2014-08-14T11:15:16-05:00 2013-09-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2012-10-01 591727645 TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION INC % WILLIAM GIUDICE TALL 8504315389 1300 MICCOSUKEE ROAD Suite TALLAHASSEE FL 323080000 WILLIAM GIUDICE 8504315238 2014-08-08 true 2673303000 2012 2015-11-30 17:44:51Z WILLIAM GIUDICE 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323080000 16828876 false X www.tmhfoundation.org X 1976 FL TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION, INC. SERVES TO SUPPORT THE MISSION OF ITS PARENT, TALLAHASSEE MEMORIAL HEALTHCARE, INC., THROUGH PHILANTHROPIC AND OTHER ACTIVITIES. 36 29 0 657 0 0 2875531 2612694 0 0 749560 716218 -681226 -777947 2943865 2550965 512367 882130 0 0 0 0 34449 0 605244 757335 817098 1304151 1699228 1639714 851737 17861756 18794793 149168 219604 17712588 18575189 X TALLAHASSEE 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. false false 882130 882130 2585 THE 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. 882130 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 false true 44 1 true 0 false false false false false true true false false false false X 36 29 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 1.0 0.0 X X 0 0 0 FREDERICK CARROLL 1.0 0.0 X X 0 0 0 TODD PATTERSON DO 1.0 0.0 X X 0 0 0 ROGER CHAMPION 1.0 0.0 X X 0 0 0 J JEFFREY WAHLEN 1.0 0.0 X X 0 0 0 LES AKERS 1.0 0.0 X 0 0 0 LINDA ALEXIONOK 1.0 0.0 X 0 0 0 ROCKY BEVIS 1.0 0.0 X 0 0 0 FLECIA L BRASWELL 1.0 0.0 X 0 0 0 VAN CHAMPION 1.0 0.0 X 0 0 0 SAM CHILDERS 1.0 0.0 X 0 0 0 MARIE E COWART PHD 1.0 0.0 X 0 0 0 VIRGINIA GLASS CRS 1.0 0.0 X 0 0 0 WALTER E HALEY 1.0 0.0 X 0 0 0 THOMAS HANEY MD 1.0 0.0 X 0 0 0 SAM LESTER ESQ 1.0 0.0 X X 0 0 0 CHARLOTTE MAGUIRE MD 1.0 0.0 X 0 0 0 JOHN MAHONEY MD 1.0 0.0 X 0 0 0 JANE A MARKS 1.0 0.0 X 0 0 0 JAMES E MESSER JR 1.0 0.0 X 0 0 0 DEVOE MOORE 1.0 0.0 X 0 0 0 MT MUSTIAN 1.0 0.0 X 0 0 0 RAY SOLOMON PHD 1.0 0.0 X 0 0 0 CLAUDE R WALKER 1.0 0.0 X 0 0 0 TIM WARFEL 1.0 0.0 X 0 0 0 CAROL WINCHESTER 1.0 0.0 X 0 0 0 L GARY WRIGHT 1.0 0.0 X 0 0 0 MARIA YEALDHALL 1.0 0.0 X 0 0 0 TISH BEVIS 1.0 0.0 X 0 0 0 G MARK O'BRYANT 1.0 56.0 X 0 886771 185232 LAURIE L DOZIER III 1.0 2.5 X X 0 0 0 SAMMIE DIXON 1.0 0.0 X 0 0 0 DARRYL JONES 1.0 0.0 X 0 0 0 JOE KELLEY 1.0 0.0 X 0 0 0 SHELILEAH NEWMAN 1.0 0.0 X 0 0 0 MARTIN PROCTOR 1.0 0.0 X 0 0 0 PAULA S FORTUNAS 40.0 15.0 X 0 207688 16865 0 1094459 202097 0 false true false FSU FOUNDATION 216 WESTCOTT BUILDING TALLAHASSEE FL 32306 CHARITABLE REMAINDER 703880 TALLAHASSEE LEON COUNTY CIVIC CENTE 505 W PENSACOLA STREET TALLAHASSEE FL 32301 GOLDEN GALA FEES 269863 GUITAR MONKEY TOURING INC PO BOX 331549 NASHVILLE TN 37203 GOLDEN GALA FEES 200000 CREATIVE ARTISTS AGENCY 2000 AVENUE OF THE STARS LOS ANGELES CA 90067 GOLDEN GALA FEES 200000 4 1038367 1574327 167000 2612694 0 1995044 1995044 0 0 0 0 0 12052053 13330879 -1278826 -1278826 -1278826 166500 1038367 947032 -780532 -780532 0 0 PARKING REVENUES 900099 2585 2585 2585 2550965 2585 -64314 882130 882130 0 0 0 0 0 0 0 0 0 0 25790 0 25790 0 0 0 60179 0 60179 0 0 165994 0 0 165994 198189 0 63514 134675 7521 0 7521 0 0 6535 0 6535 0 3988 0 3988 0 0 0 0 0 18328 0 5446 12882 29872 0 14936 14936 PRIZES & AWARDS 120701 0 0 120701 OTHER FUNDRAISING EXPENSES 90355 0 0 90355 MEALS & ENTERTAINMENT 64095 0 482 63613 MISCELLANEOUS 7313 0 5225 2088 18238 18238 1699228 882130 211854 605244 267715 209456 282160 470528 3378291 3285245 0 0 0 0 0 0 0 0 0 0 37264 52423 1188144 370479 825837 817665 12741330 13654170 0 0 0 0 0 0 329159 305306 17861756 18794793 48694 55782 0 0 33110 34753 0 0 0 0 0 0 0 0 0 0 67364 129069 149168 219604 X 417642 492939 8552198 9128793 8742748 8953457 17712588 18575189 17861756 18794793 851737 10864 X false true X true false X 1818032 2063127 2807721 2875531 2612694 12177105 0 0 1818032 2063127 2807721 2875531 2612694 12177105 374373 11802732 283505 296307 379453 1129438 1995044 4083747 0 4970 4390 3915 3415 2585 19275 16280127 613499 0.72498 0.82864 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 8500 -8500 true true 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 7104605 179449 -71117 0 0 0 7212937 0.00000 1.00000 0.00000 false false 566813 566813 474688 276939 197749 0 0 0 146643 93540 53103 0 0 0 817665 0 DUE TO AFFILIATE 47778 DUE TO OUTSIDE ORGANIZATION 81291 129069 4445422 10864 936786 946807 1894457 2550965 2550965 3582821 936786 946807 1883593 1699228 1699228 INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 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. DETAIL OF OTHER CHANGES IN REVENUE SCHEDULE D, PART XI, LINE 2D SPECIAL 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 X X X X X X X false GOLDEN GALA 997805 842005 155800 0 0 62510 195329 400000 224642 GOLF TOURNAMENT 207062 196362 10700 0 0 8720 8996 0 46835 0 0 0 0 0 0 0 0 0 0 1204867 1038367 166500 0 0 71230 204325 400000 271477 947032 -780532 true TALLAHASSEE MEMORIAL HEALTHCARE INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 591917016 501(C)(3) 562194 45335 FMV SUPPLIES FLORIDA STATE UNIVERSITY FOUNDATON INC 2010 LEVY AVE BUILDING B STE 300 TALLAHASSEE FL 32310 596152180 501(C)(3) 20000 0 FMV N/A 2 0 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 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 true false PAULA S FORTUNAS 0 184490 0 20000 0 3198 0 12573 0 4292 0 224553 0 0 G MARK O'BRYANT 0 700003 0 164475 0 22293 0 176539 0 8693 0 1072003 0 0 TOP MANAGEMENT COMPENSATION FORM 990, SCHEDULE J, LINE 3 THIS 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 PAYMENTS SCHEDULE J, LINE 7 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 IS APPROVED BY THE TMH COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. X GENERAL SUPPLIES 137 63144 FAIR MARKET VALUE X MEALS & ENTERTAINMENT 14 27200 FAIR MARKET VALUE X PRIZES & AWARDS 272 76656 FAIR MARKET VALUE 0 false true false DESCRIPTION OF FAMILY OR BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 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 REVIEW PROCESS FORM 990, PART VI, SECTION A, LINE 11 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 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 POLICY FORM 990, PART VI, SECTION B, LINE 12C 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. COMPENSATION PROCESS FORM 990, PART VI, SECTION B, LINE 15 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. DOCUMENTS AVAILABILITY TO PUBLIC FORM 990, PART VI, SECTION C, LINE 19 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 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 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