STRATEGY STUDIO / PUBLIC DATA EXPLORER

TALLAHASSEE MEMORIAL HEALTHCARE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC (EIN 59-1917016)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-13
IRS object ID
202112259349301821
Schema version
2019v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-08-13T09:59:44-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN591917016EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TALLAHASSEE MEMORIAL HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% WILLIAM A GIUDICE CFOInCareOfNm
Business Name ControlTALLBusinessNameControlTxt
Phone8504315238PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 MICCOSUKEE ROADAddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP323085054ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM GIUDICEPersonNm
Person TitleCFOPersonTitleTxt
Phone8504315238PhoneNum
Signature2021-08-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTONIO C RUSSOPreparerPersonNm
PTINP00858539PTIN
Phone2673303000PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWILLIAM GIUDICE CFOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 MICCOSUKEE ROADAddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP323085054ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$773,893,908GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.tmh.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTALLAHASSEE MEMORIAL HEALTHCARE, INC. IS A PRIVATE 772-BED, COMMUNITY HEALTHCARE SYSTEM THAT PROVIDES CHARITABLE, COMPASSIONATE, LEADING-EDGE, PATIENT-CENTERED HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee6822TotalEmployeeCnt
Total Volunteers350TotalVolunteersCnt
Total Gross UBI$1,424,468TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,147,438NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,129,931PYContributionsGrantsAmt
CY Contributions Grants$18,901,148CYContributionsGrantsAmt
PY Program Service Revenue$434,770,045PYProgramServiceRevenueAmt
CY Program Service Revenue$413,211,927CYProgramServiceRevenueAmt
PY Investment Income$7,452,998PYInvestmentIncomeAmt
CY Investment Income$2,252,705CYInvestmentIncomeAmt
PY Other Revenue$261,909,803PYOtherRevenueAmt
CY Other Revenue$270,129,138CYOtherRevenueAmt
PY Total Revenue$705,262,777PYTotalRevenueAmt
CY Total Revenue$704,494,918CYTotalRevenueAmt
PY Grants And Similar Paid$366,411PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$358,431CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$333,002,955PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$347,971,404CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$365,285,861PYOtherExpensesAmt
CY Other Expenses$370,276,449CYOtherExpensesAmt
PY Total Expenses$698,655,227PYTotalExpensesAmt
CY Total Expenses$718,606,284CYTotalExpensesAmt
PY Revenues Less Expenses$6,607,550PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$14,111,366CYRevenuesLessExpensesAmt
Total Assets BOY$991,316,249TotalAssetsBOYAmt
Total Assets EOY$1,043,128,439TotalAssetsEOYAmt
Total Liabilities BOY$520,662,735TotalLiabilitiesBOYAmt
Total Liabilities EOY$570,544,786TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$470,653,514NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$472,583,653NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFOUNDED MORE THAN 60 YEARS AGO, TALLAHASSEE MEMORIAL HEALTHCARE INC. IS A PRIVATE, NOT-FOR PROFIT, 772-BED, COMMUNITY HEALTH CARE SYSTEM THAT PROVIDES CHARITABLE, COMPASSIONATE, LEADING -EDGE, & PATIENT-CENTERED HEALTH CARE. ITS MISSION: TRANSFORMING CARE. ADVANCING HEALTH. IMPROVING LIVES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$644,809,980ExpenseAmt
Grant$358,431GrantAmt
Revenue$683,628,990RevenueAmt
DescDESIGNED TO MEET THE DIVERSE HEALTH CARE NEEDS OF THE BIG BEND REGION, TALLAHASSEE MEMORIAL HEALTHCARE, INC. (TMH) IS A COMPREHENSIVE, PRIVATE, NOT-FOR-PROFIT HEALTH CARE SYSTEM THAT SERVES 17 COUNTIES IN NORTH FLORIDA AND SOUTH GEORGIA. TMH INCLUDES A 772-BED ACUTE CARE HOSPITAL AND HAS A TIME-HONORED COMMITMENT TO PROVIDING PATIENT-CENTERED, WORLD-CLASS HEALTH CARE TO ITS COMMUNITY WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. PROVIDING INNOVATIVE TECHNOLOGY AND A BROAD SPECTRUM OF SERVICES, TMH HOLDS A NUMBER OF IMPORTANT DISTINCTIONS ITHIN THE REGIONAL HEALTH SECTOR. TMH IS HOME TO THE AREAS ONLY STATE-DESIGNATED TRAUMA CENTER AND THE REGION'S ONLY ACCREDITED COMMUNITY HOSPITAL CANCER PROGRAM. TMH IS RECOGNIZED BY THE SOCIETY OF CHEST PAIN CENTERS AS AN ACCREDITED CHEST PAIN CENTER WITH PCI. ADDITIONALLY, TMH HAS THE ONLY NEUROLOGICAL AND LEVEL III NEONATAL INTENSIVE CARE UNITS AND IS NORTH FLORIDA'S ONLY COMPREHENSIVE STROKE CENTER. TMH IS MANAGED BY A TEAM OF COMMUNITY CITIZENS WHO VOLUNTEER THEIR TIME AND EXPERTISE WITHOUT COMPENSATION. THE TMH BOARD OF DIRECTORS IS COMMITTED TO ITS COMMUNITY SERVICE MISSION AND MEMBERS SERVE WITHOUT COMPENSATION. THE ENERGY RESOURCES COMMITTED BY TMH AND ITS COLLEAGUES ARE PROOF OF THE FULFILLMENT OF ITS MISSION : TRANSFORMING CARE. ADVANCING HEALTH. IMPROVING LIVES. SEE SCHEDULE H, PART VI FOR ADDITIONAL DETAILS REGARDING SOME OF THE VARIOUS PROGRAM SERVICE ACCOMPLISHMENTS AND ADDITIONAL COMMUNITY BUILDING ACTIVITIES CONDUCTED BY TMH.Desc
Total Program Service Expenses$644,809,980TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document297IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee6822EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonWILLIAM A GIUDICE CFOPersonNm
Phone8504315238PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 MICCOSUKEE ROADAddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP323085054ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
G MARK O'BRYANT
EX-OFFICIO DIRECTOR & CEO53.02.0Yes (X)Yes (X)$1,225,694$0$313,981
OVIDIU MARINA MD
RADIATION ONCOLOGIST55.00.0$981,741$0$30,642Yes (X)
WILLIAM DOBAK MD
HEMATOLOGIST/ONCOLOGIST55.00.0$943,198$0$30,706Yes (X)
ELIOT B SIELOGG MD
GENERAL SURGEON55.00.0$864,160$0$30,725Yes (X)
MARGARETT ELLISON MD
GYNECOLOGIST/ONCOLOGIST55.00.0$855,668$0$13,902Yes (X)
MITCHELL PEABODY MD
HEMATOLOGIST/ONCOLOGIST55.00.0$814,412$0$30,706Yes (X)
WILLIAM GUIDICE
VP/CFO54.01.0Yes (X)$670,217$0$97,929
DEAN WATSON MD
CHIEF HEALTH OPS OFFICER55.00.0Yes (X)$536,840$0$76,867
BARBARA ALFORD
FRM CHF CLINICAL OFF/CNO/VP0.00.0$416,428$0$29,512Yes (X)
STEVEN E HAYNES
CHIEF HUMAN RESOURCE OFFICER55.00.0Yes (X)$363,432$0$41,057
DONALD LINDSEY
CHIEF INFORMATION OFFICER55.00.0Yes (X)$284,175$0$40,164
STEPHANIE M DERZYPOLSKI
CHIEF COMMUNICATION OFFICER55.00.0Yes (X)$253,785$0$42,791
RYAN SMITH
CHIEF CLINICAL OFFICER/CNO/VP55.00.0Yes (X)$225,741$0$23,439
ANDREA K FRIALL MD
CHIEF MEDICAL STAFF OFFICER45.00.0Yes (X)$239,770$0$2,696
NIGEL ALLEN
CHIEF ADVANCEMENT OFFICER/VP54.01.0Yes (X)$198,693$0$24,806
YASHICA L WILSON-HEARNS
VP/SUPPORT SERVICES55.00.0Yes (X)$184,068$0$20,955
JOSEPH L CAMPS MD
CHIEF INTEGRATION OFFICER/VP55.00.0Yes (X)$189,269$0$0
CYNTHIA BLAIR
FMR CHF IMPROVEMENT/PLNG OFF0.00.0$144,436$0$8,666Yes (X)
JANA IEZZI
CHIEF IMPROVEMENT OFFICER/VP55.00.0Yes (X)$114,138$0$5,856
THOMAS NOEL MD
DIRECTOR,INDEPENDENT PHYSICIAN1.50.0Yes (X)$12,853$0$0
AJ BRICKLER MD
DIRECTOR,INDEPENDENT PHYSICIAN1.50.0Yes (X)$11,000$0$0
MARTHA BARNETT
CHAIR2.01.0Yes (X)Yes (X)$0$0$0
LEE HINKLE
CHAIR-ELECT2.00.0Yes (X)Yes (X)$0$0$0
ANDREW WONG MD
SECRETARY2.00.0Yes (X)Yes (X)$0$0$0
THOMAS TRUMAN MD
TREASURER2.00.0Yes (X)Yes (X)$0$0$0
BRANT COPELAND
DIRECTOR1.50.0Yes (X)$0$0$0
KELLY DOZIER
DIRECTOR1.50.0Yes (X)$0$0$0
STEVEN EVANS
DIRECTOR1.50.0Yes (X)$0$0$0
WINSTON HOWELL
DIRECTOR1.50.0Yes (X)$0$0$0
JAMES KILLIUS MD
DIRECTOR1.50.0Yes (X)$0$0$0
AVERY MCKNIGHT
DIRECTOR1.50.0Yes (X)$0$0$0
ERMAN MURRAY JR
DIRECTOR1.50.0Yes (X)$0$0$0
GARY WINCHESTER
DIRECTOR1.50.0Yes (X)$0$0$0
ED CANUP
EX-OFFICIO DIRECTOR1.02.0Yes (X)$0$0$0
BETH GREEN
EX-OFFICIO DIRECTOR1.01.0Yes (X)$0$0$0
JOSEPH SOTTO MD
EX-OFFICIO DIRECTOR1.00.0Yes (X)$0$0$0
SALLY BRADSHAW
DIRECTOR1.50.0Yes (X)$0$0$0
CHRISTOPHER RUMANA MD
DIRECTOR1.50.0Yes (X)$0$0$0
ANDREW STARR AS OF 42020
CHIEF HEALTH OPS OFFICER55.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,529,718TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$865,400TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K469IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SOUTHERN MEDICAL GROUP PA
1300 MEDICAL DRIVETALLAHASSEEFL32308PHYSICIAN SERVICES$29,541,400
CROSS COUNTRY STAFFING INC
6551 PARK OF COMMERCE BLVDBOCA RATONFL33487STAFFING AGENCY$25,643,444
BRASFIELD GORRIE LLC
1990 VAUGHN ROAD SUITE 100KENNESAWGA30144CONSTRUCT. ENGINEER$17,336,675
PENNINGONT PA
215 S MONROE STREETTALLAHASSEEFL32301LEGAL SERVICES$8,992,919
TALLAHASSEE PULMONARY CLINIC
2617 MITCHAM DRIVETALLAHASSEEFL32308PHYSICIAN SERVICES$8,580,236
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K97CntrctRcvdGreaterThan100KCnt
Related Organizations$1,325,291RelatedOrganizationsAmt
Government Grants$17,379,831GovernmentGrantsAmt
All Other Contributions$196,026AllOtherContributionsAmt
Noncash Contributions$31,398NoncashContributionsAmt
Total Contributions$18,901,148TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET HEALTH CARE SERVICE REVENUESDesc
Business621500BusinessCd
Total Revenue Column$413,211,927TotalRevenueColumnAmt
Related Or Exempt Func Income$412,790,086RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$421,841UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$413,211,927TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,574,702TotalRevenueColumnAmt
Exclusion$1,574,702ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,282,484RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$3,570,409RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$287,925RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$287,925TotalRevenueColumnAmt
Unrelated Business Revenue$1,002,627UnrelatedBusinessRevenueAmt
Exclusion-$1,290,552ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,241,285SecuritiesAmt
Other$385,500OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,922,879SecuritiesAmt
Other$25,903OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$318,406SecuritiesAmt
Other$359,597OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$678,003TotalRevenueColumnAmt
Exclusion$678,003ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$329,469,924GrossSalesOfInventoryAmt
Cost Of Goods Sold$63,879,799CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$265,590,125TotalRevenueColumnAmt
Related Or Exempt Func Income$265,590,125RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
VENDOR REBATES900099$3,257,520$3,257,520
MEDICARE AND MEDICAID MEANINGFUL USE900099$809,734$809,734
PARKING DECK900099$384,920$384,920

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$374,764TotalRevenueColumnAmt
Related Or Exempt Func Income$374,764RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,826,938OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$704,494,918TotalRevenueColumnAmt
Related Or Exempt Func Income$683,207,149RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,424,468UnrelatedBusinessRevenueAmt
Exclusion$962,153ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$358,431TotalAmt
Program Services$358,431ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,192,528TotalAmt
Program Services$4,654,054ProgramServicesAmt
Management And General$538,474ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$291,654,387TotalAmt
Program Services$263,167,294ProgramServicesAmt
Management And General$28,487,093ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,201,895TotalAmt
Program Services$2,892,591ProgramServicesAmt
Management And General$309,304ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$27,387,263TotalAmt
Program Services$24,712,235ProgramServicesAmt
Management And General$2,675,028ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$20,535,331TotalAmt
Program Services$18,529,560ProgramServicesAmt
Management And General$2,005,771ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,906,449TotalAmt
Program Services$2,773,438ProgramServicesAmt
Management And General$133,011ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,408,045TotalAmt
Management And General$1,408,045ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$102,009TotalAmt
Program Services$102,009ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$89,244,596TotalAmt
Program Services$86,166,155ProgramServicesAmt
Management And General$3,078,441ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,928,930TotalAmt
Management And General$1,928,930ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$29,069,467TotalAmt
Program Services$26,587,265ProgramServicesAmt
Management And General$2,482,202ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$24,293,499TotalAmt
Program Services$13,792,599ProgramServicesAmt
Management And General$10,500,900ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,534,239TotalAmt
Program Services$6,503,094ProgramServicesAmt
Management And General$1,031,145ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,657,189TotalAmt
Program Services$1,582,845ProgramServicesAmt
Management And General$1,074,344ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$938,292TotalAmt
Program Services$281,405ProgramServicesAmt
Management And General$656,887ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$14,074,647TotalAmt
Program Services$14,074,647ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$42,539,533TotalAmt
Program Services$38,128,294ProgramServicesAmt
Management And General$4,411,239ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,232,881TotalAmt
Program Services$8,845,148ProgramServicesAmt
Management And General$387,733ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PATIENT EXPENSES$96,817,016$96,817,016
SERVICE/MAINTENANCE$24,573,088$17,074,539$7,498,549
INDIGENT CARE ASSESSMENT$7,612,859$7,612,859
ALL OTHER EXPENSES$15,343,710$10,154,502$5,189,208

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$718,606,284TotalAmt
Program Services$644,809,980ProgramServicesAmt
Management And General$73,796,304ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$286,803,986BOYAmt
EOY$362,339,130EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$91,487,414BOYAmt
EOY$76,188,542EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,571,249BOYAmt
EOY$13,130,449EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$19,122,585BOYAmt
EOY$18,427,905EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$984,247,759LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$479,209,746LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$522,008,780BOYAmt
EOY$505,038,013EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$27,300BOYAmt
EOY$27,300EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$58,294,935BOYAmt
EOY$67,977,100EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$991,316,249BOYAmt
EOY$1,043,128,439EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$86,552,962BOYAmt
EOY$77,547,068EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$364,393,333BOYAmt
EOY$359,490,445EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$20,102,680BOYAmt
EOY$19,470,096EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$49,613,760BOYAmt
EOY$114,037,177EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$520,662,735BOYAmt
EOY$570,544,786EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$470,653,514BOYAmt
EOY$472,583,653EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$470,653,514BOYAmt
EOY$472,583,653EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$991,316,249BOYAmt
EOY$1,043,128,439EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$14,111,366ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$16,041,505OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,602,289CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,171,428CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,724,422CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,129,931CurrentTaxYearMinus1YearAmt
Current Tax Year$18,901,148CurrentTaxYearAmt
Total$26,529,218TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,602,289CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,171,428CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,724,422CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,129,931CurrentTaxYearMinus1YearAmt
Current Tax Year$18,901,148CurrentTaxYearAmt
Total$26,529,218TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$26,529,218PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$105,610CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$287,579CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,048,467CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,765,009CurrentTaxYearMinus1YearAmt
Current Tax Year$1,286,777CurrentTaxYearAmt
Total$13,493,442TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,134,955CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,091,544CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,642,699CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,259,247CurrentTaxYearMinus1YearAmt
Current Tax Year$1,424,468CurrentTaxYearAmt
Total$6,552,913TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$46,575,573TotalSupportAmt
Gross Receipts Rltd Activities$3,222,582,109GrossReceiptsRltdActivitiesAmt
Public Support CY1700.56959PublicSupportCY170Pct
Public Support PY1700.34624PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$102,009FilingOrganizationsTotalAmt
Affiliated Group Total$102,009AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$102,009FilingOrganizationsTotalAmt
Affiliated Group Total$102,009AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$718,504,275FilingOrganizationsTotalAmt
Affiliated Group Total$720,589,106AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$718,606,284FilingOrganizationsTotalAmt
Affiliated Group Total$720,691,115AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt
FieldValueIRS element (for citing)
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$79,152CurrentYearMinus3Amt
Current Year Minus2$93,548CurrentYearMinus2Amt
Current Year Minus1$91,430CurrentYearMinus1Amt
Current Year$102,009CurrentYearAmt
Total$366,139TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$0CurrentYearMinus3Amt
Current Year Minus2$0CurrentYearMinus2Amt
Current Year Minus1$0CurrentYearMinus1Amt
Current Year$0CurrentYearAmt
Total$0TotalAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE C, PART II-A, LINE 1FormAndLineReferenceDesc
ExplanationSUPPLEMENTAL INFORMATION REGARDING LOBBYING EXPENSES LOBBYING EXPENSES INCURRED INCLUDE MEETING WITH LOCAL CITY AND COUNTY OFFICIALS AND LEGISLATORS IN ORDER TO SECURE APPROPRIATED FUNDS FOR THE LEVEL II TRAUMA CENTER, AS WELL AS PORTIONS OF AMERICAN HOSPITAL ASSOCIATION (AHA) AND FLORIDA HOSPITAL ASSOCIATION (FHA) MEMBERSHIP DUES ALLOCATED TO LOBBYING EXPENSES. ---------- AFFILIATED GROUP INFORMATION: NAME OF ELECTING ORGANIZATION: ------------------------------------------------------- TALLAHASSEE MEMORIAL HEALTHCARE, INC. - DIRECT LOBBYING EXPENDITURES: $102,009 - OTHER EXEMPT PURPOSE EXPENDITURES: $718,504,275 THIS ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED SEPTEMBER 30, 2020. THIS ELECTION HAS NO BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2019. NAME OF NON-ELECTING ORGANIZATION: ------------------------------------------------------- SOUTHEAST COMMUNITY HEALTH SRVS, INC. - DIRECT LOBBYING EXPENDITURES: $0 - OTHER EXEMPT PURPOSE EXPENDITURES: $184,638 TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION - DIRECT LOBBYING EXPENDITURES: $0 - OTHER EXEMPT PURPOSE EXPENDITURES: $1,900,193ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,822,389BeginningYearBalanceAmt
Contributions$292,251ContributionsAmt
Investment Earnings Or Losses$308,507InvestmentEarningsOrLossesAmt
End Year Balance$9,423,147EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,370,073BeginningYearBalanceAmt
Contributions$205,387ContributionsAmt
Investment Earnings Or Losses$246,929InvestmentEarningsOrLossesAmt
End Year Balance$8,822,389EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,958,119BeginningYearBalanceAmt
Contributions$251,445ContributionsAmt
Investment Earnings Or Losses$164,009InvestmentEarningsOrLossesAmt
Other Expenditures$3,500OtherExpendituresAmt
End Year Balance$8,370,073EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,521,314BeginningYearBalanceAmt
Contributions$256,272ContributionsAmt
Investment Earnings Or Losses$181,583InvestmentEarningsOrLossesAmt
Other Expenditures$1,050OtherExpendituresAmt
End Year Balance$7,958,119EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,134,085BeginningYearBalanceAmt
Contributions$195,126ContributionsAmt
Investment Earnings Or Losses$198,103InvestmentEarningsOrLossesAmt
Other Expenditures$6,000OtherExpendituresAmt
End Year Balance$7,521,314EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,491,820OtherCostOrOtherBasisAmt
Book Value$24,491,820BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$582,680,790OtherCostOrOtherBasisAmt
Depreciation$221,293,882DepreciationAmt
Book Value$361,386,908BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,867,932OtherCostOrOtherBasisAmt
Depreciation$4,399,896DepreciationAmt
Book Value$3,468,036BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$348,977,551OtherCostOrOtherBasisAmt
Depreciation$253,515,968DepreciationAmt
Book Value$95,461,583BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,229,666OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$20,229,666BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$505,038,013TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
DEBT RESERVE FUND$8,135,161
DEPOSITS AND OTHER ASSETS$31,289,616
OTHER RECEIVABLES$8,710,213
SELF INSURANCE TRUST FUND$5,694,818
UNEXPENDED CONSTRUCTION FUND$13,357,292
SWAP COLLATERAL$790,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$67,977,100TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
WORKER'S COMP SELF INSURANCE$2,074,376
PROFESSIONAL LIABILITY SELF IN$23,463,147
OBLIGATION FOR SUPPLEMENTAL EX$3,790,181
DEFFERRED COMP ARRANGEMENT$5,911,025
AHCA ASSESSMENT$5,904,000
OTHER LIABILITIES$9,935,842
DEFERRED EMPLOYER PAYROLL TAXES$6,159,866
DUE TO MEDICARE$56,798,740
FieldValueIRS element (for citing)
Total Liability$114,037,177TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE D, PART V, LINE 4FormAndLineReferenceDesc
ExplanationINTENDED USE OF ENDOWMENT FUNDS ALL ENDOWMENT FUNDS ARE UTILIZED IN PURSUIT OF THE ORGANIZATION'S TAX EXEMPT PURPOSE.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConductedTxt
Specific Services ProvidedInsurance CoverageSpecificServicesProvidedTxt
Region Total Expenditures$216,578RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Spent$216,578SubtotalSpentAmt
Total Spent$216,578TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,320,495TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$23,320,495NetCommunityBenefitExpnsAmt
Total Expense0.03250TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$73,636,305TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,757,526DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,878,779NetCommunityBenefitExpnsAmt
Total Expense0.03740TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$96,956,800TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,757,526DirectOffsettingRevenueAmt
Net Community Benefit Expns$50,199,274NetCommunityBenefitExpnsAmt
Total Expense0.06990TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,491,819TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,249,614DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,242,205NetCommunityBenefitExpnsAmt
Total Expense0.02400TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$95,301,092TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$61,179,969DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,121,123NetCommunityBenefitExpnsAmt
Total Expense0.04750TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$116,792,911TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,429,583DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,363,328NetCommunityBenefitExpnsAmt
Total Expense0.07150TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$213,749,711TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$112,187,109DirectOffsettingRevenueAmt
Net Community Benefit Expns$101,562,602NetCommunityBenefitExpnsAmt
Total Expense0.14140TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$523,161TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$523,161NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$523,161TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$523,161NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$192,270,499BadDebtExpenseAmt
Bad Debt Expense Attributable$50,772,704BadDebtExpenseAttributableAmt
Reimbursed By Medicare$113,152,181ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$114,068,640CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$916,459MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

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Facility1FacilityNum

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FieldValueIRS element (for citing)
Business Name Line1TALLAHASSEE MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

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Address Line11300 MICCOSUKEE ROADAddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32309ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.TMH.ORGWebsiteAddressTxt
State LicenseLICENSE# 4080StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1TALLAHASSEE MEMORIAL HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
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Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SCHEDULE H, PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SCHEDULE H, PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SCH H, PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SCH H, PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SCH H, PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 5, 6B (INPUT FROM COMMUNITY; COLLABORATION)TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") COMPLETED ITS THIRD COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING THE YEAR ENDING SEPTEMBER 30, 2019. YOU MAY FIND FURTHER DETAILS AND COMPREHENSIVE RESULTS AT: HTTPS://WWW.TMH.ORG/ABOUT-US/COMMUNITY-REPORTS/COMMUNITY-NEED-REPORT ------------------------------------------------------------
PART V, SECTION B, LINE 7A & 10A (CHNA & IMP. PlAN AVAILABILITY TO PUBLIC)THE CHNA AND IMPLEMENTATION PLAN CAN BE ACCESSED AT: https://www.tmh.org/about-us/community-reports/community-need-report ------------------------------------------------------------ PART V, SECTION B, LINE 9 (TAX YEAR THE MOST RECENT IMP. STRATEGY WAS ADOPTED) THE ORGANIZATION'S MOST RECENT IMPLEMENTATION STRATEGY WAS ADOPTED BY 2/15/2020, AS PERMITTED UNDER THE REGULATIONS. ------------------------------------------------------------
PART V, SECTION B, LINE 11 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA)TALLAHASSEE MEMORIAL HEALTHCARE (TMH) CONDUCTED THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019. IDENTIFICATION OF THREE KEY HEALTH PRIORITIES EMERGED FOLLOWED BY CREATION OF A 2020-2022 IMPLEMENTATION PLAN TO ADDRESS EACH OF THESE PRIORITY AREAS. THE THREE KEY HEALTH PRIORITIES ARE (1) ACCESS TO HEALTH SERVICES (2) PREVENTIVE SERVICES RELATED TO NUTRITION, PHYSICAL ACTIVITY AND OBESITY AND (3) MENTAL HEALTH AND SUBSTANCE ABUSE. TMH SERVICE LINES WORK IN PARTNERSHIP WITH NUMEROUS COMMUNITY-BASED ORGANIZATIONS TO ADDRESS THESE HEALTH NEEDS. THE FOLLOWING IS AN UPDATE OF PROGRESS MADE IN EACH PRIORITY AREA DURING FISCAL YEAR 2020. PLEASE VISIT HTTPS://WWW.TMH.ORG/ABOUT-US/COMMUNITY-REPORTS/COMMUNITY-NEED-REPORT TO VIEW OUR MOST RECENT CHNA PUBLISHED IN SEPTEMBER 2019 AND IMPLEMENTATION STRATEGY PUBLISHED IN FEBRUARY 2020 ADDRESSING HEALTH PRIORITIES FOR FISCAL YEARS 2020 TO 2022. THE YEAR 2020 DELIVERED MANY UNPRECEDENTED CHALLENGES AND OBSTACLES. AS THE CORONAVIRUS PANDEMIC SPREAD ACROSS THE WORLD, HOSPITALS AND HEALTH SYSTEMS, LIKE TMH, WERE CONSUMED WITH PLANNING, PREPARING AND CARING FOR COVID-19 PATIENTS. AS PHYSICAL DISTANCING BECAME THE NORM, MUCH OF HOW WE WOULD NORMALLY APPROACH COMMUNITY HEALTH IMPROVEMENT VIA CLASSES AND GROUP ACTIVITIES NEEDED TO CHANGE. IN MOST CASES, WE WERE ABLE TO MODIFY AND ADJUST TO CONTINUE OFFERING INTERVENTIONS THROUGHOUT THE PANDEMIC. IN A FEW CASES, WE'VE POSTPONED UNTIL TIMING AND/OR INTERVENTION IS MORE APPROPRIATE. IN ADDITION TO MODIFYING STRATEGIES TO MITIGATE COVID-19 SPREAD AND YET CONTINUE TO MAKE PROGRESS WITH STRATEGIES, RESOURCES WERE PRIORITIZED TO ACCOMMODATE TESTING NEEDS AND EVENTUALLY VACCINATION NEEDS AS THE YEAR WENT BY. COVID-19 RESPONSE AND IMPACT IS DISCUSSED FURTHER UNDER PRIORITY HEADINGS BELOW SPECIFIC TO EACH ACTIVITY. (1) ACCESS TO HEALTH SERVICES THE LONG-TERM GOALS FOR PRIORITY AREA, ACCESS TO HEALTH SERVICES, ARE TO DECREASE BARRIERS AND TO PROVIDE MORE FLEXIBLE AND ACCESSIBLE OPTIONS TO ACCESS HEALTHCARE. FOUR MAJOR STRATEGIES WERE IDENTIFIED: (A) UTILIZE TELEMEDICINE TO IMPROVE ACCESS FOR HEALTHCARE SERVICES (B) IMPROVE ACCESS TO HEALTHCARE SERVICES (C) IMPROVE CULTURAL COMPETENCE (D) CONDUCT AN EDUCATIONAL CAMPAIGN FOCUSING ON IMPORTANCE OF CHOOSING THE MOST EFFECTIVE AND EFFICIENT TYPE OF HEALTHCARE FOR CONDITION. THE FOLLOWING SHARES PROGRESS TOWARDS THESE STRATEGIES AS OF 2020. (A) UTILIZE TELEMEDICINE TO IMPROVE ACCESS FOR HEALTHCARE SERVICES TALLAHASSEE MEMORIAL HEALTHCARE IS TRANSFORMING HOW CARE IS PROVIDED IN THE REGION THROUGH TMH CARELINK, A REGIONAL TELEMEDICINE NETWORK, THAT ALLOWS PROVIDERS TO SEE PATIENTS IN REMOTE LOCATIONS AND IN THEIR HOMES. ACCESS TO PRIMARY CARE PHYSICIANS AND SPECIALISTS CAN BE CHALLENGING FOR MANY IN RURAL NORTH FLORIDA. THE LACK OF TRANSPORTATION AND LOCAL HEALTHCARE RESOURCES RESULTS IN MANY GOING WITHOUT PREVENTIVE PRIMARY CARE AND CRITICAL HEALTH CARE SERVICES. THE TELEMEDICINE PROGRAM IS SUCCESSFULLY DELIVERING CARE TO THOSE THAT NEED IT MOST, WHERE THEY NEED IT AND AT A LOWER COST. SEVERAL TELEMEDICINE PROGRAMS, AIMED AT INCREASING ACCESS TO CARE FOR VULNERABLE POPULATIONS, WERE INITIATED AND ARE DISCUSSED BELOW. IN 2019, TMH ENTERED A PARTNERSHIP WITH LEON COUNTY SCHOOLS TO CONNECT SCHOOL CLINIC PERSONNEL WITH TMH METABOLIC HEALTH CENTER PROVIDERS, VIA TELEMEDICINE, TO BETTER CARE FOR CHILDREN WITH TYPE 1 DIABETES. CHILDREN WITH TYPE 1 DIABETES MAY NEED ADDITIONAL SUPPORT TO MANAGE THEIR HEALTH DURING THE SCHOOL DAY. BEING ABLE TO CONNECT THE STUDENT, SCHOOL CLINIC PERSONNEL, HEALTHCARE PROVIDER AND PARENT VIA TELEMEDICINE, ALLOWS FOR AN ENGAGED STUDENT WHO CAN REMAIN AT SCHOOL. TELEMEDICINE EQUIPMENT HAS BEEN INSTALLED AND PERSONNEL TRAINED IN FOUR LEON COUNTY SCHOOLS. PLANS TO PROCEED WITH THIS PROGRAM HAVE BEEN DELAYED DUE TO SCHOOL CLOSURES AND PREVALENCE OF DISTANCE LEARNING THIS PAST YEAR DUE TO COVID-19. TMH PLANS TO RE-INITIATE THIS PROGRAM IN THE SCHOOL YEAR BEGINNING FALL OF 2021. A SECOND INITIATIVE AIMED AT INCREASING ACCESS TO CARE INVOLVES CONNECTING CAREGIVERS OF CHILDREN DIAGNOSED WITH TYPE 1 DIABETES IN THE HOSPITAL WITH THEIR OUTPATIENT HEALTHCARE PROVIDERS TO RECEIVE INITIAL EDUCATION, SUPPORT AND DIABETES SELF-MANAGEMENT TRAINING BEFORE DISCHARGE TO HOME. THIS TELEMEDICINE CONNECTION DECREASES THE RESPONSE TIME FOR INITIAL EDUCATION AND TRAINING AND ALLOWS FAMILIES AND PATIENT TO FEEL MORE COMFORTABLE AND MORE EQUIPPED TO MANAGE THEIR PLAN OF CARE. THIS NEW PROGRAM FOSTERED 53 NEWLY DIAGNOSED PEDIATRIC PATIENTS IN ITS FIRST YEAR. A THIRD INITIATIVE ENCOMPASSES CONNECTING PATIENTS LIVING IN RURAL AREAS WITH SPECIALTY CARE. THE TMH PRIMARY SERVICE AREA INCLUDES FOUR COUNTIES. THE MAIN HOSPITAL CAMPUS IS LOCATED IN LEON COUNTY, THE MOST POPULOUS OF THE FOUR COUNTIES. THE SURROUNDING COUNTIES, GADSDEN, JEFFERSON AND WAKULLA ARE RURAL WITH LESS ACCESS TO MEDICAL CARE AND HAVE MINIMAL SPECIALTY CARE SERVICES AVAILABLE. PEOPLE LIVING IN THESE COUNTIES OFTEN RELY ON RECEIVING SERVICES AND CARE IN TALLAHASSEE, LOCATED IN LEON COUNTY AND THE LARGEST CITY IN THE FOUR COUNTY REGION. FOR MOST, THIS IS AN HOUR (OR LONGER) DRIVE, CAUSES ABSENTEEISM FROM WORK AND OTHER DUTIES AND THE TRAVEL CAN PRESENT A MAJOR HARDSHIP OR PROHIBIT SOME PATIENTS FROM GETTING CARE. IN 2020, THE TMH METABOLIC HEALTH CENTER BEGAN PROVIDING CLINIC VISITS FOR ADULTS WITH TYPE 1 AND 2 DIABETES VIA TELEMEDICINE. PATIENTS CAN CONNECT WITH A REGISTERED DIETITIAN, DIABETES EDUCATOR AND ENDOCRINOLOGIST ALL VIA THEIR OWN DEVICE. THIS DRASTICALLY INCREASED THE NUMBER OF PATIENTS RECEIVING DIABETES EDUCATION AND CARE IN THESE RURAL COUNTIES. THE FOLLOWING HIGHLIGHTS ACTIVITY IN OUR THREE RURAL COUNTIES DURING 2020: JEFFERSON COUNTY: 119 ADULTS SEEN, 213 TOTAL TELEMEDICINE VISITS; WAKULLA COUNTY: 426 ADULTS SEEN, 715 TOTAL TELEMEDICINE VISITS; GADSDEN COUNTY: 473 ADULTS SEEN, 873 TOTAL TELEMEDICINE VISITS. THE LAST ACTIVITY UNDER THIS PRIORITY IS AIMED AT INCREASING ACCESS FOR ONE OF OUR MOST VULNERABLE POPULATIONS, COMMUNITY MEMBERS EXPERIENCING HOMELESSNESS. IN 2019-2020, TMH OPERATED A TRANSITION CENTER AT THE KEARNEY CENTER, AN EMERGENCY SHELTER IN TALLAHASSEE THAT PROVIDES SHELTER AND HOUSING-FOCUSED SERVICES TO INDIVIDUALS EXPERIENCING HOMELESSNESS. FUNDED BY A GRANT FROM THE BEATITUDE FOUNDATION, THE TRANSITION CENTER WAS DESIGNED TO PROVIDE ACCESS TO HEALTH CARE SERVICES IN A SHELTER-BASED SETTING REGARDLESS OF THE CLIENT'S ABILITY TO PAY. LOCATING THE TRANSITION CENTER WITHIN THE KEARNEY CENTER REMOVED ACCESS TO TRANSPORTATION AS A BARRIER TO CARE AND PROVIDED HEALTH CARE WHEN IT WAS NEEDED. UTILIZING TELEMEDICINE, INCREASED AVAILABILITY OF PROVIDER TIME AND FLEXIBILITY WITH SEEING PATIENTS AS NEEDED. BY REDUCING THESE BARRIERS TO HEALTH CARE, THE GRANT ANTICIPATED A REDUCED NEED FOR CLIENTS TO SEEK CARE AT THE EMERGENCY DEPARTMENT OR HOSPITAL OR GO WITHOUT TREATMENT. 594 CLIENTS WERE SERVED IN THE TMH TRANSITION CENTER DURING 2019 AND 2020. IN 2019, THERE WERE 919 CLIENT VISITS FOR 439 CLIENTS IN THE TRANSITION CENTER. 60% OF CLIENTS VISITED THE CENTER ONCE DURING THE YEAR, 35% OF CLIENTS VISITED BETWEEN 2 AND 5 TIMES AND 5% OF CLIENTS VISITED MORE THAN 5 TIMES. IN 2020, THERE WERE 319 VISITS FOR 220 CLIENTS. 71% OF THE CLIENTS VISITED THE TRANSITION CENTER ONCE AND 29% VISITED BETWEEN 2 AND 5 TIMES. COMPARED TO 2019, THERE WAS A 65% REDUCTION IN THE NUMBER OF VISITS THAT OCCURRED IN 2020 AND A 50% REDUCTION IN THE NUMBER OF CLIENTS SEEN. ALSO, DURING 2020, A SMALLER PERCENTAGE OF CLIENTS RETURNED FOR A SUBSEQUENT VISIT. IN APRIL 2020, KEARNEY CENTER CLIENTS WERE MOVED FROM GROUP LIVING TO INDIVIDUAL SPACES TO MITIGATE SPREAD OF COVID-19. TRANSITION CENTER STAFF PROVIDED INDIVIDUAL FOLLOW UP AND CARE AT THIS TIME. (B) IMPROVE ACCESS TO HEALTHCARE SERVICES TRANSPORTATION IS A BARRIER FOR VULNERABLE POPULATIONS TO ACCESS HEALTHCARE SERVICES. THE REASONS ARE MULTIFACTORIAL INCLUDING LACK OF RESOURCES TO TRAVEL FROM RURAL AREAS TO URBAN AREAS WHERE SERVICES ARE LOCATED, UNDERDEVELOPED PUBLIC TRANSPORTATION SYSTEM AND HIGH COST AND UNRELIABILITY OF PRIVATE OPTIONS SUCH AS CAB OR RIDE-HAILING APPS SUCH AS UBER AND LYFT. IN 2020, TMH PROVIDED 1,248 RIDES FOR INDIVIDUALS TOTALING $41,067. THESE RIDES ALLOW FOR OUR MOST VULNERABLE PATIENTS TO GET TO AND FROM HEALTHCARE SERVICES IN A TIMELY, SAFE, LESS STRESSFUL MANNER. (C) IMPROVE CULTURAL COMPETENCE PROVIDING CULTURALLY COMPETENT AND COMPASSIONATE CARE TO ALL PATIENTS AND ONE ANOTHER IS A TOP PRIORITY AND CORE VALUE OF TMH. TMH HAS EMBARKED ON SEVERAL NEW INITIATIVES IN 2020 TO ACHIEVE THIS VISION. TMH ESTABLISHED THE DIVERSITY, EQUITY & INCLUSION COUNCIL (DEIC) IN SEPTEMBER 2020. THE DEIC'S PURPOSE IS, "...[TO] BRING TOGETHER A DIVERSE AND PASSIONATE GROUP OF PEOPLE FROM ACROSS THE ORGANIZATION. SERVING AS REPRESENTATIVES OF COLLEAGUE AND PATIENT EXPERIENCES, THE COUNCIL WILL PROMOTE A SAFE, INCLUSIVE ATMOSPHERE OF ACCEPTANCE AND BELONGING. WE WILL ADVOCATE FOR A CULTURE THA
PART V, SECTION B, LINE 16 (FINANCIAL ASSISTANCE AVAILABILITY)A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: https://www.tmh.org/patients-and-visitors/transparency-billing-and-quality ------------------------------------------------------------

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED)CONSISTENT WITH PRIOR YEAR, DUE TO THE ADOPTION OF ACCOUNTING PRONOUNCEMENT ASC 606, IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS. ------------------------------------------------------------
PART III, SECTION A, LINES 1-2(IMPLICIT PRICE CONCESSION/BAD DEBT EXPENSE)TMH REPORTS ITS IMPLICIT PRICE CONCESSIONS IN ACCORDANCE WITH GAAP AND AICPA GUIDELINES. HFMA STATEMENT NO. 15 HAS NOT BEEN ADOPTED BY THE AICPA. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606). ------------------------------------------------------------
PART III, SECTION A, LINE 4 (IMPLICIT PRICE CONCESSION FOOTNOTE)THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE DISCLOSURE CAN BE FOUND STARTING ON PAGE 19 OF THE ELECTRONICALLY ATTACHED FINANCIAL STATEMENTS FOR TALLAHASSEE MEMORIAL HEALTHCARE, INC. & SUBSIDIARIES. ------------------------------------------------------------
PART III, SECTION B (COSTING METHODOLOGY, MEDICARE SHORTFALL)THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON THE HOSPITAL'S MEDICARE COST REPORT FILING FOR THE YEAR. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF TMH AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, TMH PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY TMH TO PROVIDE SUCH SERVICES. AS A RESULT, TMH VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. ------------------------------------------------------------
PART III, SECTION B, LINE 9B (COLLECTION PRACTICES)TMH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. ------------------------------------------------------------
PART VI, LINE 2 (NEEDS ASSESSMENT)SEE RESPONSE TO PART V, SECTION B, LINE 5 (INPUT FROM COMMUNITY) AND PART VI, LINE 4 (COMMUNITY INFORMATION). ------------------------------------------------------------
PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE)TMH ATTEMPTS TO EDUCATE ALL PATIENTS, OR THEIR GUARANTORS, ABOUT THEIR FINANCIAL RESPONSIBILITY, AS WELL AS THEIR OPTIONS AND OPPORTUNITIES FOR ASSISTANCE WITH HOSPITAL BILLS. ALL PATIENTS ARE GIVEN THE OPPORTUNITY TO RECEIVE A GOOD FAITH ESTIMATE OF SERVICES TO BE PROVIDED ALONG WITH INFORMATION ABOUT FINANCIAL ASSISTANCE. SIGNS ARE POSTED IN CENTRAL REGISTRATION, AS WELL AS OTHER ENTRY POINTS IN THE HOSPITAL, PROVIDING PATIENTS WITH A PHONE NUMBER TO CALL FOR THIS INFORMATION. THOSE PATIENTS WHO ARE UNINSURED ARE ASKED TO COMPLETE A BRIEF APPLICATION FOR FINANCIAL ASSISTANCE. IT IS THROUGH THIS APPLICATION THAT TMH CAN ASSESS THE PATIENT'S NEED FOR FINANCIAL ASSISTANCE OR PROGRAM ELIGIBILITY. A PATIENT MAY BE REFERRED TO NTHRIVE, WHICH IS A CONTRACTED COMPANY THAT PROVIDES MEDICAID ELIGIBILITY SERVICES TO THE HOSPITAL. FOR THOSE WHO DO NOT SPEAK ENGLISH, TRANSLATION SERVICES ARE AVAILABLE. WHEN AN UNINSURED PATIENT PRESENTS IN A NON-EMERGENT SETTING, A FINANCIAL APPLICATION IS COMPLETED AND REVIEWED BY A CUSTOMER SERVICE REPRESENTATIVE. VARIOUS OPTIONS, RANGING FROM VOCATIONAL REHAB TO PAYMENT PLANS BASED ON A SLIDING FEE SCHEDULE, TO REFERRAL TO THE WECARE NETWORK, WHICH OFFERS FREE CARE, ARE EXPLORED. IN THE EVENT THAT THE PATIENT WOULD QUALIFY FOR MEDICAID, A REFERRAL IS MADE TO NTHRIVE. NTHRIVE, THROUGH THE STATE OF FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES SERVICES, ASSISTS PATIENTS IN COMPLETING THE MEDICAID APPLICATION. IF THE PATIENT IS DISABLED, OR GOING TO BE DISABLED FOR AT LEAST A YEAR, NTHRIVE WILL ASSIST THE PATIENT IN APPLYING FOR DISABILITY. IF A PATIENT PRESENTS TO THE EMERGENCY ROOM, CARE IS PROVIDED PRIOR TO ASCERTAINING THE PATIENT'S COVERAGE AND/OR ABILITY TO PAY. ONCE THE PATIENT IS STABILIZED, THE STEPS OUTLINED FOR THE NON-EMERGENT SETTING ARE TAKEN. IN THE EVENT THAT A PATIENT DOES NOT QUALIFY FOR ANY STATE/FEDERAL PROGRAMS, AND IS UNINSURED, A CHARITY APPLICATION IS COMPLETED. IT IS THROUGH THIS PROCESS THAT A DETERMINATION IS MADE AS TO WHETHER THE PATIENT QUALIFIES FOR CHARITY OR THE SLIDING FEE SCHEDULE. THE HOSPITAL SPONSORED FINANCIAL ASSISTANCE PROGRAM (FAP) IS AVAILABLE FOR UNINSURED AND UNDERINSURED PATIENTS. FAP IS A CHARITY AND SLIDING SCALE DISCOUNT PROGRAM BASED ON THE PATIENT'S FAMILY INCOME AND HOUSEHOLD SIZE. PATIENTS WITH FAMILY INCOMES AT OR BELOW 150% OF THE FEDERAL POVERTY GUIDELINES OR WHOSE CHARGES EXCEED 25% OF THE ANNUAL FAMILY INCOME ARE ELIGIBLE FOR 100 % CHARITY OR FREE CARE. PATIENTS WITH FAMILY INCOMES BETWEEN 151% AND 400 % OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR SLIDING SCALE DISCOUNTS. THESE UNINSURED PATIENTS WILL BE RESPONSIBLE FOR A PERCENTAGE OF HOSPITAL CHARGES DETERMINED BY INCOME AND FAMILY SIZE. THE STATE OF FLORIDA HAS RECOGNIZED THE HIGH LEVEL OF UNCOMPENSATED CARE PROVIDED BY TMH BY DESIGNATING TMH AS A MEDICAID DISPROPORTIONATE SHARE PROVIDER. APPROXIMATELY 3% OF TMH'S GROSS REVENUES ARE PROVIDED WITHOUT COMPENSATION TO INDIGENT PATIENTS WITH NO FUNDING SOURCE AND ANOTHER 11 % OF THE GROSS REVENUES ARE GENERATED BY SERVICES TO PATIENTS COVERED UNDER THE MEDICAID PROGRAM AND MEDICAID HMOS. A COPY OF OUR FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.TMH.ORG/PATIENTS-AND-VISITORS/TRANSPARENCY-BILLING-AND-QUALITY ------------------------------------------------------------
PART VI, LINE 4 (COMMUNITY INFORMATION)FOUNDED IN 1948, TALLAHASSEE MEMORIAL HEALTHCARE (TMH) IS A PRIVATE, NOT-FOR-PROFIT COMMUNITY HEALTHCARE SYSTEM LOCATED IN THE HEART OF FLORIDA'S PANHANDLE AND CAPITAL CITY OF TALLAHASSEE. SERVING A 17-COUNTY REGION IN NORTH FLORIDA AND SOUTH GEORGIA, TMH IS COMPRISED OF A 772-BED ACUTE CARE HOSPITAL, A PSYCHIATRIC HOSPITAL, MULTIPLE SPECIALTY CARE CENTERS, THREE RESIDENCY PROGRAMS, 37 AFFILIATED PHYSICIAN PRACTICES AND PARTNERSHIPS WITH DOCTORS' MEMORIAL HOSPITAL, FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE, UNIVERSITY OF FLORIDA HEALTH, WEEMS MEMORIAL HOSPITAL AND WOLFSON CHILDREN'S HOSPITAL. WITHIN ITS 17-COUNTY SERVICE AREA, TMH'S PRIMARY SERVICE AREA (PSA) IS A FOUR-COUNTY REGION CONTAINING LEON, GADSDEN, WAKULLA AND JEFFERSON COUNTIES, WITH A COMBINED POPULATION OF APPROXIMATELY 385,145. LOCATED IN LEON COUNTY - THE LARGEST IN THE PSA, REPRESENTING 75% OF THE FOUR-COUNTY POPULATION - TMH SERVES A VERY DIVERSE POPULATION. THE FINDINGS OF THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT REVEALED VAST AND DISTINCT DISPARITIES FOR COMMUNITY MEMBERS BASED ON LOCALITY OF RESIDENCE (BOTH COUNTY AND SPECIFIC NEIGHBORHOODS/AREAS), AGE AND RACE/ETHNICITY. DISPARITIES IN THE SOCIAL DETERMINANTS OF HEALTH INCLUDING HIGHER POVERTY RATES, LOWER ACADEMIC ATTAINMENT RATES AND HIGHER UNEMPLOYMENT RATES ARE MORE EVIDENT IN BOTH GADSDEN AND JEFFERSON COUNTIES COMPARED TO LEON AND WAKULLA COUNTIES AND TO STATEWIDE AVERAGES. THE AVERAGE HOUSEHOLD INCOME IN THESE FOUR COUNTIES RANGES FROM $39,830 TO $57,866, WITH GADSDEN COUNTY LOWEST AND WAKULLA COUNTY HIGHEST. (SOURCE: AMERICAN COMMUNITY SURVEY, ACCESSED THROUGH THE AMERICAN FACTFINDER SITE). AS THE LARGEST SAFETY NET HOSPITAL IN THE 17-COUNTY SERVICE AREA, TMH HAS A LONG HISTORY OF IMPROVING OVERALL HEALTH AND QUALITY OF LIFE THROUGHOUT THE REGION. DURING FISCAL YEAR 2020 (FY20), TMH EXPANDED ACCESS TO CARE BY BRINGING NEW PHYSICIANS, FACILITIES AND TECHNOLOGIES TO THE AREA, WHILE ALSO EDUCATING THE COMMUNITY ON HEALTH TOPICS RELATED TO SAFETY, PREVENTION, DISEASE MANAGEMENT AND MORE THROUGH EDUCATIONAL EVENTS AND INITIATIVES. ------------------------------------------------------------
PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)SUBSIDIZED MEDICAL CARE: AS A NOT-FOR-PROFIT COMMUNITY HEALTHCARE SYSTEM, TMH OFTEN SUBSIDIZES HEALTH SERVICES THAT DO NOT GENERATE A POSITIVE OPERATING MARGIN BUT ARE MUCH NEEDED IN THE COMMUNITY. MANY OF THESE SERVICES ARE PROVIDED THROUGH THE TALLAHASSEE MEMORIAL METABOLIC HEALTH CENTER, THE TALLAHASSEE MEMORIAL TRANSITION CENTER, THE TALLAHASSEE MEMORIAL BIXLER TRAUMA & EMERGENCY, THE TALLAHASSEE MEMORIAL EMERGENCY CENTER - NORTHEAST, THE TALLAHASSEE MEMORIAL NEONATAL INTENSIVE CARE UNIT (NICU) AND RURAL CLINICS THROUGHOUT THE BIG BEND REGION. THROUGH CLASSES AND INDIVIDUAL OR FAMILY COUNSELING SESSIONS ON TOPICS SUCH AS MANAGING AND TESTING BLOOD SUGAR, CHOOSING HEALTHY FOODS AND STARTING INSULIN AND NUTRITION THERAPY, THE METABOLIC HEALTH CENTER HELPS ADULT AND PEDIATRIC PATIENTS BETTER MANAGE THEIR DIABETES AND AVOID COMPLICATIONS. NEARLY A THIRD OF THESE PATIENTS ACCESS CARE THROUGH SUBSIDIZED SERVICES. AN INNOVATIVE FACILITY DESIGNED TO REDUCE EMERGENCY ROOM VISITS AND HOSPITAL READMISSIONS; THE TRANSITION CENTER PROVIDES FOLLOW-UP CARE TO PATIENTS WHO MAY BE AT HIGH-RISK FOR READMISSION AFTER LEAVING THE HOSPITAL. IN 2019, TMH EXPANDED THE TRANSITION CENTER'S SERVICES BY OPENING A SATELLITE LOCATION WITHIN THE KEARNEY CENTER - THE LARGEST SHELTER IN THE BIG BEND REGION, PROVIDING EMERGENCY SERVICES TO INDIVIDUALS EXPERIENCING OR ON THE VERGE OF EXPERIENCING HOMELESSNESS. THE PRESENCE OF THE TRANSITION CENTER WITHIN THE KEARNEY CENTER HAS SIGNIFICANTLY REDUCED CALLS FOR EMS, RESULTING IN LARGE SAVINGS FOR LEON COUNTY. PROVIDING A SPACE WHERE PATIENTS FEEL SAFE AND WELCOME HAS HELPED BREAK DOWN HEALTHCARE BARRIERS AND PROVIDE BETTER, EQUITABLE CARE TO OUR COMMUNITY'S RESIDENTS. THE ONSET OF THE COVID-19 PANDEMIC CAUSED THE KEARNEY CENTER TO DRAMATICALLY MODIFY THEIR OPERATIONS TO ALLOW FOR SOCIAL DISTANCING. THE SHELTER CLOSED IRA DOORS TO OVERNIGHT CLIENTS AND REDIRECTED THEM TO THREE HOTELS IN THE COMMUNITY WHERE THEY COULD SHELTER SAFELY. AS THEIR MODEL CHANGED, SO DID THE DELIVERY OF HEALTH SERVICES. TMH TRANSITION CENTER SENT OUT A MEDICAL ASSISTANT TO THE HOTELS TO CONNECT THEM TO VITAL HEALTH SERVICES. USING TELEMEDICINE AND PROVIDING TRANSPORTATION TO NECESSARY IN PERSON APPOINTMENTS, CLIENTS WERE ABLE TO RECEIVE NECESSARY SERVICES TO HELP KEEP THEM OUT OF THE EMERGENCY ROOM AND THE HOSPITAL. SERVICES ALSO INCLUDED COVID-19 TESTING WHEN NEEDED AND THE ADMINISTRATION OF VACCINES WHEN THEY BECAME AVAILABLE. SINCE 2009, THE BIXLER TRAUMA & EMERGENCY CENTER HAS OPERATED AS THE REGION'S ONLY LEVEL II TRAUMA CENTER. IN 2013, TMH ALSO OPENED A SECOND EMERGENCY CENTER - THE EMERGENCY CENTER - NORTHEAST - EXPANDING EMERGENCY CARE OPTIONS FOR THE SERVICE AREA. AS HOME TO THE REGION'S ONLY NICU, TMH CARES FOR BABIES BORN IN THE 17-COUNTY SERVICE AREA WHO REQUIRE CRITICAL CARE AT BIRTH, WHETHER BECAUSE OF PREMATURITY OR HEALTH COMPLICATIONS. ONE IN TEN BABIES BORN REQUIRES THIS HIGHER LEVEL OF CARE, WHICH TMH PROVIDES THROUGH TWO NICU UNITS - A LEVEL-III UNIT FOR CRITICAL CARE BABIES AND A LEVEL-II STEP-DOWN OR INTERMEDIATE CARE UNIT. TMH HAS ALWAYS HAD A PRESENCE IN MANY OF THE RURAL COUNTIES WE SERVE, INCLUDING FAMILY MEDICINE PRACTICES IN GADSDEN, JEFFERSON, TAYLOR, WAKULLA AND CALHOUN COUNTIES. IN 2020, PRIMARY CARE SERVICES WERE EXPANDED TO FRANKLIN COUNTY TO ENSURE PATIENTS IN TALLAHASSEE'S SURROUNDING COMMUNITIES ARE ABLE TO RECEIVE QUALITY MEDICAL CARE CLOSE TO HOME. IMPROVING ACCESS TO HEALTHCARE: THROUGH THE YEARS, TMH HAS PRIORITIZED AND INVESTED IN MAKING HEALTHCARE MORE ACCESSIBLE FOR OUR COMMUNITY. IN ADDITION TO ESTABLISHING THE TRANSITION CENTER AND OPENING THE EMERGENCY CENTER - NORTHEAST, TMH HAS IMPLEMENTED TELEMEDICINE TECHNOLOGIES AND CULTIVATED RESIDENCY PROGRAMS AS ADDITIONAL AVENUES FOR OFFERING INCREASINGLY ACCESSIBLE HEALTHCARE. TELEMEDICINE ALLOWS PHYSICIANS, SPECIALISTS AND HEALTHCARE STAFF TO PROVIDE CONSULTATIONS TO FELLOW PHYSICIANS AND CONNECT WITH PATIENTS REMOTELY, EXPANDING ACCESS TO CARE FOR RESIDENTS IN OUR RURAL COMMUNITIES. RESIDENCY PROGRAMS IN FAMILY MEDICINE, INTERNAL MEDICINE AND GENERAL SURGERY, AS WELL AS NURSING AND PHARMACY, IMPROVE ACCESS TO CARE AND HELP DEVELOP THE BIG BEND'S MEDICAL COMMUNITY. AS THE REGION'S SAFETY NET HOSPITAL, TMH'S TRAUMA AND EMERGENCY SERVICES OPERATE AT A FINANCIAL LOSS. HOWEVER, PROVIDING THE COMMUNITY A DESIGNATED LEVEL II TRAUMA CENTER IS AN ESSENTIAL NEED FOR TMH'S SERVICE AREA. BY PROVIDING INCREASED COMPLEXITY AND VOLUME OF CARE IN THE EMERGENCY CENTER, TMH IS GUARANTEEING ACCESS TO HIGH QUALITY CARE. RECENT CHANGES AT BIXLER HAVE FOCUSED ON REDUCING THE LENGTH OF TIME TO SEE A PHYSICIAN AND THE NUMBER OF PATIENTS WHO LEAVE THE FACILITY WITHOUT BEING SEEN. IN LINE WITH THE REST OF THE NATION, THE BIXLER TRAUMA & EMERGENCY CENTER AND THE EMERGENCY CENTER NORTHEAST SAW A DECLINE IN CENSUS DUE TO COVID-19 AFTER MARCH OF 2020. BIXLER SAW 60,615 PATIENTS IN FY20 (VERSUS 66,804 IN FY19) AND EMERGENCY CENTER NORTHEAST SAW 36,901 PATIENTS IN FY20 (VERSUS 46,819 IN FY19). DESPITE THE CHALLENGES ASSOCIATED WITH THE PANDEMIC, THE WORK COMPLETED ON PATIENT THROUGHPUT RESULTED IN BOTH EMERGENCY CENTERS MEETING OR EXCEEDING NATIONAL BENCHMARK GOALS IN THE TWO AFOREMENTIONED ARENAS. BIXLER'S 'LEFT WITHOUT BEING SEEN' DROPPED FROM 6.8% TO 1.44% AND EMERGENCY CENTER NORTHEAST DROPPED FROM 3.16% TO 1.09% (NATIONAL BENCHMARK IS LESS THAN 2%). THE AVERAGE WAIT TIME TO SEE A PHYSICIAN AT BIXLER DROPPED FROM AVERAGE OF 44 MINUTES TO 25 MINUTES AND EMERGENCY CENTER NORTHEAST DROPPED FROM 43 MINUTES TO 26 MINUTES (NATIONAL BENCHMARK LESS THAN 30 MINUTES). THESE CHANGES ENSURE THAT OUR COMMUNITY HAS FASTER ACCESS TO PHYSICIANS IN THEIR TIME OF NEED. AS HOME TO THE REGION'S ONLY PEDIATRIC INTENSIVE CARE UNIT (PICU) AND NICU, TMH ALSO PROVIDES ACCESS TO PEDIATRIC AND NEONATAL CRITICAL CARE TO FAMILIES THROUGHOUT THE ENTIRE 17-COUNTY SERVICE AREA. CRITICAL BABIES BORN IN RURAL HOSPITALS UNEQUIPPED TO CARE FOR THEIR CRITICAL NEEDS ARE TRANSPORTED TO TMH'S NICU VIA TMH'S NEONATAL TRANSPORT TEAM. THIS TEAM DEPARTS FROM TMH TO THE OUTLYING HOSPITAL, WHERE THEY STABILIZE THE BABY, THEN TRANSPORT THE INFANT BACK TO TMH. THIS SERVICE OFFERS FAMILIES WHO DO NOT HAVE IMMEDIATE ACCESS TO NEONATAL CRITICAL CARE A MEANS FOR ACCESSING A HIGHER LEVEL OF CARE. TMH PHYSICIAN PARTNERS IS A MULTI-SPECIALTY NETWORK AFFILIATED WITH TMH. TMH PHYSICIAN PARTNERS' SEVEN RURAL FAMILY MEDICINE PRACTICE LOCATIONS IN GADSDEN, JEFFERSON, TAYLOR, WAKULLA, FRANKLIN AND CALHOUN COUNTIES PROVIDE MUCH-NEEDED PRIMARY CARE SERVICES TO RESIDENTS OF RURAL COMMUNITIES THAT OTHERWISE HAVE LIMITED ACCESS TO HEALTHCARE. AS PART OF THIS STRATEGY, TMH PHYSICIAN PARTNERS HAS ALSO EXPANDED THESE COMMUNITIES' ACCESS TO SPECIALTY MEDICAL CARE THROUGH REGIONAL REFERRAL PROCESSES AND PARTNERSHIPS THAT COMPLEMENT ALREADY ESTABLISHED PROVIDERS IN THESE AREAS. THROUGH TMH PHYSICIAN PARTNERS, SURROUNDING COUNTIES HAVE ACCESS TO MEDICAL SPECIALTIES INCLUDING BARIATRICS, CARDIOLOGY, CARDIOTHORACIC SURGERY, ENDOCRINOLOGY, GENERAL SURGERY, GENETICS, GYNECOLOGIC-ONCOLOGY, ORAL MAXILLOFACIAL SURGERY, HEART FAILURE, HEART RHYTHM, LIPIDS, MATERNAL-FETAL MEDICINE, NEUROLOGY, ONCOLOGY, PAIN MANAGEMENT, PSYCHIATRY, PULMONOLOGY, RHEUMATOLOGY AND UROLOGY, WITHOUT HAVING TO TRAVEL FAR FROM HOME (A BARRIER TO CARE FOR MANY). EDUCATION & TRAINING PROGRAMS FOR MEDICAL PROFESSIONALS: TMH CONTRIBUTES MILLIONS OF DOLLARS EACH YEAR TO THE CLINICAL EDUCATION OF HEALTHCARE PROFESSIONALS. THIS INCLUDES TRAINING FOR FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE STUDENTS, FLORIDA A & M UNIVERSITY PHARMACY STUDENTS, HANDS-ON EXPERIENCE FOR NURSES FROM MANY DIFFERENT NURSING SCHOOLS THROUGHOUT NORTH FLORIDA AND SOUTH GEORGIA AND CONTINUING MEDICAL EDUCATION FOR PHYSICIANS IN OUR COMMUNITY. TMH AWARDED A LAND GRANT TO TALLAHASSEE COMMUNITY COLLEGE (TCC) AS PART OF ITS PLAN TO DEVELOP A HEALTH EDUCATION PARTNERSHIP AND FACILITY ON A PORTION OF 81.4 ACRES OF UNDEVELOPED LAND ON THE HOSPITAL'S CAMPUS. TODAY, THE 85,000-SQUARE-FOOT, THREE-STORY GHAZVINI CENTER FOR HEALTHCARE EDUCATION FEATURES SIX SIMULATION CENTERS, A 296-SEAT AUDITORIUM AND ADDITIONAL SPACE FOR EXPANSION, ALL DEVOTED TO TEACHING FUTURE MEDICAL PROFESSIONALS ABOUT EMERGENCY MEDICAL SERVICES, NURSING, RADIOLOGIC TECHNOLOGY, RESPIRATORY CARE, PHARMACY TECHNOLOGY AND SURGICAL TECHNOLOGIES. ONE OF TMH'S MOST SIGNIFICANT CONTRIBUTIONS TO PROVIDING EDUCATION FOR HEALTHCARE PROFESSIONALS IN OUR COMMUNITY IS THROUGH THE TALLAHASSEE MEMORIAL FAMILY MEDICINE RESIDENCY PROGRAM (FMRP), WHICH TRAINS PHYSICIANS WHO HAVE COMPLETED MEDICAL SCHOOL AND WISH TO BECOME BOARD CERTIFIED IN THE SPECIALTY OF FAMILY MEDICINE. OPERATING FOR 48 YEARS OLD, FMRP IS THE OLDEST FAMILY MEDICINE RESIDENCY IN FLORIDA AND HAS PRODUCED 404 GRADUATES SINCE ITS INCEPTION IN 1973. OF THOSE, 275 HAVE CHOSEN TO REMAIN IN FLORIDA AND 144 HAVE REMAINED IN TMH'S SERVICE AREA, HELPING TO ENSURE ACCESS TO PRIMARY HEALTHCARE FOR RESIDENTS
PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)NOT APPLICABLE ------------------------------------------------------------ PART VI, LINE 7 (STATE FILING OF COMMUNITY BENEFIT REPORT) NOT APPLICABLE ------------------------------------------------------------

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
WORD OF SOUTH A FESTIVAL OF LITERATURE & MUSIC
PO BOX 861TALLAHASSEEFL32302463527772501(C)(3)$12,500FMVN/ASPONSORSHIP - WORD OF SOUTH
MARCH OF DIMES FOUNDATION
1990 VILLAGE WAY 3TALLAHASSEEFL32308131846366501(C)(3)$7,500FMVN/ASPONSORSHIP - MARCH FOR BABIES
SPRINGTIME TALLAHASSEE INC
501 ETENNESSEE STTALLAHASSEEFL32308237241347501(C)(3)$10,000FMVN/ASPONSORSHIP - SPRING TIME TALLAHASSEE
THE TALLAHASSEE COMMUNITY COLLEGE FDN
444 APPLEYARD DRTALLAHASSEEFL32304592091480501(C)(3)$10,000FMVN/ASPONSORSHIP - CLEAVER & CORK
TALLAHASSEE CHAMBER OF COMMERCE
300 E PARK AVETALLAHASSEEFL32301590474165$10,400FMVN/ASPONSORSHIPS - AWARDS SPONSOR
FLORIDA A & M UNIVERSITY FOUNDATION INC
625 E TENNESSEE ST SUITE 100TALLAHASSEEFL32308590977035501(C)(3)$35,000FMVN/ASPONSORSHIP - FAMU
AMERICAN CANCER SOCIETY
2619 CENTENNIAL BLVDTALLAHASSEEFL32308131788491501(C)(3)$10,000FMVN/ASPONSORSHIP - RELAY FOR LIFE EVENT
UNITED WAY OF THE BIG BEND INC
307 EAST 7TH AVENUETALLAHASSEEFL32303596011150501(C)(3)$175,000FMVN/ASPONSORSHIP - UNITED WAY PROGRAMS
BETHEL EMPOWERMENT FOUNDATION INC
428 WEST TENNESSEE STREETTALLAHASSEEFL32301593397468501(C)(3)$12,500FMVN/ASPONSORSHIP - READY 4 WORK REENTRY PROGRAM
TO THE VILLAGE SQUARE INC
PO Box 10352TALLAHASSEEFL32302320182830501(C)(3)$10,000FMVN/ASPONSORSHIP - KCCI
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationDESCRIPTION OF GRANT PROGRAMS TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") MAINTAINS A SPONSORSHIP COMMITTEE WHICH OVERSEES THE ORGANIZATION'S SPONSORSHIP AND GRANT-MAKING PROCESSES. COMPLETED APPLICATION FORMS MUST BE SUBMITTED IN ORDER FOR TMH TO EVALUATE THE BENEFITS OF THE PROPOSED ACTIVITY- HOW THE PROPOSED SPONSORSHIP OPPORTUNITY ALIGNS WITH TMH'S MISSION AND VISION, AS WELL AS HOW THE PROPOSED ACTIVITY CAN HELP THE COMMUNITY. APPLICATIONS AND FURTHER INFORMATION ARE AVAILABLE ON TMH'S WEBSITE AT: WWW.TMH.ORG/SPONSORSHIP.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
G MARK O'BRYANT
EX-OFFICIO DIRECTOR & CEO$943,245$0$235,000$0$47,449$0$299,500$0$14,481$0$1,539,675$0$0$0
WILLIAM GUIDICE
VP/CFO$555,679$0$100,229$0$14,309$0$83,455$0$14,474$0$768,146$0$0$0
BARBARA ALFORD
FRM CHF CLINICAL OFF/CNO/VP$180,657$0$54,779$0$180,992$0$16,500$0$13,012$0$445,940$0$0$0
CYNTHIA BLAIR
FMR CHF IMPROVEMENT/PLNG OFF$92,501$0$50,318$0$1,617$0$8,666$0$0$0$153,102$0$0$0
STEPHANIE M DERZYPOLSKI
CHIEF COMMUNICATION OFFICER$215,294$0$37,081$0$1,410$0$28,941$0$13,850$0$296,576$0$0$0
ANDREA K FRIALL MD
CHIEF MEDICAL STAFF OFFICER$239,462$0$0$0$308$0$0$0$2,696$0$242,466$0$0$0
DONALD LINDSEY
CHIEF INFORMATION OFFICER$242,039$0$39,935$0$2,201$0$26,239$0$13,925$0$324,339$0$0$0
DEAN WATSON MD
CHIEF HEALTH OPS OFFICER$454,829$0$79,524$0$2,487$0$62,942$0$13,925$0$613,707$0$0$0
YASHICA L WILSON-HEARNS
VP/SUPPORT SERVICES$161,594$0$21,229$0$1,245$0$20,751$0$204$0$205,023$0$0$0
JOSEPH L CAMPS MD
CHIEF INTEGRATION OFFICER/VP$189,269$0$0$0$0$0$0$0$0$0$189,269$0$0$0
STEVEN E HAYNES
CHIEF HUMAN RESOURCE OFFICER$310,161$0$47,588$0$5,683$0$35,303$0$5,754$0$404,489$0$0$0
NIGEL ALLEN
CHIEF ADVANCEMENT OFFICER/VP$195,000$0$0$0$3,693$0$10,881$0$13,925$0$223,499$0$0$0
ELIOT B SIELOGG MD
GENERAL SURGEON$702,240$0$159,439$0$2,481$0$16,800$0$13,925$0$894,885$0$0$0
WILLIAM DOBAK MD
HEMATOLOGIST/ONCOLOGIST$637,822$0$305,106$0$270$0$16,800$0$13,906$0$973,904$0$0$0
RYAN SMITH
CHIEF CLINICAL OFFICER/CNO/VP$207,970$0$16,635$0$1,136$0$9,378$0$14,061$0$249,180$0$0$0
OVIDIU MARINA MD
RADIATION ONCOLOGIST$704,317$0$277,244$0$180$0$16,800$0$13,842$0$1,012,383$0$0$0
MARGARETT ELLISON MD
GYNECOLOGIST/ONCOLOGIST$460,164$0$395,090$0$414$0$0$0$13,902$0$869,570$0$0$0
MITCHELL PEABODY MD
HEMATOLOGIST/ONCOLOGIST$357,675$0$456,557$0$180$0$16,800$0$13,906$0$845,118$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1AQUESTIONS REGARDING COMPENSATION DIRECTORS RECEIVE COMPLIMENTARY ACCESS TO TMH'S HEALTH CLUB, PREMIER HEALTH AND FITNESS CENTER. ----------------
FORM 990, SCHEDULE J, PART I, LINE 4ADETAIL OF SEVERANCE PAYMENTS SEVERANCE PAYMENTS WERE MADE TO THE FOLLOWING INDIVIDUALS DURING THE FISCAL YEAR ENDING 9-30-2020 AND WERE INCLUDED AS A COMPONENT OF COMPENSATION REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (B)(III) FOR EACH INDIVIDUAL: BARBARA ALFORD $174,890 ----------------------------------------------------------------
FORM 990, SCHEDULE J, LINE 4BDETAIL OF SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS TMH MAINTAINS AN IRC SECTION 457(F) PLAN DESIGNED FOR CERTAIN SENIOR ADMINISTRATORS OF THE ORGANIZATION. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE TMH 457(F) PLAN AND/OR RECEIVED DISTRIBUTIONS DURING THE YEAR: G. MARK O'BRYANT - NO DISTRIBUTIONS WILLIAM GIUDICE - NO DISTRIBUTIONS DONALD LINDSEY - NO DISTRIBUTIONS ANDREW STARR - NO DISTRIBUTIONS STEPHANIE M. DERZYPOLSKI - NO DISTRIBUTIONS STEVEN E. HAYNES - NO DISTRIBUTIONS NIGEL ALLEN - NO DISTRIBUTIONS YASHICA WILSON-HEARNS - NO DISTRIBUTIONS RYAN SMITH - NO DISTRIBUTIONS JANA IEZZI - NO DISTRIBUTIONS ----------------------------------------------------------------
FORM 990, SCHEDULE J, PART I, LINE 7PROVISION OF NON-FIXED PAYMENTS TMH MAINTAINS A VARIABLE COMPENSATION PROGRAM FOR CERTAIN MANAGERS THAT MAKE A BONUS PAYMENT BASED UPON ATTAINMENT OF INDIVIDUAL AND CORPORATE GOALS. INDIVIDUAL GOALS ARE ESTABLISHED AT THE BEGINNING OF THE FISCAL YEAR AND INCLUDE QUALITATIVE AND QUANTITATIVE RESULTS AND ARE BASED UPON THE BUDGET APPROVED BY THE BOARD OF DIRECTORS. NO PAYMENT IS MADE FOR VARIABLE COMPENSATION PAYMENT UNLESS THE ORGANIZATION MEETS OR EXCEEDS ITS BUDGETED OPERATING MARGIN FOR THE YEAR. UPON DETERMINATION THAT THE ACTUAL OPERATING MARGIN HAS MET OR EXCEEDED THE BUDGET VIA THE AUDITED FINANCIAL STATEMENTS, OTHER INDIVIDUAL AND CORPORATE GOALS ARE SCORED TO DETERMINE IF THEY MET OR EXCEEDED THE PRE-ESTABLISHED MEASUREMENT FOR THE YEAR. THE ACTUAL AMOUNT OF THE BONUS IS BASED UPON AN INDIVIDUAL'S BASE COMPENSATION FOR THE FISCAL YEAR AND THE PERCENTAGE ATTAINMENT OF INDIVIDUAL AND CORPORATE GOALS. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE TMH COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF TALLAHASSEE - SERIES 2015A
A5960004352015-05-28$111,332,927REFUNDING 1992B, 2000 & 2015 BONDSfalsefalsefalse
CITY OF TALLAHASSEE - SERIES 2016A & 2016B
B5960004352016-02-02$272,001,300M.T. MUSTIAN CENTER CONSTRUCTIONfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$4,042,927$0$111,332,927$0$0$0$1,176,569$0$0$0$110,156,358$02015falseYes (true)Yes (true)Yes (true)
B$32,606,300$0$272,001,300$0$0$0$1,790,765$0$0$256,873,443$0$13,337,0922019falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0.000000.000000.00000falsefalsefalseYes (true)
Bfalsefalsefalsefalse0.000000.000000.00000falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
BfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JOSEPH L CAMPS
FAMILY MEMBER OF OFFICER$64,842EMPLOYMENTfalse
CAMERON WONG
FAMILY MEMBER OF BOARD MEMBER$15,400EMPLOYMENTfalse
STEPHANIE TRUMAN
FAMILY MEMBER OF BOARD MEMBER$52,620EMPLOYMENTfalse
DAVID BRICKLER
FAMILY MEMBER OF BOARD MEMBER$165,648EMPLOYMENTfalse
LYNN BRICKLER
FAMILY MEMBER OF BOARD MEMBER$91,988EMPLOYMENTfalse
MAD DOG CONSTRUCTION COMPANY
SIMILAR DIRECTOR/OWNER$4,562,030CONSTRUCTION SERVICESfalse

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)GENERAL SUPPLIES52$31,098ACTUAL COST
Yes (X)OTHER ITEMS3$300ACTUAL COST
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 11FORM 990 REVIEW PROCESS INFORMATION RELATED TO TMH'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW AND RETURN PREPARATION. THE 2019 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2020 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR FINANCE TEAM MEMBERS BEFORE IT WAS FILED WITH THE IRS. THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE 990 PRIOR TO ITS FILING. ALL MEMBERS OF THE BOARD WERE AFFORDED THE OPPORTUNITY TO REVIEW THE FORM 990 PRIOR TO ITS FILING. ----------
FORM 990, PART VI, LINE 12CCONFLICT OF INTEREST POLICY AS PART OF OUR WRITTEN CONFLICTS OF INTEREST POLICY, OFFICERS, DIRECTORS TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE POTENTIAL CONFLICTS OF THEMSELVES AND THEIR FAMILY MEMBERS. ----------
FORM 990, PART VI, LINE 15COMPENSATION REVIEW PROCESS COMPENSATION ARRANGEMENTS INVOLVING OUR CEO AND SENIOR LEADERSHIP TEAM ARE ESTABLISHED BY TMH PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE TO SECTION 4958 EXCESS BENEFIT TRANSACTIONS FOR TAX PURPOSES. THIS REQUIRES A REVIEW OF COMPENSATION DETERMINATION BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ----------
FORM 990, PART VI, LINE 19AVAILABILITY OF DOCUMENTS TO THE PUBLIC OUR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. A COPY OF OUR CONFLICT OF INTEREST POLICY IS ALSO AVAILABLE TO THE PUBLIC ON THE TMH WEBSITE. CONSOLIDATED FINANCIAL STATEMENTS ARE FILED WITH THE DIGITAL ASSURANCE CERTIFICATION, LLC, AGENCY FOR HEALTH CARE ADMINISTRATION AND A COPY OF OUR FORM 990 IS FILED WITH THE FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES. ----------
FORM 990, PART XI, LINE 9DETAIL OF OTHER CHANGES IN NET ASSETS CHANGE IN ADDITIONAL PENSION LIABILITY $ 16,552,114 CHANGE IN FAIR VALUE OF DERIVATIVE (407,489) ADDITIONAL DEPRECIATION (103,120) --------------- TOTAL $ 16,041,505 ----------
FORM 990 PART IX LINE 11GDESCRIPTION:INDEPENDENT LAB TOTAL FEES:5653587
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING TOTAL FEES:3260396
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN PROFESSIONAL FEES TOTAL FEES:41855463
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:38475150

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MEDICUS SELECT LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 MICCOSUKEE ROADAddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32308ZIPCd
FieldValueIRS element (for citing)
EIN452980304EIN
Primary ActivitiesLEASED LABORPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$3,289,568EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1TMHBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SOUTHEAST COMMUNITY HEALTH SERVICES INC
1300 MICCOSUKEE ROADTALLAHASSEEFL32308581434992HOLDING COFL501(C)(25)N/ATMHYes (true)
TALLAHASSEE MEMORIAL HEALTHCARE FDN
1300 MICCOSUKEE ROADTALLAHASSEEFL32308591727645FUNDRAISINGFL501(C)(3)7TMHYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
TALLAHASSEE MEMORIAL HEALTH VENTURES INC
1300 MICCOSUKEE ROADTALLAHASSEEFL32308592717050HOLDING COMPANYFLTMHC CORP$2,420,269$28,602,8541.00000Yes (true)
PRIME MERIDIAN HEALTH VENTURES INC
1309 THOMASVILLE ROADTALLAHASSEEFL32308592668613DIAG. IMAGINGFLTMHVC CORPYes (true)
TALLAHASSEE MEMORIAL TELEPHONE COMPANY
1309 THOMASVILLE ROADTALLAHASSEEFL32308593395937TELEPHONE COMM.FLTMHVC CORPYes (true)
PREMIER HEALTH & FITNESS CENTER INC
3521 MACLAY BOULEVARDTALLAHASSEEFL32312592471569FITNESS CENTERFLTMHVC CORPYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SOUTHEAST COMMUNITY HEALTH SERVICES
A$677FMV
SOUTHEAST COMMUNITY HEALTH SERVICES
K$555,864FMV
TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION
C$1,325,291FMV
SOUTHEAST COMMUNITY HEALTH SERVICES
O,Q$42,594FMV
TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION
O,Q$1,037,820FMV
TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC
J$1,401,864FMV
TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC
K$389,561FMV
TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC
M$69,775FMV