TY 2024 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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) DANIEL JACKSON...................................................................... CHAIRMAN	2.00 .................	X	X			0	0	0
(2) JEFFREY LINDSEY DMD...................................................................... VICE CHAIRMA	2.00 .................	X	X			0	0	0
(3) FREDERICK O'NEAL...................................................................... DIRECTOR	2.00 .................	X				0	0	0
(4) STEVE ADAMS...................................................................... DIRECTOR	2.00 .................	X				0	0	0
(5) ANNA BERRY...................................................................... DIRECTOR	2.00 .................	X				0	0	0
(6) HOWARD RAY...................................................................... DIRECTOR - L	2.00 .................	X				0	0	0
(7) LYNN CLARKE...................................................................... DIRECTOR	2.00 .................	X				0	0	0
(8) TIMOTHY WARREN...................................................................... DIRECTOR/FIN	2.00 .................	X				0	0	0
(9) CHRIS ARANT MD...................................................................... DIRECTOR/PHY	2.00 ................. 40.00	X				0	1,521,009	22,758
(10) DENISE TAYLOR...................................................................... CCH	.................		X			0	0	0
(11) GREG SCHULENBURG...................................................................... CIO/COO	23.00 ................. 17.00			X		508,644	375,955	25,157
(12) WAYNE SENFELD...................................................................... SR. VP, BUS	23.00 ................. 17.00		X			537,940	397,608	24,196
(13) CAROL CREWS...................................................................... CFO	23.00 ................. 17.00		X			735,434	543,581	24,690
(14) BEN CAMP MD...................................................................... CMO	23.00 ................. 17.00		X			524,737	387,848	25,354
(15) LOY HOWARD...................................................................... CEO	23.00 ................. 17.00	X	X			1,548,300	1,144,395	232,596
(16) ANIL DHOPLE MD...................................................................... PHYSICIAN	40.00 .................				X	794,354	0	25,466
(17) RICHARD DAVIS...................................................................... DIRECTOR	2.00 .................	X				0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
RA-LIN & ASSOCIATES INC 101 PARKWOOD CIRCLE CARROLLTON,GA301178756	CONSTRUCTION	40,781,170
APOGEE MEDICAL MANAGEMENT 15059 N SCOTTSDALE RD SUITE 600 SCOTTSDALE,AZ85254	PHYSICIANS	8,063,553
AYA HEALTHCARE INC 7032 COLLECTION CENTER DRIVE CHICAGO,IL60693	PHYSICIANS	6,043,072
EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE,WI53288	SOFTWARE SVCS	5,887,336
MICROSOFT LICENSING GP 1950 N STEMMONS FWY DALLAS,TX75207	LICENSING FEES	4,255,852
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 84

- TIN:

SCHEDULE A
(Form 990)

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

2024

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 5 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 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. 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—2023. 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—2024. 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—2023. 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) 2024

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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 on 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 5 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 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. 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—2023. 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) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2024

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2024

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 0.015 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 0.035	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) 2024

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

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) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

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

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 ......... Right Arrow

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization TANNER MEDICAL CENTER INC

Part I	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
RESTRICTED	,	$ RESTRICTED	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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

right arrow

Complete if the organization is described below. 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

2024

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 .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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.

Cat. No. 50084S

Schedule C (Form 990) 2024

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 right arrow

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 right arrow

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) 2021	(b) 2022	(c) 2023	(d) 2024	(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) 2024

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

(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

61,750

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

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

Yes

52,051

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

113,801

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. CONNECT SOUTH AND LIVE OAK PUBLIC STRATEGIES ARE RETAINED TO HELP TANNER IN THE AREA OF PUBLIC AFFAIRS SUPPORT WITH THE STATE OF GEORGIA. AN INDIVIDUAL SERVES AS AN EMPLOYED LIAISON. HIS DUTIES INCLUDE HELPING TANNER HEALTH SYSTEM STAY ABREAST OF LEGISLATIVE ISSUES RELATED TO HEALTHCARE. A PORTION OF THESE COSTS ARE ALLOCATED TO LOBBYING BASED ON ESTIMATES BY MANAGEMENT.

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. CONNECT SOUTH AND LIVE OAK PUBLIC STRATEGIES ARE RETAINED TO HELP TANNER IN THE AREA OF PUBLIC AFFAIRS SUPPORT WITH THE STATE OF GEORGIA. AN INDIVIDUAL SERVES AS AN EMPLOYED LIAISON. HIS DUTIES INCLUDE HELPING TANNER HEALTH SYSTEM STAY ABREAST OF LEGISLATIVE ISSUES RELATED TO HEALTHCARE. A PORTION OF THESE COSTS ARE ALLOCATED TO LOBBYING BASED ON ESTIMATES BY MANAGEMENT.

Schedule C (Form 990) 2024

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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

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 ....	26,261,851	24,395,015	18,594,206	17,785,552	12,262,997
b	Contributions ...	1,661,543	1,335,827	5,594,536	3,241,031	4,044,069
c	Net investment earnings, gains, and losses	788,648	879,133	663,683	-1,852,341	2,103,405
d	Grants or scholarships ...	825,094	348,124	457,410	580,036	624,919
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	27,886,948	26,261,851	24,395,015	18,594,206	17,785,552

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

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

31.710 %

Term endowment right arrow

68.290 %

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 .....	17,252,682		17,252,682
b	Buildings ....	273,024,664	151,838,168	121,186,496
c	Leasehold improvements	7,372,650	3,563,989	3,808,661
d	Equipment ....	245,806,038	165,160,166	80,645,872
e	Other .....	55,640,449		55,640,449
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				278,534,160

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other 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
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

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
FINANCE LEASE LIABILITIES	1,867,432
ESTIMATED THIRD PARTY PAYMENTS	1,209,799
OPERATING LEASE LIABILITIES	983






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	3,078,214
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) (Rev. 1-2025)

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, WITH THE EXCEPTION OF HEALTHLIANT ENTERPRISES, INC., IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MEDICAL CENTER APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE MEDICAL CENTER ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING COMBINED BALANCE SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2025 AND 2024 OR FOR THE YEARS THEN ENDED. THE MEDICAL CENTER'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. TANNER MEDICAL GROUP IS PART OF A TAX-EXEMPT ORGANIZATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE AFFILIATED BUSINESS SERVICES PROVIDED ARE, HOWEVER, SUBJECT TO UNRELATED BUSINESS INCOME TAXES AND A FORM 990-T, EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN IS FILED FOR THESE SERVICES.

Schedule D (Form 990) (Rev. 1-2025)

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 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2024

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? . . . . . .

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) . . .	12,485,299		12,485,299	2.570 %
b	Medicaid (from Worksheet 3, column a) . . . . .	40,382,429	36,045,802	4,336,627	0.890 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	592,493	352,182	240,311	0.050 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	53,460,221	36,397,984	17,062,237	3.510 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,576,014		1,576,014	0.320 %
f	Health professions education (from Worksheet 5) . . .	87,483		87,483	0.020 %
g	Subsidized health services (from Worksheet 6) . . . .	233,760		233,760	0.050 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	513,039		513,039	0.110 %
j	Total. Other Benefits . .	2,410,296		2,410,296	0.500 %
k	Total. Add lines 7d and 7j .	55,870,517	36,397,984	19,472,533	4.010 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development			30,000		30,000	0.010 %
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development			67,500		67,500	0.010 %
9	Other
10	Total			97,500		97,500	0.020 %

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. ......

30,230,203

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).....

48,421,329

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

57,343,186

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

-8,921,857

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) 2024

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) 2024

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 25

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 25

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) 2024

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) 2024

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) 2024

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) 2024

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 MOST SIGNIFICAN HEALTH PRIORITIES IDENTIFIED IN THE 2025 CHNA ARE: 1) MENTAL HEALTH SERVICES 2) ACCESS TO AFFORDABLE HEALTHCARE 3) CHRONIC DISEASES 4) AFFORDABLE, HEALTHY HOUSING 5) SUBSTANCE MISUSE 6) HEALTHT EATING/ACTIVE LIVING FOR HEALTHT WEIGHT
FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 5	TANNER HEALTH ENGAGED STRATEGYHEALTH (NASHVILLE, TN) TO ASSIST IN CONDUCTING THE 2025 CHNA. STRATEGYHEALTH PROVIDED ANALYSIS OF COMMUNITY HEATLH DATA, COMMUNITY SURVEYS, FACILITATED FOCUS GROUPS, AND FACILITATED A COMMUNITY HEALTH SUMMIT TO RECEIVE COMMUNITY INPUT INTO THE PRIORITIES AND BRAINSTORM GOALS AND ACTIONS THE COMMUNITY COULD TAKE TO IMPROVE HEALTH. THE GHLW COALITION INCLUDED HOSPITAL LEADERS AND REPRESENTATIVES, COMMUNITY ACTIVISTS, RESIDENTS, FAITH-BASED LEADERS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS AND OTHER STAKEHOLDERS. COALITION MEMBERS USED POPULATION- LEVEL DATA AND FEEDBACK FROM COMMUNITY FOCUS GROUPS, ONLINE SURVEYS, AND KEY INFORMANT INTERVIEWS TO CREATE RECOMMENDATIONS FOR EACH HOSPITAL'S HEALTH PRIORITIES. THEY ALSO USED THE CHNA TO DEVELOP POTENTIAL IMPLEMENTATION STRATEGIES AND TO IDENTIFY KEY PARTNERS. OVER 300 PEOPLE WERE INVOLVED IN THE CHNA PROCESS, INCLUDING THOSE WHO PARTICIPATED IN COMMUNITY FOCUS GROUPS AND ONLINE SURVEYS. PARTICIPANTS INCLUDED RESIDENTS, PARTNERS AND PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. MEMBERS OF LOW- INCOME, MEDICALLY UNDERSERVED AND MINORITY POPULATIONS SERVED BY THE HOSPITAL OR INDIVIDUALS OR ORGANIZATIONS REPRESENTING THE INTERESTS OF SUCH POPULATIONS ALSO PROVIDED INPUT. WE COMPLETED OUR MOST RECENT CHNA IN 2025
FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 6A	THE HOSPITAL FACILITIES NOTED IN SECTION A, FACILITY REPORTING GROUP "A" - TANNER MEDICAL CENTER/CARROLLTON, TANNER MEDICAL CENTER/VILLA RICA, AND HIGGINS GENERAL HOSPITAL - WORKED COLLABORATIVELY TO LEVERAGE EXISTING ASSETS AND RESOURCES THROUGHOUT TANNER'S OVERALL PRIMARY SERVICE AREA OF CARROLL, HARALSON AND HEARD COUNTIES TO ASSESS THE HEALTH NEEDS OF THEIR COMMUNITIES.
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 TMC EAR,NOSE AND THROAT TMC WEST GEORGIA UROLOGY TANNER ALSO COLLABORATED WITH THE CARROLL COUNTY HEALTH DEPARTMENT IN CONDUCTING THE CHNA, SOURCING LOCALLY AVAILABLE DATA AND ENGAGING WITH STAFF AND DISTRICT HEALTH DEPARTMENT LEADERSHIP TO IDENTIFY AREAS OF NEED AND PRACTICAL APPROACHES TO ADDRESS HEALTH CONCERNS.
FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 7D	IN ADDITION TO BEING MADE AVAILABLE ON TANNER'S WEBSITE, TANNER.ORG, COPIES OF THE CHNA WERE SENT TO THE HOSPITAL'S BOARD AND EXECUTIVE LEADERSHIP; THE ASSESSMENT TEAM; COMMUNITY STAKEHOLDERS WHO CONTRIBUTED TO THE ASSESSMENT; AND MULTIPLE COMMUNITY LEADERS, VOLUNTEERS AND ORGANIZATIONS THAT COULD BENEFIT FROM THE INFORMATION. TANNER ALSO PROVIDED PAPER COPIES FOR DISTRIBUTION UPON REQUEST. OTHER COMMUNICATION EFFORTS INCLUDED PRESENTATIONS OF ASSESSMENT FINDINGS THROUGHOUT THE COMMUNITY.
FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 11	TANNER'S COMMITMENT TO THE COMMUNITY IS ROOTED IN ITS MISSION. THE ORGANIZATION IMPROVES THE COMMUNITY'S HEALTH THROUGH DAILY PATIENT CARE ACTIVITIES AS WELL AS OUTREACH, PREVENTION, EDUCATION, AND WELLNESS OPPORTUNITIES. WITH THE HELP OF COMMUNITY PARTNERS, TANNER HAS IMPLEMENTED PROGRAMS THAT HELP WEST GEORGIA RESIDENTS WITH THE HEALTHCARE AND PREVENTIVE SERVICES THEY NEED. BELOW ARE THE STEPS TAKEN TO MEET THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN TANNER'S FY 2022 CHNA. TANNER HEALTH'S PREVIOUS CHNA IMPLEMENTATION PLAN ADDRESSED THE PRIORITY NEEDS OF: -ACCESS TO CARE -MENTAL/BEHAVIORAL HEALTH SERVICES -CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT -HEALTH AND NUTRITION EDUCATION -SUBSTANCE MISUSE -SOCIAL DETERMINANTS OF HEALTH THE SECTIONS BELOW DESCRIBE THE GOALS FOR EACH PRIORITY WITH ACTIVITIES AND RESULTS AND IMPACTS OF EACH ACTIVITY. SIGNIFICANT HEALTH NEED IDENTIFIED IN PRECEDING CHNA IMPROVE ACCESS TO CARE 1)DEVELOP NEW CLINICAL PROGRAMS AT TANNER HEALTH SYSTEM TO EXPAND TREATMENT CAPABILITIES AND ENSURE FULL CONTINUUM COVERAGE AND OPTIMAL DISEASE MANAGEMENT INCLUDING BUT NOT LIMITED TO: CARDIAC SURGERY, ELECTROPHYSIOLOGY, INTERVENTIONAL CARDIOLOGY CARDIAC SERVICES WERE SUBSTANTIALLY ENHANCED WITH THE LAUNCH OF CARDIAC SURGERY IN FY2023, THE HIRING OF A THIRD INTERVENTIONAL CARDIOLOGIST AT VILLA RICA IN FY2024, AND ONGOING RECRUITMENT FOR A SECOND CT SURGEON AND EP PHYSICIAN SCHEDULED TO START JULY 1, 2025. EXPAND THORACIC SURGERY CAPACITY THORACIC SURGERY CAPACITY WAS EXPANDED WITH AN ADDITIONAL CARDIOTHORACIC SURGEON WHO BEGAN MARCH 1, 2025, WITH A FOCUS ON THORACIC PROCEDURES AND ROBOTICS. ORTHOPEDICS AND SPINE FOR ORTHOPEDICS AND SPINE CARE, AN AMBULATORY SURGERY CENTER WAS OPENED IN FY2023, PROVIDING GREATER ACCESS TO ORTHOPEDIC, SPINE, AND PAIN MANAGEMENT SERVICES. ACTIVE AND INDEPENDENT LIVING NO ACTION STEPS TAKEN. ASSISTED LIVING AND MEMORY CARE SENIOR CARE SERVICES WERE ENHANCED WITH THE ADDITION OF ASSISTED LIVING AND MEMORY CARE AT THE BIRCHES ON MAPLE IN FY2024. INNOVATIVE OUTPATIENT CARE MODELS AS PART OF OUR COMMITMENT TO INNOVATIVE, PATIENT-CENTERED CARE, TANNER HEALTH SYSTEM HAS PARTNERED WITH CARETRACK, A TRUSTED LOCAL PROVIDER, TO IMPLEMENT A REMOTE PATIENT MONITORING (RPM) SERVICE THAT ALLOWS CLINICAL TEAMS ACROSS OUR ENTIRE HEALTH SYSTEM TO SEAMLESSLY REFER PATIENTS FOR REAL-TIME TRACKING OF VITAL SIGNS AND HEALTH METRICS. THIS PROGRAM FOCUSES ON SUPPORTING PATIENTS WITH CONGESTIVE HEART FAILURE (CHF) AND OTHER HIGH- RISK INDIVIDUALS WHO ARE MORE SUSCEPTIBLE TO HOSPITAL READMISSIONS. BY ENABLING EARLIER INTERVENTION AND PROACTIVE CARE BETWEEN VISITS, RPM IS HELPING IMPROVE OUTCOMES, REDUCE EMERGENCY DEPARTMENT UTILIZATION, AND ENHANCE THE OVERALL PATIENT EXPERIENCE. FOLLOWING THE SUCCESSFUL LAUNCH OF A PILOT PROGRAM IN EARLY APRIL, TANNER IS PLANNING A FUTURE-STATE PROJECT THAT WILL INTEGRATE RPM RESULTS DIRECTLY INTO EPIC, ENSURING PROVIDERS HAVE EASY ACCESS TO ACTIONABLE DATA WITHIN THEIR EXISTING WORKFLOWS. SITE SPECIFIC CANCER PROGRAMS CANCER PROGRAMS SAW MEANINGFUL IMPROVEMENTS WITH THE ADDITION OF MORE 3-D DIGITAL BREAST TOMOSYNTHESIS TO SUPPORT GROWING BREAST CANCER SCREENING, THE REMODELING AND EXPANSION OF IMAGE-GUIDED RADIATION THERAPY WITH A NEW VARIAN TRUEBEAM, AND THE ADDITION OF A FOURTH MEDICAL ONCOLOGIST IN 2024. EXPANSIONS OF PRIMARY CARE IN THE REGION PRIMARY CARE ACCESS WAS SUBSTANTIALLY INCREASED WITH THE RECRUITMENT OF 19 PRIMARY CARE PROVIDERS (12 MDS AND 7 APPS) OVER THE LAST TWO YEARS, RESULTING IN A NET GROWTH OF 4 MDS AND 2 APPS. THIS EXPANSION WAS SUPPORTED BY ENLARGING THE VILLA RICA (MIRROR LAKE) PRIMARY CARE LOCATION, ADDING A CLINIC ADJACENT TO THE BIRCHES ON MAPLE IN CARROLLTON, AND BEGINNING CONSTRUCTION ON A NEW PRIMARY CARE CLINIC INTEGRATED INTO THE CARROLLTON URGENT CARE LOCATION TO SERVE AS A BRIDGE FOR COMPLEX HOSPITAL DISCHARGE PATIENTS. OTHERS - NEUROSURGERY NEUROSURGICAL CAPABILITIES WERE INTRODUCED IN FY2023 THROUGH COLLABORATION WITH LEGACY BRAIN & SPINE. EXPAND ACCESS TO SURGICAL SERVICES ACROSS THE REGION SURGICAL SERVICES WERE EXPANDED ACROSS THE REGION WITH INCREASED ROBOTIC SURGICAL CAPACITY IN FY2023 BY CONVERTING AN SI ROBOT TO AN UPDATED XI, AND EXTENDED HOURS OF ROBOTIC AVAILABILITY IN VILLA RICA DURING FY2024. PREPARE AND LAUNCH CARDIAC SURGERY WHILE EXPANDING ELECTROPHYSIOLOGY AND INTERVENTIONAL CARDIOLOGY CARDIAC CAPABILITIES WERE SIGNIFICANTLY ENHANCED WITH THE LAUNCH OF CARDIAC SURGERY IN FY2023, THE HIRING OF A THIRD INTERVENTIONAL CARDIOLOGIST FOR VILLA RICA IN FY2024, AND THE PLANNED ADDITION OF A SECOND CT SURGEON AND EP PHYSICIAN STARTING JULY 1, 2025. OPEN A NEW ASC IN CARROLLTON, GEORGIA, TO PROVIDE GREATER ACCESS TO ORTHOPEDIC AND SPINE SERVICES A NEW AMBULATORY SURGERY CENTER WAS OPENED IN CARROLLTON, GEORGIA IN FY2023 TO PROVIDE GREATER ACCESS TO ORTHOPEDIC, SPINE, AND PAIN MANAGEMENT SERVICES FOR THE SURROUNDING COMMUNITY. LAUNCH A GYNECOLOGIC ONCOLOGY SURGICAL SERVICES PROGRAM NO ACTION STEPS TAKEN. DEVELOP AND IMPLEMENT PLANS FOR PATIENT BED EXPANSION AT TANNER MEDICAL CENTERS CARROLLTON AND VILLA RICA TO SUPPORT SERVICE LINE GROWTH AND ACCESS TO CARE FOR THE GROWING REGION TO ACCOMMODATE SERVICE LINE GROWTH AND IMPROVE ACCESS TO CARE FOR THE GROWING REGION, CONSTRUCTION BEGAN ON JUNE 3, 2024, FOR A NEW PATIENT TOWER ADDING 97,000 SQUARE FEET AND 50 ADDITIONAL INPATIENT BEDS, WITH COMPLETION EXPECTED IN 24 MONTHS. 2)SUPPORT AND INCREASE IN THE NUMBER OF PHYSICIANS AND HEALTHCARE PROFESSIONALS IN THE REGION THROUGH RECRUITMENT AND MEDICAL EDUCATION SUPPORT: CONTINUE TO PROVIDE MEDICAL AND NURSING SCHOLARSHIPS TO STUDENTS, ENSURING TANNER WILL HAVE A QUALIFIED POOL OF TALENT AVAILABLE FOR FUTURE RECRUITMENT TANNER HEALTH CONTINUES TO PROVIDE MEDICAL AND NURSING SCHOLARSHIPS TO STUDENTS, ENSURING A QUALIFIED POOL OF TALENT FOR FUTURE RECRUITMENT. THE CARROLLTON AUXILIARY AWARDED 5,000 IN SCHOLARSHIPS IN 2023 AND 2,000 IN 2024. ADDITIONALLY, TANNER HEALTH AWARDED MULTIPLE SCHOLARSHIPS TOTALING 9,000 IN FY23, 14,000 IN FY24, AND 11,000 IN FY25 TO PROVIDE FINANCIAL ASSISTANCE FOR MEDICAL STUDENTS AND ADVANCED PRACTICE PROVIDERS (APPS) AND TO ENHANCE FUTURE RECRUITMENT OPPORTUNITIES. IN FY2023, 5 STUDENTS RECEIVED SCHOLARSHIPS. IN FY2024, 2 STUDENTS RECEIVED SCHOLARSHIPS. THE FUTURE OF HEALTHCARE SCHOLARSHIPS WERE DISTRIBUTED TO 2 MEDICAL STUDENTS AND 3 APPS IN FY2023, 4 MEDICAL STUDENTS AND 2 APPS IN FY2024, AND 2 MEDICAL STUDENTS AND 5 APPS IN FY2025. CONTINUE TO CONNECT SENIOR NURSING STUDENTS AT THE UNIVERSITY OF WEST GEORGIA TO A VARIETY OF COMMUNITY HEALTH OPPORTUNITIES IN WEST GEORGIA THROUGH A PRECEPTORSHIP PROGRAM WITH TANNER GET HEALTHY, LIVE WELL (GHLW) TO HELP THEM INCREASE KNOWLEDGE AND GAIN SKILLS IN COMMUNITY HEALTH WORK. TANNER HEALTH CONTINUES TO CONNECT SENIOR NURSING STUDENTS AT THE UNIVERSITY OF WEST GEORGIA TO A VARIETY OF COMMUNITY HEALTH OPPORTUNITIES IN WEST GEORGIA THROUGH A PRECEPTORSHIP PROGRAM WITH TANNER GET HEALTHY, LIVE WELL (GHLW). THIS PROGRAM HELPS STUDENTS INCREASE KNOWLEDGE AND GAIN SKILLS IN COMMUNITY HEALTH WORK. GHLW STAFF PROVIDES SENIOR NURSING STUDENTS WITH AN ORIENTATION TO THE PRECEPTORSHIP PROGRAM EVERY FALL AND SPRING SEMESTER. FOLLOWING ORIENTATION, STUDENTS BEGIN REGISTERING FOR COMMUNITY OUTREACH CLASSES AND EVENTS AT WHICH THEY VOLUNTEER, INCLUDING ASSISTING WITH EVIDENCE-BASED CLASS INSTRUCTION, SENIOR CENTER ACTIVITIES, ASSISTED LIVING RESIDENT ACTIVITIES, COMMUNITY HEALTH SCREENINGS, AND MANY MORE. PRIOR TO GRADUATION, EACH NURSING STUDENT MUST COMPLETE A MINIMUM OF 10 VOLUNTEER HOURS WITH GHLW TO FULFILL PROGRAM REQUIREMENTS. IN FY2023, 170 STUDENTS PARTICIPATED IN THE PROGRAM, FOLLOWED BY 150 PARTICIPANTS IN FY2024, AND 154 PARTICIPANTS IN FY2025. CONTINUE TO DEVELOP AND EXPAND HEALTH CAREER MENTORING AND INTERNSHIP PROGRAMS, INCLUDING TANNER CONNECTIONS AND TANNER TEEN INSTITUTE PROGRAMS TANNER HEALTH CONTINUES TO DEVELOP AND EXPAND HEALTH CAREER MENTORING AND INTERNSHIP PROGRAMS, INCLUDING TANNER CONNECTIONS AND TANNER TEEN INSTITUTE PROGRAMS. THE TANNER TEEN INSTITUTE SERVES UP TO 50 STUDENTS EACH SUMMER, PROVIDING BOTH A VOLUNTEER OPPORTUNITY AND LEADERSHIP TRAINING COURSE THAT GIVES STUDENTS A CLEAR UNDERSTANDING OF THE CAREER PATHS WITHIN THE HEALTHCARE FIELD. THE PROGRAM ALSO TEACHES VALUABLE JOB SKILLS SUCH AS RESUME BUILDING, INTERVIEW TIPS, AND OTHER SOFT SKILLS NECESSARY FOR PROFESSIONAL DEVELOPMENT. TO DATE, PARTICIPANTS HAVE CONTRIBUTED 4,000 TOTAL DONATED HOURS TO THE COMMUNITY THROUGH THIS INITIATIVE. 3)DECREASE BARRIERS TO CARE THROUGH PATIENT TRANSPORTATION SERVICES CONTINUE THE IMPLEMENTATION OF TANNER CANCER CARE'S CANCER PATIENT TRANSPORTATION PROGRAM NO ACTION STEPS HAVE BEEN TAKEN TO CONTINUE IMPLEMENTATION OF THIS INITIATIVE DURING THIS REPORTING PERIOD. CONTINUE TO PROVIDE INDIGENT PATIENT TRANSPORTATION SERVICES TO AREA RESIDENTS WHO HAVE BEEN DISCHARGED HOME FROM THE HOSPITAL, SUPPORTED BY TANNER MEDICAL FOUNDATION'S INDIGENT TAXI FUND THE TANNER M
FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 13H	IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS.

Schedule H (Form 990) 2024

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) 2024

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
SCHEDULE H, PART I, LINE 7	COSTS FOR PART I, LINES 7A AND 7B WERE CALCULATED USING THE COST-TO-CHARGE RATIO AS CALCULATED USING WORKSHEET 2 FROM THE IRS SCHEDULE H INSTRUCTIONS. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS WHICH UTILIZES THE CBISA COST ACCOUNTING SOFTWARE.
SCHEDULE H, PART II	AT TANNER HEALTH, PROMOTING THE HEALTH OF THE COMMUNITIES WE SERVE GOES BEYOND PROVIDING HEALTH CARE. TANNER IS PROACTIVE IN ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH AND THE UNDERLYING ROOT CAUSES OF POOR HEALTH. WE SUPPORT THE WORLD HEALTH ORGANIZATION'S DEFINITION OF HEALTH AS "A STATE OF COMPLETE PHYSICAL, MENTAL, AND SOCIAL WELL-BEING AND NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY." TANNER PROVIDES A VARIETY OF COMMUNITY-BUILDING ACTIVITIES TO STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH OF WELL-BEING OF ITS RESIDENTS. AS ONE OF THE LARGEST EMPLOYERS IN ITS COMMUNITIES, TANNER PARTICIPATES IN AND CONTRIBUTES TO LOCAL CHAMBERS OF COMMERCE AND CIVIC ORGANIZATIONS, ENSURING ECONOMIC DEVELOPMENT, GROWTH, AND STABILITY. TANNER PARTICIPATES IN AND SUPPORTS YOUTH PROGRAMS FOCUSING ON LEADERSHIP SKILLS, ENHANCING ACADEMIC SUCCESS, IMPROVING HEALTH, CULTIVATING COMMUNITY RESPONSIBILITY AND OFFERING CAREER EXPLORATION. WE SUPPORT AND WORK WITH A HOST OF REGIONAL, STATE AND NATIONAL ORGANIZATIONS - INCLUDING THE UNIVERSITY OF WEST GEORGIA, THE COMMUNITY FOUNDATION OF WEST GEORGIA, STATE DISTRICT 4 PUBLIC HEALTH, CDC, U.S. DEPARTMENT OF AGRICULTURE, NATIONAL COMPLETE STREETS COALITION, DIABETES TRAINING AND TECHNICAL ASSISTANCE CENTER, GEORGIA DEPARTMENT OF FAMILY AND CHILDREN SERVICES, NORTHWEST GEORGIA PUBLIC HEALTH, SHARE OUR STRENGTH, AMERICAN CANCER SOCIETY, AMERICAN DIABETES SOCIETY AND OTHERS - TO PROMOTE THE COMMUNITY'S HEALTH AND SAFETY. TANNER PREPARES FOR EMERGENCIES, UTILITY FAILURES, NATURAL DISASTERS AND OTHER POTENTIAL DISRUPTIONS, WORKING WITH FEDERAL, STATE, AND LOCAL GOVERNMENTS, LOCAL BUSINESS CONSORTIUMS, COMMUNITY LEADERS AND PUBLIC SAFETY AGENCIES TO ENSURE EFFECTIVE COMMUNITY-WIDE RESPONSES TO UNPLANNED EVENTS. ADDRESSING THE HEALTHCARE WORKFORCE SHORTAGE, TANNER FOSTERS ESTABLISHED, STRONG PARTNERSHIPS WITH LOCAL UNIVERSITIES AND COMMUNITY COLLEGES, INCLUDING THE UNIVERSITY OF WEST GEORGIA AND WEST GEORGIA TECHNICAL COLLEGE. THE UNIVERSITY OF WEST GEORGIA'S NURSING PROGRAM - THE TANNER HEALTH SCHOOL OF NURSING -USES AN INVESTMENT FROM TANNER TO ENHANCE ITS FACILITIES WHILE OFFERING SCHOLARSHIPS AND EDUCATIONAL OPPORTUNITIES FOR THOSE IN WEST GEORGIA AND EAST ALABAMA INTERESTED IN A CAREER IN NURSING.
SCHEDULE H, PART III, LINE 2	AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE. PURSUANT TO ASU NO. 2014-09 (TOPIC 606), THE AMOUNT IDENTIFIED AS BAD DEBT ON SCHEDULE H, PART II, LINE 2 PRIMARILY REPRESENTS AMOUNTS ESTIMATED AT THE TRANSACTION DATE THAT ARE CONSIDERED A PRICE CONCESSION. THE SYSTEM DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE SYSTEM'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. IMPLICIT PRICE CONCESSIONS REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION THE SYSTEM EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS.
SCHEDULE H, PART III, LINE 4	SEE PAGES 19-25 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE DISCLOSURE REGARDING PRICE CONCESSIONS, BAD DEBTS AND UNINSURED PATIENTS.
SCHEDULE H, PART III, LINE 8	MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS.
SCHEDULE H, PART III, LINE 9B	PATIENTS THAT QUALIFY FOR A CHARITY WRITE OFF ARE ONLY HELD RESPONSIBLE FOR THE PORTION REMAINING AFTER WRITE OFF. PATIENTS THAT QUALIFY AS INDIGENT RECEIVE A 100% WRITE OFF AND ARE NOT RESPONSIBLE FOR ANY PORTION OF THEIR BILL. PATIENTS APPROVED FOR FINANCIAL ASSISTANCE RECEIVE A LETTER OF NOTIFICATION AND WALLET CARD THAT IS GOOD FOR ONE YEAR FROM THE DETERMINATION DATE. INTEREST FREE INSTALLMENT PLANS ARE AVAILABLE TO ALL PATIENTS AND PAYMENT AMOUNTS ARE DETERMINED BY THE PATIENT'S ABILITY TO PAY.
SCHEDULE H, PART VI, LINE 2	ALL OF TANNER MEDICAL CENTER, INC.'S TAX-EXEMPT HOSPITALS ASSESS THE HEALTHCARE NEEDS OF THEIR RESPECTIVE COMMUNITIES ONCE EVERY THREE YEARS. TANNER'S CHNA IS AN ORGANIZED, FORMAL, AND SYSTEMATIC APPROACH TO IDENTIFY AND ADDRESS THE NEEDS OF UNDERSERVED COMMUNITIES ACROSS TANNER'S GEOGRAPHIC FOOTPRINT. THE CHNA GUIDES THE DEVELOPMENT AND IMPLEMENTATION OF A COMPREHENSIVE PLAN TO IMPROVE HEALTH OUTCOMES FOR RESIDENTS DISPROPORTIONATELY AFFECTED BY DISEASE. THIS CHNA ALSO INFORMS THE CREATION OF AN IMPLEMENTATION STRATEGY FOR FUTURE COMMUNITY HEALTH PROGRAMMING AND COMMUNITY BENEFIT RESOURCE ALLOCATION ACROSS TANNER'S HOSPITALS. AS A NONPROFIT ORGANIZATION, TANNER'S CHNAS ALIGN WITH THE AFFORDABLE CARE ACT GUIDELINES AND COMPLY WITH INTERNAL REVENUE SERVICE (IRS) REQUIREMENTS. IN FY 2025, TANNER MEDICAL CENTER, INC.'S TWO ACUTE CARE HOSPITALS - TANNER MEDICAL CENTER/CARROLLTON AND TANNER MEDICAL CENTER/VILLA RICA - AND TANNER'S CRITICAL ACCESS HOSPITAL, HIGGINS GENERAL HOSPITAL IN BREMEN, COMPLETED A COMPREHENSIVE CHNA TO IDENTIFY THE HEALTH NEEDS OF THEIR COMMUNITIES FURTHER. TANNER COMPLETED PREVIOUS CHNAS IN FY 2013, FY 2016, FY 2019, FY 2022 AND FY2025. THESE COMPREHENSIVE MULTIFACTOR ASSESSMENTS INCLUDED COLLECTING AND ANALYZING QUANTITATIVE DATA AND QUALITATIVE INPUT FROM RESIDENTS GATHERED THROUGH KEY INFORMANT INTERVIEWS, COMMUNITY LISTENING SESSIONS, AND FOCUS GROUPS. THS UTILIZED CENSUS BUREAU DEMOGRAPHICS, THE AMERICAN COMMUNITY SURVEY, BUREAU OF LABOR STATISTICS, HOSPITAL UTILIZATION DATA, COUNTY HEALTH RANKINGS, AND OTHER PUBLIC HEALTH DATA SOURCES FOR THE QUANTITATIVE DATA ANALYSIS. THROUGH THE CHNA PROCESS, THE DATA AND THE COMMUNITY HAVE IDENTIFIED THE GREATEST HEALTH NEEDS IN ITS COMMUNITIES. PRIORITIZING THE GREATEST COMMUNITY HEALTH NEEDS ENABLES THE HEALTH SYSTEM TO ENSURE IT APPROPRIATELY DIRECTS ITS RESOURCES TOWARD OUTREACH, PREVENTION, EDUCATION, AND WELLNESS OPPORTUNITIES, WHERE IT WILL HAVE THE MOST SIGNIFICANT IMPACT. IN SELECTING PRIORITIES, TANNER CONSIDERED THE DEGREE OF COMMUNITY NEED FOR ADDITIONAL RESOURCES, THE CAPACITY OF OTHER AGENCIES TO MEET THE NEED AND THE SUITABILITY OF TANNER'S EXPERTISE TO ADDRESS THE ISSUE. THE HEALTH SYSTEM LOOKED FOR HEALTH NEEDS THAT REQUIRE A COORDINATED RESPONSE ACROSS VARIOUS HEALTHCARE AND COMMUNITY SECTORS. RESPONDING TO KEY CHNA FINDINGS, THE PRIORITY AREAS TO BE ADDRESSED DURING FISCAL YEARS 2025-2028 BY TANNER MEDICAL CENTER, INC. INCLUDES MENTAL HEALTH SERVICES, ACCESS TO AFFORDABLE HEALTHCARE, CHRONIC DISEASES, AFFORDABLE, HEALTHY HOUSING, ACCESS TO AFFORDABLE HEALTH INSURANCE, SUBSTANCE USE DISORDER, AND HEALTHY EATING/ACTIVE LIVING FOR HEALTHY WEIGHT.
SCHEDULE H, PART VI, LINE 3	TANNER PROVIDES PATIENTS WITH INFORMATION ABOUT THE ORGANIZATION'S CHARITY/INDIGENT PROGRAM AT REGISTRATION AND ON THE TANNER WEBSITE. THS PROVIDES FINANCIAL COUNSELING FOR PATIENTS. ANY SELF-PAY OR UNDERINSURED PATIENTS MUST MEET THE CRITERIA FOR INDIGENT CARE TO HAVE THE COST OF THEIR CARE WRITTEN OFF BY THE SYSTEM. TANNER INTERVIEWS PATIENTS AND PREPARES FINANCIAL STATEMENTS. TANNER REFERS PATIENTS WHO MEET THE CRITERIA FOR MEDICAID ELIGIBILITY TO AN OUTSIDE VENDOR FOR ASSISTANCE. A PATIENT WITH A FAMILY INCOME UP TO 200% (TWO TIMES) OF THE FEDERAL POVERTY GUIDELINES (FPG) BASED ON FAMILY SIZE RECEIVES A 100% DISCOUNT FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH LARGE, MEDICALLY NECESSARY MEDICAL BILLS WHICH HAVE CREATED A FINANCIAL HARDSHIP ARE CONSIDERED FOR A SLIDING SCALE DISCOUNT. THE LOWER THE PATIENT'S DISCRETIONARY INCOME AND THE HIGHER THE HEALTHCARE BILLS ALLOW FOR MORE CHARITY ALLOWANCES. PATIENTS WHOSE FAMILY INCOME EXCEEDS TWO TIMES THE APPLICABLE FPG MAY ALSO QUALIFY FOR SLIDING SCALE DISCOUNTS ON MEDICALLY NECESSARY SERVICES. TANNER PROVIDES TRANSLATION ASSISTANCE FOR PATIENTS AS NEEDED. FINANCIAL ASSISTANCE POLICY INFORMATION IS AVAILABLE FREE OF CHARGE IN PAPER AND ELECTRONIC FORM IN THE FOLLOWING AREAS: 1) POSTED ON HOSPITAL WALLS IN REGISTRATION AREAS FOR PATIENTS, FAMILIES AND VISITORS; 2) PRINTED IN FLIERS AVAILABLE AT REGISTRATION DESKS FOR PATIENTS AND FAMILIES; 3) PRINTED IN FLIERS AND POSTED ON WALLS MOUNTS THROUGHOUT HOSPITALS; 4) MAILED TO PATIENTS WITH STATEMENTS; 5) COMMUNICATED TO PATIENTS DURING PHONE CALLS; 6) PRINTED FLYERS AVAILABLE AT LOCAL PHYSICIAN OFFICES; 7) PRINTED FLYERS PROVIDED TO LOCAL ADVOCACY GROUPS/AGENCIES SUCH AS FAMILY & CHILDREN SERVICES (DFCS) AND HEALTH DEPARTMENTS; 8) PRINTED IN LOCAL NEWSPAPER ANNUALLY FOR THE COMMUNITY; 9) PROVIDED TO LOCAL PHYSICIAN OFFICE MANAGEMENT MEETINGS ANNUALLY; 9) POSTED ON TANNER'S WEBSITE TANNER.ORG.
SCHEDULE H, PART VI, LINE 4	TANNER MEDICAL CENTER, INC. DELIVERS CARE TO DIVERSE COMMUNITIES ACROSS WEST GEORGIA AND EAST ALABAMA. FOLLOWING IS A SUMMARY AND DEMOGRAPHICS OF THE COMMUNITIES SERVED BY TANNER. TANNER'S HOSPITALS DEFINE THE COMMUNITY AS THE GEOGRAPHIC AREA THE HOSPITALS SERVE BASED ON HOSPITAL UTILIZATION DATA WITHOUT REGARD TO INSURANCE COVERAGE OF ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER THS'S FINANCIAL ASSISTANCE POLICY. THE PRIMARY SERVICE AREA FOR ALL THREE OF TANNER'S HOSPITALS - TANNER MEDICAL CENTER/CARROLLTON, TANNER MEDICAL CENTER/VILLA RICA AND HIGGINS GENERAL HOSPITAL IN BREMEN - INCLUDES THE GEOGRAPHIC AREAS OF CARROLL, HARALSON AND HEARD COUNTIES, COVERING 1,077 SQUARE MILES OF PREDOMINANTLY RURAL AREA (73% RURAL) WITH A TOTAL POPULATION OF 160,479 (U.S. CENSUS BUREAU, 2021). CARROLL, HARALSON AND HEARD COUNTIES CONSIST OF RURAL AND SUBURBAN COMMUNITIES WHERE A MIXTURE OF HOSPITAL SYSTEMS, PRIVATE PRACTICES, RURAL HEALTH CLINICS, INDIGENT CLINICS AND OTHER SOCIAL SERVICES MEET RESIDENTS' HEALTH NEEDS. THE PROXIMITY OF TANNER'S ACUTE CARE HOSPITALS (WITHIN A 12-20-MILE RADIUS OF EACH OTHER) - TANNER MEDICAL CENTER/CARROLLTON AND TANNER MEDICAL CENTER/VILLA RICA - AND THE CRITICAL ACCESS HOSPITAL, HIGGINS GENERAL HOSPITAL, PROVIDE WEST GEORGIA RESIDENTS MULTIPLE ACCESS POINTS FOR A VARIETY OF HEALTHCARE-RELATED SERVICES. THESE FACILITIES WORK COLLABORATIVELY TO LEVERAGE EXISTING ASSETS AND RESOURCES THROUGHOUT TANNER'S OVERALL PRIMARY SERVICE AREA OF CARROLL, HARALSON AND HEARD COUNTIES TO BEST MEET THE HEALTH NEEDS OF THEIR COMMUNITIES. THE FACILITIES ALSO LEVERAGE ASSETS AND RESOURCES IN TANNER'S SECONDARY SERVICE AREA OF DOUGLAS, PAULDING, POLK, CLEBURNE (ALABAMA) AND RANDOLPH (ALABAMA) COUNTIES. DEMOGRAPHICS (DATA GATHERED FROM U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2019-2023 5-YEAR ESTIMATES): -CARROLL COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA, SERVED BY TANNER MEDICAL CENTER/CARROLLTON AND TANNER MEDICAL CENTER/VILLA RICA): POPULATION ~128,671: 67.2% NON-HISPANIC WHITE, 20.1% NON-HISPANIC BLACK, 8.8% HISPANIC, 0.6% AMERICAN INDIAN AND ALASKA NATIVE, 1.2% ASIAN, 0.1% NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER MEDIAN HOUSEHOLD INCOME 72,937 UNINSURED (UNDER AGE 65) ~14% UNEMPLOYMENT ~3.2% BELOW POVERTY LEVEL ~14.5%. -HARALSON COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA, SERVED BY HIGGINS GENERAL HOSPITAL): POPULATION ~30,979: 88.5% NON-HISPANIC WHITE, 5.1% NON-HISPANIC BLACK, 3.2% HISPANIC, 0.4% AMERICAN INDIAN AND ALASKA NATIVE, 0.7% ASIAN MEDIAN HOUSEHOLD INCOME 60,413 UNINSURED (UNDER AGE 65) ~15% UNEMPLOYMENT ~3.1% BELOW POVERTY LEVEL ~15.8%. -HEARD COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA, SERVED BY TANNER MEDICAL CENTER/CARROLLTON): POPULATION ~11,890: 82.4% NON-HISPANIC WHITE, 10.4% NON-HISPANIC BLACK, 4.2% HISPANIC, 0.5% AMERICAN INDIAN AND ALASKA NATIVE, 0.6% ASIAN; MEDIAN HOUSEHOLD INCOME 65,214 UNINSURED (UNDER AGE 65) ~16% UNEMPLOYMENT ~3.0% BELOW POVERTY LEVEL ~15.9%.
SCHEDULE H, PART VI, LINE 5	IN FY 2025, TANNER MEDICAL CENTER, INC. PROVIDED MORE THAN 59 MILLION IN COMMUNITY BENEFIT SERVICES, INCLUDING CHARITY CARE AT COST AND A RANGE OF DIVERSE PROGRAMS DESIGNED TO ENHANCE ACCESS AND PROMOTE THE COMMUNITY'S HEALTH. TANNER MEDICAL CENTER IS A NONPROFIT ORGANIZATION DEDICATED TO IMPROVING THE HEALTH OF THE RESIDENTS IN THE COMMUNITIES IT SERVES. THAT'S WHY TANNER REINVESTS ALL ITS SURPLUS FUNDS FROM ITS OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE ACCESS TO CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH IMPROVEMENT PROGRAMS, ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH CREDENTIALING. THE PROCESS GATHERS AND VERIFIES CREDENTIALS, ALLOWS THE MEDICAL STAFF TO EVALUATE THE APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY DECIDES TO GRANT OR DENY MEDICAL STAFF PRIVILEGES. TO THE BENEFIT OF THE COMMUNITY, A BOARD OF DIRECTORS GOVERNS TANNER MEDICAL CENTER, INC. MOST OF THE BOARD COMPRISES PERSONS WHO RESIDE THROUGHOUT TANNER'S PRIMARY SERVICE AREA AND ARE NEITHER CONTRACTORS NOR EMPLOYEES OF THE ORGANIZATION (NOR FAMILY MEMBERS THEREOF). THE TANNER MEDICAL CENTER, INC. BOARD OF DIRECTORS ENSURES THAT THE HEALTH SYSTEM DEVELOPS PROGRAMS TO ADDRESS THE DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS OF THE COMMUNITIES IT SERVES. THE BOARD IS ALSO RESPONSIBLE FOR ENSURING COMMUNITY BENEFIT INITIATIVES ARE DEVELOPED TO PROMOTE THE BROAD HEALTH OF THE COMMUNITY. THE BOARD ESTABLISHES KEY MEASURES OF SYSTEM-WIDE COMMUNITY BENEFIT PERFORMANCE AND RECEIVES REGULAR REPORTS ON PROGRESS TOWARD ESTABLISHED GOALS. IN FULFILLING THESE RESPONSIBILITIES, IN FY 2014, THE BOARD DESIGNATED A COMMUNITY BENEFIT COMMITTEE. THE COMMITTEE INCLUDES AT LEAST THREE BOARD MEMBERS, WITH A MAJORITY REPRESENTATION FROM A RANGE OF COMMUNITY STAKEHOLDERS WITH EXPERTISE IN CERTAIN AREAS. THESE AREAS INCLUDE THE CHARACTERISTICS AND HISTORY OF LOCAL COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS, CLINICAL SERVICE DELIVERY, ANALYSIS OF SERVICE UTILIZATION AND POPULATION HEALTH DATA, PRIMARY PREVENTIVE HEALTH INITIATIVES, SOCIAL SERVICES, YOUTH AND FAMILY SERVICES, FINANCE, AND ACCOUNTING. THE COMMUNITY BENEFIT COMMITTEE OF THE BOARD PARTICIPATES IN ESTABLISHING PROGRAM PRIORITIES BASED ON COMMUNITY NEEDS AND ASSETS, DEVELOPING THE HOSPITAL'S COMMUNITY BENEFIT IMPLEMENTATION STRATEGY AND MONITORING PROGRESS TOWARD IDENTIFIED GOALS.
SCHEDULE H, PART VI, LINE 6	TANNER MEDICAL CENTER, INC. PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. TANNER MEDICAL CENTER, INC. IS PART OF AN AFFILIATED HEALTH CARE SYSTEM WHICH INCLUDES THE FOLLOWING: TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 181-BED ACUTE CARE HOSPITAL IN CARROLLTON, GEORGIA. TANNER MEDICAL CENTER/VILLA RICA, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 67-BED ACUTE CARE HOSPITAL AND WILLOWBROOK AT TANNER/VILLA RICA, A 92-BED PSYCHIATRIC FACILITY IN VILLA RICA, GEORGIA. TANNER MEDICAL CENTER/HIGGINS GENERAL HOSPITAL, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 25-BED CRITICAL ACCESS HOSPITAL IN BREMEN, GEORGIA. TANNER MEDICAL GROUP, ESTABLISHED TO OPERATE PHYSICIAN PRACTICES IN WEST GEORGIA AND EASTERN ALABAMA. TANNER MEDICAL CENTER/EAST ALABAMA, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 15-BED ACUTE CARE HOSPITAL IN WEDOWEE, ALABAMA. CRITICAL ACCESS STATUS WAS GRANTED EFFECTIVE JANUARY 9, 2019. TANNER MEDICAL CENTER, INC. IS RESPONSIBLE FOR ALLOCATING RESOURCES AND FOR APPROVING BUDGETS, MAJOR CONTRACTS AND DEBT FINANCING FOR ALL ENTITIES.
SCHEDULE H, PART VI, LINE 7	GEORGIA

Schedule H (Form 990) 2024

Additional Data

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Schedule I
(Form 990)
(Rev. January 2025)

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 instructions and the latest information.

OMB No. 1545-0047

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) CARROLL COUNTY ECONOMIC DEVELOPMENT FOUNDATION INC 200 NORTHSIDE DRIVE CARROLLTON,GA30117	58-2589709	501C3	60,000	ECONOMIC DEVELOPMENT
(2) UNIVERSITY OF WEST GEORGIA 1601 MAPLE STREET CARROLLTON,GA30118	58-6002055	GOV	50,000	WORKFORCE DEVELOPMNT
(3) THE MULTIPLE SCLEROSIS CENTER OF ATLANTA 3200 DOWNWOOD CIRCLE NW ATLANTA,GA30327	55-0821471	501C3	1,080,000	GENERAL SUPPORT
(4) RAPHA CLINIC OF WEST GEORGIA 253 EAST HIGHWAY 78 TEMPLE,GA30179	27-1188932	501C3	60,088	GENERAL SUPPORT

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) Rev. 1-2025

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) Rev. 1-2025

Additional Data

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

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? .............

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) (Rev. 1-2025)

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, 1099-MISC compensation, and/or 1099-NEC			(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/PHYSICIAN	(i) (ii)	------------- 700,498	------------- 404,908	------------- 415,603	------------- 8,436	------------- 14,322	------------- 1,543,767	-------------
2GREG SCHULENBURG CIO/COO	(i) (ii)	354,359 ------------- 261,918	153,826 ------------- 113,697	459 ------------- 340	7,116 ------------- 5,259	7,350 ------------- 5,432	523,110 ------------- 386,646	-------------
3WAYNE SENFELD SR. VP, BUS DEV	(i) (ii)	284,728 ------------- 210,451	224,310 ------------- 165,795	28,902 ------------- 21,362	6,194 ------------- 4,579	7,718 ------------- 5,705	551,852 ------------- 407,892	-------------
4CAROL CREWS CFO	(i) (ii)	365,926 ------------- 270,565	316,563 ------------- 233,882	52,945 ------------- 39,134	7,116 ------------- 5,259	7,081 ------------- 5,234	749,631 ------------- 554,074	-------------
5BEN CAMP MD CMO	(i) (ii)	367,880 ------------- 271,911	101,684 ------------- 75,157	55,173 ------------- 40,780	6,544 ------------- 4,837	8,034 ------------- 5,939	539,315 ------------- 398,624	-------------
6LOY HOWARD CEO	(i) (ii)	784,163 ------------- 579,599	645,609 ------------- 477,189	118,528 ------------- 87,607	124,753 ------------- 92,208	8,990 ------------- 6,645	1,682,043 ------------- 1,243,248	-------------
7ANIL DHOPLE MD PHYSICIAN	(i) (ii)	747,667 -------------	10,562 -------------	36,125 -------------	12,375 -------------	13,091 -------------	819,820 -------------	-------------
8CLINT HOFFMAN SVP/TMG	(i) (ii)	213,328 ------------- 157,677	55,196 ------------- 40,797	23,255 ------------- 17,189	31,074 ------------- 22,967	7,679 ------------- 5,675	330,532 ------------- 244,305	-------------
9BONNIE BOLES MD CMIO	(i) (ii)	230,794 ------------- 170,587	54,787 ------------- 40,494	-------------	5,594 ------------- 4,134	4,502 ------------- 3,328	295,677 ------------- 218,543	-------------
10JIM GRIFFITH COO	(i) (ii)	400,500 ------------- 296,021	109,786 ------------- 81,146	51,267 ------------- 37,893	7,116 ------------- 5,259	7,213 ------------- 5,331	575,882 ------------- 425,650	-------------
11ERIC DALTON SVP/OPERATIONS	(i) (ii)	173,537 ------------- 128,266	44,667 ------------- 33,015	-------------	31,073 ------------- 22,967	-------------	249,277 ------------- 184,248	-------------
12MICHELLE HOEHN CNO	(i) (ii)	161,135 ------------- 119,099	37,479 ------------- 27,702	-------------	6,371 ------------- 4,709	7,718 ------------- 5,705	212,703 ------------- 157,215	-------------
13DAVOY MURRAY PHYSICIAN	(i) (ii)	632,715 -------------	56,276 -------------	51,600 -------------	12,375 -------------	15,314 -------------	768,280 -------------	-------------
14BRIT LOVVORN PHYSICIAN	(i) (ii)	778,627 -------------	57,352 -------------	12,610 -------------	12,375 -------------	15,314 -------------	876,278 -------------	-------------
15TUNICIA GIRON PHYSICIAN	(i) (ii)	643,882 -------------	57,752 -------------	850 -------------	10,924 -------------	14,635 -------------	728,043 -------------	-------------
16BENFORD NANCE MD PHYSICIAN	(i) (ii)	624,128 -------------	57,452 -------------	13,225 -------------	12,375 -------------	11,527 -------------	718,707 -------------	-------------

Schedule J (Form 990) (Rev. 1-2025)

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.

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Explanation

SCHEDULE J, PAGE 1, PART I, LINE 4

LOY HOWARD 0 181,586 0 CLINT HOFFMAN 0 41,667 0 ERIC DALTON 0 41,667 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. MR. HOWARD IS ALSO ELIGIBLE FOR THE TANNER ADVANTAGE DEFERRED COMPENSATION PLAN WHICH IS AN ELIGIBLE 457(B) TOP-HAT PLAN AVAILABLE TO SENIOR EXECUTIVES AND PHYSICIANS. A CONTRIBUTION EQUAL TO THE IRS MAXIMUM CONTRIBUTION LIMIT FOR THE YEAR IS MADE ON MR. HOWARD'S BEHALF EACH YEAR. BONUS/INCENTIVE: THE EXECUTIVE TEAM OF THE ORGANIZATION IS ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION IN SUCH AMOUNT, IF ANY, AS DETERMINED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD IN ITS SOLE DISCRETION, BASED ON, AMONG OTHER THINGS, THE ATTAINMENT OF ANNUAL OBJECTIVES ESTABLISHED BY THE BOARD. VARIOUS EMPLOYEES ARE ELIGIBLE TO RECEIVE BONUSES AND ARE ACHIEVEMENT BASED. ANNUAL INCENTIVES INTENDED TO SUPPLEMENT RETIREMENT BUT PAID ANNUALLY ARE CURRENTLY IN PLACE FOR CAROL CREWS, CFO, BENJAMIN CAMP, CMO, JIM GRIFFITH, COO AND CLINT HOFFMAN, SVP.TMG. THESE WERE APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE AND REVIEWED BY AN INDEPENDENT CONSULTANT.

Schedule J (Form 990) (Rev. 1-2025)

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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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 2015 SERIES BONDS	58-1790149	144709GGI	07-01-2015	71,560,000	CONSTRUCTION		X		X		X
B	CARROLL CITY-COUNTY HOSP AUTHORITY 2016A SERIES BONDS	58-1790149	144709HB1	03-01-2016	26,255,000	REFUNDING SERIES 2008 BONDS		X		X		X
C	CARROLL CITY-COUNTY HOSP AUTHORITY 2016B SERIES BONDS	58-1790149	144709HW5	09-26-2016	36,855,000	REFUNDING SERIES 2010 BONDS		X		X		X
D	CARROLL CITY-COUNTY HOSP AUTHORITY 2016B REVENUE BOND	58-1790149	NONENONEN	12-12-2019	25,000,000	ACQUISITION OF HOSPITAL EQUIPMENT		X		X		X
	CARROLL CITY-COUNTY HOSPITAL AUTHOR BONDS PAYABLE 2020	58-1790149	NONENONEN	08-01-2020	40,335,000	REFUND REMAINING SERIES 2010 CERTIFICATES AND FINANCE THE COST OF THE ACQUISITION, CONSTRUCTION, REN		X		X		X
	CARROLL CITY-COUNTY HOSP AUTHORITY BONDS PAYABLE 2025	58-1790149	NONENONEN	04-03-2025	170,535,000	PARTIALLY REFUND SERIES 2015 CERTIFICATES AND FINANCE THE COST OF THE ACQUISITION, CONSTRUCTION, REN		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	52,890,000		5,730,000		5,705,000		13,018,566
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	75,846,532		29,251,274		41,148,747		25,000,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	14,058,115		28,827,106		40,650,485
7 Issuance costs from proceeds ...............	429,360		424,168		528,262
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	75,000,000		140,000,000				25,000,000
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............	2016		2008		2010		2019
	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 2020, a current refunding issue)? ........		X		X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X	X		X			X
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

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

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

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
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

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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? ........
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
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSP AUTHORITY CONSTRUCTION
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSP AUTHORITY REFUNDING SERIES 2008 BONDS
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSP AUTHORITY REFUNDING SERIES 2010 BONDS
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSP AUTHORITY ACQUISITION OF HOSPITAL EQUIPMENT
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSPITAL AUTHORI REFUND REMAINING SERIES 2010 CERTIFICATES AND FINANCE THE COST OF THE ACQUISITION, CONSTRUCTION, RENOVATION, EQUIPPING AND INSTALLATION OF HOSPITAL RELATED EQUIPMENT.
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSP AUTHORITY PARTIALLY REFUND SERIES 2015 CERTIFICATES AND FINANCE THE COST OF THE ACQUISITION, CONSTRUCTION, RENOVATION, EQUIPPING AND INSTALLATION OF HOSPITAL FACILITIES, RELATED IMPROVEMENTS AND EQUIPMENT.

Schedule K (Form 990) (Rev. 1-2025)

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

OMB No. 1545-0047

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 2015 SERIES BONDS	58-1790149	144709GGI	07-01-2015	71,560,000	CONSTRUCTION		X		X		X
B	CARROLL CITY-COUNTY HOSP AUTHORITY 2016A SERIES BONDS	58-1790149	144709HB1	03-01-2016	26,255,000	REFUNDING SERIES 2008 BONDS		X		X		X
C	CARROLL CITY-COUNTY HOSP AUTHORITY 2016B SERIES BONDS	58-1790149	144709HW5	09-26-2016	36,855,000	REFUNDING SERIES 2010 BONDS		X		X		X
D	CARROLL CITY-COUNTY HOSP AUTHORITY 2016B REVENUE BOND	58-1790149	NONENONEN	12-12-2019	25,000,000	ACQUISITION OF HOSPITAL EQUIPMENT		X		X		X
	CARROLL CITY-COUNTY HOSPITAL AUTHOR BONDS PAYABLE 2020	58-1790149	NONENONEN	08-01-2020	40,335,000	REFUND REMAINING SERIES 2010 CERTIFICATES AND FINANCE THE COST OF THE ACQUISITION, CONSTRUCTION, REN		X		X		X
	CARROLL CITY-COUNTY HOSP AUTHORITY BONDS PAYABLE 2025	58-1790149	NONENONEN	04-03-2025	170,535,000	PARTIALLY REFUND SERIES 2015 CERTIFICATES AND FINANCE THE COST OF THE ACQUISITION, CONSTRUCTION, REN		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	52,890,000		5,730,000		5,705,000		13,018,566
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	75,846,532		29,251,274		41,148,747		25,000,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	14,058,115		28,827,106		40,650,485
7 Issuance costs from proceeds ...............	429,360		424,168		528,262
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	75,000,000		140,000,000				25,000,000
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............	2016		2008		2010		2019
	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 2020, a current refunding issue)? ........		X		X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X	X		X			X
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

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

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

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
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

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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? ........
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
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSP AUTHORITY CONSTRUCTION
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSP AUTHORITY REFUNDING SERIES 2008 BONDS
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSP AUTHORITY REFUNDING SERIES 2010 BONDS
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSP AUTHORITY ACQUISITION OF HOSPITAL EQUIPMENT
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSPITAL AUTHORI REFUND REMAINING SERIES 2010 CERTIFICATES AND FINANCE THE COST OF THE ACQUISITION, CONSTRUCTION, RENOVATION, EQUIPPING AND INSTALLATION OF HOSPITAL RELATED EQUIPMENT.
PURPOSE OF ISSUE DESCRIPTION	CARROLL CITY-COUNTY HOSP AUTHORITY PARTIALLY REFUND SERIES 2015 CERTIFICATES AND FINANCE THE COST OF THE ACQUISITION, CONSTRUCTION, RENOVATION, EQUIPPING AND INSTALLATION OF HOSPITAL FACILITIES, RELATED IMPROVEMENTS AND EQUIPMENT.

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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	SCHEDULE H - PART VI, LINE 11, CONTINUED. 11)REDUCE STIGMA OF MENTAL ILLNESS IN THE COMMUNITY ADVOCATE FOR CHANGE TO STIGMA SURROUNDING MENTAL ILLNESS IN THE COMMUNITY THROUGH CONTINUED EDUCATIONAL MEDIA INITIATIVES, AWARENESS CAMPAIGNS AND COMMUNITY OUTREACH EFFORTS TANNER HEALTH HAS BEEN ADVOCATING FOR CHANGE TO STIGMA SURROUNDING MENTAL ILLNESS IN THE COMMUNITY THROUGH CONTINUED EDUCATIONAL MEDIA INITIATIVES, AWARENESS CAMPAIGNS AND COMMUNITY OUTREACH EFFORTS. THESE MULTIFACETED APPROACHES AIM TO NORMALIZE CONVERSATIONS ABOUT MENTAL HEALTH, PROVIDE ACCURATE INFORMATION, AND CREATE SUPPORTIVE ENVIRONMENTS WHERE COMMUNITY MEMBERS FEEL COMFORTABLE SEEKING HELP. AS PART OF AN ONGOING IMPROVED MEDIA PLAN, TANNER HEALTH HAS HIRED A COMMUNICATIONS AND MARKETING STRATEGIST. THIS STRATEGIC STAFFING DECISION DEMONSTRATES THE ORGANIZATION'S COMMITMENT TO ADDRESSING MENTAL HEALTH STIGMA THROUGH PROFESSIONAL COMMUNICATION AND OUTREACH STRATEGIES TAILORED TO BEHAVIORAL HEALTH NEEDS. INCREASE THE MENTAL HEALTH LITERACY AND CAPACITY OF ADULTS WHO INTERACT WITH ADOLESCENTS TO IDENTIFY AND RESPOND TO THE BEHAVIORAL HEALTH ISSUES OF ADOLESCENTS THROUGH THE IMPLEMENTATION OF YOUTH MENTAL HEALTH MENTAL/BEHAVIORAL HEALTH SERVICES PROMOTE MENTAL/BEHAVIORAL HEALTH IN THE COMMUNITY FIRST AID (YMHFA) TRAININGS TO A DIVERSE GROUP OF YOUTH SERVING ADULTS THROUGHOUT THE REGION TANNER HEALTH HAD PREVIOUSLY INCREASED THE MENTAL HEALTH LITERACY AND CAPACITY OF ADULTS WHO INTERACT WITH ADOLESCENTS THROUGH YOUTH MENTAL HEALTH FIRST AID (YMHFA) TRAININGS. THESE TRAININGS EQUIPPED A DIVERSE GROUP OF YOUTH-SERVING ADULTS THROUGHOUT THE REGION WITH SKILLS TO IDENTIFY AND RESPOND APPROPRIATELY TO BEHAVIORAL HEALTH ISSUES IN YOUNG PEOPLE. HOWEVER, AS OF FISCAL YEAR 2025, TANNER HEALTH IS NO LONGER CONTRACTED TO PROVIDE THESE SERVICES. IMPLEMENT A PILOT PEER-MONITORING PROGRAM WITHIN LOCAL SCHOOLS NO ACTION STEPS HAVE BEEN TAKEN AT THIS TIME. 12)STRENGTHEN THE LINKAGE AND REFERRAL SYSTEM BETWEEN BEHAVIORAL HEALTH PROVIDERS AND OTHER SERVICE ORGANIZATIONS CONTINUE TO COLLABORATE AND COMMUNICATE WITH LOCAL SERVICE AGENCIES, SUCH AS AREA JUVENILE/TRUANCY COURTS, DEPARTMENT OF FAMILY AND CHILDREN'S SERVICES, DEPARTMENT OF JUVENILE JUSTICE, PHYSICIAN OFFICES, SCHOOLS, ETC., TO FURTHER IDENTIFY AND RESPOND TO GAPS IN BEHAVIORAL HEALTH SERVICES AND SUPPORTS IN THE COMMUNITY TANNER HEALTH CONTINUES TO FOSTER ROBUST COLLABORATIONS WITH LOCAL SERVICE AGENCIES, INCLUDING AREA JUVENILE/TRUANCY COURTS, DEPARTMENT OF FAMILY AND CHILDREN'S SERVICES, DEPARTMENT OF JUVENILE JUSTICE, PHYSICIAN OFFICES AND SCHOOLS. THESE PARTNERSHIPS ARE ESSENTIAL FOR IDENTIFYING AND ADDRESSING GAPS IN BEHAVIORAL HEALTH SERVICES AND SUPPORTS THROUGHOUT THE COMMUNITY. BY MAINTAINING OPEN LINES OF COMMUNICATION WITH THESE ORGANIZATIONS, TANNER HEALTH ENSURES A COORDINATED APPROACH TO MEETING THE BEHAVIORAL HEALTH NEEDS OF THE POPULATION THEY SERVE. IN FISCAL YEAR 2024, TANNER HEALTH IMPLEMENTED NEURO-PSYCHIATRIC SERVICES SPECIFICALLY DESIGNED TO SUPPORT THEIR NEUROSURGICAL SERVICE LINE. THIS STRATEGIC ADDITION ENHANCES THE COMPREHENSIVE CARE AVAILABLE TO NEUROSURGICAL PATIENTS WHO MAY EXPERIENCE MENTAL HEALTH CHALLENGES RELATED TO THEIR CONDITIONS OR TREATMENTS. THE INTEGRATION OF NEURO-PSYCHIATRIC CAPABILITIES REPRESENTS AN IMPORTANT EXPANSION OF SPECIALIZED BEHAVIORAL HEALTH SERVICES AT TANNER HEALTH. 13)INCREASE ACCESS TO COMMUNITY-BASED CHRONIC DISEASE PREVENTIVE SERVICES AND SELF-MANAGEMENT PROGRAMS IN ORGANIZATIONAL OR INSTITUTIONAL SETTINGS (E.G., FAITH-BASED ORGANIZATIONS, WORKSITES AND COMMUNITY-BASED ORGANIZATIONS) DEVELOP POPULATION HEALTH MANAGEMENT SERVICES ORGANIZATION TO FOCUS ON IMPROVEMENT OF CLINICAL HEALTH OUTCOMES THROUGH IMPROVED CARE COORDINATION AND PATIENT ENGAGEMENT MAJOR INVESTMENTS IN EPIC MODULES HEALTHY PLANET AND COMPASS ROSE HAVE BEEN MADE TO PROVIDE A ROBUST SUITE OF TOOLS THAT CAN ASSIST IN OBTAINING ADVANCED REPORTING AND GUIDING OUR WORKFLOWS. ADDITIONALLY, THE CHRONIC CARE MANAGEMENT PROGRAM FOR TANNER MEDICAL GROUP PATIENTS HAS BEEN EXPANDED. THE ENROLLMENT HAS INCREASED FROM 200 TO OVER 600 PATIENTS, WITH THE GOAL OF REACHING 1000 PATIENTS ENROLLED BY JULY 2025. EXPAND THE DIABETES AND HYPERTENSION FOOD AS MEDICINE AND HEALTHY FOOD FARMACY PROGRAMS TO INCLUDE EDUCATION AND HEALTHY FOOD DISTRIBUTION TO PATIENTS WITH OTHER CHRONIC DISEASES. THE FOOD AS MEDICINE AND HEALTHY FOOD FARMACY PROGRAMS HAVE BEEN EXPANDED TO INCLUDE EDUCATION AND HEALTHY FOOD DISTRIBUTION FOR PATIENTS WITH VARIOUS CHRONIC DISEASES. IN FY2024, TANNER HEALTH LAUNCHED FOOD AS MEDICINE FOR CHF PATIENTS, AND IN FY2025, THEY EXPANDED THESE PROGRAMS FOR DIABETES AND HYPERTENSION TO HARALSON COUNTY AND VILLA RICA, SERVING 215 REFERRALS IN FY2024 AND 123 REFERRALS IN FY2025. EXPAND HEALTH COACHING TO BETTER EQUIP PATIENTS TO MANAGE THEIR CHRONIC CONDITIONS AND TEACH THEM HOW TO SET REALISTIC GOALS FOR THEMSELVES HEALTH COACHING SERVICES HAVE BEEN EXPANDED TO BETTER EQUIP PATIENTS TO MANAGE THEIR CHRONIC CONDITIONS AND SET REALISTIC GOALS. IN FY2024, TANNER HEALTH LAUNCHED HEALTH COACHING AT THE CHF CLINIC, PROVIDING ONE-ON-ONE COACHING DURING TREATMENT. THIS PROGRAM WAS FURTHER EXPANDED TO VILLA RICA AND BREMEN IN FY2025, REACHING MORE PATIENTS ACROSS THE SERVICE AREA. ESTABLISH NEW PROGRAMS TO PROVIDE EDUCATION FOR SENIORS ON HOW TO MANAGE CHRONIC CONDITIONS AND LIVE HEALTHIER, MORE ACTIVE LIVES NEW EDUCATIONAL PROGRAMS FOR SENIORS ON MANAGING CHRONIC CONDITIONS AND LIVING HEALTHIER, MORE ACTIVE LIVES HAVE BEEN ESTABLISHED. IN FY2024, THESE PROGRAMS EXPANDED TO HEARD COUNTY SENIOR CENTER AND THE BIRCHES AT VILLA RICA, AND IN FY2025 TO THE BIRCHES ON MAIN. THESE INITIATIVES SERVED 582 PARTICIPANTS IN FY2024 AND 668 PARTICIPANTS IN FY2025, SHOWING STEADY GROWTH IN COMMUNITY ENGAGEMENT. IMPROVE OR ENHANCE ORGANIZATIONAL POLICIES AND PRACTICES TO INCREASE OPPORTUNITIES FOR CHRONIC DISEASE PREVENTION, RISK REDUCTION AND MANAGEMENT IN WORKSITES TANNER HEALTH HAS IMPROVED ORGANIZATIONAL POLICIES AND PRACTICES TO INCREASE OPPORTUNITIES FOR CHRONIC DISEASE PREVENTION, RISK REDUCTION, AND MANAGEMENT IN WORKSITES. FROM FY2023 TO FY2025, THEY EXPANDED THE GET HEALTHY LIVE WELL-CARE MANAGEMENT TEAM AND CHRONIC CARE MANAGEMENT PROGRAM, FOCUSING ON ELIGIBLE PATIENTS THROUGH TELEMEDICINE. TANNER ALSO IMPLEMENTED THE TRANSITIONAL CARE MANAGEMENT PROGRAM FOR PROACTIVE OUTREACH TO DISCHARGED PATIENTS, AND IN FY2025, ADDED INPATIENT DIABETES EDUCATION AT BEDSIDE PRIOR TO DISCHARGE. THE CHRONIC CARE MANAGEMENT AND TRANSITIONAL CARE MANAGEMENT PROGRAMS HAVE SHOWN IMPRESSIVE GROWTH IN PATIENT SERVICES. IN FY2023, TANNER SERVED 1,392 TCM AND 561 CCM PATIENTS. BY FY2024, THESE NUMBERS SHIFTED TO 977 TCM AND 1,284 CCM PATIENTS. IN FY2025, TANNER REACHED 647 TCM AND 2,668 CCM PATIENTS, DEMONSTRATING A STRATEGIC SHIFT TOWARD CHRONIC CARE MANAGEMENT. ADDITIONALLY, TANNER PROVIDED 1,346 OUTPATIENT DIABETES CONSULTS FROM FY2023 TO FY2025. CONDUCT SCREENING HEALTH ASSESSMENTS WITHIN WORKSITES WITH FEEDBACK PLUS HEALTH EDUCATION, INCLUDING EMPLOYEE REFERRAL TO SERVICES THAT ALIGN WITH THEIR HEALTH NEEDS TANNER HEALTH HAS CONDUCTED SCREENING HEALTH ASSESSMENTS WITHIN LOCAL WORKSITES, PROVIDING FEEDBACK AND HEALTH EDUCATION, INCLUDING EMPLOYEE REFERRAL TO APPROPRIATE SERVICES. IN FY2023, HEALTH ASSESSMENTS WERE COMPLETED AT SEVERAL LOCAL ORGANIZATIONS INCLUDING THE CITY OF VILLA RICA, GREYSTONE POWER CORPORATION, CARROLL EMC, PILGRIM'S PRIDE, CARROLL COUNTY WATER AUTHORITY AND GEORGIA POWER. THE NUMBER OF ASSESSMENTS COMPLETED HAS STEADILY INCREASED FROM 1,893 IN FY2023 TO AN ESTIMATED 2,086 IN FY2025, WHICH INCLUDES TANNER EMPLOYEE HEALTH ASSESSMENTS. GET HEALTHY LIVE WELL HAS PROVIDED AN INCREASING NUMBER OF WELLNESS EDUCATION SEMINARS, CLASSES, AND HEALTH FAIRS. THESE EDUCATIONAL OFFERINGS HAVE GROWN FROM 9 SEMINARS AND CLASSES IN FY2023 TO 18 IN FY2025, SHOWING TANNER HEALTH'S COMMITMENT TO EXPANDING HEALTH EDUCATION IN THE COMMUNITY. PROVIDE TRAINING AND TECHNICAL ASSISTANCE TO WORKSITES IN THE DEVELOPMENT AND IMPLEMENTATION OF POLICY, SYSTEMS AND ENVIRONMENTAL (PSE) MODIFICATION STRATEGIES THAT PROMOTE CHRONIC DISEASE PREVENTION, RISK REDUCTION AND MANAGEMENT FROM FY2023 TO FY2025, TANNER HEALTH HAS PROVIDED TRAINING AND TECHNICAL ASSISTANCE TO WORKSITES IN DEVELOPING AND IMPLEMENTING POLICY, SYSTEMS, AND ENVIRONMENTAL MODIFICATION STRATEGIES THAT PROMOTE CHRONIC DISEASE PREVENTION, RISK REDUCTION, AND MANAGEMENT. TANNER IMPLEMENTED AN EMPLOYEE WELLNESS TRACKING AND EDUCATION APPLICATION FOR ALL CITY OF VILLA RICA EMPLOYEES, PROVIDING ACCESS TO GENERAL HEALTH AND CHRONIC DISEASE PREVENTION AND MANAGEMENT EDUCATION, REACHING 135 PEOPLE. CONTINUE TO CULTIVATE A HEALTHIER WORKFORCE AT TANNER HEALTH SYSTEM THROUGH PROGRAMS LIKE HEALTH BRIDGE/CHRONIC DISEASE MANAGEMENT, HEALTH COACHING AND THE TANNER HEALTH SOURCE GYMS TANNER HEALTH HAS CONTINUED TO CULTIVATE A HEALTHIER WORKFORCE THROUGH PROGRAMS LIKE HEALTH BRIDGE/CHRONIC DISEASE MA
FORM 990, PAGE 2, PART III, LINE 4A	TANNER MEDICAL CENTER, INC. PROVIDES HEALTHCARE TO THE POPULATION OF NORTHWEST GEORGIA AND EAST ALABAMA. SERVICES ARE FOR BOTH INPATIENT SERVICE AND OUTPATIENT ANCILLARY SERVICES INCLUDING PHYSICIAN OFFICES. AS A NOT FOR PROFIT CORPORATION, TANNER PROVIDES SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. TANNER MEDICAL CENTER, INC. IS A REGIONAL HEALTHCARE PROVIDER WITH MORE THAN 300 PHYSICIANS REPRESENTING 35 UNIQUE MEDICAL SPECIALTIES. TANNER PROVIDES A WIDE RANGE OF COMPREHENSIVE MEDICAL SERVICES FOR RESIDENTS IN A REGION OF WEST GEORGIA AND EAST ALABAMA. TANNER'S FACILITIES INCLUDE THE 180-BED ACUTE CARE TANNER MEDICAL CENTER/CARROLLTON; THE ROY RICHARDS, SR. CANCER CENTER, TANNER HEART AND VASCULAR CENTER, TANNER BREAST HEALTH, THE TANNER ADVANCED WOUND CENTER, EMPLOYEE ASSISTANCE PROGRAM (TANNER EAP) AND MORE. MORE INFORMATION ON TANNER MEDICAL CENTER, INC. IS AVAILABLE IN THE HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH CAN BE DOWNLOADED AT HTTP://WWW.TANNER.ORG/COMMUNITY-IMPACT/COMMUNITY-REPORTS TANNER MEDICAL CENTER, INC. IS A NOT-FOR-PROFIT HEALTHCARE SYSTEM. THE MEDICAL CENTER PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA AND EMPLOYED PHYSICIANS. TANNER MEDICAL CENTER, INC. INCLUDES THE FOLLOWING: TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES THROUGH THE OPERATION OF A 180-BED ACUTE CARE HOSPITAL IN CARROLLTON, GEORGIA.
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 16,437,815 0 0 CONTRACT SERVICES 7,938,139 4,465,680 0 PURCHASED SERVICES 9,066,102 15,694,428 0 CONSULTANT FEES 141,967 2,666,762 0 OTHER FEES 5,452 532,301 0 COLLECTION FEES 0 5,128,312 0 TOTAL 33,589,475 28,487,483 0
FORM 990, PART XI, LINE 9	UBI FROM PASSTHORUGH ENTITIES -774,359

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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
(2) TANNER BEHAVIORAL HEALTH MGMT CO LL 705 DIXIE STREET CARROLLTON,GA30117 81-3549718	HEALTHCARE	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)TANNER HEALTH (HEALTHLIANT INC) 705 DIXIE STREET CARROLLTON,GA301173818 58-1790151	HEALTHCARE	GA	501C3	12B	NA		No

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(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?		(k) Percentage ownership
(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	(k) Percentage ownership
(1) WEST GEORGIA SURGERY CENTER LLC 103 CLINIC AVENUE CARROLLTON,GA30117 83-3671516	HEALTHCARE	GA	TMC TANNER MEDICAL CENTER	RELATED		4,340,648		No			No	60.000 %

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	(h) Percentage ownership	Yes	No
(1) HEALTHLIANT ENTERPRISES INC 705 DIXIE STREET CARROLLTON,GA301173818 82-4529412	HEALTHCARE	GA	N/A						No
(2) WEST GEORGIA ENDOSCOPY CTR LLC 160 CLINIC AVENUE CARROLLTON,GA30117 75-3182533	ENDOSCOPY	GA	N/A	S CORP	774,359	243,060	51.000 %	Yes
(3) WEST GEORGIA AMBULANCE INC 1952 N HIGHWAY 27 CARROLLTON,GA30117 58-2469468	AMBULANCE	GA	TMC TANNER MEDICAL CENTER	C CORP	4,231,343	9,629,423	100.000 %		No

Schedule R (Form 990) (Rev. 1-2025)

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) ............................

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) ............................

Yes

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	C	276,682	FMV
(2) ALL ENTITIES	D	22,661,418	GENERAL LEDGER
(3) ALL ENTITIES	L		VALUE UNDETERMINED
(4) ALL ENTITIES	M		VALUE UNDETERMINED
(5) ALL ENTITIES	O		VALUE UNDETERMINED
(6) TANNER MEDICAL CENTER GROUP	Q		VAULE UNDETERMINED
(7) WEST GEORGIA ENDOSCOPY CENTER LLC	S	784,209	K-1

Schedule R (Form 990) (Rev. 1-2025)

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

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 2024 (Part V, line 2a) ......	5	5,248
6	Total number of volunteers (estimate if necessary) .............	6	178
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,361,190
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	1,069,093

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	220,632	276,682
9	Program service revenue (Part VIII, line 2g) .........	348,660,244	395,339,584
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	36,568,518	33,745,315
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	116,197,170	130,867,923
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	501,646,564	560,229,504
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,397,500	1,250,088
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)	230,025,330	259,447,319
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)....	199,528,193	224,755,514
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	430,951,023	485,452,921
19	Revenue less expenses. Subtract line 18 from line 12.......	70,695,541	74,776,583
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,123,143,594	1,361,133,020
21	Total liabilities (Part X, line 26).............	304,597,537	438,788,864
22	Net assets or fund balances. Subtract line 21 from line 20.....	818,546,057	922,344,156

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 326,825,504 including grants of $ 1,250,088 ) (Revenue $ 522,729,581 )
	TANNER MEDICAL CENTER, INC. PROVIDES HEALTHCARE TO THE POPULATION OF NORTHWEST GEORGIA AND EAST ALABAMA. SERVICES ARE FOR BOTH INPATIENT SERVICE AND OUTPATIENT ANCILLARY SERVICES INCLUDING PHYSICIAN OFFICES. AS A NOT FOR PROFIT CORPORATION, TANNER PROVIDES SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. TANNER MEDICAL CENTER, INC. IS A REGIONAL HEALTHCARE PROVIDER WITH MORE THAN 300 PHYSICIANS REPRESENTING 35 UNIQUE MEDICAL SPECIALTIES. TANNER PROVIDES A WIDE RANGE OF COMPREHENSIVE MEDICAL SERVICES FOR RESIDENTS IN A REGION OF WEST GEORGIA AND EAST ALABAMA. TANNER'S FACILITIES INCLUDE THE 180-BED ACUTE CARE TANNER MEDICAL CENTER/CARROLLTON; THE ROY RICHARDS, SR. CANCER CENTER, TANNER HEART AND VASCULAR CENTER, TANNER BREAST HEALTH, THE TANNER ADVANCED WOUND CENTER, EMPLOYEE ASSISTANCE PROGRAM (TANNER EAP) AND MORE. MORE INFORMATION ON TANNER MEDICAL CENTER, INC. IS AVAILABLE IN THE HEALTH SYSTEM'S ANNUAL COMMUNITY BENEFIT REPORT, WHICH CAN BE DOWNLOADED AT HTTP://WWW.TANNER.ORG/COMMUNITY-IMPACT/COMMUNITY-REPORTS TANNER MEDICAL CENTER, INC. IS A NOT-FOR-PROFIT HEALTHCARE SYSTEM. THE MEDICAL CENTER PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA AND EMPLOYED PHYSICIANS. TANNER MEDICAL CENTER, INC. INCLUDES THE FOLLOWING: TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES THROUGH THE OPERATION OF A 180-BED ACUTE CARE HOSPITAL IN CARROLLTON, GEORGIA.

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 expenses326,825,504

(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)			(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) CLINT HOFFMAN........................................................................ SVP/TMG	23.00 .......................17.00		X		291,779	215,663	67,395
(19) BONNIE BOLES MD........................................................................ CMIO	30.00 .......................10.00		X		285,581	211,081	17,558
(20) JIM GRIFFITH........................................................................ COO	23.00 .......................17.00		X		561,553	415,060	24,919
(21) ERIC DALTON........................................................................ SVP/OPERATIO	23.00 .......................17.00		X		218,204	161,281	54,040
(22) MICHELLE HOEHN........................................................................ CNO	23.00 .......................17.00		X		198,614	146,801	24,503
(23) KAREN MIDDLEBROOKS........................................................................ DIRECTOR	2.00 .......................	X			0	0	0
(24) DAVOY MURRAY........................................................................ PHYSICIAN	40.00 .......................			X	740,591	0	27,689
(25) BRIT LOVVORN........................................................................ PHYSICIAN	40.00 .......................			X	848,589	0	27,689
(26) TUNICIA GIRON........................................................................ PHYSICIAN	40.00 .......................			X	702,484	0	25,559
(27) BRIAN DILL........................................................................ SVP	.......................		X		0	0	0
(28) BENFORD NANCE MD........................................................................ PHYSICIAN	40.00 .......................			X	694,805	0	23,902

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	9,191,609	5,520,282	673,471

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	276,682
e	Government grants (contributions)		1e

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.......		276,682

		Business Code
2a	NET PATIENT SERVICE REVENUE	623000	394,752,753	394,752,753
b	REFERENCE LAB	621500	586,831		586,831
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		395,339,584

3 Investment income (including dividends, interest, and othersimilar amounts) ......			33,112,818			33,112,818
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	173,082,912	475,432
b	Less: cost or other basis and sales expenses	7b	172,375,046	550,801
c	Gain or (loss)	7c	707,866	-75,369
d	Net gain or (loss).........			632,497			632,497
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
11a	SHARED SERVICE REVENUE		621990	119,978,284	119,978,284
b	PROPERTY MANAGEMENT FEE		531310	3,078,943	3,078,943
c	MISCELLANEOUS		722514	2,865,196	2,865,196
d	All other revenue ....			4,945,500	2,054,405	774,359	2,116,736
e	Total. Add lines 11a–11d ......			130,867,923
12	Total revenue. See instructions.....			560,229,504	522,729,581	1,361,190	35,862,051

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,250,088	1,250,088
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 ...........	9,930,469		9,930,469
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	178,876,141	121,376,318	57,499,823
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	6,407,225	4,933,714	1,473,511
9	Other employee benefits .......	51,085,449	50,524,386	561,063
10	Payroll taxes ...........	13,148,035	10,157,634	2,990,401
11	Fees for services (non-employees):
a	Management ......	1,219,087		1,219,087
b	Legal .........	788,021		788,021
c	Accounting ...........	326,053		326,053
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	942,774		942,774
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	62,076,958	33,589,475	28,487,483
12	Advertising and promotion ....	1,991,854	1,093,156	898,698
13	Office expenses .......	50,675,738	47,047,720	3,628,018
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	11,325,456	8,873,495	2,451,961
17	Travel ............	208,172	111,995	96,177
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,178,282	334,602	843,680
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	32,684,382	20,659,444	12,024,938
23	Insurance ...	4,932,712	151,892	4,780,820
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	REPAIRS AND MAINTENANCE	28,301,851	2,967,507	25,334,344
b	MEDICAL SUPPLIES	17,488,324	17,488,324
c	LICENSES	5,813,257	5,334,196	479,061
d	MISCELLANEOUS	3,365,049	891,963	2,473,086
e	All other expenses	1,437,544	39,595	1,397,949
25	Total functional expenses. Add lines 1 through 24e	485,452,921	326,825,504	158,627,417	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 ........			81,925,385	1	81,754,328
2	Savings and temporary cash investments .........			208,519,915	2	308,095,148
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			50,249,763	4	58,710,394
5	Loans and other receivables from 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 ...........			3,606,226	7	4,267,371
8	Inventories for sale or use ............			7,470,524	8	8,436,574
9	Prepaid expenses and deferred charges ......			13,820,684	9	13,508,686
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	599,096,483
b	Less: accumulated depreciation	10b	320,562,323	238,986,201	10c	278,534,160
11	Investments—publicly traded securities .			452,895,126	11	550,973,871
12	Investments—other securities. See Part IV, line 11 .....			2,921,258	12	3,531,343
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			62,748,512	15	53,321,145
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,123,143,594	16	1,361,133,020

17	Accounts payable and accrued expenses .....	76,180,253	17	83,826,070
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	182,305,119	20	314,536,716
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 ..	42,543,820	23	37,347,864
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	3,568,345	25	3,078,214
26	Total liabilities. Add lines 17 through 25..	304,597,537	26	438,788,864

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	792,284,206	27	894,457,208
28	Net assets with donor restrictions ...........	26,261,851	28	27,886,948
	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 ...........	818,546,057	32	922,344,156
33	Total liabilities and net assets/fund balances ........	1,123,143,594	33	1,361,133,020