2016-08-15T13:29:27-05:00 2015-09-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2014-10-01 591727645 TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION INC % WILLIAM GIUDICE TALL 8504315389 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 WILLIAM A GIUDICE TMH CFO 8504315238 2016-08-15 true ANTONIO C RUSSO P00858539 2673303000 2014 2016-09-27 15:27:22Z WILLIAM GIUDICE 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 15701124 false X www.tmhfoundation.org X 1976 FL SEE SCHEDULE O, ATTACHMENT 1 39 33 0 612 0 0 2335844 2777118 0 0 612700 1055699 -672098 -725826 2276446 3106991 791419 712762 0 0 0 0 42975 38715 492693 728385 3701725 1562779 4453202 713667 -1346211 20079804 18339163 201104 284776 19878700 18054387 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 712762 712762 2570 TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION, INC. PROVIDES GRANTS TO TALLAHASSEE MEMORIAL HEALTHCARE, INC. AND COMMUNITY AGENCIES FOR USE IN PROMOTING EDUCATIONAL, TRAINING AND RESERARCH PROGRAMS, AS WELL AS TO AID IN THE PURCHASE OF MAJOR MEDICAL EQUIPMENT. 712762 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 62 1 true 0 false false false false false true true false false false false X 39 33 true false false false false false false true true false false true true true true true true true true false FL X WILLIAM GIUDICE 8504315238 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 X FREDERICK CARROLL CHAIR 1.0 0.0 X X 0 0 0 ROGER CHAMPION CHAIR ELECT 1.0 0.0 X X 0 0 0 RANDY GUEMPLE IMMEDIATE PAST CHAIR 1.0 0.0 X X 0 0 0 HAROLD A BROCK JR ASSISTANT TREASURER 1.0 0.0 X X 0 0 0 SAM LESTER ESQ TREASURER 1.0 0.0 X X 0 0 0 TODD PATTERSON DO SECRETARY 1.0 0.0 X X 0 0 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 PATTI DOYAL TMH AUXILIARY PRESIDENT 1.0 0.0 X 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 FRANK GREDLER MD TMH BOARD OF DIRECTOR, CHAIR 1.0 2.5 X X 0 114071 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 DARRYL JONES 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 0 0 JANE A MARKS TRUSTEE 1.0 0.0 X 0 0 0 DEBORAH S MINNIS TRUSTEE 1.0 0.0 X 0 0 0 DEVOE MOORE TRUSTEE 1.0 0.0 X 0 0 0 MT MUSTIAN TRUSTEE 1.0 0.0 X 0 0 0 G MARK O'BRYANT TMH PRESIDENT/CEO 1.0 54.0 X X 0 947551 252241 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 RAY SOLOMON PHD TRUSTEE 1.0 0.0 X 0 0 0 J JEFFREY WAHLEN TRUSTEE 1.0 0.0 X 0 0 0 CLAUDE R WALKER TRUSTEE 1.0 0.0 X 0 0 0 MAYDA WILLIAMS 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 PAULA S FORTUNAS FOUNDATION PRESIDENT/CEO 40.0 15.0 X 0 218617 15305 0 1280239 267546 0 false true false CREATIVE ARTISTS AGENCY 2000 AVENUE OF THE STARS LOS ANGELES CA 90067 GOLDEN GALA FEES 200000 TALLAHASSEE LEON COUNTY CIVIC CENTE 505 W PENSACOLA STREET TALLAHASSEE FL 32301 GOLDEN GALA FEES 140334 FLORIDA STATE UNIVERSITY 216 WESTCOTT BUILDING TALLAHASSEE FL 32306 FUND. EVENT FEE 121643 3 X 1007427 1769691 158234 2777118 0 2123247 2123247 0 0 0 0 0 10632089 11699637 -1067548 -1067548 -1067548 166100 1007427 894496 -728396 -728396 0 0 PARKING REVENUES 812930 2570 2570 2570 3106991 2570 327303 712762 712762 0 0 0 0 0 0 0 0 0 0 0 38091 0 38091 0 0 38715 38715 84566 0 84566 0 0 38259 0 0 38259 293917 0 56227 237690 9726 0 9726 0 0 5894 0 5894 0 1400 0 1277 123 0 0 0 0 17907 0 5781 12126 34807 0 17404 17403 BAD DEBT LOSS 3006910 0 3006910 0 PRIZES & AWARDS 108681 0 0 108681 MEALS & ENTERTAINMENT 35478 0 52 35426 DUES & SUBSCRIPTIONS 8385 0 8385 0 17704 13434 4270 4453202 712762 3247747 492693 138867 705460 90242 139554 3124928 410190 0 0 0 0 0 0 0 0 0 0 81012 68289 1196875 406640 799412 790235 15528417 16037283 0 0 0 0 0 0 316926 188152 20079804 18339163 85011 120172 0 0 27149 23206 0 0 0 0 0 0 0 0 0 0 88944 141398 201104 284776 X 879438 963065 9827731 9957237 9171531 7134085 19878700 18054387 20079804 18339163 -1346211 -478102 X false true X true false X 2807721 2875531 2612694 2335844 2777118 13408908 0 0 2807721 2875531 2612694 2335844 2777118 13408908 318239 13090669 379453 1129438 1995044 1723292 2123247 7350474 0 3915 3415 2585 3555 2570 16040 20775422 779200 0.63010 0.67800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 11168 -11168 true true 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 7505686 56895 21379 0 0 0 7583960 0.00000 1.00000 0.00000 false false 566813 566813 483419 295474 187945 146643 111166 35477 790235 0 DUE TO AFFILIATE 107951 DUE TO OUTSIDE ORGANIZATIONS 33447 141398 1540501 -478102 1024026 -2112414 -1566490 3106991 3106991 3364814 1024026 -2112414 -1088388 4453202 4453202 FORM 990, SCHEDULE D, PART V, LINE 4 INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS 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. ---------------- FORM 990, SCHEDULE D, PART XI, LINE 2D DETAIL OF OTHER CHANGES IN REVENUES SPECIAL EVENT EXPENSE $894,496 BAD DEBT LOSS ($3,006,910) ----------- TOTAL ($2,112,414) ---------------- FORM 990, SCHEDULE D, PART XII, LINE 2D DETAIL OF OTHER CHANGES IN EXPENSES SPECIAL EVENT EXPENSE $894,496 BAD DEBT LOSS ($3,006,910) ----------- TOTAL ($2,112,414) X X X X X X X false FL GOLDEN GALA 934481 779581 154900 0 0 134783 162824 335000 175320 GOLF TOURNAMNT 239046 227846 11200 0 0 9253 6495 0 70821 0 0 0 0 0 0 0 0 0 0 1173527 1007427 166100 0 0 144036 169319 335000 246141 894496 -728396 true TALLAHASSEE MEMORIAL HEALTHCARE INC 1300 MICCOSUKEE RD TALLAHASSEE FL 32303 591917016 501(C)(3) 475429 55683 FMV SUPPLIES 1 FORM 990, SCHEDULE I, PART I, LINE 2 DETAIL REGARDING MONITORING PROCEDURES 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 750522 0 176400 0 20629 0 242565 0 9676 0 1199792 0 0 PAULA S FORTUNAS FOUNDATION PRESIDENT/CEO 0 195618 0 20000 0 2999 0 13241 0 2064 0 233922 0 0 FORM 990, 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. --------------- FORM 990, 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 GENERAL SUPPLIES 118 58316 FAIR MARKET VALUE X MEALS & ENTERTAINMENT 27 6209 FAIR MARKET VALUE X PRIZES & AWARDS 204 93709 FAIR MARKET VALUE false true 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 2014 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2015 WAS 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