Civic Intelligence

Tanner Medical Center Group Return

990 • Fiscal year 2019 • EIN 80-0785570

Jul 01, 2018 to Jun 30, 2019 • Filed on Jul 15, 2020

705 Dixie StreetCarrollton, GA 30117-3818

(770) 836-9580

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

76th percentile

0.61x

Higher debt load relative to assets than 76% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Liabilities / Revenue

39th percentile

0.40x

Higher debt load relative to revenue than 39% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Net Margin

30th percentile

0.4%

Higher net margin than 30% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Top Officer Pay

84th percentile

$2,118,022

Higher top officer pay than 84% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2019

Asset Growth

62nd percentile

7.0%

Faster asset growth than 62% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2018 to 2019

Revenue Growth

63rd percentile

6.9%

Faster revenue growth than 63% of similar nonprofits.

2019 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2018 to 2019

Assets

Up

$170,390,180

Up $11,140,248 (+7.0%) from 2018

Net Assets

Up

$65,804,842

Up $2,380,762 (+3.8%) from 2018

Liabilities

Up

$104,585,338

Up $8,759,486 (+9.1%) from 2018

Revenue

Up

$259,426,093

Up $16,653,910 (+6.9%) from 2018

Expenses

Up

$258,265,016

Up $22,211,998 (+9.4%) from 2018

Net Income

Down

$1,161,077

Down $5,558,088 (-83%) from 2018

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$800M$600M$400M$200M$0-$200MAssets 2010: $361,667,704Liabilities 2010: $94,661,739Net Assets 2010: $267,005,9652010Assets 2011: $60,161,759Liabilities 2011: $60,929,947Net Assets 2011: -$768,1882011Assets 2012: $104,992,146Liabilities 2012: $9,709,740Net Assets 2012: $95,282,4062012Assets 2013: $109,265,611Liabilities 2013: $9,501,203Net Assets 2013: $99,764,4082013Assets 2014: $111,039,771Liabilities 2014: $20,324,071Net Assets 2014: $90,715,7002014Assets 2015: $118,374,034Liabilities 2015: $36,218,684Net Assets 2015: $82,155,3502015Assets 2016: $117,293,059Liabilities 2016: $36,171,177Net Assets 2016: $81,121,8822016Assets 2017: $126,766,509Liabilities 2017: $42,844,029Net Assets 2017: $83,922,4802017Assets 2018: $159,249,932Liabilities 2018: $95,825,852Net Assets 2018: $63,424,0802018Assets 2019: $170,390,180Liabilities 2019: $104,585,338Net Assets 2019: $65,804,8422019Assets 2020: $430,161,441Liabilities 2020: $372,457,247Net Assets 2020: $57,704,1942020Assets 2021: $469,761,069Liabilities 2021: $392,485,840Net Assets 2021: $77,275,2292021Assets 2022: $578,865,891Liabilities 2022: $391,890,719Net Assets 2022: $186,975,1722022Assets 2023: $610,272,320Liabilities 2023: $378,336,474Net Assets 2023: $231,935,8462023Assets 2024: $715,813,110Liabilities 2024: $425,624,619Net Assets 2024: $290,188,4912024

Highlighted filing

2019

Assets$170,390,180
Liabilities$104,585,338
Net Assets$65,804,842

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.0B$500M$0-$500MRevenue 2010: $0Expenses 2010: $316,149,062Net Income 2010: -$316,149,0622010Expenses 2011: $66,666,1472011Revenue 2012: $188,935,030Expenses 2012: $189,026,845Net Income 2012: -$91,8152012Expenses 2013: $173,150,4692013Revenue 2014: $169,860,681Expenses 2014: $178,909,389Net Income 2014: -$9,048,7082014Revenue 2015: $167,172,850Expenses 2015: $175,733,200Net Income 2015: -$8,560,3502015Revenue 2016: $187,504,597Expenses 2016: $188,538,065Net Income 2016: -$1,033,4682016Revenue 2017: $199,809,330Expenses 2017: $197,008,732Net Income 2017: $2,800,5982017Revenue 2018: $242,772,183Expenses 2018: $236,053,018Net Income 2018: $6,719,1652018Revenue 2019: $259,426,093Expenses 2019: $258,265,016Net Income 2019: $1,161,0772019Revenue 2020: $262,352,566Expenses 2020: $270,453,214Net Income 2020: -$8,100,6482020Revenue 2021: $338,508,721Expenses 2021: $318,937,686Net Income 2021: $19,571,0352021Revenue 2022: $394,067,150Expenses 2022: $284,367,207Net Income 2022: $109,699,9432022Revenue 2023: $443,885,449Expenses 2023: $398,924,775Net Income 2023: $44,960,6742023Revenue 2024: $522,712,016Expenses 2024: $464,459,371Net Income 2024: $58,252,6452024

Highlighted filing

2019

Revenue$259,426,093
Expenses$258,265,016
Net Income$1,161,077
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
Jul 15, 2020
Return Version
2018v3.2
Gross Receipts
$259,568,678
Mission and Program Overview

Mission

To serve communities throughout west georgia and east alabama by offering a wide range of primary care and specialty practices.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$115,517,185$120,100,814▲ $4,583,629
Accounts Receivable$25,208,236$28,768,462▲ $3,560,226
Cash and Non-Interest-Bearing Accounts$9,889,367$12,848,725▲ $2,959,358
Intangible Assets$3,636,000$3,272,400▼ $363,600
Inventories for Sale or Use$2,853,828$3,189,798▲ $335,970
Savings and Temporary Cash Investments$130,626--
Prepaid Expenses and Deferred Charges$298,793$-238,821▼ $537,614
Total Assets$159,249,932$170,390,180▲ $11,140,248
Other Assets Total$1,715,897$2,448,802▲ $732,905
Liabilities
Other Liabilities$85,775,006$95,584,702▲ $9,809,696
Accounts Payable and Accrued Expenses$10,050,846$9,000,636▼ $1,050,210
Total Liabilities$95,825,852$104,585,338▲ $8,759,486
Net Assets / Fund Balance
Unrestricted Net Assets$63,424,080$65,804,842▲ $2,380,762
Total Net Assets Fund Balance$63,424,080$65,804,842▲ $2,380,762
Total Liabilities and Net Assets / Fund Balance$159,249,932$170,390,180▲ $11,140,248

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$82,471,865$52,246,943$134,718,808
Equipment$19,499,374$34,507,990$54,007,364
Land$11,265,250-$11,265,250
Leasehold Improvements$4,998,965$1,499,764$6,498,729
Other Land Buildings$1,865,360-$1,865,360
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Shazib Khawaja MdPhysicianFT$1,009,854$593,257$1,448,742
Christopher Arant MdDirector/phyFT$1,079,280$31,069$1,110,349
Christopher Arant MdDirector/physician-$886,807$212,446$1,110,349
Loy HowardCEOPT$447,142$93,145$900,159
Rajat Jhanjee MdPhysicianFT$463,508$302,876$774,061
Timothy Albert MdPhysicianFT$553,289$110,183$683,599
Ben Camp MdVP, MedicalPT$265,963$390,952$656,915
Chelif Junor MdPhysicianFT$624,224$30,968$651,418
Glenn Whitney MdPhysicianFT$455,848$97,489$555,856
Wayne SenfeldSr. VP, BusPT$194,338$291,216$485,554
William Waters MdCMOPT$158,142$256,920$403,220
Ben Camp MdVP, Medical Affairs-$212,050$127,613$279,190
Carol CrewsCFOPT$168,019$108,706$275,617
Paula GreshamAdmin WillowFT$229,440$26,900$256,340
Paula GreshamAdmin Willowbrooke-$189,385$55,684$256,340
Jerry MorrisAdministratoPT$114,711$104,539$219,250
Eric DaltonAdministratoFT$207,420$8,497$215,917
Eric DaltonAdministrator-$170,668$55,671$215,917
Jim GriffithCOOPT$159,051$65,704$214,429
William HinesContract CAOPT$146,602$203,460$214,079
Wayne SenfeldSr. VP, Bus Dev-$152,696$64,812$206,361
Susan FoxSVP, TmgPT$119,863$46,091$163,556
Deborah MatthewsCNOPT$117,047$45,703$159,279
Denise TaylorCCHPT$98,595$37,578$133,420
Jerry MorrisAdministrator-$98,091$40,408$131,550
Greg SchulenburgCIOPT$74,260$17,879$94,592

Board Members and Trustees

NameTitle
Daniel JacksonChairman
Jeffrey Lindsey DmdVice Chairma
Anna BerryDirector
FREDERICK O'NEALDirector
Howard RayDirector
Lynn ClarkeDirector
Steve AdamsDirector
Timothy WarrenDirector
Kyle MarreroDrct (left 3
Mary CovingtonSecretary
Gelon WasdinTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Ra-lin & Associates INCConstruction101 PARKWOOD CIRCLE, Carrollton, GA 30117-8756$33,817,503
Epic Systems CorporationElectronic Mr1979 MILKY WAY, Verona, WI 53593$7,492,081
Apogee Medical MgmtPhysicians15059 N SCOTTSDALE RD SUITE 600, Scottsdale, AZ 85254-2685$6,316,889
Impact Advisors LLCConsultingP O BOX 379, Naperville, IL 60566-0379$4,863,352
Multiple Sclerosis CenterMs Mgmt/rent3200 DOWNWOOD CIRCLE NW SUITE 550, Atlanta, GA 30327-1624$4,158,829
Revenue and Support

Revenue Composition

Contributions and Grants
$2,083,768
Program Service Revenue
$255,352,926
Investment Income
$206,577
Other Revenue
$1,782,822
All Other Contributions
$1,911,482
Change in Net Assets
$1,161,077
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$139,397,896
Salaries, Compensation, and Employee Benefits$118,867,120
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$100,572,884$3,100,893-$103,673,777
Fees for Services Other$15,862,227$930,031-$16,792,258
Office Expenses$11,106,270$65,180-$11,171,450
Depreciation Depletion$10,840,014$93,046-$10,933,060
Payroll Taxes$6,193,085$376,028-$6,569,113
Pension Plan Contributions$4,109,981$140,448-$4,250,429
Current Officers, Directors, Trustees, and Key Employees$1,110,348$3,043,898-$4,154,246
Occupancy$1,856,465$150,741-$2,007,206
Fees for Services Management$1,468,472--$1,468,472
All Other Expenses$1,079,139$176,254-$1,255,393
Other Expenses$950,000$28,620-$950,000
Insurance$678,078$854-$678,932
Travel$321,298$42,171-$363,469
Conferences and Meetings$257,614$13,625-$271,239
Other Employee Benefits$212,566$6,989-$219,555
Advertising$212,563$144-$212,707
Fees for Services Legal-$19,618-$19,618
Total Functional Expenses$250,076,476$8,188,540$0$258,265,016
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Board MemberAmbulance ServicesNo$39,713
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Parties$94,286,248
Third Party Settlements$1,298,454
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 3

Cypress healthcare partners, llc, an unrelated organization, is a consulting firm providing management services to tanner. Cypress healthcare partners, llc assigned william hines as chief administrative officer. Service provided by william hines includes directing various departmental operations (tmc engineering, dietary, human resources etc.), managing physician practices, and hospice and home health operations.

Form 990, Page 6, Part VI, Line 7A

The organization's directors are the directors of tanner medical center, inc. (tmc), a 501(c)(3) tax exempt entity and related organization. The directors are elected as provided by the bylaws of tmc. A director serves only so long as they serve as tmc director. Persons removed from the tmc governing board shall automatically be removed from the organization's governing board.

Form 990, Page 6, Part VI, Line 11B

Tmc's accounting department gathers information for the preparation of the form 990 and consults with the cfo and tmc compliance officer on certain matters. Prior to filing with the irs, a draft copy as prepared by the external accounting firm is reviewed by the cfo for accuracy. Once corrections are made, the final version is distributed to all voting board members via electronic means prior to filing with the irs.

Form 990, Page 6, Part VI, Line 12C

The policy covers all employees, suppliers, medical staff and volunteers. Conflicts are reviewed by the tmc compliance officer for resolution. The compliance officer then consults with the executive team and the ceo for final resolution. Per the policy, any person with a conflict will recuse themselves from the decision making process completely. Board members physically leave the room when discussions occur that are potential conflicts. Tanner bids out services and if a company owned by a board member chooses to bid, there are additional steps taken for transparency, such as advertising the bidding process in the newspaper. All services are compared to fair market value.

Form 990, Page 6, Part VI, Line 19

The organization makes available its governing documents, conflict of interest policy and financial statements to members of the pubic who make their request at the administrative office of the organization.

Filing and Contact Details

Filer

Filer Name
Tanner Medical Center Group Return
EIN
80-0785570
Phone
7708369580
Address
705 DIXIE STREET, CARROLLTON, GA 30117-3818

Signing Officer

Name
Carol Crews
Title
CFO
Phone
7708369580
Signed
2020-07-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Loy Howard
Formed
1999
Legal Domicile
Ga
Voting Board Members
11
Independent Board Members
9
Employees
0
Volunteers
68

Preparer

Firm
Draffin & Tucker Llp
Address
PO BOX 71309, ALBANY, GA 31708-1309
Preparer
Jacqueline G Atkins
Phone
2298837878
Supplemental Narrative

Additional Explanations

Form 990

Page 1, line h(b)-affliated group tanner medical center alabama, inc. (fei 47-5348597) was granted tax exempt status under section 501(c)(3) effective september 10, 2015. The organization was originally and inadvertently included in the group exemption for tanner medical center, inc. (fei 80-0785570) upon its organization. In order to obtain its stand-alone exemption status, the organization has requested that it be removed from the group ruling from the date of its inclusion.

Form 990, Page 2, Part III, Line 4A

Tanner medical center, inc. Group physicians offer a wide range of medical specialties, including interventional and non-interventional cardiology, family medicine, gastroenterology, general surgery, infectious diseases, internal medicine, neurology, obstetrics and gynecology, pediatrics, psychiatry, pulmonary and critical care medicine, surgical breast care and vascular surgery. Tanner hospice care provides hospice care services to communities throughout west georgia regardless of ability to pay. Tanner home health provides home health care to communities throughout west georgia regardless of ability to pay.

Form 990, Part XI, Line 9

Permanent equity transfer - buchanan 1,219,685 tmc buchanan family healthcare center, which previously filed a separate form 990, was added to the group in fye 6/30/19. The increase represents buchanan's net assets balance as of fye 6/30/18 which are now consolidated in the group return.

Financial Statement Notes

Schedule D, Page 3, Part X

The medical center is a not-for-profit corporation that has been recognized as tax-exempt pursuant to section 501(c)(3) of the internal revenue code. The medical center applies accounting policies that prescribe when to recognize and how to measure the financial statement effects of income tax positions taken or expected to be taken on its income tax returns. These rules require management to evaluate the likelihood that, upon examination by the relevant taxing jurisdictions, those income tax positions would be sustained. Based on that evaluation, the medical center only recognizes the maximum benefit of each income tax position that is more than 50% likely of being sustained. To the extent that all or a portion of the benefits of an income tax position are not recognized, a liability would be recognized for the unrecognized benefits, along with any interest and penalties that would result from disallowance of the position. Should any such penalties and interest be incurred, they would be recognized as operating expenses. Based on the results of managements evaluation, no liability is recognized in the accompanying balance sheet for unrecognized income tax positions. Further, no interest or penalties have been accrued or charged to expense as of june 30, 2019 and 2018 or for the years then ended. The medical centers tax returns are subject to possible examination by the taxing authorities. For federal income tax purposes, the tax returns essentially remain open for possible examination for a period of three years after the respective filing deadlines of those returns. Tanner medical group is part of a tax-exempt organization pursuant to section 501(c)(3) of the internal revenue code. The affiliated business services provided are, however, subject to unrelated business income taxes and a form 990-t, exempt organization business income tax return is filed for these services.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt0TMC INTERNAL MEDICINE OF VILLA RICA
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt1TMC CAROUSEL PEDIATRICS INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt2TMC-TANNER NEUROLOGY ASSOCIATES INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt3TANNER MEDICAL GROUP INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt4TANNER PRIMARY CARE OF HEFLIN
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt5TANNER PRIMARY CARE OF WEDOWEE INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt6TMC HIGGINS GENERAL HOSPITAL INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt7TMC VILLA RICA HOSPITAL INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt8TMC-HOSPICE CARE INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt9TMC-HOME HEALTH INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt10TMC-BEHAVIORAL HEALTH OF WEST GEORGIA
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt11TANNER FAMILY HEALTHCARE OF FRANKLIN INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt12TANNER INTENSIVE MEDICAL SERVICES
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt13TMC HARALSON FAMILY HEALTH CARE CENTER INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt14TMC IMMEDIATE CARE INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt15TMC OCCUPATIONAL HEALTH INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt16TMC TALLAPOOSA FAMILY HEALTH CARE CENTER INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt17TMC WEST CARROLL FAMILY HEALTHCARE CENTER INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt18TMC WEST GEORGIA ANESTHESIA ASSOCIATES INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt19TANNER PRIMARY CARE OF ROANOKE
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt20TMCTANNER PAIN MANAGEMENT INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt21TMC WOODLAND FAMILY HEALTHCARE INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt22WEST GEORGIA SURGERY CENTER INC
AffiliateListing/AffiliateListingGrp/BusinessName/BusinessNameLine1Txt23TMCBUCHANAN FAMILY HEALTHCARE INC
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AffiliateListing/AffiliateListingGrp/USAddress/AddressLine1Txt0705 DIXIE STREET
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AffiliateListing/AffiliateListingGrp/USAddress/AddressLine1Txt3705 DIXIE STREET
AffiliateListing/AffiliateListingGrp/USAddress/AddressLine1Txt4140 B TOMPKINS ST
AffiliateListing/AffiliateListingGrp/USAddress/AddressLine1Txt5705 DIXIE STREET
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Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$716$426$290$523$464$58.3
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$610$378$232$444$399$45.0
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$579$392$187$394$284$110
2021Detailed filing. Detailed filing data is available for this year.$470$392$77.3$339$319$19.6
2020Detailed filing. Detailed filing data is available for this year.$430$372$57.7$262$270$8.10
2019Detailed filing. Detailed filing data is available for this year.$170$105$65.8$259$258$1.16
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$159$95.8$63.4$243$236$6.72
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$127$42.8$83.9$200$197$2.80
2016Detailed filing. Detailed filing data is available for this year.$117$36.2$81.1$188$189$1.03
2015Detailed filing. Detailed filing data is available for this year.$118$36.2$82.2$167$176$8.56
2014Summary only. Only limited summary data is available for this year.$111$20.3$90.7$170$179$9.05
2013XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$109$9.50$99.8$173
2012Summary only. Only limited summary data is available for this year.$105$9.71$95.3$189$189$0.09
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$60.2$60.9$0.77$66.7
2010Summary only. Only limited summary data is available for this year.$362$94.7$267$0.00$316$316