4A (Expenses $ 295889690 including grants of $ 1525500) (Revenue $ 331064854)
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/MAIN/HEALTHLIVINGMAGAZINE.ASPX TANNER MEDICAL CENTER, INC. IS A NOT-FOR-PROFIT HEALTHCARE SYSTEM. THE MEDICAL CENTER PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA AND EMPLOYED PHYSICIANS. TANNER MEDICAL CENTER, INC. INCLUDES THE FOLLOWING: TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTHCARE SERVICES THROUGH THE OPERATION OF A 180-BED ACUTE CARE HOSPITAL IN CARROLLTON, GEORGIA.

FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 3E
UPON REVIEW, ANALYSIS AND PRIORITIZATION OF THE CHNA FINDINGS, THE PRIORITY AREAS TO BE ADDRESSED DURING THE FY 2023-2025 IMPLEMENTATION STRATEGY INCLUDE: 1 ACCESS TO CARE 2 MENTAL/BEHAVIORAL HEALTH SERVICES 3 CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT 4 HEALTH AND NUTRITION EDUCATION 5 SUBSTANCE MISUSE 6 SOCIAL DETERMINANTS OF HEALTH

FACILITY 1, TANNER MEDICAL CENTER, INC. - PART V, LINE 5
TANNER'S GET HEALTHY, LIVE WELL (GHLW) COALITION LED THE PROCESS OF COMPLETING EACH HOSPITAL'S FY 2022 CHNA. THE GHLW COALITION INCLUDED HOSPITAL LEADERS AND REPRESENTATIVES, COMMUNITY ACTIVISTS, RESIDENTS, FAITH-BASED LEADERS, HOSPITAL REPRESENTATIVES, PUBLIC HEALTH LEADERS AND OTHER STAKEHOLDERS. COALITION MEMBERS USED POPULATION- LEVEL DATA AND FEEDBACK FROM COMMUNITY FOCUS GROUPS, ONLINE SURVEYS AND KEY INFORMANT INTERVIEWS TO CREATE RECOMMENDATIONS FOR EACH HOSPITAL'S HEALTH PRIORITIES. THEY ALSO USED IT TO DEVELOP POTENTIAL IMPLEMENTATION STRATEGIES AND TO IDENTIFY KEY PARTNERS. OVER 280 PEOPLE WERE INVOLVED IN THE CHNA PROCESS, INCLUDING THOSE WHO PARTICIPATED IN COMMUNITY FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND ONLINE SURVEYS. PARTICIPANTS INCLUDED RESIDENTS, PARTNERS AND PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. MEMBERS OF LOW- INCOME, MEDICALLY UNDERSERVED AND MINORITY POPULATIONS SERVED BY THE HOSPITAL OR INDIVIDUALS OR ORGANIZATIONS REPRESENTING THE INTERESTS OF SUCH POPULATIONS ALSO PROVIDED INPUT.

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

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 DISSEMINATED TO THE HOSPITAL'S BOARD AND EXECUTIVE LEADERSHIP; THE ASSESSMENT TEAM; COMMUNITY STAKEHOLDERS WHO CONTRIBUTED TO THE ASSESSMENT; AND MULTIPLE COMMUNITY LEADERS, VOLUNTEERS AND ORGANIZATIONS THAT COULD BENEFIT FROM THE INFORMATION. TANNER ALSO PROVIDED 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
"THE IDENTIFICATION OF HEALTH NEEDS WAS SHAPED BY AN AWARENESS OF PUBLIC HEALTH CONCERNS, ASSESSMENT DATA AND EACH HOSPITALS STRENGTHS IN THE CONTEXT OF THE SYSTEMS PRIORITIES. ADDITIONALLY, WHEN SELECTING FINAL TARGETED HEALTH PRIORITIES, TANNER CONSIDERED ADDITIONAL VARIABLES SUCH AS THE AVAILABILITY OF EVIDENCE-BASED SOLUTIONS AS WELL AS EXISTING PARTNERSHIPS AND PROGRAMMING. THESE COMPONENTS WERE USED TO IDENTIFY PRIORITY AREAS. FOCUS GROUPS PARTICIPATED IN A PRIORITIZATION EXERCISE THAT INVOLVED CLASSIFYING AND RANKING IDENTIFIED NEEDS AND ASSETS. IT ALSO INVOLVED DISCUSSING WHAT CURRENT OR NEW INITIATIVES AND PARTNERS SHOULD BE INCLUDED IN THE HOSPITALS THREE-YEAR IMPLEMENTATION PLANS. THE GOAL WAS TO DETERMINE HOW TO BEST SUPPORT THE HIGHEST PRIORITIZED NEEDS WHILE LEVERAGING COMMUNITY ASSETS AND RESOURCES. THROUGH THIS PROCESS OF EVALUATION, SIX PRIORITY HEALTH ISSUES WERE SELECTED FROM THE BROADER LIST OF PRIORITIES IDENTIFIED IN THE CHNA AS SPECIFIC AREAS OF FOCUS FOR EACH OF TANNERS HEALTH SYSTEMS HOSPITALS (TANNER MEDICAL CENTER/CARROLLTON, TANNER MEDICAL CENTER/VILLA RICA, HIGGINS GENERAL HOSPITAL) COMMUNITY HEALTH IMPLEMENTATION STRATEGY, INCLUDING: 1 ACCESS TO CARE 2 MENTAL/BEHAVIORAL HEALTH SERVICES 3 CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT 4 HEALTH AND NUTRITION EDUCATION 5 SUBSTANCE MISUSE 6 SOCIAL DETERMINANTS OF HEALTH TANNER'S LONG-STANDING COMMITMENT TO THE COMMUNITY IS DEEPLY ROOTED IN ITS MISSION. THE ORGANIZATION REMAINS COMMITTED TO IMPROVING THE COMMUNITY'S HEALTH THROUGH DAILY PATIENT CARE ACTIVITIES AS WELL AS OUTREACH, PREVENTION, EDUCATION AND WELLNESS OPPORTUNITIES. WITH THE HELP OF COMMUNITY PARTNERS, TANNER HAS SUCCESSFULLY IMPLEMENTED PROGRAMS THAT HELP WEST GEORGIA RESIDENTS WITH THE HEALTHCARE AND PREVENTIVE SERVICES THEY NEED. BELOW ARE SOME OF THE STEPS TAKEN TO MEET THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN TANNER'S FY 2022 CHNA BY COMMUNITY HEALTH IMPLEMENTATION STRATEGY PRIORITY AREA. ACCESS TO CARE: TANNER CONTINUED TO DEVELOP NEW CLINICAL PROGRAMS TO EXPAND TREATMENT CAPABILITIES AND ENSURE A FULL CONTINUUM OF COVERAGE AND OPTIMAL DISEASE MANAGEMENT. PROGRAMS IMPLEMENTED INCLUDED CARDIAC SURGERY, ELECTROPHYSIOLOGY, INTERVENTIONAL CARDIOLOGY AND THORACIC SURGERY, ORTHOPEDIC AND SPINE SERVICES, ACTIVE AND INDEPENDENT LIVING, ASSISTED LIVING AND MEMORY CARE SERVICES, INNOVATIVE OUTPATIENT CARE MODELS, SITE- SPECIFIC CANCER PROGRAMS AND EXPANSION OF PRIMARY CARE SERVICES. TANNER EXPANDED ACCESS TO SURGICAL SERVICES ACROSS THE REGION BY PREPARING AND LAUNCHING CARDIAC SURGERY, EXPANDING THORACIC SURGICAL SERVICES, OPENING A NEW AMBULATORY SURGERY CENTER IN CARROLLTON TO PROVIDE GREATER ACCESS TO ORTHOPEDIC AND SPINE SERVICES, AND IMPLEMENTING A GENERAL SURGERY PROGRAM AT TANNER MEDICAL CENTER/EAST ALABAMA. TANNER ALSO DEVELOPED AND IMPLEMENTED PLANS FOR PATIENT BED EXPANSION AT TANNER MEDICAL CENTER CARROLLTON AND VILLA RICA TO SUPPORT SERVICE LINE GROWTH AND ACCESS TO CARE FOR THE GROWING REGION. DURING FISCAL YEARS 2020-2022, THE PATIENT-CENTERED MEDICAL HOME (PCMH)/PATIENT-CENTERED SPECIALTY PRACTICE (PCSP)/PATIENT-CENTERED CONNECTED CARE (PCCC) MODELS WERE EXPANDED TO MORE PRACTICES THROUGHOUT WEST GEORGIA AND EAST ALABAMA, FURTHERING THE ABILITY OF PATIENTS WITH GREATER MEDICAL NEEDS TO MANAGE THEIR CARE IN AN OUTPATIENT SETTING. THE COVID-19 PANDEMIC FORCED TELEMEDICINE TO PLAY AN EVEN MORE CRITICAL ROLE IN CURBING THE EXPOSURE TO AND TRANSMISSION OF INFECTIOUS DISEASES WHILE HELPING KEEP OUR FRONT LINES SAFE AND ENSURE THEY HAVE THE RESOURCES TO RESPOND ADEQUATELY TO THE CHALLENGES PRESENTED BY COVID-19. THROUGH ASSISTANCE FROM THE FEDERAL COMMUNICATIONS COMMISSION (FCC) COVID-19 TELEHEALTH PROGRAM GRANT IN 2020, TANNER HAS EXPANDED ITS EXISTING TELEMEDICINE PLATFORM THROUGH INTOUCH HEALTH TO INCLUDE ADDITIONAL SPECIALTIES AND LOCATIONS, AND REMOTE PATIENT MONITORING (RPM) TECHNOLOGIES THROUGH VIVIFY HEALTH, ALL INTEGRATED WITH TANNER'S ELECTRONIC HEALTH RECORD, EPIC. TANNER USES ITS TELEHEALTH PLATFORM TO EXPAND INPATIENT, OUTPATIENT AND POST-ACUTE CARE SERVICES TO ALL PATIENTS THROUGHOUT THE COMMUNITY. TANNER'S INPATIENT TEAMS USE ROBOTS AND TABLETS INTEGRATED INTO THE TELEHEALTH PLATFORM TO ALLOW REMOTE SPECIALISTS TO CONSULT PATIENTS FOR COMPLEX CONDITIONS RELATING TO PSYCHIATRY, MATERNAL-FETAL MEDICINE, INTERNAL MEDICINE AND EMERGENCY MEDICINE. ALL OF TANNER'S MEDICAL GROUP PRACTICES CAN COMPLETE PATIENT VISITS VIA TELEHEALTH. INPATIENT AND AMBULATORY CARE MANAGEMENT CAN NOW ASSIGN PATIENTS A REMOTE MONITORING KIT AS PATIENTS DISCHARGE FOR HOSPITAL CARE TO ENSURE CLOSE TRACKING OF VITAL SIGNS AS PATIENTS CONVALESCE IN THEIR HOMES. THE INTOUCH PLATFORM AND DEVICES INTEGRATE TO ALLOW TANNER'S TEAMS TO SCHEDULE AND LAUNCH VISITS OUT OF EPIC FOR IMPROVED CLINICIAN WORKFLOWS. THE INTEGRATION ALSO PROVIDES AN ADDED LAYER OF SECURITY TO ENSURE THE VISITS ARE TIED TO A SPECIFIC PATIENT. THE REMOTE PATIENT MONITORING TECHNOLOGY FROM VIVIFY ALSO INTEGRATES WITH EPIC TO ALLOW FOR PATIENT INFORMATION TO FLOW ACROSS FOR REGISTRATION INTO THE VIVIFY SYSTEM. SIXTY-SEVEN PATIENTS ARE CURRENTLY IN THE RPM PROGRAM AS OF MAY 2023. TANNER'S EXPANSION OF ITS TELEHEALTH PLATFORM HAS FREED UP RESOURCES TO MANAGE OUR CURRENT REALITY THROUGH SEVERAL KEY MEASURES. TELEHEALTH HAS SUPPORTED PHYSICAL DISTANCING EFFORTS TO REDUCE COVID-19 VIRUS TRANSMISSION AND ENSURED CARE AVAILABILITY TO THOSE WHO NEED IT MOST BY TRIAGING LOW- RISK URGENT CARE. IT HAS ALSO PROVIDED FOLLOW-UP APPOINTMENTS FOR CHRONIC DISEASE AND BEHAVIORAL HEALTH PATIENTS WHO MAY REQUIRE ROUTINE CHECK-INS. BY REDUCING UNNECESSARY VISITS TO HEALTHCARE ENVIRONMENTS, TANNER'S EXPANDED TELEHEALTH PLATFORM AIMS TO CURB THE EXPOSURE TO AND TRANSMISSION OF INFECTIOUS DISEASES WHILE HELPING KEEP FRONT-LINE WORKERS SAFE AND ENSURE THEY HAVE THE RESOURCES NEEDED TO TAKE ON THE CHALLENGES PRESENTED BY COVID-19. TANNER COMPLETED THE OPEN-HEART BUILD AND CONFIGURATION. THE HEALTH SYSTEM ALSO INCREASED MYCHART ACTIVATION TO CONNECT PATIENTS TO THE HEALTH SYSTEM AND TANNER MEDICAL GROUP AS THEIR PREFERRED HEALTHCARE PARTNER. ADDITIONALLY, TANNER ESTABLISHED A QUALITY JOURNEY TO HIGH RELIABILITY (HRO) TO ENSURE THE CONTINUED DELIVERY OF QUALITY CARE EFFECTIVELY, EFFICIENTLY AND PREDICTABLY BY CONDUCTING SERIOUS SAFETY EVENT TRAINING. THE HEALTH SYSTEM ALSO CONDUCTED JUST CULTURE TRAINING AND A CULTURE OF SAFETY SURVEY. IN FEBRUARY 2021, TANNER PARTNERED WITH WEST GEORGIA AMBULANCE TO LAUNCH A COMMUNITY PARAMEDIC PROGRAM IN CARROLLTON. AS PART OF THE PROGRAM, PARAMEDICS MAKE DAILY HOME VISITS TO ASSESS A PATIENT'S HEALTH WITHIN 24 HOURS OF BEING DISCHARGED FROM THE HOSPITAL. TANNER'S MEDICAL STAFF DETERMINES THE NUMBER OF VISITS REQUIRED. DURING EACH VISIT, PARAMEDICS ASSESS THE HOME ENVIRONMENT AND CHECK THE PATIENT'S VITALS. THEY ALSO DETERMINE IF THE PATIENT IS COMPLYING WITH DISCHARGE INSTRUCTIONS, MEDICATIONS AND PROTOCOLS BASED ON THEIR DIAGNOSIS. THE PROGRAM HELPS REDUCE THE LIKELIHOOD OF READMISSIONS IMMEDIATELY AFTER DISCHARGE. AS OF MAY 2023, MEDICAL STAFF REFERRED 315 PATIENTS TO THE PROGRAM. TANNER ALSO EXPANDED PATIENT TRANSPORT SERVICES BETWEEN TANNER FACILITIES WITH THE PURCHASE OF WEST GEORGIA AMBULANCE IN SEPTEMBER 2022. THE NUMBER OF MEDICAL PROVIDERS AVAILABLE IN A COMMUNITY DIRECTLY IMPACTS THAT COMMUNITY'S ABILITY TO ACCESS CARE. TANNER'S PRIMARY SERVICE AREAS OF CARROLL, HARALSON AND HEARD COUNTIES ARE MEDICALLY UNDERSERVED AND HEALTH PROFESSIONAL SHORTAGE AREAS. TO COMBAT THIS PROBLEM AND IMPROVE ACCESS TO MEDICAL CARE IN THE REGION, TANNER CONTINUED TO RECRUIT MORE PHYSICIANS TO PRACTICE IN THE AREA, ENABLING PATIENTS TO CHOOSE FROM A GREATER NUMBER OF PROVIDERS IN AN EXPANDED FIELD OF SPECIALTIES. DURING FY 2022, TANNER WELCOMED 6 NEW PHYSICIANS TO ITS MEDICAL STAFF, REPRESENTING SPECIALTIES IN OBSTETRICS AND GYNECOLOGY, PSYCHIATRY, ANESTHESIOLOGY, CARDIOLOGY, DERMATOLOGY, PRIMARY CARE, RADIATION ONCOLOGY, AND EAR, NOSE AND THROAT (ENT). TANNER ALSO PROVIDED 5 ""FUTURE OF HEALTH CARE"" SCHOLARSHIPS IN FY 2022 TO STUDENTS FROM ACROSS THE REGION THAT ARE ENROLLED IN MEDICAL SCHOOL OR ADVANCED PRACTICE PROVIDER PROGRAMS AND OFFERED CLINICAL, EDUCATIONAL OPPORTUNITIES FOR NURSING STUDENTS AT THE UNIVERSITY OF WEST GEORGIA AND WEST GEORGIA TECHNICAL COLLEGE THROUGHOUT THE HEALTH SYSTEM'S HOSPITALS AND CLINICS. IN ADDITION, GET HEALTHY, LIVE WELL IS CONNECTING SENIOR NURSING STUDENTS AT THE UNIVERSITY OF WEST GEORGIA TO A VARIETY OF COMMUNITY HEALTH OPPORTUNITIES IN WEST GEORGIA THROUGH A PRECEPTORSHIP PROGRAM THAT WILL HELP THEM INCREASE KNOWLEDGE AND GAIN SKILLS IN COMMUNITY HEALTH WORK. EACH NURSING STUDENT IS REQUIRED TO COMPLETE 20 HOURS OF PROGRAMMING ASSISTANCE WITH GET HEALTHY, LIVE WELL. IN FY 2022, 146 NURSING STUDENTS PARTICIPATED IN THE PRECEPTORSHIP PROGRAM, COMPLETING OVER 2,000 HOURS. IN FY 2023 (THROUGH MAY 2003), 99 NURSING STUDENTS PARTICIPATED IN THE PRECEPTORSHIP PROGRAM, COMPLETING OVER 1,000 HOURS. TANNER"

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 SYSTEM, 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. THE HEALTH SYSTEM SUPPORTS THE WORLD HEALTH ORGANIZATION'S DEFINITION OF HEALTH AS ""A STATE OF COMPLETE PHYSICAL, MENTAL, AND SOCIAL WELL-BEING AND NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY."" TANNER PROVIDES A VARIETY OF COMMUNITY-BUILDING ACTIVITIES TO STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE THE HEALTH OF WELL-BEING OF ITS RESIDENTS. REPRESENTING SOME OF THE LARGEST EMPLOYERS IN ITS COMMUNITIES, TANNER'S HOSPITALS ACTIVELY PARTICIPATE IN AND CONTRIBUTE TO LOCAL CHAMBERS OF COMMERCE AND CIVIC ORGANIZATIONS. THIS HELPS ENSURE THE ECONOMIC DEVELOPMENT, GROWTH AND STABILITY OF ITS LOCAL COMMUNITIES. TANNER PARTICIPATES IN AND SUPPORTS YOUTH PROGRAMS THAT FOCUS ON DEVELOPING LEADERSHIP SKILLS, ENHANCING ACADEMIC SUCCESS, IMPROVING HEALTH, CULTIVATING COMMUNITY RESPONSIBILITY AND OFFERING CAREER EXPLORATION OPPORTUNITIES. THROUGH PARTNERSHIPS SUCH AS KEEP CARROLL BEAUTIFUL, THERE ARE ONGOING EFFORTS BY TANNER TO REDUCE COMMUNITY ENVIRONMENTAL HAZARDS IN THE AIR, WATER AND GROUND, AS WELL AS THE SAFE REMOVAL OF OTHER TOXIC WASTE PRODUCTS. TANNER SUPPORTS SEVERAL LOCAL ADVOCACY ORGANIZATIONS THAT PROMOTE THE COMMUNITY'S HEALTH AND SAFETY. TANNER ACTIVELY AND CONTINUALLY PREPARES FOR EMERGENCIES, UTILITY FAILURES, NATURAL DISASTERS AND OTHER POTENTIAL DISRUPTIONS, WORKING CLOSELY WITH FEDERAL, STATE AND LOCAL GOVERNMENTS, AREA BUSINESS CONSORTIUMS, COMMUNITY LEADERS AND PUBLIC SAFETY AGENCIES TO ENSURE EFFECTIVE COMMUNITY-WIDE RESPONSES TO UNPLANNED EVENTS. TO ADDRESS THE HEALTHCARE WORKFORCE SHORTAGE, TANNER CONTINUES TO FOSTER ITS ESTABLISHED, STRONG PARTNERSHIPS WITH LOCAL 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 SYSTEM SCHOOL OF NURSING - IS USING 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 AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE.

SCHEDULE H, PART III, LINE 4
SEE PAGES 16-23 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 THOSE DISPROPORTIONATELY AFFECTED BY DISEASE. THIS CHNA ALSO INFORMS THE CREATION OF AN IMPLEMENTATION STRATEGY FOR FUTURE COMMUNITY HEALTH PROGRAMMING, AND COMMUNITY BENEFIT RESOURCE ALLOCATION ACROSS TANNER'S HOSPITALS. AS A NONPROFIT ORGANIZATION, TANNER'S CHNAS ALIGN WITH GUIDELINES ESTABLISHED BY THE AFFORDABLE CARE ACT AND COMPLY WITH INTERNAL REVENUE SERVICE (IRS) REQUIREMENTS. IN FY 2022, 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 AND FY 2019. 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. THROUGH THE CHNA PROCESS, TANNER HAS IDENTIFIED THE GREATEST HEALTH NEEDS AMONG ITS HOSPITAL'S COMMUNITIES. THIS 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 2023-2025 BY TANNER MEDICAL CENTER, INC. INCLUDES (1) ACCESS TO CARE; (2) MENTAL/BEHAVIORAL HEALTH SERVICES (3) CHRONIC DISEASE EDUCATION, PREVENTION AND MANAGEMENT; (4) HEALTH AND NUTRITION EDUCATION; (5) SUBSTANCE MISUSE; AND (6) SOCIAL DETERMINANTS OF HEALTH.

SCHEDULE H, PART VI, LINE 7
GEORGIA

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. 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 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. 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. FOLLOWING IS A SUMMARY AND DEMOGRAPHICS OF THE COMMUNITIES SERVED BY TANNER. TANNER'S HOSPITALS DEFINE THE COMMUNITY AS THE GEOGRAPHIC AREA THE HOSPITAL SERVES, CONSIDERING ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREA FOR ALL THREE OF TANNER'S HOSPITALS - TANNER MEDICAL CENTER/CARROLLTON, TANNER MEDICAL CENTER/VILLA RICA AND HIGGINS GENERAL HOSPITAL IN BREMEN - INCLUDES THE GEOGRAPHIC AREAS OF CARROLL, HARALSON AND HEARD COUNTIES, COVERING 1,077 SQUARE MILES OF PREDOMINANTLY RURAL AREA (73% RURAL) WITH A TOTAL POPULATION OF 164,105 (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 2023 COUNTY HEALTH RANKINGS AND THE U.S. CENSUS BUREAU, 2021 ESTIMATES) OF CARROLL COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA, WITH A COMMUNITY SERVED BY TANNER MEDICAL CENTER/CARROLLTON AND TANNER MEDICAL CENTER/VILLA RICA): POPULATION 121,968; 69.3% NON-HISPANIC WHITE, 19.6% NON-HISPANIC BLACK, 7.5% HISPANIC, 0.6% AMERICAN INDIAN AND ALASKA NATIVE, 1.1% ASIAN, 0.1% NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER; AVERAGE INCOME 59,900; UNINSURED ADULTS 20%, UNINSURED CHILDREN 7%; UNEMPLOYMENT 3.7%; BELOW POVERTY LEVEL 16.3%. DEMOGRAPHICS OF HARALSON COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA, THE COMMUNITY SERVED BY HIGGINS GENERAL HOSPITAL): POPULATION 30,572; 90.2% NON-HISPANIC WHITE, 4.6% NON-HISPANIC BLACK, 2.3% HISPANIC, 0.4% AMERICAN INDIAN AND ALASKA NATIVE, 0.8% ASIAN; AVERAGE INCOME 62,500; UNINSURED ADULTS 19%, UNINSURED CHILDREN 9%; UNEMPLOYMENT 3.5%; BELOW POVERTY LEVEL 14.9%. DEMOGRAPHICS OF HEARD COUNTY (DESIGNATED AS A MEDICALLY UNDERSERVED AREA, THE COMMUNITY SERVED BY TANNER MEDICAL CENTER/CARROLLTON): POPULATION 11,565; 84.2% NON-HISPANIC WHITE, 9.7% NON- HISPANIC BLACK, 3% HISPANIC, 0.6% AMERICAN INDIAN AND ALASKA NATIVE, 0.5% ASIAN; AVERAGE INCOME 50,400; UNINSURED ADULTS 18%, UNINSURED CHILDREN 10%; UNEMPLOYMENT 3.9%; BELOW POVERTY LEVEL 17.2%.

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IN FY 2022, TANNER MEDICAL CENTER, INC. PROVIDED MORE THAN 34 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 AND INVEST IN TECHNOLOGICAL ADVANCEMENTS. THE HEALTH SYSTEM ALSO REINVESTS ITS SURPLUS FUNDS TO SUPPORT COMMUNITY HEALTH PROGRAMS AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH. MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH 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.

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TANNER MEDICAL CENTER, INC. PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO RESIDENTS OF WEST GEORGIA AND SURROUNDING AREAS. TANNER MEDICAL CENTER, INC. IS PART OF AN AFFILIATED HEALTH CARE SYSTEM WHICH INCLUDES THE FOLLOWING: TANNER MEDICAL CENTER/CARROLLTON, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 181-BED ACUTE CARE HOSPITAL IN CARROLLTON, GEORGIA. TANNER MEDICAL CENTER/VILLA RICA, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 40-BED ACUTE CARE HOSPITAL AND WILLOWBROOK AT TANNER/VILLA RICA, A 92-BED PSYCHIATRIC FACILITY IN VILLA RICA, GEORGIA. TANNER MEDICAL CENTER/HIGGINS GENERAL HOSPITAL, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 25-BED CRITICAL ACCESS HOSPITAL IN BREMEN, GEORGIA. TANNER MEDICAL GROUP, ESTABLISHED TO OPERATE PHYSICIAN PRACTICES IN WEST GEORGIA AND EASTERN ALABAMA. TANNER MEDICAL CENTER/EAST ALABAMA, ESTABLISHED TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES THROUGH THE OPERATION OF A 15-BED ACUTE CARE HOSPITAL IN WEDOWEE, ALABAMA. 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.