2017-08-15T08:28:02-05:00 2016-09-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2015-10-01 591727645 TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION INC % WILLIAM GIUDICE CFO TALL 8504315389 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 WILLIAM GIUDICE CFO 8504315238 2017-08-14 true KELLEY O'BRIEN MANAGER P01491013 2673303000 2017-08-14 2015 2021-01-29 14:40:06Z WILLIAM GIUDICE 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 24165161 false X www.tmhfoundation.org X 1976 FL SEE SCHEDULE O, ATTACHMENT 1 41 37 0 568 0 0 2777118 3675132 0 0 1055699 902251 -725826 -799013 3106991 3778370 712762 625640 0 0 0 0 38715 29656 441924 3701725 761917 4453202 1417213 -1346211 2361157 18339163 19698295 284776 290748 18054387 19407547 X TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION, INC. IS A NOT-FOR -PROFIT ORGANIZATION WHOSE PURPOSE IS TO DEVELOP PHILANTHROPIC SUPPORT FOR ITS PARENT, TALLAHASSEE MEMORIAL HEALTHCARE, INC. (TMH), AND TO GENERATE A HIGH LEVEL OF COMMUNITY UNDERSTANDING AND INVOLVEMENT IN TMH'S VISION, MISSION, GOALS AND OBJECTIVES. false false 625640 625640 2789 TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION, INC. PROVIDES GRANTS TO TALLAHASSEE MEMORIAL HEALTHCARE, INC. AND COMMUNITY AGENCIES FOR USE IN PROMOTING EDUCATIONAL, TRAINING AND RESEARCH PROGRAMS AS WELL AS TO AID IN THE PURCHASE OF MAJOR MEDICAL EQUIPMENT. 625640 true true false false false true false false false true true false false false true false true true false false false false false true true false false true false true false false false false false false false false true false false false false true false false false true 41 0 true 0 false false false false false true true false false false false X 41 37 true false false false false false false true true false false true true true true true true true true false FL X WILLIAM GIUDICE CFO 8504315238 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 FREDERICK CARROLL III IMMEDIATE PAST CHAIR 1.0 0.0 X X 0 0 0 ROGER CHAMPION CHAIR 1.0 0.0 X X 0 0 0 RANDY GUEMPLE TRUSTEE 1.0 0.0 X X 0 0 0 HAROLD A BROCK JR TREASURER 1.0 0.0 X X 0 0 0 SAM LESTER ESQ CHAIR-ELECT 1.0 0.0 X X 0 0 0 TODD PATTERSON DO SECRETARY 1.0 0.0 X X 0 27010 0 LES AKERS TRUSTEE 1.0 0.0 X 0 0 0 LINDA ALEXIONOK TRUSTEE 1.0 0.0 X 0 0 0 ROCKY BEVIS TRUSTEE 1.0 0.0 X 0 0 0 FLECIA BRASWELL MCCORD TRUSTEE 1.0 0.0 X 0 0 0 VAN CHAMPION TRUSTEE 1.0 0.0 X 0 0 0 SAM CHILDERS TRUSTEE 1.0 0.0 X 0 0 0 MARIE E COWART PHD TRUSTEE 1.0 0.0 X 0 0 0 SAMMIE DIXON JR TRUSTEE 1.0 0.0 X 0 0 0 ERIN ENNIS TRUSTEE 1.0 0.0 X 0 0 0 VIRGINIA GLASS CRS TRUSTEE 1.0 0.0 X 0 0 0 WALTER E HALEY TRUSTEE 1.0 0.0 X 0 0 0 THOMAS HANEY MD TRUSTEE 1.0 0.0 X 0 0 0 JOE KELLEY TRUSTEE 1.0 0.0 X 0 0 0 ALBERT LEE MD TRUSTEE 1.0 0.0 X 0 0 0 JOHN MAHONEY MD TRUSTEE 1.0 0.0 X 0 8250 0 JANE A MARKS TRUSTEE 1.0 0.0 X 0 0 0 DEBORAH S MINNIS ASST TREASURER 1.0 0.0 X X 0 0 0 DEVOE MOORE TRUSTEE 1.0 0.0 X 0 0 0 MT MUSTIAN EMERITUS 1.0 0.0 X 0 1849 0 G MARK O'BRYANT TMH PRESIDENT/CEO 1.0 54.0 X X 0 1023896 262351 MILDRED PETTY BRICKLER TRUSTEE 1.0 0.0 X 0 0 0 MARTIN PROCTOR TRUSTEE 1.0 0.0 X 0 0 0 RHONDA SAINT TRUSTEE 1.0 0.0 X 0 0 0 CLAUDE R WALKER TRUSTEE 1.0 0.0 X 0 0 0 CAROL WINCHESTER TRUSTEE 1.0 0.0 X 0 0 0 L GARY WRIGHT TRUSTEE 1.0 0.0 X 0 0 0 MARIA YEALDHALL TRUSTEE 1.0 0.0 X 0 0 0 KATHLEEN BROTHERS TRUSTEE 1.0 0.0 X 0 0 0 EDWARD CANUP TRUSTEE 1.0 0.0 X 0 0 0 ADAM COREY TRUSTEE 1.0 0.0 X 0 0 0 PATTI DOYAL AUXILARY PRESIDENT 1.0 0.0 X X 0 0 0 SUSIE BUSCH-TRANSOU TMH BOARD CHAIR 1.0 0.0 X X 0 0 0 YVONNE BROWN TRUSTEE 1.0 0.0 X 0 0 0 DARRYL JONES TRUSTEE 1.0 0.0 X 0 0 0 RAY SOLOMON TRUSTEE 1.0 0.0 X 0 640 0 MAYDA WILLIAMS TRUSTEE 1.0 0.0 X 0 0 0 PAULA FORTUNAS PRESIDENT/CEO 40.0 15.0 X 0 232375 16235 0 1294020 278586 0 false true false WILLIAMS MORRIS ENDEAVOR 9601 WILSHIRE BLVD 3RD FLOOR BEVERLY HILLS CA 90210 GOLDEN GALA SRVCS 335000 CREATIVE ARTISTS AGENCY 2000 AVENUE OF THE STARS LOS ANGELES CA 90067 GOLDEN GALA SRVCS 250000 TALLAHASSEE LEON COUNTY CIVIC CENTE 505 W PENSACOLA STREET TALLAHASSEE FL 32301 GOLDEN GALA SRVCS 250000 6 876134 2798998 179966 3675132 0 2853286 2853286 0 0 0 0 0 17352290 19303325 -1951035 -1951035 -1951035 281664 876134 1083466 -801802 -801802 0 0 PARKING REVENUES 812930 2789 2789 2789 3778370 2789 100449 625640 625640 0 0 0 0 0 0 0 0 0 0 0 31001 0 31001 0 0 29656 29656 91178 0 91178 0 0 15000 0 0 15000 274341 0 66866 207475 12238 0 12238 0 0 11109 0 11109 0 1327 0 2903 -1576 0 0 0 0 17729 0 6476 11253 34415 0 16115 18300 PRIZES & AWARDS 96489 0 0 96489 BAD DEBT LOSS 67467 0 67467 0 DUES & SUBSCRIPTIONS 7552 0 7552 0 TAXES & LICENSES 3036 0 3036 0 99035 33708 65327 1417213 625640 349649 441924 705460 579712 139554 376256 410190 331677 0 0 0 0 0 0 0 0 0 0 68289 73753 1206875 424370 790235 782505 16037283 17390343 0 0 0 0 0 0 188152 164049 18339163 19698295 120172 56656 0 0 23206 0 0 0 0 0 0 0 0 0 0 0 141398 234092 284776 290748 X 963065 1242104 9957237 10644129 7134085 7521314 18054387 19407547 18339163 19698295 2361157 -1007997 X false true X true false X 2875531 2612694 2335844 2777118 2798998 13400185 0 0 2875531 2612694 2335844 2777118 2798998 13400185 302634 13097551 1129438 1995044 1723292 2123247 2853286 9824307 0 3415 2585 3555 2570 2789 14914 23239406 925550 0.56359 0.63010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 11539 -11539 true true 7134085 60393 326836 0 0 0 7521314 9171531 375335 94119 0 2506900 0 7134085 8953457 23477 194597 0 0 0 9171531 8742748 88362 122347 0 0 0 8953457 7583960 898431 260357 0 0 0 8742748 0.00000 1.00000 0.00000 false false 566813 566813 493419 305686 187733 146643 118684 27959 782505 0 DUE TO AFFILIATE 193036 DUE TO OUTSIDE ORGANIZATIONS 22000 ANNUITY ARRANGEMENT OBLOIGATIONS 19056 234092 4864154 -1007998 1077783 1015999 1085784 3778370 3778370 3510995 1077783 1015999 2093782 1417213 1417213 SCHEDULE D, PART V, LINE 3A & 4 ENDOWMENT FUNDS DETAIL VARIOUS ENDOWMENT DESIGNATIONS EXIST. ALL ENDOWMENT FUNDS ARE UTILIZED TOWARDS CONTRIBUTING TO THE ORGANIZATION'S MISSION OF PROVIDING CHARITABLE SUPPORT TO ITS PARENT, TALLAHASSEE MEMORIAL HEALTHCARE, INC. TOWARDS CONTRIBUTING TO THE ORGANIZATION'S MISSION OF PROVIDING CHARITABLE SUPPORT TO ITS PARENT, TALLAHASSEE MEMORIAL HEALTHCARE, INC. ---------------- X X X X X X X false FL GOLDEN GALA 998943 724379 274564 0 0 133813 177569 500000 177068 GOLF TOURNAMENT 158841 151741 7100 0 0 9643 10097 0 75276 0 0 0 0 0 0 0 0 0 0 1157784 876120 281664 0 0 143456 187666 500000 252344 1083466 -801802 true TALLAHASSEE MEMORIAL HEALTHCARE INC 1300 MICCOSUKEE RD TALLAHASSEE FL 32303 591917016 501(C)(3) 450646 70051 FMV BOOKS & SUPPLIES VARIOUS PROJECTS 1 0 SCHEDULE I, PART I, LINE 2 DESCRIPTION OF GRANT PROGRAMS EACH DEPARTMENT MUST COMPLETE A FUNDING CONSIDERATION REQUEST FORM WHICH REQUIRES TMH SENIOR VICE PRESIDENT APPROVAL. THE REQUEST FORM IS THEN REVIEWED AND APPROVED BY THE FOUNDATION PRESIDENT. ANY REQUEST FOR UNRESTRICTED FUNDS OVER $2,000 MUST ALSO BE APPROVED BY THE FOUNDATION BOARD OF DIRECTORS. ---------------- false false false false false false false false false G MARK O'BRYANT TMH PRESIDENT/CEO 0 817087 0 185477 0 21332 0 251858 0 10493 0 1286247 0 0 PAULA FORTUNAS PRESIDENT/CEO 0 209461 0 20000 0 2914 0 14072 0 2163 0 248610 0 0 SCHEDULE J, LINE 3 TOP MANAGEMENT COMPENSATION THE ORGANIZATION IS AN AFFILIATE OF TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH"). ALL COMPENSATION ARRANGEMENTS ARE DETERMINED BY AND PAID THROUGH TMH. AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES OR A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION, THIS QUESTION HAS BEEN LEFT UNANSWERED. --------------- SCHEDULE J, LINE 7 PROVISION OF NON-FIXED PAYMENTS THIS ORGANIZATION IS AN AFFILIATE OF TMH. ALL COMPENSATION ARRANGEMENTS ARE DETERMINED BY AND PAID THROUGH TMH. TMH MAINTAINS A VARIABLE COMPENSATION PROGRAM FOR CERTAIN MANAGERS THAT MAKES 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. CORPORATE GOALS ARE ESTABLISHED AT THE BEGINNING OF THE YEAR 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 ARE APPROVED BY THE TMH COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI SECTION B, LINE 15. --------------- X X X X X GENERAL SUPPLIES 115 80480 FAIR MARKET VALUE X MEALS & ENTERTAINMENT 4 31275 FAIR MARKET VALUE X PRIZES & AWARDS 222 68211 FAIR MARKET VALUE false false false FORM 990, PART VI, SECTION A, LINE 2 DESCRIPTION OF FAMILY AND BUSINESS RELATIONSHIPS RANDY GUEMPLE, TRUSTEE, AND FREDERICK CARROLL III, TRUSTEE, HOLD A BUSINESS RELATIONSHIP. RANDY GUEMPLE, TRUSTEE, AND L. GARY WRIGHT, TRUSTEE, HOLD A BUSINESS RELATIONSHIP. RANDY GUEMPLE, TRUSTEE, AND TODD PATTERSON, DO, TRUSTEE, SERVE AS DIRECTORS ON THE BOARD OF AN ORGANIZATION. VAN CHAMPION, TRUSTEE, AND SAM CHILDERS, TRUSTEE, SERVE AS DIRECTORS ON THE BOARD OF AN ORGANIZATION. --------------- FORM 990, PART VI, SECTION B, LINE 11 FORM 990 REVIEW PROCESS INFORMATION RELATED TO TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION, INC.'S (TMH FOUNDATION) FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW AND RETURN PREPARATION. THE 2015 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2016 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR FINANCE TEAM MEMBERS BEFORE IT REVIEWED AND APPROVED BY VARIOUS SENIOR FINANCE TEAM MEMBERS BEFORE IT REVIEWED AND APPROVED BY VARIOUS SENIOR FINANCE TEAM MEMBERS BEFORE IT WAS FILED WITH THE IRS. THE AUDIT & COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE FORM 990 AT A MEETING OF THE COMMITTEE PRIOR TO ITS FILING. ALL MEMBERS OF THE BOARD WERE AFFORDED THE OPPORTUNITY TO REVIEW FORM 990 PRIOR TO ITS FILING. --------------- FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY AS PART OF OUR WRITTEN CONFLICT 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, SECTION B, LINE 15 COMPENSATION REVIEW PROCESS THIS ORGANIZATION IS AN AFFILIATE OF TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH"). ALL COMPENSATION ARRANGEMENTS ARE DETERMINED BY AND PAID THROUHGH TMH. COMPENSATION ARRANGEMENTS INVOLVING OUR CEO ARE ESTABLISHED BY TMH PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). COMPENSATION FOR OUR CEO IS PAID BY TMH AND DONATED TO TMH FOUNDATION. ---------------- FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS TO PUBLIC OUR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, A COPY OF OUR CONFLICT OF INTEREST POLICY IS AVAILABLE ON THE TMH WEBSITE. CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDE TMH FOUNDATION, ARE ALSO FILED WITH THE DIGITAL ASSURANCE CERTIFICATION, LLC, AGENCY FOR HEALTH CARE ADMINSTRATION. A COPY OF OUR FORM 990 IS ALSO FILED WITH THE FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES. --------------- TALLAHASSEE MEMORIAL HEALTHCARE INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 591917016 HEALTHCARE FL 501(C)(3) 3 NA false SOUTHEAST COMMUNITY HEALTH SERVICES INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 581434992 HOLDING CO FL 501(C)(25) N/A TMH false TALLAHASSEE MEMORIAL HEALTH VENTURES INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323080000 592717050 HOLDING COMPANY FL TMH C CORP false false true false false false false false false false false false false false false true true false false false