TALLAHASSEE MEMORIAL HEALTHCARE INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: TALLAHASSEE MEMORIAL HEALTHCARE INC (EIN 59-1917016)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-14
IRS object ID: 202012279349302661
Schema version: 2018v3.3
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-14T15:11:29-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PRICEWATERHOUSECOOPERS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET STREET SUITE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	591917016	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TALLAHASSEE MEMORIAL HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% WILLIAM A GIUDICE CFO	InCareOfNm
Business Name Control	TALL	BusinessNameControlTxt
Phone	8504315238	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 MICCOSUKEE ROAD	AddressLine1Txt
City	TALLAHASSEE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	323085054	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WILLIAM GIUDICE	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8504315238	PhoneNum
Signature	2020-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANTONIO C RUSSO	PreparerPersonNm
PTIN	P00858539	PTIN
Phone	2673303000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	155.201.35.58	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	23522320202275000004	FederalOriginalSubmissionId
Federal Original Submission Id	2020-08-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	7C276736B1F8534619D83B6F2AADECD8007A5E58	AtSubmissionCreationDeviceId
At Submission Filing Device Id	2719192911BCB3EB586EADDE14073544A58AB321	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	WILLIAM GIUDICE CFO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 MICCOSUKEE ROAD	AddressLine1Txt
City	TALLAHASSEE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	323085054	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$786,723,306	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.tmh.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1979	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	TALLAHASSEE 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 Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	6175	TotalEmployeeCnt
Total Volunteers	875	TotalVolunteersCnt
Total Gross UBI	$1,570,235	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,259,247	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,724,422	PYContributionsGrantsAmt
CY Contributions Grants	$1,129,931	CYContributionsGrantsAmt
PY Program Service Revenue	$607,338,244	PYProgramServiceRevenueAmt
CY Program Service Revenue	$434,770,045	CYProgramServiceRevenueAmt
PY Investment Income	$6,889,175	PYInvestmentIncomeAmt
CY Investment Income	$7,452,998	CYInvestmentIncomeAmt
PY Other Revenue	$222,696,483	PYOtherRevenueAmt
CY Other Revenue	$261,909,803	CYOtherRevenueAmt
PY Total Revenue	$840,648,324	PYTotalRevenueAmt
CY Total Revenue	$705,262,777	CYTotalRevenueAmt
PY Grants And Similar Paid	$201,302	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$366,411	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$316,200,752	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$333,002,955	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$473,248,528	PYOtherExpensesAmt
CY Other Expenses	$365,285,861	CYOtherExpensesAmt
PY Total Expenses	$789,650,582	PYTotalExpensesAmt
CY Total Expenses	$698,655,227	CYTotalExpensesAmt
PY Revenues Less Expenses	$50,997,742	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,607,550	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,056,902,686	TotalAssetsBOYAmt
Total Assets EOY	$991,316,249	TotalAssetsEOYAmt
Total Liabilities BOY	$523,704,032	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$520,662,735	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$533,198,654	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$470,653,514	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	FOUNDED 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 Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$619,400,940	ExpenseAmt
Grant	$366,411	GrantAmt
Revenue	$697,275,947	RevenueAmt
Desc	DESIGNED 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	$619,400,940	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	252	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6175	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	WILLIAM A GIUDICE CFO	PersonNm
Phone	8504315238	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 MICCOSUKEE ROAD	AddressLine1Txt
City	TALLAHASSEE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	323085054	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTOPHER RUMANA MD
CHAIR	2.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
MARTHA BARNETT
CHAIR-ELECT	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
LEE HINKLE
SECRETARY	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ANDREW WONG MD
TREASURER	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
SHELBY BLANK MD
DIRECTOR	1.5	0.0	Yes (X)		$620,852	$0	$21,629
AJ BRICKLER MD
DIRECTOR, INDEPENDENT PHYS.	1.5	0.0	Yes (X)		$0	$0	$0
BRANT COPELAND
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
KELLY DOZIER
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
STEVEN EVANS
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
WINSTON HOWELL
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
JAMES KILLIUS MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
AVERY MCKNIGHT
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
ERMAN MURRAY JR
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
MARY PANKOWSKI PHD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
THOMAS TRUMAN MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
GARY WINCHESTER
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
ED CANUP
EX-OFFICIO DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
BETH GREEN
EX-OFFICIO DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
JOSEPH SOTTO MD
EX-OFFICIO DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
G MARK O'BRYANT
EX-OFFICIO DIRECTOR & CEO	53.0	2.0	Yes (X)	Yes (X)	$1,166,791	$0	$292,377
WILLIAM GUIDICE
VP/CFO	54.0	1.0		Yes (X)	$618,303	$0	$90,948
BARBARA ALFORD
CHIEF CLINICAL OFFICER/CNO/VP	55.0	0.0		Yes (X)	$521,952	$0	$64,791
CYNTHIA BLAIR
CHIEF IMPROVEMENT/PLNG OFFICER	55.0	0.0		Yes (X)	$281,271	$0	$16,500
STEPHANIE M DERZYPOLSKI
CHIEF COMMUNICATION OFFICER	55.0	0.0		Yes (X)	$236,023	$0	$39,993
ANDREA K FRIALL MD
CHIEF MEDICAL STAFF OFFICER	18.0	0.0		Yes (X)	$212,950	$0	$0
DONALD LINDSEY
CHIEF INFORMATION OFFICER	55.0	0.0		Yes (X)	$274,613	$0	$38,479
DEAN WATSON MD
CHIEF HEALTH OPS OFFICER	55.0	0.0		Yes (X)	$531,923	$0	$73,531
YASHICA L WILSON-HEARNS
VP/SUPPORT SERVICES	55.0	0.0		Yes (X)	$175,573	$0	$20,009
JOSEPH L CAMPS MD
CHIEF INTEGRATION OFFICER/VP	15.0	0.0		Yes (X)	$183,207	$0	$0
STEVEN E HAYNES
CHIEF HUMAN RESOURCE OFFICER	55.0	0.0		Yes (X)	$316,904	$0	$31,699
NIGEL ALLEN
CHIEF ADVANCEMENT OFFICER/VP	54.0	1.0		Yes (X)	$30,866	$0	$1,620
CHARLES YOWELL MD
UROLOGIST	55.0	0.0			$712,362	$0	$728	Yes (X)
PHILIP V SHARP MD
RADIATION ONCOLOGIST	55.0	0.0			$831,736	$0	$29,474	Yes (X)
ELIOT B SIELOGG MD
GENERAL SURGEON	55.0	0.0			$853,054	$0	$29,474	Yes (X)
WILLIAM DOBAK MD
HEMATOLOGIST/ONCOLOGIST	55.0	0.0			$922,585	$0	$29,534	Yes (X)
OVIDIU MARINA MD
RADIATION ONCOLOGIST	55.0	0.0			$1,293,514	$0	$29,515	Yes (X)
MICKEY S MOORE
FORMER CHIEF ADVANCEMENT OFF.	0.0	0.0			$257,081	$0	$14,077		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,041,560	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$824,378	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	395	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BRASFIELD GORRIE LLC
1990 VAUGHN ROAD SUITE 100	KENNESAW	GA	30144	CONSTUCT. ENGINEER	$53,239,186
SOUTHERN MEDICAL GROUP PA
1300 MEDICAL DRIVE	TALLAHASSEE	FL	32308	PHYSICIAN SRVCS	$27,976,671
SHIFTWISE
PO BOX 70870	ST PAUL	MN	55170	SOFTWARE SRVCS	$15,807,426
BROOKS LEBOEUF
909 EAST PARK AVENUE	TALLAHASSEE	FL	32301	LEGAL SERVICES	$7,435,000
TALLAHASSEE PULMONARY CLINIC
2617 MITCHAM DRIVE	TALLAHASSEE	FL	32308	PHYSICIAN SRVCS	$8,200,866

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	93	CntrctRcvdGreaterThan100KCnt
Related Organizations	$706,419	RelatedOrganizationsAmt
Government Grants	$295,788	GovernmentGrantsAmt
All Other Contributions	$127,724	AllOtherContributionsAmt
Noncash Contributions	$10,689	NoncashContributionsAmt
Total Contributions	$1,129,931	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET HEALTH CARE SERVICE REVENUES	Desc
Business	621500	BusinessCd
Total Revenue Column	$434,770,045	TotalRevenueColumnAmt
Related Or Exempt Func Income	$434,202,737	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$567,308	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$434,770,045	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,361,108	TotalRevenueColumnAmt
Exclusion	$7,361,108	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,269,100	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,865,199	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$596,099	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$596,099	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,002,927	UnrelatedBusinessRevenueAmt
Exclusion	-$1,599,026	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$15,730,258	SecuritiesAmt
Other	-$27,835	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$15,610,533	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$119,725	SecuritiesAmt
Other	-$27,835	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$91,890	TotalRevenueColumnAmt
Exclusion	$91,890	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$320,064,004	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$61,984,797	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$258,079,207	TotalRevenueColumnAmt
Related Or Exempt Func Income	$258,079,207	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
VENDOR REBATES	900099	$3,375,148	$3,375,148
PARKING DECK	900099	$457,643	$457,643
CONTRACTUAL LATE FEES	900099	$120,690	$120,690

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$473,214	TotalRevenueColumnAmt
Related Or Exempt Func Income	$473,214	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,426,695	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$705,262,777	TotalRevenueColumnAmt
Related Or Exempt Func Income	$696,708,639	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,570,235	UnrelatedBusinessRevenueAmt
Exclusion	$5,853,972	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$366,411	TotalAmt
Program Services	$366,411	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,698,160	TotalAmt
Program Services	$5,066,096	ProgramServicesAmt
Management And General	$632,064	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$283,272,355	TotalAmt
Program Services	$253,498,462	ProgramServicesAmt
Management And General	$29,773,893	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	-$1,358,629	TotalAmt
Program Services	-$1,148,612	ProgramServicesAmt
Management And General	-$210,017	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$25,311,837	TotalAmt
Program Services	$22,651,387	ProgramServicesAmt
Management And General	$2,660,450	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,079,232	TotalAmt
Program Services	$17,968,766	ProgramServicesAmt
Management And General	$2,110,466	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,956,293	TotalAmt
Program Services	$2,776,881	ProgramServicesAmt
Management And General	$179,412	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,102,692	TotalAmt
Management And General	$1,102,692	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$91,430	TotalAmt
Program Services	$91,430	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$86,846,589	TotalAmt
Program Services	$81,281,195	ProgramServicesAmt
Management And General	$5,565,394	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,155,693	TotalAmt
Management And General	$2,155,693	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$28,317,610	TotalAmt
Program Services	$25,930,884	ProgramServicesAmt
Management And General	$2,386,726	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$26,314,466	TotalAmt
Program Services	$13,268,014	ProgramServicesAmt
Management And General	$13,046,452	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,964,025	TotalAmt
Program Services	$6,483,222	ProgramServicesAmt
Management And General	$1,480,803	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,971,261	TotalAmt
Program Services	$1,756,754	ProgramServicesAmt
Management And General	$1,214,507	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,061,351	TotalAmt
Program Services	$353,012	ProgramServicesAmt
Management And General	$708,339	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,623,658	TotalAmt
Program Services	$9,623,658	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$36,160,672	TotalAmt
Program Services	$32,149,787	ProgramServicesAmt
Management And General	$4,010,885	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$11,568,416	TotalAmt
Program Services	$11,180,914	ProgramServicesAmt
Management And General	$387,502	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PATIENT EXPENSES	$101,215,355	$101,215,355	$0	$0
SERVICE/MAINTENANCE	$20,780,850	$15,091,473	$5,689,377	$0
INDIGENT CARE ASSESSMENT	$9,385,647	$9,385,647	$0	$0
ALL OTHER EXPENSES	$16,769,853	$10,410,204	$6,359,649	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$698,655,227	TotalAmt
Program Services	$619,400,940	ProgramServicesAmt
Management And General	$79,254,287	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$307,702,627	BOYAmt
EOY	$286,803,986	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$91,048,606	BOYAmt
EOY	$91,487,414	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,225,267	BOYAmt
EOY	$13,571,249	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$16,862,080	BOYAmt
EOY	$19,122,585	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$963,624,583	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$441,615,803	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$446,258,459	BOYAmt
EOY	$522,008,780	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$27,300	BOYAmt
EOY	$27,300	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$184,778,347	BOYAmt
EOY	$58,294,935	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,056,902,686	BOYAmt
EOY	$991,316,249	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$84,578,616	BOYAmt
EOY	$86,552,962	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$369,293,175	BOYAmt
EOY	$364,393,333	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$20,654,554	BOYAmt
EOY	$20,102,680	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$49,177,687	BOYAmt
EOY	$49,613,760	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$523,704,032	BOYAmt
EOY	$520,662,735	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$533,198,654	BOYAmt
EOY	$470,653,514	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$533,198,654	BOYAmt
EOY	$470,653,514	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,056,902,686	BOYAmt
EOY	$991,316,249	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,607,550	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$69,152,690	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,892,594	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,602,289	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,171,428	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,724,422	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,129,931	CurrentTaxYearAmt
Total	$9,520,664	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,892,594	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,602,289	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,171,428	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,724,422	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,129,931	CurrentTaxYearAmt
Total	$9,520,664	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$9,520,664	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	-$374,956	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$105,610	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$287,579	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,048,467	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,765,009	CurrentTaxYearAmt
Total	$11,831,709	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,016,454	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,134,955	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,091,544	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,642,699	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,259,247	CurrentTaxYearAmt
Total	$6,144,899	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$27,497,272	TotalSupportAmt
Gross Receipts Rltd Activities	$3,919,063,635	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.34624	PublicSupportCY170Pct
Public Support PY170	0.42378	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$91,430	FilingOrganizationsTotalAmt
Affiliated Group Total	$91,430	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$91,430	FilingOrganizationsTotalAmt
Affiliated Group Total	$91,430	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$698,563,797	FilingOrganizationsTotalAmt
Affiliated Group Total	$700,195,903	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$698,655,227	FilingOrganizationsTotalAmt
Affiliated Group Total	$700,287,333	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Field	Value	IRS element (for citing)
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$97,499	CurrentYearMinus3Amt
Current Year Minus2	$79,152	CurrentYearMinus2Amt
Current Year Minus1	$93,548	CurrentYearMinus1Amt
Current Year	$91,430	CurrentYearAmt
Total	$361,629	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE C, PART II-A, LINE 1	FormAndLineReferenceDesc
Explanation	SUPPLEMENTAL 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: $91,430 - OTHER EXEMPT PURPOSE EXPENDITURES: $698,563,797 THIS ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED SEPTEMBER 30, 2019. THIS ELECTION HAS NO BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2018. NAME OF NON-ELECTING ORGANIZATION: ------------------------------------------------------- SOUTHEAST COMMUNITY HEALTH SRVS, INC. - DIRECT LOBBYING EXPENDITURES: $0 - OTHER EXEMPT PURPOSE EXPENDITURES: $215,162 TALLAHASSEE MEMORIAL HEALTHCARE FND. - DIRECT LOBBYING EXPENDITURES: $0 - OTHER EXEMPT PURPOSE EXPENDITURES: $1,416,944	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,134,085	BeginningYearBalanceAmt
Contributions	$195,126	ContributionsAmt
Investment Earnings Or Losses	$198,103	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,000	OtherExpendituresAmt
End Year Balance	$7,521,314	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,171,531	BeginningYearBalanceAmt
Contributions	$375,335	ContributionsAmt
Investment Earnings Or Losses	$94,119	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,506,900	OtherExpendituresAmt
End Year Balance	$7,134,085	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$573,836,135	OtherCostOrOtherBasisAmt
Depreciation	$201,908,033	DepreciationAmt
Book Value	$371,928,102	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,794,993	OtherCostOrOtherBasisAmt
Depreciation	$3,719,265	DepreciationAmt
Book Value	$4,075,728	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$344,497,983	OtherCostOrOtherBasisAmt
Depreciation	$235,988,505	DepreciationAmt
Book Value	$108,509,478	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,003,652	OtherCostOrOtherBasisAmt
Book Value	$13,003,652	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$522,008,780	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
DEBT RESERVE FUND	$8,102,411
DEPOSITS AND OTHER ASSETS	$8,494,044
OTHER RECEIVABLES	$6,731,217
SELF INSURANCE TRUST FUND	$5,338,124
UNEXPENDED CONSTRUCTION FUND	$19,064,610
SWAP COLLATERAL	$150,000
DUE FROM MEDICARE	$10,414,529

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$58,294,935	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
WORKER'S COMP SELF INSURANCE	$1,997,082
PROFESSIONAL LIABILITY SELF IN	$22,321,007
OBLIGATION FOR SUPPLEMENTAL EX	$3,818,785
DEFFERRED COMP ARRANGEMENT	$4,498,009
ASSET RETIREMENT OBLIGATION	$380,000
AHCA ASSESSMENT	$6,064,213
OTHER LIABILITIES	$10,532,164
SECURITY DEPOSITS	$2,500

Field	Value	IRS element (for citing)
Total Liability	$49,613,760	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE D, PART V, LINE 4	FormAndLineReferenceDesc
Explanation	INTENDED 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

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	Insurance Coverage	SpecificServicesProvidedTxt
Region Total Expenditures	$216,578	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$216,578	SubtotalSpentAmt
Total Spent	$216,578	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,666,559	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,666,559	NetCommunityBenefitExpnsAmt
Total Expense	0.03670	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,982,161	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,906,555	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,075,606	NetCommunityBenefitExpnsAmt
Total Expense	0.03160	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$95,648,720	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,906,555	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,742,165	NetCommunityBenefitExpnsAmt
Total Expense	0.06830	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,269,970	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,780,293	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,489,677	NetCommunityBenefitExpnsAmt
Total Expense	0.02500	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$89,797,724	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,331,931	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,465,793	NetCommunityBenefitExpnsAmt
Total Expense	0.04080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$111,067,694	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,112,224	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,955,470	NetCommunityBenefitExpnsAmt
Total Expense	0.06580	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$206,716,414	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$113,018,779	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$93,697,635	NetCommunityBenefitExpnsAmt
Total Expense	0.13410	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$590,418	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$590,418	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$590,418	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$590,418	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$178,980,000	BadDebtExpenseAmt
Bad Debt Expense Attributable	$48,715,230	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$118,349,855	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$124,402,640	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,052,785	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TALLAHASSEE MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 MICCOSUKEE ROAD	AddressLine1Txt
City	TALLAHASSEE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32309	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.TMH.ORG	WebsiteAddressTxt
State License	LICENSE# 4080	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TALLAHASSEE MEMORIAL HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCH H, PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SCH H, PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SCH H, PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016. IDENTIFICATION OF FIVE KEY HEALTH PRIORITIES EVOLVED FOLLOWED BY CREATION OF A 2017-2019 IMPLEMENTATION PLAN TO ADDRESS EACH OF THESE PRIORITY AREAS. THE FIVE KEY HEALTH PRIORITIES ARE (1) CHILDREN'S CONCERNS (2) PERSONAL HEALTH (3) BEHAVIORAL HEALTH (4) ACCESS TO CARE AND (5) TOBACCO FREE. TMH SERVICE LINES WORK IN PARTNERSHIP WITH MANY COMMUNITY BASED ORGANIZATIONS TO ADDRESS THESE HEALTH NEEDS. THE FOLLOWING IS AN UPDATE OF PROGRESS MADE IN EACH PRIORITY AREA DURING FISCAL YEAR 2019. 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 FOR FISCAL YEARS 2020 TO 2022. (1) CHILDREN'S CONCERNS THE LONG-TERM GOAL FOR PRIORITY AREA, CHILDREN'S CONCERNS, IS TO IMPROVE BREASTFEEDING RATES FOR MATERNAL PATIENTS. THREE INTERMEDIATE GOALS WERE IDENTIFIED: (1) ACHIEVE BABY FRIENDLY ACCREDITATION (2) INCREASE THE INITIATION AND DURATION OF BREASTFEEDING AND (3) INCREASE ACCESS TO PRE-NATAL SERVICES THAT SUPPORT HEALTH FOR LOW INCOME AND VULNERABLE POPULATIONS. THE FOLLOWING SHARES OUR PROGRESS ON THESE GOALS AS OF 2019. IN 2018, THE FIRST GOAL WAS ACHIEVED WHEN TMH BECAME A BABY FRIENDLY HOSPITAL. TMH IS ONE OF 19 HOSPITALS IN THE STATE OF FLORIDA, AND THE FIRST IN THE BIG BEND REGION, TO BE AWARDED THE BABY-FRIENDLY ACCREDITATION. BABY FRIENDLY IS A GLOBAL PROGRAM RECOGNIZING HOSPITALS AND BIRTHING CENTERS OFFERING AN OPTIMAL LEVEL OF CARE FOR INFANT FEEDING AND MOTHER/BABY BONDING. OVER THE PAST FOUR YEARS, TMH COLLEAGUES WORKED TO CHANGE PROCESSES AND PROCEDURES FOR OUR ENTIRE ORGANIZATION AND PROVIDED A TREMENDOUS AMOUNT OF EDUCATION TO MEDICAL PROFESSIONALS AND THE GENERAL PUBLIC. IT HAS BEEN A BENEFICIAL SHIFT FOR OUR ORGANIZATION AND, MOST IMPORTANTLY, THE BABIES BORN IN OUR FACILITY. WHEN FAMILIES COME TO THE TALLAHASSEE MEMORIAL ALEXANDER D. BRICKLER, M.D. WOMEN'S PAVILION, THEY CAN EXPECT TO EXPERIENCE SKIN-TO-SKIN CONTACT AFTER THEIR BABY IS BORN. DURING THIS PROCESS, THE BABY IS PLACED DIRECTLY ON A PARENT'S CHEST AND COVERED WITH A WARM BLANKET. BABIES WHO EXPERIENCE SKIN-TO-SKIN ALSO HAVE LESS STRESS, REDUCED CRYING, ENHANCED BONDING AND IMPROVED BRAIN DEVELOPMENT. EACH BABY ALSO EXPERIENCES A DELAYED BATH, TYPICALLY DELAYED UP TO 24 HOURS, TO HELP REDUCE STRESS AND TO SERVE AS A TEACHABLE MOMENT SO THE WHOLE FAMILY CAN BE INVOLVED IN THE BATHING PROCESS. IN THE WOMEN'S PAVILION, A MOM AND HER BABY ALSO SHARE A ROOM. THIS ROOMING IN MODEL ALLOWS FOR BETTER BONDING AND INCREASED BREASTFEEDING RATES WHILE ALSO HELPING MOMS TO FEEL MORE RELAXED WITH THEIR BABIES CLOSE BY. THE ULTIMATE GOAL WITH EACH OF THESE EVIDENCE-BASED MATERNITY CARE PRACTICES IS TO PROVIDE MOMS AND BABIES WITH THE BEST START. TO ADDRESS THE SECOND GOAL FOR CHILDREN'S CONCERNS, TMH CONTINUES SUPPORT OF BREASTFEEDING ONCE MOM AND BABY HAVE LEFT THE HOSPITAL, BY OFFERING "MILK WITH MOMMY", A FREE BREASTFEEDING SUPPORT GROUP THAT MEETS TWICE A WEEK AND IS LED BY A CERTIFIED LACTATION CONSULTANT. MILK WITH MOMMY IS OPEN TO ANYONE IN THE COMMUNITY AND OFFERS A CASUAL ENVIRONMENT FOR MOMS AND BABIES TO CONNECT WITH EACH OTHER. SINCE MEASURING HOW MUCH MILK A BABY RECEIVES CAN BE A CHALLENGE WHEN BREASTFEEDING, WE PROVIDE AN INFANT SCALE TO WEIGH A BABY BEFORE AND AFTER FEEDING. THIS VENUE ALSO PROVIDES A SOCIAL OUTLET FOR MOMS DURING THEIR TRANSITION AFTER DELIVERY. PARTICIPATION IN SUPPORT GROUPS EXPERIENCED AN INCREASE IN 2019 COMPARED TO THE LAST FEW YEARS. APPROXIMATELY 2,500 MOTHERS ATTENDED IN FISCAL YEAR 2019, COMPARED TO ABOUT 2,300 MOTHERS THE PREVIOUS YEARS, SHOWING A 9% INCREASE IN PARTICIPATION. OVER THE LAST FEW YEARS, TMH HAS EXPERIENCED SIGNIFICANT IMPROVEMENT IN INPATIENT BREASTFEEDING RATES. IN 2019, TALLAHASSEE MEMORIAL HEALTHCARE DELIVERED 3,700 BABIES. BREASTFEEDING INITIATION RATE FOR BABIES ELIGIBLE TO RECEIVE BREASTMILK WAS 84%, EXCEEDING THE GOAL OF 80%. FIFTY-SIX PERCENT OF BABIES WHO WERE ELIGIBLE TO RECEIVE BREASTMILK WERE EXCLUSIVELY BREASTFED, EXCEEDING THE GOAL OF 50%. IN 2019, THE WOMEN AND CHILDREN'S CENTER BEGAN PREPARATION FOR SAFE SLEEP CERTIFICATION. THIS PROGRAM WILL BE AWARDED THROUGH DISPLAY OF SEVERAL STEPS TO FURTHER EDUCATE PARENTS REGARDING THEIR NEWBORNS SAFETY DURING SLEEP INCLUDING SAFE SLEEP TECHNIQUE, SLEEP SACKS DISTRIBUTED TO EACH NEWBORN AND WRITTEN EDUCATION FOR PARENTS. THE THIRD GOAL FOR THE CHILDREN'S CONCERNS HEALTH PRIORITY IS INCREASING ACCESS TO PRENATAL SERVICES FOR LOW INCOME AND VULNERABLE POPULATIONS. THE TMH FAMILY MEDICINE RESIDENCY (FMR) PROGRAM PARTNERS WITH FIVE COUNTY HEALTH DEPARTMENTS, INCLUDING GADSDEN, JEFFERSON, MADISON, TAYLOR AND WAKULLA COUNTIES, TO PROVIDE FULL SCOPE PRENATAL CARE, COUNSELING AND BIRTH CONTROL TO MEDICALLY UNDERSERVED MOTHERS. FAMILY MEDICINE PROVIDES THESE SAME SERVICES AT BOND COMMUNITY HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN LEON COUNTY. IN FISCAL YEAR 2019, OVER 2,000 WOMEN RECEIVED SERVICES FROM THE TMH FAMILY MEDICINE RESIDENCY PARTNERSHIP WITH COUNTY HEALTH DEPARTMENTS. THE NUMBER OF WOMEN RECEIVING SERVICES WAS STABLE FROM YEARS PAST. IN 2019, TMH DONATED APPROXIMATELY 700 PHYSICIAN HOURS, 1200 MID-WIFE HOURS AND OVER 500 NURSE HOURS TO THIS PRENATAL CARE. IN ADDITION, OVER 400 PHYSICIAN HOURS WERE DEVOTED TO CARING FOR 500+ WOMEN AT BOND COMMUNITY HEALTH CENTER, FQHC, IN FY 2019. WHAT BEGAN IN 2018, EVOLVED INTO A 24/7/365 SERVICE AT THE HOSPITAL DEDICATED SOLELY TO SERVING PREGNANT WOMEN. THIS OB TRIAGE/EMERGENCY UNIT IS NOW FULLY STAFFED BY FAMILY MEDICINE RESIDENCY MIDWIVES/APRN, RESIDENT PHYSICIANS, AND OB FELLOWS. ANY PATIENT WHO ARRIVES, REGARDLESS OF THEIR ABILITY TO PAY, THEIR PRE-NATAL CARE HISTORY, AND/OR THEIR PCP, WILL RECEIVE CONSISTENT, HIGH-QUALITY, FOCUSED OBSTETRICAL CARE. THIS IS THE ONLY SERVICE OF ITS TYPE IN THE SURROUNDING BIG BEND REGION. (2) PERSONAL HEALTH THE LONG-TERM GOAL FOR THE PRIORITY AREA, PERSONAL HEALTH, IS TO IMPROVE NUTRITION OF COMMUNITY MEMBERS IN AN EFFORT TO REDUCE THE IMPACT OF CHRONIC CONDITIONS SUCH AS DIABETES, OBESITY AND CARDIOVASCULAR DISEASE. TWO INTERMEDIATE GOALS WERE IDENTIFIED: (1) IMPROVE HEALTHY EATING AMONG RESIDENTS IN LOW-INCOME, UNDER-RESOURCED COMMUNITIES (2) IMPROVE ACCESS TO CARE FOR CHRONIC CONDITIONS. IN 2019, WE CONTINUED EFFORTS AND EXPANDED ON SEVERAL STRATEGIES AIMED AT MEETING THESE GOALS. THE PRIMARY STRATEGY IMPLEMENTED TO ADDRESS THE NEEDS OF THE PERSONAL HEALTH PRIORITY IS A COMPREHENSIVE INITIATIVE TO IMPROVE HEALTHY FOOD ACCESS AND NUTRITIONAL INTAKE BY WAY OF THE SOUTHSIDE FARMERS MARKET AND FRESH FRUIT AND VEGETABLE RX PROGRAM. THIS INITIATIVE WAS LAUNCHED IN MAY 2018 AND WAS PART OF ONGOING WORK OF THE LOCAL INVEST HEALTH TEAM WHICH BEGAN IN 2016. INVEST HEALTH IS A COLLABORATIVE INITIATIVE BETWEEN THE ROBERT WOOD JOHNSON FOUNDATION AND REINVESTMENT FUND THAT BRINGS TOGETHER DIVERSE LEADERS FROM MID-SIZED U.S. CITIES ACROSS THE NATION TO DEVELOP NEW STRATEGIES FOR INCREASING AND LEVERAGING PRIVATE AND PUBLIC INVESTMENTS TO ACCELERATE IMPROVEMENTS IN NEIGHBORHOODS FACING THE BIGGEST BARRIERS TO BETTER HEALTH. THE SOUTHSIDE FARMERS MARKET AND FRESH FRUIT AND VEGETABLE RX PROGRAM IS A COMMUNITY-DRIVEN PARTNERSHIP THAT ADDRESSES THE OVERALL HEALTH AND WELL-BEING OF SOUTHSIDE TALLAHASSEE RESIDENTS. THIS PROGRAM IS CARRIED OUT AS A PARTNERSHIP WITH CITY OF TALLAHASSEE NEIGHBORHOOD AFFAIRS, FLORIDA A & M UNIVERSITY AND TALLAHASSEE MEMORIAL HEALTHCARE. THE PROGRAM IS DESIGNED TO ADDRESS BOTH SOCIAL DETERMINANTS OF HEALTH, PARTICULARLY ENVIRONMENTS AND BEHAVIORS LINKED TO HEALTHY NUTRITION CHOICES AND FRUIT AND VEGETABLE CONSUMPTION AND THE CLINICAL CARE NEEDS OF PATIENTS. VAST HEALTH AND SOCIAL DISPARITIES EXIST BETWEEN BLACK AND WHITE POPULATIONS IN LEON COUNTY, FLORIDA. THE SOUTHSIDE TALLAHASSEE COMMUNITY IS PREDOMINANTLY BLACK WITH APPROXIMATELY 88-99% BLACK RESIDENTS. THE 2016 LEON COUNTY MINORITY HEALTH PROFILE SHOWS THE BLACK/WHITE RATIO FOR ADULT DIABETES DIAGNOSIS TO BE 1.5:1, ER VISITS DUE TO DIABETES 2.7:1, HOSPITALIZATION RATE 2.3:1 AND AGE-ADJUSTED DEATH RATE 3.1:1. IN ADDITION, THIS PROFILE ALSO SHOWS A 2:1 RATIO FOR POVERTY, 2.7:1 RATIO FOR UNEMPLOYMENT AND 0.6:1 RATIOS FOR BOTH HOUSEHOLD INCOME AND OWNER OCCUPIED HOUSING UNITS. SINCE ITS INCEPTION IN MAY 2018, THE SOUTHSIDE FARMER'S MARKET HAS SERVED OVER 7,500 PARTICIPANTS. MARKETS ARE HELD TWICE A MONTH FROM MAY TO DECEMBER EACH YEAR AND SERVICE OVER 250 ATTENDEES PER MARKET. A WIDE VARIETY OF FRESH, LOCAL FRUITS AND VEGETABLES, EGGS, HONEY AND OTHER HANDMADE GOODS SUCH AS SOAPS, FACIAL CARE AND CANDLES WERE INFUSED INTO THE COMMUNITY BOTH IMPROVING ACCESS TO THESE ITEMS AND SUPPORTING THE LOCAL ECONOMY. OVER $12,000 WORTH OF FRESH, LOCAL PRODUCE AND GOODS WERE INFUSED INTO THE COMMUNITY EACH MARKET SEASON. COMMUNITY BUILDING IS ANOTHER IMPORTANT FACET OF THE MARKETS.
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 ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED)	DUE TO THE ADOPTION OF NEW ACCOUNTING PRONOUNCEMENT ASC 606, CURRENT YEAR 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, LINE 1 (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. -------------------- PART III, SECTION A, LINE 2/3 (IMPLICIT PRICE CONCESSIONS/BAD DEBT EXPENSE) 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 NEW 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 16 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)	TALLAHASSEE MEMORIAL HEALTHCARE (TMH) IS LOCATED IN FLORIDA'S CAPITAL CITY OF TALLAHASSEE, IN THE HEART OF THE STATE'S PANHANDLE. TMH'S PRIMARY SERVICE AREA IS A FOUR-COUNTY REGION (PSA) CONTAINING LEON, GADSDEN, WAKULLA AND JEFFERSON COUNTIES, WITH A TOTAL POPULATION OF MORE THAN 390,000. LOCATED IN LEON COUNTY - THE LARGEST IN THE PSA, REPRESENTING 75% OF THE FOUR-COUNTY POPULATION - TMH SERVES A VERY DIVERSE POPULATION. THE UNEMPLOYMENT RATE IN PSA RANGES FROM 3.3% TO 4.6%. THE NUMBER OF CHILDREN IN POVERTY RANGES FROM 16% IN WAKULLA COUNTY TO 38% IN GADSDEN COUNTY. THERE IS A DRAMATIC DIFFERENCE IN COLLEGE EDUCATION RATES BETWEEN THE SURROUNDING COUNTIES (AVERAGE OF 19%) COMPARED TO LEON COUNTY, HOME TO TWO STATE UNIVERSITIES, (AVERAGE OF 45.7%). (SOURCE: FLORIDA OFFICE OF ECONOMIC & DEMOGRAPHIC RESEARCH). THE HOUSEHOLD INCOME IN THESE FOUR COUNTIES RANGES FROM $40,922 TO $62,778. AS THE LARGEST SAFETY NET HOSPITAL IN THE SERVICE AREA, SERVING 17 COUNTIES IN NORTH FLORIDA AND SOUTH GEORGIA, TMH HAS A LONG HISTORY OF IMPROVING OVERALL HEALTH AND QUALITY OF LIFE THROUGHOUT THE REGION. DURING FISCAL YEAR 2019, TMH EXPANDED ACCESS TO CARE BY BRINGING NEW PHYSICIANS, FACILITIES AND TECHNOLOGIES TO THE AREA AND REACHED THE COMMUNITY WITH EDUCATIONAL EVENTS AND INITIATIVES. --------------------
PART VI, LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)	AS THE LARGEST SAFETY NET HOSPITAL IN THE SERVICE AREA, SERVING 17 COUNTIES IN NORTH FLORIDA AND SOUTH GEORGIA, TMH HAS A LONG HISTORY OF IMPROVING OVERALL HEALTH AND QUALITY OF LIFE THROUGHOUT THE REGION. DURING FISCAL YEAR 2019, TMH EXPANDED ACCESS TO CARE BY BRINGING NEW PHYSICIANS, FACILITIES AND TECHNOLOGIES TO THE AREA AND REACHED THE COMMUNITY WITH EDUCATIONAL EVENTS AND INITIATIVES. 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. THE MAJORITY OF THESE SERVICES ARE PROVIDED BY THE TALLAHASSEE MEMORIAL METABOLIC HEALTH CENTER, THE TALLAHASSEE MEMORIAL TRANSITION CENTER, THE TALLAHASSEE MEMORIAL BIXLER TRAUMA & EMERGENCY, THE TALLAHASSEE MEMORIAL EMERGENCY CENTER - NORTHEAST 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 RESIDENTS. TMH'S RURAL CLINICS, INCLUDING FAMILY MEDICINE PRACTICES IN GADSDEN, JEFFERSON, TAYLOR, WAKULLA AND CALHOUN COUNTIES ENSURE PATIENTS IN TALLAHASSEE'S SURROUNDING COMMUNITIES ARE ABLE TO RECEIVE CARE CLOSE TO HOME. SINCE 2009, THE BIXLER TRAUMA & EMERGENCY CENTER HAS OPERATED AS THE REGION'S ONLY LEVEL II TRAUMA CENTER. IN 2013, TMH ALSO OPENED THE EMERGENCY CENTER - NORTHEAST, EXPANDING EMERGENCY CARE OPTIONS FOR OUR SERVICE AREA. IMPROVING ACCESS TO HEALTHCARE: THROUGH THE YEARS, TMH HAS INVESTED IN EXPANDING ACCESSIBILITY TO HEALTHCARE FOR THE 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, GENERAL SURGERY, 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 ACCESS TO A DESIGNATED LEVEL II TRAUMA CENTER IS AN ESSENTIAL SERVICE FOR TMH'S SERVICE AREA. BY PROVIDING INCREASED COMPLEXITY AND VOLUME OF CARE IN THE EMERGENCY CENTER, THE FACILITY OFTEN REACHES CAPACITY AND EXPERIENCES EXTENDED WAIT TIMES FOR EMERGENT PATIENT CARE. BETWEEN THE BIXLER TRAUMA & EMERGENCY CENTER AND EMERGENCY CENTER - NORTHEAST ABOUT 315 PATIENTS ARE SEEN EACH DAY. THE MEDIAN PATIENT ARRIVAL TIME TO PATIENT PLACEMENT IN A BED WAS 17.5 MINUTES FISCAL YEAR 2019, WHILE THE MEDIAN PATIENT ARRIVAL TO PROVIDER EVALUATION TIME WAS 38.5 MINUTES. OPENED IN 2013, THE EMERGENCY CENTER - NORTHEAST CONTINUES TO EVOLVE AND TAKE ON A LARGER PATIENT POPULATION, INCLUDING THE OPENING OF A CHILDREN'S EMERGENCY CENTER IN AFFILIATION WITH WOLFSON CHILDREN'S HOSPITAL. THE AVERAGE DAILY PATIENT COUNT WAS 87 IN 2014 AND THEY NOW SEE AN AVERAGE OF 129 PATIENTS A DAY, NEARLY A QUARTER OF WHICH ARE PEDIATRIC PATIENTS. THIS HAS GREATLY INCREASED THE COMMUNITY'S ACCESS TO CARE. THE NUMBER OF PATIENTS WHO LEFT BEFORE BEING SEEN HAS REMAINED BELOW THE NATIONAL AVERAGE AT 2.85 PERCENT FOR FISCAL YEAR 2019. REGIONAL ACCESS TO PHYSICIANS: TMH'S FIVE RURAL FAMILY MEDICINE PRACTICES LOCATED IN GADSDEN, JEFFERSON, TAYLOR, WAKULLA AND CALHOUN COUNTIES ALSO INCREASE ACCESSIBILITY TO HEALTHCARE IN SURROUNDING RURAL COMMUNITIES. PRIMARY CARE OFFICES PROVIDE MUCH-NEEDED SERVICES TO THE RESIDENTS OF RURAL THESE COUNTIES THAT HAVE LIMITED ACCESS TO HEALTHCARE IN THEIR COMMUNITIES. AS PART OF THIS STRATEGY, TMH PHYSICIAN PARTNERS HAS EXPANDED THE REGIONAL REFERRAL PROCESS FOR SPECIALTY CARE IN THE SERVICE AREA AS WELL, COMPLEMENTING ALREADY ESTABLISHED PROVIDERS IN THESE AREAS. THE SURROUNDING COUNTIES NOW HAVE ACCESS TO MEDICAL SPECIALTIES INCLUDING BARIATRICS, CARDIOVASCULAR, CARDIOTHORACIC, ENDOCRINOLOGY, GENERAL SURGERY, GENETICS, GYNECOLOGICAL-ONCOLOGY, ORAL MAXILLOFACIAL SURGERY, HEART FAILURE, LIPIDS, MATERNAL-FETAL MEDICINE, NEUROLOGY, ONCOLOGY, PAIN MANAGEMENT, PSYCHIATRY, PULMONARY, 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 CAMPUS ON A PORTION OF 81.4 ACRES OF UNDEVELOPED LAND ON THE HOSPITAL'S CAMPUS. TODAY, THE 85,000-SQUARE-FOOT, THREE-STORY CENTER FEATURES SIX SIMULATION CENTERS, A 296-SEAT AUDITORIUM AND ADDITIONAL SPACE FOR EXPANSION. 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 TRAIN AND BECOME BOARD CERTIFIED IN THE SPECIALTY OF FAMILY MEDICINE. FMRP IS THE OLDEST FAMILY MEDICINE RESIDENCY IN FLORIDA (46 YEARS) AND HAS PRODUCED 404 GRADUATES SINCE ITS INCEPTION IN 1973. OF THOSE, 175 HAVE CHOSEN TO REMAIN IN FLORIDA AND 144 IN TMH'S SERVICE AREA, HELPING TO ENSURE ACCESS TO PRIMARY HEALTHCARE FOR RESIDENTS OF THE BIG BEND AND SOUTH GEORGIA. IN THE FALL OF 2011, TALLAHASSEE MEMORIAL AND THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE ESTABLISHED A JOINT INTERNAL MEDICINE RESIDENCY PROGRAM FOR THE BIG BEND REGION. THE INTERNAL MEDICINE RESIDENCY PROGRAM CURRENTLY HAS 27 RESIDENTS. IN 2016, THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE GENERAL SURGERY RESIDENCY PROGRAM AT TALLAHASSEE MEMORIAL HEALTHCARE ACCEPTED ITS FIRST RESIDENTS FOR ACADEMIC YEAR 2016-2017. THIS FIVE-YEAR PROGRAM IS THE FIRST SURGERY RESIDENCY PROGRAM IN NORTHWEST FLORIDA AND WILL PRODUCE TWO NEW GENERAL SURGEONS EACH YEAR ONCE IT IS AT FULL CAPACITY. THE FIRST GRADUATION OF RESIDENTS WILL BE IN JUNE OF 2020. IMPROVING METABOLIC HEALTH: TALLAHASSEE MEMORIAL HEALTHCARE WAS AN ACTIVE FOUNDING SPONSOR FOR THE STOMP: STUDENTS STOMPING FOR GOOD HEALTH (FORMERLY STOMP OUT TYPE 2 DIABETES) EVENT TARGETED AT LEON COUNTY SCHOOL STUDENTS, AND THEIR FAMILIES, TO PROMOTE HEALTHY WEIGHT, EATING BEHAVIORS AND PHYSICAL ACTIVITY. SINCE OPENING, THE METABOLIC HEALTH CENTER HAS OFFERED DIABETES, NUTRITION AND CARDIOVASCULAR DISEASE EDUCATION AND PREVENTATIVE WELLNESS TALKS TO IMPROVE POPULATION HEALTH. ADDITIONALLY, DIABETES EDUCATION AND NUTRITION COUNSELING CONTINUE TO BE OFFERED MONTHLY AT OUTREACH SITES IN QUINCY, BLOUNTSTOWN, PERRY AND CRAWFORDVILLE. THE METABOLIC CENTER ALSO HOUSES OUR COMMUNITY'S ONLY DIABETES PREVENTION PROGRAM ACCREDITED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS). IN FISCAL YEAR 2019, THE PROGRAM SUPPORTED 30 PARTICIPANTS WHO HAD AN AVERAGE WEIGHT LOSS OF 5.98% OF THEIR BODY WEIGHT. IN FISCAL YEAR 2019, TMH BEGAN UTILIZING TELEMEDICINE AS WAY TO CONNECT NEWLY DIAGNOSED PEDIATRIC DIABETES PATIENTS WITH EDUCATORS, NURSES AND DIETICIANS AT THE METABOLIC HEALTH CENTER. PREVIOUSLY, THESE PATIENTS WOULD BE DIAGNOSED IN THE INPATIENT CHILDREN'S CENTER, THEN SCHEDULE FOLLOW-UP APPOINTMENTS WITH THE OUTPATIENT METABOLIC HEALTH CENTER, REQUIRING MULTIPLE TRIPS AND A LAPSE IN TIME BETWEEN DIAGNOSIS AND EDUCATION. TELEMEDICINE NOW ALLOWS EDUCATION TO BEGIN IN THE
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

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION
2851 REMINGTON GREEN CIRCLE	SUITE 101	TALLAHASSEE	FL	32308	135613797	501(C)(3)	$10,000	FMV	N/A	SPONSORSHIP - HEART WALK
WORD OF SOUTH A FESTIVAL OF LITERATURE & MUSIC
PO BOX 861		TALLAHASSEE	FL	32302	463527772	501(C)(3)	$12,500	FMV	N/A	SPONSORSHIP - WORD OF SOUTH
GULF WINDS TRACK CLUB INC
PO BOX 3447		TALLAHASSEE	FL	32315	591896178	501(C)(3)	$10,000	FMV	N/A	SPONSORSHIP - TURKEY TROT
MARCH OF DIMES FOUNDATION
1990 VILLAGE WAY 3		TALLAHASSEE	FL	32308	131846366	501(C)(3)	$10,000	FMV	N/A	SPONSORSHIP - MARCH FOR BABIES
SPRINGTIME TALLAHASSEE INC
501 ETENNESSEE ST		TALLAHASSEE	FL	32308	237241347	501(C)(3)	$10,000	FMV	N/A	SPONSORSHIP - SPRING TIME TALLAHASSEE
THE TALLAHASSEE COMMUNITY COLLEGE FDN
444 APPLEYARD DR		TALLAHASSEE	FL	32304	592091480	501(C)(3)	$10,000	FMV	N/A	SPONSORSHIP - CLEAVER & CORK
TALLAHASSEE CHAMBER OF COMMERCE
300 E PARK AVE		TALLAHASSEE	FL	32301	590474165		$13,400	FMV	N/A	SPONSORSHIPS - AWARDS SPONSOR
FLORIDA A & M UNIVERSITY FOUNDATION INC
625 E TENNESSEE ST SUITE 100		TALLAHASSEE	FL	32308	590977035	501(C)(3)	$35,000	FMV	N/A	SPONSORSHIP - FAMU
AMERICAN CANCER SOCIETY
2619 CENTENNIAL BLVD		TALLAHASSEE	FL	32308	131788491	501(C)(3)	$7,000	FMV	N/A	SPONSORSHIP - RELAY FOR LIFE EVENT
GOODWOOD MUSEUM & GARDENS INC
1600 MICCOSUKEE ROAD		TALLAHASSEE	FL	32308	311539800	501(C)(3)	$30,000	FMV	N/A	SPONSORSHIP - PATH TO WELLNESS
UNITED WAY OF THE BIG BEND INC
307 EAST 7TH AVENUE		TALLAHASSEE	FL	32303	596011150	501(C)(3)	$105,000	FMV	N/A	SPONSORSHIP - UNITED WAY PROGRAMS

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DESCRIPTION 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: HTTPS://WWW.TMH.ORG/SPONSORSHIP.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SHELBY BLANK MD
DIRECTOR	$288,010	$0	$330,428	$0	$2,414	$0	$16,500	$0	$5,129	$0	$642,481	$0	$0	$0
G MARK O'BRYANT
EX-OFFICIO DIRECTOR & CEO	$884,020	$0	$236,640	$0	$46,131	$0	$278,856	$0	$13,521	$0	$1,459,168	$0	$0	$0
WILLIAM GUIDICE
VP/CFO	$509,819	$0	$96,424	$0	$12,060	$0	$77,432	$0	$13,516	$0	$709,251	$0	$0	$0
BARBARA ALFORD
CHIEF CLINICAL OFFICER/CNO/VP	$347,515	$0	$58,325	$0	$116,112	$0	$51,779	$0	$13,012	$0	$586,743	$0	$0	$0
CYNTHIA BLAIR
CHIEF IMPROVEMENT/PLNG OFFICER	$225,866	$0	$48,854	$0	$6,551	$0	$16,500	$0	$0	$0	$297,771	$0	$0	$0
STEPHANIE M DERZYPOLSKI
CHIEF COMMUNICATION OFFICER	$201,154	$0	$33,757	$0	$1,112	$0	$26,978	$0	$13,015	$0	$276,016	$0	$0	$0
ANDREA K FRIALL MD
CHIEF MEDICAL STAFF OFFICER	$184,075	$0	$28,875	$0	$0	$0	$0	$0	$0	$0	$212,950	$0	$0	$0
DONALD LINDSEY
CHIEF INFORMATION OFFICER	$237,264	$0	$35,247	$0	$2,102	$0	$25,505	$0	$12,974	$0	$313,092	$0	$0	$0
MICKEY S MOORE
FORMER CHIEF ADVANCEMENT OFF.	$112,943	$0	$41,099	$0	$103,039	$0	$13,960	$0	$117	$0	$271,158	$0	$0	$0
DEAN WATSON MD
CHIEF HEALTH OPS OFFICER	$434,960	$0	$84,743	$0	$12,220	$0	$60,557	$0	$12,974	$0	$605,454	$0	$0	$0
YASHICA L WILSON-HEARNS
VP/SUPPORT SERVICES	$154,464	$0	$20,161	$0	$948	$0	$19,806	$0	$203	$0	$195,582	$0	$0	$0
JOSEPH L CAMPS MD
CHIEF INTEGRATION OFFICER/VP	$183,207	$0	$0	$0	$0	$0	$0	$0	$0	$0	$183,207	$0	$0	$0
STEVEN E HAYNES
CHIEF HUMAN RESOURCE OFFICER	$287,401	$0	$24,000	$0	$5,503	$0	$26,349	$0	$5,350	$0	$348,603	$0	$0	$0
CHARLES YOWELL MD
UROLOGIST	$592,082	$0	$120,010	$0	$270	$0	$0	$0	$728	$0	$713,090	$0	$0	$0
PHILIP V SHARP MD
RADIATION ONCOLOGIST	$491,912	$0	$339,410	$0	$414	$0	$16,500	$0	$12,974	$0	$861,210	$0	$0	$0
ELIOT B SIELOGG MD
GENERAL SURGEON	$645,151	$0	$204,836	$0	$3,067	$0	$16,500	$0	$12,974	$0	$882,528	$0	$0	$0
WILLIAM DOBAK MD
HEMATOLOGIST/ONCOLOGIST	$484,548	$0	$437,767	$0	$270	$0	$16,500	$0	$13,034	$0	$952,119	$0	$0	$0
OVIDIU MARINA MD
RADIATION ONCOLOGIST	$401,761	$0	$891,573	$0	$180	$0	$16,500	$0	$13,015	$0	$1,323,029	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1A	QUESTIONS REGARDING COMPENSATION DIRECTORS RECEIVE COMPLIMENTARY ACCESS TO TMH'S HEALTH CLUB, PREMIER HEALTH AND FITNESS CENTER. ----------------
FORM 990, SCHEDULE J, PART I, LINE 4A	DETAIL OF SEVERANCE PAYMENTS SEVERANCE PAYMENTS WERE MADE TO THE FOLLOWING INDIVIDUALS DURING THE FISCAL YEAR ENDING 9-30-2019 AND WERE INCLUDED AS A COMPONENT OF COMPENSATION REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (B)(III) FOR EACH INDIVIDUAL: MICKEY S. MOORE- $85,250 ----------------
FORM 990, SCHEDULE J, LINE 4B	DETAIL 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 BARBARA ALFORD- DISTRIBUTIONS OF $105,959 STEPHANIE M. DERZYPOLSKI- NO DISTRIBUTIONS WILLIAM GIUDICE- NO DISTRIBUTIONS STEVEN E. HAYNES- NO DISTRIBUTIONS DONALD LINDSEY- NO DISTRIBUTIONS DEAN WATSON, MD- NO DISTRIBUTIONS YASHICA WILSON-HEARNS- NO DISTRIBUTIONS NIGEL ALLEN- NO DISTRIBUTIONS ----------------
FORM 990, SCHEDULE J, PART I, LINE 7	PROVISION 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 ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF TALLAHASSEE - SERIES 2015A
A	596000435	2015-05-28	$111,332,927	REFUNDING 1992B, 2000 & 2015 BONDS	false	false	false
CITY OF TALLAHASSEE - SERIES 2016A & 2016B
B	596000435	2016-02-02	$272,001,300	M.T. MUSTIAN CTR CONSTRUCTION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$4,042,927	$0	$111,332,927	$0	$0	$0	$1,176,569	$0	$0	$0	$110,156,358	$0	2015	false	Yes (true)	Yes (true)	Yes (true)
B	$29,821,300	$0	$272,001,300	$0	$0	$0	$1,790,765	$0	$0	$251,166,124	$0	$19,044,411	2019	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0.00000	0.00000	0.00000	false	false	0.00000	false	Yes (true)
B	false	false	false	false	0.00000	0.00000	0.00000	false	false	0.00000	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	Yes (true)	false	false	false	false	0	false	Yes (true)
0
B	false	false	Yes (true)	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JOSEPH L CAMPS
FAMILY MEMBER OF OFFICER	$63,228	EMPLOYMENT	false
STEPHANIE TRUMAN
FAMILY MEMBER OF BOARD MEMBER	$56,154	EMPLOYMENT	false
AJ BRICKLER MD
FAMILY MEMBER OF BOARD MEMBER	$160,609	EMPLOYMENT	false
DAVID BRICKLER
FAMILY MEMBER OF BOARD MEMBER	$139,196	EMPLOYMENT	false
LYNN BRICKLER
FAMILY MEMBER OF BOARD MEMBER	$92,499	EMPLOYMENT	false
MAD DOG CONSTRUCTION COMPANY
SIMILAR DIRECTOR/OWNER	$2,431,787	CONSTRUCTION SERVICES	false
SHELBY BLANK MD
BOARD MEMBER	$616,914	EMPLOYMENT	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 11	FORM 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 2018 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30 2019 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 12C	CONFLICT 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 15	COMPENSATION 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 19	AVAILABILITY 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 9	DETAIL OF OTHER CHANGES IN NET ASSETS CHANGE IN ADDITIONAL PENSION LIABILITY $ (71,708,509) CHANGE IN FAIR VALUE OF DERIVATIVE 2,658,939 ADDITIONAL DEPRECIATION (103,120) ------------------- TOTAL $(69,152,690) ----------
FORM 990 PART IX LINE 11G	DESCRIPTION:INDEPENDENT LAB TOTAL FEES:5484515
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING TOTAL FEES:4225497
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:35324615
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN PROFESSIONAL FEES TOTAL FEES:41811962

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SOUTHEAST COMMUNITY HEALTH SERVICES INC
1300 MICCOSUKEE ROAD	TALLAHASSEE	FL	32308	581434992	HOLDING CO	FL	501(C)(25)	N/A	TMH	Yes (true)
TALLAHASSEE MEMORIAL HEALTHCARE FDN
1300 MICCOSUKEE ROAD	TALLAHASSEE	FL	32308	591727645	FUNDRAISING	FL	501(C)(3)	7	TMH	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
TALLAHASSEE MEMORIAL HEALTH VENTURES INC
1300 MICCOSUKEE ROAD	TALLAHASSEE	FL	32308	592717050	HOLDING COMPANY	FL	TMH	C CORP	$2,985,899	$24,607,391	1.00000	Yes (true)
PRIME MERIDIAN HEALTH VENTURES INC
1309 THOMASVILLE ROAD	TALLAHASSEE	FL	32308	592668613	DIAG. IMAGING	FL	TMHV	C CORP			1.00000	Yes (true)
TALLAHASSEE MEMORIAL TELEPHONE COMPANY
1309 THOMASVILLE ROAD	TALLAHASSEE	FL	32308	593395937	TELEPHONE COMM.	FL	TMHV	C CORP			1.00000	Yes (true)
PREMIER HEALTH & FITNESS CENTER INC
3521 MACLAY BOULEVARD	TALLAHASSEE	FL	32312	592471569	FITNESS CENTER	FL	TMHV	C CORP			1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (true)	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SOUTHEAST COMMUNITY HEALTH SERVICES
A	$675	FMV
SOUTHEAST COMMUNITY HEALTH SERVICES
K	$489,092	FMV
TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION
C	$706,419	FMV
SOUTHEAST COMMUNITY HEALTH SERVICES
O,Q	$53,021	FMV
TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION
O,Q	$968,124	FMV
TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC
A	$1,401,864	FMV
TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC
K	$322,114	FMV