TANNER MEDICAL CENTER ALABAMA INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- TANNER MEDICAL CENTER ALABAMA INC (EIN 47-5348597)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202301359349312215
- Schema version
- 2021v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-15T15:47:14-04:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 580914992 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAFFIN & TUCKER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 71309 | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 317081309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 475348597 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TANNER MEDICAL CENTER ALABAMA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TANN | BusinessNameControlTxt |
| Phone | 7708369580 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 705 DIXIE STREET | AddressLine1Txt |
| City | CARROLLTON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 301173818 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CAROL S CREWS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7708369580 | PhoneNum |
| Signature | 2023-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CAROL | PersonFirstNm |
| Person Last | CREWS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WILLIAM EDWARD PHILLIPS | PreparerPersonNm |
| PTIN | P00451499 | PTIN |
| Phone | 2298837878 | PhoneNum |
| Preparation | 2023-05-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TANNER MEDICAL CENTEREAST ALABAMA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LOY HOWARD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 705 DIXIE STREET | AddressLine1Txt |
| City | CARROLLTON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 301173818 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,605,970 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TANNER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2015 | FormationYr |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION OPERATES EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES SPECIFICALLY OPERATING A 15-BED ACUTE CARE HOSPITAL IN WEDOWEE, ALABAMA OFFERING MEDICAL SERVICES TO RESIDENTS OF THE COMMUNITY REGARDLESS OF ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $42,555 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,775,147 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,920,455 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,868,898 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,616,648 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$9,448 | PYInvestmentIncomeAmt |
| CY Investment Income | -$401 | CYInvestmentIncomeAmt |
| PY Other Revenue | $67,648 | PYOtherRevenueAmt |
| CY Other Revenue | $68,867 | CYOtherRevenueAmt |
| PY Total Revenue | $12,702,245 | PYTotalRevenueAmt |
| CY Total Revenue | $17,605,569 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,696,533 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,910,024 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,581,591 | PYOtherExpensesAmt |
| CY Other Expenses | $11,697,932 | CYOtherExpensesAmt |
| PY Total Expenses | $18,278,124 | PYTotalExpensesAmt |
| CY Total Expenses | $20,607,956 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$5,575,879 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,002,387 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $29,469,009 | TotalAssetsBOYAmt |
| Total Assets EOY | $30,826,947 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $25,512,657 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $28,872,983 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,956,352 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,953,964 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION OPERATES EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES SPECIFICALLY OPERATING A 15-BED ACUTE CARE HOSPITAL IN WEDOWEE, ALABAMA OFFERING MEDICAL SERVICES TO RESIDENTS OF THE COMMUNITY REGARDLESS OF ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $19,966,686 | ExpenseAmt |
| Revenue | $15,616,649 | RevenueAmt |
| Desc | TANNER MEDICAL CENTER/EAST ALABAMA (TMCA) PROVIDES THE RANDOLPH COUNTY COMMUNITY AND SURROUNDING COMMUNITIES WITH A VARIETY OF IMPORTANT INPATIENT AND OUTPATIENT MEDICAL SERVICES, OFFERED TO ALL REGARDLESS OF THE ABILITY TO PAY. DURING FYE 6/30/22, TMCA HAD 1,598 PATIENT DAYS WITH 322 DISCHARGES, WHILE THE RURAL HEALTH CLINICS HAD 29,854 VISITS. | Desc |
| Total Program Service Expenses | $19,966,686 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CAROL S CREWS | PersonNm |
| Phone | 7708369580 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 705 DIXIE STREET | AddressLine1Txt |
| City | CARROLLTON | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 301173818 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ROBERT BUGG | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BILL CAYPLESS | ||||||||
| VICE CHAIRMA | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| RAMONA DIAMOND | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL JACKSON | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | 3.00 | |
| JO KICKER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFF STEWART MD | ||||||||
| DIRECTOR/PHY | 41.00 | Yes (X) | $0 | $73,914 | $11,446 | |||
| DEREK FARR | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JERRY MORRIS | ||||||||
| ADMINISTRATO | 16.00 | $0 | $200,997 | $19,519 | Yes (X) | 24.00 | ||
| DENISE TAYLOR | ||||||||
| CCH | 1.00 | $0 | $351,332 | $12,900 | Yes (X) | 40.00 | ||
| GREG SCHULENBURG | ||||||||
| CIO/COO | 1.00 | $0 | $605,090 | $65,729 | Yes (X) | 40.00 | ||
| DEBORAH MATTHEWS | ||||||||
| CNO | 1.00 | $0 | $385,420 | $62,902 | Yes (X) | 40.00 | ||
| SUSAN FOX | ||||||||
| SR VP, TMG | 1.00 | $0 | $399,682 | $18,029 | Yes (X) | 40.00 | ||
| WAYNE SENFELD | ||||||||
| SR VP, BUSI | 1.00 | $0 | $463,771 | $20,769 | Yes (X) | 40.00 | ||
| CAROL S CREWS | ||||||||
| CFO | 1.00 | $0 | $601,792 | $21,375 | Yes (X) | 43.00 | ||
| BENJAMIN CAMP MD | ||||||||
| VP, MEDICAL | 1.00 | $0 | $768,370 | $22,900 | Yes (X) | 40.00 | ||
| WILLIAM HINES | ||||||||
| CONTRACT CAO | 1.00 | $0 | $282,542 | $0 | Yes (X) | 40.00 | ||
| LOY HOWARD | ||||||||
| PRESIDENT/CE | 1.00 | Yes (X) | $0 | $1,799,030 | $182,863 | Yes (X) | 43.00 | |
| RUSSELL PETERSON MD | ||||||||
| PHYSICIAN | 40.00 | $0 | $331,892 | $12,245 | Yes (X) | |||
| JUSTIN LOVVORN MD | ||||||||
| PHYSICIAN | 40.00 | $0 | $207,289 | $19,253 | Yes (X) | |||
| RICHARD DANIEL | ||||||||
| NP | 40.00 | $0 | $122,934 | $13,299 | Yes (X) | |||
| MICHAEL ROBINSON MD | ||||||||
| PHYSICIAN | 40.00 | $0 | $275,884 | $17,551 | Yes (X) | |||
| HEATHER STITCHER | ||||||||
| DON | 40.00 | $0 | $130,492 | $5,156 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Reportable Comp Rltd Org | $7,000,431 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $505,936 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EMCARE PHYSICIAN SERVICES INC | |||||
| 7032 COLLECTION CENTER DR | CHICAGO | IL | 60693 | PHYSICIAN SVC | $1,082,740 |
| AYA HEALTHCARE | |||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | PHYSICIANS | $525,781 |
| BECKMAN COULTER INC | |||||
| DEPT CH 10164 | PALATINE | IL | 600550164 | LAB SERVICES | $140,817 |
| OMNICELL | |||||
| PO BOX 204650 | DALLAS | TX | 75320 | PANDEMIC SVC | $105,900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,821,532 | RelatedOrganizationsAmt |
| Government Grants | $98,923 | GovernmentGrantsAmt |
| Total Contributions | $1,920,455 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621990 | $15,574,093 | $15,574,093 | |
| REFERENCE LAB | 621500 | $42,555 | $42,555 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,616,648 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $16,625 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $16,625 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,625 | TotalRevenueColumnAmt |
| Exclusion | $16,625 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $401 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$401 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$401 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$401 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA REVENUES | 722514 | $52,212 | $52,212 | |
| REBATES & DISCOUNTS | 621990 | $30 | $30 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $52,242 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,605,569 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,573,722 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $42,555 | UnrelatedBusinessRevenueAmt |
| Exclusion | $68,837 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,083,204 | TotalAmt |
| Program Services | $7,649,470 | ProgramServicesAmt |
| Management And General | $433,734 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,987 | TotalAmt |
| Program Services | $243,005 | ProgramServicesAmt |
| Management And General | $11,982 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,685 | TotalAmt |
| Program Services | $3,208 | ProgramServicesAmt |
| Management And General | $477 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $568,148 | TotalAmt |
| Program Services | $540,304 | ProgramServicesAmt |
| Management And General | $27,844 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,581,683 | TotalAmt |
| Program Services | $2,564,018 | ProgramServicesAmt |
| Management And General | $17,665 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000 | TotalAmt |
| Management And General | $1,000 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,136,486 | TotalAmt |
| Program Services | $1,074,993 | ProgramServicesAmt |
| Management And General | $61,493 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $480,710 | TotalAmt |
| Program Services | $441,436 | ProgramServicesAmt |
| Management And General | $39,274 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,741 | TotalAmt |
| Program Services | $21,673 | ProgramServicesAmt |
| Management And General | $7,068 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,219 | TotalAmt |
| Program Services | $6,219 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,965 | TotalAmt |
| Program Services | $9,965 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,223,088 | TotalAmt |
| Program Services | $2,200,702 | ProgramServicesAmt |
| Management And General | $22,386 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SHARED SERVICES ALLOCATED | $4,665,730 | $4,665,730 | |
| MEDICAL SUPPLIES | $358,916 | $358,916 | |
| REPAIRS & MAINTENANCE | $128,252 | $128,252 | |
| LICENSES | $36,542 | $36,292 | $250 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,600 | TotalAmt |
| Program Services | $22,503 | ProgramServicesAmt |
| Management And General | $18,097 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,607,956 | TotalAmt |
| Program Services | $19,966,686 | ProgramServicesAmt |
| Management And General | $641,270 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500 | BOYAmt |
| EOY | $500 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,599,142 | BOYAmt |
| EOY | $6,538,440 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,326,013 | BOYAmt |
| EOY | $1,485,171 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,155 | BOYAmt |
| EOY | $223,298 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,906 | BOYAmt |
| EOY | $19,664 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $32,813,051 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,479,961 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,211,901 | BOYAmt |
| EOY | $21,333,090 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,117,392 | BOYAmt |
| EOY | $1,226,784 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,469,009 | BOYAmt |
| EOY | $30,826,947 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,028,900 | BOYAmt |
| EOY | $886,385 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,303,110 | BOYAmt |
| EOY | $3,276,752 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $418,186 | BOYAmt |
| EOY | $66 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,762,461 | BOYAmt |
| EOY | $24,709,780 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,512,657 | BOYAmt |
| EOY | $28,872,983 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,956,352 | BOYAmt |
| EOY | $1,953,964 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,956,352 | BOYAmt |
| EOY | $1,953,964 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,469,009 | BOYAmt |
| EOY | $30,826,947 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,002,387 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $1,000,000 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$1 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | A PORTION OF THE ANNUAL MEMBERSHIP FEES PAID TO THE ALABAMA HOSPITAL ASSOCIATION IS USED FOR LOBBYING EXPENSES TO SUPPORT AND VOICE HOSPITAL CONCERNS AT THE STATE LEVEL. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $180,000 | OtherCostOrOtherBasisAmt |
| Book Value | $180,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,739,514 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,262,386 | DepreciationAmt |
| Book Value | $16,477,128 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,589,235 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,374,571 | DepreciationAmt |
| Book Value | $2,214,664 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,201,797 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,843,004 | DepreciationAmt |
| Book Value | $2,358,793 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $102,505 | OtherCostOrOtherBasisAmt |
| Book Value | $102,505 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,333,090 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTIES | $23,785,042 |
| THIRD PARTY SETTLEMENTS | $602,823 |
| OPERATING LEASE LIABILITIES | $321,915 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $24,709,780 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $463,748 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $463,748 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02250 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,635,192 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,504,738 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $130,454 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,098,940 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,504,738 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $594,202 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02880 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,098,940 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,504,738 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $594,202 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02880 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,721,383 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $4,709,533 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,763,517 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$53,984 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TANNER MEDICAL CENTER ALABAMA INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1032 MAIN STREET SOUTH | AddressLine1Txt |
| City | WEDOWEE | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 36278 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.TANNER.ORG | WebsiteAddressTxt |
| State License | H5602 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | SWING BED, RHCS | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TANNER MEDICAL CENTER ALABAMA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.TANNER.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.TANNER.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.TANNER.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.TANNER.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.TANNER.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, TANNER MEDICAL CENTER ALABAMA, INC. - PART V, LINE 3E | UPON REVIEW, ANALYSIS AND PRIORITIZATION OF THE CHNA FINDINGS, THE PRIORITY AREAS TO BE ADDRESSED DURING TANNER MEDICAL CENTER/EAST ALABAMAS FISCAL YEARS 2023-2025 IMPLEMENTATION STRATEGY INCLUDE: ? ACCESS TO CARE ? CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT ? MENTAL/BEHAVIORAL HEALTH SERVICES ? SUBSTANCE MISUSE/DRUGS ? COMMUNITY HEALTH EDUCATION |
| FACILITY 1, TANNER MEDICAL CENTER ALABAMA, INC. - PART V, LINE 5 | THE CHNAS DATA CAME FROM THREE PRIMARY SOURCES: QUANTITATIVE SECONDARY POPULATION-LEVEL DATA, HOSPITAL HEALTHCARE UTILIZATION DATA, QUALITATIVE COMMUNITY GROUP INPUT SESSIONS AND KEY INFORMANT INTERVIEWS. THE DATA WAS USED TO BROADEN THE TYPES OF INFORMATION GATHERED AND TO ENGAGE A DIVERSE GROUP OF INTERNAL AND EXTERNAL STAKEHOLDERS TO INFORM THE CHNA PROCESS AND DELIVERABLES. . THE TYPES OF INFORMATION COLLECTED FOR EACH DATA SOURCE WERE AS FOLLOWS: - SECONDARY DATA: NATIONAL, STATE, LOCAL HEALTH AND DISPARITY DATA, CORE INDICATORS: SECONDARY DATA WAS GATHERED PRIMARILY THROUGH COMMUNITY COMMONS, A PUBLICLY AVAILABLE DASHBOARD OF MULTIPLE HEALTH INDICATORS DRAWN FROM SEVERAL NATIONAL DATA SOURCES AND THE ALABAMA CENTER FOR HEALTH STATISTICS 2019 COUNTY HEALTH PROFILES. U.S. CENSUS AMERICAN COMMUNITY SURVEY DATA WAS ALSO CONSULTED FOR DEMOGRAPHIC, EDUCATION AND INCOME STATISTICS. OTHER DATA SOURCES ARE NOTED IN THE COUNTY HEALTH PROFILES (AS SEEN IN PART III). - HOSPITAL UTILIZATION DATA: PATIENT HEALTHCARE UTILIZATION DATA WAS USED TO IDENTIFY THE HOSPITALS CBSA AND GEOGRAPHIC AREAS OF FOCUS FOR NEEDS ASSESSMENT AND STRATEGY IMPLEMENTATION. - COMMUNITY INPUT SESSION DISCUSSIONS: TANNER MEDICAL CENTER/EAST ALABAMA FACILITATED COMMUNITY DISCUSSIONS WITH A DIVERSE GROUP OF COMMUNITY STAKEHOLDERS AND EMPLOYED ONLINE SURVEYS TO IDENTIFY THE MOST CRITICAL COMMUNITY HEALTH ISSUES. GUIDED DISCUSSION AREAS INCLUDED TOPICS RELATED TO COMMUNITY HEALTH AND WELLNESS, ACCESS TO CARE AND SERVICES AND THE SOCIAL DETERMINANTS OF HEALTH. |
| FACILITY 1, TANNER MEDICAL CENTER ALABAMA, INC. - PART V, LINE 7D | THE CHNA REPORT IS AVAILABLE TO THE COMMUNITY ON TANNERS WEBSITE: WWW.TANNER.ORG. ADDITIONALLY, COPIES WERE DISSEMINATED TO THE HOSPITALS 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. OTHER COMMUNICATION EFFORTS INCLUDED PRESENTATIONS OF ASSESSMENT FINDINGS THROUGHOUT THE COMMUNITY. COPIES WILL ALSO BE MADE AVAILABLE FOR DISTRIBUTION UPON REQUEST FROM THE HOSPITAL. |
| FACILITY 1, TANNER MEDICAL CENTER ALABAMA, INC. - PART V, LINE 11 | THE IDENTIFICATION OF HEALTH NEEDS WAS SHAPED BY AN AWARENESS OF PUBLIC HEALTH CONCERNS, ASSESSMENT DATA AND THE HOSPITALS STRENGTHS IN THE CONTEXT OF THE SYSTEMS PRIORITIES. ADDITIONALLY, WHEN SELECTING FINAL TARGETED HEALTH PRIORITIES, TANNER CONSIDERED ADDITIONAL VARIABLES SUCH AS THE AVAILABILITY OF EVIDENCE-BASED SOLUTIONS AS WELL AS EXISTING PARTNERSHIPS AND PROGRAMMING. THESE COMPONENTS WERE USED TO IDENTIFY PRIORITY AREAS. FOCUS GROUPS PARTICIPATED IN A PRIORITIZATION EXERCISE THAT INVOLVED CLASSIFYING AND RANKING IDENTIFIED NEEDS AND ASSETS. IT ALSO INVOLVED DISCUSSING WHAT CURRENT OR NEW INITIATIVES AND PARTNERS SHOULD BE INCLUDED IN THE HOSPITALS THREE-YEAR IMPLEMENTATION PLANS. THE GOAL WAS TO DETERMINE HOW TO BEST SUPPORT THE HIGHEST PRIORITIZED NEEDS WHILE LEVERAGING COMMUNITY ASSETS AND RESOURCES. THROUGH THIS PROCESS OF EVALUATION, FIVE PRIORITY HEALTH ISSUES WERE SELECTED FROM THE BROADER LIST OF PRIORITIES IDENTIFIED IN THE CHNA AS SPECIFIC AREAS OF FOCUS FOR TANNER MEDICAL CENTER/EAST ALABAMAS COMMUNITY HEALTH IMPLEMENTATION STRATEGY, INCLUDING: 1. ACCESS TO CARE 2. CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT 3. MENTAL/BEHAVIORAL HEALTH SERVICES 4. SUBSTANCE MISUSE/DRUGS 5. COMMUNITY HEALTH EDUCATION A COMPLETE DISCUSSION OF THE GOALS FOR EACH OF THE PRIORITIZED NEEDS IS AVAILABLE BEGINNING ON PAGE 11 OF THE CHNA AND PAE 2 OF THE IMPLEMENTATION STRATEGY REPORT AVAILABLE ON THE HOSPITAL'S WEBSITE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| TMC EAST ALABAMA SWING BED UNIT | ||||
| 1032 MAIN STREET SOUTH | WEDOWEE | AL | 36278 | SWING BED-SNF |
| TANNER PRIMARY CARE OF WEDOWEE | ||||
| 1030 SOUTH MAIN STREET | WEDOWEE | AL | 36278 | RURAL HEALTH CLINIC |
| WOODLAND FAMILY HEALTHCARE | ||||
| 76 COUNTY ROAD 64 SUITE 3 | WOODLAND | AL | 36280 | RURAL HEALTH CLINIC |
| TANNER PRIMARY CARE OF ROANOKE | ||||
| 965 US 431 | ROANOKE | AL | 36274 | RURAL HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7 | 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. |
| SCHEDULE H, PART II | COMMUNITY BUILDING ACTIVITIES: AT TANNER, EFFORTS TO PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES GO BEYOND PROVIDING HEALTH SERVICES. TANNER TAKES A PROACTIVE APPROACH TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AND THE UNDERLYING ROOT CAUSES OF POOR HEALTH. IT DOES THIS BY SUPPORTING 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 ITS RESIDENTS' HEALTH AND WELL-BEING. REPRESENTING SOME OF THE LARGEST EMPLOYERS IN THEIR COMMUNITIES, TANNER'S HOSPITALS ACTIVELY PARTICIPATE IN AND CONTRIBUTE TO LOCAL CHAMBERS OF COMMERCE AND CIVIC ORGANIZATIONS AIMED AT ENSURING THE ECONOMIC DEVELOPMENT, GROWTH AND STABILITY OF THEIR LOCAL COMMUNITIES. TANNER PARTICIPATES IN AND SUPPORTS YOUTH PROGRAMS THAT FOCUS ON DEVELOPING LEADERSHIP SKILLS, ENHANCING ACADEMIC SUCCESS, IMPROVING HEALTH, CULTIVATING COMMUNITY RESPONSIBILITY, AND OFFERING CAREER EXPLORATION OPPORTUNITIES. TO ADDRESS THE HEALTHCARE WORKFORCE SHORTAGE, TANNER FOSTERS ITS ESTABLISHED, STRONG PARTNERSHIPS WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES, INCLUDING THE UNIVERSITY OF WEST GEORGIA AND WEST GEORGIA TECHNICAL COLLEGE. THE UNIVERSITY OF WEST GEORGIA'S NURSING PROGRAM - WHICH IS NAMED THE TANNER HEALTH SYSTEM SCHOOL OF NURSING - IS USING AN INVESTMENT FROM TANNER TO ENHANCE ITS FACILITIES WHILE OFFERING SCHOLARSHIP AND EDUCATIONAL OPPORTUNITIES FOR THOSE IN WEST GEORGIA AND EAST ALABAMA INTERESTED IN A CAREER IN NURSING. |
| SCHEDULE H, PART III, LINE 2 | AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE. |
| SCHEDULE H, PART III, LINE 4 | SEE PAGES 16-25 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE DISCLOSURE ADDRESSING PRICE CONCESSIONS, UNINSURED PATIENTS, AND BAD DEBTS. |
| SCHEDULE H, PART III, LINE 8 | 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. |
| SCHEDULE H, PART III, LINE 9B | PATIENTS THAT QUALIFY FOR A CHARITY WRITE OFF ARE ONLY HELD RESPONSIBLE FOR THE PORTION REMAINING AFTER WRITE OFF. PATIENTS THAT QUALIFY AS INDIGENT RECEIVE A 100% WRITE OFF AND ARE NOT RESPONSIBLE 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. |
| SCHEDULE H, PART VI, LINE 2 | TANNER MEDICAL CENTER ALABAMA, INC. ASSESSES 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 THOSE DISPROPORTIONATELY AFFECTED BY DISEASE. THIS CHNA ALSO INFORMS THE CREATION OF AN IMPLEMENTATION STRATEGY FOR FUTURE COMMUNITY HEALTH PROGRAMMING AND COMMUNITY BENEFIT RESOURCE ALLOCATION. AS A NONPROFIT ORGANIZATION, TANNER'S CHNA ALIGNS WITH THE AFFORDABLE CARE ACT GUIDELINES AND COMPLY WITH INTERNAL REVENUE SERVICE (IRS) REQUIREMENTS. THE MOST RECENT CHNA CONDUCTED IN TANNER MEDICAL CENTER/EAST ALABAMA'S PRIMARY SERVICE AREA OF CLEBURNE AND RANDOLPH COUNTIES WAS COMPLETED IN FY 2022. TANNER MEDICAL CENTER/EAST ALABAMAS CHNA PROCESS INVOLVED RESIDENTS, COMMUNITY PARTNERS AND STAKEHOLDERS, ALONG WITH HOSPITAL LEADERSHIP. THESE REPRESENTATIVES USED POPULATION-LEVEL DATA AND FEEDBACK FROM A COMMUNITY FOCUS GROUP AND KEY INFORMANT INTERVIEWS AND ONLINE AND PAPER SURVEYS TO CREATE RECOMMENDATIONS FOR THE HOSPITALS HEALTH PRIORITIES, POTENTIAL IMPLEMENTATION STRATEGIES AND TO IDENTIFY KEY PARTNERS. FOURTEEN PEOPLE WERE INVOLVED IN THE CHNA PROCESS THROUGH PARTICIPATION IN A FOCUS GROUP OR KEY INFORMANT INTERVIEW. UPON REVIEW, ANALYSIS AND PRIORITIZATION OF THE CHNA FINDINGS, THE PRIORITY AREAS TO BE ADDRESSED DURING TANNER MEDICAL CENTER/EAST ALABAMAS FISCAL YEARS 2023-2025 IMPLEMENTATION STRATEGY INCLUDE: 1. ACCESS TO CARE 2. CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT 3. MENTAL/BEHAVIORAL HEALTH SERVICES 4. SUBSTANCE MISUSE/DRUGS 5. COMMUNITY HEALTH EDUCATION THE MOST RECENT CHNA CONDUCTED IN TANNER MEDICAL CENTER/EAST ALABAMA'S PRIMARY SERVICE AREA OF CLEBURNE AND RANDOLPH COUNTIES WAS COMPLETED IN FY 2022. BOTH THE 2022 AND 2019 CHNA AND IMPLEMENTATION PLAN ARE POSTED ON THE FACILITY'S HOME WEBPAGE. IN ADDITION, TMCA DEVELOPS A STRATEGIC PLAN THAT IS UPDATED ANNUALLY. THE STRATEGIC PLAN TAKES INTO CONSIDERATION HEALTH NEEDS FOR OUR SERVICE AREA IN ADDITION TO UTILIZATION OF SERVICES, COMMUNITY PARTICIPATION, AND QUALITY OF SERVICES PROVIDED. |
| SCHEDULE H, PART VI, LINE 3 | TANNER PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE ORGANIZATION'S CHARITY/INDIGENT PROGRAM AT THE TIME OF REGISTRATION AND ON THE TANNER WEBSITE. 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. PATIENTS ARE INTERVIEWED, AND FINANCIAL STATEMENTS ARE PREPARED. PATIENTS WHO MEET THE CRITERIA FOR MEDICAID ELIGIBILITY ARE REFERRED TO AN OUTSIDE VENDOR FOR ASSISTANCE. A PATIENT WITH A FAMILY INCOME UP TO 200% (2 TIMES) OF THE FEDERAL POVERTY GUIDELINES (FPG) BASED ON FAMILY SIZE RECEIVE 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. TRANSLATION ASSISTANCE IS PROVIDED 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, FAMILY 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 DFACS AND HEALTH DEPARTMENTS; 8) PRINTED IN LOCAL NEWSPAPER ANNUALLY FOR THE COMMUNITY; 9) PROVIDED AT PHYSICIAN OFFICE MANAGEMENT MEETINGS ANNUALLY; 9) POSTED ON TANNER WEBSITE TANNER.ORG. |
| SCHEDULE H, PART VI, LINE 4 | TANNER MEDICAL CENTER/EAST ALABAMA DEFINES THE COMMUNITY AS THE GEOGRAPHIC AREA SERVED BY THE HOSPITAL, CONSIDERING ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREA INCLUDES RANDOLPH AND CLEBURNE COUNTIES, CONSISTING OF 1,141 SQUARE MILES OF PREDOMINATELY RURAL AREA (89%) WITH A TOTAL POPULATION OF 37,563 (US CENSUS BUREAU, POPULATION ESTIMATES 2019). DEMOGRAPHICS (DATA GATHERED FROM 2021 COUNTY HEALTH RANKINGS AND THE U.S. CENSUS BUREAU, 2019 ESTIMATES) OF RANDOLPH COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA): POPULATION 22,647; DIVERSITY 75.4% NON- HISPANIC WHITE, 19.1% NON-HISPANIC BLACK, 3% HISPANIC, 0.5% AMERICAN INDIAN AND ALASKA NATIVE, 0.5% ASIAN, 0.1% NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER; AVERAGE INCOME 42,900; UNINSURED ADULTS 15%; UNINSURED CHILDREN 3%; UNEMPLOYMENT 3%; BELOW POVERTY LEVEL 25.3%. DEMOGRAPHICS OF CLEBURNE COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA): POPULATION 14,916; DIVERSITY 92.8% NON-HISPANIC WHITE, 2.7% NON-HISPANIC BLACK, 2.6% HISPANIC, 0.5% AMERICAN INDIAN AND ALASKA NATIVE, 0.2% ASIAN, 0.1% NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER; AVERAGE INCOME 51,300; UNINSURED ADULTS 17%, UNINSURED CHILDREN 4%; UNEMPLOYMENT 3.2%; BELOW POVERTY LEVEL 13.3%. |
| SCHEDULE H, PART VI, LINE 5 | IN FY 2022, TANNER MEDICAL CENTER ALABAMA, INC. PROVIDED MORE THAN 500,000 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. AS A NONPROFIT ORGANIZATION DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES, TANNER MEDICAL CENTER, INC. REINVESTS ALL SURPLUS FUNDS FROM ITS OPERATING AND INVESTMENT ACTIVITIES. THE FUNDS ARE USED TO IMPROVE ACCESS TO CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH. MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS GATHERS AND VERIFIES CREDENTIALS, ALLOWS THE MEDICAL STAFF TO EVALUATE THE APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE AND COMPETENCE, AND ULTIMATELY DECIDE TO GRANT OR DENY MEDICAL STAFF PRIVILEGES. TO THE BENEFIT OF THE COMMUNITY, TANNER MEDICAL CENTER ALABAMA, INC. IS GOVERNED BY A BOARD OF DIRECTORS, THE MAJORITY OF WHICH IS COMPRISED OF PERSONS WHO RESIDE THROUGHOUT TANNER'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION (NOR FAMILY MEMBERS THEREOF). THE TANNER MEDICAL CENTER ALABAMA, 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 THE DEVELOPMENT OF COMMUNITY BENEFIT INITIATIVES TO PROMOTE THE COMMUNITY'S OVERALL HEALTH. THE BOARD ALSO ESTABLISHES KEY MEASURES OF SYSTEM-WIDE COMMUNITY BENEFIT PERFORMANCE AND RECEIVES REGULAR REPORTS ON PROGRESS TOWARD ESTABLISHED GOALS. |
| SCHEDULE H, PART VI, LINE 6 | TANNER MEDICAL CENTER, INC. (MEDICAL CENTER) 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 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 53-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. |
| SCHEDULE H, PART VI, LINE 7 | ALABAMA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|
| JERRY MORRIS | ||||||
| ADMINISTRATOR | $175,406 | $25,491 | $100 | $8,063 | $11,456 | $220,516 |
| DENISE TAYLOR | ||||||
| CCH | $271,136 | $80,196 | $10,150 | $2,750 | $364,232 | |
| GREG SCHULENBURG | ||||||
| CIO/COO | $482,183 | $122,907 | $51,817 | $13,912 | $670,819 | |
| DEBORAH MATTHEWS | ||||||
| CNO | $302,289 | $83,131 | $51,817 | $11,085 | $448,322 | |
| SUSAN FOX | ||||||
| SR VP, TMG | $313,152 | $86,530 | $6,812 | $11,217 | $417,711 | |
| WAYNE SENFELD | ||||||
| SR VP, BUSINESS DEV | $373,378 | $90,393 | $8,574 | $12,195 | $484,540 | |
| CAROL S CREWS | ||||||
| CFO | $431,275 | $102,794 | $67,723 | $10,113 | $11,262 | $623,167 |
| BENJAMIN CAMP MD | ||||||
| VP, MEDICAL AFFAIRS | $527,569 | $187,230 | $53,571 | $10,150 | $12,750 | $791,270 |
| WILLIAM HINES | ||||||
| CONTRACT CAO | $282,542 | $282,542 | ||||
| LOY HOWARD | ||||||
| PRESIDENT/CEO | $1,038,067 | $249,375 | $511,588 | $170,391 | $12,472 | $1,981,893 |
| RUSSELL PETERSON MD | ||||||
| PHYSICIAN | $317,692 | $14,200 | $9,276 | $2,969 | $344,137 | |
| JUSTIN LOVVORN MD | ||||||
| PHYSICIAN | $207,189 | $100 | $8,268 | $10,985 | $226,542 | |
| MICHAEL ROBINSON MD | ||||||
| PHYSICIAN | $257,034 | $18,850 | $10,150 | $7,401 | $293,435 | |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 4 | GREG SCHULENBURG 0 41,667 0 DEBORAH MATTHEWS 0 41,667 0 LOY HOWARD 0 140,741 0 |
| SCHEDULE J, PART III | 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. TANNER MEDICAL CENTER, INC. LONG TERM RETENTION PLAN IS AN UNFUNDED TOP-HAT PLAN THAT IS PROVIDED TO MR. HOWARD. UNPAID PLAN BENEFITS ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. ALL PLAN BENEFITS ARE SCHEDULED TO VEST ON OR BEFORE JUNE 30, 2021. 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. A PAYMENT WAS MADE TO THE CEO THAT REPRESENTS AMOUNTS EARNED OVER THE COURSE OF 10 YEARS. THE ANNUAL AMOUNTS WERE HELD IN A DEFERRED COMPENSATION AND RETENTION PLAN DESIGNED TO ENSURE THE EXECUTIVES CONTINUED EMPLOYMENT WITH THE HOSPITAL SYSTEM. ALL REMAINING AMOUNTS UNDER THE PLAN WERE RELEASED IN THE 2019 TAX YEAR. UNRELATED ORGANIZATION COMPENSATION: CYPRESS HEALTHCARE PARTNERS, LLC, AN UNRELATED ORGANIZATION, IS A CONSULTING FIRM PROVIDING MANAGEMENT SERVICES TO TANNER. THE CONTRACT FOR SERVICES PROVIDED BY THEIR EMPLOYEE WILLIAM HINES, WHO SERVES AS THE CHIEF ADMINISTRATIVE OFFICER FOR TMC AND ITS AFFILIATES, IS 282,542, PLUS TRAVEL. MANAGEMENT SERVICES PROVIDED BY WILLIAM HINES INCLUDE DIRECTING VARIOUS DEPARTMENTAL OPERATIONS (TMC ENGINEERING, DIETARY, HUMAN RESOURCES ETC.), MANAGING PHYSICIAN PRACTICES, AND HOSPICE AND HOME HEALTH OPERATIONS. 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 AND BENJAMIN CAMP, CMO. THESE WERE APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE AND REVIEWED BY AN INDEPENDENT CONSULTANT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, ITEM C | TANNER MEDICAL CENTER/EAST ALABAMA |
| FORM 990 - ORGANIZATION'S MISSION | THE ORGANIZATION OPERATES EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES SPECIFICALLY OPERATING A 15-BED ACUTE CARE HOSPITAL IN WEDOWEE, ALABAMA OFFERING MEDICAL SERVICES TO RESIDENTS OF THE COMMUNITY REGARDLESS OF ABILITY TO PAY. |
| FORM 990, PAGE 6, PART VI, LINE 3 | CYPRESS HEALTHCARE PARTNERS, LLC, AN UNRELATED ORGANIZATION, IS A CONSULTING FIRM PROVIDING MANAGEMENT SERVICES TO TANNER. CYPRESS HEALTHCARE PARTNERS, LLC ASSIGNED WILLIAM HINES AS CHIEF ADMINISTRATIVE OFFICER. SERVICE PROVIDED BY WILLIAM HINES INCLUDES DIRECTING VARIOUS DEPARTMENTAL OPERATIONS (TMC ENGINEERING, DIETARY, HUMAN RESOURCES ETC.), MANAGING PHYSICIAN PRACTICES, AND HOSPICE AND HOME HEALTH OPERATIONS. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE SOLE MEMBER OF THE ORGANIZATION IS TANNER MEDICAL CENTER, INC. (TMC), A 501(C)(3) NONPROFIT CORPORATION FORMED AND EXISTING PURSUANT TO THE GEORGIA NONPROFIT CORPORATION CODE, TITLE 14, CHAPTER 3 OF THE OFFICIAL CODE OF GEORGIA ANNOTATED. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE BOARD OF DIRECTORS CONSISTS OF NINE MEMBERS. ONE TO BE APPOINTED BY THE RANDOLPH COUNTY COMMISSION; ONE HELD BY THE CURRENT CHAIRMAN OF THE RANDOLPH COUNTY HEALTH CARE AUTHORITY; ONE SEAT OCCUPIED BY THE PRESIDENT/CEO OF THE SOLE MEMBER; TWO MEMBERS APPOINTED BY THE SOLE MEMBER; AND THE REMAINING FOUR SEATS MUST BE RANDOLPH COUNTY RESIDENTS. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE SOLE MEMBER HAS CERTAIN RESERVED RIGHTS OR POWERS CONCERNING THE ORGANIZATION REQUIRING THE APPROVAL OR ACTION OF THE MEMBER INCLUDING DISSOLUTION OF THE ORGANIZATION; SALE, MERGER OR DISPOSITION OF SUBSTANTIALLY ALL ASSETS; APPROVAL OF BUDGETS; TERMINATION OF CONTRACTS OR LEASES BETWEEN THE ORGANIZATION AND RANDOLPH COUNTY HEALTH CARE AUTHORITY; ACTIONS JEOPARDIZING TAX EXEMPT STATUS; INCURRENCE OF ANY DEBT IN EXCESS OF 300,000; SELECTION OR REMOVAL OF THE ORGANIZATION'S PRESIDENT/CEO OR HOSPITAL ADMINISTRATOR; CHANGES TO THE MISSION, STRATEGIC PLANS OR MASTER FACILITY PLANS; AMENDMENT OF GOVERNING DOCUMENTS OR BYLAWS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE SOLE MEMBER'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. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE POLICY COVERS ALL EMPLOYEES, SUPPLIERS, MEDICAL STAFF AND VOLUNTEERS. CONFLICTS ARE REVIEWED BY THE SOLE MEMBER'S 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. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO MEMBERS OF THE PUBLIC WHO MAKE THEIR REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. |
| FORM 990, PART IX, LINE 11G | PHYSICIAN FEES 1,130,757 0 0 PURCHASED SERVICES 348,055 17,315 0 CONTRACT SERVICES 1,085,206 0 0 CONSULTING 0 350 0 TOTAL 2,564,018 17,665 0 |
| FORM 990, PART XI, LINE 9 | BOOK / TAX DEPRECIATION DIFFERENCE -1 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| TANNER MEDICAL CENTER INC | |||||||||||
| 705 DIXIE STREET | CARROLLTON | GA | 301173818 | 581791049 | HOSPITAL | GA | 501C3 | 3 | NA | false | |
| TANNER MEDICAL CENTER GROUP RETURN | |||||||||||
| 705 DIXIE STREET | CARROLLTON | GA | 301173818 | 800785570 | HEALTHCARE | GA | 501C3 | 3 | TMC | false | |
| TANNER MEDICAL FOUNDATION INC | |||||||||||
| 109 COLLEGE STREET | CARROLLTON | GA | 301173136 | 581790152 | FOUNDATION | GA | 501C3 | 7 | TMC | false | |
| HEALTHLIANT INC | |||||||||||
| 705 DIXIE STREET | CARROLLTON | GA | 301173818 | 581790151 | HEALTHCARE | GA | 501C3 | 12B | false | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|
| HEALTHLIANT ENTERPRISES INC | ||||||||
| 705 DIXIE STREET | CARROLLTON | GA | 301173818 | 824529412 | HEALTHCARE | GA | N/A | false |
| WEST GEORGIA ENDOSCOPY CTR LLC | ||||||||
| 160 CLINIC AVENUE | CARROLLTON | GA | 30117 | 753182533 | ENDOSCOPY | GA | N/A | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Comments