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TANNER MEDICAL FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
TANNER MEDICAL FOUNDATION INC (EIN 58-1790152)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201341359349308934
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)
Timestamp2013-05-15T17:46:12-05:00Timestamp
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)
EIN581790152EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TANNER MEDICAL CENTER FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DENISE TAYLORInCareOfName
Name ControlTANNNameControl
Phone7708369871Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1303 AMBULANCE DRIVEAddressLine1
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 PersonDENISE TAYLOR CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1303 AMBULANCE DRIVEAddressLine1
CityCARROLLTONCity
StateGAState
ZIP Code30117ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3782732GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTo partner with Tanner Health System in providing a continuum of quality healthcare services for all of our citizens through building and strengthening of new and existing philanthropic relationships.ActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members23NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1677391ContributionsGrantsPriorYear
Contributions Grants Current Year2299865ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year265875InvestmentIncomePriorYear
Investment Income Current Year157486InvestmentIncomeCurrentYear
Other Revenue Prior Year-111897OtherRevenuePriorYear
Other Revenue Current Year-116770OtherRevenueCurrentYear
Total Revenue Prior Year1831369TotalRevenuePriorYear
Total Revenue Current Year2340581TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1266587GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1238277GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year519572SalariesEtcPriorYear
Salaries Etc Current Year548920SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year87794OtherExpensePriorYear
Other Expenses Current Year92357OtherExpensesCurrentYear
Total Expenses Prior Year1873953TotalExpensesPriorYear
Total Expenses Current Year1879554TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-42584RevenuesLessExpensesPriorYear
Revenues Less Expenses CY461027RevenuesLessExpensesCY
Total Assets BOY7404105TotalAssetsBOY
Total Assets EOY7635232TotalAssetsEOY
Total Liabilities BOY16920TotalLiabilitiesBOY
Total Liabilities EOY30766TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7387185NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7604466NetAssetsOrFundBalancesEOY
Mission DescriptionTo partner with Tanner Health System in providing a continuum of quality healthcare services for all of our citizens through building and strengthening of new and existing philanthropic relationships.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1879554Expense
Grants1238277Grants
Revenue2299865Revenue
DescriptionThe Foundation is a receptacle for charitable gifts to assist and support Tanner Medical Center, a non-profit, 501(C)(3), hospital. The Foundation, by assisting the hospital, helps provide charitable healthcare services and quality medical care to the public. SEE SCHEDULE ODescription
Total Program Service Expense1879554TotalProgramServiceExpense
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 EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
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 ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members23NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
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 PersonDENISE TAYLORNamePerson
Telephone Number7708369871TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1303 AMBULANCE DRIVEAddressLine1
CityCARROLLTONCity
StateGAState
ZIP Code30117ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
LOY HOWARD
HOSP CEO/MEMBER2.0XX0921906133712
SUSAN FLECK
CHAIRMAN2.0XX000
STEVE ADAMS
VICE CHAIR2.0XX000
GELON WASDIN
TREASURER2.0XX000
RANDALL REDDING
SECRETARY2.0XX000
LAURA LARSON MD
BOARD MEMBER2.0X01927930
WANDA CALHOUN
BOARD MEMBER2.0X
LYNN CLARKE
BOARD MEMBER2.0X
GUYTON COCHRAN
BOARD MEMBER2.0X
WOODY COLE
BOARD MEMBER2.0X
MARY COVINGTON
BOARD MEMBER2.0X
CLARENCE FINLEYSON
BOARD MEMBER2.0X
JOHN GRILLO
BOARD MEMBER2.0X
BARBARA KAUFFMAN
BOARD MEMBER2.0X
TRENT NORTH
BOARD MEMBER2.0X
FRED O'NEAL
BOARD MEMBER2.0X
RANDY PIERCE MD
BOARD MEMBER2.0X
LAURA RICHARDS
BOARD MEMBER2.0X
TOM RICHARDS
BOARD MEMBER2.0X
RICHARD SMITH
BOARD MEMBER2.0X
BOBBY STEWART
BOARD MEMBER2.0X
BOB STONE
BOARD MEMBER2.0X
TIM WARREN
BOARD MEMBER2.0X
VALERIE WILHELM
BOARD MEMBER2.0X
DANA WYNN
BOARD MEMBER2.0X
DENISE TAYLOR
CEO20.0X11893116090749544
FieldValueIRS element (for citing)
Total Reportable Comp From Org118931TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1275606TotalReportableCompFrmRltdOrgs
Total Other Compensation183256TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events491864FundraisingEvents
All Other Contributions1808001AllOtherContributions
Noncash Contributions21855NoncashContributions
Total Contributions2299865TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column29774TotalRevenueColumn
Exclusion$29,774ExclusionAmount

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)
Securities1302423Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1174711Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities127712Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column127712TotalRevenueColumn
Exclusion$127,712ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events61346GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events491864CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses185696FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-124350TotalRevenueColumn
Exclusion-$124,350ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory89324GrossSalesOfInventory
Cost Of Goods Sold81744CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column7580TotalRevenueColumn
Exclusion$7,580ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2340581TotalRevenueColumn
Exclusion$40,716ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1238277Total
Program Services1238277ProgramServices

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)
Total105667Total
Program Services105667ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total327707Total
Program Services327707ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total16094Total
Program Services16094ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total72639Total
Program Services72639ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total26813Total
Program Services26813ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total12881Total
Program Services12881ProgramServices

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)
Total11774Total
Program Services11774ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3889Total
Program Services3889ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14674Total
Program Services14674ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total6921Total
Program Services6921ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total13945Total
Program Services13945ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
REPAIRS & MAINTENANCE1038510385
MISCELLANEOUS76407640
UTILITIES60396039
DUES & SUBSCRIPTIONS42094209

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1879554Total
Program Services1879554ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY412216BOY
EOY356183EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2177707BOY
EOY1995216EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY36239BOY
EOY19406EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

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)
BOY10139BOY
EOY13680EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1459BOY
EOY1459EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis238516LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec141118LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY110397BOY
EOY97398EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4429455BOY
EOY4882920EOY

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)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY226493BOY
EOY268970EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7404105BOY
EOY7635232EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16920BOY
EOY30766EOY

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)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY16920BOY
EOY30766EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1887405BOY
EOY1924045EOY

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)
BOY7387185BOY
EOY7604466EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7404105BOY
EOY7635232EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses461027ReconcilationRevenueExpenses
Reconcilation Other Changes-243746ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1TANNER MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
EIN581790149EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$1,034,703Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts1034703SumOfAmounts

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 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 OrgsfalseEndowmentsHeldByRelatedOrgs
LandLand

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis140203OtherCostOrOtherBasis
Depreciation52801Depreciation
Book Value87402BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis98313OtherCostOrOtherBasis
Depreciation88317Depreciation
Book Value9996BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings97398TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts

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.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1MAGNOLIA BALLNameOfEvent1
Gross Receipts Event1486992GrossReceiptsEvent1
Charitable Contributions Event1443330CharitableContributionsEvent1
Gross Revenue Event143662GrossRevenueEvent1
Rent Facility Costs Event167379RentFacilityCostsEvent1
Food And Beverage Event166807FoodAndBeverageEvent1
Entertainment Event15950EntertainmentEvent1
Other Direct Expenses Event141526OtherDirectExpensesEvent1
Name Of Event2CHOIRS FOR CANCNameOfEvent2
Gross Receipts Event266218GrossReceiptsEvent2
Charitable Contributions Event248534CharitableContributionsEvent2
Gross Revenue Event217684GrossRevenueEvent2
Rent Facility Costs Event21601RentFacilityCostsEvent2
Other Direct Expenses Event22433OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total553210GrossReceiptsTotal
Charitable Contributions Total491864CharitableContributionsTotal
Gross Revenue Total Events61346GrossRevenueTotalEvents
Rent Facility Costs Total Events68980RentFacilityCostsTotalEvents
Food And Beverage Total Events66807FoodAndBeverageTotalEvents
Entertainment Total Events5950EntertainmentTotalEvents
Other Direct Expenses Total Events43959OtherDirectExpensesTotalEvents
Direct Expense Summary Events185696DirectExpenseSummaryEvents
Net Income Summary-124350NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
TANNER MEDICAL CENTER
705 DIXIE STREETCARROLLTONGA30117581790149501(C)(3)10347030N/AN/AHEALTHCARE SUPPORT
TANNER MEDICAL CENTER GROUP
705 DIXIE STREETCARROLLTONGA30117800785570501(C)(3)381470N/AN/AHEALTHCARE SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING USE OF GRANT FUNDSIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationGrant proposals are submitted to granting foundations requesting funds for a specific purpose or projects. An estimated budget is included with proposal and funds are granted according to budget items requested. Once approved, grant funds are released through purchase order process according to specification of approved grant. Quarterly or annual reports are submitted to granting organizations when required for specific grants; a separate grant audit is conducted.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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 OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 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
068732702156750189040866180470940105561800
DENISE TAYLOR
9242712504823419316853085417446756325163812216313998718939500
LAURA LARSON MD
014524804664509000000019279300

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMPENSATION CONTINGENT UPON NET EARNINGS OF RELATED ORGSchedule J, Part I, Line 6BA percentage of the incentive compensation for executives and directors includes criteria that a certain percentage of the bottom line is achieved.
OTHER ADDITIONAL INFORMATIONSCHEDULE J, PART IIINone of the employees are compensated by the Foundation. Tanner Medical Center ("TMC"), the supported organization, compensates all Foundation employees. The Foundation reimburses TMC for compensation and related expenses.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONFORM 990Tanner Medical Foundation partners with the community to raise funds in support of the programs and services of Tanner Health System. Our mission is to build and strengthen new and existing philanthropic relationships to support Tanner Health System in its delivery of quality healthcare services. The Foundation supports Tanner Health System, a nonprofit, regional healthcare provider with three hospitals and more than 300 physicians representing 34 medical specialties. Tanner provides a wide range of comprehensive medical services for residents in a nine county area of west Georgia and east Alabama. Tanner's facilities include the 201 bed acute care Tanner Medical Center/Carrollton, the 40 bed acute care Tanner Medical Center/Villa Rica and the 25 bed critical access Higgins General Hospital in Bremen. Tanner also operates Willowbrook at Tanner, a 52 bed inpatient behavioral health facility that is a sub-provider of Tanner Medical Center/Villa Rica. Other Tanner services included the Roy Richards, Sr. Cancer Center, Tanner Heart and Vascular Center, Tanner Breast Health, Tanner Occupational Health, Tanner Advanced Wound Center, Tanner Immediate Care, Tanner Home Health, Tanner Hospice Care, Tanner employee assistance program (Tanner EAP) and more. Tanner also operates Tanner Medical Group, one of metro Atlanta's largest physician group practices as rated by the Atlanta Business Chronicle. Tanner Medical Group is comprised of about 25 medical practices with 35 locations in Carroll, Douglas, Haralson, Heard and Paulding counties in Georgia and Cleburne County in Alabama. Tanner Medical Group physicians offer a wide range of medical specialties, including interventional and non-interventional cardiology, family medicine, gastroenterology, general surgery, infectious diseases, internal medicine, obstetrics and gynecology, oral and maxillofacial surgery, pediatrics, psychiatry, pulmonary and critical care medicine, surgical breast care and vascular surgery. As a mission-driven, not-for-profit regional healthcare organization, Tanner health System reinvests funds in excess of operating expenses in healthcare services for the community. Charitable gifts to Tanner Medical Foundation provide assistance to Tanner patients who could not otherwise afford their healthcare and allow crucial capital improvements and support of programs and services to meet the community's healthcare needs not covered by Tanner Health System's annual budget. During fiscal year 2012, donors made it possible for Tanner Medical Foundation to provide over $1.6 million to benefit programs and services of Tanner Health System. Funds donated to Tanner Medical Foundation supported programs and equipment purchases identified as critically necessary in 2012, including support of capital improvements, charity care and other community healthcare priorities. SUPPORT OF CAPITAL IMPROVEMENTS: Tanner Medical Foundation made the second installment of a multi-year commitment to support construction and capital equipment for the expansion of the surgical services unit and construction of the new emergency department at Tanner Medical Center/Carrollton. Tanner Health System serves more than 100,000 emergency department patients each year, and nearly half are treated at Tanner Medical Center/Carrollton. Carroll County's population has nearly doubled since the department's last major expansion in the 1980's and as our community has grown, so has the need for expanded emergency care. In 2011, Carroll County had the 20th largest population in Georgia yet it accommodated the 10th highest number of emergency room visits of all Georgia counties. Tanner Medical Center/Carrollton performed almost 6,000 surgical cases last year, and 90% of those procedures were short-stay surgeries. With the growth of Tanner's medical staff, more specialists are providing additional advanced procedures. The surgical services expansion will accommodate both the need and the expertise to perform these procedures. The Foundation also continued its pledge toward the Tanner Heart and Vascular Center expansion. Tanner Heart and Vascular Center provides the community with convenient access to state-of-the-art cardiac resources, as well as diagnosis, treatment, rehabilitation and education. Gifts to the Tanner Medical Foundation have funded areas of Tanner's Innovative Health Education and Wellness Education Center - a six classroom facility that provides community education on a wide range of health issues, including cardiac health - as well as a quiet reflection courtyard for patients, patient families, Tanner employees and the community. The John and Barbara Tanner Cardiac Rehab Center provides rehabilitation services to patients and their families in both inpatient and outpatient environments as they recover from heart and vascular procedures. Tanner's behavioral health facility, Willowbrook at Tanner, serves patients from 74 Georgia counties, six counties in Alabama and as far away as Washington State. To address the growing need for behavioral health treatment and substance abuse services for the adolescent population, gifts to Tanner Medical Foundation supported the conversion of a wing previously used for elder adult patients. The conversion created an inpatient unit to accommodate adolescent patients of Willowbrook at Tanner. During FY 2012, Tanner Medical Foundation secured grants that augmented donor gifts for essential capital improvements including an expansion of support services for Tanner patients living with chronic disease such as heart disease, cancer, and diabetes. According to the Center for Disease Control and Prevention, chronic diseases are the leading causes of death and disability in the United States. An additional grant was awarded for the renovation of the emergency department of Higgins General Hospital, a 25-bed critical access hospital that offers inpatient as well as outpatient medical services, including a 24-hour emergency department. CHARITY CARE According to the Bureau of Labor Statistics, Georgia outpaced the national unemployment rate by 1.2% in 2011, ending the year at 9.7%. The communities served by Tanner Health System exceeded the state average, frequently topping 10% during 2011, fueling an expanded need for charity care among uninsured and underinsured citizens. Donations to Tanner Medical Foundation provided assistance to indigent cancer patients, multiple sclerosis patients and other Tanner patients with medication, treatment and expenses related to their medical conditions. Almost 100 patients who could not otherwise afford it received help getting the medications they needed. Mammogram screenings were another vital area of charity care supported by Tanner Medical Foundation donors. One woman in eight has a chance of developing breast cancer, and one in 33 will die from this treatable disease. Within Tanner's nine county service area: -4 counties have a higher rate of breast cancer incidents than the national average. -3 counties have a higher rate of breast cancer incidents than the national average. -3 counties have a higher rate of breast cancer deaths than the national average. It's estimated that one-third of all breast cancer deaths in America each year could be prevented by early detection. Unfortunately for many area women, the cost of an annual mammogram is more than they can afford, putting this essential screening beyond their grasp and possibly allowing the cancer to grow and spread undetected. Gifts to Tanner Medical Foundation made possible mammograms for 214 area women during the past year. Hospice care is another significant need in communities served by Tanner Health System. During FY12, Tanner Hospice Care served 6,200 patients. Through contributions to Tanner Medical Foundation, Tanner Hospice Care - the region's only community-based, nonprofit hospice care provider - continued in its capacity to provide hospice services to every area resident who needed it, regardless of ability to pay. Funds also helped to outfit a new workspace for the Tanner Hospice Care Team, along with space for the service to host grief support sessions and more for the loved ones of the people who need their care. Through generous donor support, $25,000 in funding was made available for cardiac diagnostics, treatment and rehabilitation services for patients who otherwise could not afford this care. During 2011, Tanner Health Service provided over $2.2 million in uncompensated cardiac diagnostic and intervention for indigent patients. The support made available through Tanner Medical Foundation in FY2011 was fully utilized to assist numerous patients who could not afford these cardiac diagnostic tests.
ADDITIONAL COMMUNITY HEALTHCARE PRIORITIESWomen and heart disease: Tanner Medical Foundation secured grants toprovide education and screenings for 200 area women at Dressed for Heart Success, an event that featured a fun and entertaining approach to addressing women and heart disease. The event included presentations from three cardiologists, as well as a vascular surgeon and a gynecologist discussing risk factors and treatments for cardiovascular problems and heart disease. W. Steve Worthy maternity Center: Gifts made to Tanner Medical Foundation allowed Tanner to provide new beds for fathers to stay in the room with their new families, as well as to provide car safety seats to families who could not afford them, purchase blood pressure monitors, blanket warmers and more, helping Tanner provide the best possible care for mothers and newborns in this area. Courage Kits: To help women cope with their diagnosis and excel through treatment, Tanner Breast Health's Courage Kit help women track their treatments, remember questions to ask their care providers and provides extensive resources, organized and indexed at their fingertips. Gifts made through Tanner Medical Foundation enabled Tanner Breast Health to provide these special courage kits to 75 women during the past year. Willowbrook at Tanner: When Willowbrooke at Tanner opened three years ago, it was the first new inpatient behavioral health facility built in Georgia in more than 20 years. Willowbrooke at Tanner provides inpatient and outpatient treatment for adults, children and adolescents with a wide range of behavioral health problems. During FY12, gifts to Tanner Medical Foundation provided funding for expressive therapy supplies, equine therapy and an innovative program to support relatives raising children as their parents. For many children and adults, the effects of mental illness are better expressed through art than through words. With expressive therapy, emotions and thoughts can be explored by patients in a variety of ways and analyzed by expressive therapists to help patients get the most benefit from their treatment. Through donations to Tanner Medical Foundation, art supplies were provided to 1,243 patients at Willowbrooke At Tanner during FY2012. For people coping with mental illness, interactions with a horse through equine therapy, provides a special insight into how their actions appear to others. A grant to Tanner Medical Foundation this year allowed Willowbrooke at Tanner to provide innovative equine therapy services to 98 patients. Through gifts to Tanner Medical Foundation, Tanner Behavioral Health provides a free support and education Relatives as Parents Program, or RAPP. The program addresses issues such as legal rights, roles and responsibilities, discipline and anger management, legal advocacy, taxes and other real life questions and situations for relatives raising children as their parents. Medical Scholarships: Tanner Medical Foundation has partnered with Tanner Health System to provide three scholarships to students in medical school and one for a student in nursing school, to help ensure the medical expertise needed to serve the west Georgia region will continue to be available in the future. Harmony for Healing: Tanner's approach to treating the whole patient, and not just his or her illness, was supported through gifts to Tanner's Harmony for Healing Music therapy program. More than 175 performances were given by volunteers for Tanner patients, their loved ones, members of the community, employees and medical staff at Tanner Medical Center/Carrollton. Donations to Tanner Medical Foundation: Donations to Tanner Medical are received from individuals, businesses, civic organizations, churches and foundations to fund new programs, services and technologies. Gifts to the Foundation are made through outright gifts, tribute gifts, grants, named gifts, estate gifts, community partner events. Tanner employees share the commitment to support Tanner Health system in its delivery of quality healthcare services through their donations to the Heartbeat Employee Giving Program. To date, team members have given more than $1 million to support Tanner Medical Foundation-S Humanitarian Fund and the programs and services of Tanner Health System. The compassionate contributors of Tanner Medical Foundation ensure the 60-year legacy of quality healthcare provided by Tanner Health System continues. Gifts from Tanner Medical Foundation augment the commitment made by Tanner Health System to provide care to every member of the community, regardless of their ability to pay. This commitment is embodied by $63 million in indigent and charity care provided by Tanner Health System in the last fiscal year alone for those who need, but cannot otherwise afford, quality healthcare services. ELECTION OF MEMBERS AND THEIR RIGHTS Form 990, Part VI, Line 7A All directors of the corporation shall be appointed by the Board of directors of Tanner Health System, Inc. aka Tanner Medical Center, Inc.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFor 990, Part VI, Line 7BThe adoption of, and any amendment to the by-laws must be approved by the Board of Directors of Tanner Health System, Inc. aka Tanner Medical Center, Inc.
ORGANIZATION'S PROCESS TO REVIEW FORM 990Form 990, Part VI, Line 11BA draft copy is reviewed by the Foundation's CEO. The final version is presented to the Finance Committee for review and questions. Management will then present the return at the next Board Meeting to the full Board after filing with the Internal Revenue Service.
ENFORCEMENT OF CONFLICTS POLICYForm 990, Part VI, Line 12CThe Foundation follows its supported organization's (Tanner Medical Center, Inc.) policy.
COMPENSATION PROCESS FOR TOP OFFICIALForm 990, Part VI, Line 15AThe review process for determining compensation of the Executive and other Officers is conducted by an outside independent company.
GOVERNING DOCUMENTS DISCLOSUREForm 990, VI, Line 19The organization makes available its governing documents, conflict of interest policy and financial statements to members of the public who present their request at the administrative office of the organization.
AVERAGE HOURS WORKED AT RELATED ORGANIZATIONSForm 990, Part VIIAverage hours spent at related organizations: Loy Howard 40 hours Denise Taylor 20 hours
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5NET UNREALIZED LOSS ON INVESTMENTS (162,849) PRIOR PERIOD ADJUSTMENT - NO TAX EFFECT (80,897) ----------- TOTAL (243,746) ===========

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1TANNER MEDICAL CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1705 DIXIE STREETAddressLine1
CityCARROLLTONCity
StateGAState
ZIP Code30117ZIPCode
FieldValueIRS element (for citing)
EIN581791049EIN
Primary ActivitiesHOSPITALPrimaryActivities
Legal Domicile StateGALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status3PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
TMCWEST GEORGIA CARDIOLOGY INC
705 DIXIE STREETCARROLLTONGA30117582555827HEALTHCAREGANAC
TMCINTERNAL MEDICINE ASSOCIATES
705 DIXIE STREETCARROLLTONGA30117582453300HEALTHCAREGANAC
TMCTOTAL CARE FAMILY MEDICINE INC
705 DIXIE STREETCARROLLTONGA30117203604679HEALTHCAREGANAC
TMCBUCHANAN FAMILY HEALTHCARE
705 DIXIE STREETCARROLLTONGA30117582502339HEALTHCAREGANAC
TMCWEST GEORGIA PEDIATRICS INC
705 DIXIE STREETCARROLLTONGA30117582362405HEALTHCAREGANAC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
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 OrgsfalsePerformOfServicesByOtherOrgs
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