﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2024v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2026-05-15T14:36:45-04:00</ReturnTs>
    <TaxPeriodEndDt>2025-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>580914992</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>DRAFFIN &amp; TUCKER LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>PO BOX 71309</AddressLine1Txt>
        <CityNm>ALBANY</CityNm>
        <StateAbbreviationCd>GA</StateAbbreviationCd>
        <ZIPCd>317081309</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>581790149</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>TANNER MEDICAL CENTER INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>TANN</BusinessNameControlTxt>
      <PhoneNum>7708369580</PhoneNum>
      <USAddress>
        <AddressLine1Txt>705 DIXIE STREET</AddressLine1Txt>
        <CityNm>CARROLLTON</CityNm>
        <StateAbbreviationCd>GA</StateAbbreviationCd>
        <ZIPCd>301173818</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>CAROL CREWS</PersonNm>
      <PersonTitleTxt>CFO</PersonTitleTxt>
      <PhoneNum>7708369580</PhoneNum>
      <SignatureDt>2026-05-15</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>WILLIAM EDWARD PHILLIPS</PreparerPersonNm>
      <PTIN>P00451499</PTIN>
      <PhoneNum>2298837878</PhoneNum>
      <PreparationDt>2026-05-15</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="12">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc10 RetDoc2">
      <PrincipalOfficerNm>LOY HOWARD</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>705 DIXIE STREET</AddressLine1Txt>
        <CityNm>CARROLLTON</CityNm>
        <StateAbbreviationCd>GA</StateAbbreviationCd>
        <ZIPCd>301173818</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>733155351</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.TANNER.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1988</FormationYr>
      <LegalDomicileStateCd>GA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO PROVIDE A CONTINUUM OF QUALITY HEALTHCARE SERVICES WITHIN OUR RESOURCE CAPABILITIES. TO SERVE AS A LEADER IN A COLLABORATIVE EFFORT WITH THE COMMUNITY TO PROVIDE HEALTH EDUCATION, SUPPORT SERVICES, AND CARE FOR THE COUNTY AND SURROUNDING AREA.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>11</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>9</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>5248</TotalEmployeeCnt>
      <TotalVolunteersCnt>178</TotalVolunteersCnt>
      <TotalGrossUBIAmt>1361190</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>1069093</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>220632</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>276682</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>348660244</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>395339584</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>36568518</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>33745315</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>116197170</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>130867923</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>501646564</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>560229504</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>1397500</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>1250088</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>230025330</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>259447319</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>199528193</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>224755514</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>430951023</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>485452921</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>70695541</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>74776583</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>1123143594</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>1361133020</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>304597537</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>438788864</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>818546057</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>922344156</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO PROVIDE A CONTINUUM OF QUALITY HEALTHCARE SERVICES WITHIN OUR RESOURCE CAPABILITIES. TO SERVE AS A LEADER IN A COLLABORATIVE EFFORT WITH THE COMMUNITY TO PROVIDE HEALTH EDUCATION, SUPPORT SERVICES, AND CARE FOR THE COUNTY AND SURROUNDING AREA.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>326825504</ExpenseAmt>
      <GrantAmt>1250088</GrantAmt>
      <RevenueAmt>522729581</RevenueAmt>
      <Desc>TANNER MEDICAL CENTER, INC. PROVIDES HEALTHCARE TO THE POPULATION OF NORTHWEST GEORGIA AND EAST ALABAMA. SERVICES ARE FOR BOTH INPATIENT SERVICE AND OUTPATIENT ANCILLARY SERVICES INCLUDING PHYSICIAN OFFICES. AS A NOT FOR PROFIT CORPORATION, TANNER PROVIDES SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. TANNER MEDICAL CENTER, INC. IS A REGIONAL HEALTHCARE PROVIDER WITH MORE THAN 300 PHYSICIANS REPRESENTING 35 UNIQUE MEDICAL SPECIALTIES. TANNER PROVIDES A WIDE RANGE OF COMPREHENSIVE MEDICAL SERVICES FOR RESIDENTS IN A REGION OF WEST GEORGIA AND EAST ALABAMA. TANNER'S FACILITIES INCLUDE THE 180-BED ACUTE CARE TANNER MEDICAL CENTER/CARROLLTON; THE ROY RICHARDS, SR. CANCER CENTER, TANNER HEART AND VASCULAR CENTER, TANNER BREAST HEALTH, THE TANNER ADVANCED WOUND CENTER, EMPLOYEE ASSISTANCE PROGRAM (TANNER EAP) AND MORE. MORE INFORMATION ON TANNER MEDICAL CENTER, INC. IS AVAILABLE IN THE HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH CAN BE DOWNLOADED AT HTTP://WWW.TANNER.ORG/COMMUNITY-IMPACT/COMMUNITY-REPORTS TANNER MEDICAL CENTER, INC. IS A NOT-FOR-PROFIT HEALTHCARE SYSTEM. THE MEDICAL CENTER PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA AND EMPLOYED PHYSICIANS. TANNER MEDICAL CENTER, INC. INCLUDES THE FOLLOWING: TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES THROUGH THE OPERATION OF A 180-BED ACUTE CARE HOSPITAL IN CARROLLTON, GEORGIA.</Desc>
      <TotalProgramServiceExpensesAmt>326825504</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc13">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc4">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc4">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc4">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc5">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc5">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc5">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc5">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc5">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc5">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc5">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc5">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc5">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc5">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc5">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc5">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc5">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="RetDoc12">true</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="RetDoc2">true</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc6">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc6">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc7">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="RetDoc8">true</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>false</InvestTaxExemptBondsInd>
      <EscrowAccountInd>false</EscrowAccountInd>
      <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc11">true</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc11">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>true</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc11">true</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc11">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc11">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>405</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>5248</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>true</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>11</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>9</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>true</LocalChaptersInd>
      <PoliciesReferenceChaptersInd>true</PoliciesReferenceChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>GA</StatesWhereCopyOfReturnIsFldCd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>CAROL CREWS</PersonNm>
        <PhoneNum>7708128282</PhoneNum>
        <USAddress>
          <AddressLine1Txt>100 GREENWAY BLVD</AddressLine1Txt>
          <CityNm>CARROLLTON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>301173818</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL JACKSON</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY LINDSEY DMD</PersonNm>
        <TitleTxt>VICE CHAIRMA</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FREDERICK O'NEAL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE ADAMS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNA BERRY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HOWARD RAY</PersonNm>
        <TitleTxt>DIRECTOR - L</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LYNN CLARKE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY WARREN</PersonNm>
        <TitleTxt>DIRECTOR/FIN</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS ARANT MD</PersonNm>
        <TitleTxt>DIRECTOR/PHY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1521009</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22758</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENISE TAYLOR</PersonNm>
        <TitleTxt>CCH</TitleTxt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREG SCHULENBURG</PersonNm>
        <TitleTxt>CIO/COO</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>508644</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>375955</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25157</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WAYNE SENFELD</PersonNm>
        <TitleTxt>SR. VP, BUS</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>537940</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>397608</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24196</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL CREWS</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>735434</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>543581</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24690</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEN CAMP MD</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>524737</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>387848</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25354</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LOY HOWARD</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>1548300</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1144395</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>232596</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANIL DHOPLE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>794354</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25466</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD DAVIS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLINT HOFFMAN</PersonNm>
        <TitleTxt>SVP/TMG</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>291779</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>215663</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>67395</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BONNIE BOLES MD</PersonNm>
        <TitleTxt>CMIO</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>285581</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>211081</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17558</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIM GRIFFITH</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>561553</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>415060</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24919</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC DALTON</PersonNm>
        <TitleTxt>SVP/OPERATIO</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>218204</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>161281</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>54040</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE HOEHN</PersonNm>
        <TitleTxt>CNO</TitleTxt>
        <AverageHoursPerWeekRt>23.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>17.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>198614</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>146801</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24503</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN MIDDLEBROOKS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVOY MURRAY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>740591</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27689</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIT LOVVORN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>848589</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27689</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TUNICIA GIRON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>702484</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25559</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN DILL</PersonNm>
        <TitleTxt>SVP</TitleTxt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BENFORD NANCE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>694805</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23902</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>9191609</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>5520282</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>673471</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>602</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RA-LIN &amp; ASSOCIATES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>101 PARKWOOD CIRCLE</AddressLine1Txt>
            <CityNm>CARROLLTON</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>301178756</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>40781170</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>APOGEE MEDICAL MANAGEMENT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>15059 N SCOTTSDALE RD SUITE 600</AddressLine1Txt>
            <CityNm>SCOTTSDALE</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85254</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIANS</ServicesDesc>
        <CompensationAmt>8063553</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AYA HEALTHCARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7032 COLLECTION CENTER DRIVE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIANS</ServicesDesc>
        <CompensationAmt>6043072</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EPIC SYSTEMS CORPORATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 88314</AddressLine1Txt>
            <CityNm>MILWAUKEE</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>53288</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE SVCS</ServicesDesc>
        <CompensationAmt>5887336</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MICROSOFT LICENSING GP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1950 N STEMMONS FWY</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75207</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LICENSING FEES</ServicesDesc>
        <CompensationAmt>4255852</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>84</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>276682</RelatedOrganizationsAmt>
      <TotalContributionsAmt>276682</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>394752753</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>394752753</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REFERENCE LAB</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>586831</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>586831</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>395339584</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>33112818</TotalRevenueColumnAmt>
        <ExclusionAmt>33112818</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>173082912</SecuritiesAmt>
        <OtherAmt>475432</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>172375046</SecuritiesAmt>
        <OtherAmt>550801</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>707866</SecuritiesAmt>
        <OtherAmt>-75369</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>632497</TotalRevenueColumnAmt>
        <ExclusionAmt>632497</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>SHARED SERVICE REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>119978284</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>119978284</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PROPERTY MANAGEMENT FEE</Desc>
        <BusinessCd>531310</BusinessCd>
        <TotalRevenueColumnAmt>3078943</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3078943</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>2865196</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2865196</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>4945500</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2054405</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>774359</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2116736</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>130867923</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>560229504</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>522729581</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>1361190</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>35862051</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1250088</TotalAmt>
        <ProgramServicesAmt>1250088</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>9930469</TotalAmt>
        <ManagementAndGeneralAmt>9930469</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>178876141</TotalAmt>
        <ProgramServicesAmt>121376318</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57499823</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>6407225</TotalAmt>
        <ProgramServicesAmt>4933714</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1473511</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>51085449</TotalAmt>
        <ProgramServicesAmt>50524386</ProgramServicesAmt>
        <ManagementAndGeneralAmt>561063</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>13148035</TotalAmt>
        <ProgramServicesAmt>10157634</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2990401</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>1219087</TotalAmt>
        <ManagementAndGeneralAmt>1219087</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>788021</TotalAmt>
        <ManagementAndGeneralAmt>788021</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>326053</TotalAmt>
        <ManagementAndGeneralAmt>326053</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>942774</TotalAmt>
        <ManagementAndGeneralAmt>942774</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>62076958</TotalAmt>
        <ProgramServicesAmt>33589475</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28487483</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>1991854</TotalAmt>
        <ProgramServicesAmt>1093156</ProgramServicesAmt>
        <ManagementAndGeneralAmt>898698</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>50675738</TotalAmt>
        <ProgramServicesAmt>47047720</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3628018</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>11325456</TotalAmt>
        <ProgramServicesAmt>8873495</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2451961</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>208172</TotalAmt>
        <ProgramServicesAmt>111995</ProgramServicesAmt>
        <ManagementAndGeneralAmt>96177</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>1178282</TotalAmt>
        <ProgramServicesAmt>334602</ProgramServicesAmt>
        <ManagementAndGeneralAmt>843680</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>32684382</TotalAmt>
        <ProgramServicesAmt>20659444</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12024938</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>4932712</TotalAmt>
        <ProgramServicesAmt>151892</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4780820</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>28301851</TotalAmt>
        <ProgramServicesAmt>2967507</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25334344</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>17488324</TotalAmt>
        <ProgramServicesAmt>17488324</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES</Desc>
        <TotalAmt>5813257</TotalAmt>
        <ProgramServicesAmt>5334196</ProgramServicesAmt>
        <ManagementAndGeneralAmt>479061</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>3365049</TotalAmt>
        <ProgramServicesAmt>891963</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2473086</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1437544</TotalAmt>
        <ProgramServicesAmt>39595</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1397949</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>485452921</TotalAmt>
        <ProgramServicesAmt>326825504</ProgramServicesAmt>
        <ManagementAndGeneralAmt>158627417</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>81925385</BOYAmt>
        <EOYAmt>81754328</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>208519915</BOYAmt>
        <EOYAmt>308095148</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>50249763</BOYAmt>
        <EOYAmt>58710394</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>3606226</BOYAmt>
        <EOYAmt>4267371</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>7470524</BOYAmt>
        <EOYAmt>8436574</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>13820684</BOYAmt>
        <EOYAmt>13508686</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>599096483</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>320562323</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>238986201</BOYAmt>
        <EOYAmt>278534160</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>452895126</BOYAmt>
        <EOYAmt>550973871</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>2921258</BOYAmt>
        <EOYAmt>3531343</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>62748512</BOYAmt>
        <EOYAmt>53321145</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1123143594</BOYAmt>
        <EOYAmt>1361133020</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>76180253</BOYAmt>
        <EOYAmt>83826070</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>182305119</BOYAmt>
        <EOYAmt>314536716</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>42543820</BOYAmt>
        <EOYAmt>37347864</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>3568345</BOYAmt>
        <EOYAmt>3078214</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>304597537</BOYAmt>
        <EOYAmt>438788864</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>792284206</BOYAmt>
        <EOYAmt>894457208</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>26261851</BOYAmt>
        <EOYAmt>27886948</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>818546057</BOYAmt>
        <EOYAmt>922344156</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1123143594</BOYAmt>
        <EOYAmt>1361133020</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>74776583</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>29795875</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-774359</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc13">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc4">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>61750</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>52051</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>113801</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>A PORTION OF THE ANNUAL MEMBERSHIP FEES PAID TO THE GEORGIA HOSPITAL ASSOCIATION IS USED FOR LOBBYING EXPENSES TO SUPPORT AND VOICE HOSPITAL CONCERNS AT THE STATE LEVEL. CONNECT SOUTH AND LIVE OAK PUBLIC STRATEGIES ARE RETAINED TO HELP TANNER IN THE AREA OF PUBLIC AFFAIRS SUPPORT WITH THE STATE OF GEORGIA. AN INDIVIDUAL SERVES AS AN EMPLOYED LIAISON. HIS DUTIES INCLUDE HELPING TANNER HEALTH SYSTEM STAY ABREAST OF LEGISLATIVE ISSUES RELATED TO HEALTHCARE. A PORTION OF THESE COSTS ARE ALLOCATED TO LOBBYING BASED ON ESTIMATES BY MANAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc5">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>26261851</BeginningYearBalanceAmt>
        <ContributionsAmt>1661543</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>788648</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>825094</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>27886948</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>24395015</BeginningYearBalanceAmt>
        <ContributionsAmt>1335827</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>879133</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>348124</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>26261851</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>18594206</BeginningYearBalanceAmt>
        <ContributionsAmt>5594536</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>663683</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>457410</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>24395015</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>17785552</BeginningYearBalanceAmt>
        <ContributionsAmt>3241031</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-1852341</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>580036</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>18594206</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>12262997</BeginningYearBalanceAmt>
        <ContributionsAmt>4044069</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2103405</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>624919</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>17785552</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.31710</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.68290</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>17252682</OtherCostOrOtherBasisAmt>
        <BookValueAmt>17252682</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>273024664</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>151838168</DepreciationAmt>
        <BookValueAmt>121186496</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>7372650</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3563989</DepreciationAmt>
        <BookValueAmt>3808661</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>245806038</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>165160166</DepreciationAmt>
        <BookValueAmt>80645872</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>55640449</OtherCostOrOtherBasisAmt>
        <BookValueAmt>55640449</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>278534160</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE LIABILITIES</Desc>
        <Amt>1867432</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED THIRD PARTY PAYMENTS</Desc>
        <Amt>1209799</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>983</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3078214</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT FUNDS HELP SUPPORT HEALTH CARE SERVICES INCLUDING MAMMOGRAMS FOR THE INDIGENT, CANCER PATIENT ASSISTANCE, CAPITAL IMPROVEMENTS, EDUCATION AND SCHOLARSHIPS, HOSPICE CARE, CARDIOLOGY ASSISTANCE, AND CHILDREN'S ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICAL CENTER, WITH THE EXCEPTION OF HEALTHLIANT ENTERPRISES, INC., 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 COMBINED BALANCE SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2025 AND 2024 OR FOR THE YEARS THEN ENDED. THE MEDICAL CENTER'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. TANNER MEDICAL GROUP IS PART OF A TAX-EXEMPT ORGANIZATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE AFFILIATED BUSINESS SERVICES PROVIDED ARE, HOWEVER, SUBJECT TO UNRELATED BUSINESS INCOME TAXES AND A FORM 990-T, EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN IS FILED FOR THESE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc12">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <FreeCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <FreeCareOtherPct>2.500000000000</FreeCareOtherPct>
      </FreeCareOthPercentageGrp>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent350Ind>X</Percent350Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>12485299</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>12485299</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02570</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>40382429</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>36045802</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4336627</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00890</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>592493</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>352182</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>240311</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00050</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>53460221</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>36397984</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>17062237</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03510</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>1576014</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1576014</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00320</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>87483</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>87483</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>233760</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>233760</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00050</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>513039</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>513039</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00110</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>2410296</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2410296</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00500</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>55870517</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>36397984</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>19472533</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04010</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <EconomicDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>30000</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>30000</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </EconomicDevelopmentGrp>
      <WorkforceDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>67500</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>67500</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>97500</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>97500</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>30230203</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>48421329</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>57343186</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-8921857</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>WEST GEORGIA ENDOS</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>GASTROENTEROLOGY</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.51000</OrgProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.49000</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>TANNER MEDICAL CENTER INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>705 DIXIE STREET</AddressLine1Txt>
          <CityNm>CARROLLTON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>301173818</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.TANNER.ORG</WebsiteAddressTxt>
        <StateLicenseNum>022-426</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>TANNER MEDICAL CENTER INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>25</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.TANNER.ORG</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>25</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.TANNER.ORG</StrategyWebsiteURLTxt>
        <StrategyAttachedInd referenceDocumentId="RetDoc2">false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>250.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>350.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.TANNER.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.TANNER.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.TANNER.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MOST SIGNIFICAN HEALTH PRIORITIES IDENTIFIED IN THE 2025 CHNA ARE: 1) MENTAL HEALTH SERVICES 2) ACCESS TO AFFORDABLE HEALTHCARE 3) CHRONIC DISEASES 4) AFFORDABLE, HEALTHY HOUSING 5) SUBSTANCE MISUSE 6) HEALTHT EATING/ACTIVE LIVING FOR HEALTHT WEIGHT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>TANNER HEALTH ENGAGED STRATEGYHEALTH (NASHVILLE, TN) TO ASSIST IN CONDUCTING THE 2025 CHNA. STRATEGYHEALTH PROVIDED ANALYSIS OF COMMUNITY HEATLH DATA, COMMUNITY SURVEYS, FACILITATED FOCUS GROUPS, AND FACILITATED A COMMUNITY HEALTH SUMMIT TO RECEIVE COMMUNITY INPUT INTO THE PRIORITIES AND BRAINSTORM GOALS AND ACTIONS THE COMMUNITY COULD TAKE TO IMPROVE HEALTH. THE GHLW COALITION INCLUDED HOSPITAL LEADERS AND REPRESENTATIVES, COMMUNITY ACTIVISTS, RESIDENTS, FAITH-BASED LEADERS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS AND OTHER STAKEHOLDERS. COALITION MEMBERS USED POPULATION- LEVEL DATA AND FEEDBACK FROM COMMUNITY FOCUS GROUPS, ONLINE SURVEYS, AND KEY INFORMANT INTERVIEWS TO CREATE RECOMMENDATIONS FOR EACH HOSPITAL'S HEALTH PRIORITIES. THEY ALSO USED THE CHNA TO DEVELOP POTENTIAL IMPLEMENTATION STRATEGIES AND TO IDENTIFY KEY PARTNERS. OVER 300 PEOPLE WERE INVOLVED IN THE CHNA PROCESS, INCLUDING THOSE WHO PARTICIPATED IN COMMUNITY FOCUS GROUPS AND ONLINE SURVEYS. PARTICIPANTS INCLUDED RESIDENTS, PARTNERS AND PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. MEMBERS OF LOW- INCOME, MEDICALLY UNDERSERVED AND MINORITY POPULATIONS SERVED BY THE HOSPITAL OR INDIVIDUALS OR ORGANIZATIONS REPRESENTING THE INTERESTS OF SUCH POPULATIONS ALSO PROVIDED INPUT. WE COMPLETED OUR MOST RECENT CHNA IN 2025</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL FACILITIES NOTED IN SECTION A, FACILITY REPORTING GROUP "A" - TANNER MEDICAL CENTER/CARROLLTON, TANNER MEDICAL CENTER/VILLA RICA, AND HIGGINS GENERAL HOSPITAL - WORKED COLLABORATIVELY TO LEVERAGE EXISTING ASSETS AND RESOURCES THROUGHOUT TANNER'S OVERALL PRIMARY SERVICE AREA OF CARROLL, HARALSON AND HEARD COUNTIES TO ASSESS THE HEALTH NEEDS OF THEIR COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>TANNER MEDICAL GROUP, INC. TMC WOODLAND FAMILY HEALTHCARE, INC. TMC TANNER NEUROLOGY, INC. TMC CAROUSEL PEDIATRICS, INC. TMC INTERNAL MEDICINE OF VILLA RICA TMC CHILDREN'S HEALTHCARE OF WEST GEORGIA TMC GASTROENTEROLOGY ASSOCIATES, INC. TMC INFECTIOUS DISEASES OF WEST GEORGIA, INC. TMC WEST GEORGIA BEHAVIORAL HEALTH TMC WEST GEORGIA FAMILY MEDICINE, INC. TMC INTERNAL MEDICINE OF CARROLLTON, INC. TMC INTERNAL MEDICINE ASSOCIATES TMC WEST GEORGIA CARDIOLOGY, INC. TMC HOME HEALTH, INC. TMC HOSPICE CARE, INC. TMC OCCUPATIONAL HEALTH, INC. TMC HARALSON FAMILY HEALTHCARE TMC TALLAPOOSA FAMILY HEALTHCARE TMC WEST GEORGIA ANESTHESIA ASSOCIATES, INC. TANNER INTENSIVE MEDICAL SERVICES TMC WEST CARROLL FAMILY HEALTHCARE TANNER FAMILY HEALTHCARE OF FRANKLIN TMC IMMEDIATE CARE VILLA RICA OB GYN, INC. TMC TANNER GYNECOLOGY, INC. TANNER PRIMARY CARE OF HEFLIN TANNER PRIMARY CARE OF WEDOWEE, INC. WEST GEORGIA CENTER FOR PLASTIC SURGERY TMC EAR,NOSE AND THROAT TMC WEST GEORGIA UROLOGY TANNER ALSO COLLABORATED WITH THE CARROLL COUNTY HEALTH DEPARTMENT IN CONDUCTING THE CHNA, SOURCING LOCALLY AVAILABLE DATA AND ENGAGING WITH STAFF AND DISTRICT HEALTH DEPARTMENT LEADERSHIP TO IDENTIFY AREAS OF NEED AND PRACTICAL APPROACHES TO ADDRESS HEALTH CONCERNS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 7D</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO BEING MADE AVAILABLE ON TANNER'S WEBSITE, TANNER.ORG, COPIES OF THE CHNA WERE SENT TO THE HOSPITAL'S BOARD AND EXECUTIVE LEADERSHIP; THE ASSESSMENT TEAM; COMMUNITY STAKEHOLDERS WHO CONTRIBUTED TO THE ASSESSMENT; AND MULTIPLE COMMUNITY LEADERS, VOLUNTEERS AND ORGANIZATIONS THAT COULD BENEFIT FROM THE INFORMATION. TANNER ALSO PROVIDED PAPER COPIES FOR DISTRIBUTION UPON REQUEST. OTHER COMMUNICATION EFFORTS INCLUDED PRESENTATIONS OF ASSESSMENT FINDINGS THROUGHOUT THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>TANNER'S COMMITMENT TO THE COMMUNITY IS ROOTED IN ITS MISSION. THE ORGANIZATION IMPROVES THE COMMUNITY'S HEALTH THROUGH DAILY PATIENT CARE ACTIVITIES AS WELL AS OUTREACH, PREVENTION, EDUCATION, AND WELLNESS OPPORTUNITIES. WITH THE HELP OF COMMUNITY PARTNERS, TANNER HAS IMPLEMENTED PROGRAMS THAT HELP WEST GEORGIA RESIDENTS WITH THE HEALTHCARE AND PREVENTIVE SERVICES THEY NEED. BELOW ARE THE STEPS TAKEN TO MEET THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN TANNER'S FY 2022 CHNA. TANNER HEALTH'S PREVIOUS CHNA IMPLEMENTATION PLAN ADDRESSED THE PRIORITY NEEDS OF: -ACCESS TO CARE -MENTAL/BEHAVIORAL HEALTH SERVICES -CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT -HEALTH AND NUTRITION EDUCATION -SUBSTANCE MISUSE -SOCIAL DETERMINANTS OF HEALTH THE SECTIONS BELOW DESCRIBE THE GOALS FOR EACH PRIORITY WITH ACTIVITIES AND RESULTS AND IMPACTS OF EACH ACTIVITY. SIGNIFICANT HEALTH NEED IDENTIFIED IN PRECEDING CHNA IMPROVE ACCESS TO CARE 1)DEVELOP NEW CLINICAL PROGRAMS AT TANNER HEALTH SYSTEM TO EXPAND TREATMENT CAPABILITIES AND ENSURE FULL CONTINUUM COVERAGE AND OPTIMAL DISEASE MANAGEMENT INCLUDING BUT NOT LIMITED TO: CARDIAC SURGERY, ELECTROPHYSIOLOGY, INTERVENTIONAL CARDIOLOGY CARDIAC SERVICES WERE SUBSTANTIALLY ENHANCED WITH THE LAUNCH OF CARDIAC SURGERY IN FY2023, THE HIRING OF A THIRD INTERVENTIONAL CARDIOLOGIST AT VILLA RICA IN FY2024, AND ONGOING RECRUITMENT FOR A SECOND CT SURGEON AND EP PHYSICIAN SCHEDULED TO START JULY 1, 2025. EXPAND THORACIC SURGERY CAPACITY THORACIC SURGERY CAPACITY WAS EXPANDED WITH AN ADDITIONAL CARDIOTHORACIC SURGEON WHO BEGAN MARCH 1, 2025, WITH A FOCUS ON THORACIC PROCEDURES AND ROBOTICS. ORTHOPEDICS AND SPINE FOR ORTHOPEDICS AND SPINE CARE, AN AMBULATORY SURGERY CENTER WAS OPENED IN FY2023, PROVIDING GREATER ACCESS TO ORTHOPEDIC, SPINE, AND PAIN MANAGEMENT SERVICES. ACTIVE AND INDEPENDENT LIVING NO ACTION STEPS TAKEN. ASSISTED LIVING AND MEMORY CARE SENIOR CARE SERVICES WERE ENHANCED WITH THE ADDITION OF ASSISTED LIVING AND MEMORY CARE AT THE BIRCHES ON MAPLE IN FY2024. INNOVATIVE OUTPATIENT CARE MODELS AS PART OF OUR COMMITMENT TO INNOVATIVE, PATIENT-CENTERED CARE, TANNER HEALTH SYSTEM HAS PARTNERED WITH CARETRACK, A TRUSTED LOCAL PROVIDER, TO IMPLEMENT A REMOTE PATIENT MONITORING (RPM) SERVICE THAT ALLOWS CLINICAL TEAMS ACROSS OUR ENTIRE HEALTH SYSTEM TO SEAMLESSLY REFER PATIENTS FOR REAL-TIME TRACKING OF VITAL SIGNS AND HEALTH METRICS. THIS PROGRAM FOCUSES ON SUPPORTING PATIENTS WITH CONGESTIVE HEART FAILURE (CHF) AND OTHER HIGH- RISK INDIVIDUALS WHO ARE MORE SUSCEPTIBLE TO HOSPITAL READMISSIONS. BY ENABLING EARLIER INTERVENTION AND PROACTIVE CARE BETWEEN VISITS, RPM IS HELPING IMPROVE OUTCOMES, REDUCE EMERGENCY DEPARTMENT UTILIZATION, AND ENHANCE THE OVERALL PATIENT EXPERIENCE. FOLLOWING THE SUCCESSFUL LAUNCH OF A PILOT PROGRAM IN EARLY APRIL, TANNER IS PLANNING A FUTURE-STATE PROJECT THAT WILL INTEGRATE RPM RESULTS DIRECTLY INTO EPIC, ENSURING PROVIDERS HAVE EASY ACCESS TO ACTIONABLE DATA WITHIN THEIR EXISTING WORKFLOWS. SITE SPECIFIC CANCER PROGRAMS CANCER PROGRAMS SAW MEANINGFUL IMPROVEMENTS WITH THE ADDITION OF MORE 3-D DIGITAL BREAST TOMOSYNTHESIS TO SUPPORT GROWING BREAST CANCER SCREENING, THE REMODELING AND EXPANSION OF IMAGE-GUIDED RADIATION THERAPY WITH A NEW VARIAN TRUEBEAM, AND THE ADDITION OF A FOURTH MEDICAL ONCOLOGIST IN 2024. EXPANSIONS OF PRIMARY CARE IN THE REGION PRIMARY CARE ACCESS WAS SUBSTANTIALLY INCREASED WITH THE RECRUITMENT OF 19 PRIMARY CARE PROVIDERS (12 MDS AND 7 APPS) OVER THE LAST TWO YEARS, RESULTING IN A NET GROWTH OF 4 MDS AND 2 APPS. THIS EXPANSION WAS SUPPORTED BY ENLARGING THE VILLA RICA (MIRROR LAKE) PRIMARY CARE LOCATION, ADDING A CLINIC ADJACENT TO THE BIRCHES ON MAPLE IN CARROLLTON, AND BEGINNING CONSTRUCTION ON A NEW PRIMARY CARE CLINIC INTEGRATED INTO THE CARROLLTON URGENT CARE LOCATION TO SERVE AS A BRIDGE FOR COMPLEX HOSPITAL DISCHARGE PATIENTS. OTHERS - NEUROSURGERY NEUROSURGICAL CAPABILITIES WERE INTRODUCED IN FY2023 THROUGH COLLABORATION WITH LEGACY BRAIN &amp; SPINE. EXPAND ACCESS TO SURGICAL SERVICES ACROSS THE REGION SURGICAL SERVICES WERE EXPANDED ACROSS THE REGION WITH INCREASED ROBOTIC SURGICAL CAPACITY IN FY2023 BY CONVERTING AN SI ROBOT TO AN UPDATED XI, AND EXTENDED HOURS OF ROBOTIC AVAILABILITY IN VILLA RICA DURING FY2024. PREPARE AND LAUNCH CARDIAC SURGERY WHILE EXPANDING ELECTROPHYSIOLOGY AND INTERVENTIONAL CARDIOLOGY CARDIAC CAPABILITIES WERE SIGNIFICANTLY ENHANCED WITH THE LAUNCH OF CARDIAC SURGERY IN FY2023, THE HIRING OF A THIRD INTERVENTIONAL CARDIOLOGIST FOR VILLA RICA IN FY2024, AND THE PLANNED ADDITION OF A SECOND CT SURGEON AND EP PHYSICIAN STARTING JULY 1, 2025. OPEN A NEW ASC IN CARROLLTON, GEORGIA, TO PROVIDE GREATER ACCESS TO ORTHOPEDIC AND SPINE SERVICES A NEW AMBULATORY SURGERY CENTER WAS OPENED IN CARROLLTON, GEORGIA IN FY2023 TO PROVIDE GREATER ACCESS TO ORTHOPEDIC, SPINE, AND PAIN MANAGEMENT SERVICES FOR THE SURROUNDING COMMUNITY. LAUNCH A GYNECOLOGIC ONCOLOGY SURGICAL SERVICES PROGRAM NO ACTION STEPS TAKEN. DEVELOP AND IMPLEMENT PLANS FOR PATIENT BED EXPANSION AT TANNER MEDICAL CENTERS CARROLLTON AND VILLA RICA TO SUPPORT SERVICE LINE GROWTH AND ACCESS TO CARE FOR THE GROWING REGION TO ACCOMMODATE SERVICE LINE GROWTH AND IMPROVE ACCESS TO CARE FOR THE GROWING REGION, CONSTRUCTION BEGAN ON JUNE 3, 2024, FOR A NEW PATIENT TOWER ADDING 97,000 SQUARE FEET AND 50 ADDITIONAL INPATIENT BEDS, WITH COMPLETION EXPECTED IN 24 MONTHS. 2)SUPPORT AND INCREASE IN THE NUMBER OF PHYSICIANS AND HEALTHCARE PROFESSIONALS IN THE REGION THROUGH RECRUITMENT AND MEDICAL EDUCATION SUPPORT: CONTINUE TO PROVIDE MEDICAL AND NURSING SCHOLARSHIPS TO STUDENTS, ENSURING TANNER WILL HAVE A QUALIFIED POOL OF TALENT AVAILABLE FOR FUTURE RECRUITMENT TANNER HEALTH CONTINUES TO PROVIDE MEDICAL AND NURSING SCHOLARSHIPS TO STUDENTS, ENSURING A QUALIFIED POOL OF TALENT FOR FUTURE RECRUITMENT. THE CARROLLTON AUXILIARY AWARDED 5,000 IN SCHOLARSHIPS IN 2023 AND 2,000 IN 2024. ADDITIONALLY, TANNER HEALTH AWARDED MULTIPLE SCHOLARSHIPS TOTALING 9,000 IN FY23, 14,000 IN FY24, AND 11,000 IN FY25 TO PROVIDE FINANCIAL ASSISTANCE FOR MEDICAL STUDENTS AND ADVANCED PRACTICE PROVIDERS (APPS) AND TO ENHANCE FUTURE RECRUITMENT OPPORTUNITIES. IN FY2023, 5 STUDENTS RECEIVED SCHOLARSHIPS. IN FY2024, 2 STUDENTS RECEIVED SCHOLARSHIPS. THE FUTURE OF HEALTHCARE SCHOLARSHIPS WERE DISTRIBUTED TO 2 MEDICAL STUDENTS AND 3 APPS IN FY2023, 4 MEDICAL STUDENTS AND 2 APPS IN FY2024, AND 2 MEDICAL STUDENTS AND 5 APPS IN FY2025. CONTINUE TO CONNECT SENIOR NURSING STUDENTS AT THE UNIVERSITY OF WEST GEORGIA TO A VARIETY OF COMMUNITY HEALTH OPPORTUNITIES IN WEST GEORGIA THROUGH A PRECEPTORSHIP PROGRAM WITH TANNER GET HEALTHY, LIVE WELL (GHLW) TO HELP THEM INCREASE KNOWLEDGE AND GAIN SKILLS IN COMMUNITY HEALTH WORK. TANNER HEALTH CONTINUES TO CONNECT SENIOR NURSING STUDENTS AT THE UNIVERSITY OF WEST GEORGIA TO A VARIETY OF COMMUNITY HEALTH OPPORTUNITIES IN WEST GEORGIA THROUGH A PRECEPTORSHIP PROGRAM WITH TANNER GET HEALTHY, LIVE WELL (GHLW). THIS PROGRAM HELPS STUDENTS INCREASE KNOWLEDGE AND GAIN SKILLS IN COMMUNITY HEALTH WORK. GHLW STAFF PROVIDES SENIOR NURSING STUDENTS WITH AN ORIENTATION TO THE PRECEPTORSHIP PROGRAM EVERY FALL AND SPRING SEMESTER. FOLLOWING ORIENTATION, STUDENTS BEGIN REGISTERING FOR COMMUNITY OUTREACH CLASSES AND EVENTS AT WHICH THEY VOLUNTEER, INCLUDING ASSISTING WITH EVIDENCE-BASED CLASS INSTRUCTION, SENIOR CENTER ACTIVITIES, ASSISTED LIVING RESIDENT ACTIVITIES, COMMUNITY HEALTH SCREENINGS, AND MANY MORE. PRIOR TO GRADUATION, EACH NURSING STUDENT MUST COMPLETE A MINIMUM OF 10 VOLUNTEER HOURS WITH GHLW TO FULFILL PROGRAM REQUIREMENTS. IN FY2023, 170 STUDENTS PARTICIPATED IN THE PROGRAM, FOLLOWED BY 150 PARTICIPANTS IN FY2024, AND 154 PARTICIPANTS IN FY2025. CONTINUE TO DEVELOP AND EXPAND HEALTH CAREER MENTORING AND INTERNSHIP PROGRAMS, INCLUDING TANNER CONNECTIONS AND TANNER TEEN INSTITUTE PROGRAMS TANNER HEALTH CONTINUES TO DEVELOP AND EXPAND HEALTH CAREER MENTORING AND INTERNSHIP PROGRAMS, INCLUDING TANNER CONNECTIONS AND TANNER TEEN INSTITUTE PROGRAMS. THE TANNER TEEN INSTITUTE SERVES UP TO 50 STUDENTS EACH SUMMER, PROVIDING BOTH A VOLUNTEER OPPORTUNITY AND LEADERSHIP TRAINING COURSE THAT GIVES STUDENTS A CLEAR UNDERSTANDING OF THE CAREER PATHS WITHIN THE HEALTHCARE FIELD. THE PROGRAM ALSO TEACHES VALUABLE JOB SKILLS SUCH AS RESUME BUILDING, INTERVIEW TIPS, AND OTHER SOFT SKILLS NECESSARY FOR PROFESSIONAL DEVELOPMENT. TO DATE, PARTICIPANTS HAVE CONTRIBUTED 4,000 TOTAL DONATED HOURS TO THE COMMUNITY THROUGH THIS INITIATIVE. 3)DECREASE BARRIERS TO CARE THROUGH PATIENT TRANSPORTATION SERVICES CONTINUE THE IMPLEMENTATION OF TANNER CANCER CARE'S CANCER PATIENT TRANSPORTATION PROGRAM NO ACTION STEPS HAVE BEEN TAKEN TO CONTINUE IMPLEMENTATION OF THIS INITIATIVE DURING THIS REPORTING PERIOD. CONTINUE TO PROVIDE INDIGENT PATIENT TRANSPORTATION SERVICES TO AREA RESIDENTS WHO HAVE BEEN DISCHARGED HOME FROM THE HOSPITAL, SUPPORTED BY TANNER MEDICAL FOUNDATION'S INDIGENT TAXI FUND THE TANNER M</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 13H</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTS FOR PART I, LINES 7A AND 7B WERE CALCULATED USING THE COST-TO-CHARGE RATIO AS CALCULATED USING WORKSHEET 2 FROM THE IRS SCHEDULE H INSTRUCTIONS. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS WHICH UTILIZES THE CBISA COST ACCOUNTING SOFTWARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>AT TANNER HEALTH, PROMOTING THE HEALTH OF THE COMMUNITIES WE SERVE GOES BEYOND PROVIDING HEALTH CARE. TANNER IS PROACTIVE IN ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH AND THE UNDERLYING ROOT CAUSES OF POOR HEALTH. WE SUPPORT THE WORLD HEALTH ORGANIZATION'S DEFINITION OF HEALTH AS "A STATE OF COMPLETE PHYSICAL, MENTAL, AND SOCIAL WELL-BEING AND NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY." TANNER PROVIDES A VARIETY OF COMMUNITY-BUILDING ACTIVITIES TO STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH OF WELL-BEING OF ITS RESIDENTS. AS ONE OF THE LARGEST EMPLOYERS IN ITS COMMUNITIES, TANNER PARTICIPATES IN AND CONTRIBUTES TO LOCAL CHAMBERS OF COMMERCE AND CIVIC ORGANIZATIONS, ENSURING ECONOMIC DEVELOPMENT, GROWTH, AND STABILITY. TANNER PARTICIPATES IN AND SUPPORTS YOUTH PROGRAMS FOCUSING ON LEADERSHIP SKILLS, ENHANCING ACADEMIC SUCCESS, IMPROVING HEALTH, CULTIVATING COMMUNITY RESPONSIBILITY AND OFFERING CAREER EXPLORATION. WE SUPPORT AND WORK WITH A HOST OF REGIONAL, STATE AND NATIONAL ORGANIZATIONS - INCLUDING THE UNIVERSITY OF WEST GEORGIA, THE COMMUNITY FOUNDATION OF WEST GEORGIA, STATE DISTRICT 4 PUBLIC HEALTH, CDC, U.S. DEPARTMENT OF AGRICULTURE, NATIONAL COMPLETE STREETS COALITION, DIABETES TRAINING AND TECHNICAL ASSISTANCE CENTER, GEORGIA DEPARTMENT OF FAMILY AND CHILDREN SERVICES, NORTHWEST GEORGIA PUBLIC HEALTH, SHARE OUR STRENGTH, AMERICAN CANCER SOCIETY, AMERICAN DIABETES SOCIETY AND OTHERS - TO PROMOTE THE COMMUNITY'S HEALTH AND SAFETY. TANNER PREPARES FOR EMERGENCIES, UTILITY FAILURES, NATURAL DISASTERS AND OTHER POTENTIAL DISRUPTIONS, WORKING WITH FEDERAL, STATE, AND LOCAL GOVERNMENTS, LOCAL BUSINESS CONSORTIUMS, COMMUNITY LEADERS AND PUBLIC SAFETY AGENCIES TO ENSURE EFFECTIVE COMMUNITY-WIDE RESPONSES TO UNPLANNED EVENTS. ADDRESSING THE HEALTHCARE WORKFORCE SHORTAGE, TANNER FOSTERS ESTABLISHED, STRONG PARTNERSHIPS WITH LOCAL UNIVERSITIES AND COMMUNITY COLLEGES, INCLUDING THE UNIVERSITY OF WEST GEORGIA AND WEST GEORGIA TECHNICAL COLLEGE. THE UNIVERSITY OF WEST GEORGIA'S NURSING PROGRAM - THE TANNER HEALTH SCHOOL OF NURSING -USES AN INVESTMENT FROM TANNER TO ENHANCE ITS FACILITIES WHILE OFFERING SCHOLARSHIPS AND EDUCATIONAL OPPORTUNITIES FOR THOSE IN WEST GEORGIA AND EAST ALABAMA INTERESTED IN A CAREER IN NURSING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE. PURSUANT TO ASU NO. 2014-09 (TOPIC 606), THE AMOUNT IDENTIFIED AS BAD DEBT ON SCHEDULE H, PART II, LINE 2 PRIMARILY REPRESENTS AMOUNTS ESTIMATED AT THE TRANSACTION DATE THAT ARE CONSIDERED A PRICE CONCESSION. THE SYSTEM DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE SYSTEM'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. IMPLICIT PRICE CONCESSIONS REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION THE SYSTEM EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE PAGES 19-25 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE DISCLOSURE REGARDING PRICE CONCESSIONS, BAD DEBTS AND UNINSURED PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 FOR ANY PORTION OF THEIR BILL. PATIENTS APPROVED FOR FINANCIAL ASSISTANCE RECEIVE A LETTER OF NOTIFICATION AND WALLET CARD 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 ABILITY TO PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OF TANNER MEDICAL CENTER, INC.'S TAX-EXEMPT HOSPITALS ASSESS THE HEALTHCARE NEEDS OF THEIR RESPECTIVE COMMUNITIES ONCE EVERY THREE YEARS. TANNER'S CHNA IS AN ORGANIZED, FORMAL, AND SYSTEMATIC APPROACH TO IDENTIFY AND ADDRESS THE NEEDS OF UNDERSERVED COMMUNITIES ACROSS TANNER'S GEOGRAPHIC FOOTPRINT. THE CHNA GUIDES THE DEVELOPMENT AND IMPLEMENTATION OF A COMPREHENSIVE PLAN TO IMPROVE HEALTH OUTCOMES FOR RESIDENTS DISPROPORTIONATELY AFFECTED BY DISEASE. THIS CHNA ALSO INFORMS THE CREATION OF AN IMPLEMENTATION STRATEGY FOR FUTURE COMMUNITY HEALTH PROGRAMMING AND COMMUNITY BENEFIT RESOURCE ALLOCATION ACROSS TANNER'S HOSPITALS. AS A NONPROFIT ORGANIZATION, TANNER'S CHNAS ALIGN WITH THE AFFORDABLE CARE ACT GUIDELINES AND COMPLY WITH INTERNAL REVENUE SERVICE (IRS) REQUIREMENTS. IN FY 2025, TANNER MEDICAL CENTER, INC.'S TWO ACUTE CARE HOSPITALS - TANNER MEDICAL CENTER/CARROLLTON AND TANNER MEDICAL CENTER/VILLA RICA - AND TANNER'S CRITICAL ACCESS HOSPITAL, HIGGINS GENERAL HOSPITAL IN BREMEN, COMPLETED A COMPREHENSIVE CHNA TO IDENTIFY THE HEALTH NEEDS OF THEIR COMMUNITIES FURTHER. TANNER COMPLETED PREVIOUS CHNAS IN FY 2013, FY 2016, FY 2019, FY 2022 AND FY2025. THESE COMPREHENSIVE MULTIFACTOR ASSESSMENTS INCLUDED COLLECTING AND ANALYZING QUANTITATIVE DATA AND QUALITATIVE INPUT FROM RESIDENTS GATHERED THROUGH KEY INFORMANT INTERVIEWS, COMMUNITY LISTENING SESSIONS, AND FOCUS GROUPS. THS UTILIZED CENSUS BUREAU DEMOGRAPHICS, THE AMERICAN COMMUNITY SURVEY, BUREAU OF LABOR STATISTICS, HOSPITAL UTILIZATION DATA, COUNTY HEALTH RANKINGS, AND OTHER PUBLIC HEALTH DATA SOURCES FOR THE QUANTITATIVE DATA ANALYSIS. THROUGH THE CHNA PROCESS, THE DATA AND THE COMMUNITY HAVE IDENTIFIED THE GREATEST HEALTH NEEDS IN ITS COMMUNITIES. PRIORITIZING THE GREATEST COMMUNITY HEALTH NEEDS ENABLES THE HEALTH SYSTEM TO ENSURE IT APPROPRIATELY DIRECTS ITS RESOURCES TOWARD OUTREACH, PREVENTION, EDUCATION, AND WELLNESS OPPORTUNITIES, WHERE IT WILL HAVE THE MOST SIGNIFICANT IMPACT. IN SELECTING PRIORITIES, TANNER CONSIDERED THE DEGREE OF COMMUNITY NEED FOR ADDITIONAL RESOURCES, THE CAPACITY OF OTHER AGENCIES TO MEET THE NEED AND THE SUITABILITY OF TANNER'S EXPERTISE TO ADDRESS THE ISSUE. THE HEALTH SYSTEM LOOKED FOR HEALTH NEEDS THAT REQUIRE A COORDINATED RESPONSE ACROSS VARIOUS HEALTHCARE AND COMMUNITY SECTORS. RESPONDING TO KEY CHNA FINDINGS, THE PRIORITY AREAS TO BE ADDRESSED DURING FISCAL YEARS 2025-2028 BY TANNER MEDICAL CENTER, INC. INCLUDES MENTAL HEALTH SERVICES, ACCESS TO AFFORDABLE HEALTHCARE, CHRONIC DISEASES, AFFORDABLE, HEALTHY HOUSING, ACCESS TO AFFORDABLE HEALTH INSURANCE, SUBSTANCE USE DISORDER, AND HEALTHY EATING/ACTIVE LIVING FOR HEALTHY WEIGHT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>TANNER PROVIDES PATIENTS WITH INFORMATION ABOUT THE ORGANIZATION'S CHARITY/INDIGENT PROGRAM AT REGISTRATION AND ON THE TANNER WEBSITE. THS PROVIDES FINANCIAL COUNSELING FOR PATIENTS. ANY SELF-PAY OR UNDERINSURED PATIENTS MUST MEET THE CRITERIA FOR INDIGENT CARE TO HAVE THE COST OF THEIR CARE WRITTEN OFF BY THE SYSTEM. TANNER INTERVIEWS PATIENTS AND PREPARES FINANCIAL STATEMENTS. TANNER REFERS PATIENTS WHO MEET THE CRITERIA FOR MEDICAID ELIGIBILITY TO AN OUTSIDE VENDOR FOR ASSISTANCE. A PATIENT WITH A FAMILY INCOME UP TO 200% (TWO TIMES) OF THE FEDERAL POVERTY GUIDELINES (FPG) BASED ON FAMILY SIZE RECEIVES A 100% DISCOUNT FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH LARGE, MEDICALLY NECESSARY MEDICAL BILLS WHICH HAVE CREATED A FINANCIAL HARDSHIP ARE CONSIDERED FOR A SLIDING SCALE DISCOUNT. THE LOWER THE PATIENT'S DISCRETIONARY INCOME AND THE HIGHER THE HEALTHCARE BILLS ALLOW FOR MORE CHARITY ALLOWANCES. PATIENTS WHOSE FAMILY INCOME EXCEEDS TWO TIMES THE APPLICABLE FPG MAY ALSO QUALIFY FOR SLIDING SCALE DISCOUNTS ON MEDICALLY NECESSARY SERVICES. TANNER PROVIDES TRANSLATION ASSISTANCE FOR PATIENTS AS NEEDED. FINANCIAL ASSISTANCE POLICY INFORMATION IS AVAILABLE FREE OF CHARGE IN PAPER AND ELECTRONIC FORM IN THE FOLLOWING AREAS: 1) POSTED ON HOSPITAL WALLS IN REGISTRATION AREAS FOR PATIENTS, FAMILIES AND VISITORS; 2) PRINTED IN FLIERS AVAILABLE AT REGISTRATION DESKS FOR PATIENTS AND FAMILIES; 3) PRINTED IN FLIERS AND POSTED ON WALLS MOUNTS THROUGHOUT HOSPITALS; 4) MAILED TO PATIENTS WITH STATEMENTS; 5) COMMUNICATED TO PATIENTS DURING PHONE CALLS; 6) PRINTED FLYERS AVAILABLE AT LOCAL PHYSICIAN OFFICES; 7) PRINTED FLYERS PROVIDED TO LOCAL ADVOCACY GROUPS/AGENCIES SUCH AS FAMILY &amp; CHILDREN SERVICES (DFCS) AND HEALTH DEPARTMENTS; 8) PRINTED IN LOCAL NEWSPAPER ANNUALLY FOR THE COMMUNITY; 9) PROVIDED TO LOCAL PHYSICIAN OFFICE MANAGEMENT MEETINGS ANNUALLY; 9) POSTED ON TANNER'S WEBSITE TANNER.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>TANNER MEDICAL CENTER, INC. DELIVERS CARE TO DIVERSE COMMUNITIES ACROSS WEST GEORGIA AND EAST ALABAMA. FOLLOWING IS A SUMMARY AND DEMOGRAPHICS OF THE COMMUNITIES SERVED BY TANNER. TANNER'S HOSPITALS DEFINE THE COMMUNITY AS THE GEOGRAPHIC AREA THE HOSPITALS SERVE BASED ON HOSPITAL UTILIZATION DATA WITHOUT REGARD TO INSURANCE COVERAGE OF ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER THS'S FINANCIAL ASSISTANCE POLICY. THE PRIMARY SERVICE AREA FOR ALL THREE OF TANNER'S HOSPITALS - TANNER MEDICAL CENTER/CARROLLTON, TANNER MEDICAL CENTER/VILLA RICA AND HIGGINS GENERAL HOSPITAL IN BREMEN - INCLUDES THE GEOGRAPHIC AREAS OF CARROLL, HARALSON AND HEARD COUNTIES, COVERING 1,077 SQUARE MILES OF PREDOMINANTLY RURAL AREA (73% RURAL) WITH A TOTAL POPULATION OF 160,479 (U.S. CENSUS BUREAU, 2021). CARROLL, HARALSON AND HEARD COUNTIES CONSIST OF RURAL AND SUBURBAN COMMUNITIES WHERE A MIXTURE OF HOSPITAL SYSTEMS, PRIVATE PRACTICES, RURAL HEALTH CLINICS, INDIGENT CLINICS AND OTHER SOCIAL SERVICES MEET RESIDENTS' HEALTH NEEDS. THE PROXIMITY OF TANNER'S ACUTE CARE HOSPITALS (WITHIN A 12-20-MILE RADIUS OF EACH OTHER) - TANNER MEDICAL CENTER/CARROLLTON AND TANNER MEDICAL CENTER/VILLA RICA - AND THE CRITICAL ACCESS HOSPITAL, HIGGINS GENERAL HOSPITAL, PROVIDE WEST GEORGIA RESIDENTS MULTIPLE ACCESS POINTS FOR A VARIETY OF HEALTHCARE-RELATED SERVICES. THESE FACILITIES WORK COLLABORATIVELY TO LEVERAGE EXISTING ASSETS AND RESOURCES THROUGHOUT TANNER'S OVERALL PRIMARY SERVICE AREA OF CARROLL, HARALSON AND HEARD COUNTIES TO BEST MEET THE HEALTH NEEDS OF THEIR COMMUNITIES. THE FACILITIES ALSO LEVERAGE ASSETS AND RESOURCES IN TANNER'S SECONDARY SERVICE AREA OF DOUGLAS, PAULDING, POLK, CLEBURNE (ALABAMA) AND RANDOLPH (ALABAMA) COUNTIES. DEMOGRAPHICS (DATA GATHERED FROM U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2019-2023 5-YEAR ESTIMATES): -CARROLL COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA, SERVED BY TANNER MEDICAL CENTER/CARROLLTON AND TANNER MEDICAL CENTER/VILLA RICA): POPULATION ~128,671: 67.2% NON-HISPANIC WHITE, 20.1% NON-HISPANIC BLACK, 8.8% HISPANIC, 0.6% AMERICAN INDIAN AND ALASKA NATIVE, 1.2% ASIAN, 0.1% NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER MEDIAN HOUSEHOLD INCOME 72,937 UNINSURED (UNDER AGE 65) ~14% UNEMPLOYMENT ~3.2% BELOW POVERTY LEVEL ~14.5%. -HARALSON COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA, SERVED BY HIGGINS GENERAL HOSPITAL): POPULATION ~30,979: 88.5% NON-HISPANIC WHITE, 5.1% NON-HISPANIC BLACK, 3.2% HISPANIC, 0.4% AMERICAN INDIAN AND ALASKA NATIVE, 0.7% ASIAN MEDIAN HOUSEHOLD INCOME 60,413 UNINSURED (UNDER AGE 65) ~15% UNEMPLOYMENT ~3.1% BELOW POVERTY LEVEL ~15.8%. -HEARD COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA, SERVED BY TANNER MEDICAL CENTER/CARROLLTON): POPULATION ~11,890: 82.4% NON-HISPANIC WHITE, 10.4% NON-HISPANIC BLACK, 4.2% HISPANIC, 0.5% AMERICAN INDIAN AND ALASKA NATIVE, 0.6% ASIAN; MEDIAN HOUSEHOLD INCOME 65,214 UNINSURED (UNDER AGE 65) ~16% UNEMPLOYMENT ~3.0% BELOW POVERTY LEVEL ~15.9%.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>IN FY 2025, TANNER MEDICAL CENTER, INC. PROVIDED MORE THAN 59 MILLION IN COMMUNITY BENEFIT SERVICES, INCLUDING CHARITY CARE AT COST AND A RANGE OF DIVERSE PROGRAMS DESIGNED TO ENHANCE ACCESS AND PROMOTE THE COMMUNITY'S HEALTH. TANNER MEDICAL CENTER IS A NONPROFIT ORGANIZATION DEDICATED TO IMPROVING THE HEALTH OF THE RESIDENTS IN THE COMMUNITIES IT SERVES. THAT'S WHY TANNER REINVESTS ALL ITS SURPLUS FUNDS FROM ITS OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE ACCESS TO CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH IMPROVEMENT PROGRAMS, ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH CREDENTIALING. THE PROCESS GATHERS AND VERIFIES CREDENTIALS, ALLOWS THE MEDICAL STAFF TO EVALUATE THE APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY DECIDES TO GRANT OR DENY MEDICAL STAFF PRIVILEGES. TO THE BENEFIT OF THE COMMUNITY, A BOARD OF DIRECTORS GOVERNS TANNER MEDICAL CENTER, INC. MOST OF THE BOARD COMPRISES PERSONS WHO RESIDE THROUGHOUT TANNER'S PRIMARY SERVICE AREA AND ARE NEITHER CONTRACTORS NOR EMPLOYEES OF THE ORGANIZATION (NOR FAMILY MEMBERS THEREOF). THE TANNER MEDICAL CENTER, INC. BOARD OF DIRECTORS ENSURES THAT THE HEALTH SYSTEM DEVELOPS PROGRAMS TO ADDRESS THE DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS OF THE COMMUNITIES IT SERVES. THE BOARD IS ALSO RESPONSIBLE FOR ENSURING COMMUNITY BENEFIT INITIATIVES ARE DEVELOPED TO PROMOTE THE BROAD HEALTH OF THE COMMUNITY. THE BOARD ESTABLISHES KEY MEASURES OF SYSTEM-WIDE COMMUNITY BENEFIT PERFORMANCE AND RECEIVES REGULAR REPORTS ON PROGRESS TOWARD ESTABLISHED GOALS. IN FULFILLING THESE RESPONSIBILITIES, IN FY 2014, THE BOARD DESIGNATED A COMMUNITY BENEFIT COMMITTEE. THE COMMITTEE INCLUDES AT LEAST THREE BOARD MEMBERS, WITH A MAJORITY REPRESENTATION FROM A RANGE OF COMMUNITY STAKEHOLDERS WITH EXPERTISE IN CERTAIN AREAS. THESE AREAS INCLUDE THE CHARACTERISTICS AND HISTORY OF LOCAL COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS, CLINICAL SERVICE DELIVERY, ANALYSIS OF SERVICE UTILIZATION AND POPULATION HEALTH DATA, PRIMARY PREVENTIVE HEALTH INITIATIVES, SOCIAL SERVICES, YOUTH AND FAMILY SERVICES, FINANCE, AND ACCOUNTING. THE COMMUNITY BENEFIT COMMITTEE OF THE BOARD PARTICIPATES IN ESTABLISHING PROGRAM PRIORITIES BASED ON COMMUNITY NEEDS AND ASSETS, DEVELOPING THE HOSPITAL'S COMMUNITY BENEFIT IMPLEMENTATION STRATEGY AND MONITORING PROGRESS TOWARD IDENTIFIED GOALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>TANNER MEDICAL CENTER, INC. PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. TANNER MEDICAL CENTER, INC. IS PART OF AN AFFILIATED HEALTH CARE SYSTEM WHICH INCLUDES THE FOLLOWING: TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 181-BED ACUTE CARE HOSPITAL IN CARROLLTON, GEORGIA. TANNER MEDICAL CENTER/VILLA RICA, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 67-BED ACUTE CARE HOSPITAL AND WILLOWBROOK AT TANNER/VILLA RICA, A 92-BED PSYCHIATRIC FACILITY IN VILLA RICA, GEORGIA. TANNER MEDICAL CENTER/HIGGINS GENERAL HOSPITAL, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 25-BED CRITICAL ACCESS HOSPITAL IN BREMEN, GEORGIA. TANNER MEDICAL GROUP, ESTABLISHED TO OPERATE PHYSICIAN PRACTICES IN WEST GEORGIA AND EASTERN ALABAMA. TANNER MEDICAL CENTER/EAST ALABAMA, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 15-BED ACUTE CARE HOSPITAL IN WEDOWEE, ALABAMA. CRITICAL ACCESS STATUS WAS GRANTED EFFECTIVE JANUARY 9, 2019. TANNER MEDICAL CENTER, INC. IS RESPONSIBLE FOR ALLOCATING RESOURCES AND FOR APPROVING BUDGETS, MAJOR CONTRACTS AND DEBT FINANCING FOR ALL ENTITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>GEORGIA</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc6">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CARROLL COUNTY ECONOMIC DEVELOPMENT</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>FOUNDATION INC</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 NORTHSIDE DRIVE</AddressLine1Txt>
          <CityNm>CARROLLTON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30117</ZIPCd>
        </USAddress>
        <RecipientEIN>582589709</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>60000</CashGrantAmt>
        <PurposeOfGrantTxt>ECONOMIC DEVELOPMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF WEST GEORGIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1601 MAPLE STREET</AddressLine1Txt>
          <CityNm>CARROLLTON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30118</ZIPCd>
        </USAddress>
        <RecipientEIN>586002055</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>WORKFORCE DEVELOPMNT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE MULTIPLE SCLEROSIS CENTER OF</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>ATLANTA</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3200 DOWNWOOD CIRCLE NW</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30327</ZIPCd>
        </USAddress>
        <RecipientEIN>550821471</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>1080000</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RAPHA CLINIC OF WEST GEORGIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>253 EAST HIGHWAY 78</AddressLine1Txt>
          <CityNm>TEMPLE</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30179</ZIPCd>
        </USAddress>
        <RecipientEIN>271188932</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>60088</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>4</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MONITORS TANNER MEDICAL FOUNDATION'S USE OF ASSISTANCE THROUGH A COMMON MANAGEMENT TEAM AND GOVERNING BOARD. THE ORGANIZATION'S BOARD OF DIRECTORS ESTABLISHES KEY MEASURES OF SYSTEM- WIDE COMMUNITY BENEFIT PERFORMANCE AND RECEIVE REGULAR REPORTS ON PROGRESS TOWARD ESTABLISHED GOALS. IN FULFILLING THESE RESPONSIBILITIES, THE BOARD DESIGNATED A COMMUNITY BENEFIT COMMITTEE THAT INCLUDES AT LEAST THREE BOARD MEMBERS, WITH A MAJORITY REPRESENTATION FROM A RANGE OF COMMUNITY STAKEHOLDERS WHO HAVE EXPERTISE IN AREAS SUCH AS THE CHARACTERISTICS AND HISTORY OF LOCAL COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS, CLINICAL SERVICE DELIVERY, ANALYSIS OF SERVICE UTILIZATION AND POPULATION HEALTH DATA, PRIMARY PREVENTIVE HEALTH INITIATIVES, SOCIAL SERVICES, YOUTH AND FAMILY SERVICES, FINANCE AND ACCOUNTING. THE COMMUNITY BENEFIT COMMITTEE OF THE BOARD PARTICIPATES IN THE PROCESS OF ESTABLISHING PROGRAM PRIORITIES BASED ON COMMUNITY NEEDS AND ASSETS, DEVELOPING THE HOSPITAL'S COMMUNITY BENEFIT IMPLEMENTATION STRATEGY AND MONITORING PROGRESS TOWARD IDENTIFIED GOALS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc7">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRIS ARANT MD</PersonNm>
        <TitleTxt>DIRECTOR/PHYSICIAN</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>700498</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>404908</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>415603</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>8436</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>14322</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1543767</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GREG SCHULENBURG</PersonNm>
        <TitleTxt>CIO/COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>354359</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>261918</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>153826</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>113697</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>459</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>340</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7116</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5259</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7350</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5432</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>523110</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>386646</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WAYNE SENFELD</PersonNm>
        <TitleTxt>SR. VP, BUS DEV</TitleTxt>
        <BaseCompensationFilingOrgAmt>284728</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>210451</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>224310</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>165795</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>28902</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>21362</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6194</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4579</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7718</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5705</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>551852</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>407892</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAROL CREWS</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>365926</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>270565</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>316563</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>233882</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>52945</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>39134</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7116</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5259</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7081</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5234</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>749631</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>554074</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BEN CAMP MD</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>367880</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>271911</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>101684</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>75157</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>55173</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>40780</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6544</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4837</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8034</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5939</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>539315</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>398624</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LOY HOWARD</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>784163</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>579599</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>645609</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>477189</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>118528</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>87607</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>124753</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>92208</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8990</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6645</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1682043</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1243248</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANIL DHOPLE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>747667</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10562</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>36125</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12375</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13091</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>819820</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CLINT HOFFMAN</PersonNm>
        <TitleTxt>SVP/TMG</TitleTxt>
        <BaseCompensationFilingOrgAmt>213328</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>157677</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>55196</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>40797</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>23255</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>17189</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>31074</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>22967</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7679</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5675</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>330532</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>244305</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BONNIE BOLES MD</PersonNm>
        <TitleTxt>CMIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>230794</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>170587</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>54787</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>40494</BonusRelatedOrganizationsAmt>
        <DeferredCompensationFlngOrgAmt>5594</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4134</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4502</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3328</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>295677</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>218543</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JIM GRIFFITH</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>400500</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>296021</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>109786</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>81146</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>51267</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>37893</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7116</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5259</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7213</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5331</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>575882</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>425650</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC DALTON</PersonNm>
        <TitleTxt>SVP/OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>173537</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>128266</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>44667</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>33015</BonusRelatedOrganizationsAmt>
        <DeferredCompensationFlngOrgAmt>31073</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>22967</DeferredCompRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>249277</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>184248</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE HOEHN</PersonNm>
        <TitleTxt>CNO</TitleTxt>
        <BaseCompensationFilingOrgAmt>161135</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>119099</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>37479</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>27702</BonusRelatedOrganizationsAmt>
        <DeferredCompensationFlngOrgAmt>6371</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4709</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7718</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5705</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>212703</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>157215</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVOY MURRAY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>632715</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>56276</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>51600</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12375</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15314</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>768280</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIT LOVVORN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>778627</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>57352</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>12610</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12375</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15314</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>876278</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TUNICIA GIRON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>643882</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>57752</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>850</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10924</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14635</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>728043</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BENFORD NANCE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>624128</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>57452</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>13225</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12375</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11527</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>718707</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>LOY HOWARD 0 181,586 0 CLINT HOFFMAN 0 41,667 0 ERIC DALTON 0 41,667 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>RETIREMENT PLAN: LOY HOWARD, CEO PARTICIPATES IN AN INELIGIBLE UNFUNDED 457(F) PLAN PROVIDED TO SENIOR EXECUTIVES AS SET BY HIS EMPLOYMENT CONTRACT. THE PLAN BENEFITS 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 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. BONUS/INCENTIVE: THE EXECUTIVE TEAM 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 AND ARE ACHIEVEMENT BASED. ANNUAL INCENTIVES INTENDED TO SUPPLEMENT RETIREMENT BUT PAID ANNUALLY ARE CURRENTLY IN PLACE FOR CAROL CREWS, CFO, BENJAMIN CAMP, CMO, JIM GRIFFITH, COO AND CLINT HOFFMAN, SVP.TMG. THESE WERE APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE AND REVIEWED BY AN INDEPENDENT CONSULTANT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc8">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CARROLL CITY-COUNTY HOSP AUTHORITY</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>2015 SERIES BONDS</BusinessNameLine2Txt>
        </IssuerName>
        <BondIssuerEIN>581790149</BondIssuerEIN>
        <CUSIPNum>144709GGI</CUSIPNum>
        <BondIssuedDt>2015-07-01</BondIssuedDt>
        <IssuePriceAmt>71560000</IssuePriceAmt>
        <PurposeDesc>CONSTRUCTION</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CARROLL CITY-COUNTY HOSP AUTHORITY</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>2016A SERIES BONDS</BusinessNameLine2Txt>
        </IssuerName>
        <BondIssuerEIN>581790149</BondIssuerEIN>
        <CUSIPNum>144709HB1</CUSIPNum>
        <BondIssuedDt>2016-03-01</BondIssuedDt>
        <IssuePriceAmt>26255000</IssuePriceAmt>
        <PurposeDesc>REFUNDING SERIES 2008 BONDS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CARROLL CITY-COUNTY HOSP AUTHORITY</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>2016B SERIES BONDS</BusinessNameLine2Txt>
        </IssuerName>
        <BondIssuerEIN>581790149</BondIssuerEIN>
        <CUSIPNum>144709HW5</CUSIPNum>
        <BondIssuedDt>2016-09-26</BondIssuedDt>
        <IssuePriceAmt>36855000</IssuePriceAmt>
        <PurposeDesc>REFUNDING SERIES 2010 BONDS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CARROLL CITY-COUNTY HOSP AUTHORITY</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>2016B REVENUE BOND</BusinessNameLine2Txt>
        </IssuerName>
        <BondIssuerEIN>581790149</BondIssuerEIN>
        <CUSIPNum>NONENONEN</CUSIPNum>
        <BondIssuedDt>2019-12-12</BondIssuedDt>
        <IssuePriceAmt>25000000</IssuePriceAmt>
        <PurposeDesc>ACQUISITION OF HOSPITAL EQUIPMENT</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>52890000</RetiredAmt>
        <TotalProceedsAmt>75846532</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>429360</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>75000000</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>5730000</RetiredAmt>
        <TotalProceedsAmt>29251274</TotalProceedsAmt>
        <RefundingEscrowAmt>28827106</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>424168</IssuanceCostsFromProceedsAmt>
        <SubstantialCompletionYr>2008</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>5705000</RetiredAmt>
        <TotalProceedsAmt>41148747</TotalProceedsAmt>
        <RefundingEscrowAmt>40650485</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>528262</IssuanceCostsFromProceedsAmt>
        <SubstantialCompletionYr>2010</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <RetiredAmt>13018566</RetiredAmt>
        <TotalProceedsAmt>25000000</TotalProceedsAmt>
        <CapitalExpendituresAmt>25000000</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2019</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>CARROLL CITY-COUNTY HOSP AUTHORITY CONSTRUCTION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>CARROLL CITY-COUNTY HOSP AUTHORITY REFUNDING SERIES 2008 BONDS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>CARROLL CITY-COUNTY HOSP AUTHORITY REFUNDING SERIES 2010 BONDS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>CARROLL CITY-COUNTY HOSP AUTHORITY ACQUISITION OF HOSPITAL EQUIPMENT</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="RetDoc9">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CARROLL CITY-COUNTY HOSPITAL AUTHOR</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>BONDS PAYABLE 2020</BusinessNameLine2Txt>
        </IssuerName>
        <BondIssuerEIN>581790149</BondIssuerEIN>
        <CUSIPNum>NONENONEN</CUSIPNum>
        <BondIssuedDt>2020-08-01</BondIssuedDt>
        <IssuePriceAmt>40335000</IssuePriceAmt>
        <PurposeDesc>REFUND REMAINING SERIES 2010 CERTIFICATES AND FINANCE THE COST OF THE ACQUISITION, CONSTRUCTION, REN</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CARROLL CITY-COUNTY HOSP AUTHORITY</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>BONDS PAYABLE 2025</BusinessNameLine2Txt>
        </IssuerName>
        <BondIssuerEIN>581790149</BondIssuerEIN>
        <CUSIPNum>NONENONEN</CUSIPNum>
        <BondIssuedDt>2025-04-03</BondIssuedDt>
        <IssuePriceAmt>170535000</IssuePriceAmt>
        <PurposeDesc>PARTIALLY REFUND SERIES 2015 CERTIFICATES AND FINANCE THE COST OF THE ACQUISITION, CONSTRUCTION, REN</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>3150000</RetiredAmt>
        <TotalProceedsAmt>47749058</TotalProceedsAmt>
        <RefundingEscrowAmt>14058115</RefundingEscrowAmt>
        <CapitalExpendituresAmt>33690944</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2023</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RefundingEscrowAmt>43849093</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>1497811</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>140000000</CapitalExpendituresAmt>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>CARROLL CITY-COUNTY HOSPITAL AUTHORI REFUND REMAINING SERIES 2010 CERTIFICATES AND FINANCE THE COST OF THE ACQUISITION, CONSTRUCTION, RENOVATION, EQUIPPING AND INSTALLATION OF HOSPITAL RELATED EQUIPMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>CARROLL CITY-COUNTY HOSP AUTHORITY PARTIALLY REFUND SERIES 2015 CERTIFICATES AND FINANCE THE COST OF THE ACQUISITION, CONSTRUCTION, RENOVATION, EQUIPPING AND INSTALLATION OF HOSPITAL FACILITIES, RELATED IMPROVEMENTS AND EQUIPMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc10">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROVIDE A CONTINUUM OF QUALITY HEALTHCARE SERVICES WITHIN OUR RESOURCE CAPABILITIES. TO SERVE AS A LEADER IN A COLLABORATIVE EFFORT WITH THE COMMUNITY TO PROVIDE HEALTH EDUCATION, SUPPORT SERVICES, AND CARE FOR THE COUNTY AND SURROUNDING AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE H - PART VI, LINE 11, CONTINUED. 11)REDUCE STIGMA OF MENTAL ILLNESS IN THE COMMUNITY ADVOCATE FOR CHANGE TO STIGMA SURROUNDING MENTAL ILLNESS IN THE COMMUNITY THROUGH CONTINUED EDUCATIONAL MEDIA INITIATIVES, AWARENESS CAMPAIGNS AND COMMUNITY OUTREACH EFFORTS TANNER HEALTH HAS BEEN ADVOCATING FOR CHANGE TO STIGMA SURROUNDING MENTAL ILLNESS IN THE COMMUNITY THROUGH CONTINUED EDUCATIONAL MEDIA INITIATIVES, AWARENESS CAMPAIGNS AND COMMUNITY OUTREACH EFFORTS. THESE MULTIFACETED APPROACHES AIM TO NORMALIZE CONVERSATIONS ABOUT MENTAL HEALTH, PROVIDE ACCURATE INFORMATION, AND CREATE SUPPORTIVE ENVIRONMENTS WHERE COMMUNITY MEMBERS FEEL COMFORTABLE SEEKING HELP. AS PART OF AN ONGOING IMPROVED MEDIA PLAN, TANNER HEALTH HAS HIRED A COMMUNICATIONS AND MARKETING STRATEGIST. THIS STRATEGIC STAFFING DECISION DEMONSTRATES THE ORGANIZATION'S COMMITMENT TO ADDRESSING MENTAL HEALTH STIGMA THROUGH PROFESSIONAL COMMUNICATION AND OUTREACH STRATEGIES TAILORED TO BEHAVIORAL HEALTH NEEDS. INCREASE THE MENTAL HEALTH LITERACY AND CAPACITY OF ADULTS WHO INTERACT WITH ADOLESCENTS TO IDENTIFY AND RESPOND TO THE BEHAVIORAL HEALTH ISSUES OF ADOLESCENTS THROUGH THE IMPLEMENTATION OF YOUTH MENTAL HEALTH MENTAL/BEHAVIORAL HEALTH SERVICES PROMOTE MENTAL/BEHAVIORAL HEALTH IN THE COMMUNITY FIRST AID (YMHFA) TRAININGS TO A DIVERSE GROUP OF YOUTH SERVING ADULTS THROUGHOUT THE REGION TANNER HEALTH HAD PREVIOUSLY INCREASED THE MENTAL HEALTH LITERACY AND CAPACITY OF ADULTS WHO INTERACT WITH ADOLESCENTS THROUGH YOUTH MENTAL HEALTH FIRST AID (YMHFA) TRAININGS. THESE TRAININGS EQUIPPED A DIVERSE GROUP OF YOUTH-SERVING ADULTS THROUGHOUT THE REGION WITH SKILLS TO IDENTIFY AND RESPOND APPROPRIATELY TO BEHAVIORAL HEALTH ISSUES IN YOUNG PEOPLE. HOWEVER, AS OF FISCAL YEAR 2025, TANNER HEALTH IS NO LONGER CONTRACTED TO PROVIDE THESE SERVICES. IMPLEMENT A PILOT PEER-MONITORING PROGRAM WITHIN LOCAL SCHOOLS NO ACTION STEPS HAVE BEEN TAKEN AT THIS TIME. 12)STRENGTHEN THE LINKAGE AND REFERRAL SYSTEM BETWEEN BEHAVIORAL HEALTH PROVIDERS AND OTHER SERVICE ORGANIZATIONS CONTINUE TO COLLABORATE AND COMMUNICATE WITH LOCAL SERVICE AGENCIES, SUCH AS AREA JUVENILE/TRUANCY COURTS, DEPARTMENT OF FAMILY AND CHILDREN'S SERVICES, DEPARTMENT OF JUVENILE JUSTICE, PHYSICIAN OFFICES, SCHOOLS, ETC., TO FURTHER IDENTIFY AND RESPOND TO GAPS IN BEHAVIORAL HEALTH SERVICES AND SUPPORTS IN THE COMMUNITY TANNER HEALTH CONTINUES TO FOSTER ROBUST COLLABORATIONS WITH LOCAL SERVICE AGENCIES, INCLUDING AREA JUVENILE/TRUANCY COURTS, DEPARTMENT OF FAMILY AND CHILDREN'S SERVICES, DEPARTMENT OF JUVENILE JUSTICE, PHYSICIAN OFFICES AND SCHOOLS. THESE PARTNERSHIPS ARE ESSENTIAL FOR IDENTIFYING AND ADDRESSING GAPS IN BEHAVIORAL HEALTH SERVICES AND SUPPORTS THROUGHOUT THE COMMUNITY. BY MAINTAINING OPEN LINES OF COMMUNICATION WITH THESE ORGANIZATIONS, TANNER HEALTH ENSURES A COORDINATED APPROACH TO MEETING THE BEHAVIORAL HEALTH NEEDS OF THE POPULATION THEY SERVE. IN FISCAL YEAR 2024, TANNER HEALTH IMPLEMENTED NEURO-PSYCHIATRIC SERVICES SPECIFICALLY DESIGNED TO SUPPORT THEIR NEUROSURGICAL SERVICE LINE. THIS STRATEGIC ADDITION ENHANCES THE COMPREHENSIVE CARE AVAILABLE TO NEUROSURGICAL PATIENTS WHO MAY EXPERIENCE MENTAL HEALTH CHALLENGES RELATED TO THEIR CONDITIONS OR TREATMENTS. THE INTEGRATION OF NEURO-PSYCHIATRIC CAPABILITIES REPRESENTS AN IMPORTANT EXPANSION OF SPECIALIZED BEHAVIORAL HEALTH SERVICES AT TANNER HEALTH. 13)INCREASE ACCESS TO COMMUNITY-BASED CHRONIC DISEASE PREVENTIVE SERVICES AND SELF-MANAGEMENT PROGRAMS IN ORGANIZATIONAL OR INSTITUTIONAL SETTINGS (E.G., FAITH-BASED ORGANIZATIONS, WORKSITES AND COMMUNITY-BASED ORGANIZATIONS) DEVELOP POPULATION HEALTH MANAGEMENT SERVICES ORGANIZATION TO FOCUS ON IMPROVEMENT OF CLINICAL HEALTH OUTCOMES THROUGH IMPROVED CARE COORDINATION AND PATIENT ENGAGEMENT MAJOR INVESTMENTS IN EPIC MODULES HEALTHY PLANET AND COMPASS ROSE HAVE BEEN MADE TO PROVIDE A ROBUST SUITE OF TOOLS THAT CAN ASSIST IN OBTAINING ADVANCED REPORTING AND GUIDING OUR WORKFLOWS. ADDITIONALLY, THE CHRONIC CARE MANAGEMENT PROGRAM FOR TANNER MEDICAL GROUP PATIENTS HAS BEEN EXPANDED. THE ENROLLMENT HAS INCREASED FROM 200 TO OVER 600 PATIENTS, WITH THE GOAL OF REACHING 1000 PATIENTS ENROLLED BY JULY 2025. EXPAND THE DIABETES AND HYPERTENSION FOOD AS MEDICINE AND HEALTHY FOOD FARMACY PROGRAMS TO INCLUDE EDUCATION AND HEALTHY FOOD DISTRIBUTION TO PATIENTS WITH OTHER CHRONIC DISEASES. THE FOOD AS MEDICINE AND HEALTHY FOOD FARMACY PROGRAMS HAVE BEEN EXPANDED TO INCLUDE EDUCATION AND HEALTHY FOOD DISTRIBUTION FOR PATIENTS WITH VARIOUS CHRONIC DISEASES. IN FY2024, TANNER HEALTH LAUNCHED FOOD AS MEDICINE FOR CHF PATIENTS, AND IN FY2025, THEY EXPANDED THESE PROGRAMS FOR DIABETES AND HYPERTENSION TO HARALSON COUNTY AND VILLA RICA, SERVING 215 REFERRALS IN FY2024 AND 123 REFERRALS IN FY2025. EXPAND HEALTH COACHING TO BETTER EQUIP PATIENTS TO MANAGE THEIR CHRONIC CONDITIONS AND TEACH THEM HOW TO SET REALISTIC GOALS FOR THEMSELVES HEALTH COACHING SERVICES HAVE BEEN EXPANDED TO BETTER EQUIP PATIENTS TO MANAGE THEIR CHRONIC CONDITIONS AND SET REALISTIC GOALS. IN FY2024, TANNER HEALTH LAUNCHED HEALTH COACHING AT THE CHF CLINIC, PROVIDING ONE-ON-ONE COACHING DURING TREATMENT. THIS PROGRAM WAS FURTHER EXPANDED TO VILLA RICA AND BREMEN IN FY2025, REACHING MORE PATIENTS ACROSS THE SERVICE AREA. ESTABLISH NEW PROGRAMS TO PROVIDE EDUCATION FOR SENIORS ON HOW TO MANAGE CHRONIC CONDITIONS AND LIVE HEALTHIER, MORE ACTIVE LIVES NEW EDUCATIONAL PROGRAMS FOR SENIORS ON MANAGING CHRONIC CONDITIONS AND LIVING HEALTHIER, MORE ACTIVE LIVES HAVE BEEN ESTABLISHED. IN FY2024, THESE PROGRAMS EXPANDED TO HEARD COUNTY SENIOR CENTER AND THE BIRCHES AT VILLA RICA, AND IN FY2025 TO THE BIRCHES ON MAIN. THESE INITIATIVES SERVED 582 PARTICIPANTS IN FY2024 AND 668 PARTICIPANTS IN FY2025, SHOWING STEADY GROWTH IN COMMUNITY ENGAGEMENT. IMPROVE OR ENHANCE ORGANIZATIONAL POLICIES AND PRACTICES TO INCREASE OPPORTUNITIES FOR CHRONIC DISEASE PREVENTION, RISK REDUCTION AND MANAGEMENT IN WORKSITES TANNER HEALTH HAS IMPROVED ORGANIZATIONAL POLICIES AND PRACTICES TO INCREASE OPPORTUNITIES FOR CHRONIC DISEASE PREVENTION, RISK REDUCTION, AND MANAGEMENT IN WORKSITES. FROM FY2023 TO FY2025, THEY EXPANDED THE GET HEALTHY LIVE WELL-CARE MANAGEMENT TEAM AND CHRONIC CARE MANAGEMENT PROGRAM, FOCUSING ON ELIGIBLE PATIENTS THROUGH TELEMEDICINE. TANNER ALSO IMPLEMENTED THE TRANSITIONAL CARE MANAGEMENT PROGRAM FOR PROACTIVE OUTREACH TO DISCHARGED PATIENTS, AND IN FY2025, ADDED INPATIENT DIABETES EDUCATION AT BEDSIDE PRIOR TO DISCHARGE. THE CHRONIC CARE MANAGEMENT AND TRANSITIONAL CARE MANAGEMENT PROGRAMS HAVE SHOWN IMPRESSIVE GROWTH IN PATIENT SERVICES. IN FY2023, TANNER SERVED 1,392 TCM AND 561 CCM PATIENTS. BY FY2024, THESE NUMBERS SHIFTED TO 977 TCM AND 1,284 CCM PATIENTS. IN FY2025, TANNER REACHED 647 TCM AND 2,668 CCM PATIENTS, DEMONSTRATING A STRATEGIC SHIFT TOWARD CHRONIC CARE MANAGEMENT. ADDITIONALLY, TANNER PROVIDED 1,346 OUTPATIENT DIABETES CONSULTS FROM FY2023 TO FY2025. CONDUCT SCREENING HEALTH ASSESSMENTS WITHIN WORKSITES WITH FEEDBACK PLUS HEALTH EDUCATION, INCLUDING EMPLOYEE REFERRAL TO SERVICES THAT ALIGN WITH THEIR HEALTH NEEDS TANNER HEALTH HAS CONDUCTED SCREENING HEALTH ASSESSMENTS WITHIN LOCAL WORKSITES, PROVIDING FEEDBACK AND HEALTH EDUCATION, INCLUDING EMPLOYEE REFERRAL TO APPROPRIATE SERVICES. IN FY2023, HEALTH ASSESSMENTS WERE COMPLETED AT SEVERAL LOCAL ORGANIZATIONS INCLUDING THE CITY OF VILLA RICA, GREYSTONE POWER CORPORATION, CARROLL EMC, PILGRIM'S PRIDE, CARROLL COUNTY WATER AUTHORITY AND GEORGIA POWER. THE NUMBER OF ASSESSMENTS COMPLETED HAS STEADILY INCREASED FROM 1,893 IN FY2023 TO AN ESTIMATED 2,086 IN FY2025, WHICH INCLUDES TANNER EMPLOYEE HEALTH ASSESSMENTS. GET HEALTHY LIVE WELL HAS PROVIDED AN INCREASING NUMBER OF WELLNESS EDUCATION SEMINARS, CLASSES, AND HEALTH FAIRS. THESE EDUCATIONAL OFFERINGS HAVE GROWN FROM 9 SEMINARS AND CLASSES IN FY2023 TO 18 IN FY2025, SHOWING TANNER HEALTH'S COMMITMENT TO EXPANDING HEALTH EDUCATION IN THE COMMUNITY. PROVIDE TRAINING AND TECHNICAL ASSISTANCE TO WORKSITES IN THE DEVELOPMENT AND IMPLEMENTATION OF POLICY, SYSTEMS AND ENVIRONMENTAL (PSE) MODIFICATION STRATEGIES THAT PROMOTE CHRONIC DISEASE PREVENTION, RISK REDUCTION AND MANAGEMENT FROM FY2023 TO FY2025, TANNER HEALTH HAS PROVIDED TRAINING AND TECHNICAL ASSISTANCE TO WORKSITES IN DEVELOPING AND IMPLEMENTING POLICY, SYSTEMS, AND ENVIRONMENTAL MODIFICATION STRATEGIES THAT PROMOTE CHRONIC DISEASE PREVENTION, RISK REDUCTION, AND MANAGEMENT. TANNER IMPLEMENTED AN EMPLOYEE WELLNESS TRACKING AND EDUCATION APPLICATION FOR ALL CITY OF VILLA RICA EMPLOYEES, PROVIDING ACCESS TO GENERAL HEALTH AND CHRONIC DISEASE PREVENTION AND MANAGEMENT EDUCATION, REACHING 135 PEOPLE. CONTINUE TO CULTIVATE A HEALTHIER WORKFORCE AT TANNER HEALTH SYSTEM THROUGH PROGRAMS LIKE HEALTH BRIDGE/CHRONIC DISEASE MANAGEMENT, HEALTH COACHING AND THE TANNER HEALTH SOURCE GYMS TANNER HEALTH HAS CONTINUED TO CULTIVATE A HEALTHIER WORKFORCE THROUGH PROGRAMS LIKE HEALTH BRIDGE/CHRONIC DISEASE MA</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>TANNER MEDICAL CENTER, INC. PROVIDES HEALTHCARE TO THE POPULATION OF NORTHWEST GEORGIA AND EAST ALABAMA. SERVICES ARE FOR BOTH INPATIENT SERVICE AND OUTPATIENT ANCILLARY SERVICES INCLUDING PHYSICIAN OFFICES. AS A NOT FOR PROFIT CORPORATION, TANNER PROVIDES SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. TANNER MEDICAL CENTER, INC. IS A REGIONAL HEALTHCARE PROVIDER WITH MORE THAN 300 PHYSICIANS REPRESENTING 35 UNIQUE MEDICAL SPECIALTIES. TANNER PROVIDES A WIDE RANGE OF COMPREHENSIVE MEDICAL SERVICES FOR RESIDENTS IN A REGION OF WEST GEORGIA AND EAST ALABAMA. TANNER'S FACILITIES INCLUDE THE 180-BED ACUTE CARE TANNER MEDICAL CENTER/CARROLLTON; THE ROY RICHARDS, SR. CANCER CENTER, TANNER HEART AND VASCULAR CENTER, TANNER BREAST HEALTH, THE TANNER ADVANCED WOUND CENTER, EMPLOYEE ASSISTANCE PROGRAM (TANNER EAP) AND MORE. MORE INFORMATION ON TANNER MEDICAL CENTER, INC. IS AVAILABLE IN THE HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH CAN BE DOWNLOADED AT HTTP://WWW.TANNER.ORG/COMMUNITY-IMPACT/COMMUNITY-REPORTS TANNER MEDICAL CENTER, INC. IS A NOT-FOR-PROFIT HEALTHCARE SYSTEM. THE MEDICAL CENTER PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA AND EMPLOYED PHYSICIANS. TANNER MEDICAL CENTER, INC. INCLUDES THE FOLLOWING: TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES THROUGH THE OPERATION OF A 180-BED ACUTE CARE HOSPITAL IN CARROLLTON, GEORGIA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ACCOUNTING DEPARTMENT GATHERS INFORMATION FOR THE PREPARATION OF THE FORM 990 AND CONSULTS WITH THE CFO AND COMPLIANCE OFFICER ON CERTAIN MATTERS. PRIOR TO FILING WITH THE IRS, A DRAFT COPY AS PREPARED BY THE EXTERNAL ACCOUNTING FIRM IS REVIEWED BY THE CFO FOR ACCURACY. ONCE CORRECTIONS ARE MADE, THE FINAL VERSION IS DISTRIBUTED TO ALL VOTING BOARD MEMBERS VIA ELECTRONIC MEANS PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POLICY COVERS ALL EMPLOYEES, SUPPLIERS, MEDICAL STAFF AND VOLUNTEERS. CONFLICTS ARE REVIEWED BY THE COMPLIANCE OFFICER FOR RESOLUTION. THE COMPLIANCE OFFICER THEN CONSULTS WITH THE EXECUTIVE TEAM AND THE CEO FOR FINAL RESOLUTION. PER THE POLICY, ANY PERSON WITH A CONFLICT WILL EXCUSE THEMSELVES FROM THE DECISION MAKING PROCESS COMPLETELY. BOARD MEMBERS PHYSICALLY LEAVE THE ROOM WHEN DISCUSSIONS OCCUR THAT ARE POTENTIAL CONFLICTS. TANNER BIDS OUT 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. TRANSACTIONS INVOLVING ANY POTENTIAL CONFLICT OF INTEREST ARE HANDLED BY THE ATTORNEY TO MAKE SURE ALL STEPS ARE TAKEN TO COMPLY WITH THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>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 IS COMPLETED EVERY YEAR IN MARCH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE NARRATIVE FOR LINE 15A.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PHYSICIAN FEES 16,437,815 0 0 CONTRACT SERVICES 7,938,139 4,465,680 0 PURCHASED SERVICES 9,066,102 15,694,428 0 CONSULTANT FEES 141,967 2,666,762 0 OTHER FEES 5,452 532,301 0 COLLECTION FEES 0 5,128,312 0 TOTAL 33,589,475 28,487,483 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>UBI FROM PASSTHORUGH ENTITIES -774,359</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc11">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TMC CAMPUS HEALTH CENTER LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>705 DIXIE STREET</AddressLine1Txt>
          <CityNm>CARROLLTON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30117</ZIPCd>
        </USAddress>
        <EIN>823790957</EIN>
        <PrimaryActivitiesTxt>CLINIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TANNER BEHAVIORAL HEALTH MGMT CO LL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>705 DIXIE STREET</AddressLine1Txt>
          <CityNm>CARROLLTON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30117</ZIPCd>
        </USAddress>
        <EIN>813549718</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TANNER MEDICAL FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>109 COLLEGE STREET</AddressLine1Txt>
          <CityNm>CARROLLTON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>301173136</ZIPCd>
        </USAddress>
        <EIN>581790152</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TANNER MEDICAL CENTER GROUP RETURN</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>705 DIXIE STREET</AddressLine1Txt>
          <CityNm>CARROLLTON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>301173818</ZIPCd>
        </USAddress>
        <EIN>800785570</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TANNER MEDICAL CENTER ALABAMA INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>705 DIXIE STREET</AddressLine1Txt>
          <CityNm>CARROLLTON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>301173818</ZIPCd>
        </USAddress>
        <EIN>475348597</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TANNER HEALTH (HEALTHLIANT INC)</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>705 DIXIE STREET</AddressLine1Txt>
          <CityNm>CARROLLTON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>301173818</ZIPCd>
        </USAddress>
        <EIN>581790151</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WEST GEORGIA SURGERY CENTER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>103 CLINIC AVENUE</AddressLine1Txt>
          <CityNm>CARROLLTON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30117</ZIPCd>
        </USAddress>
        <EIN>833671516</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TMC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>TANNER MEDICAL CENTER</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfEOYAssetsAmt>4340648</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.60000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HEALTHLIANT ENTERPRISES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>705 DIXIE STREET</AddressLine1Txt>
          <CityNm>CARROLLTON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>301173818</ZIPCd>
        </USAddress>
        <EIN>824529412</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WEST GEORGIA ENDOSCOPY CTR LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>160 CLINIC AVENUE</AddressLine1Txt>
          <CityNm>CARROLLTON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30117</ZIPCd>
        </USAddress>
        <EIN>753182533</EIN>
        <PrimaryActivitiesTxt>ENDOSCOPY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>S CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>774359</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>243060</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.51000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WEST GEORGIA AMBULANCE INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1952 N HIGHWAY 27</AddressLine1Txt>
          <CityNm>CARROLLTON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30117</ZIPCd>
        </USAddress>
        <EIN>582469468</EIN>
        <PrimaryActivitiesTxt>AMBULANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TMC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>TANNER MEDICAL CENTER</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>4231343</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>9629423</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TANNER MEDICAL FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>276682</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALL ENTITIES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>22661418</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GENERAL LEDGER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALL ENTITIES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <MethodOfAmountDeterminationTxt>VALUE UNDETERMINED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALL ENTITIES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <MethodOfAmountDeterminationTxt>VALUE UNDETERMINED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALL ENTITIES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <MethodOfAmountDeterminationTxt>VALUE UNDETERMINED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TANNER MEDICAL CENTER GROUP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <MethodOfAmountDeterminationTxt>VAULE UNDETERMINED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WEST GEORGIA ENDOSCOPY CENTER LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>784209</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>K-1</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>