2020-08-14T15:11:29-05:00 2019-09-30 PRICEWATERHOUSECOOPERS LLP 2001 MARKET STREET SUITE 1800 PHILADELPHIA PA 19103 990 2018-10-01 591917016 TALLAHASSEE MEMORIAL HEALTHCARE INC % WILLIAM A GIUDICE CFO TALL 8504315238 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 WILLIAM GIUDICE CFO 8504315238 2020-08-14 true ANTONIO C RUSSO P00858539 2673303000 155.201.35.58 23522320202275000004 2020-08-14 P 7C276736B1F8534619D83B6F2AADECD8007A5E58 2719192911BCB3EB586EADDE14073544A58AB321 2018 2020-09-23 17:36:50Z WILLIAM GIUDICE CFO 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 786723306 false X www.tmh.org X 1979 FL TALLAHASSEE MEMORIAL HEALTHCARE, INC. IS A PRIVATE 772-BED, COMMUNITY HEALTHCARE SYSTEM THAT PROVIDES CHARITABLE, COMPASSIONATE, LEADING-EDGE, PATIENT-CENTERED HEALTH CARE. 16 12 6175 875 1570235 1259247 3724422 1129931 607338244 434770045 6889175 7452998 222696483 261909803 840648324 705262777 201302 366411 0 0 316200752 333002955 0 0 0 473248528 365285861 789650582 698655227 50997742 6607550 1056902686 991316249 523704032 520662735 533198654 470653514 X 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. false false 619400940 366411 697275947 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. 619400940 true true false true false false false false false true true false false true true false false true false false true false false false false false true true true false true true false false false false false false false true true true false false false false true true true true true false true 252 0 true 6175 true true true false false false false false false false false false false false X 16 12 false false false false false false false true true false false true true true true true true true true false FL X WILLIAM A GIUDICE CFO 8504315238 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 X X CHRISTOPHER RUMANA MD CHAIR 2.0 1.0 X X 0 0 0 MARTHA BARNETT CHAIR-ELECT 2.0 0.0 X X 0 0 0 LEE HINKLE SECRETARY 2.0 0.0 X X 0 0 0 ANDREW WONG MD TREASURER 2.0 0.0 X X 0 0 0 SHELBY BLANK MD DIRECTOR 1.5 0.0 X 620852 0 21629 AJ BRICKLER MD DIRECTOR, INDEPENDENT PHYS. 1.5 0.0 X 0 0 0 BRANT COPELAND DIRECTOR 1.5 0.0 X 0 0 0 KELLY DOZIER DIRECTOR 1.5 0.0 X 0 0 0 STEVEN EVANS DIRECTOR 1.5 0.0 X 0 0 0 WINSTON HOWELL DIRECTOR 1.5 0.0 X 0 0 0 JAMES KILLIUS MD DIRECTOR 1.5 0.0 X 0 0 0 AVERY MCKNIGHT DIRECTOR 1.5 0.0 X 0 0 0 ERMAN MURRAY JR DIRECTOR 1.5 0.0 X 0 0 0 MARY PANKOWSKI PHD DIRECTOR 1.5 0.0 X 0 0 0 THOMAS TRUMAN MD DIRECTOR 1.5 0.0 X 0 0 0 GARY WINCHESTER DIRECTOR 1.5 0.0 X 0 0 0 ED CANUP EX-OFFICIO DIRECTOR 1.0 1.0 X 0 0 0 BETH GREEN EX-OFFICIO DIRECTOR 1.0 0.0 X 0 0 0 JOSEPH SOTTO MD EX-OFFICIO DIRECTOR 1.0 0.0 X 0 0 0 G MARK O'BRYANT EX-OFFICIO DIRECTOR & CEO 53.0 2.0 X X 1166791 0 292377 WILLIAM GUIDICE VP/CFO 54.0 1.0 X 618303 0 90948 BARBARA ALFORD CHIEF CLINICAL OFFICER/CNO/VP 55.0 0.0 X 521952 0 64791 CYNTHIA BLAIR CHIEF IMPROVEMENT/PLNG OFFICER 55.0 0.0 X 281271 0 16500 STEPHANIE M DERZYPOLSKI CHIEF COMMUNICATION OFFICER 55.0 0.0 X 236023 0 39993 ANDREA K FRIALL MD CHIEF MEDICAL STAFF OFFICER 18.0 0.0 X 212950 0 0 DONALD LINDSEY CHIEF INFORMATION OFFICER 55.0 0.0 X 274613 0 38479 DEAN WATSON MD CHIEF HEALTH OPS OFFICER 55.0 0.0 X 531923 0 73531 YASHICA L WILSON-HEARNS VP/SUPPORT SERVICES 55.0 0.0 X 175573 0 20009 JOSEPH L CAMPS MD CHIEF INTEGRATION OFFICER/VP 15.0 0.0 X 183207 0 0 STEVEN E HAYNES CHIEF HUMAN RESOURCE OFFICER 55.0 0.0 X 316904 0 31699 NIGEL ALLEN CHIEF ADVANCEMENT OFFICER/VP 54.0 1.0 X 30866 0 1620 CHARLES YOWELL MD UROLOGIST 55.0 0.0 X 712362 0 728 PHILIP V SHARP MD RADIATION ONCOLOGIST 55.0 0.0 X 831736 0 29474 ELIOT B SIELOGG MD GENERAL SURGEON 55.0 0.0 X 853054 0 29474 WILLIAM DOBAK MD HEMATOLOGIST/ONCOLOGIST 55.0 0.0 X 922585 0 29534 OVIDIU MARINA MD RADIATION ONCOLOGIST 55.0 0.0 X 1293514 0 29515 MICKEY S MOORE FORMER CHIEF ADVANCEMENT OFF. 0.0 0.0 X 257081 0 14077 10041560 0 824378 395 true true false BRASFIELD GORRIE LLC 1990 VAUGHN ROAD SUITE 100 KENNESAW GA 30144 CONSTUCT. 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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 8370073 205387 246929 8822389 7958119 251445 164009 3500 8370073 7521314 256272 181583 1050 7958119 7134085 195126 198103 6000 7521314 9171531 375335 94119 2506900 7134085 1.00000 true false 24491820 24491820 573836135 201908033 371928102 7794993 3719265 4075728 344497983 235988505 108509478 13003652 13003652 522008780 DEBT RESERVE FUND 8102411 DEPOSITS AND OTHER ASSETS 8494044 OTHER RECEIVABLES 6731217 SELF INSURANCE TRUST FUND 5338124 UNEXPENDED CONSTRUCTION FUND 19064610 SWAP COLLATERAL 150000 DUE FROM MEDICARE 10414529 58294935 0 WORKER'S COMP SELF INSURANCE 1997082 PROFESSIONAL LIABILITY SELF IN 22321007 OBLIGATION FOR SUPPLEMENTAL EX 3818785 DEFFERRED COMP ARRANGEMENT 4498009 ASSET RETIREMENT OBLIGATION 380000 AHCA ASSESSMENT 6064213 OTHER LIABILITIES 10532164 SECURITY DEPOSITS 2500 49613760 FORM 990, SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS ALL ENDOWMENT FUNDS ARE UTILIZED IN PURSUIT OF THE ORGANIZATION'S TAX EXEMPT PURPOSE. --------------- Central America and the Caribbean Program Services Insurance Coverage 216578 216578 216578 false false true false false false true true true X true X true true false true true 25666559 0 25666559 0.03670 69982161 47906555 22075606 0.03160 95648720 47906555 47742165 0.06830 21269970 3780293 17489677 0.02500 89797724 61331931 28465793 0.04080 111067694 65112224 45955470 0.06580 206716414 113018779 93697635 0.13410 590418 590418 590418 590418 false 178980000 48715230 118349855 124402640 -6052785 X true true 1 1 TALLAHASSEE MEMORIAL HOSPITAL 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32309 WWW.TMH.ORG LICENSE# 4080 X X X X TALLAHASSEE MEMORIAL HEALTHCARE INC 1 false false true X X X X X X X X X 18 true false true true X SEE SCHEDULE H, PART V, SECTION C X true 19 true SEE SCHEDULE H, PART V, SECTION C false true X 150. 400. X X X X true true X X X X true X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X X X X X X true X false X X X X true X false false 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 --------------- 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 true AMERICAN HEART ASSOCIATION 2851 REMINGTON GREEN CIRCLE SUITE 101 TALLAHASSEE FL 32308 135613797 501(C)(3) 10000 FMV N/A SPONSORSHIP - HEART WALK WORD OF SOUTH A FESTIVAL OF LITERATURE & MUSIC PO BOX 861 TALLAHASSEE FL 32302 463527772 501(C)(3) 12500 FMV N/A SPONSORSHIP - WORD OF SOUTH GULF WINDS TRACK CLUB INC PO BOX 3447 TALLAHASSEE FL 32315 591896178 501(C)(3) 10000 FMV N/A SPONSORSHIP - TURKEY TROT MARCH OF DIMES FOUNDATION 1990 VILLAGE WAY 3 TALLAHASSEE FL 32308 131846366 501(C)(3) 10000 FMV N/A SPONSORSHIP - MARCH FOR BABIES SPRINGTIME TALLAHASSEE INC 501 ETENNESSEE ST TALLAHASSEE FL 32308 237241347 501(C)(3) 10000 FMV N/A SPONSORSHIP - SPRING TIME TALLAHASSEE THE TALLAHASSEE COMMUNITY COLLEGE FDN 444 APPLEYARD DR TALLAHASSEE FL 32304 592091480 501(C)(3) 10000 FMV N/A SPONSORSHIP - CLEAVER & CORK TALLAHASSEE CHAMBER OF COMMERCE 300 E PARK AVE TALLAHASSEE FL 32301 590474165 13400 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) 35000 FMV N/A SPONSORSHIP - FAMU AMERICAN CANCER SOCIETY 2619 CENTENNIAL BLVD TALLAHASSEE FL 32308 131788491 501(C)(3) 7000 FMV N/A SPONSORSHIP - RELAY FOR LIFE EVENT GOODWOOD MUSEUM & GARDENS INC 1600 MICCOSUKEE ROAD TALLAHASSEE FL 32308 311539800 501(C)(3) 30000 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) 105000 FMV N/A SPONSORSHIP - UNITED WAY PROGRAMS 10 1 FORM 990, SCHEDULE I, PART I, LINE 2 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. X true true X X X X X true true false false false false false true false SHELBY BLANK MD DIRECTOR 288010 0 330428 0 2414 0 16500 0 5129 0 642481 0 0 0 G MARK O'BRYANT EX-OFFICIO DIRECTOR & CEO 884020 0 236640 0 46131 0 278856 0 13521 0 1459168 0 0 0 WILLIAM GUIDICE VP/CFO 509819 0 96424 0 12060 0 77432 0 13516 0 709251 0 0 0 BARBARA ALFORD CHIEF CLINICAL OFFICER/CNO/VP 347515 0 58325 0 116112 0 51779 0 13012 0 586743 0 0 0 CYNTHIA BLAIR CHIEF IMPROVEMENT/PLNG OFFICER 225866 0 48854 0 6551 0 16500 0 0 0 297771 0 0 0 STEPHANIE M DERZYPOLSKI CHIEF COMMUNICATION OFFICER 201154 0 33757 0 1112 0 26978 0 13015 0 276016 0 0 0 ANDREA K FRIALL MD CHIEF MEDICAL STAFF OFFICER 184075 0 28875 0 0 0 0 0 0 0 212950 0 0 0 DONALD LINDSEY CHIEF INFORMATION OFFICER 237264 0 35247 0 2102 0 25505 0 12974 0 313092 0 0 0 MICKEY S MOORE FORMER CHIEF ADVANCEMENT OFF. 112943 0 41099 0 103039 0 13960 0 117 0 271158 0 0 0 DEAN WATSON MD CHIEF HEALTH OPS OFFICER 434960 0 84743 0 12220 0 60557 0 12974 0 605454 0 0 0 YASHICA L WILSON-HEARNS VP/SUPPORT SERVICES 154464 0 20161 0 948 0 19806 0 203 0 195582 0 0 0 JOSEPH L CAMPS MD CHIEF INTEGRATION OFFICER/VP 183207 0 0 0 0 0 0 0 0 0 183207 0 0 0 STEVEN E HAYNES CHIEF HUMAN RESOURCE OFFICER 287401 0 24000 0 5503 0 26349 0 5350 0 348603 0 0 0 CHARLES YOWELL MD UROLOGIST 592082 0 120010 0 270 0 0 0 728 0 713090 0 0 0 PHILIP V SHARP MD RADIATION ONCOLOGIST 491912 0 339410 0 414 0 16500 0 12974 0 861210 0 0 0 ELIOT B SIELOGG MD GENERAL SURGEON 645151 0 204836 0 3067 0 16500 0 12974 0 882528 0 0 0 WILLIAM DOBAK MD HEMATOLOGIST/ONCOLOGIST 484548 0 437767 0 270 0 16500 0 13034 0 952119 0 0 0 OVIDIU MARINA MD RADIATION ONCOLOGIST 401761 0 891573 0 180 0 16500 0 13015 0 1323029 0 0 0 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. A CITY OF TALLAHASSEE - SERIES 2015A 596000435 2015-05-28 111332927 REFUNDING 1992B, 2000 & 2015 BONDS false false false B CITY OF TALLAHASSEE - SERIES 2016A & 2016B 596000435 2016-02-02 272001300 M.T. MUSTIAN CTR CONSTRUCTION false false false A 4042927 0 111332927 0 0 0 1176569 0 0 0 110156358 0 2015 false true true true B 29821300 0 272001300 0 0 0 1790765 0 0 251166124 0 19044411 2019 false false false true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false false true false false false 0 false 0 false true B false false true false false false 0 false 0 false true A true B true JOSEPH L CAMPS FAMILY MEMBER OF OFFICER 63228 EMPLOYMENT false STEPHANIE TRUMAN FAMILY MEMBER OF BOARD MEMBER 56154 EMPLOYMENT false AJ BRICKLER MD FAMILY MEMBER OF BOARD MEMBER 160609 EMPLOYMENT false DAVID BRICKLER FAMILY MEMBER OF BOARD MEMBER 139196 EMPLOYMENT false LYNN BRICKLER FAMILY MEMBER OF BOARD MEMBER 92499 EMPLOYMENT false MAD DOG CONSTRUCTION COMPANY SIMILAR DIRECTOR/OWNER 2431787 CONSTRUCTION SERVICES false SHELBY BLANK MD BOARD MEMBER 616914 EMPLOYMENT false 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 SOUTHEAST COMMUNITY HEALTH SERVICES INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 581434992 HOLDING CO FL 501(C)(25) N/A TMH true TALLAHASSEE MEMORIAL HEALTHCARE FDN 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 591727645 FUNDRAISING FL 501(C)(3) 7 TMH true TALLAHASSEE MEMORIAL HEALTH VENTURES INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 592717050 HOLDING COMPANY FL TMH C CORP 2985899 24607391 1.00000 true PRIME MERIDIAN HEALTH VENTURES INC 1309 THOMASVILLE ROAD TALLAHASSEE FL 32308 592668613 DIAG. IMAGING FL TMHV C CORP 1.00000 true TALLAHASSEE MEMORIAL TELEPHONE COMPANY 1309 THOMASVILLE ROAD TALLAHASSEE FL 32308 593395937 TELEPHONE COMM. FL TMHV C CORP 1.00000 true PREMIER HEALTH & FITNESS CENTER INC 3521 MACLAY BOULEVARD TALLAHASSEE FL 32312 592471569 FITNESS CENTER FL TMHV C CORP 1.00000 true true false true false false false false true false true true false false false true false true false false SOUTHEAST COMMUNITY HEALTH SERVICES A 675 FMV SOUTHEAST COMMUNITY HEALTH SERVICES K 489092 FMV TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION C 706419 FMV SOUTHEAST COMMUNITY HEALTH SERVICES O,Q 53021 FMV TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION O,Q 968124 FMV TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC A 1401864 FMV TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC K 322114 FMV