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TANNER MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
TANNER MEDICAL CENTER (EIN 80-0785570)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-16
IRS object ID
201331369349301253
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)
Timestamp2013-05-16T15:15:31-05:00Timestamp
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)
EIN800785570EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TANNER MEDICAL CENTER GROUP RETURNBusinessNameLine1
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 Receipts189153711GrossReceipts
Group Return For AffiliatestrueGroupReturnForAffiliates
All Affiliates IncludedtrueAllAffiliatesIncluded
Group Exemption Number9705GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.TANNER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTO SERVE COMMUNITIES THROUGHOUT WEST GEORGIA AND EAST ALABAMA BY OFFERING A WIDE RANGE OF PRIMARY CARE AND SPECIALTY PRACTICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees1241TotalNbrEmployees
Total Nbr Volunteers62TotalNbrVolunteers
Total Gross UBI286492TotalGrossUBI
Contributions Grants Prior Year45790ContributionsGrantsPriorYear
Contributions Grants Current Year38147ContributionsGrantsCurrentYear
Program Service Revenue Prior Year167158508ProgramServiceRevenuePriorYear
Program Service Revenue CY186564649ProgramServiceRevenueCY
Investment Income Prior Year6051InvestmentIncomePriorYear
Investment Income Current Year-209931InvestmentIncomeCurrentYear
Other Revenue Prior Year430811OtherRevenuePriorYear
Other Revenue Current Year2542165OtherRevenueCurrentYear
Total Revenue Prior Year167641160TotalRevenuePriorYear
Total Revenue Current Year188935030TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year78426589SalariesEtcPriorYear
Salaries Etc Current Year82782777SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year97472878OtherExpensePriorYear
Other Expenses Current Year106244068OtherExpensesCurrentYear
Total Expenses Prior Year175899467TotalExpensesPriorYear
Total Expenses Current Year189026845TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-8258307RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-91815RevenuesLessExpensesCY
Total Assets BOY101841426TotalAssetsBOY
Total Assets EOY104992146TotalAssetsEOY
Total Liabilities BOY7039437TotalLiabilitiesBOY
Total Liabilities EOY9709740TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY94801989NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY95282406NetAssetsOrFundBalancesEOY
Mission DescriptionTO SERVE COMMUNITIES THROUGHOUT WEST GEORGIA AND EAST ALABAMA BY OFFERING A WIDE RANGE OF PRIMARY CARE AND SPECIALTY PRACTICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense57671901Expense
Revenue51139227Revenue
DescriptionTanner Medical Center, Inc Group Physicians offer a wide range of medical specialties, including interventional and non-interventional cardiology, family medicine, gastroenterology, general surgery, infectious diseases, internal medicine, neurology, obstetrics and gynecology, oral and maxillofacial surgery, pediatrics, psychiatry, pulmonary and critical care medicine, surgical breast care and vascular surgery.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense25716571Expense
Revenue35727495Revenue
DescriptionTMC/Higgins General Hospital, Inc. provides medical services which include inpatient, outpatient, and ancillary services. As a not for profit corporation, the organization provides services to patients regardless of their ability to pay for these services.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense63061251Expense
Revenue101523858Revenue
DescriptionTMC/Villa Rica Hospital, Inc. (Villa Rica) operates a 40-bed acute care hospital that serves the residents of Carroll, Douglas, and Paulding counties and other west Georgia communities. Villa Rica also operates a 52-bed inpatient psychiatric facility that serves patients from all across the state.Description
FieldValueIRS element (for citing)
Total Program Service Expense146449723TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
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 BondsfalseTaxExemptBonds
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 EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109628NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1241NumberOfEmployees
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 Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 ChaptersfalseLocalChapters
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 (39 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey 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
CHRISTOPHER ARANT
BOARD MEMBER/PHYSICIAN40.0X963139036420
WILLIAM PARRISH
BOARD MEMBER/PHYSICIAN40.0X515325045477
BONNIE BOLES
BOARD MEMBER/PHYSICIAN40.0X292626028647
GLENN WHITNEY
BOARD MEMBER/PHYSICIAN40.0X530599017480
THOMAS E REEVE
BOARD MEMBER/PHYSICIAN40.0X471447041536
KEN BOSS
BOARD MEMBER/PHYSICIAN40.0X274047034186
LOY HOWARD
CEO17.0391811530095133711X
LEE SHERSETH
CFO17.017258323349655194X
LARRY STEED
COO17.020442427657356268X
DENISE TAYLOR
CDO17.011893116090749544X
WILLIAM WATERS MD
CMO17.023520731822161064X
MARIA RUSSO
CIO17.034821471114306X
DEBORAH HOLLENSTEIN
VP, PR MARKETING17.07945210749528433X
CYNTHIA MASTERS
VP, SERVICE INTEGRATION17.08608811647122207X
DEBORAH MATTHEWS
ADMINISTRATOR023778837232X
CAROL CREWS
VP, FINANCE17.0705999551629064X
STEPHANIE YATES
VP, COMPLIANCE17.0721709764221448X
LINDA CONNER
DON016587634861X
DENENE COFIELD
OR DIRECTOR17.0711349624123920X
VIVIAN BARR
HR DIRECTOR17.0689549329035141X
DAVID THORNHILL
IMAGING DIRECTOR17.0659428921622040X
SHAZIB KHAWAJA
PHYSICIAN40.01286765035093X
DAVID RUBIN
PHYSICIAN40.0653556032732X
ONAJE GREEN
PHYSICIAN40.0541493034813X
CHRIS WATTS
PHYSICIAN40.0529319030394X
MICHAEL FLOOD
PHYSICIAN40.0507225034744X
JEFF JENNINGS
SR. VICE PRESIDENT17.0956801294500X
DALE DREILING
SR. VP, TMG17.015248720630655687X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8485824TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3001694TotalReportableCompFrmRltdOrgs
Total Other Compensation1041642TotalOtherCompensation
Number Individuals GT100 K130NumberIndividualsGT100K
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
SOUTHERN THERAPY SERVICES INC
120 EAST CENTER STREETCARROLLTONGA30117PHYSICAL THERAPY1447951
LABORATORY CORPORATION OF AMERICA
PO BOX 12140BURLINGTONNC27216LAB1430716
MULTIPLE SCLEROSIS CENTER
3200 DOWNWOOD CIRCLE NW STE 550ATLANTAGA30327MS MGMT/RENT898071
HORIZON LITHOTRIPSY LLC
1930 BRANNAN ROADMCDONOUGHGA30253LITHOTRIPSY844250
MEDICAL PROTECTIVE COMPANY
23289 NETWORK PLACECHICAGOIL60673INSURANCE816343
FieldValueIRS element (for citing)
Number Of Contractors GT100 K27NumberOfContractorsGT100K
Related Organizations38147RelatedOrganizations
Total Contributions38147TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE623000186278157186278157
REFERENCE LAB - TMC/HIGGINS6215007813578135
REFERENCE LAB - TMC/VILLA RICA621500208357208357
FieldValueIRS element (for citing)
Total Program Service Revenue186564649TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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)
Other8750Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other218681Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-209931Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-209931TotalRevenueColumn
Exclusion-$209,931ExclusionAmount

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 ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA624200394396$394,396
HOUSEKEEPING62199027680$27,680
VENDING INCOME6242007666$7,666

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2112423TotalRevenueColumn
Related Or Exempt Function Income2112423RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2542165TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column188935030TotalRevenueColumn
Related Or Exempt Function Income188390580RelatedOrExemptFunctionIncome
Unrelated Business Revenue286492UnrelatedBusinessRevenue
Exclusion$219,811ExclusionAmount

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)
Total8524351Total
Program Services8524351ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total66712626Total
Program Services65102501ProgramServices
Management And General1610125ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2720717Total
Program Services2657475ProgramServices
Management And General63242ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total363802Total
Program Services363802ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4461281Total
Program Services4358403ProgramServices
Management And General102878ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total735550Total
Program Services735550ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10669405Total
Program Services10628996ProgramServices
Management And General40409ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total51733Total
Program Services49283ProgramServices
Management And General2450ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3636200Total
Program Services3390394ProgramServices
Management And General245806ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3018435Total
Program Services3018435ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total313763Total
Program Services303938ProgramServices
Management And General9825ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total273516Total
Program Services269721ProgramServices
Management And General3795ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7571946Total
Program Services6985607ProgramServices
Management And General586339ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1165153Total
Management And General1165153ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
SHARED SERVICES3871736238717362
BAD DEBTS1954787219547872
MEDICAL SUPPLIES1918918419189184
LICENSES AND TAXES718445718445

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total635504Total
Program Services605766ProgramServices
Management And General29738ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total189026845Total
Program Services146449723ProgramServices
Management And General42577122ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY87104BOY
EOY51007EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY15700698BOY
EOY15763128EOY

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)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2134339BOY
EOY2020923EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY183636BOY
EOY234852EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis116543553LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec47737455LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY61458024BOY
EOY68806098EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY6803526BOY
EOY5666677EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY15474099BOY
EOY12449461EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY101841426BOY
EOY104992146EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6425849BOY
EOY8269222EOY

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)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

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)
BOY613588BOY
EOY1440518EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7039437BOY
EOY9709740EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY94801989BOY
EOY95282406EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY94801989BOY
EOY95282406EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY101841426BOY
EOY104992146EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-91815ReconcilationRevenueExpenses
Reconcilation Other Changes572232ReconcilationOtherChanges
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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7977813OtherCostOrOtherBasis
Book Value7977813BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis71209697OtherCostOrOtherBasis
Depreciation22389862Depreciation
Book Value48819835BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis825642OtherCostOrOtherBasis
Depreciation388106Depreciation
Book Value437536BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis32424409OtherCostOrOtherBasis
Depreciation24959488Depreciation
Book Value7464921BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4105993OtherCostOrOtherBasis
Book Value4105993BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings68806098TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM RELATED PARTIES12231148
OTHER RECEIVABLES218313
FieldValueIRS element (for citing)
Total Book Value Other Assets12449461TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionTHIRD PARTY SETTLEMENTSDescription
Amount$1,440,518Amount
FieldValueIRS element (for citing)
Total Of Amounts1440518TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 DISCLSOUREIdentifier
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 recognizes the maximum benefit of each income tax position that is more than 50% likely of being sustained. To the extent that all or a portion of the benefits of an income tax position are not recognized, a liability would be recognized for the unrecognized benefits, along with any interest and penalties that would result from disallowance of the position. Should any such penalties and interest be incurred, they would be recognized as operating expenses. Based on the results of management's evaluation, no liability is recognized in the accompanying balance sheet for unrecognized income tax positions. Further, no interest or penalties have been accrued or charged to expense as of June 30, 2012 and 2011 or for the years then ended. Tanner Medical Center 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 Center Group Inc. 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 Expense7356295TotalCommunityBenefitExpense
Net Community Benefit Expense7356295NetCommunityBenefitExpense
Percent Of Total Expense0.04340PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense28430130TotalCommunityBenefitExpense
Direct Offsetting Revenue26398867DirectOffsettingRevenue
Net Community Benefit Expense2031263NetCommunityBenefitExpense
Percent Of Total Expense0.01200PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense35786425TotalCommunityBenefitExpense
Direct Offsetting Revenue26398867DirectOffsettingRevenue
Net Community Benefit Expense9387558NetCommunityBenefitExpense
Percent Of Total Expense0.05540PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2288901TotalCommunityBenefitExpense
Net Community Benefit Expense2288901NetCommunityBenefitExpense
Percent Of Total Expense0.01210PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense29112TotalCommunityBenefitExpense
Net Community Benefit Expense29112NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense31654TotalCommunityBenefitExpense
Net Community Benefit Expense31654NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2349667TotalCommunityBenefitExpense
Net Community Benefit Expense2349667NetCommunityBenefitExpense
Percent Of Total Expense0.01230PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense38136092TotalCommunityBenefitExpense
Direct Offsetting Revenue26398867DirectOffsettingRevenue
Net Community Benefit Expense11737225NetCommunityBenefitExpense
Percent Of Total Expense0.06770PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense196944TotalCommunityBuildingExpense
Net Community Building Expense196944NetCommunityBuildingExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

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 Expense0.00020PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense17117TotalCommunityBuildingExpense
Net Community Building Expense17177NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1011846TotalCommunityBuildingExpense
Net Community Building Expense1011846NetCommunityBuildingExpense
Percent Of Total Expense0.00600PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense1308914TotalCommunityBuildingExpense
Net Community Building Expense1308974NetCommunityBuildingExpense
Percent Of Total Expense0.00780PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$19,547,872BadDebtExpenseAmount
Amount Reimbursed By Medicare21525044AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare25032947CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3507903MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalCritical Access HospitalCriticalAccessHospitalEr24 HoursEr24HoursOtherOther
TMCHIGGINS GENERAL HOSPITAL
1200 ALLEN MEMORIAL DRIVEBREMENGA30110XXXXSWING BEDS
TMCVILLA RICA HOSPITAL INC
2705 DALLAS HIGHWAYVILLA RICAGA30180XXXPSYCH UNIT

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsitePosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyMedicare RateMedicareRateAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
TMCHIGGINS GENERAL HOSPITAL
1truetrue125.true200.trueXXXXXXXtruetrueXXXXXtruefalsetrueXfalsefalse
TMCVILLA RICA HOSPITAL INC
2truetrue125.true200.trueXXXXXXXtruetrueXXXXXtruefalsetrueXfalsefalse

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.
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: The organization 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. 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: Haralson County is located in the west central section of Georgia, along the Georgia-Alabama state line. The county has a population of just more than 28,000 residents. Most recently, growth in the area has been hampered by the economic impact from the lingering recession, and housing prices have fallen. The county's unemployment rate is approximately 9.6 percent, higher than the state or national rates. Regionally, Haralson County is an economic center with seven incorporated municipalities. HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE: The organization 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, the organization provided health education through 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.
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/VILLA RICA WAS ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 40-BED ACUTE CARE HOSPITAL AND WILLOWBROOK AT TANNER/VILLA RICA, A 52 BED PSYCHIATRIC FACILITY IN VILLA RICA, GEORGIA. TANNER MEDICAL CENTER/HIGGINS GENERAL HOSPITAL WAS ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 25-BED CRITICAL ACCESS HOSPITAL IN BREMEN, GEORGIA. TANNER MEDICAL GROUP OPERATES PHYSICIAN PRACTICES IN WEST GEORGIA AND EASTERN ALABAMA. 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)
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 (27 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
292115395212916621240138034108703681249805200152707944863860697900
LEE SHERSETH
13644418460133054447213085417464818769169762296819604026523300
LARRY STEED
15336720749647972649033085417469069344170082301022833830892700
JEFF JENNINGS
1084414672008483611477800009568012945000
DENISE TAYLOR
9242712504823419316853085417446756325163812216313998718939500
DALE DREILING
12265216594126775362253060414059508050177172397017615423832600
WILLIAM WATERS MD
195694264762384635203810501421956312938163892217426115935333300
DEBORAH HOLLENSTEIN
68313924241113915071000012084163499153612384400
CYNTHIA MASTERS
6874993013173392345800009438127699552612924000
DEBORAH MATTHEWS
01875360442520600000037232027502000
CAROL CREWS
60412817341018713782000012352167128295111222800
STEPHANIE YATES
6159383332105771431000009115123338128510997500
LINDA CONNER
01516960141800000034861020073700
DENENE COFIELD
644128714667229095000010166137548130010999500
VIVIAN BARR
622718424966839041000014935202068388911349600
DAVID THORNHILL
60546819165396730000009367126737530910188900
SHAZIB KHAWAJA
700085044208301445970003509301321858000
CHRISTOPHER ARANT
37645904420830144597000364200999559000
DAVID RUBIN
64098100012575000327320686288000
ONAJE GREEN
43721409477909500000348130576306000
WILLIAM PARRISH
2096150238710067000000454770560802000
BONNIE BOLES
27418500018441000286470321273000
GLENN WHITNEY
49826600032333000174800548079000
THOMAS E REEVE
305613000165834000415360512983000
KEN BOSS
148885070162055000000341860308233000
CHRIS WATTS
1787710327848022700000303940559713000
MICHAEL FLOOD
391694010928006251000347440541969000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, SCHEDULE J, PART I, QUESTION 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.
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
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.

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 (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
STEVE ADAMS
BOARD MEMBER164460AMBULANCE SERVICESfalse
ROBERT PITTS MD
BOARD MEMBER38429BUILDING CONDOMINIUM FEESfalse

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 the note was reduced to $1,000,000. The current balance of the note is $518,283.42.
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. Robert Pitts, MD, board member, leases a building to the organization.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (22 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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 services and if a company owned by a board member chooses to bid, there are additional steps for transparency, such as advertising the bidding process in the newspaper. All services are compared to fair market value.
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 5PRIOR PERIOD ADJUSTMENTS - NO TAX EFFECT 572,232 ---------- TOTAL 572,232 ==========
LIST OF SUBORDINATE ORGANIZATIONS INCLUDEDFORM 990, LINE H(B)Tanner Medical Group, Inc. EIN: 26-4045534 TMC/Higgins General Hospital Inc. EIN: 58-2414416 TMC/Villa Rica Hospital, Inc. EIN: 58-2453303 TMC Woodland Family Healthcare, Inc. EIN: 26-3196318 TMC Tanner Neurology Inc. EIN: 26-3911032 TMC Carousel Pediatrics Inc. EIN: 26-3590073 TMC Internal Medicine of Villa Rica EIN: 26-2988495 TMC Childrens Healthcare of West GA EIN: 58-2634487 TMC Gastroenterology Associates, Inc. EIN: 20-3927844 TMC Infectious Diseases of West Georgia, Inc. EIN: 20-4090611 TMC West Georgia Behavioral Health EIN: 58-2532629 TMC West GA Family Medicine, Inc. EIN: 26-1231577 TMC Internal Medicine of Carrollton, Inc. EIN: 26-1231536 TMC Carrollton Family Healthcare, Inc. EIN: 26-3486420 TMC Internal Medicine Associates EIN: 58-2453300 TMC Total Care Family Medicine, Inc. EIN: 20-3604679 TMC West Georgia Cardiology, Inc. EIN: 58-2555827 Tanner Medical Group, Inc. Group EIN: 80-0785570 TMC Home Health, Inc. EIN: 58-2453296 TMC Hospice Care, Inc. EIN: 58-2453302 TMC Occupational Health, Inc. EIN: 58-2362404 TMC Haralson Family Healthcare EIN: 58-2378722 TMC Tallapoosa Family Healthcare EIN: 58-2378724 TMC West Georgia Anesthesia Associates, Inc. EIN: 20-3604642 Tanner Intensive Medical Services EIN:20-0336940 TMC West Carroll Family Healthcare EIN: 58-2504393 Tanner Family Healthcare of Franklin EIN: 26-0585684 TMC Immediate Care EIN: 20-0379196 Villa Rica OB GYN, Inc. EIN: 20-8040887 TMC Tanner Gynecology, Inc. EIN: 58-2637357
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LOY HOWARD TITLE:CEO HOURS:23
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LEE SHERSETH TITLE:CFO HOURS:23
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LARRY STEED TITLE:COO HOURS:23
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DENISE TAYLOR TITLE:CDO HOURS:23
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:WILLIAM WATERS, MD TITLE:CMO HOURS:23
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MARIA RUSSO TITLE:CIO HOURS:23
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DEBORAH HOLLENSTEIN TITLE:VP, PR MARKETING HOURS:23
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CYNTHIA MASTERS TITLE:VP, SERVICE INTEGRATION HOURS:23
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DEBORAH MATTHEWS TITLE:ADMINISTRATOR HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CAROL CREWS TITLE:VP, FINANCE HOURS:23
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:STEPHANIE YATES TITLE:VP, COMPLIANCE HOURS:23
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LINDA CONNER TITLE:DON HOURS:40
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DENENE COFIELD TITLE:OR DIRECTOR HOURS:23
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:VIVIAN BARR TITLE:HR DIRECTOR HOURS:23
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DAVID THORNHILL TITLE:IMAGING DIRECTOR HOURS:23
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JEFF JENNINGS TITLE:SR. VICE PRESIDENT HOURS:23
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DALE DREILING TITLE:SR. VP, TMG HOURS:23

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 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 MEDICAL CENTER INC
705 DIXIE STREETCARROLLTONGA30117581790149HEALTHCAREGA501(C)(3)3NAfalse
TANNER HEALTH SERVICES
705 DIXIE STREETCARROLLTONGA30117581790151HEALTHCAREGA501(C)(3)9TMCfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
TMCBUCHANAN FAMILY HEALTHCARE
705 DIXIE STREETCARROLLTONGA30117582502339HEALTHCAREGANAC
TMCWEST GEORGIA PEDIATRICS INC
705 DIXIE STREETCARROLLTONGA30117582362405HEALTHCAREGANAC
TMCWEST GEORGIA CARDIOLOGY INC
705 DIXIE STREETCARROLLTONGA30117582555827HEALTHCAREGANAC
TMCINTERNAL MEDICINE ASSOCIATES
705 DIXIE STREETCARROLLTONGA30117582453300HEALTHCAREGANAC
TMCTOTAL CARE FAMILY MEDICINE INC
705 DIXIE STREETCARROLLTONGA30117203604679HEALTHCAREGANAC
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 OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg