2017-05-12T16:32:02-04:00 2016-06-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2015-07-01 581790149 TANNER MEDICAL CENTER INC TANN 7708369580 705 DIXIE STREET CARROLLTON GA 301173818 CAROL CREWS CFO 7708369580 2017-05-15 true JACQUELINE G ATKINS P00861721 2298837878 2017-05-12 2015 2021-01-29 14:40:06Z LOY HOWARD 705 DIXIE STREET CARROLLTON GA 301173818 398738450 false X WWW.TANNER.ORG X 1988 GA 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. 11 10 3292 177 631623 381984 1773746 1418452 224827586 246795637 6443735 4155676 56893989 57715054 289939056 310084819 943000 1589582 0 119965902 125083933 0 0 122746607 133866085 243655509 260539600 46283547 49545219 486301092 603588461 139900837 219101619 346400255 384486842 X 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. false false 173127174 1589582 302364483 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. SEE SCHEDULE O 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 202-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/MAIN/HEALTHLIVINGMAGAZINE.ASPX 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 AND A 20-BED INPATIENT REHABILITATION FACILITY IN CARROLLTON, GEORGIA. 173127174 true true false true false false false false false true true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false true false false false false false true true true false false true 273 0 3292 true true true false false false false false false false false false X 11 10 false true false false false false false true true false true true true true true true true true true true false GA X CAROL CREWS 7708369580 705 DIXIE STREET CARROLLTON GA 301173818 DANIEL JACKSON CHAIRMAN 1.00 1.00 X X 0 0 0 JEFFREY LINDSEY DMD VICE CHAIRMA 1.00 1.00 X X 0 0 0 MARY COVINGTON SECRETARY 1.00 1.00 X X 0 0 0 GELON WASDIN TREASURER 1.00 1.00 X X 0 0 0 STEVE ADAMS DIRECTOR 1.00 2.00 X 0 0 0 ANNA BERRY DIRECTOR 1.00 1.00 X 0 0 0 JERRY CLAYTON DIRECTOR 1.00 1.00 X 0 0 0 KYLE MARRERO DIRECTOR 1.00 1.00 X 0 0 0 ROBERT B PITTS MD DIRECTOR 1.00 1.00 X 0 0 0 HOWARD RAY DIRECTOR 1.00 1.00 X 0 0 0 TIMOTHY WARREN DIRECTOR 1.00 2.00 X 0 0 0 LARRY BOGGS PAST DIRECTO 1.00 1.00 X 0 0 0 NITA PRICE PAST DIRECTO 1.00 1.00 X 0 0 0 LOY HOWARD CEO 23.00 18.00 X 847146 626152 126294 WILLIAMS WATERS MD CMO 23.00 17.00 X 610975 451589 58754 WILLIAM HINES CAO 10.00 30.00 X 149891 449672 0 JIM GRIFFITH COO 23.00 17.00 X 252604 186707 27936 MARIA RUSSO CIO 23.00 17.00 X 249732 184584 34365 CAROL CREWS CFO 23.00 18.00 X 223973 165546 40647 WAYNE SENFELD SR. 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IN ADDITION, TANNER PAYS AZIMUTH CONSULTING, INC. TO FACILITATE AN ONGOING RELATIONSHIP WITH MEMBERS OF THE LEGISLATIVE BODY TO SUPPORT OR OPPOSE VARIOUS LEGISLATIVE ISSUES CONCERNING THE HEALTHCARE INDUSTRY. MASSEY, WATSON, BOWERS, & HEMBREE, LLC ARE ALSO RETAINED TO HELP TANNER IN THE AREA OF PUBLIC AFFAIRS SUPPORT WITH THE STATE OF GEORGIA. 6785533 1159187 -39629 676216 7228875 6336437 1340398 48958 940260 6785533 5716582 1503783 259962 1143890 6336437 5680421 33000 198196 195035 5716582 5499780 342277 161636 5680421 0.23760 0.76240 false true true 10415651 10415651 183527220 86532539 96994681 2218745 1608539 610206 118437440 75874406 42563034 14889451 14889451 165473023 DUE TO THIRD PARTIES 901049 901049 X SCHEDULE D, PAGE 2, PART V, LINE 4 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. SCHEDULE D, PAGE 3, PART X THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEDICAL CENTER APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE MEDICAL CENTER ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2016 AND 2015 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. AS OF 2016 AND 2015, TANNER MEDICAL GROUP HAS NOT RECORDED INCOME TAX EXPENSE DUE TO NET OPERATING LOSSES. true true X true X true X true true true false true true 6503689 6503689 0.02500 31397914 26014192 5383722 0.02070 37901603 26014192 11887411 0.04560 2149046 567545 1581501 0.00610 47700 47700 0.00020 233760 233760 0.00090 172534 172534 0.00070 587062 587062 0.00230 3190102 567545 2622557 0.01010 41091705 26581737 14509968 0.05570 3125 3125 52901 52901 0.00020 41324 41324 0.00020 34250 34250 0.00010 5800 5800 2875 2875 145268 145268 0.00060 285543 285543 0.00110 true 31216069 53076422 57114311 -4037889 X true true 1 1 TANNER MEDICAL CENTER INC 705 DIXIE STREET CARROLLTON GA 301173818 WWW.TANNER.ORG 022-426 X X X IP REHAB TANNER MEDICAL CENTER INC 1 false false true X X X X X X X X X X 16 true true true true X WWW.TANNER.ORG X X true 16 true WWW.TANNER.ORG false false true X 200.000000000000 200.000000000000 X X X true true X X X X true X WWWTANNERORG X WWWTANNERORG X WWWTANNERORG X X X X X true X true X X X X true X false false FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 5 TMC'S 2016 CHNA INCORPORATES DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH-COMMUNITY SURVEYS WITH 1,011 TOTAL RESPONDENTS AND A SUB-SET CANCER PATIENT SURVEY WITH 103 RESPONDENTS-AND SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). THESE QUANTITATIVE COMPONENTS ALLOW FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH FOUR COMMUNITY FOCUS GROUPS (CARROLL COUNTY, HARALSON COUNTY, HEARD COUNTY AND VILLA RICA) HELD IN MARCH 2016 AND APRIL 2016 THAT GATHERED INPUT FROM A TOTAL OF 34 AREA COMMUNITY LEADERS. A COMMUNITY LISTENING SESSION WAS ALSO HELD IN MARCH 2016 THAT GATHERED INPUT FROM 91 AREA RESIDENTS. TANNER PARTNERED WITH THE GEORGIA HEALTH POLICY CENTER AT GEORGIA STATE UNIVERSITY TO CONDUCT THE COMMUNITY FOCUS GROUPS AND COMMUNITY LISTENING SESSION. THIS DATA WAS USED TO DIVERSIFY THE TYPES OF INFORMATION GATHERED AND TO ENGAGE A DIVERSE GROUP OF INTERNAL AND EXTERNAL STAKEHOLDERS TO INFORM THE CHNA. THE FOCUS GROUPS AND LISTENING SESSION WERE COMPRISED OF AREA 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 MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS SERVED BY THE HOSPITAL, INDIVIDUALS, OR ORGANIZATIONS REPRESENTING THE INTERESTS OF SUCH POPULATIONS ALSO PROVIDED INPUT. FOR FURTHER PUBLIC HEALTH INPUT, THE CHNA WAS REVIEWED BY REPRESENTATIVES FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND THE GEORGIA DEPARTMENT OF PUBLIC HEALTH (DPH), INCLUDING THE DPH'S COMMISSIONER AND STATE HEALTH OFFICER. FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 6A THE CHNA WAS CONDUCTED FOR ALL HOSPITAL FACILITIES, INCLUDING: TMC/HIGGINS GENERAL HOSPITAL, INC. TMC/VILLA RICA HOSPITAL, INC. FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 6B 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. FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 7D COPIES OF THE CHNA WERE DISSEMINATED 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. OTHER COMMUNICATION EFFORTS INCLUDED PRESENTATIONS OF ASSESSMENT FINDINGS THROUGHOUT THE COMMUNITY. FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 11 AS AN OUTCOME OF THE PRIORITIZATION PROCESS AND TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, SEVERAL POTENTIAL HEALTH NEEDS OR ISSUES FLOWING FROM THE PRIMARY AND SECONDARY DATA WERE NOT IDENTIFIED AS SIGNIFICANT CURRENT HEALTH NEEDS AND WERE NOT ADVANCED FOR CONSIDERATION FOR THE FY 2017-2019 IMPLEMENTATION STRATEGY. CONCERNS WERE IDENTIFIED IN THE CHNA REGARDING LACK OF DENTAL SERVICES IN THE WEST GEORGIA REGION. WHILE NOT DIRECTLY ADDRESSED IN TMC'S IMPLEMENTATION STRATEGY, TANNER WILL CONTINUE TO PARTNER WITH LOCAL DENTISTS AND ORAL SURGEONS TO PROVIDE URGENT DENTAL CARE IN THE EMERGENCY DEPARTMENT AND CLINICS, ALONG WITH WORKING COLLABORATIVELY WITH PROVIDERS, SOCIAL SERVICE AND COMMUNITY ORGANIZATIONS TO PROMOTE ROUTINE DENTAL CARE. TMC ALSO PROVIDES FINANCIAL ASSISTANCE TO A LOCAL INDIGENT CLINIC, THE RAPHA CLINIC, WHICH PROVIDES DENTAL CARE TO THOSE WITHOUT INSURANCE OR THE MEANS TO AFFORD SUCH CARE. LACK OF PUBLIC TRANSPORTATION WAS IDENTIFIED AS A FACTOR IMPACTING COMMUNITY HEALTH. WHILE TMC IS COMMITTED TO FINDING SOLUTIONS TO LIMIT TRANSPORTATION NEEDS IN THE REGION, PUBLIC TRANSPORTATION IS OUT OF THE SCOPE OF THE ORGANIZATION'S RESOURCES AND WILL NOT BE ADDRESSED AS A PRIMARY NEED IN THE IMPLEMENTATION STRATEGY, BUT WILL BE IMPACTED THROUGH THE ACCESS TO CARE PRIORITY. TANNER WILL CONTINUE TO WORK COLLABORATIVELY WITH COUNTY AND CITY GOVERNMENTS, SOCIAL SERVICE AGENCIES AND MORE TO EVALUATE AND IDENTIFY OPPORTUNITIES TO INCREASE ACCESS TO TRANSPORTATION SERVICES IN THE REGION. THE 2016 CHNA AND RELATED IMPLEMENTATION STRATEGY IS LOCATED ON TMC'S WEB SITE AT: HTTP://WWW.TANNER.ORG/ABOUT-US/THE-COMMUNITY/COMMUNITY-HEALTH- NEEDS-ASSESSMENTS FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 22D TANNER MEDICAL CENTER, INC. USED AN AVERAGE OF COMMERCIAL AND MEDICARE RATES. 1 TANNER MEDICAL CENTER IP REHAB FAC 705 DIXIE STREET CARROLLTON GA 301173818 INPATIENT REHABILITATION FACILITY PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION 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. 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 ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH AND THE UNDERLYING ROOT CAUSES OF POOR HEALTH, 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 THE HEALTH OF WELL-BEING OF ITS RESIDENTS. 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 ACTIVITIES TO DEVELOP LEADERSHIP SKILLS, ENHANCE ACADEMIC SUCCESS, IMPROVE HEALTH, CULTIVATE COMMUNITY RESPONSIBILITY AND OFFER CAREER EXPLORATION OPPORTUNITIES. TANNER ACTIVELY ENGAGES IN HEALTH CAREER MENTORING PROGRAMS, SUCH AS THE TANNER CONNECTIONS, TEENS IN ACTION, AND TANNER TEEN INSTITUTE PROGRAMS, A PARTNERSHIP BETWEEN TANNER AND LOCAL HIGH SCHOOLS THAT PROVIDE UNPAID INTERNSHIP OPPORTUNITIES THAT GIVE AREA STUDENTS A LOOK INSIDE HEALTHCARE CAREERS AND THE IMPORTANCE OF LIVING A HEALTHY LIFESTYLE, WHILE EARNING HIGH SCHOOL COURSE CREDIT. THROUGH PARTNERSHIPS SUCH AS KEEP CARROLL BEAUTIFUL, THERE ARE ONGOING EFFORTS BY TANNER TO REDUCE COMMUNITY ENVIRONMENTAL HAZARDS IN THE AIR, WATER AND GROUND, AS WELL AS THE SAFE REMOVAL OF OTHER TOXIC WASTE PRODUCTS. TANNER PROVIDES SUPPORT TO SEVERAL LOCAL ADVOCACY ORGANIZATIONS THAT PROMOTE THE COMMUNITY'S HEALTH AND SAFETY. TANNER ACTIVELY AND CONTINUALLY PREPARES FOR EMERGENCIES, UTILITY FAILURES, NATURAL DISASTERS AND OTHER POTENTIAL DISRUPTIONS, WORKING CLOSELY WITH FEDERAL, STATE AND LOCAL GOVERNMENTS, AREA BUSINESS CONSORTIUMS, COMMUNITY LEADERS AND PUBLIC SAFETY AGENCIES TO ENSURE EFFECTIVE COMMUNITY-WIDE RESPONSES TO UNPLANNED EVENTS. TO ADDRESS THE HEALTHCARE WORKFORCE SHORTAGE, TANNER CONTINUES TO FOSTER 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. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY 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. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS SEE PAGE 12 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS FOR THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE DISCLOSURE. PART III, LINE 8 - MEDICARE EXPLANATION 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. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION 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. PART VI, LINE 2 - NEEDS ASSESSMENT IN FISCAL YEAR 2014 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 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. TANNER MEDICAL CENTER, INC. (TMC) ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY ONCE EVERY THREE YEARS. THIS INFORMATION IS UTILIZED IN DEVELOPING A STRATEGY TO ADDRESS PRIORITIZED NEEDS AND IMPROVE THE HEALTH OF THE COMMUNITY TMC SERVES. THE COMPREHENSIVE, MULTIFACTOR ASSESSMENT INCLUDED THE COLLECTION AND ANALYSIS OF QUANTITATIVE DATA, AS WELL AS QUALITATIVE INPUT DIRECTLY FROM RESIDENTS GATHERED THROUGH COMMUNITY SURVEYS, INTERVIEWS AND FOCUS GROUPS. THROUGH THE CHNA PROCESS, TMC HAS IDENTIFIED THE GREATEST HEALTH NEEDS OF ITS COMMUNITY, ENABLING TMC TO ENSURE ITS RESOURCES ARE APPROPRIATELY DIRECTED TOWARDS OUTREACH, PREVENTION, EDUCATION AND WELLNESS OPPORTUNITIES, WHERE THE GREATEST IMPACT CAN BE REALIZED. IN SELECTING PRIORITIES, TMC CONSIDERED THE DEGREE OF COMMUNITY NEED FOR ADDITIONAL RESOURCES, THE CAPACITY OF OTHER AGENCIES TO MEET THE NEED AND THE SUITABILITY OF TMC'S EXPERTISE TO ADDRESS THE ISSUE. IN PARTICULAR, TMC LOOKED FOR HEALTH NEEDS THAT REQUIRE A COORDINATED RESPONSE ACROSS A RANGE OF HEALTHCARE AND COMMUNITY SECTORS. RESPONDING TO KEY CHNA FINDINGS, THE PRIORITY AREAS TO BE ADDRESSED DURING FISCAL YEARS 2014-2016 BY TMC INCLUDED: (1) ACCESS TO CARE; (2) CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT; AND (3) MENTAL HEALTH. EACH OF THE ABOVE HEALTH TOPICS CORRELATES WELL TO THE PRIORITY HEALTH TOPICS SELECTED FOR THE CURRENT CHNA (COMPLETED IN FY 2016), THUS TMC WILL BE BUILDING UPON EFFORTS OF PREVIOUS YEARS. UPON REVIEW, ANALYSIS AND PRIORITIZATION OF THE FY 2016 CHNA FINDINGS, THE PRIORITY AREAS TO BE ADDRESSED DURING THE FY 2017-2019 IMPLEMENTATION STRATEGY INCLUDE: (1) ACCESS TO CARE; (2) CHRONIC DISEASE PREVENTION AND MANAGEMENT-WITH A FOCUS ON OBESITY, HEART DISEASE, DIABETES AND CANCER; (3) BEHAVIORAL HEALTH; AND (4) HEALTH EDUCATION AND LITERACY. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE TMC PATIENTS ARE PROVIDED WITH INFORMATION PERTAINING TO THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM AT THE TIME OF REGISTRATION AND ON THE ORGANIZATION'S WEBSITE. ANY SELF-PAY OR UNDER-INSURED PATIENTS MUST MEET CRITERIA FOR INDIGENT CARE IN ORDER TO HAVE THE COST OF THEIR CARE WRITTEN OFF BY TMC. 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 FAMILY INCOME UP TO 200% 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 ALLOWS FOR MORE CHARITY ALLOWANCE. 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 FLYERS AVAILABLE AT THE REGISTRATION DESKS FOR PATIENTS AND FAMILIES; 3) PRINTED ON FLYERS AND POSTED ON WALLS MOUNTS THROUGHOUT THE HOSPITAL; 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 ALICE'S HOUSE, DFACS, HEALTH DEPARTMENTS; 8) PRINTED IN LOCAL NEWSPAPER ANNUALLY FOR THE COMMUNITY; 9) PROVIDED TO LOCATION PHYSICIAN OFFICE MANAGEMENT MEETINGS ANNUALLY; 10) POSTED ON TMC'S WEBSITE AT WWW.TANNER.ORG. PART VI, LINE 4 - COMMUNITY INFORMATION CARROLL COUNTY IS LOCATED IN THE WEST CENTRAL SECTION OF GEORGIA, ALONG THE GEORGIA-ALABAMA STATE LINE. REGIONALLY, CARROLL COUNTY IS AN ECONOMIC CENTER WITH SEVEN INCORPORATED MUNICIPALITIES. DEMOGRAPHICS OF CARROLL COUNTY (WHICH IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA)INCLUDE: POPULATION 110,527; DIVERSITY 76.8 PERCENT CAUCASIAN, 18.2 PERCENT AFRICAN-AMERICAN, 5 PERCENT OTHER; AVERAGE INCOME 46,147; UNINSURED 20 PERCENT; UNEMPLOYMENT 8.2 PERCENT; BELOW POVERTY LEVEL 18.9 PERCENT. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH AS A NONPROFIT ORGANIZATION, TMC IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES. TMC REINVESTS ALL OF 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 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 APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE AND COMPETENCE, AND TO ULTIMATELY MAKE A DECISION TO GRANT OR DENY MEDICAL STAFF PRIVILEGES. TO THE BENEFIT OF THE COMMUNITY, TMC 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 BOARD IS RESPONSIBLE FOR ENSURING THAT THE HEALTH SYSTEM DEVELOPS PROGRAMS TO ADDRESS THE DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS OF THE COMMUNITIES IT SERVES, ALONG WITH ENSURING THE DEVELOPMENT OF COMMUNITY BENEFIT INITIATIVES TO PROMOTE THE BROAD HEALTH OF THE COMMUNITY. THE BOARD ALSO ESTABLISHES KEY MEASURES OF SYSTEM-WIDE COMMUNITY BENEFIT PERFORMANCE AND RECEIVES REGULAR REPORTS ON PROGRESS TOWARD ESTABLISHED GOALS. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM 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 180-BED ACUTE CARE HOSPITAL AND A 21-BED INPATIENT REHABILITATION FACILITY IN CARROLLTON, GEORGIA. TANNER MEDICAL CENTER/VILLA RICA, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 40-BED ACUTE CARE HOSPITAL AND WILLOWBROOK AT TANNER/VILLA RICA, A 82-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, INC. IS RESPONSIBLE FOR ALLOCATING RESOURCES AND FOR APPROVING BUDGETS, MAJOR CONTRACTS AND DEBT FINANCING FOR ALL ENTITIES. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT GEORGIA true TANNER MEDICAL FOUNDATION INC 109 COLLEGE STREET CARROLLTON GA 301173136 581790152 501C3 90250 FUNDING PROJECTS CARROLL COUNTY ECONOMIC DEVELOPMENT FOUNDATION INC 200 NORTHSIDE DRIVE CARROLLTON GA 30117 582589709 501C3 100704 ECONOMIC DEVELOPMENT UNIVERSITY OF WEST GEORGIA 1601 MAPLE STREET CARROLLTON GA 30118 586002055 GOV 200000 WORKFORCE DEVELOPMNT THE MULTIPLE SCLEROSIS CENTER OF ATLANTA 3200 DOWNWOOD CIRCLE NW ATLANTA GA 30327 550821471 501C3 1080000 GENERAL SUPPORT LATINOS UNITED OF CARROLL COUNTY 409 NEWNAN ROAD CARROLLTON GA 30117 010594059 50000 GENERAL SUPPORT RAPHA CLINIC OF WEST GEORGIA 253 EAST HIGHWAY 78 TEMPLE GA 30179 271188932 501C3 55000 13628 FMV MEDICATION GENERAL SUPPORT 5 1 SCHEDULE I, PAGE 1, PART I, LINE 2 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. X X X X X X true true false false false false false false false LOY HOWARD CEO 444991 328906 105062 77655 297093 219591 56372 41666 16247 12009 919765 679827 WILLIAMS WATERS MD CMO 458898 307998 79963 59103 72114 84488 17969 13281 15815 11689 644759 476559 WILLIAM HINES CAO 149891 449672 149891 449672 JIM GRIFFITH COO 186733 138020 36869 27251 29002 21436 16063 11873 268667 198580 MARIA RUSSO CIO 97559 72109 47087 34803 105086 77672 8915 6589 10845 8016 269492 199189 CAROL CREWS CFO 183018 135275 40955 30271 8358 6178 15014 11097 247345 182821 WAYNE SENFELD SR. VP, BUS DEV 176119 130175 41108 30384 252 186 5362 3963 11371 8405 234212 173113 DENISE TAYLOR CCH 141691 104728 34823 25739 8626 6375 7071 5226 8376 6191 200587 148259 VAUGHN CLAGETTE MD VICE PRESIDENT 206068 152311 18767 13871 224835 166182 BEN CAMP MD VP, MEDICAL AFFAIRS 198991 147080 93 69 14885 25887 213969 173036 DEBORAH MATTHEWS CNO 140762 104042 31449 23245 3171 2344 11626 8593 187008 138224 CYNTHIA MASTERS PAST SVP, SVC INTEG 39554 29235 14088 10413 104032 76893 3770 2787 161444 119328 SUSAN FOX SVP, TMG 123270 91112 28321 20933 3145 2324 13055 9649 167791 124018 STEPHANIE YATES VP, COMPLIANCE 122832 90789 15396 11380 239 176 12359 8673 150826 111018 RICHIE BLAND MD PHYSICIAN 795122 100000 28583 923705 ANNA HARRIS MD PHYSICIAN 689345 56250 25680 771275 HANS MILLER MD PHYSICIAN 419256 12500 27052 458808 HESS PANJETON MD PHYSICIAN 382650 12500 8872 404022 LYNN BARRETT PHARMACY DIRECTOR 185410 17994 8872 212276 LARRY STEED FORMER COO 133801 98896 133801 98896 SCHEDULE J, PAGE 1, PART I, LINE 4 LOY HOWARD 0 98,038 0 MARIA RUSSO 151,180 0 0 CYNTHIA MASTERS 180,925 0 0 LARRY STEED 232,697 0 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. SEVERANCE PAY: LARRY STEED VACATED HIS POSITION IN JULY 2014. HE RECEIVED SEVERANCE COMPENSATION IN ACCORDANCE WITH THE TERMS OF HIS EMPLOYMENT AGREEMENT. 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 593,750 A YEAR PLUS TRAVEL. THE TOTAL AMOUNT PAID TO CYPRESS HEALTHCARE PARTNERS, LLC DURING CALENDAR YEAR 2015 OF 599,563. 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 CEO OF THE ORGANIZATION IS ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION IN SUCH AMOUNT, IF ANY, AS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD IN ITS SOLE DISCRETION, BASED ON, AMONG OTHER THINGS, THE ATTAINMENT OF ANNUAL OBJECTIVES ESTABLISHED BY THE BOARD. VARIOUS EMPLOYEES ARE ELIGIBLE TO RECEIVE BONUSES. A CARROLL CITY-COUNTY HOSP AUTHORITY 581790149 144709FK3 2008-03-11 32970000 CONSTRUCTION true false false B CARROLL CITY-COUNTY HOSP AUTHORITY 581790149 144709GC0 2010-08-31 81569188 CONSTRUCTION false false false C CARROLL CITY-COUNTY HOSP AUTHORITY 581790149 144709GGI 2015-07-01 71560000 CONSTRUCTION false false false D CARROLL CITY-COUNTY HOSP AUTHORITY 581790149 144709HB1 2016-03-01 26255000 REFUNDING SERIES 2008 BONDS false false false A 4450000 26255000 32837800 837414 32000386 2009 false false true true B 17724188 81569188 35910031 657030 45002127 2012 false true true true C 75849532 429360 75000000 false false false true D 29251274 28827106 424168 false true false true A false false false false false false false B false false false false false false false C false false false false false false false D false false false false false false false A false false true false false false false false false B false false true false false false false false false C false false true false false false false false false D false false false false false false false false false A false B false C false D false SCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATION CARROLL CITY-COUNTY HOSP AUTHORITY SERIES 2008 BONDS: THE PART I, COLUMN (E), ROW (A) ISSUE PRICE DOES NOT AGREE WITH THE PART II, COLUMN (A) LINE 3 TOTAL PROCEEDS OF ISSUE DUE TO THE NET ORIGINAL ISSUE DISCOUNT OF 132,200. CARROLL CITY-COUNTY HOSP AUTHORITY SERIES 2015 BONDS: THE PART I, COLUMN (E), ROW (C) ISSUE PRICE DOES NOT AGREE WITH THE PART II, COLUMN (C) LINE 3 TOTAL PROCEEDS OF ISSUE DUE TO THE NET ORIGINAL ISSUE PREMIUM OF 4,289,532. CARROLL CITY-COUNTY HOSP AUTHORITY SERIES 2016 BONDS: THE PART I, COLUMN (E), ROW (D) ISSUE PRICE DOES NOT AGREE WITH THE PART II, COLUMN (D) LINE 3 TOTAL PROCEEDS OF ISSUE DUE TO THE NET ORIGINAL ISSUE PREMIUM OF 2,996,274. WEST GEORGIA AMBULANCE DIRECTOR 100962 AMBULANCE SERVICE false CARROLLTON EAR NOSE AND THROAT PC DIRECTOR/DOCTOR 215940 MANAGEMENT SERVICES false WEST GEORGIA HOSPITALIST LLC VP/DOCTOR 954741 HOSPITALIST false HGA VILLA RICA LLC VP/DOCTOR 128000 MANAGEMENT SERVICES false SCHEDULE L, PART V STEVE ADAMS, BOARD MEMBER, OWNS WEST GEORGIA AMBULANCE, WHICH PROVIDES PATIENT TRANSPORTATION SERVICES TO TANNER MEDICAL CENTER, INC. THE ORGANIZATION FOLLOWS A SPECIFIC PROCESS TO BID OUT THESE SERVICES VIA OUTSIDE LEGAL COUNSEL TO ENSURE THESE SERVICES ARE AT FAIR MARKET VALUE. DR. ROBERT PITTS, BOARD MEMBER, IS A PART OWNER OF CARROLLTON EAR, NOSE, AND THROAT. TANNER MEDICAL CENTER ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH CARROLLTON EAR, NOSE, AND THROAT TO PROVIDE CLINICAL CO-MANAGEMENT AND PHYSICIAN COVERAGE FOR THE CLINICAL PROGRAM FOR THE PURPOSE OF IMPROVING THE QUALITATIVE PERFORMANCE, EFFICIENCY, EFFECTIVENESS AND SCOPE OF THE CLINICAL PROGRAM. CARROLLTON EAR, NOSE, AND THROAT THROUGH ITS PHYSICIANS ARE RESPONSIBLE FOR CONTINUITY OF PATIENT CARE THROUGH THE DEVELOPMENT OF POLICIES AND PROCEDURES NEEDED TO IMPROVE CALL COVERAGE FOR ALL PATIENTS. IN ADDITION, PHYSICIANS SHALL ENDEAVOR TO CONTINUALLY ENHANCE THE QUALITY OF SERVICE PROVIDED TO PATIENTS WITH EMPHASIS PLACED ON SPECIFIC QUALITY PERFORMANCE MEASURES THAT ARE REVIEWED QUARTERLY WITH MEDICAL STAFF MANAGEMENT AND REPORTED ANNUALLY. DR. VAUGHN CLAGETTE, VICE-PRESIDENT, IS A PART OWNER OF WEST GEORGIA HOSPITALIST, LLC, WHICH MANAGES THE HOSPITALIST PROGRAM AND PROVIDES ON CALL AND LOCUM PHYSICIAN COVERAGE FOR ALL FACILITIES. DR. VAUGHN CLAGETTE, VICE-PRESIDENT, IS FIFTY PERCENT OWNER OF HGA VILLA RICA, LLC WHICH PROVIDES MANAGEMENT SERVICES TO TMC. FORM 990 - ORGANIZATION'S MISSION 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. FORM 990, PAGE 2, PART III, LINE 4A 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 202-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/MAIN/HEALTHLIVINGMAGAZINE.ASPX 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 AND A 20-BED INPATIENT REHABILITATION FACILITY IN CARROLLTON, GEORGIA. 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 11B 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. FORM 990, PAGE 6, PART VI, LINE 12C THE POLICY COVERS ALL EMPLOYEES, SUPPLIERS, MEDICAL STAFF AND VOLUNTEERS. CONFLICTS ARE REVIEWED BY THE COMPLIANCE OFFICER FOR RESOLUTION. 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 15A THE ORGANIZATION'S COMPENSATION COMMITTEE REVIEWS RECOMMENDATIONS AND APPROVES COMPENSATION PACKAGES FOR ALL SENIOR MANAGEMENT. TMC USES AN OUTSIDE NATIONALLY KNOWN COMPENSATION AND BENEFITS FIRM THAT USES SURVEY INFORMATION, REVIEWS JOB STANDARDS, ETC. FOR ALL SENIOR MANAGEMENT. THE OUTSIDE FIRM ANALYZES COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS AND PRESENTS THE DATA TO THE COMPENSATION COMMITTEE. WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT, OFFICIAL MINUTES ARE KEPT. THE EXECUTIVE ASSISTANT TO THE CEO MAINTAINS THE MINUTES. THIS PROCESS LAST COMPLETED IN 2015. FORM 990, PAGE 6, PART VI, LINE 15B SEE NARRATIVE FOR LINE 15A. 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 4,854,251 0 0 CONTRACT SERVICES 4,079,251 3,659,976 0 PURCHASED SERVICES 4,870,481 6,486,660 0 CONSULTANT FEES 76,782 5,044,808 0 OTHER FEES 43,579 38,091 0 COLLECTION FEES 0 1,593,673 0 TANNER MEDICAL FOUNDATION INC 109 COLLEGE STREET CARROLLTON GA 301173136 581790152 FOUNDATION GA 501C3 7 TMC true TANNER MEDICAL CENTER GROUP RETURN 705 DIXIE STREET CARROLLTON GA 301173818 800785570 HEALTHCARE GA 501C3 3 TMC true TANNER FAMILY HEALTHCARE FRANKLIN 705 DIXIE STREET CARROLLTON GA 301173818 260585684 CLINIC GA 501C3 3 TMC true TMCHARALSON FAMILY HEALTHCARE CTR 705 DIXIE STREET CARROLLTON GA 301173818 582378722 RHC GA 501C3 3 TMC true TMCIMMEDIATE CARE INC 705 DIXIE STREET CARROLLTON GA 301173818 200379196 CLINIC GA 501C3 3 TMC true TMCOCCUPATIONAL HEALTH INC 705 DIXIE STREET CARROLLTON GA 301173818 582362404 OCCUP HLTH GA 501C3 3 TMC true TMCTALLAPOOSA FAMILY HEALTHCARE CT 705 DIXIE STREET CARROLLTON GA 301173818 582378724 RHC GA 501C3 3 TMC true TMCTANNER INTENSIVE MEDICAL SVCS 705 DIXIE STREET CARROLLTON GA 301173818 200336940 HSPITALIST GA 501C3 3 TMC true TMCWEST CARROLL FAMILY HEALTHCARE 705 DIXIE STREET CARROLLTON GA 301173818 582504393 CLINIC GA 501C3 3 TMC true TMCWEST GEORGIA ANESTHESIA 705 DIXIE STREET CARROLLTON GA 301173818 203604642 ANESTHESIA GA 501C3 3 TMC true TANNER HEALTH SERVICES INC 705 DIXIE STREET CARROLLTON GA 301173818 581790151 HEALTHCARE GA N/A false TMC BUCHANAN FAMILY HEALTHCARE CTR 705 DIXIE STREET CARROLLTON GA 301173818 582502339 RHC GA TMC TANNER MEDICAL CENTER INC C CORP 845049 104093 1.00000 true false true true true false false false false false false false true true false true false true false false TANNER MEDICAL FOUNDATION INC B 34989 FMV TANNER MEDICAL FOUNDATION INC C 257051 FMV ALL ENTITIES D 2129471 GENERAL LEDGER ALL ENTITIES L VALUE UNDETERMINED ALL ENTITIES M VALUE UNDETERMINED ALL ENTITIES O VALUE UNDETERMINED TANNER MEDICAL CENTER GROUP Q 53522448 FMV SCHEDULE R THE FOLLOWING RELATED TAX-EXEMPT ORGANIZATIONS RECEIVED TAX-EXEMPT STATUS EFFECTIVE FEBRUARY 4, 2016. THESE ORGANIZATIONS FILED FORM 1120 FOR THE PERIOD JULY 1, 2015 TO FEBRUARY 3, 2016 AND FILED FORM 990 FOR THE PERIOD FEBRUARY 4, 2016 TO JUNE 30, 2016. - TANNER FAMILY HEALTHCARE OF FRANKLIN, INC. - TMC/HARALSON FAMILY HEALTHCARE CENTER - TMC/IMMEDIATE CARE, INC. - TMC/OCCUPATIONAL HEALTH, INC. - TMC/TALLAPOOSA FAMILY HEALTHCARE CENTER - TMC/TANNER INTENSIVE MEDICAL SERVICES - TMC/WEST CARROLL FAMILY HEALTHCARE CENTER - TMC/WEST GEORGIA ANESTHESIA ASSOCIATES, INC.