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Tanner Medical Center Alabama Inc

Tanner Medical Center Alabama Inc
1032 Main Street South
Wedowee, AL 36278
Bed count15Medicare provider number011306Member of the Council of Teaching HospitalsNOChildren's hospitalNO
EIN: 475348597
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
2.88%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2019-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 20,607,956
      Total amount spent on community benefits
      as % of operating expenses
      $ 594,202
      2.88 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 463,748
        2.25 %
        Medicaid
        as % of operating expenses
        $ 130,454
        0.63 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 0
        0 %
        Subsidized health services
        as % of operating expenses
        $ 0
        0 %
        Research
        as % of operating expenses
        $ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 0
        0 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 0
        0 %
        Community building*
        as % of operating expenses
        $ 0
        0 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?Not available
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 0
          0 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          Economic development
          as % of community building expenses
          $ 0
          Community support
          as % of community building expenses
          $ 0
          Environmental improvements
          as % of community building expenses
          $ 0
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          Coalition building
          as % of community building expenses
          $ 0
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          Workforce development
          as % of community building expenses
          $ 0
          Other
          as % of community building expenses
          $ 0
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 1,721,383
        8.35 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?NO
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?YES
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?NO

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
    • 4A (Expenses $ 19966686 including grants of $ 0) (Revenue $ 15616649)
      TANNER MEDICAL CENTER/EAST ALABAMA (TMCA) PROVIDES THE RANDOLPH COUNTY COMMUNITY AND SURROUNDING COMMUNITIES WITH A VARIETY OF IMPORTANT INPATIENT AND OUTPATIENT MEDICAL SERVICES, OFFERED TO ALL REGARDLESS OF THE ABILITY TO PAY. DURING FYE 6/30/22, TMCA HAD 1,598 PATIENT DAYS WITH 322 DISCHARGES, WHILE THE RURAL HEALTH CLINICS HAD 29,854 VISITS.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      FACILITY 1, TANNER MEDICAL CENTER ALABAMA, INC. - PART V, LINE 3E
      UPON REVIEW, ANALYSIS AND PRIORITIZATION OF THE CHNA FINDINGS, THE PRIORITY AREAS TO BE ADDRESSED DURING TANNER MEDICAL CENTER/EAST ALABAMAS FISCAL YEARS 2023-2025 IMPLEMENTATION STRATEGY INCLUDE: ? ACCESS TO CARE ? CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT ? MENTAL/BEHAVIORAL HEALTH SERVICES ? SUBSTANCE MISUSE/DRUGS ? COMMUNITY HEALTH EDUCATION
      FACILITY 1, TANNER MEDICAL CENTER ALABAMA, INC. - PART V, LINE 5
      THE CHNAS DATA CAME FROM THREE PRIMARY SOURCES: QUANTITATIVE SECONDARY POPULATION-LEVEL DATA, HOSPITAL HEALTHCARE UTILIZATION DATA, QUALITATIVE COMMUNITY GROUP INPUT SESSIONS AND KEY INFORMANT INTERVIEWS. THE DATA WAS USED TO BROADEN THE TYPES OF INFORMATION GATHERED AND TO ENGAGE A DIVERSE GROUP OF INTERNAL AND EXTERNAL STAKEHOLDERS TO INFORM THE CHNA PROCESS AND DELIVERABLES. . THE TYPES OF INFORMATION COLLECTED FOR EACH DATA SOURCE WERE AS FOLLOWS: - SECONDARY DATA: NATIONAL, STATE, LOCAL HEALTH AND DISPARITY DATA, CORE INDICATORS: SECONDARY DATA WAS GATHERED PRIMARILY THROUGH COMMUNITY COMMONS, A PUBLICLY AVAILABLE DASHBOARD OF MULTIPLE HEALTH INDICATORS DRAWN FROM SEVERAL NATIONAL DATA SOURCES AND THE ALABAMA CENTER FOR HEALTH STATISTICS 2019 COUNTY HEALTH PROFILES. U.S. CENSUS AMERICAN COMMUNITY SURVEY DATA WAS ALSO CONSULTED FOR DEMOGRAPHIC, EDUCATION AND INCOME STATISTICS. OTHER DATA SOURCES ARE NOTED IN THE COUNTY HEALTH PROFILES (AS SEEN IN PART III). - HOSPITAL UTILIZATION DATA: PATIENT HEALTHCARE UTILIZATION DATA WAS USED TO IDENTIFY THE HOSPITALS CBSA AND GEOGRAPHIC AREAS OF FOCUS FOR NEEDS ASSESSMENT AND STRATEGY IMPLEMENTATION. - COMMUNITY INPUT SESSION DISCUSSIONS: TANNER MEDICAL CENTER/EAST ALABAMA FACILITATED COMMUNITY DISCUSSIONS WITH A DIVERSE GROUP OF COMMUNITY STAKEHOLDERS AND EMPLOYED ONLINE SURVEYS TO IDENTIFY THE MOST CRITICAL COMMUNITY HEALTH ISSUES. GUIDED DISCUSSION AREAS INCLUDED TOPICS RELATED TO COMMUNITY HEALTH AND WELLNESS, ACCESS TO CARE AND SERVICES AND THE SOCIAL DETERMINANTS OF HEALTH.
      FACILITY 1, TANNER MEDICAL CENTER ALABAMA, INC. - PART V, LINE 7D
      THE CHNA REPORT IS AVAILABLE TO THE COMMUNITY ON TANNERS WEBSITE: WWW.TANNER.ORG. ADDITIONALLY, COPIES WERE DISSEMINATED TO THE HOSPITALS BOARD AND EXECUTIVE LEADERSHIP; THE ASSESSMENT TEAM; COMMUNITY STAKEHOLDERS WHO CONTRIBUTED TO THE ASSESSMENT; AND MULTIPLE COMMUNITY LEADERS, VOLUNTEERS AND ORGANIZATIONS THAT COULD BENEFIT FROM THE INFORMATION. OTHER COMMUNICATION EFFORTS INCLUDED PRESENTATIONS OF ASSESSMENT FINDINGS THROUGHOUT THE COMMUNITY. COPIES WILL ALSO BE MADE AVAILABLE FOR DISTRIBUTION UPON REQUEST FROM THE HOSPITAL.
      FACILITY 1, TANNER MEDICAL CENTER ALABAMA, INC. - PART V, LINE 11
      THE IDENTIFICATION OF HEALTH NEEDS WAS SHAPED BY AN AWARENESS OF PUBLIC HEALTH CONCERNS, ASSESSMENT DATA AND THE HOSPITALS STRENGTHS IN THE CONTEXT OF THE SYSTEMS PRIORITIES. ADDITIONALLY, WHEN SELECTING FINAL TARGETED HEALTH PRIORITIES, TANNER CONSIDERED ADDITIONAL VARIABLES SUCH AS THE AVAILABILITY OF EVIDENCE-BASED SOLUTIONS AS WELL AS EXISTING PARTNERSHIPS AND PROGRAMMING. THESE COMPONENTS WERE USED TO IDENTIFY PRIORITY AREAS. FOCUS GROUPS PARTICIPATED IN A PRIORITIZATION EXERCISE THAT INVOLVED CLASSIFYING AND RANKING IDENTIFIED NEEDS AND ASSETS. IT ALSO INVOLVED DISCUSSING WHAT CURRENT OR NEW INITIATIVES AND PARTNERS SHOULD BE INCLUDED IN THE HOSPITALS THREE-YEAR IMPLEMENTATION PLANS. THE GOAL WAS TO DETERMINE HOW TO BEST SUPPORT THE HIGHEST PRIORITIZED NEEDS WHILE LEVERAGING COMMUNITY ASSETS AND RESOURCES. THROUGH THIS PROCESS OF EVALUATION, FIVE PRIORITY HEALTH ISSUES WERE SELECTED FROM THE BROADER LIST OF PRIORITIES IDENTIFIED IN THE CHNA AS SPECIFIC AREAS OF FOCUS FOR TANNER MEDICAL CENTER/EAST ALABAMAS COMMUNITY HEALTH IMPLEMENTATION STRATEGY, INCLUDING: 1. ACCESS TO CARE 2. CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT 3. MENTAL/BEHAVIORAL HEALTH SERVICES 4. SUBSTANCE MISUSE/DRUGS 5. COMMUNITY HEALTH EDUCATION A COMPLETE DISCUSSION OF THE GOALS FOR EACH OF THE PRIORITIZED NEEDS IS AVAILABLE BEGINNING ON PAGE 11 OF THE CHNA AND PAE 2 OF THE IMPLEMENTATION STRATEGY REPORT AVAILABLE ON THE HOSPITAL'S WEBSITE.
      Supplemental Information
      Schedule H (Form 990) Part VI
      SCHEDULE H, PART I, LINE 7
      COSTS FOR PART I, LINES 7A AND 7B WERE CALCULATED USING THE COST-TO-CHARGE RATIO AS CALCULATED USING WORKSHEET 2 FROM THE IRS SCHEDULE H INSTRUCTIONS. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS WHICH UTILIZES THE CBISA COST ACCOUNTING SOFTWARE.
      SCHEDULE H, PART II
      COMMUNITY BUILDING ACTIVITIES: AT TANNER, EFFORTS TO PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES GO BEYOND PROVIDING HEALTH SERVICES. TANNER TAKES A PROACTIVE APPROACH TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AND THE UNDERLYING ROOT CAUSES OF POOR HEALTH. IT DOES THIS BY SUPPORTING THE WORLD HEALTH ORGANIZATION'S DEFINITION OF HEALTH AS A STATE OF COMPLETE PHYSICAL, MENTAL AND SOCIAL WELL-BEING AND NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY. TANNER PROVIDES A VARIETY OF COMMUNITY-BUILDING ACTIVITIES TO STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE ITS RESIDENTS' HEALTH AND WELL-BEING. REPRESENTING SOME OF THE LARGEST EMPLOYERS IN THEIR COMMUNITIES, TANNER'S HOSPITALS ACTIVELY PARTICIPATE IN AND CONTRIBUTE TO LOCAL CHAMBERS OF COMMERCE AND CIVIC ORGANIZATIONS AIMED AT ENSURING THE ECONOMIC DEVELOPMENT, GROWTH AND STABILITY OF THEIR LOCAL COMMUNITIES. TANNER PARTICIPATES IN AND SUPPORTS YOUTH PROGRAMS THAT FOCUS ON DEVELOPING LEADERSHIP SKILLS, ENHANCING ACADEMIC SUCCESS, IMPROVING HEALTH, CULTIVATING COMMUNITY RESPONSIBILITY, AND OFFERING CAREER EXPLORATION OPPORTUNITIES. TO ADDRESS THE HEALTHCARE WORKFORCE SHORTAGE, TANNER FOSTERS ITS ESTABLISHED, STRONG PARTNERSHIPS WITH LOCAL COMMUNITY COLLEGES AND UNIVERSITIES, INCLUDING THE UNIVERSITY OF WEST GEORGIA AND WEST GEORGIA TECHNICAL COLLEGE. THE UNIVERSITY OF WEST GEORGIA'S NURSING PROGRAM - WHICH IS NAMED THE TANNER HEALTH SYSTEM SCHOOL OF NURSING - IS USING AN INVESTMENT FROM TANNER TO ENHANCE ITS FACILITIES WHILE OFFERING SCHOLARSHIP AND EDUCATIONAL OPPORTUNITIES FOR THOSE IN WEST GEORGIA AND EAST ALABAMA INTERESTED IN A CAREER IN NURSING.
      SCHEDULE H, PART III, LINE 2
      AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE.
      SCHEDULE H, PART III, LINE 4
      SEE PAGES 16-25 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE DISCLOSURE ADDRESSING PRICE CONCESSIONS, UNINSURED PATIENTS, AND BAD DEBTS.
      SCHEDULE H, PART III, LINE 8
      MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS.
      SCHEDULE H, PART III, LINE 9B
      PATIENTS THAT QUALIFY FOR A CHARITY WRITE OFF ARE ONLY HELD RESPONSIBLE FOR THE PORTION REMAINING AFTER WRITE OFF. PATIENTS THAT QUALIFY AS INDIGENT RECEIVE A 100% WRITE OFF AND ARE NOT RESPONSIBLE FOR ANY PORTION OF THEIR BILL. PATIENTS APPROVED FOR FINANCIAL ASSISTANCE RECEIVE A LETTER OF NOTIFICATION AND WALLET CARD THAT IS GOOD FOR ONE YEAR FROM THE DETERMINATION DATE. INTEREST FREE INSTALLMENT PLANS ARE AVAILABLE TO ALL PATIENTS AND PAYMENT AMOUNTS ARE DETERMINED BY THE PATIENT'S ABILITY TO PAY.
      SCHEDULE H, PART VI, LINE 2
      TANNER MEDICAL CENTER ALABAMA, INC. ASSESSES THE HEALTHCARE NEEDS OF THEIR RESPECTIVE COMMUNITIES ONCE EVERY THREE YEARS. TANNER'S CHNA IS AN ORGANIZED, FORMAL AND SYSTEMATIC APPROACH TO IDENTIFY AND ADDRESS THE NEEDS OF UNDERSERVED COMMUNITIES ACROSS TANNER'S GEOGRAPHIC FOOTPRINT. THE CHNA GUIDES THE DEVELOPMENT AND IMPLEMENTATION OF A COMPREHENSIVE PLAN TO IMPROVE HEALTH OUTCOMES FOR THOSE DISPROPORTIONATELY AFFECTED BY DISEASE. THIS CHNA ALSO INFORMS THE CREATION OF AN IMPLEMENTATION STRATEGY FOR FUTURE COMMUNITY HEALTH PROGRAMMING AND COMMUNITY BENEFIT RESOURCE ALLOCATION. AS A NONPROFIT ORGANIZATION, TANNER'S CHNA ALIGNS WITH THE AFFORDABLE CARE ACT GUIDELINES AND COMPLY WITH INTERNAL REVENUE SERVICE (IRS) REQUIREMENTS. THE MOST RECENT CHNA CONDUCTED IN TANNER MEDICAL CENTER/EAST ALABAMA'S PRIMARY SERVICE AREA OF CLEBURNE AND RANDOLPH COUNTIES WAS COMPLETED IN FY 2022. TANNER MEDICAL CENTER/EAST ALABAMAS CHNA PROCESS INVOLVED RESIDENTS, COMMUNITY PARTNERS AND STAKEHOLDERS, ALONG WITH HOSPITAL LEADERSHIP. THESE REPRESENTATIVES USED POPULATION-LEVEL DATA AND FEEDBACK FROM A COMMUNITY FOCUS GROUP AND KEY INFORMANT INTERVIEWS AND ONLINE AND PAPER SURVEYS TO CREATE RECOMMENDATIONS FOR THE HOSPITALS HEALTH PRIORITIES, POTENTIAL IMPLEMENTATION STRATEGIES AND TO IDENTIFY KEY PARTNERS. FOURTEEN PEOPLE WERE INVOLVED IN THE CHNA PROCESS THROUGH PARTICIPATION IN A FOCUS GROUP OR KEY INFORMANT INTERVIEW. UPON REVIEW, ANALYSIS AND PRIORITIZATION OF THE CHNA FINDINGS, THE PRIORITY AREAS TO BE ADDRESSED DURING TANNER MEDICAL CENTER/EAST ALABAMAS FISCAL YEARS 2023-2025 IMPLEMENTATION STRATEGY INCLUDE: 1. ACCESS TO CARE 2. CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT 3. MENTAL/BEHAVIORAL HEALTH SERVICES 4. SUBSTANCE MISUSE/DRUGS 5. COMMUNITY HEALTH EDUCATION THE MOST RECENT CHNA CONDUCTED IN TANNER MEDICAL CENTER/EAST ALABAMA'S PRIMARY SERVICE AREA OF CLEBURNE AND RANDOLPH COUNTIES WAS COMPLETED IN FY 2022. BOTH THE 2022 AND 2019 CHNA AND IMPLEMENTATION PLAN ARE POSTED ON THE FACILITY'S HOME WEBPAGE. IN ADDITION, TMCA DEVELOPS A STRATEGIC PLAN THAT IS UPDATED ANNUALLY. THE STRATEGIC PLAN TAKES INTO CONSIDERATION HEALTH NEEDS FOR OUR SERVICE AREA IN ADDITION TO UTILIZATION OF SERVICES, COMMUNITY PARTICIPATION, AND QUALITY OF SERVICES PROVIDED.
      SCHEDULE H, PART VI, LINE 7
      ALABAMA
      SCHEDULE H, PART VI, LINE 3
      TANNER PATIENTS ARE PROVIDED WITH INFORMATION ABOUT THE ORGANIZATION'S CHARITY/INDIGENT PROGRAM AT THE TIME OF REGISTRATION AND ON THE TANNER WEBSITE. ANY SELF-PAY OR UNDERINSURED PATIENTS MUST MEET THE CRITERIA FOR INDIGENT CARE TO HAVE THE COST OF THEIR CARE WRITTEN OFF BY THE SYSTEM. PATIENTS ARE INTERVIEWED, AND FINANCIAL STATEMENTS ARE PREPARED. PATIENTS WHO MEET THE CRITERIA FOR MEDICAID ELIGIBILITY ARE REFERRED TO AN OUTSIDE VENDOR FOR ASSISTANCE. A PATIENT WITH A FAMILY INCOME UP TO 200% (2 TIMES) OF THE FEDERAL POVERTY GUIDELINES (FPG) BASED ON FAMILY SIZE RECEIVE A 100% DISCOUNT FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH LARGE, MEDICALLY NECESSARY MEDICAL BILLS WHICH HAVE CREATED A FINANCIAL HARDSHIP ARE CONSIDERED FOR A SLIDING SCALE DISCOUNT. THE LOWER THE PATIENT'S DISCRETIONARY INCOME AND THE HIGHER THE HEALTHCARE BILLS ALLOW FOR MORE CHARITY ALLOWANCES. PATIENTS WHOSE FAMILY INCOME EXCEEDS TWO TIMES THE APPLICABLE FPG MAY ALSO QUALIFY FOR SLIDING SCALE DISCOUNTS ON MEDICALLY NECESSARY SERVICES. TRANSLATION ASSISTANCE IS PROVIDED FOR PATIENTS AS NEEDED. FINANCIAL ASSISTANCE POLICY INFORMATION IS AVAILABLE FREE OF CHARGE IN PAPER AND ELECTRONIC FORM IN THE FOLLOWING AREAS: 1) POSTED ON HOSPITAL WALLS IN REGISTRATION AREAS FOR PATIENTS, FAMILY AND VISITORS; 2) PRINTED IN FLIERS AVAILABLE AT REGISTRATION DESKS FOR PATIENTS AND FAMILIES; 3) PRINTED IN FLIERS AND POSTED ON WALLS MOUNTS THROUGHOUT HOSPITALS; 4) MAILED TO PATIENTS WITH STATEMENTS; 5) COMMUNICATED TO PATIENTS DURING PHONE CALLS; 6) PRINTED FLYERS AVAILABLE AT LOCAL PHYSICIAN OFFICES; 7) PRINTED FLYERS PROVIDED TO LOCAL ADVOCACY GROUPS/AGENCIES SUCH AS DFACS AND HEALTH DEPARTMENTS; 8) PRINTED IN LOCAL NEWSPAPER ANNUALLY FOR THE COMMUNITY; 9) PROVIDED AT PHYSICIAN OFFICE MANAGEMENT MEETINGS ANNUALLY; 9) POSTED ON TANNER WEBSITE TANNER.ORG.
      SCHEDULE H, PART VI, LINE 4
      TANNER MEDICAL CENTER/EAST ALABAMA DEFINES THE COMMUNITY AS THE GEOGRAPHIC AREA SERVED BY THE HOSPITAL, CONSIDERING ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREA INCLUDES RANDOLPH AND CLEBURNE COUNTIES, CONSISTING OF 1,141 SQUARE MILES OF PREDOMINATELY RURAL AREA (89%) WITH A TOTAL POPULATION OF 37,563 (US CENSUS BUREAU, POPULATION ESTIMATES 2019). DEMOGRAPHICS (DATA GATHERED FROM 2021 COUNTY HEALTH RANKINGS AND THE U.S. CENSUS BUREAU, 2019 ESTIMATES) OF RANDOLPH COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA): POPULATION 22,647; DIVERSITY 75.4% NON- HISPANIC WHITE, 19.1% NON-HISPANIC BLACK, 3% HISPANIC, 0.5% AMERICAN INDIAN AND ALASKA NATIVE, 0.5% ASIAN, 0.1% NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER; AVERAGE INCOME 42,900; UNINSURED ADULTS 15%; UNINSURED CHILDREN 3%; UNEMPLOYMENT 3%; BELOW POVERTY LEVEL 25.3%. DEMOGRAPHICS OF CLEBURNE COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA): POPULATION 14,916; DIVERSITY 92.8% NON-HISPANIC WHITE, 2.7% NON-HISPANIC BLACK, 2.6% HISPANIC, 0.5% AMERICAN INDIAN AND ALASKA NATIVE, 0.2% ASIAN, 0.1% NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER; AVERAGE INCOME 51,300; UNINSURED ADULTS 17%, UNINSURED CHILDREN 4%; UNEMPLOYMENT 3.2%; BELOW POVERTY LEVEL 13.3%.
      SCHEDULE H, PART VI, LINE 5
      IN FY 2022, TANNER MEDICAL CENTER ALABAMA, INC. PROVIDED MORE THAN 500,000 IN COMMUNITY BENEFIT SERVICES, INCLUDING CHARITY CARE AT COST AND A RANGE OF DIVERSE PROGRAMS DESIGNED TO ENHANCE ACCESS AND PROMOTE THE COMMUNITY'S HEALTH. AS A NONPROFIT ORGANIZATION DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES, TANNER MEDICAL CENTER, INC. REINVESTS ALL SURPLUS FUNDS FROM ITS OPERATING AND INVESTMENT ACTIVITIES. THE FUNDS ARE USED TO IMPROVE ACCESS TO CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH. MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS GATHERS AND VERIFIES CREDENTIALS, ALLOWS THE MEDICAL STAFF TO EVALUATE THE APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE AND COMPETENCE, AND ULTIMATELY DECIDE TO GRANT OR DENY MEDICAL STAFF PRIVILEGES. TO THE BENEFIT OF THE COMMUNITY, TANNER MEDICAL CENTER ALABAMA, INC. IS GOVERNED BY A BOARD OF DIRECTORS, THE MAJORITY OF WHICH IS COMPRISED OF PERSONS WHO RESIDE THROUGHOUT TANNER'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION (NOR FAMILY MEMBERS THEREOF). THE TANNER MEDICAL CENTER ALABAMA, INC. BOARD OF DIRECTORS ENSURES THAT THE HEALTH SYSTEM DEVELOPS PROGRAMS TO ADDRESS THE DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS OF THE COMMUNITIES IT SERVES. THE BOARD IS ALSO RESPONSIBLE FOR ENSURING THE DEVELOPMENT OF COMMUNITY BENEFIT INITIATIVES TO PROMOTE THE COMMUNITY'S OVERALL HEALTH. THE BOARD ALSO ESTABLISHES KEY MEASURES OF SYSTEM-WIDE COMMUNITY BENEFIT PERFORMANCE AND RECEIVES REGULAR REPORTS ON PROGRESS TOWARD ESTABLISHED GOALS.
      SCHEDULE H, PART VI, LINE 6
      TANNER MEDICAL CENTER, INC. (MEDICAL CENTER) IS A NOT-FOR-PROFIT HEALTHCARE SYSTEM. THE MEDICAL CENTER PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA AND EMPLOYED PHYSICIANS. TANNER MEDICAL CENTER, INC. INCLUDES THE FOLLOWING: - TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 181-BED ACUTE CARE HOSPITAL IN CARROLLTON, GEORGIA. - TANNER MEDICAL CENTER/VILLA RICA, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 53-BED ACUTE CARE HOSPITAL AND WILLOWBROOK AT TANNER/VILLA RICA, A 92-BED PSYCHIATRIC FACILITY IN VILLA RICA, GEORGIA. - TANNER MEDICAL CENTER/HIGGINS GENERAL HOSPITAL, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 25-BED CRITICAL ACCESS HOSPITAL IN BREMEN, GEORGIA. - TANNER MEDICAL GROUP, ESTABLISHED TO OPERATE PHYSICIAN PRACTICES IN WEST GEORGIA AND EASTERN ALABAMA. - TANNER MEDICAL CENTER/EAST ALABAMA, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 15-BED ACUTE CARE HOSPITAL IN WEDOWEE, ALABAMA. CRITICAL ACCESS STATUS WAS GRANTED EFFECTIVE JANUARY 9, 2019. TANNER MEDICAL CENTER, INC. IS RESPONSIBLE FOR ALLOCATING RESOURCES AND FOR APPROVING BUDGETS, MAJOR CONTRACTS AND DEBT FINANCING FOR ALL ENTITIES.