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TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION INC (EIN 59-1727645)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-14
IRS object ID
201442269349301914
Schema version
2012v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-14T11:15:16-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1700AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591727645EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TALLAHASSEE MEMORIAL HEALTHCAREBusinessNameLine1
Business Name Line2FOUNDATION INCBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% WILLIAM GIUDICEInCareOfName
Name ControlTALLNameControl
Phone8504315389Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 MICCOSUKEE ROADAddressLine1
Address Line2SuiteAddressLine2
CityTALLAHASSEECity
StateFLState
ZIP Code323080000ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM GIUDICEName
TitleCONTROLLERTitle
Phone8504315238Phone
Date Signed2014-08-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2673303000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM GIUDICENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11300 MICCOSUKEE ROADAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code323080000ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16828876GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.tmhfoundation.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION, INC. SERVES TO SUPPORT THE MISSION OF ITS PARENT, TALLAHASSEE MEMORIAL HEALTHCARE, INC., THROUGH PHILANTHROPIC AND OTHER ACTIVITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body36NbrVotingMembersGoverningBody
Nbr Independent Voting Members29NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers657TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2875531ContributionsGrantsPriorYear
Contributions Grants Current Year2612694ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year749560InvestmentIncomePriorYear
Investment Income Current Year716218InvestmentIncomeCurrentYear
Other Revenue Prior Year-681226OtherRevenuePriorYear
Other Revenue Current Year-777947OtherRevenueCurrentYear
Total Revenue Prior Year2943865TotalRevenuePriorYear
Total Revenue Current Year2550965TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year512367GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY882130GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year34449TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year605244TotalFundrsngExpCurrentYear
Other Expense Prior Year757335OtherExpensePriorYear
Other Expenses Current Year817098OtherExpensesCurrentYear
Total Expenses Prior Year1304151TotalExpensesPriorYear
Total Expenses Current Year1699228TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1639714RevenuesLessExpensesPriorYear
Revenues Less Expenses CY851737RevenuesLessExpensesCY
Total Assets BOY17861756TotalAssetsBOY
Total Assets EOY18794793TotalAssetsEOY
Total Liabilities BOY149168TotalLiabilitiesBOY
Total Liabilities EOY219604TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17712588NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18575189NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION, INC. IS A NOT-FOR-PROFIT ORGANIZATION WHOSE PURPOSE IS TO DEVELOP PHILANTHROPIC SUPPORT FOR IT'S 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense882130Expense
Grants882130Grants
Revenue2585Revenue
DescriptionTHE FOUNDATION PROVIDES GRANTS TO TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") AND COMMUNITY AGENCIES FOR USE IN PROMOTING EDUCATIONAL, TRAINING AND RESEARCH PROGRAMS, AS WELL AS TO AID IN THE PURCHASE OF MAJOR MEDICAL EQUIPMENT.Description
Total Program Service Expense882130TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundstrueDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109644NumberFormsTransmittedWith1096
Number W2 G Included1NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members36NbrVotingGoverningBodyMembers
Number Independent Voting Members29NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWILLIAM GIUDICENamePerson
Telephone Number8504315238TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11300 MICCOSUKEE ROADAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32308ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
RANDY GUEMPLE
CHAIRPERSON1.00.0XX000
FREDERICK CARROLL
CHAIR-ELECT1.00.0XX000
TODD PATTERSON DO
SECRETARY1.00.0XX000
ROGER CHAMPION
TREASURER1.00.0XX000
J JEFFREY WAHLEN
IMMEDIATE PAST CHAIR1.00.0XX000
LES AKERS
TRUSTEE1.00.0X000
LINDA ALEXIONOK
TRUSTEE1.00.0X000
ROCKY BEVIS
TRUSTEE1.00.0X000
FLECIA L BRASWELL
TRUSTEE1.00.0X000
VAN CHAMPION
TRUSTEE1.00.0X000
SAM CHILDERS
TRUSTEE1.00.0X000
MARIE E COWART PHD
TRUSTEE1.00.0X000
VIRGINIA GLASS CRS
TRUSTEE1.00.0X000
WALTER E HALEY
TRUSTEE1.00.0X000
THOMAS HANEY MD
TRUSTEE1.00.0X000
SAM LESTER ESQ
ASSISTANT TREASURER1.00.0XX000
CHARLOTTE MAGUIRE MD
TRUSTEE1.00.0X000
JOHN MAHONEY MD
TRUSTEE1.00.0X000
JANE A MARKS
TRUSTEE1.00.0X000
JAMES E MESSER JR
TRUSTEE1.00.0X000
DEVOE MOORE
TRUSTEE1.00.0X000
MT MUSTIAN
TRUSTEE1.00.0X000
RAY SOLOMON PHD
TRUSTEE1.00.0X000
CLAUDE R WALKER
TRUSTEE1.00.0X000
TIM WARFEL
TRUSTEE1.00.0X000
CAROL WINCHESTER
TRUSTEE1.00.0X000
L GARY WRIGHT
TRUSTEE1.00.0X000
MARIA YEALDHALL
TRUSTEE1.00.0X000
TISH BEVIS
TMH AUXILLARY PRESIDENT1.00.0X000
G MARK O'BRYANT
TMH PRESIDENT/CEO1.056.0X0886771185232
LAURIE L DOZIER III
TMH BOARD OF DIRECTOR, CHAIR1.02.5XX000
SAMMIE DIXON
TRUSTEE1.00.0X000
DARRYL JONES
TRUSTEE1.00.0X000
JOE KELLEY
TRUSTEE1.00.0X000
SHELILEAH NEWMAN
TRUSTEE1.00.0X000
MARTIN PROCTOR
TRUSTEE1.00.0X000
PAULA S FORTUNAS
FOUNDATION PRESIDENT/CEO40.015.0X020768816865
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1094459TotalReportableCompFrmRltdOrgs
Total Other Compensation202097TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FSU FOUNDATION
216 WESTCOTT BUILDINGTALLAHASSEEFL32306CHARITABLE REMAINDER703880
TALLAHASSEE LEON COUNTY CIVIC CENTE
505 W PENSACOLA STREETTALLAHASSEEFL32301GOLDEN GALA FEES269863
GUITAR MONKEY TOURING INC
PO BOX 331549NASHVILLETN37203GOLDEN GALA FEES200000
CREATIVE ARTISTS AGENCY
2000 AVENUE OF THE STARSLOS ANGELESCA90067GOLDEN GALA FEES200000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Fundraising Events1038367FundraisingEvents
All Other Contributions1574327AllOtherContributions
Noncash Contributions167000NoncashContributions
Total Contributions2612694TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1995044TotalRevenueColumn
Exclusion$1,995,044ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities12052053Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities13330879Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1278826Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1278826TotalRevenueColumn
Exclusion-$1,278,826ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events166500GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1038367CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses947032FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-780532TotalRevenueColumn
Exclusion-$780,532ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionPARKING REVENUESDescription
Business Code900099BusinessCode
Total Revenue Column2585TotalRevenueColumn
Related Or Exempt Function Income2585RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2585TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2550965TotalRevenueColumn
Related Or Exempt Function Income2585RelatedOrExemptFunctionIncome
Exclusion-$64,314ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total882130Total
Program Services882130ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25790Total
Program Services0ProgramServices
Management And General25790ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total60179Total
Program Services0ProgramServices
Management And General60179ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total165994Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising165994Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total198189Total
Program Services0ProgramServices
Management And General63514ManagementAndGeneral
Fundraising134675Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7521Total
Program Services0ProgramServices
Management And General7521ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6535Total
Program Services0ProgramServices
Management And General6535ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total3988Total
Program Services0ProgramServices
Management And General3988ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18328Total
Program Services0ProgramServices
Management And General5446ManagementAndGeneral
Fundraising12882Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total29872Total
Program Services0ProgramServices
Management And General14936ManagementAndGeneral
Fundraising14936Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PRIZES & AWARDS12070100120701
OTHER FUNDRAISING EXPENSES903550090355
MEALS & ENTERTAINMENT64095048263613
MISCELLANEOUS7313052252088

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total18238Total
Management And General18238ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1699228Total
Program Services882130ProgramServices
Management And General211854ManagementAndGeneral
Fundraising605244Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY267715BOY
EOY209456EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY282160BOY
EOY470528EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3378291BOY
EOY3285245EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY37264BOY
EOY52423EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1188144LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec370479LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY825837BOY
EOY817665EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12741330BOY
EOY13654170EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY329159BOY
EOY305306EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17861756BOY
EOY18794793EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY48694BOY
EOY55782EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY33110BOY
EOY34753EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY67364BOY
EOY129069EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY149168BOY
EOY219604EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY417642BOY
EOY492939EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8552198BOY
EOY9128793EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8742748BOY
EOY8953457EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17712588BOY
EOY18575189EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17861756BOY
EOY18794793EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses851737ReconcilationRevenueExpenses
Reconciliation Unrealized Invest10864ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1818032CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2063127CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2807721CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2875531CurrentTaxYearMinus1Year
Current Tax Year2612694CurrentTaxYear
Total12177105Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1818032CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2063127CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2807721CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2875531CurrentTaxYearMinus1Year
Current Tax Year2612694CurrentTaxYear
Total12177105Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total374373AmountsSubstContributorsTotal
Public Support Total17011802732PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years283505CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years296307CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years379453CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1129438CurrentTaxYearMinus1Year
Current Tax Year1995044CurrentTaxYear
Total4083747Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4970CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4390CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3915CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3415CurrentTaxYearMinus1Year
Current Tax Year2585CurrentTaxYear
Total19275Total
FieldValueIRS element (for citing)
Total Support16280127TotalSupport
Gross Receipts From Admissions Etc613499GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.72498PublicSupportPertcentage170
Public Support Pertcent Prior Year0.82864PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Number Funds Held1NumberFundsHeld
Contrib To Funds And Other Accounts0ContribToFundsAndOtherAccounts
Grants Funds And Other Accounts8500GrantsFundsAndOtherAccounts
Aggregate Fund Value-8500AggregateFundValue
Disclosed Orgs Legal ControltrueDisclosedOrgsLegalControl
Disclosed For Charitable PurposestrueDisclosedForCharitablePurposes
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance8742748BeginningOfYearBalance
Contributions88362Contributions
Investment Earnings Or Losses122347InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance8953457EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance7583960BeginningOfYearBalance
Contributions898431Contributions
Investment Earnings Or Losses260357InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance8742748EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7505686BeginningOfYearBalance
Contributions56895Contributions
Investment Earnings Or Losses21379InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance7583960EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7212937BeginningOfYearBalance
Contributions153794Contributions
Investment Earnings Or Losses138955InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance7505686EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7104605BeginningOfYearBalance
Contributions179449Contributions
Investment Earnings Or Losses-71117InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance7212937EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis566813OtherCostOrOtherBasis
Book Value566813BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis474688OtherCostOrOtherBasis
Depreciation276939Depreciation
Book Value197749BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis146643OtherCostOrOtherBasis
Depreciation93540Depreciation
Book Value53103BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings817665TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATE$47,778
DUE TO OUTSIDE ORGANIZATION$81,291
FieldValueIRS element (for citing)
Total Of Amounts129069TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt4445422TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments10864NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities936786DonatedSrvcAndUseOfFacilities
Other Revenues946807OtherRevenues
Revenue Not Rptd F9901894457RevenueNotRptdF990
Revenue Subtotal2550965RevenueSubtotal
Total Revenue Per Form9902550965TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3582821TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities936786DonatedServicesUseOfFacilities
Other Expenses Included946807OtherExpensesIncluded
Expenses Not Rptd F9901883593ExpensesNotRptdF990
Expenses Subtotal1699228ExpensesSubtotal
Total Expenses Per Form9901699228TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4VARIOUS 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.
DETAIL OF OTHER CHANGES IN REVENUESCHEDULE D, PART XI, LINE 2DSPECIAL EVENT EXPENSE $947,032 BAD DEBT LOSS (225) --------- TOTAL $946,807 ------------------------------ DETAIL OF OTHER CHANGES IN EXPENSES SCHEDULE D, PART XII, LINE 2D SPECIAL EVENT EXPENSE $947,032 BAD DEBT LOSS (225) --------- TOTAL $946,807

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLDEN GALANameOfEvent1
Gross Receipts Event1997805GrossReceiptsEvent1
Charitable Contributions Event1842005CharitableContributionsEvent1
Gross Revenue Event1155800GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event162510RentFacilityCostsEvent1
Food And Beverage Event1195329FoodAndBeverageEvent1
Entertainment Event1400000EntertainmentEvent1
Other Direct Expenses Event1224642OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event2207062GrossReceiptsEvent2
Charitable Contributions Event2196362CharitableContributionsEvent2
Gross Revenue Event210700GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event20NonCashPrizesEvent2
Rent Facility Costs Event28720RentFacilityCostsEvent2
Food And Beverage Event28996FoodAndBeverageEvent2
Entertainment Event20EntertainmentEvent2
Other Direct Expenses Event246835OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Other Events0GrossReceiptsOtherEvents
Charitable Contrib Other Events0CharitableContribOtherEvents
Gross Revenue Other Events0GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events0NonCashPrizesOtherEvents
Rent Facility Costs Other Events0RentFacilityCostsOtherEvents
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Other Direct Expenses Other Events0OtherDirectExpensesOtherEvents
Gross Receipts Total1204867GrossReceiptsTotal
Charitable Contributions Total1038367CharitableContributionsTotal
Gross Revenue Total Events166500GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events71230RentFacilityCostsTotalEvents
Food And Beverage Total Events204325FoodAndBeverageTotalEvents
Entertainment Total Events400000EntertainmentTotalEvents
Other Direct Expenses Total Events271477OtherDirectExpensesTotalEvents
Direct Expense Summary Events947032DirectExpenseSummaryEvents
Net Income Summary-780532NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
TALLAHASSEE MEMORIAL HEALTHCARE INC
1300 MICCOSUKEE ROADTALLAHASSEEFL32308591917016501(C)(3)56219445335FMVSUPPLIES
FLORIDA STATE UNIVERSITY FOUNDATON INC
2010 LEVY AVE BUILDING B STE 300TALLAHASSEEFL32310596152180501(C)(3)200000FMVN/A
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationEACH 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PAULA S FORTUNAS
FOUNDATION PRESIDENT/CEO01844900200000319801257304292022455300
G MARK O'BRYANT
TMH PRESIDENT/CEO070000301644750222930176539086930107200300

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
TOP MANAGEMENT COMPENSATIONFORM 990, SCHEDULE J, LINE 3THIS 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 ON 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.
PROVISION OF NON-FIXED PAYMENTSSCHEDULE J, LINE 7THIS 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 IS APPROVED BY THE TMH COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XGENERAL SUPPLIES13763144FAIR MARKET VALUE
XMEALS & ENTERTAINMENT1427200FAIR MARKET VALUE
XPRIZES & AWARDS27276656FAIR MARKET VALUE
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF FAMILY OR BUSINESS RELATIONSHIPSFORM 990, PART VI, SECTION A, LINE 2RANDY 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 REVIEW PROCESSFORM 990, PART VI, SECTION A, LINE 11INFORMATION 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 2012 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2013 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.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CAS 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.
COMPENSATION PROCESSFORM 990, PART VI, SECTION B, LINE 15THIS 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.
DOCUMENTS AVAILABILITY TO PUBLICFORM 990, PART VI, SECTION C, LINE 19OUR 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 ADMINISTRATION. A COPY OF OUR FORM 990 IS ALSO FILED WITH THE FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
TALLAHASSEE MEMORIAL HEALTHCARE INC
1300 MICCOSUKEE ROADTALLAHASSEEFL32308591917016HEALTHCAREFL501(C)(3)3NAfalse
SOUTHEAST COMMUNITY HEALTH SERVICES INC
1300 MICCOSUKEE ROADTALLAHASSEEFL32308581434992HOLDING COFL501(C)(25)N/ATMHfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1TALLAHASSEE MEMORIAL HEALTH VENTURES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11300 MICCOSUKEE ROADAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code323080000ZIPCode
FieldValueIRS element (for citing)
EIN592717050EIN
Primary ActivityHOLDING COMPANYPrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1TMHBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg