARROLL CITY-COUNTY HOSPITAL AUTHORITY
581790149144709GCO2010-08-3181569188CONSTRUCTIONfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
00328378000008374140032000386002009falsefalsetruetrue
00815691880035910031657030004500212700falsetruefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsefalsefalse0true
falsefalsefalsefalsefalsefalse0true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
0
falsefalsefalsefalse0falsefalse
0
falsefalsefalsefalse0falsefalse

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierPART II, LINE 3Identifier
Return Reference0ReturnReference
ExplanationTHE 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

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonDR JOHN BURSONNamePerson
Loan To OrganizationXLoanToOrganization
Original Principal$1,600,000OriginalPrincipalAmount
Balance Due518283BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due518283TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonSTEVE ADAMSNamePerson
FieldValueIRS element (for citing)
RelationshipBOARD MEMBERRelationship
Amount Of Transaction219392AmountOfTransaction
Description Of TransactionAMBULANCE SERVICEDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONSCHEDULE L, PART IIThe 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 a the note was reduced to $1,000,000. The current balance of the note is $518,283.
ADDITIONAL INFORMATIONSCHEDULE L, PART IVSteve 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.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (22 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONFORM 990As of June 30, 2012, 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 21-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.
ORGANIZATION'S PROCESS TO REVIEW FORM 990Form 990, Part VI, Line 11BThe 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 2011 Form 990 (FYE June 30, 2012) was presented to the Board after filing due to time constraints.
ENFORCEMENT OF CONFLICTS POLICYForm 990, Part VI, Line 12cThe 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.
GOVERNING DOCUMENTS DISCLOSUREForm 990, Part VI, Line 19The 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.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5UNREALIZED GAIN/LOSS AND PRIOR PERIOD ADJUSTMENT - NO TAX EFFECT (19,358,717)
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LOY HOWARD TITLE:CEO HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LEE SHERSETH TITLE:CFO HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LARRY STEED TITLE:COO HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DENISE TAYLOR TITLE:CDO HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILLIAM WATERS, MD TITLE:CMO HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARIA RUSSO TITLE:CIO HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DEBORAH HOLLENSTEIN TITLE:VP, PR MARKETING HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CYNTHIA MASTERS TITLE:VP, SERVICE INTEGRATION HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CAROL CREWS TITLE:VP, FINANCE HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STEPHANIE YATES TITLE:VP, COMPLIANCE HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DENENE COFIELD TITLE:OR DIRECTOR HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:VIVIAN BARR TITLE:HR DIRECTOR HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAVID THORNHILL TITLE:IMAGING DIRECTOR HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LYNN BARRETT TITLE:PHARMACY DIRECTOR HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DIANNE REED TITLE:IT DIRECTOR HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JEFF JENNINGS TITLE:SR. VICE PRESIDENT HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DALE DREILING TITLE:SR. VP, TMG HOURS:17

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
TANNER MEDICAL FOUNDATION INC
705 DIXIE STREETCARROLLTONGA30117581790152FOUNDATIONGA501(C)(3)11BNAfalse
TANNER HEALTH SERVICES
705 DIXIE STREETCARROLLTONGA30117581790151HEALTHCAREGA501(C)(3)9TMCtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnership
TMCWEST GEORGIA CARDIOLOGY INC
705 DIXIE STREETCARROLLTONGA30117582555827HEALTHCAREGANAC1.00000
TMCINTERNAL MEDICINE ASSOCIATES
705 DIXIE STREETCARROLLTONGA30117582453300HEALTHCAREGANAC1.00000
TMCTOTAL CARE FAMILY MEDICINE INC
705 DIXIE STREETCARROLLTONGA30117203604679HEALTHCAREGANAC1.00000
TMCBUCHANAN FAMILY HEALTHCARE
705 DIXIE STREETCARROLLTONGA30117582502339HEALTHCAREGANAC1.00000
TMCWEST GEORGIA PEDIATRICS INC
705 DIXIE STREETCARROLLTONGA30117582362405HEALTHCAREGANAC1.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
TANNER MEDICAL FOUNDATION INC
1C132613FMV
TANNER MEDICAL CENTER GROUP
1P38717362FMV