2024-05-15T16:09:12-04:00 2023-06-30 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2022-07-01 800785570 TANNER MEDICAL CENTER GROUP RETURN TANN 7708369580 705 DIXIE STREET CARROLLTON GA 301173818 CAROL CREWS CFO 7708369580 2024-05-13 true CAROL CREWS 999009999 false WILLIAM EDWARD PHILLIPS P00451499 2298837878 2024-05-15 2022 2023-04-26 12:10:37Z LOY HOWARD 705 DIXIE STREET CARROLLTON GA 301173818 453704038 true true 9705 X WWW.TANNER.ORG X 1999 GA TO SERVE COMMUNITIES THROUGHOUT WEST GEORGIA AND EAST ALABAMA BY OFFERING A WIDE RANGE OF PRIMARY CARE AND SPECIALTY PRACTICES. 12 10 0 18 348280 347280 5363374 4681727 386988198 434311252 -276936 -118576 1992514 5011046 394067150 443885449 0 0 143667550 163325067 0 0 140699657 235599708 284367207 398924775 109699943 44960674 578865891 610272320 391890719 378336474 186975172 231935846 TO SERVE COMMUNITIES THROUGHOUT WEST GEORGIA AND EAST ALABAMA BY OFFERING A WIDE RANGE OF PRIMARY CARE AND SPECIALTY PRACTICES. false false 162761435 84739587 TANNER MEDICAL CENTER, INC. GROUP PHYSICIANS OFFER A WIDE RANGE OF MEDICAL SPECIALTIES, INCLUDING INTERVENTIONAL AND NON-INTERVENTIONAL CARDIOLOGY, FAMILY MEDICINE, GASTROENTEROLOGY, GENERAL SURGERY, INFECTIOUS DISEASES, INTERNAL MEDICINE, NEUROLOGY, OBSTETRICS AND GYNECOLOGY, PEDIATRICS, PSYCHIATRY, PULMONARY AND CRITICAL CARE MEDICINE, SURGICAL BREAST CARE AND VASCULAR SURGERY. TANNER HOSPICE CARE PROVIDES HOSPICE CARE SERVICES TO COMMUNITIES THROUGHOUT WEST GEORGIA REGARDLESS OF ABILITY TO PAY. TANNER HOME HEALTH PROVIDES HOME HEALTH CARE TO COMMUNITIES THROUGHOUT WEST GEORGIA REGARDLESS OF ABILITY TO PAY. 32505875 43263639 TMC/HIGGINS GENERAL HOSPITAL, INC. PROVIDES MEDICAL SERVICES WHICH INCLUDE INPATIENT, OUTPATIENT, SWING BED, AND ANCILLARY SERVICES. AS A NOT FOR PROFIT CORPORATION, THE ORGANIZATION PROVIDES SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. 193388373 306308026 TMC/VILLA RICA HOSPITAL, INC. (VILLA RICA) OPERATES A 53-BED ACUTE CARE HOSPITAL THAT SERVES THE RESIDENTS OF CARROLL, DOUGLAS, AND PAULDING COUNTIES AND OTHER WEST GEORGIA COMMUNITIES. VILLA RICA ALSO OPERATES A 92-BED INPATIENT PSYCHIATRIC FACILITY THAT SERVES PATIENTS FROM ALL ACROSS THE UNITED STATES. 388655683 true true false false false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false true false false false false false true false false false true 0 0 0 true true false false false false false false false false false false false X 12 10 false true false false false true false true true false false true true true true true true false false false GA X X CAROL CREWS 7708128282 100 GREENWAY BLVD CARROLLTON GA 30117 DANIEL JACKSON CHAIRMAN 2.00 X X 0 0 0 JEFFREY LINDSEY DMD VICE CHAIRMA 2.00 X X 0 0 0 MARY COVINGTON SECRETARY X X 0 0 0 GELON WASDIN TREASURER 2.00 X X 0 0 0 STEVE ADAMS DIRECTOR 2.00 X 0 0 0 ANNA BERRY DIRECTOR 2.00 X 0 0 0 HOWARD RAY DIRECTOR 2.00 X 0 0 0 TIMOTHY WARREN DIRECTOR 2.00 X 0 0 0 LYNN CLARKE DIRECTOR 2.00 X 0 0 0 FREDERICK O'NEAL DIRECTOR 2.00 X 0 0 0 CHRIS ARANT MD DIRECTOR/PHY 2.00 40.00 X 0 1344326 21999 ERIC DALTON SVP/OPERATIO 23.00 17.00 X 144625 106896 9924 JERRY MORRIS ADMINISTRATO 40.00 X 0 213281 19168 PAULA GRESHAM ADMIN WILLOW 40.00 X 0 241047 15504 DENISE TAYLOR CCH 23.00 17.00 X 263297 194611 13525 GREG SCHULENBURG CIO 23.00 17.00 X 505664 168554 66560 DEBORAH MATTHEWS CNO 23.00 17.00 X 234291 173171 64590 SUSAN FOX SVP, TMG (LE 23.00 17.00 X 174245 128789 19253 WAYNE SENFELD SR. 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THE MEDICAL CENTER APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE MEDICAL CENTER ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING COMBINED BALANCE SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2023 AND 2022 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. true true X true X 2.500000000000 true X true true true false true true 9279500 9279500 0.02330 50710649 43573154 7137495 0.01790 923188 679918 243270 0.00060 60913337 44253072 16660265 0.04180 1701806 101225 1600581 0.00400 75462 75462 0.00020 74830 74830 0.00020 734153 734153 0.00180 2586251 101225 2485026 0.00620 63499588 44354297 19145291 0.04800 68000 68000 0.00020 15875 15875 82500 82500 0.00020 166375 166375 0.00040 true 44997413 49297089 46130645 3166444 X true true 2 1 TMCHIGGINS GENERAL HOSPITAL 200 ALLEN MEMORIAL DRIVE BREMEN GA 30110 WWW.TANNER.ORG 071-584 X X X X SWING BEDS, RHCS A 2 TMCVILLA RICA HOSPITAL INC 705 DALLAS HIGHWAY VILLA RICA GA 30180 WWW.TANNER.ORG 022-424 X X X PSYCH UNIT A A 12 false false true X X X X X X X X X X 22 true true true true X WWW.TANNER.ORG X X true 22 true WWW.TANNER.ORG false false true X 250.000000000000 350.000000000000 X true true X X X X true X WWW.TANNER.ORG X WWW.TANNER.ORG X WWW.TANNER.ORG X X X X X X true X false X X X X true X false false GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - PART V, LINE 3E UPON REVIEW, ANALYSIS AND PRIORITIZATION OF THE CHNA FINDINGS, THE PRIORITY AREAS TO BE ADDRESSED DURING THE FY 2023-2025 IMPLEMENTATION STRATEGY INCLUDE: 1 ACCESS TO CARE 2 MENTAL/BEHAVIORAL HEALTH SERVICES 3 CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT 4 HEALTH AND NUTRITION EDUCATION 5 SUBSTANCE MISUSE 6 SOCIAL DETERMINANTS OF HEALTH GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - PART V, LINE 5 TANNER'S GET HEALTHY, LIVE WELL (GHLW) COALITION LED THE PROCESS OF COMPLETING EACH HOSPITAL'S FY 2022 CHNA. THE GHLW COALITION INCLUDED HOSPITAL LEADERS AND REPRESENTATIVES, COMMUNITY ACTIVISTS, RESIDENTS, FAITH-BASED LEADERS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS AND OTHER STAKEHOLDERS. COALITION MEMBERS USED POPULATION- LEVEL DATA AND FEEDBACK FROM COMMUNITY FOCUS GROUPS, ONLINE SURVEYS AND KEY INFORMANT INTERVIEWS TO CREATE RECOMMENDATIONS FOR EACH HOSPITAL'S HEALTH PRIORITIES. THEY ALSO USED IT TO DEVELOP POTENTIAL IMPLEMENTATION STRATEGIES AND TO IDENTIFY KEY PARTNERS. OVER 280 PEOPLE WERE INVOLVED IN THE CHNA PROCESS, INCLUDING THOSE WHO PARTICIPATED IN COMMUNITY FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND ONLINE SURVEYS. PARTICIPANTS INCLUDED RESIDENTS, PARTNERS AND PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. MEMBERS OF LOW- INCOME, MEDICALLY UNDERSERVED AND MINORITY POPULATIONS SERVED BY THE HOSPITAL OR INDIVIDUALS OR ORGANIZATIONS REPRESENTING THE INTERESTS OF SUCH POPULATIONS ALSO PROVIDED INPUT. GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - PART V, LINE 6A THE HOSPITAL FACILITIES TANNER MEDICAL CENTER/CARROLLTON, TANNER MEDICAL CENTER/VILLA RICA AND HIGGINS GENERAL HOSPITAL WORKED COLLABORATIVELY TO LEVERAGE EXISTING ASSETS AND RESOURCES THROUGHOUT TANNERS OVERALL PRIMARY SERVICE AREA OF CARROLL, HARALSON AND HEARD COUNTIES TO ASSESS THE HEALTH NEEDS OF THEIR COMMUNITIES. GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - PART V, LINE 6B GROUP A, FACILITY 2, TMC/VILLA RICA HOSPITAL, INC. - PART V, LINE 6B TANNER MEDICAL GROUP, 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 TMC IMMEDIATE CARE VILLA RICA OB GYN, INC. TMC TANNER GYNECOLOGY, INC. TANNER PRIMARY CARE OF HEFLIN WEST GEORGIA CENTER FOR PLASTIC SURGERY TMC BUCHANAN FAMILY HEALTHCARE CENTER, INC. GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - PART V, LINE 7D GROUP A, FACILITY 2, TMC/VILLA RICA HOSPITAL, INC. - PART V, LINE 7D IN ADDITION TO BEING MADE AVAILABLE ON TANNER'S WEB SITE, WWW.TANNER.ORG, AND MADE AVAILABLE UPON REQUEST FROM THE HOSPITAL, 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. GROUP A, FACILITY 1, TMC/HIGGINS GENERAL HOSPITAL - PART V, LINE 11 THE IDENTIFICATION OF HEALTH NEEDS WAS SHAPED BY AN AWARENESS OF PUBLIC HEALTH CONCERNS, ASSESSMENT DATA AND EACH 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, SIX PRIORITY HEALTH ISSUES WERE SELECTED FROM THE BROADER LIST OF PRIORITIES IDENTIFIED IN THE CHNA AS SPECIFIC AREAS OF FOCUS FOR EACH OF TANNERS HEALTH SYSTEMS HOSPITALS (TANNER MEDICAL CENTER/CARROLLTON, TANNER MEDICAL CENTER/VILLA RICA, HIGGINS GENERAL HOSPITAL) COMMUNITY HEALTH IMPLEMENTATION STRATEGY, INCLUDING: 1 ACCESS TO CARE 2 MENTAL/BEHAVIORAL HEALTH SERVICES 3 CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT 4 HEALTH AND NUTRITION EDUCATION 5 SUBSTANCE MISUSE 6 SOCIAL DETERMINANTS OF HEALTH TANNER'S LONG-STANDING COMMITMENT TO THE COMMUNITY IS DEEPLY ROOTED IN ITS MISSION. THE ORGANIZATION REMAINS COMMITTED TO IMPROVING THE COMMUNITY'S HEALTH THROUGH DAILY PATIENT CARE ACTIVITIES AS WELL AS OUTREACH, PREVENTION, EDUCATION AND WELLNESS OPPORTUNITIES. WITH THE HELP OF COMMUNITY PARTNERS, TANNER HAS SUCCESSFULLY IMPLEMENTED PROGRAMS THAT HELP WEST GEORGIA RESIDENTS WITH THE HEALTHCARE AND PREVENTIVE SERVICES THEY NEED. BELOW ARE SOME OF THE STEPS TAKEN TO MEET THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN TANNER'S FY 2022 CHNA BY COMMUNITY HEALTH IMPLEMENTATION STRATEGY PRIORITY AREA. ACCESS TO CARE: TANNER CONTINUED TO DEVELOP NEW CLINICAL PROGRAMS TO EXPAND TREATMENT CAPABILITIES AND ENSURE A FULL CONTINUUM OF COVERAGE AND OPTIMAL DISEASE MANAGEMENT. PROGRAMS IMPLEMENTED INCLUDED CARDIAC SURGERY, ELECTROPHYSIOLOGY, INTERVENTIONAL CARDIOLOGY AND THORACIC SURGERY, ORTHOPEDIC AND SPINE SERVICES, ACTIVE AND INDEPENDENT LIVING, ASSISTED LIVING AND MEMORY CARE SERVICES, INNOVATIVE OUTPATIENT CARE MODELS, SITE- SPECIFIC CANCER PROGRAMS AND EXPANSION OF PRIMARY CARE SERVICES. TANNER EXPANDED ACCESS TO SURGICAL SERVICES ACROSS THE REGION BY PREPARING AND LAUNCHING CARDIAC SURGERY, EXPANDING THORACIC SURGICAL SERVICES, OPENING A NEW AMBULATORY SURGERY CENTER IN CARROLLTON TO PROVIDE GREATER ACCESS TO ORTHOPEDIC AND SPINE SERVICES, AND IMPLEMENTING A GENERAL SURGERY PROGRAM AT TANNER MEDICAL CENTER/EAST ALABAMA. TANNER ALSO DEVELOPED AND IMPLEMENTED PLANS FOR PATIENT BED EXPANSION AT TANNER MEDICAL CENTER CARROLLTON AND VILLA RICA TO SUPPORT SERVICE LINE GROWTH AND ACCESS TO CARE FOR THE GROWING REGION. DURING FISCAL YEARS 2020-2022, THE PATIENT-CENTERED MEDICAL HOME (PCMH)/PATIENT-CENTERED SPECIALTY PRACTICE (PCSP)/PATIENT-CENTERED CONNECTED CARE (PCCC) MODELS WERE EXPANDED TO MORE PRACTICES THROUGHOUT WEST GEORGIA AND EAST ALABAMA, FURTHERING THE ABILITY OF PATIENTS WITH GREATER MEDICAL NEEDS TO MANAGE THEIR CARE IN AN OUTPATIENT SETTING. THE COVID-19 PANDEMIC FORCED TELEMEDICINE TO PLAY AN EVEN MORE CRITICAL ROLE IN CURBING THE EXPOSURE TO AND TRANSMISSION OF INFECTIOUS DISEASES WHILE HELPING KEEP OUR FRONT LINES SAFE AND ENSURE THEY HAVE THE RESOURCES TO RESPOND ADEQUATELY TO THE CHALLENGES PRESENTED BY COVID-19. THROUGH ASSISTANCE FROM THE FEDERAL COMMUNICATIONS COMMISSION (FCC) COVID-19 TELEHEALTH PROGRAM GRANT IN 2020, TANNER HAS EXPANDED ITS EXISTING TELEMEDICINE PLATFORM THROUGH INTOUCH HEALTH TO INCLUDE ADDITIONAL SPECIALTIES AND LOCATIONS, AND REMOTE PATIENT MONITORING (RPM) TECHNOLOGIES THROUGH VIVIFY HEALTH, ALL INTEGRATED WITH TANNER'S ELECTRONIC HEALTH RECORD, EPIC. TANNER USES ITS TELEHEALTH PLATFORM TO EXPAND INPATIENT, OUTPATIENT AND POST-ACUTE CARE SERVICES TO ALL PATIENTS THROUGHOUT THE COMMUNITY. TANNER'S INPATIENT TEAMS USE ROBOTS AND TABLETS INTEGRATED INTO THE TELEHEALTH PLATFORM TO ALLOW REMOTE SPECIALISTS TO CONSULT PATIENTS FOR COMPLEX CONDITIONS RELATING TO PSYCHIATRY, MATERNAL-FETAL MEDICINE, INTERNAL MEDICINE AND EMERGENCY MEDICINE. ALL OF TANNER'S MEDICAL GROUP PRACTICES CAN COMPLETE PATIENT VISITS VIA TELEHEALTH. INPATIENT AND AMBULATORY CARE MANAGEMENT CAN NOW ASSIGN PATIENTS A REMOTE MONITORING KIT AS PATIENTS DISCHARGE FOR HOSPITAL CARE TO ENSURE CLOSE TRACKING OF VITAL SIGNS AS PATIENTS CONVALESCE IN THEIR HOMES. THE INTOUCH PLATFORM AND DEVICES INTEGRATE TO ALLOW TANNER'S TEAMS TO SCHEDULE AND LAUNCH VISITS OUT OF EPIC FOR IMPROVED CLINICIAN WORKFLOWS. THE INTEGRATION ALSO PROVIDES AN ADDED LAYER OF SECURITY TO ENSURE THE VISITS ARE TIED TO A SPECIFIC PATIENT. THE REMOTE PATIENT MONITORING TECHNOLOGY FROM VIVIFY ALSO INTEGRATES WITH EPIC TO ALLOW FOR PATIENT INFORMATION TO FLOW ACROSS FOR REGISTRATION INTO THE VIVIFY SYSTEM. SIXTY-SEVEN PATIENTS ARE CURRENTLY IN THE RPM PROGRAM AS OF MAY 2023. TANNER'S EXPANSION OF ITS TELEHEALTH PLATFORM HAS FREED UP RESOURCES TO MANAGE OUR CURRENT REALITY THROUGH SEVERAL KEY MEASURES. TELEHEALTH HAS SUPPORTED PHYSICAL DISTANCING EFFORTS TO REDUCE COVID-19 VIRUS TRANSMISSION AND ENSURED CARE AVAILABILITY TO THOSE WHO NEED IT MOST BY TRIAGING LOW- RISK URGENT CARE. IT HAS ALSO PROVIDED FOLLOW-UP APPOINTMENTS FOR CHRONIC DISEASE AND BEHAVIORAL HEALTH PATIENTS WHO MAY REQUIRE ROUTINE CHECK-INS. BY REDUCING UNNECESSARY VISITS TO HEALTHCARE ENVIRONMENTS, TANNER'S EXPANDED TELEHEALTH PLATFORM AIMS TO CURB THE EXPOSURE TO AND TRANSMISSION OF INFECTIOUS DISEASES WHILE HELPING KEEP FRONT-LINE WORKERS SAFE AND ENSURE THEY HAVE THE RESOURCES NEEDED TO TAKE ON THE CHALLENGES PRESENTED BY COVID-19. TANNER COMPLETED THE OPEN-HEART BUILD AND CONFIGURATION. THE HEALTH SYSTEM ALSO INCREASED MYCHART ACTIVATION TO CONNECT PATIENTS TO THE HEALTH SYSTEM AND TANNER MEDICAL GROUP AS THEIR PREFERRED HEALTHCARE PARTNER. ADDITIONALLY, TANNER ESTABLISHED A QUALITY JOURNEY TO HIGH RELIABILITY (HRO) TO ENSURE THE CONTINUED DELIVERY OF QUALITY CARE EFFECTIVELY, EFFICIENTLY AND PREDICTABLY BY CONDUCTING SERIOUS SAFETY EVENT TRAINING. THE HEALTH SYSTEM ALSO CONDUCTED JUST CULTURE TRAINING AND A CULTURE OF SAFETY SURVEY. IN FEBRUARY 2021, TANNER PARTNERED WITH WEST GEORGIA AMBULANCE TO LAUNCH A COMMUNITY PARAMEDIC PROGRAM IN CARROLLTON. AS PART OF THE PROGRAM, PARAMEDICS MAKE DAILY HOME VISITS TO ASSESS A PATIENT'S HEALTH WITHIN 24 HOURS OF BEING DISCHARGED FROM THE HOSPITAL. TANNER'S MEDICAL STAFF DETERMINES THE NUMBER OF VISITS REQUIRED. DURING EACH VISIT, PARAMEDICS ASSESS THE HOME ENVIRONMENT AND CHECK THE PATIENT'S VITALS. THEY ALSO DETERMINE IF THE PATIENT IS COMPLYING WITH DISCHARGE INSTRUCTIONS, MEDICATIONS AND PROTOCOLS BASED ON THEIR DIAGNOSIS. THE PROGRAM HELPS REDUCE THE LIKELIHOOD OF READMISSIONS IMMEDIATELY AFTER DISCHARGE. AS OF MAY 2023, MEDICAL STAFF REFERRED 315 PATIENTS TO THE PROGRAM. TANNER ALSO EXPANDED PATIENT TRANSPORT SERVICES BETWEEN TANNER FACILITIES WITH THE PURCHASE OF WEST GEORGIA AMBULANCE IN SEPTEMBER 2022. THE NUMBER OF MEDICAL PROVIDERS AVAILABLE IN A COMMUNITY DIRECTLY IMPACTS THAT COMMUNITY'S ABILITY TO ACCESS CARE. TANNER'S PRIMARY SERVICE AREAS OF CARROLL, HARALSON AND HEARD COUNTIES ARE MEDICALLY UNDERSERVED AND HEALTH PROFESSIONAL SHORTAGE AREAS. TO COMBAT THIS PROBLEM AND IMPROVE ACCESS TO MEDICAL CARE IN THE REGION, TANNER CONTINUED TO RECRUIT MORE PHYSICIANS TO PRACTICE IN THE AREA, ENABLING PATIENTS TO CHOOSE FROM A GREATER NUMBER OF PROVIDERS IN AN EXPANDED FIELD OF SPECIALTIES. DURING FY 2022, TANNER WELCOMED 6 NEW PHYSICIANS TO ITS MEDICAL STAFF, REPRESENTING SPECIALTIES IN OBSTETRICS AND GYNECOLOGY, PSYCHIATRY, ANESTHESIOLOGY, CARDIOLOGY, DERMATOLOGY, PRIMARY CARE, RADIATION ONCOLOGY, AND EAR, NOSE AND THROAT (ENT). TANNER ALSO PROVIDED 5 "FUTURE OF HEALTH CARE" SCHOLARSHIPS IN FY 2022 TO STUDENTS FROM ACROSS THE REGION THAT ARE ENROLLED IN MEDICAL SCHOOL OR ADVANCED PRACTICE PROVIDER PROGRAMS AND OFFERED CLINICAL, EDUCATIONAL OPPORTUNITIES FOR NURSING STUDENTS AT THE UNIVERSITY OF WEST GEORGIA AND WEST GEORGIA TECHNICAL COLLEGE THROUGHOUT THE HEALTH SYSTEM'S HOSPITALS AND CLINICS. IN ADDITION, GET HEALTHY, LIVE WELL IS CONNECTING SENIOR NURSING STUDENTS AT THE UNIVERSITY OF WEST GEORGIA TO A VARIETY OF COMMUNITY HEALTH OPPORTUNITIES IN WEST GEORGIA THROUGH A PRECEPTORSHIP PROGRAM THAT WILL HELP THEM INCREASE KNOWLEDGE AND GAIN SKILLS IN COMMUNITY HEALTH WORK. EACH NURSING STUDENT IS REQUIRED TO COMPLETE 20 HOURS OF PROGRAMMING ASSISTANCE WITH GET HEALTHY, LIVE WELL. IN FY 2022, 146 NURSING STUDENTS PARTICIPATED IN THE PRECEPTORSHIP PROGRAM, COMPLETING OVER 2,000 HOURS. IN FY 2023 (THROUGH MAY 2003), 99 NURSING STUDENTS PARTICIPATED IN THE PRECEPTORSHIP PROGRAM, COMPLETING OVER 1,000 HOURS. TANNER 8 TALLAPOOSA FAMILY HEALTHCARE 25 W LYON ST TALLAPOOSA GA 30176 RURAL HEALTH CLINIC HARALSON FAMILY HEALTHCARE 204 ALLEN MEMORIAL DR SUITE 201 BREMEN GA 30110 RURAL HEALTH CLINIC BUCHANAN MEDICAL CLINIC 30 BUCHANAN BYPASS BUCHANAN GA 30113 RURAL HEALTH CLINIC WEST CARROLL FAMILY HEALTHCARE 1125 E HIGHWAY 166 BOWDON GA 30108 RURAL HEALTH CLINIC TMCHOME HEALTH INC 705 DIXIE STREET CARROLLTON GA 30117 HOME HEALTH AGENCY TMCHOSPICE CARE INC 705 DIXIE STREET CARROLLTON GA 30117 HOSPICE TMC OCCUPATIONAL HEALTH INC 705 DIXIE STREET CARROLLTON GA 30117 THERAPY TMC IMMEDIATE CARE INC 705 DIXIE STREET CARROLLTON GA 30117 OUTPATIENT CLINIC 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 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. TANNER 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 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 TO ENSURE 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. 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. 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 18-21 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS FOR FOOTNOTE DISCLOSURE RELATED TO UNINSURED PATIENTS, PRICE CONCESSIONS 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 ALL OF TANNER MEDICAL CENTER, INC.'S TAX EXEMPT HOSPITALS ASSESS THE HEALTHCARE NEEDS OF THEIR RESPECTIVE COMMUNITIES ONCE EVERY THREE YEARS. TANNER'S CHNA IS AN ORGANIZED, FORMAL AND SYSTEMATIC APPROACH TO IDENTIFY AND ADDRESS THE NEEDS OF UNDERSERVED COMMUNITIES ACROSS TANNER'S GEOGRAPHIC FOOTPRINT. THE CHNA GUIDES THE DEVELOPMENT AND IMPLEMENTATION OF A COMPREHENSIVE PLAN TO IMPROVE HEALTH OUTCOMES FOR 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 ACROSS TANNER'S HOSPITALS. AS A NONPROFIT ORGANIZATION, TANNER'S CHNAS ALIGN WITH GUIDELINES ESTABLISHED BY THE AFFORDABLE CARE ACT AND COMPLY WITH INTERNAL REVENUE SERVICE (IRS) REQUIREMENTS. IN FY 2019, TANNER MEDICAL CENTER, INC.'S TWO ACUTE CARE HOSPITALS - TANNER MEDICAL CENTER/CARROLLTON AND TANNER MEDICAL CENTER/VILLA RICA - AND TANNER'S CRITICAL ACCESS HOSPITAL, HIGGINS GENERAL HOSPITAL IN BREMEN, EACH COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO FURTHER IDENTIFY THE HEALTH NEEDS OF THEIR COMMUNITIES. PREVIOUS CHNA'S WERE COMPLETED IN FY 2013 AND FY 2016. THESE COMPREHENSIVE, MULTIFACTOR ASSESSMENTS INCLUDED THE COLLECTION AND ANALYSIS OF QUANTITATIVE DATA, AS WELL AS QUALITATIVE INPUT DIRECTLY FROM RESIDENTS GATHERED THROUGH KEY INFORMANT INTERVIEWS, COMMUNITY LISTENING SESSIONS AND FOCUS GROUPS. THROUGH THE CHNA PROCESS, TANNER HAS IDENTIFIED THE GREATEST HEALTH NEEDS AMONG EACH OF ITS HOSPITAL'S COMMUNITIES, ENABLING TANNER TO ENSURE ITS RESOURCES ARE APPROPRIATELY DIRECTED TOWARD OUTREACH, PREVENTION, EDUCATION AND WELLNESS OPPORTUNITIES WHERE THE GREATEST IMPACT CAN BE REALIZED. IN SELECTING PRIORITIES, TANNER CONSIDERED THE DEGREE OF COMMUNITY NEED FOR ADDITIONAL RESOURCES, THE CAPACITY OF OTHER AGENCIES TO MEET THE NEED AND THE SUITABILITY OF TANNER'S EXPERTISE TO ADDRESS THE ISSUE. IN PARTICULAR, TANNER 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 2020 2022 BY TANNER MEDICAL CENTER, INC. INCLUDE: (1) ACCESS TO CARE; (2) HEALTHY AND ACTIVE LIFESTYLES AND EDUCATION (3) CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT; (4) MENTAL/BEHAVIORAL HEALTH; (5) SUBSTANCE MISUSE; AND (6) SOCIAL DETERMINANTS OF HEALTH. CONTINUED FROM PART V SOCIAL DETERMINANTS OF HEALTH: IN NOVEMBER 2019, HEALTHY HARALSON HOSTED BRIDGES OUT OF POVERTY, A THREE- AND-A-HALF-HOUR WORKSHOP DESIGNED FOR CIVIC LEADERS, POLICYMAKERS, EDUCATORS AND THOSE CONCERNED WITH DEVELOPING SUSTAINABLE SOLUTIONS TO POVERTY IN THEIR COMMUNITIES. THE WORKSHOP WAS LED BY NOTED AUTHOR TERIE DREUSSI-SMITH, M.ED. AND HAD OVER 130 COMMUNITY PARTICIPANTS. BRIDGES OUT OF POVERTY PROVIDED A COMPLETE APPROACH TO UNDERSTANDING POVERTY IN THE WEST GEORGIA AREA, OFFERING TOOLS AND STRATEGIES FOR ALLEVIATING POVERTY AND ITS IMPACT. IN JULY 2020, A 12-MONTH PILOT PROGRAM FOR A NEW INNOVATIVE FOOD AS MEDICINE PROGRAM WAS LAUNCHED, PROVIDING 26 PARTICIPANTS (LOW-INCOME, FOOD-INSECURE PATIENTS WITH - A1CS GREATER THAN 8.0 - AND HYPERTENSION) WITH FREE, NUTRITIOUS FOOD AND A COMPREHENSIVE SUITE OF DIABETES, SOCIAL AND ENVIRONMENTAL SERVICES. FOOD AS MEDICINE PARTICIPANTS ARE PROVIDED SUPPORT THAT INCLUDES NUTRITIONIST AND CERTIFIED DIABETES EDUCATOR (CDE) CONSULTATIONS, DIABETES SELF-MANAGEMENT CLASSES AND HEALTHY COOKING CLASSES IN A NEWLY BUILT TEACHING KITCHEN. THEY'RE ALSO PROVIDED WITH ONGOING CARE COORDINATION/NAVIGATION AND ARE ALLOWED TO VISIT THE PROGRAM'S NEW HEALTHY FOOD FARMACY TWICE PER MONTH TO RECEIVE 10-30 POUNDS OF HEALTHY FOOD BASED ON HOUSEHOLD SIZE. A COMPREHENSIVE EVALUATION OF THE FOOD AS MEDICINE PROGRAM IS BEING PROVIDED BY AN EXTERNAL EVALUATION TEAM FROM THE UNIVERSITY OF WEST GEORGIA'S DEPARTMENT OF HEALTH AND COMMUNITY WELLNESS. INITIAL EVALUATION RESULTS SHOW POTENTIALLY SIGNIFICANT IMPROVEMENTS IN BIOMETRIC RESULTS (BMI, A1C, BLOOD PRESSURE) AND EFFICACY TO BETTER MANAGE THEIR DISEASE BY THE END OF THE ONE-YEAR PROGRAM. SINCE ITS LAUNCH, GHLW EXPANDED ITS FOOD AS MEDICINE PROGRAM TO INCLUDE 50 PATIENTS WITH HYPERTENSION. COVID-19 RESPONSE: ON MARCH 16, 2020, GOVERNOR KEMP DECLARED COVID-19 A PUBLIC HEALTH EMERGENCY FOR THE STATE OF GEORGIA, EFFECTIVE MARCH 14, 2020, THE FIRST- EVER PUBLIC HEALTH EMERGENCY DECLARED IN THE STATE. TANNER'S EFFORTS TO RESPOND TO THE COVID-19 PUBLIC HEALTH EMERGENCY IN FY 2020 AND FY 2021 INCLUDED A VARIETY OF ACTIVITIES TO HELP ENSURE THE HIGHEST QUALITY OF CARE FOR OUR COMMUNITIES AND SAFE WORK ENVIRONMENTS FOR OUR EMPLOYEES. THESE ACTIVITIES WERE CLEAR CHANGES TO OPERATIONAL AND CLINICAL NORMS TARGETED TO IDENTIFY, ISOLATE, ASSESS, TRANSPORT, AND TREAT PATIENTS WITH COVID-19 OR PERSONS UNDER INVESTIGATION FOR COVID-19. TANNER HEALTH SYSTEM EMPLOYED A VARIETY OF EMERGENCY PROTECTIVE MEASURES AS A RESULT OF THE COVID-19 PANDEMIC, WITH A VARIETY OF ACTIVITIES AT EACH OF ITS HOSPITAL FACILITIES RELATED TO THE MANAGEMENT, CONTROL, AND REDUCTION OF THE PANDEMIC'S IMMEDIATE THREAT TO PUBLIC HEALTH AND SAFETY, INCLUDING: ESTABLISHING AN EMERGENCY OPERATIONS CENTER (EOC) TO SERVE AS A PRIMARY HUB FOR THE COORDINATION AND CONTROL OF COVID-19 RESPONSE EFFORTS TO QUICKLY AND MORE EFFICIENTLY RESPOND TO NEEDS AS THEY ARISE (I.E., STAFFING, SUPPLIES, TECHNOLOGY, EQUIPMENT) DIRECTLY RELATED TO COVID-19 AND DISSEMINATE CRITICAL INFORMATION TO TANNER LEADERSHIP, PHYSICIANS, CLINICAL STAFF AND OTHER EMPLOYEES; EMPLOYING MARKETING AND COMMUNICATIONS EFFORTS TO SHARE KEY INFORMATION TO THE PUBLIC TO PROVIDE WARNINGS AND GUIDANCE ON THE COVID-19 PANDEMIC; ESTABLISHING A CALL CENTER SPECIFIC TO COVID-19 FOR INFORMATION, REFERRALS AND SCREENING RESOURCES; PURCHASING OF FOOD AND COVERING TEMPORARY LODGING COSTS FOR FRONT-LINE HEALTHCARE PROVIDERS WHO WERE TRIAGING AND CARING FOR POTENTIAL AND POSITIVE COVID-19 PATIENTS AS THESE PROVIDERS WERE WORKING SUCH ABNORMAL AND LONG HOURS THAT GOING HOME AND/OR GOING OUT TO GET FOOD WAS NOT REASONABLE; INCREASING SECURITY OPERATIONS TO SUPPORT COVID-19 RESPONSE EFFORTS TO ENSURE POLICY COMPLIANCE AND SAFETY OF THE PUBLIC (I.E., VISITOR RESTRICTIONS, TEMPORARY FACILITY ACCESS, TESTING CENTERS, ETC.); AND INCREASING DISINFECTION EFFORTS AT EACH OF TANNER'S FACILITIES SPECIFICALLY TO COMBAT THE RISK OF SPREAD OF COVID- 19. TANNER IMPLEMENTED SEVERAL EMERGENCY MEDICAL CARE ACTIVITIES, INCLUDING: PURCHASING AND DISTRIBUTING COVID-19 DIAGNOSTIC TESTING EXAMS AND A VARIETY OF PERSONAL PROTECTIVE EQUIPMENT (FACE SHIELDS, GLOVES, MASKS, GOWNS, SCRUBS); LEASING ADDITIONAL RESPIRATORY EQUIPMENT (OXYGEN, RESPIRATORS, BIPAP) TO TREAT COVID-19 PATIENTS; RETROFITTING SEPARATE AREAS TO SCREEN AND TREAT INDIVIDUALS WITH SUSPECTED COVID-19 INFECTIONS, INCLUDING ESTABLISHING TEMPORARY EXTERIOR PATIENT CARE FACILITIES OUTSIDE ITS EMERGENCY DEPARTMENTS TO ASSESS POTENTIALLY LARGE NUMBERS OF PERSONS UNDER INVESTIGATION FOR COVID-19 INFECTION; ESTABLISHING DRIVE-THRU TESTING CENTERS AND ACUTE HOSPITAL TESTING CENTERS; RETROFITTING EXISTING HOSPITAL ROOMS TO BECOME NEGATIVE PRESSURE ROOMS AT EACH HOSPITAL FACILITY; RENTING ADDITIONAL HOSPITAL BEDS TO INCREASE CAPACITY TO TREAT COVID-19 PATIENTS; INCREASING MEDICAL WASTE DISPOSAL SERVICES AND CLEANING/DISINFECTION COSTS OF SCRUBS, MASKS, LINEN BAGS AND GOWNS; AND EXPANDING THE USE OF TELEHEALTH TECHNOLOGIES TO FURTHER SUPPORT PHYSICAL DISTANCING EFFORTS TO REDUCE VIRUS TRANSMISSION AND ENSURE CARE AVAILABILITY TO THOSE WHO NEED IT MOST BY TRIAGING LOW-RISK URGENT CARE, AND PROVIDING FOLLOW-UP APPOINTMENTS FOR CHRONIC DISEASE AND BEHAVIORAL HEALTH PATIENTS WHO MAY REQUIRE ROUTINE CHECK-INS. IN ADDITION, TANNER WAS ONE OF ALMOST 2,200 HEALTH CARE SYSTEMS ACROSS THE COUNTRY THAT JOINED THE MAYO CLINIC EXPANDED ACCESS PROGRAM TO TEST THE EFFICACY OF CONVALESCENT PLASMA FROM SOMEONE WHO HAS OVERCOME COVID-19 TO HELP OTHER SICK PATIENTS SURVIVE THE DISEASE AND RECOVER FASTER. TANNER ALSO QUICKLY ASSESSED ITS INVENTORIES OF CRITICAL INFECTION PREVENTION SUPPLIES AND CHEMICALS WHICH INCLUDED PANDEMIC-DESIGNATED SUPPLIES FROM ITS EMERGENCY PREPAREDNESS EFFORTS. PERSONAL PROTECTIVE EQUIPMENT (PPE) SUCH AS FACE MASKS, SHIELDS AND GOWNS - AS WELL AS CLEANING AND DISINFECTING MATERIALS - WERE AT THE TOP OF NOT ONLY TANNER'S LIST BUT ALSO THAT OF MANY CONSUMERS AND OTHER HOSPITAL SYSTEMS. FOR THOSE HIGH PRIORITY NEEDS, TANNER FOUND SUPPORT CLOSE TO HOME FROM ITS COMMUNITY, INCLUDING INDIVIDUALS AND CORPORATE CITIZENS. FOR EXAMPLE, THOUSANDS OF CLOTH FACE MASKS WERE HAND OR MACHINE-STITCHED AND DONATED BY VOLUNTEERS THROUGHOUT THE REGION FOR USE BY PATIENTS AND STAFF. DOZENS OF NEIGHBORS VOLUNTEERED TO MAKE SPECIAL PLASTIC FACE SHIELDS FOR TANNER STAFF TO PROVIDE PROTECTION DURING PATIENT CARE FROM RESPIRATORY DROPLETS ASSOCIATED WITH COVID-19 AND KNOWN TO CARRY THE DISEASE. IN ADDITION, THOUSANDS OF MEALS WERE DONATED F 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 TO LOCAL PHYSICIAN OFFICE MANAGEMENT MEETINGS ANNUALLY; 9) POSTED ON TANNER'S WEBSITE TANNER.ORG. SCHEDULE H, PART VI, LINE 4 TANNER MEDICAL CENTER, INC. DELIVERS CARE TO DIVERSE COMMUNITIES ACROSS WEST GEORGIA. FOLLOWING IS A SUMMARY AND DEMOGRAPHICS OF THE COMMUNITIES SERVED BY TANNER. TANNER HOSPITALS DEFINE THE COMMUNITY AS THE GEOGRAPHIC AREA SERVED BY THE HOSPITAL, CONSIDERING ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREA FOR ALL THREE OF TANNER'S HOSPITALS - TANNER MEDICAL CENTER/CARROLLTON, TANNER MEDICAL CENTER/VILLA RICA AND HIGGINS GENERAL HOSPITAL IN BREMEN - INCLUDES THE GEOGRAPHIC AREAS OF CARROLL, HARALSON AND HEARD COUNTIES, COVERING 1,077 SQUARE MILES OF PREDOMINANTLY RURAL AREA (53% RURAL) WITH A TOTAL POPULATION OF 161,707 (U.S. CENSUS BUREAU, 2019). CARROLL, HARALSON AND HEARD COUNTIES CONSIST OF RURAL AND SUBURBAN COMMUNITIES WHOSE HEALTH NEEDS ARE MET BY A MIXTURE OF HOSPITAL SYSTEMS, PRIVATE PRACTICES, RURAL HEALTH CLINICS, INDIGENT CLINICS AND OTHER SOCIAL SERVICES. THE PROXIMITY OF TANNER'S ACUTE CARE HOSPITALS (WITHIN A 12-20 MILE RADIUS OF EACH OTHER) - TANNER MEDICAL CENTER/CARROLLTON AND TANNER MEDICAL CENTER/VILLA RICA - AND THE CRITICAL ACCESS HOSPITAL, HIGGINS GENERAL HOSPITAL, PROVIDE WEST GEORGIA RESIDENTS MULTIPLE ACCESS POINTS FOR A VARIETY OF HEALTHCARE-RELATED SERVICES. THESE FACILITIES WORK COLLABORATIVELY TO LEVERAGE EXISTING ASSETS AND RESOURCES THROUGHOUT TANNER'S OVERALL PRIMARY SERVICE AREA OF CARROLL, HARALSON AND HEARD COUNTIES TO BEST MEET THE HEALTH NEEDS OF THEIR COMMUNITIES. THE FACILITIES ALSO LEVERAGE ASSETS AND RESOURCES IN TANNER'S SECONDARY SERVICE AREA OF DOUGLAS, PAULDING, POLK, CLEBURNE (ALABAMA) AND RANDOLPH (ALABAMA) COUNTIES. DEMOGRAPHICS (DATA GATHERED FROM 2021 COUNTY HEALTH RANKINGS AND THE US CENSUS BUREAU, 2019 ESTIMATES) OF CARROLL COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA, WITH A COMMUNITY SERVED BY TANNER MEDICAL CENTER/CARROLLTON AND TANNER MEDICAL CENTER/VILLA RICA): POPULATION 119,992; DIVERSITY 70.4% NON-HISPANIC WHITE, 19.1% NON-HISPANIC BLACK, 7.2% HISPANIC, 0.5% AMERICAN INDIAN AND ALASKA NATIVE, 1% ASIAN, 0.1% NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER; AVERAGE INCOME 59,200; UNINSURED ADULTS 19%, UNINSURED CHILDREN 7%; UNEMPLOYMENT 3.4%; BELOW POVERTY LEVEL 14.9%. DEMOGRAPHICS OF HARALSON COUNTY (DESIGNATED AS A PARTIAL MEDICALLY UNDERSERVED AREA, THE COMMUNITY SERVED BY HIGGINS GENERAL HOSPITAL): POPULATION 29,792; DIVERSITY 90.8% NON-HISPANIC WHITE, 4.4% NON-HISPANIC BLACK, 2% HISPANIC, 0.4% AMERICAN INDIAN AND ALASKA NATIVE, 0.8% ASIAN; AVERAGE INCOME 49,000; UNINSURED ADULTS 19%, UNINSURED CHILDREN 7%; UNEMPLOYMENT 3.3%; BELOW POVERTY LEVEL 14.4%. DEMOGRAPHICS OF HEARD COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA, THE COMMUNITY SERVED BY TANNER MEDICAL CENTER/CARROLLTON): POPULATION 11,923; DIVERSITY 84.6% NON-HISPANIC WHITE, 9.6% NON-HISPANIC BLACK, 2.9% HISPANIC, 0.5% AMERICAN INDIAN AND ALASKA NATIVE, 0.5% ASIAN; AVERAGE INCOME 49,000; UNINSURED ADULTS 18%, UNINSURED CHILDREN 8%; UNEMPLOYMENT 3.3%; BELOW POVERTY LEVEL 16.7%. SCHEDULE H, PART VI, LINE 5 IN FY 2023, TANNER MEDICAL CENTER, INC. PROVIDED MORE THAN 63 MILLION IN COMMUNITY BENEFIT SERVICES, INCLUDING CHARITY CARE AT COST AND A RANGE OF DIVERSE PROGRAMS DESIGNED TO ENHANCE ACCESS AND PROMOTE THE COMMUNITY'S HEALTH. TANNER MEDICAL CENTER IS A NONPROFIT ORGANIZATION DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES. THAT'S WHY TANNER REINVESTS ALL OF ITS SURPLUS FUNDS FROM ITS OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE ACCESS TO CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT AND INVEST IN TECHNOLOGICAL ADVANCEMENTS. THE HEALTH SYSTEM ALSO REINVESTS ITS SURPLUS FUNDS TO 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, INC. IS GOVERNED BY A BOARD OF DIRECTORS. THE MAJORITY OF THE BOARD 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, INC. BOARD OF DIRECTORS ENSURES THAT THE HEALTH SYSTEM DEVELOPS PROGRAMS TO ADDRESS THE DISPROPORTIONATE UNMET HEALTH- RELATED NEEDS OF THE COMMUNITIES IT SERVES. THE BOARD IS ALSO RESPONSIBLE FOR ENSURING COMMUNITY BENEFIT INITIATIVES ARE DEVELOPED TO PROMOTE THE BROAD HEALTH OF THE COMMUNITY. THE BOARD ESTABLISHES KEY MEASURES OF SYSTEM-WIDE COMMUNITY BENEFIT PERFORMANCE AND RECEIVES REGULAR REPORTS ON PROGRESS TOWARD ESTABLISHED GOALS. IN FULFILLING THESE RESPONSIBILITIES, IN FY 2014, THE BOARD DESIGNATED A COMMUNITY BENEFIT COMMITTEE. THE COMMITTEE INCLUDES AT LEAST THREE BOARD MEMBERS, WITH A MAJORITY REPRESENTATION FROM A RANGE OF COMMUNITY STAKEHOLDERS WHO HAVE EXPERTISE IN CERTAIN AREAS. THESE AREAS INCLUDE THE CHARACTERISTICS AND HISTORY OF LOCAL COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS, CLINICAL SERVICE DELIVERY, ANALYSIS OF SERVICE UTILIZATION AND POPULATION HEALTH DATA, PRIMARY PREVENTIVE HEALTH INITIATIVES, SOCIAL SERVICES, YOUTH AND FAMILY SERVICES, FINANCE AND ACCOUNTING. THE COMMUNITY BENEFIT COMMITTEE OF THE BOARD PARTICIPATES IN ESTABLISHING PROGRAM PRIORITIES BASED ON COMMUNITY NEEDS AND ASSETS, DEVELOPING THE HOSPITAL'S COMMUNITY BENEFIT IMPLEMENTATION STRATEGY AND MONITORING PROGRESS TOWARD IDENTIFIED GOALS. SCHEDULE H, PART VI, LINE 6 TANNER MEDICAL CENTER, INC. PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. TANNER MEDICAL CENTER, INC. IS PART OF AN AFFILIATED HEALTH CARE SYSTEM WHICH INCLUDES THE FOLLOWING: TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 181-BED ACUTE CARE HOSPITAL. TANNER MEDICAL CENTER/VILLA RICA, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 52-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. 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 GEORGIA false true false false false false false false false CHRIS ARANT MD DIRECTOR/PHYSICIAN 656413 247710 440203 8652 13347 1366325 ERIC DALTON SVP/OPERATIONS 125570 92812 19055 14084 5706 4218 150331 111114 JERRY MORRIS ADMINISTRATOR 183644 29487 150 8321 10847 232449 PAULA GRESHAM ADMIN WILLOWBROOKE 174635 28635 37777 5257 10247 256551 DENISE TAYLOR CCH 158705 117304 101458 74991 3134 2316 6138 4537 1639 1211 271074 200359 GREG SCHULENBURG CIO 430752 113185 74912 55369 30096 22245 8176 6043 543936 196842 DEBORAH MATTHEWS CNO 171496 126758 62795 46413 30066 22223 7073 5228 271430 200622 SUSAN FOX SVP, TMG (LEFT 12/22 64120 47393 49750 36771 60375 44625 3997 2955 7073 5228 185315 136972 WAYNE SENFELD SR. VP, BUS DEV 232247 171661 94334 69725 5505 4069 7073 5228 339159 250683 CAROL CREWS CFO 275681 203764 68702 50780 43391 32072 6104 4512 6397 4728 400275 295856 BEN CAMP MD VP, MEDICAL AFFAIRS 334356 247133 76084 56236 38442 28414 6138 4537 7699 5690 462719 342010 RAJAT JHANJEE MD PHYSICIAN 492058 284124 33383 10675 13347 833587 SHAZIB KHAWAJA MD PHYSICIAN 745923 442590 451526 9435 13019 1662493 LOY HOWARD CEO 634384 468892 150560 111284 201893 149226 120470 89043 7907 5844 1115214 824289 TIFFANCY STANFILL MD PHYSICIAN 354518 540411 20800 10208 127860 1053797 CLINT HOFFMAN SVP/TMG 126357 93394 45479 33615 4335 3204 4182 3091 6305 4660 186658 137964 BONNIE BOLES MD CMIO 206744 152811 31956 23620 5515 4076 4032 2980 248247 183487 JIM GRIFFITH COO 303340 224208 98127 72529 3895 2879 6040 4464 411402 304080 HECTOR CACERES-SERRANO MD PHYSICIAN 260483 417166 16275 9981 9419 713324 OLUSEGUN SHEYIN MD PHYSICIAN 407876 215252 12500 10675 13447 659750 SCHEDULE J, PAGE 1, PART I, LINE 3 THE FILING ORGANIZATION MUST RELY ON THE METHODS EMPLOYED BY THE RELATED ORGANIZATION, TANNER MEDICAL CENTER INC. (TMC), TO DETERMINE REASONABLE COMPENSATION FOR THE INDIVIDUALS. COMPENSATION DETERMINATION BY TMC INCLUDES AN INDEPENDENT COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION SURVEYS AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED. SCHEDULE J, PAGE 1, PART I, LINE 4 GREG SCHULENBURG 0 41,667 0 DEBORAH MATTHEWS 0 41,667 0 LOY HOWARD 0 178,338 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 A SUBSTANTIAL RISK OF FORFEITURE AND ARE CONDITIONED UPON THE FUTURE PERFORMANCE OF SERVICES. MR. HOWARD IS ALSO ELIGIBLE FOR THE TANNER ADVANTAGE DEFERRED COMPENSATION PLAN WHICH IS AN ELIGIBLE 457(B) TOP-HAT PLAN AVAILABLE TO SENIOR EXECUTIVES AND PHYSICIANS. A CONTRIBUTION EQUAL TO THE IRS MAXIMUM CONTRIBUTION LIMIT FOR THE YEAR IS MADE ON MR. HOWARD'S BEHALF EACH YEAR. BONUS/INCENTIVE: THE EXECUTIVE TEAM OF THE ORGANIZATION IS ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION IN SUCH AMOUNT, IF ANY, AS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD IN ITS SOLE DISCRETION, BASED ON, AMONG OTHER THINGS, THE ATTAINMENT OF ANNUAL OBJECTIVES ESTABLISHED BY THE BOARD. VARIOUS EMPLOYEES ARE ELIGIBLE TO RECEIVE BONUSES AND ARE ACHIEVEMENT BASED. ANNUAL INCENTIVES INTENDED TO SUPPLEMENT RETIREMENT BUT PAID ANNUALLY ARE CURRENTLY IN PLACE FOR CAROL CREWS, CFO; JIM GRIFFITH, COO; CLINT HOFFMAN, SVP/TMG; AND BENJAMIN CAMP, CMO. THESE WERE APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE AND REVIEWED BY AN INDEPENDENT CONSULTANT. WEST GEORGIA AMBULANCE BOARD MEMBER 194938 AMBULANCE SERVICES false SCHEDULE L, PART V STEVE ADAMS, BOARD MEMBER, OWNS WEST GEORGIA AMBULANCE AND VERIDA INC. 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. FORM 990 PAGE 1, LINE H(B)-AFFLIATED GROUP TANNER MEDICAL CENTER ALABAMA, INC. (FEI 47-5348597) WAS GRANTED TAX EXEMPT STATUS UNDER SECTION 501(C)(3) EFFECTIVE SEPTEMBER 10, 2015. THE ORGANIZATION WAS ORIGINALLY AND INADVERTENTLY INCLUDED IN THE GROUP EXEMPTION FOR TANNER MEDICAL CENTER, INC. (FEI 80-0785570) UPON ITS ORGANIZATION. IN ORDER TO OBTAIN ITS STAND-ALONE EXEMPTION STATUS, THE ORGANIZATION HAS REQUESTED THAT IT BE REMOVED FROM THE GROUP RULING FROM THE DATE OF ITS INCLUSION. 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 7A THE ORGANIZATION'S DIRECTORS ARE THE DIRECTORS OF TANNER MEDICAL CENTER, INC. (TMC), A 501(C)(3) TAX EXEMPT ENTITY AND RELATED ORGANIZATION. THE DIRECTORS ARE ELECTED AS PROVIDED BY THE BYLAWS OF TMC. A DIRECTOR SERVES ONLY SO LONG AS THEY SERVE AS TMC DIRECTOR. PERSONS REMOVED FROM THE TMC GOVERNING BOARD SHALL AUTOMATICALLY BE REMOVED FROM THE ORGANIZATION'S GOVERNING BOARD. FORM 990, PAGE 6, PART VI, LINE 11B TMC'S ACCOUNTING DEPARTMENT GATHERS INFORMATION FOR THE PREPARATION OF THE FORM 990 AND CONSULTS WITH THE CFO AND TMC 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 TMC 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 RECUSE 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 TAKEN FOR TRANSPARENCY, SUCH AS ADVERTISING THE BIDDING PROCESS IN THE NEWSPAPER. ALL SERVICES ARE COMPARED TO FAIR MARKET VALUE. 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 PUBIC WHO MAKE THEIR REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. 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