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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. 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X X X X SWING BED TMCHIGGINS GENERAL HOSPITAL 1 SUBSIDIZED HEALTH SERVICES EXPLANATION PART I LINE 7G THE AMOUNT INCLUDED IS TO SUBSIDIZE THE CLINIC FOR SEEING INDIGENT PATIENTS WITHOUT THE ABILITY TO PAY FOR SERVICES EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F IN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN F THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990 PART IX LINE 25 FORM 990 PART IX LINE 25 66666147 LESS BAD DEBTS IN PART IX 7443979 DENOMINATOR FOR COLUMN F 59222168 COSTING METHODOLOGY EXPLANATION PART I LINE 7 THE DATA REPORTED IN THIS AREA IS REPORTED AS INSTRUCTED BY CATHOLIC HEALTH ASSOCIATIONS A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFITS 2008 SEE ALSO THE DESCRIPTION FOR PART III LINE 4 COMMUNITY BUILDING ACTIVITIES PART II TANNER PROVIDES THE FUNDING FOR A 24HOUR INFORMATION HOTLINE PROVIDED FREE TO CALLERS THE HOTLINE 7702142273 PROVIDES CALLERS WITH INFORMATION ON PHYSICIANS AND SPECIALISTS AND PROVIDES REFERRALS TO MEDICAL STAFF BASED ON A CALLERS 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 24HOUR HOTLINE TANNER ALSO PROVIDES A WEB SITE WWWTANNERORG 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 PHYSCIANS TO PRACTICE IN THE AREA ENABLING PATIENTS TO CHOOSE FROM A GREATER NUMBER OF PROVIDERS IN AN EXPANDED FIELD OF SPECIALTIES BAD DEBT EXPENSE EXPLANATION PART III LINE 4 EXCERPT FROM FINANCIAL STATEMENTS ALLOWANCE FOR DOUBTFUL ACCOUNTS MANAGEMENT PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON AN EVALUATION OF THE OVERALL COLLECTIBILITY OF THE ACCOUNTS RECEIVABLE AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE THEY ARE CHARGED AGAINST THE ALLOWANCE AMOUNTS ON PART III LINES 2 AND 3 WERE CALCULATED USING THE RCC AS DEFINED IN WORKSHEET 2 MEDICARE EXPLANATION PART III LINE 8 COSTS FOR PART I LINE 7A AND 7B AND PART III SECTION A LINE 2 WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2 OTHER COSTS WERE OBTAINED FROM THE ORGANIZATIONS ACCOUNTING RECORDS COLLECTION PRACTICES EXPLANATION PART III LINE 9B PATIENTS THAT QUALIFY FOR A CHARITY WRITE OFF ARE ONLY HELD RESPONSIBLE FOR THE PORTION REMAINING AFTER WRITE OFF PATIENTS THAT QUALIFY AS INDIGENT RECEIVE A 100 WRITE OFF AND ARE NOT RESPONSIBLE PATIENTS APPROVED FOR FINANCIAL ASSISTANCE RECEIVE A LETTER OF NOTIFICATION THAT IS GOOD FOR ONE YEAR FROM THE DETERMINATION DATE INTEREST FREE INSTALLMENT PLANS ARE AVAILABLE TO ALL PATIENTS AND PAYMENT AMOUNTS ARE DETERMINED BY THE PATIENTS DISPOSABLE WAGES AND ABILITY TO PAY NEEDS ASSESSMENT PART VI 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 SIMILIARLYALIGNED MISSIONS INCLUDING PARTNERING WITH THE CARROLL COUNTY HEALTH DEPARTMENT IN COMMUNITYWIDE VACCINATION PROGRAMS AND PROVIDING FINANCIAL ASSISTANCE TO SPONSOR FURTHER RESEARCH INTO SPECIFIC COMMUNITY NEEDS PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI TANNER PATIENTS ARE PROVIDED WITH INFORMATION PERTAINING TO THE ORGANIZATIONS CHARITYINDIGENT PROGRAM AT THE TIME OF REGISTRATION ANY SELFPAY OR UNDERINSURED 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 PART VI HARALSON COUNTY IS LOCATED IN THE WEST CENTRAL SECTION OF GEORGIA ALONG THE GEORGIAALABAMA STATE LINE THE COUNTY HAS A POPULATION OF JUST MORE THAN 28000 RESIDENTS MOST RECENTLY GROWTH IN THE AREA HAS BEEN HAMPERED BY THE ECONOMIC IMPACT FROM THE LINGERING RECESSION AND HOUSING PRICES HAVE FALLEN THE COUNTYS UNEMPLOYMENT RATE IS APPROXIMATELY 96 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 PART VI 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 X X X X X X true true false false false false false false false LOY HOWARD 523166 232763 76124 66249 898302 WILLIAM WATERS 443340 90500 3952 537792 LARRY STEED 326628 91406 7260 425294 JEFF JENNINGS 280575 79875 31863 392313 LEE SHERSETH 305857 77546 7260 390663 DALE DREILING 266993 34562 7067 308622 DENISE TAYLOR 242872 50875 7260 301007 DAVID RUBIN MD 535124 75000 610124 MICHAEL FLOOD MD 396210 128933 2500 527643 THOMAS ELLIS REEVE MD 342500 83100 63198 488798 DAVID GRIFFIN MD 342315 83100 56875 482290 GLENN WHITNEY MD 462110 16000 478110 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 LOY HOWARD 0 66,249 0 JEFF JENNINGS 25,384 0 0 OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III LOY HOWARD, CEO PARTIPATES IN AN INELIGIBLE UNFUNDED 457(F) PLAN PROVIDED TO SENIOR EXECUTIVES AS SET BY HIS EMPLOYEMENT CONTRACT. THE PLAN PAYMENTS ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE AND ARE CONDITIONED UPON THE FUTURE PERFORMANCE OF SERVCES. 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 ELGIBLE 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. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE ORGANIZATION'S VP OF FINANCE GATHERS INFORMATION FOR THE FORM 990 AND CONSULTS WITH THE CFO AND COMPLIANCE OFFICER ON CERTAIN MATTERS. A DRAFT COPY IS REVIEWED BY THE VP OF FINANCE AND CFO FOR ACCURACY. THE FINAL VERSION IS PRESENTED TO THE EXECUTIVE COMMITTEE FOR REVIEW AND QUESTIONS. THE CHAIRMAN OF THE EXECUTIVE COMMITTEE THEN PRESENTS THIS AT THE NEXT BOARD MEETING TO THE FULL BOARD. THE 2010 FORM 990 (FYE JUNE 30, 2011) WAS PRESENTED AFTER FILING DUE TO TIME CONSTRAINTS. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE POLICY COVERS ALL EMPLOYEES, SUPPLIERS, MEDICAL STAFF AND VOLUNTEERS. CONFLICTS ARE REVIEWED BY THE COMPLIANCE OFFICER FOR RESOLUTION WHO 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 A POTENTIAL CONFLICT. 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. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE ORGANIZATION'S COMPENSATION COMMITTEE REVIEWS RECOMMENDATIONS AND APPROVES COMPENSATION PACKAGES FOR ALL SENIOR MANAGEMENT. TMC USES AN OUTSIDE, NATIONALLY KNOWN COMPENSATION AND BENEFITS FIRM THAT USES SURVEY INFORMATION; REVIEWS JOB STANDARDS; ETC. FOR ALL SENIOR MANAGEMENT. THE OUTSIDE FIRM ANALYZES COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS; AND PRESENTS THE DATA TO THE COMPENSATION COMMITTEE. WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT, OFFICIAL MINUTES ARE KEPT. THE EXECUTIVE ASSISTANT TO THE CEO MAINTAINS THE MINUTES. THIS PROCESS LAST COMPLETED IN 2011. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B SEE LINE 15A NARRATIVE. THE PROCESS IS COMPLETED FOR ALL SENIOR EXECUTIVE LEVEL POSITIONS AND ABOVE. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO MEMBERS OF THE PUBLIC WHO MAKE THEIR REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. 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