2015-08-13T11:45:33-05:00 2014-09-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2013-10-01 591727645 TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION INC % WILLIAM GIUDICE TALL 8504315389 1300 MICCOSUKEE ROAD Suite TALLAHASSEE FL 32308 WILLIAM GIUDICE CFO 8504315238 2015-08-13 true ANTONIO C RUSSO DIRECTOR P00858539 8504315238 2015-08-13 2013 2016-02-25 16:41:14Z WILLIAM GIUDICE 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 16237740 false X www.tmhfoundation.org X 1976 FL SEE SCHEDULE O, ATTACHMENT 1 37 30 0 612 0 0 2612694 2335844 0 0 716218 612700 -777947 -672098 2550965 2276446 882130 791419 0 0 0 0 90355 42975 543720 726743 728385 1699228 1562779 851737 713667 18794793 20079804 219604 201104 18575189 19878700 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 791419 791419 3555 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. 791419 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 43 1 true 0 false false false false false true true false false false false X 37 30 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 RANDY GUEMPLE IMMEDIATE PAST CHAIR 1.0 0.0 X X 0 0 0 FREDERICK CARROLL III CHAIR 1.0 0.0 X X 0 0 0 TODD PATTERSON DO SECRETARY 1.0 0.0 X X 0 0 0 ROGER CHAMPION CHAIR-ELECT 1.0 0.0 X X 0 0 0 J JEFFREY WAHLEN TRUSTEE 1.0 0.0 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 L BRASWELL 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 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 SAM LESTER ESQ TREASURER 1.0 0.0 X X 0 0 0 CHARLOTTE MAGUIRE MD TRUSTEE-DECEASED AS OF 9/30/14 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 JAMES E MESSER JR 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 RAY SOLOMON PHD TRUSTEE 1.0 0.0 X 0 0 0 CLAUDE R WALKER TRUSTEE 1.0 0.0 X 0 0 0 HAROLD BROCK 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 TISH BEVIS TMH AUXILLARY PRESIDENT 1.0 0.0 X 0 0 0 G MARK O'BRYANT TMH PRESIDENT/CEO 1.0 56.0 X X 0 931644 244771 GLENDA THORNTON TMH BOARD OF DIRECTOR, CHAIR 1.0 2.5 X X 0 0 0 SAMMIE DIXON TRUSTEE 1.0 0.0 X 0 0 0 DARRYL JONES ASSISTANT TREASURER 1.0 0.0 X 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 MARTIN PROCTOR TRUSTEE 1.0 0.0 X 0 0 0 RHONDA SAINT TRUSTEE 1.0 0.0 X 0 0 0 MAYDA WILLIAMS TRUSTEE 1.0 0.0 X 0 0 0 PAULA S FORTUNAS FOUNDATION PRESIDENT/CEO 40.0 15.0 X 0 213878 17429 0 1145522 262200 0 false true false FLORIDA STATE UNIVERSITY 216 WESTCOTT BUILDING TALLAHASSEE FL 32306 FUND. EVENT FEE 380032 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 155335 3 972078 1363766 157886 2335844 0 1723292 1723292 0 0 0 0 0 12008149 13118741 -1110592 -1110592 -1110592 166900 972078 842553 -675653 -675653 0 0 PARKING REVENUES 812930 3555 3555 3555 2276446 3555 0 -62953 791419 791419 0 0 0 0 0 0 0 0 0 0 0 35389 0 35389 0 0 42975 42975 65687 0 65687 0 0 147704 0 3207 144497 207091 0 70532 136559 7595 0 7595 0 0 1014 0 1014 0 4956 0 4500 456 0 0 0 0 18253 0 5409 12844 30592 0 15296 15296 PRIZES & AWARDS 112121 0 0 112121 MEALS & ENTERTAINMENT 74047 0 1223 72824 DUES & SUBSCRIPTIONS 9257 0 9257 0 TAXES & LICENSES 8431 0 8431 0 6248 100 6148 1562779 791419 227640 543720 209456 138867 470528 90242 3285245 3124928 0 0 0 0 0 0 0 0 0 0 52423 81012 1188144 388732 817665 799412 13654170 15528417 0 0 0 0 0 0 305306 316926 18794793 20079804 55782 85011 0 0 34753 27149 0 0 0 0 0 0 0 0 0 0 129069 88944 219604 201104 X 492939 879438 9128793 9827731 8953457 9171531 18575189 19878700 18794793 20079804 713667 589844 X false true X true false X 2063127 2807721 2875531 2612694 2335844 12694917 0 0 2063127 2807721 2875531 2612694 2335844 12694917 335250 12359667 296307 379453 1129438 1995044 1723292 5523534 0 4390 3915 3415 2585 3555 17860 18236311 700000 0.67775 0.72498 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 8000 -8000 true true 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 7212937 153794 138955 0 0 0 7505686 0.00000 1.00000 0.00000 false false 566813 566813 474688 286134 188554 146643 102598 44045 799412 0 DUE TO AFFILIATE 12264 DUE TO OUTSIDE ORGANIZATIONS 76680 88944 4714523 589844 1005680 842553 2438077 2276446 2276446 3411012 1005680 842553 1848233 1562779 1562779 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 REVENUE SPECIAL EVENT EXPENSE 842,553 --------------- FORM 990, SCHEDULE D, PART XII, LINE 2D DETAIL OF OTHER EXPENSE ITEMS INCLUDED IN FORM 990 NOT ON FINANCIAL STMTS SPECIAL EVENT EXPENSE 842,553 X X X X X X X false FL GOLDEN GALA 972147 816147 156000 0 0 189568 153218 300000 134210 GOLF TOURNAMENT 166831 155931 10900 0 0 11259 8093 0 46205 0 0 0 0 0 0 0 0 0 0 1138978 972078 166900 0 0 200827 161311 300000 180415 842553 -675653 true TALLAHASSEE MEMORIAL HEALTHCARE INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32303 591917016 501(C)(3) 377780 25353 FMV SUPPLIES RONALD MCDONALD HOUSE CHARITIES OF TALLAHASSEE INC 712 EAST 7TH AVENUE TALLAHASSEE FL 32303 592794505 501(c)(3) 16000 FMV N/A 2 0 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 PAULA S FORTUNAS FOUNDATION PRESIDENT/CEO 0 189982 0 20000 0 3896 0 12950 0 4479 0 231307 0 0 G MARK O'BRYANT TMH PRESIDENT/CEO 0 740776 0 157500 0 33368 0 235601 0 9170 0 1176415 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 112 54365 FAIR MARKET VALUE X MEALS & ENTERTAINMENT 21 33593 FAIR MARKET VALUE X PRIZES & AWARDS 302 69928 FAIR MARKET VALUE 0 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 2013 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2014 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 A, LINE 12C CONFLICT OF INTEREST POLICY AS PART OF OUR WRITTEN CONFLICT OF INTEREST POLICY, OFFICERS, DIRECTORS TRUSTEES AND KEY EMPOYEES 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 THROUGH 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 ASSSURANCE CERTIFICATION, LLC, AGENCY FOR HEALTH CARE ADMINISTRATION. 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 COMPA FL TMH C CORP false true false false false false false false false false false false false false true true false false false