TY 2017 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) CHRIS ARANT MD...................................................................... DIRECTOR -BE	1.00 ................. 40.00	X		0	1,022,158	41,717
(2) DANIEL JACKSON...................................................................... CHAIRMAN	1.00 .................	X	X	0	0	0
(3) JEFFREY LINDSEY DMD...................................................................... VICE CHAIRMA	1.00 .................	X	X	0	0	0
(4) MARY COVINGTON...................................................................... SECRETARY	1.00 .................	X	X	0	0	0
(5) GELON WASDIN...................................................................... TREASURER	1.00 .................	X	X	0	0	0
(6) STEVE ADAMS...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(7) ANNA BERRY...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(8) KYLE MARRERO...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(9) ROBERT B PITTS MD...................................................................... PAST DIRECTO	1.00 .................	X		0	0	0
(10) HOWARD RAY...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(11) LYNN CLARKE...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(12) TIMOTHY WARREN...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(13) LOY HOWARD...................................................................... CEO	23.00 ................. 17.00		X	1,066,016	787,925	166,443
(14) WILLIAM WATERS MD...................................................................... CMO	23.00 ................. 17.00		X	882,175	652,043	32,310
(15) WILLIAM HINES...................................................................... CONTRACT CAO	10.00 ................. 30.00		X	357,626	1,072,877	0
(16) WAYNE SENFELD...................................................................... SR. VP, BUS	23.00 ................. 17.00		X	344,553	254,669	29,537
(17) JIM GRIFFITH...................................................................... COO	23.00 ................. 17.00		X	305,015	225,447	30,736

(A) Name and business address	(B) Description of services	(C) Compensation
RA-LIN ASSOCIATES INC, 101 PARKWOOD CIRCLE CARROLLTON,GA301178756	CONSTRUCTION	12,242,823
ARAMARK, 10510 TWIN LAKES PARKWAY CHARLOTTE,NC282697658	CLINICAL ENGIN	2,688,259
SOUTHERN THERAPY SERVICES INC, 120 EAST CENTER STREET CARROLLTON,GA301173303	THERAPY SVCS	2,660,143
JONES LANIER ELECTRIC INC, 108 PARKWOOD CIRCLE CARROLLTON,GA301178353	CONSTRUCTION	2,331,541
MULTIPLE SCLEROSIS CENTER, 3200 DOWNWOOD CIRCLE NW ATLANTA,GA303271610	MED SERVICES	1,616,782
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 78

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

TANNER MEDICAL CENTER INC

Employer identification number

58-1790149

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

TANNER MEDICAL CENTER INC

Employer identification number

58-1790149

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization TANNER MEDICAL CENTER INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization TANNER MEDICAL CENTER INC		Employer identification number 58-1790149

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization TANNER MEDICAL CENTER INC			Employer identification number 58-1790149
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

TANNER MEDICAL CENTER INC

Employer identification number

58-1790149

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

290,787

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

42,422

Total. Add lines 1c through 1i ....................................................................................................

333,209

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B, LINE 1	A PORTION OF THE ANNUAL MEMBERSHIP FEES PAID TO THE GEORGIA HOSPITAL ASSOCIATION IS USED FOR LOBBYING EXPENSES TO SUPPORT AND VOICE HOSPITAL CONCERNS AT THE STATE LEVEL. 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. CAPITOL RESOURCES ARE ALSO RETAINED TO HELP TANNER IN THE AREA OF PUBLIC AFFAIRS SUPPORT WITH THE STATE OF GEORGIA. IN MAY 2016, BRIAN DILL WAS HIRED AS VP, GOVERNMENT RELATIONS TO REPRESENT TANNER HEALTH SYSTEM STAY ABREAST OF LEGISLATIVE ISSUES RELATED TO HEALTHCARE.

Return Reference

Explanation

SCHEDULE C, PART II-B, LINE 1

A PORTION OF THE ANNUAL MEMBERSHIP FEES PAID TO THE GEORGIA HOSPITAL ASSOCIATION IS USED FOR LOBBYING EXPENSES TO SUPPORT AND VOICE HOSPITAL CONCERNS AT THE STATE LEVEL. 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. CAPITOL RESOURCES ARE ALSO RETAINED TO HELP TANNER IN THE AREA OF PUBLIC AFFAIRS SUPPORT WITH THE STATE OF GEORGIA. IN MAY 2016, BRIAN DILL WAS HIRED AS VP, GOVERNMENT RELATIONS TO REPRESENT TANNER HEALTH SYSTEM STAY ABREAST OF LEGISLATIVE ISSUES RELATED TO HEALTHCARE.

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

TANNER MEDICAL CENTER INC

Employer identification number

58-1790149

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	8,237,661	7,228,875	6,785,533	6,336,437	5,716,582
b	Contributions ...	3,138,455	1,905,178	1,159,187	1,340,398	1,503,783
c	Net investment earnings, gains, and losses	150,463	240,311	-39,629	48,958	259,962
d	Grants or scholarships ...	759,768	1,136,703	676,216	940,260	1,143,890
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	10,766,811	8,237,661	7,228,875	6,785,533	6,336,437

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

28.990 %

Term endowment SchDMd Bullet

71.010 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	13,183,063		13,183,063
b	Buildings ....	209,709,233	104,570,037	105,139,196
c	Leasehold improvements	2,282,841	2,005,852	276,989
d	Equipment ....	142,596,427	98,200,113	44,396,314
e	Other .....	19,191,800		19,191,800
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				182,187,362

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)DUE FROM RELATED PARTIES				35,357,143
(2)BENEFICIAL INTEREST IN FOUNDATION				12,753,591
(3)OTHER RECEIVABLES				3,683,269
(4)INSURANCE RECEIVABLE				2,078,683
(5)BOND ISSUE COSTS				1,067,569
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				54,940,255

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	2,127,831
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

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 MANAGEMENTS 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, 2018 AND 2017 OR FOR THE YEARS THEN ENDED. THE MEDICAL CENTERS 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.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

TANNER MEDICAL CENTER INC

Employer identification number

58-1790149

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 250.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	6,331,087		6,331,087	2.180 %
b	Medicaid (from Worksheet 3, column a) . . . . .	34,669,107	26,708,294	7,960,813	2.740 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	41,000,194	26,708,294	14,291,900	4.910 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,533,219	251,701	1,281,518	0.440 %
f	Health professions education (from Worksheet 5) . . .	53,504		53,504	0.020 %
g	Subsidized health services (from Worksheet 6) . . . .	233,760		233,760	0.080 %
h	Research (from Worksheet 7) .	89,526		89,526	0.030 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	567,705		567,705	0.200 %
j	Total. Other Benefits . .	2,477,714	251,701	2,226,013	0.760 %
k	Total. Add lines 7d and 7j .	43,477,908	26,959,995	16,517,913	5.680 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	1,000	1,000
2	Economic development	66,137	66,137	0.020 %
3	Community support	10,385	10,385
4	Environmental improvements
5	Leadership development and training for community members	700	700
6	Coalition building
7	Community health improvement advocacy	1,600	1,600
8	Workforce development	93,625	93,625	0.030 %
9	Other
10	Total	173,447	173,447	0.060 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

39,011,325

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

52,787,489

Enter Medicare allowable costs of care relating to payments on line 5.....

59,520,500

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-6,733,011

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1WEST GEORGIA ENDOS	GASTROENTEROLOGY	51.000 %	49.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	TANNER MEDICAL CENTER INC 705 DIXIE STREET CARROLLTON,GA301173818 WWW.TANNER.ORG 022-426	X	X	X

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	TANNER MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.TANNER.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.TANNER.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	TANNER MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.TANNER.ORG

The FAP application form was widely available on a website (list url):

WWW.TANNER.ORG

A plain language summary of the FAP was widely available on a website (list url):
WWW.TANNER.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	TANNER MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	TANNER MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 3E	THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IS IDENTIFIED AND THE METHODOLOGY FOR PRIORITIZING EACH NEED IS DESCRIBED ON PAGE 95 OF THE 2016 CHNA.
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 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.
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. WEST GEORGIA CENTER FOR PLASTIC SURGERY
FACILITY 1, TANNER MEDICAL CENTER, 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.
FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 11	IN FY 2013, TANNER COMPLETED A CHNA FOR EACH OF ITS FACILITIES TO BETTER UNDERSTAND THE COMMUNITY'S HEALTH CONCERNS AND NEEDS. WITH THIS INFORMATION, AN ACTION PLAN WAS DEVELOPED TO HELP IMPROVE THE HEALTH OF LOCAL COMMUNITY MEMBERS. A KEY PIECE OF THE THREE YEAR CHNA CYCLE IS REVISITING THE PROGRESS MADE ON PRIORITY HEALTH TOPICS SET FORTH IN THE PRECEDING CHNA. BY REVIEWING ACTIONS TAKEN TO ADDRESS A PRIORITY HEALTH ISSUE AND EVALUATING THE IMPACT THOSE ACTIONS HAVE MADE IN THE COMMUNITY, IT IS POSSIBLE TO BETTER TARGET RESOURCES AND EFFORTS DURING THE NEXT ROUND OF THE CHNA CYCLE. TANNER'S PRIORITY TOPICS FOR FY 2014 - 2016 WERE: (1) ACCESS TO CARE; (2) CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT; (3) MENTAL HEALTH. EACH OF THESE HEALTH TOPICS CORRELATES WELL TO THE PRIORITY HEALTH TOPICS SELECTED FOR THE CURRENT CHNA (FY 2016), THUS TANNER WILL BE BUILDING UPON EFFORTS OF PREVIOUS YEARS. TANNER'S LONG STANDING COMMITMENT TO THE COMMUNITY IS DEEPLY ROOTED IN ITS MISSION. THE ORGANIZATION REMAINS COMMITTED TO IMPROVING THE COMMUNITY'S HEALTH, NOT ONLY THROUGH DAILY PATIENT CARE ACTIVITIES BUT ALSO OUTREACH, PREVENTION, EDUCATION AND WELLNESS OPPORTUNITIES. TANNER IS DEDICATED TO MAKING WEST GEORGIA A HEALTHIER PLACE TO LIVE, LEARN, WORK, PLAY AND GROW. WITH THE HELP OF COMMUNITY PARTNERS, TANNER HAS SUCCESSFULLY IMPLEMENTED PROGRAMS THAT HELP WEST GEORGIA RESIDENTS WITH THE HEALTHCARE AND PREVENTIVE SERVICES THEY NEED. FOR A DETAILED DESCRIPTION OF THE STEPS TAKEN TO MEET THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN TANNER'S FY 2013 CHNA, SEE THE FY 2016 CHNA REPORTS FOR EACH OF TANNER'S HOSPITAL FACILITIES LOCATED ON TANNER'S WEB SITE AT: HTTP://WWW.TANNER.ORG/ABOUT US/THE COMMUNITY/COMMUNITY HEALTH NEEDS ASSESSMENTS. 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 TANNER'S IMPLEMENTATION STRATEGY, TANNER WILL CONTINUE TO PARTNER WITH LOCAL DENTISTS AND ORAL SURGEONS TO PROVIDE URGENT DENTAL CARE IN THE HEALTH SYSTEM'S EMERGENCY DEPARTMENTS AND CLINICS, ALONG WITH WORKING COLLABORATIVELY WITH PROVIDERS, SOCIAL SERVICE AND COMMUNITY ORGANIZATIONS TO PROMOTE ROUTINE DENTAL CARE. TANNER 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 TANNER IS COMMITTED TO FINDING SOLUTIONS TO LIMITED 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

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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 PAGES 12-13 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	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 2016, 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 AND DEVELOPED AN IMPLEMENTATION STRATEGY RESPONDING TO APPROPRIATE POPULATION SUB GROUPS AND HEALTH CONDITIONS FOR IMPROVED COMMUNITY HEALTH. THESE COMPREHENSIVE, MULTIFACTOR ASSESSMENTS INCLUDED THE COLLECTION AND ANALYSIS OF QUANTITATIVE DATA, AS WELL AS QUALITATIVE INPUT DIRECTLY FROM RESIDENTS GATHERED THROUGH COMMUNITY SURVEYS, 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 2017-2019 BY TANNER MEDICAL CENTER, INC. 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 250% 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 3.5 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	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 PERCENT RURAL) WITH A TOTAL POPULATION OF 151,141 (U.S. CENSUS BUREAU, 2010). CARROLL, HARALSON AND HEARD COUNTIES CONSIST OF A MIXTURE 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 CLOSE 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 AND IN TANNER'S SECONDARY SERVICE AREA OF DOUGLAS, PAULDING, POLK, CLEBURNE (ALA.) AND RANDOLPH (ALA.) COUNTIES TO BEST MEET THE HEALTH NEEDS OF THEIR COMMUNITIES. DEMOGRAPHICS (DATA GATHERED FROM 2018 COUNTY HEALTH RANKINGS AND THE US CENSUS BUREAU, 2017 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 117,812; DIVERSITY 70.7 PERCENT CAUCASIAN, 19.6 PERCENT AFRICAN-AMERICAN, 7.0 PERCENT HISPANIC, 2.7 PERCENT OTHER; AVERAGE INCOME 45,486; UNINSURED 16 PERCENT; UNEMPLOYMENT 6 PERCENT; BELOW POVERTY LEVEL 14.9 PERCENT. DEMOGRAPHICS OF HARALSON COUNTY (DESIGNATED AS A PARTIAL MEDICALLY UNDERSERVED AREA, COMMUNITY SERVED BY HIGGINS GENERAL HOSPITAL): POPULATION 29,256; DIVERSITY 91.1 PERCENT CAUCASIAN, 4.8 PERCENT AFRICAN-AMERICAN, 1.7 PERCENT HISPANIC, 2.4 PERCENT OTHER; AVERAGE INCOME 42,281; UNINSURED 15 PERCENT; UNEMPLOYMENT 5.8 PERCENT; BELOW POVERTY LEVEL 18.5 PERCENT. DEMOGRAPHICS OF HEARD COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA, COMMUNITY SERVED BY TANNER MEDICAL CENTER/CARROLLTON): POPULATION 11,730; DIVERSITY 84.8 PERCENT CAUCASIAN, 10.1 PERCENT AFRICAN-AMERICAN, 2.7 PERCENT HISPANIC, 2.4 PERCENT OTHER; AVERAGE INCOME 44,185; UNINSURED 15 PERCENT; UNEMPLOYMENT 5.9 PERCENT; BELOW POVERTY LEVEL 19.7 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. IN FULFILLING THESE RESPONSIBILITIES, 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 OF THE BOARD PARTICIPATES IN THE PROCESS OF ESTABLISHING PROGRAM PRIORITIES BASED ON COMMUNITY NEEDS AND ASSETS, DEVELOPING THE HOSPITALS COMMUNITY BENEFIT IMPLEMENTATION STRATEGY AND MONITORING PROGRESS TOWARD IDENTIFIED GOALS. TANNER IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PERSONS WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED OR UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, AND OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATIONS. CONSISTENT WITH ITS MISSION TO PROVIDE QUALITY HEALTH CARE TO ALL CITIZENS, TANNER STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTHCARE SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE. DURING FISCAL YEAR 2018, TANNER MEDICAL CENTER, INC. PROVIDED MORE THAN 4.1 MILLION IN CHARITY AND INDIGENT CARE (AT COST) AND A RANGE OF DIVERSE PROGRAMS DESIGNED TO ENHANCE ACCESS AND PROMOTE THE HEALTH OF THE COMMUNITY. TANNER ALSO WORKS CLOSELY WITH AND PROVIDES FINANCIAL SUPPORT TO TWO COMMUNITY BASED INDIGENT CLINICS, THE RAPHA CLINIC AND LATINOS UNITED CARROLL COUNTY CLINIC, TO PROVIDE LOW COST AND FREE MEDICAL SERVICES TO AREA RESIDENTS WHO OTHERWISE COULD NOT AFFORD CARE. THE NUMBER OF MEDICAL PROVIDERS AVAILABLE IN A COMMUNITY HAS A DIRECT IMPACT ON THAT COMMUNITY'S ABILITY TO ACCESS CARE. TANNER'S PRIMARY SERVICE AREA OF CARROLL, HARALSON AND HEARD COUNTIES ARE ALL DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND HEALTH PROFESSIONAL SHORTAGE AREAS. TO COMBAT THIS PROBLEM AND IMPROVE ACCESS TO MEDICAL CARE IN THE REGION, TANNER CONTINUED ITS WORK 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 FISCAL YEAR 2018, TANNER WELCOMED 12 NEW PHYSICIANS AND 8 ADVANCED PRACTICE PROVIDERS TO ITS MEDICAL STAFF. TANNER ALSO PROVIDED "FUTURE OF HEALTH CARE" SCHOLARSHIPS TO STUDENTS FROM ACROSS THE REGION THAT ARE ENROLLED IN MEDICAL SCHOOL OR ADVANCED PRACTICE PROVIDER PROGRAMS, AND ALSO 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. TANNER HAS A LONG STANDING COMMITMENT TOWARD ADVANCING COMMUNITY HEALTH AND SUCCESSFULLY DEVELOPING AND IMPLEMENTING POPULATION HEALTH APPROACHES TO BEST MEET THE NEEDS OF THE COMMUNITIES IT SERVES, EMPLOYING A VARIETY OF STRATEGIES AIMED AT THE DETERRENCE, EARLY DETECTION AND MINIMIZATION OR CESSATION OF DISEASE AT THE POPULATION LEVEL. RECOGNIZING THAT MOST OF THE SOCIAL AND ENVIRONMENTAL DETERMINANTS OF HEALTH EXIST OUTSIDE THE SPHERE OF INFLUENCE OF THE HEALTH SECTOR, TANNER REACHED OUT TO MUTUALLY SUPPORTIVE EFFORTS TO OBTAIN A COMPREHENSIVE UNDERSTANDING OF THE POLICIES, ENVIRONMENTS AND INFRASTRUCTURE IN THE REGION TO EFFECTIVELY ADDRESS IDENTIFIED BARRIERS TO HEALTH. WITH THIS INFORMATION, TANNER ESTABLISHED GET HEALTHY, LIVE WELL IN 2012, A MULTI SECTOR COALITION (WITH 24 TASK FORCES CONSISTING OF MORE THAN 550 COMMUNITY VOLUNTEERS AND MORE THAN 160 LOCAL, STATE AND NATIONAL PARTNERS) THAT IS ENGAGING PEOPLE, IDEAS AND RESOURCES ACROSS MULTIPLE SETTINGS (COMMUNITY, EARLY CHILDCARE, FAITH BASED, HEALTHCARE, SCHOOL AND WORK SITE) TO DEVELOP AND IMPLEMENT A VARIETY OF EVIDENCE BASED INTERVENTIONS TO REDUCE CHRONIC DISEASE RISKS FOR THE 151,000 RESIDENTS OF CARROLL, HARALSON AND HEARD COUNTIES BY DECREASING HEALTH DISPARITIES, REDUCING OBESITY RATES, ELIMINATING TOBACCO USE, INCREASING PHYSICAL ACTIVITY AND IMPROVING NUTRITION. TASK FORCE MEMBERSHIPS INCLUDES REPRESENTATIVES FROM COUNTY AND CITY GOVERNMENTS, PARKS AND RECREATION DEPARTMENTS, SCHOOL BOARDS AND SCHOOLS, COLLEGES AND UNIVERSITIES, RESTAURANTS, BOYS AND GIRLS CLUBS, CONVENIENCE STORES, FARMERS AND FARMERS' MARKETS, CIVIC GROUPS, FAITH BASED INSTITUTIONS, CHAMBERS OF COMMERCE, BUSINESS AND INDUSTRY, SOCIAL SERVICE AGENCIES, STATE AND LOCAL PUBLIC HEALTH DEPARTMENTS, RURAL HEALTH CLINICS, PRIVATE HEALTH CARE PROVIDERS AND MORE. TO SOLIDIFY THESE EFFORTS, TANNER ESTABLISHED A NEW COMMUNITY BENEFIT DEPARTMENT WITH A STAFF OF DEDICATED PROFESSIONALS WHO ARE WORKING WITH GET HEALTHY, LIVE WELL'S NETWORK OF ESTABLISHED TASK FORCES AND VOLUNTEERS TO IDENTIFY ONGOING NEEDS AND DEVELOP SERVICES TO REACH THE TOTAL POPULATION. IN JUST SIX YEARS SINCE ITS ESTABLISHMENT, THE TANNER LED GET HEALTHY, LIVE WELL COALITION IS MAKING SIGNIFICANT GAINS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES TANNER SERVES. THE TANNER LED GET HEALTHY, LIVE WELL COALITION'S EFFORTS HAVE RECEIVED MULTIPLE ACCOLADES FOR EFFECTIVELY ADDRESSING PUBLIC HEALTH CHALLENGES THROUGH COLLABORATIVE EFFORTS, INCLUDING BEING NAMED A PARTNER UP FOR PUBLIC HEALTH HERO BY THE GEORGIA DEPARTMENT OF PUBLIC HEALTH IN 2013, ALONG WITH RECEIVING THE GEORGIA HOSPITAL ASSOCIATION'S COMMUNITY LEADERSHIP AWARD IN JULY 2014, THE GEORGIA ALLIANCE OF COMMUNITY HOSPITAL'S LARGE HOSPITAL OF THE YEAR AWARD IN OCTOBER 2014, THE LEADERSHIP CHALLENGE AWARD IN AUGUST 2015 BY THE NATIONAL CENTER FOR HEALTHCARE LEADERSHIP, THE AMERICAN HOSPITAL ASSOCIATION'S NOVA AWARD IN JULY 2016, AND A HEALTHY GEORGIA COMMUNITY INNOVATION AWARD IN OCTOBER 2016 BY THE GEORGIA DEPARTMENT OF PUBLIC HEALTHHEALTH, AND A FINALIST FOR THE INTERNATIONAL HOSPITAL FEDERATIONS EXCELLENCE AWARD FOR CORPORATE SOCIAL RESPONSIBILITY IN AUGUST 2017 AND A FINALIST FOR THE INTERNATIONAL HOSPITAL FEDERATIONS EXCELLENCE AWARD FOR CORPORATE SOCIAL RESPONSIBILITY IN AUGUST 2017. DURING FISCAL YEAR 2018, MORE THAN MORE THAN 9,000 INDIVIDUALS ATTENDED A GET HEALTHY, LIVE WELL OR OTHER COMMUNITY-BASED EDUCATIONAL EVENT (I.E., ADVANCING YOUR HEALTH EDUCATION SERIES) FOCUSED ON A WIDE RANGE OF SUBJECTS TO LEARN MORE ABOUT THEIR HEALTH AND HOW TO LIVE WELL. MORE HEALTH EDUCATION WAS PROVIDED THROUGH TANNERS SPONSORSHIP OF THE COMMUNITY VOICE RADIO PROGRAM, WHICH FEATURED A NUMBER OF PHYSICIANS AND HEALTH PROFESSIONALS DISCUSSING AND TAKING CALLS ON A WIDE RANGE OF SUBJECTS. TANNER ALSO HOSTED BLOOD DRIVES AT EACH OF ITS HOSPITALS, IN WHICH 894 UNITS OF BLOOD WERE DONATED THROUGHOUT THE FISCAL YEAR. TANNER PROVIDED AND/OR SPONSORED SEVERAL SUPPORT GROUPS ON A WIDE RANGE OF DISEASES/TOPICS, INCLUDING BREAST CANCER, CANCER, DIABETES AND GRIEF, IN WHICH MORE THAN 700 PEOPLE ATTENDED DURING THE YEAR. TANNER PROVIDES FUNDING FOR A 24 HOUR INFORMATION HOTLINE, PROVIDED FREE TO CALLERS. THE HOTLINE - 770.214.2273 - PROVIDES CALLERS WITH INFORMATION ON PHYSICIANS AND SPECIALISTS, AND PROVIDES REFERRALS TO MEDICAL STAFF BASED ON A CALLER'S NEEDS, LOCATION AND INSURANCE INFORMATION. THE LINE ALSO PROVIDES CALLERS WITH INFORMATION ON A WIDE RANGE OF FREE HEALTH EDUCATION CLASSES AND HEALTH SCREENINGS PROVIDED BY TANNER, AND ALLOWS CALLERS TO REGISTER FOR CLASSES AND EVENTS OVER THE PHONE. IN ADDITION TO THE 24 HOUR HOTLINE, TANNER PROVIDES A WEB SITE, WWW.TANNER.ORG, WITH A VARIETY OF EDUCATIONAL HEALTH INFORMATION THA
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 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 40-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.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	GEORGIA

Schedule H (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
TANNER MEDICAL CENTER INC

Employer identification number
58-1790149

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) TANNER MEDICAL FOUNDATION INC 109 COLLEGE STREET CARROLLTON,GA301173136	58-1790152	501C3	13,000	FUNDING PROJECTS
(2) CARROLL COUNTY ECONOMIC DEVELOPMENT FOUNDATION INC 200 NORTHSIDE DRIVE CARROLLTON,GA30117	58-2589709	501C3	120,000	ECONOMIC DEVELOPMENT
(3) UNIVERSITY OF WEST GEORGIA 1601 MAPLE STREET CARROLLTON,GA30118	58-6002055	GOV	200,000	WORKFORCE DEVELOPMNT
(4) THE MULTIPLE SCLEROSIS CENTER OF ATLANTA 3200 DOWNWOOD CIRCLE NW ATLANTA,GA30327	55-0821471	501C3	1,080,000	GENERAL SUPPORT
(5) LATINOS UNITED OF CARROLL COUNTY 409 NEWNAN ROAD CARROLLTON,GA30117	01-0594059		50,000	GENERAL SUPPORT
(6) RAPHA CLINIC OF WEST GEORGIA 253 EAST HIGHWAY 78 TEMPLE,GA30179	27-1188932	501C3	60,000	GENERAL SUPPORT
(7) TANNER MEDICAL CENTER ALABAMA INC 705 DIXIE STREET CARROLLTON,GA301173818	47-5348597	501C3	4,098,942	CAPITAL EQUIPMENT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

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.

Schedule I (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

TANNER MEDICAL CENTER INC

Employer identification number

58-1790149

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CHRIS ARANT MD DIRECTOR -BEGAN 5/18	(i) (ii)	------------- 946,427	------------- 15,731	------------- 60,000	------------- 13,053	------------- 28,664	------------- 1,063,875	-------------
2LOY HOWARD CEO	(i) (ii)	493,205 ------------- 364,544	239,239 ------------- 176,829	333,572 ------------- 246,552	63,616 ------------- 75,427	15,755 ------------- 11,645	1,145,387 ------------- 874,997	-------------
3WILLIAM WATERS MD CMO	(i) (ii)	399,319 ------------- 295,149	482,511 ------------- 356,639	345 ------------- 255	7,763 ------------- 5,738	10,815 ------------- 7,994	900,753 ------------- 665,775	-------------
4WILLIAM HINES CONTRACT CAO	(i) (ii)	216,932 ------------- 650,797	138,631 ------------- 415,892	2,063 ------------- 6,188	-------------	-------------	357,626 ------------- 1,072,877	-------------
5WAYNE SENFELD SR. VP, BUS DEV	(i) (ii)	213,787 ------------- 158,016	130,421 ------------- 96,398	345 ------------- 255	7,763 ------------- 5,738	9,221 ------------- 6,815	361,537 ------------- 267,222	-------------
6JIM GRIFFITH COO	(i) (ii)	222,999 ------------- 164,826	81,671 ------------- 60,366	345 ------------- 255	7,762 ------------- 5,737	9,911 ------------- 7,326	322,688 ------------- 238,510	-------------
7CAROL CREWS CFO	(i) (ii)	239,820 ------------- 177,258	63,916 ------------- 47,243	-------------	7,763 ------------- 5,738	9,419 ------------- 6,962	320,918 ------------- 237,201	-------------
8DENISE TAYLOR CCH	(i) (ii)	153,853 ------------- 113,717	58,468 ------------- 43,215	345 ------------- 255	7,712 ------------- 5,700	850 ------------- 628	221,228 ------------- 163,515	-------------
9BEN CAMP MD VP, MEDICAL AFFAIRS	(i) (ii)	218,295 ------------- 161,349	50,189 ------------- 37,096	345 ------------- 255	7,762 ------------- 5,737	10,126 ------------- 7,484	286,717 ------------- 211,921	-------------
10SUSAN FOX SVP, TMG	(i) (ii)	178,209 ------------- 131,720	42,335 ------------- 31,291	345 ------------- 255	6,943 ------------- 5,132	5,699 ------------- 4,213	233,531 ------------- 172,611	-------------
11DEBORAH MATTHEWS CNO	(i) (ii)	176,456 ------------- 130,424	41,653 ------------- 30,787	345 ------------- 255	7,763 ------------- 5,738	4,485 ------------- 3,315	230,702 ------------- 170,519	-------------
12VAUGHN CLAGETTE MD PAST VP -8/17	(i) (ii)	105,349 ------------- 77,866	-------------	5,962 ------------- 4,407	6,601 ------------- 4,879	3,741 ------------- 5,061	121,653 ------------- 92,213	-------------
13RICHIE BLAND MD PHYSICIAN	(i) (ii)	739,571 -------------	-------------	110,600 -------------	13,500 -------------	17,524 -------------	881,195 -------------	-------------
14ANNA HARRIS MD PHYSICIAN	(i) (ii)	686,490 -------------	-------------	600 -------------	13,500 -------------	17,186 -------------	717,776 -------------	-------------
15TUNICIA GIRON MD PHYSICIAN	(i) (ii)	453,490 -------------	97,587 -------------	20,600 -------------	13,500 -------------	17,312 -------------	602,489 -------------	-------------
16HANS MILLER MD PHYSICIAN	(i) (ii)	408,965 -------------	-------------	-------------	13,408 -------------	19,316 -------------	441,689 -------------	-------------
17HESS PANJETON MD PHYSICIAN	(i) (ii)	334,335 -------------	-------------	-------------	8,100 -------------	12,701 -------------	355,136 -------------	-------------

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

SCHEDULE J, PAGE 1, PART I, LINE 4

LOY HOWARD 0 108,893 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. 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 1,430,501, 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 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.

Schedule J (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
TANNER MEDICAL CENTER INC

Employer identification number
58-1790149

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CARROLL CITY-COUNTY HOSP AUTHORITY 2008 SERIES BONDS	58-1790149	144709FK3	03-11-2008	32,970,000	CONSTRUCTION	X			X		X
B	CARROLL CITY-COUNTY HOSP AUTHORITY 2010 SERIES BONDS	58-1790149	144709GC0	08-31-2010	81,569,188	CONSTRUCTION		X		X		X
C	CARROLL CITY-COUNTY HOSP AUTHORITY 2015 SERIES BONDS	58-1790149	144709GGI	07-01-2015	71,560,000	CONSTRUCTION		X		X		X
D	CARROLL CITY-COUNTY HOSP AUTHORITY 2016A SERIES BONDS	58-1790149	144709HB1	03-01-2016	26,255,000	REFUNDING SERIES 2008 BONDS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	5,920,000		22,549,188				105,000
2 Amount of bonds legally defeased ..............	26,255,000		36,855,000
3 Total proceeds of issue ..................	32,837,800		81,569,188		75,846,532		29,251,274
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............			35,910,031				28,827,106
7 Issuance costs from proceeds ...............	837,414		657,030		429,360		424,168
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............	32,000,386
10 Capital expenditures from proceeds .............			45,002,127		75,000,000
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............	2009		2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........
16 Has the final allocation of proceeds been made? ..........	X		X			X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........	X		X		X			X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference

Explanation

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 2016A 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. CARROLL CITY-COUNTY HOSP AUTHORITY SERIES 2016B 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 4,232,747.

Schedule K (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

TANNER MEDICAL CENTER INC

Employer identification number

58-1790149

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2019

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) WEST GEORGIA AMBULANCE	DIRECTOR	123,100	AMBULANCE SERVICE		No
(2) CARROLLTON EAR NOSE AND THROAT PC	DIRECTOR/DOCTOR	233,050	MANAGEMENT SERVICES		No
(3) WEST GEORGIA HOSPITALIST LLC	VP/DOCTOR	896,700	HOSPITALIST		No
(4) HGA VILLA RICA LLC	VP/DOCTOR	128,000	MANAGEMENT SERVICES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

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 (RESIGNED JANUARY 2018), 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, TMC VICE-PRESIDENT (RESIGNED IN AUGUST 2017), 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, TMC VICE-PRESIDENT (RESIGNED IN AUGUST 2017), IS FIFTY PERCENT OWNER OF HGA VILLA RICA, LLC WHICH PROVIDES MANAGEMENT SERVICES TO TMC.

Schedule L (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

TANNER MEDICAL CENTER INC

Employer identification number

58-1790149

Return Reference	Explanation
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 180-BED ACUTE CARE TANNER MEDICAL CENTER/CARROLLTON; THE ROY RICHARDS, SR. CANCER CENTER, TANNER HEART AND VASCULAR CENTER, TANNER BREAST HEALTH, THE TANNER ADVANCED WOUND CENTER, EMPLOYEE ASSISTANCE PROGRAM (TANNER EAP) AND MORE. MORE INFORMATION ON TANNER MEDICAL CENTER, INC. IS AVAILABLE IN THE HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH CAN BE DOWNLOADED AT HTTP://WWW.TANNER.ORG/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 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 IS COMPLETED EVERY YEAR IN MARCH.
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 10,129,056 0 0 CONTRACT SERVICES 3,872,660 2,513,037 0 PURCHASED SERVICES 3,567,258 6,553,529 0 CONSULTANT FEES 92,542 1,898,014 0 OTHER FEES 70,694 106,103 0 COLLECTION FEES 0 1,566,776 0 TOTAL 17,732,210 12,637,459 0
FORM 990, PART XI, LINE 9	CAPITAL CONTRIBUTION TO TEA 4,098,942 THE CHANGE IN NET ASSETS IS DIRECTLY RELATED TO NONCASH TRANSACTIONS WHICH IS DETAILED ABOVE. DURING 2016, THE RANDOLPH COUNTY HEALTH CARE AUTHORITY (AUTHORITY) ENTERED INTO A LEASE AND TRANSFER AGREEMENT WITH TANNER MEDICAL CENTER ALABAMA, INC. IN WHICH THE AUTHORITY BUILT A REPLACEMENT FACILITY FOR WEDOWEE HOSPITAL. THE REPLACEMENT FACILITY OPENED NOVEMBER 14, 2017 AS TANNER MEDICAL CENTER EAST ALABAMA (TEA), A 15-BED ACUTE CARE HOSPITAL IN WEDOWEE, AL. THE PURPOSE AND INTENT OF THE AGREEMENT WAS TO TRANSFER CONTROL OVER ALL THE REAL PROPERTY, OPERATING ASSETS, AND OPERATIONS TO TANNER MEDICAL CENTER ALABAMA, INC. FROM THE AUTHORITY. THE PRIMARY REASON FOR THE AGREEMENT IS TO ENSURE THE LONG-TERM AVAILABILITY AND ACCESSIBILITY OF QUALITY HEALTH CARE TO THE RESIDENTS OF RANDOLPH COUNTY.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

TANNER MEDICAL CENTER INC

Employer identification number

58-1790149

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(f) Direct controlling entity
(1) TMC CAMPUS HEALTH CENTER LLC 705 DIXIE STREET CARROLLTON,GA30117 82-3790957	CLINIC	GA	TMC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)TANNER MEDICAL FOUNDATION INC 109 COLLEGE STREET CARROLLTON,GA301173136 58-1790152	FOUNDATION	GA	501C3	7	TMC	Yes
(2)TANNER MEDICAL CENTER GROUP RETURN 705 DIXIE STREET CARROLLTON,GA301173818 80-0785570	HEALTHCARE	GA	501C3	3	TMC	Yes
(3)TANNER MEDICAL CENTER ALABAMA INC 705 DIXIE STREET CARROLLTON,GA301173818 47-5348597	HOSPITAL	AL	501C3	3	TMC	Yes
(4)TMC BUCHANAN FAMILY HEALTHCARE CTR 705 DIXIE STREET CARROLLTON,GA301173818 58-2502339	RHC	GA	501C3	3	TMC	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) HEALTHLIANT INC 705 DIXIE STREET CARROLLTON,GA301173818 58-1790151	HEALTHCARE	GA	N/A						No
(2) HEALTHLIANT ENTERPRISES INC 705 DIXIE STREET CARROLLTON,GA301173818 82-4529412	HEALTHCARE	GA	N/A						No
(3) WEST GEORGIA ENDOSCOPY CTR LLC 160 CLINIC AVENUE CARROLLTON,GA30117 75-3182533	ENDOSCOPY	GA	N/A	S CORP	249,425	619,000	51.000 %		No

Schedule R (Form 990) 2019

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) TANNER MEDICAL FOUNDATION INC	B	13,000	FMV
(2) TANNER MEDICAL FOUNDATION INC	C	218,925	FMV
(3) ALL ENTITIES	E	35,357,143	GENERAL LEDGER
(4) ALL ENTITIES	L		VALUE UNDETERMINED
(5) ALL ENTITIES	M		VALUE UNDETERMINED
(6) ALL ENTITIES	O		VALUE UNDETERMINED
(7) TANNER MEDICAL CENTER GROUP	Q	56,238,175	FMV

Schedule R (Form 990) 2019

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	3,558
6	Total number of volunteers (estimate if necessary) .............	6	253
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	932,774
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	579,336

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,584,018	614,396
9	Program service revenue (Part VIII, line 2g) .........	253,122,428	262,853,495
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,058,892	19,380,423
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	56,924,521	62,427,451
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	316,689,859	345,275,765
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,554,000	5,621,942
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	130,879,964	141,018,326
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	136,331,226	144,422,100
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	268,765,190	291,062,368
19	Revenue less expenses. Subtract line 18 from line 12.......	47,924,669	54,213,397
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	657,782,173	719,724,624
21	Total liabilities (Part X, line 26).............	213,192,855	219,340,229
22	Net assets or fund balances. Subtract line 21 from line 20.....	444,589,318	500,384,395

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 201,027,203 including grants of $ 5,621,942 ) (Revenue $ 322,983,866 )
	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 180-BED ACUTE CARE TANNER MEDICAL CENTER/CARROLLTON; THE ROY RICHARDS, SR. CANCER CENTER, TANNER HEART AND VASCULAR CENTER, TANNER BREAST HEALTH, THE TANNER ADVANCED WOUND CENTER, EMPLOYEE ASSISTANCE PROGRAM (TANNER EAP) AND MORE. MORE INFORMATION ON TANNER MEDICAL CENTER, INC. IS AVAILABLE IN THE HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH CAN BE DOWNLOADED AT HTTP://WWW.TANNER.ORG/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 IN CARROLLTON, GEORGIA.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses201,027,203

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) CAROL CREWS........................................................................ CFO	23.00 .......................17.00	X			303,736	224,501	29,882
(19) DENISE TAYLOR........................................................................ CCH	23.00 .......................17.00	X			212,666	157,187	14,890
(20) BEN CAMP MD........................................................................ VP, MEDICAL	23.00 .......................17.00		X		268,829	198,700	31,109
(21) SUSAN FOX........................................................................ SVP, TMG	23.00 .......................17.00		X		220,889	163,266	21,987
(22) DEBORAH MATTHEWS........................................................................ CNO	23.00 .......................17.00		X		218,454	161,466	21,301
(23) VAUGHN CLAGETTE MD........................................................................ PAST VP -8/1	23.00 .......................17.00		X		111,311	82,273	20,282
(24) RICHIE BLAND MD........................................................................ PHYSICIAN	40.00 .......................			X	850,171	0	31,024
(25) ANNA HARRIS MD........................................................................ PHYSICIAN	40.00 .......................			X	687,090	0	30,686
(26) TUNICIA GIRON MD........................................................................ PHYSICIAN	40.00 .......................			X	571,677	0	30,812
(27) HANS MILLER MD........................................................................ PHYSICIAN	40.00 .......................			X	408,965	0	32,724
(28) HESS PANJETON MD........................................................................ PHYSICIAN	40.00 .......................			X	334,335	0	20,801

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	7,143,508	5,002,512	586,241

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	309,961
e	Government grants (contributions)		1e	304,435

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		614,396

		Business Code
2a	NET PATIENT SERVICE REVENUE	623000	262,182,040	262,182,040
b	REFERENCE LAB	621500	671,455		671,455
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		262,853,495

3 Investment income (including dividends, interest, and othersimilar amounts) ......			8,755,793			8,755,793
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	326,016	116,309,145	7a
b	Less: cost or other basis and sales expenses	390,054	105,620,477	7b
c	Gain or (loss)	-64,038	10,688,668	7c
d	Net gain or (loss).........			10,624,630			10,624,630
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	SHARED SERVICE REVENUE		621990	58,126,026	58,126,026
b	PROPERTY MANAGEMENT FEE		531310	1,656,984	1,656,984
c	CAFETERIA		722514	1,245,498			1,245,498
d	All other revenue ....			1,398,943	1,018,816	261,319	118,808
e	Total. Add lines 11a–11d ......			62,427,451
12	Total revenue. See instructions.....			345,275,765	322,983,866	932,774	20,744,729

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	5,621,942	5,621,942
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	4,502,738		4,502,738
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	54,896		54,896
7	Other salaries and wages........	100,809,403	66,502,150	34,307,253
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,297,113	3,208,920	1,088,193
9	Other employee benefits .......	24,148,627	23,763,881	384,746
10	Payroll taxes ...........	7,205,549	5,425,455	1,780,094
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,244,472		1,244,472
c	Accounting ...........	250,292		250,292
d	Lobbying ...........	111,000		111,000
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	503,386		503,386
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	30,369,669	17,732,210	12,637,459
12	Advertising and promotion ....	1,236,360	610,535	625,825
13	Office expenses .......	35,306,519	31,065,906	4,240,613
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	5,919,289	4,835,249	1,084,040
17	Travel ............	198,250	74,803	123,447
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	796,913	252,372	544,541
20	Interest ...........	277,132		277,132
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	25,785,815	16,769,854	9,015,961
23	Insurance ...	2,196,445	13,390	2,183,055
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	18,828,474	18,828,474
b	REPAIRS AND MAINTENANCE	13,228,951	2,135,625	11,093,326
c	LICENSES	3,918,033	3,570,217	347,816
d	MISCELLANEOUS	3,023,634	616,220	2,407,414
e	All other expenses	1,227,466		1,227,466
25	Total functional expenses. Add lines 1 through 24e	291,062,368	201,027,203	90,035,165	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			793,009	1	2,063,959
2	Savings and temporary cash investments .........			171,375,735	2	149,832,370
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			29,524,484	4	31,330,909
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			2,495,687	7	2,728,429
8	Inventories for sale or use ............			4,088,712	8	4,744,657
9	Prepaid expenses and deferred charges ......			5,842,251	9	6,107,539
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	386,963,364
b	Less: accumulated depreciation	10b	204,776,002	167,128,122	10c	182,187,362
11	Investments—publicly traded securities .			249,144,876	11	282,232,622
12	Investments—other securities. See Part IV, line 11 .....			2,576,687	12	3,556,522
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			24,812,610	15	54,940,255
16	Total assets. Add lines 1 through 15 (must equal line 33)...			657,782,173	16	719,724,624

17	Accounts payable and accrued expenses .....	38,466,104	17	40,236,759
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	173,473,980	20	168,508,972
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23	8,466,667
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	1,252,771	25	2,127,831
26	Total liabilities. Add lines 17 through 25..	213,192,855	26	219,340,229

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	444,589,318	32	500,384,395
33	Total liabilities and net assets/fund balances ........	657,782,173	33	719,724,624