TALLAHASSEE MEMORIAL HEALTHCARE INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: TALLAHASSEE MEMORIAL HEALTHCARE INC (EIN 59-1917016)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-08-14
IRS object ID: 202402279349302720
Schema version: 2022v5.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-08-14T14:24:10-05:00	ReturnTs
Tax Period End	2023-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PWC US TAX LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	591917016	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TALLAHASSEE MEMORIAL HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% PRISCILLA NEEDHAM CFO	InCareOfNm
Business Name Control	TALL	BusinessNameControlTxt
Phone	8504315238	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 MICCOSUKEE ROAD	AddressLine1Txt
City	TALLAHASSEE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	323085054	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PRISCILLA NEEDHAM	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8504310630	PhoneNum
Signature	2024-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANTONIO C RUSSO	PreparerPersonNm
PTIN	P00858539	PTIN
Phone	2673303000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2024-08-08 14:25:15Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PRISCILLA NEEDHAM CFO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 MICCOSUKEE ROAD	AddressLine1Txt
City	TALLAHASSEE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	323085054	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$963,150,103	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.tmh.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1979	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	TALLAHASSEE MEMORIAL HEALTHCARE, INC. IS A PRIVATE 772-BED, COMMUNITY HEALTHCARE SYSTEM THAT PROVIDES CHARITABLE, COMPASSIONATE, LEADING-EDGE, PATIENT-CENTERED HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	7790	TotalEmployeeCnt
Total Volunteers	488	TotalVolunteersCnt
Total Gross UBI	$1,264,110	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,069,431	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,438,847	PYContributionsGrantsAmt
CY Contributions Grants	$4,095,505	CYContributionsGrantsAmt
PY Program Service Revenue	$522,988,083	PYProgramServiceRevenueAmt
CY Program Service Revenue	$548,799,817	CYProgramServiceRevenueAmt
PY Investment Income	$534,763	PYInvestmentIncomeAmt
CY Investment Income	$9,242,027	CYInvestmentIncomeAmt
PY Other Revenue	$309,497,179	PYOtherRevenueAmt
CY Other Revenue	$310,537,531	CYOtherRevenueAmt
PY Total Revenue	$837,458,872	PYTotalRevenueAmt
CY Total Revenue	$872,674,880	CYTotalRevenueAmt
PY Grants And Similar Paid	$228,661	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$348,992	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$403,431,553	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$438,451,792	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$439,172,403	PYOtherExpensesAmt
CY Other Expenses	$454,445,110	CYOtherExpensesAmt
PY Total Expenses	$842,832,617	PYTotalExpensesAmt
CY Total Expenses	$893,245,894	CYTotalExpensesAmt
PY Revenues Less Expenses	-$5,373,745	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$20,571,014	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,094,977,840	TotalAssetsBOYAmt
Total Assets EOY	$1,079,382,336	TotalAssetsEOYAmt
Total Liabilities BOY	$533,433,709	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$517,993,814	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$561,544,131	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$561,388,522	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	FOUNDED MORE THAN 75 YEARS AGO, TALLAHASSEE MEMORIAL HEALTHCARE INC. IS A PRIVATE, NOT-FOR PROFIT, 772-BED, COMMUNITY HEALTH CARE SYSTEM THAT PROVIDES CHARITABLE, COMPASSIONATE, LEADING -EDGE, & PATIENT-CENTERED HEALTH CARE. ITS MISSION: TRANSFORMING CARE. ADVANCING HEALTH. IMPROVING LIVES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$768,749,152	ExpenseAmt
Grant	$348,992	GrantAmt
Revenue	$859,369,543	RevenueAmt
Desc	DESIGNED TO MEET THE DIVERSE HEALTH CARE NEEDS OF THE BIG BEND REGION, TALLAHASSEE MEMORIAL HEALTHCARE, INC. (TMH) IS A COMPREHENSIVE, PRIVATE, NOT-FOR-PROFIT HEALTH CARE SYSTEM THAT SERVES 17 COUNTIES IN NORTH FLORIDA AND SOUTH GEORGIA. TMH INCLUDES A 772-BED ACUTE CARE HOSPITAL AND HAS A TIME-HONORED COMMITMENT TO PROVIDING PATIENT-CENTERED, WORLD-CLASS HEALTH CARE TO ITS COMMUNITY WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. PROVIDING INNOVATIVE TECHNOLOGY AND A BROAD SPECTRUM OF SERVICES, TMH HOLDS A NUMBER OF IMPORTANT DISTINCTIONS ITHIN THE REGIONAL HEALTH SECTOR. TMH IS HOME TO THE AREAS ONLY STATE-DESIGNATED TRAUMA CENTER AND THE REGION'S ONLY ACCREDITED COMMUNITY HOSPITAL CANCER PROGRAM. TMH IS RECOGNIZED BY THE SOCIETY OF CHEST PAIN CENTERS AS AN ACCREDITED CHEST PAIN CENTER WITH PCI. ADDITIONALLY, TMH HAS THE ONLY NEUROLOGICAL AND LEVEL III NEONATAL INTENSIVE CARE UNITS AND IS NORTH FLORIDA'S ONLY COMPREHENSIVE STROKE CENTER. TMH IS MANAGED BY A TEAM OF COMMUNITY CITIZENS WHO VOLUNTEER THEIR TIME AND EXPERTISE WITHOUT COMPENSATION. THE TMH BOARD OF DIRECTORS IS COMMITTED TO ITS COMMUNITY SERVICE MISSION AND MEMBERS SERVE WITHOUT COMPENSATION. THE ENERGY RESOURCES COMMITTED BY TMH AND ITS COLLEAGUES ARE PROOF OF THE FULFILLMENT OF ITS MISSION: TRANSFORMING CARE. ADVANCING HEALTH. IMPROVING LIVES. SEE SCHEDULE H, PART VI FOR ADDITIONAL DETAILS REGARDING SOME OF THE VARIOUS PROGRAM SERVICE ACCOMPLISHMENTS AND ADDITIONAL COMMUNITY BUILDING ACTIVITIES CONDUCTED BY TMH.	Desc
Total Program Service Expenses	$768,749,152	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	199	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7790	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	PRISCILLA NEEDHAM CFO	PersonNm
Phone	8504310630	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 MICCOSUKEE ROAD	AddressLine1Txt
City	TALLAHASSEE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	323085054	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
G MARK O'BRYANT
EX-OFFICIO DIRECTOR & CEO	53.0	2.0	Yes (X)	Yes (X)	$1,419,640	$0	$356,196
WILLIAM DOBAK MD
MATERNAL/FETAL MEDICINE	55.0	0.0			$1,163,773	$0	$35,026	Yes (X)
OVIDIU MARINA MD
RADIATION ONCOLOGIST	55.0	0.0			$1,064,082	$0	$34,830	Yes (X)
MITCHELL PEABODY MD
HEMATOLOGIST/ONCOLOGIST	55.0	0.0			$941,037	$0	$34,864	Yes (X)
GEORGE PENNINGTON II MD
GENERAL SURGEON	55.0	0.0			$932,390	$0	$24,643	Yes (X)
WILLIAM GUIDICE
VP/CFO- THRU 5/26/2023	54.0	1.0		Yes (X)	$761,428	$0	$112,550
PHILIP SHARP MD
RADIATION ONCOLOGIST	55.0	0.0			$818,264	$0	$34,118	Yes (X)
ANDREW STARR
CHIEF HEALTH OPS OFFICER	55.0	0.0			$415,780	$0	$57,575		Yes (X)
RYAN SMITH
CHIEF CLINICAL OFFICER/CNO/VP	55.0	0.0			$372,006	$0	$49,170		Yes (X)
NIGEL ALLEN
CHIEF ADVANCEMENT OFFICER/VP	55.0	0.0		Yes (X)	$265,623	$0	$47,393
THOMAS TRUMAN MD
CHAIR	2.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
ERMAN MURRAY JR
CHAIR-ELECT	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
SALLY BRADSHAW
SECRETARY	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JAMES KILLIUS MD
TREASURER	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JOEDRECKA BROWN SPEIGHTS MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
HUGH VANLANDINGHAM MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
CLAUDE WALKER
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
LEE HINKLE
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
BETH CORUM
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
KATRINA ROLLE
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
SHAH HEEMANSKI MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
AJ BRICKLER MD
DIRECTOR, IND. PHYSICIAN	1.5	0.0	Yes (X)		$0	$0	$0
BRANT COPELAND
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
ALLISON HARRELL
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
CISSY PROCTOR
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
THOMAS NOEL MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
KATHLEEN BROTHERS
EX-OFFICIO DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
PAT GRISE
EX-OFFICIO DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
JAMES TOTTEN MD
EX-OFFICIO DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
PRISCILLA NEEDHAM
VP/CFO- AS OF 1/30/2023	54.0	1.0		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,154,023	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$786,365	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	652	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SOUTHERN MEDICAL GROUP PA
1300 MEDICAL DRIVE	TALLAHASSEE	FL	32308	PHYSICIAN SERVICES	$35,216,971
CROSS COUNTRY STAFFING INC
6551 PARK OF COMMERCE BLVD	BOCA RATON	FL	33487	STAFFING AGENCY	$29,006,017
TALLAHASSEE PULMONARY CLINIC
2617 MITCHAM DRIVE	TALLAHASSEE	FL	32308	PHYSICIAN SERVICES	$11,242,467
PENNINGONT PA
215 S MONROE STREET	TALLAHASSEE	FL	32308	LEGAL SERVICES	$3,227,211
TALLAHASSEE SURGICAL ASSOCIATES P
1405 CENTERVILLE ROAD SUITE 4400	TALLAHASSEE	FL	32308	PHYSICIAN SERVICES	$2,941,633

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	108	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$2,823,218	RelatedOrganizationsAmt
Government Grants	$1,256,663	GovernmentGrantsAmt
All Other Contributions	$15,624	AllOtherContributionsAmt
Noncash Contributions	$185	NoncashContributionsAmt
Total Contributions	$4,095,505	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET HEALTH CARE SERVICE REVENUES	Desc
Business	621500	BusinessCd
Total Revenue Column	$548,799,817	TotalRevenueColumnAmt
Related Or Exempt Func Income	$548,538,188	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$261,629	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$548,799,817	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,736,353	TotalRevenueColumnAmt
Exclusion	$8,736,353	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,587,033	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,619,228	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$32,195	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$32,195	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,002,481	UnrelatedBusinessRevenueAmt
Exclusion	-$1,033,676	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,670,069	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,164,395	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$505,674	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$505,674	TotalRevenueColumnAmt
Exclusion	$505,674	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$389,463,203	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$83,691,600	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$305,771,603	TotalRevenueColumnAmt
Related Or Exempt Func Income	$305,771,603	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
VENDOR REBATES	900099	$3,684,855	$3,684,855
MEDICARE AND MEDICAID MEANINGFUL USE	900099	$206,309	$206,309
PARKING DECK	900099	$378,550	$378,550

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$528,409	TotalRevenueColumnAmt
Related Or Exempt Func Income	$528,409	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,798,123	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$872,674,880	TotalRevenueColumnAmt
Related Or Exempt Func Income	$859,107,914	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,264,110	UnrelatedBusinessRevenueAmt
Exclusion	$8,208,351	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$348,992	TotalAmt
Program Services	$348,992	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,714,294	TotalAmt
Program Services	$5,838,464	ProgramServicesAmt
Management And General	$875,830	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$364,121,551	TotalAmt
Program Services	$325,349,906	ProgramServicesAmt
Management And General	$38,771,645	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,377,752	TotalAmt
Program Services	$8,395,678	ProgramServicesAmt
Management And General	$982,074	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$32,519,406	TotalAmt
Program Services	$29,056,740	ProgramServicesAmt
Management And General	$3,462,666	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$25,718,789	TotalAmt
Program Services	$22,980,254	ProgramServicesAmt
Management And General	$2,738,535	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,978,164	TotalAmt
Program Services	$3,759,287	ProgramServicesAmt
Management And General	$218,877	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,646,369	TotalAmt
Management And General	$1,646,369	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$40,085	TotalAmt
Program Services	$40,085	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$106,778,698	TotalAmt
Program Services	$92,084,007	ProgramServicesAmt
Management And General	$14,694,691	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,417,009	TotalAmt
Management And General	$1,417,009	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$33,829,294	TotalAmt
Program Services	$31,577,162	ProgramServicesAmt
Management And General	$2,252,132	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$27,553,332	TotalAmt
Program Services	$17,052,289	ProgramServicesAmt
Management And General	$10,501,043	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,340,307	TotalAmt
Program Services	$7,649,971	ProgramServicesAmt
Management And General	$1,690,336	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,125,686	TotalAmt
Program Services	$2,512,077	ProgramServicesAmt
Management And General	$2,613,609	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$946,691	TotalAmt
Program Services	$341,835	ProgramServicesAmt
Management And General	$604,856	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$15,671,156	TotalAmt
Program Services	$15,671,156	ProgramServicesAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$38,109,478	TotalAmt
Program Services	$33,138,606	ProgramServicesAmt
Management And General	$4,970,872	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,588,210	TotalAmt
Program Services	$12,777,478	ProgramServicesAmt
Management And General	$810,732	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PATIENT EXPENSES	$122,503,652	$122,503,652	$0	$0
SERVICE/MAINTENANCE	$26,792,629	$18,197,832	$8,594,797	$0
INDIGENT CARE ASSESSMENT	$9,296,761	$9,296,761	$0	$0
ALL OTHER EXPENSES	$37,827,589	$10,176,920	$27,650,669	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$893,245,894	TotalAmt
Program Services	$768,749,152	ProgramServicesAmt
Management And General	$124,496,742	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$295,303,601	BOYAmt
EOY	$223,365,801	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$112,694,326	BOYAmt
EOY	$127,219,673	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,637,244	BOYAmt
EOY	$14,298,832	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$38,035,021	BOYAmt
EOY	$48,829,251	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,058,035,957	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$588,216,103	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$467,924,984	BOYAmt
EOY	$469,819,854	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$27,300	BOYAmt
EOY	$27,300	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$166,355,364	BOYAmt
EOY	$195,821,625	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,094,977,840	BOYAmt
EOY	$1,079,382,336	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$101,867,176	BOYAmt
EOY	$94,258,391	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$349,700,584	BOYAmt
EOY	$345,876,493	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$17,937,699	BOYAmt
EOY	$17,024,197	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$63,928,250	BOYAmt
EOY	$60,834,733	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$533,433,709	BOYAmt
EOY	$517,993,814	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$561,544,131	BOYAmt
EOY	$561,388,522	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$561,544,131	BOYAmt
EOY	$561,388,522	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,094,977,840	BOYAmt
EOY	$1,079,382,336	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$20,571,014	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$20,415,405	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,129,931	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$18,901,148	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,169,779	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,438,847	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,095,505	CurrentTaxYearAmt
Total	$34,735,210	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,129,931	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$18,901,148	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,169,779	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,438,847	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,095,505	CurrentTaxYearAmt
Total	$34,735,210	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$34,735,210	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,765,009	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,286,777	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$414,380	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$872,922	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,702,677	CurrentTaxYearAmt
Total	$17,041,765	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,259,247	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,424,468	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,185,141	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,427,370	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,069,431	CurrentTaxYearAmt
Total	$6,365,657	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$58,142,632	TotalSupportAmt
Gross Receipts Rltd Activities	$3,909,884,084	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.59741	PublicSupportCY170Pct
Public Support PY170	0.61705	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$40,085	FilingOrganizationsTotalAmt
Affiliated Group Total	$40,085	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$40,085	FilingOrganizationsTotalAmt
Affiliated Group Total	$40,085	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$893,205,809	FilingOrganizationsTotalAmt
Affiliated Group Total	$897,151,229	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$893,245,894	FilingOrganizationsTotalAmt
Affiliated Group Total	$897,191,314	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Field	Value	IRS element (for citing)
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$102,009	CurrentYearMinus3Amt
Current Year Minus2	$90,869	CurrentYearMinus2Amt
Current Year Minus1	$44,341	CurrentYearMinus1Amt
Current Year	$40,085	CurrentYearAmt
Total	$277,304	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$0	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE C, PART II-A, LINE 1	FormAndLineReferenceDesc
Explanation	SUPPLEMENTAL INFORMATION REGARDING LOBBYING EXPENSES LOBBYING EXPENSES INCURRED INCLUDE MEETING WITH LOCAL CITY AND COUNTY OFFICIALS AND LEGISLATORS, AS WELL AS PORTIONS OF AMERICAN HOSPITAL ASSOCIATION (AHA) AND FLORIDA HOSPITAL ASSOCIATION (FHA) MEMBERSHIP DUES ALLOCATED TO LOBBYING EXPENSES. ---------- AFFILIATED GROUP INFORMATION: NAME OF ELECTING ORGANIZATION: ------------------------------------------------------- TALLAHASSEE MEMORIAL HEALTHCARE, INC. - DIRECT LOBBYING EXPENDITURES: $40,085 - OTHER EXEMPT PURPOSE EXPENDITURES: $893,205,809 THIS ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED SEPTEMBER 30, 2023. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2022. NAME OF NON-ELECTING ORGANIZATION: ------------------------------------------------------- SOUTHEAST COMMUNITY HEALTH SRVS, INC. - DIRECT LOBBYING EXPENDITURES: $0 - OTHER EXEMPT PURPOSE EXPENDITURES: $174,491 TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION - DIRECT LOBBYING EXPENDITURES: $0 - OTHER EXEMPT PURPOSE EXPENDITURES: $3,770,928	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,317,064	BeginningYearBalanceAmt
Contributions	$311,290	ContributionsAmt
Investment Earnings Or Losses	$239,096	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$10,867,450	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,360,709	BeginningYearBalanceAmt
Contributions	$398,690	ContributionsAmt
Investment Earnings Or Losses	-$442,335	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$10,317,064	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,423,147	BeginningYearBalanceAmt
Contributions	$526,044	ContributionsAmt
Investment Earnings Or Losses	$411,518	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$10,360,709	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,822,389	BeginningYearBalanceAmt
Contributions	$292,251	ContributionsAmt
Investment Earnings Or Losses	$308,507	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$9,423,147	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,370,073	BeginningYearBalanceAmt
Contributions	$205,387	ContributionsAmt
Investment Earnings Or Losses	$246,929	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$8,822,389	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,406,700	OtherCostOrOtherBasisAmt
Book Value	$27,406,700	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$620,634,026	OtherCostOrOtherBasisAmt
Depreciation	$282,903,983	DepreciationAmt
Book Value	$337,730,043	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,877,619	OtherCostOrOtherBasisAmt
Depreciation	$6,225,556	DepreciationAmt
Book Value	$1,652,063	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$371,614,979	OtherCostOrOtherBasisAmt
Depreciation	$299,086,564	DepreciationAmt
Book Value	$72,528,415	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,502,633	OtherCostOrOtherBasisAmt
Book Value	$30,502,633	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$469,819,854	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
DEBT RESERVE FUND	$8,244,411
DEPOSITS AND OTHER ASSETS	$8,734,297
OTHER RECEIVABLES	$7,551,213
SELF INSURANCE TRUST FUND	$6,165,924
UNEXPENDED CONSTRUCTION FUND	$13,357,292
SWAP COLLATERAL	$1,130,000
OPERATING LEASE ROU ASSETS	$6,826,408
PENSION ASSETS, NET	$131,083,057
DUE FROM MEDICARE	$12,729,023

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$195,821,625	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
WORKER'S COMP SELF INSURANCE	$2,859,102
PROFESSIONAL LIABILITY SELF IN	$27,100,928
OBLIGATION FOR SUPPLEMENTAL EX	$2,727,845
DEFFERRED COMP ARRANGEMENT	$4,183,305
AHCA ASSESSMENT	$7,227,000
OTHER LIABILITIES	$12,216,781
OPERATING LEASE LIABILITY	$4,519,772

Field	Value	IRS element (for citing)
Total Liability	$60,834,733	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE D, PART V, LINE 4	FormAndLineReferenceDesc
Explanation	INTENDED USE OF ENDOWMENT FUNDS ALL ENDOWMENT FUNDS ARE UTILIZED IN PURSUIT OF THE ORGANIZATION'S TAX EXEMPT PURPOSE.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	Insurance Coverage	SpecificServicesProvidedTxt
Region Total Expenditures	$120,078	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$120,078	SubtotalSpentAmt
Total Spent	$120,078	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,800,906	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,800,906	NetCommunityBenefitExpnsAmt
Total Expense	0.02100	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,436,231	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,267,072	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,169,159	NetCommunityBenefitExpnsAmt
Total Expense	0.02260	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$126,237,137	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$87,267,072	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,970,065	NetCommunityBenefitExpnsAmt
Total Expense	0.04360	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,674,401	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,206,744	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,467,657	NetCommunityBenefitExpnsAmt
Total Expense	0.01730	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$124,737,377	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,761,126	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,976,251	NetCommunityBenefitExpnsAmt
Total Expense	0.05370	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$145,411,778	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,967,870	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$63,443,908	NetCommunityBenefitExpnsAmt
Total Expense	0.07100	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$271,648,915	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$169,234,942	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$102,413,973	NetCommunityBenefitExpnsAmt
Total Expense	0.11460	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$600,932	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$600,932	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$600,932	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$600,932	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$237,230,529	BadDebtExpenseAmt
Bad Debt Expense Attributable	$62,645,260	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$110,801,165	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$110,695,663	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$105,502	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TALLAHASSEE MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 MICCOSUKEE ROAD	AddressLine1Txt
City	TALLAHASSEE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32309	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.TMH.ORG	WebsiteAddressTxt
State License	LICENSE# 4080	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TALLAHASSEE MEMORIAL HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCH H, PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SCH H, PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SCH H, PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5, 6B (INPUT FROM COMMUNITY; COLLABORATION)	TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") COMPLETED ITS FOURTH COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING THE YEAR ENDING SEPTEMBER 30, 2022. YOU MAY FIND FURTHER DETAILS AND COMPREHENSIVE RESULTS AT: HTTPS://WWW.TMH.ORG/ABOUT-TMH/COMMUNITY-REPORTS/ ------------------------------------------------------------
PART V, SECTION B, LINE 7A & 10A (CHNA & IMP. PlAN AVAILABILITY TO PUBLIC)	THE CHNA AND IMPLEMENTATION PLAN CAN BE ACCESSED AT: HTTPS://WWW.TMH.ORG/ABOUT-TMH/COMMUNITY-REPORTS/ ------------------------------------------------------------ PART V, SECTION B, LINE 9 (TAX YEAR THE MOST RECENT IMP. STRATEGY WAS ADOPTED) THE ORGANIZATION'S MOST RECENT IMPLEMENTATION STRATEGY WAS ADOPTED BY FEBRUARY 2023, AS PERMITTED UNDER THE REGULATIONS. ------------------------------------------------------------
PART V, SECTION B, LINE 11 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA)	TALLAHASSEE MEMORIAL HEALTHCARE (TMH) CONDUCTED THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022. IDENTIFICATION OF FIVE KEY HEALTH PRIORITIES EMERGED FOLLOWED BY CREATION OF A 2023-2025 IMPLEMENTATION PLAN TO ADDRESS EACH OF THESE PRIORITY AREAS. IN 2022, THE TMH CHNA ADVISORY COMMITTEE, PARTNERS AND STAKEHOLDERS PARTICIPATED IN AN INTERACTIVE EXERCISE TO IDENTIFY THE GREATEST NEEDS IN THE SERVICE AREA BASED ON THE PRIMARY AND SECONDARY DATA PRESENTED BASED ON THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. OVER 70 PEOPLE ATTENDED THE MEETING AND PARTICIPATED IN THE EXERCISE. THE IDENTIFIED DATA CONTINUES TO SUPPORT THE SAME HEALTH PRIORITIES ABOVE. HOWEVER, PARTICIPANTS WERE ALSO ASKED IF THEY WOULD CONSIDER MATERNAL, INFANT AND CHILD HEALTH SERVICES AS A NEED TO ADDRESS. ONE HUNDRED PERCENT OF THE RESPONDENTS AGREED THAT MATERNAL, INFANT AND CHILD HEALTH SERVICES SHOULD ALSO BE ADDRESSED. IN ADDITION, WE WERE ASKED IF WE SHOULD KEEP THE HEALTH PRIORITIES COMBINED AS 3 HEALTH PRIORITIES. THE PARTICIPANTS ASKED TO NOT COMBINE THE 5 PRIORITIES INTO 3 WITH THE EXCEPTION OF MENTAL HEALTH AND SUBSTANCE ABUSE PRIORITY AREA. THE FIVE KEY HEALTH PRIORITIES ARE (1) ACCESS TO HEALTH SERVICES (2) NUTRITION, PHYSICAL ACTIVITY AND OBESITY, (3) MENTAL HEALTH AND SUBSTANCE ABUSE, (4) CLINICAL PREVENTIVE SERVICES, AND (5) MATERNAL, INFANT, AND CHILD HEALTH. THE FOLLOWING IS AN UPDATE OF PROGRESS MADE IN EACH PRIORITY AREA DURING FISCAL YEAR 2023. PLEASE VISIT HTTPS://WWW.TMH.ORG/ABOUT-US/COMMUNITY-REPORTS/COMMUNITY-NEED-REPORT TO VIEW OUR MOST RECENT CHNA PUBLISHED IN SEPTEMBER 2022 AND IMPLEMENTATION STRATEGY PUBLISHED IN FEBRUARY 2023 ADDRESSING HEALTH PRIORITIES FOR FISCAL YEARS 2023 TO 2025. THE IMPLEMENTATION STRATEGY HAS BEEN FINALIZED AND SHARED IN THE BELOW UPDATE. THE STRATEGIES IN EACH OF THE PRIORITY AREAS WERE REVIEWED BY COMMITTEE MEMBERS IN EACH AREA AND SOME CHANGES WERE MADE FROM PREVIOUS IMPLEMENTATION PLANS BASED ON COMMUNITY NEEDS AND ORGANIZATION AND PARTNER RESOURCES. (1) ACCESS TO HEALTH SERVICES THE LONG-TERM GOALS FOR PRIORITY AREA, ACCESS TO HEALTH SERVICES, REMAIN TO DECREASE BARRIERS TO ACCESS HEALTH CARE AND TO PROVIDE MORE FLEXIBLE AND ACCESSIBLE OPTIONS TO ACCESS HEALTHCARE. FOUR MAJOR STRATEGIES IDENTIFIED: (A) INCREASE UTILIZATION OF TELEMEDICINE (B) INCREASE ACCESS TO HEALTHCARE SERVICES FOR RESIDENTS OF WAKULLA COUNTY AND 32304 ZIP CODE (C) IMPROVE ACCESS TO TRANSPORTATION TO MEDICALLY RELATED SERVICES (D) EVALUATE DISPARITIES TO ADDRESS AND IDENTIFY EXISTING GAPS IN SERVICES (E) IMPROVE HEALTH LITERACY RELATED TO ACCESS TO HEALTHCARE. THE FOLLOWING SHARES PROGRESS TOWARDS THESE STRATEGIES BEGINNING MARCH 2023. (A) INCREASE UTILIZATION OF TELEMEDICINE TMH CONTINUES SERVE AS THE REGIONAL LEADER IN PROVIDING ACCESS TO CARE THROUGH TMH CARELINK, A REGIONAL TELEMEDICINE NETWORK, THAT ALLOWS PROVIDERS TO SEE PATIENTS IN REMOTE LOCATIONS AND IN THEIR HOMES. TMH HAS DEVELOPED A REGIONAL NETWORK WITH 5 RURAL HOSPITAL TO PROVIDE ACCESS TO SPECIALTY CONSULTS SUCH AS EMERGENCY PSYCHIATRIC EVALUATIONS AND CARDIAC CONSULTS. THIS HAS REDUCED THE NUMBER OF UNNECESSARY TRANSPORTS AND INCREASED ACCESS TO CARE IN PATIENTS' HOME COMMUNITIES. DURING 2023, THERE WERE 29 PSYCHIATRIC EVALUATIONS, 7 CARDIOLOGY CONSULTS FOR A TOTAL OF 36 SPECIALTY TELEMEDICINE CONSULTS. A TOTAL OF 10,314 TELEMEDICINE CONSULTS WERE COMPLETED WITH PATIENTS IN THEIR HOMES FOR EITHER PRIMARY CARE OF SPECIALTY CARE APPOINTMENTS. THIS REPRESENTED APPROXIMATELY 2.5% OF ALL OUTPATIENT CLINIC VISITS. THESE VIRTUAL APPOINTMENTS HELPED KEEP VULNERABLE PATIENTS SAFE IN THEIR HOMES AND INCREASED ACCESS TO CARE FOR PATIENTS LIVING IN RURAL COMMUNITIES. LASTLY, TELEMEDICINE CONTINUED TO BE A VALUABLE TOOL TO CONNECT PATIENTS IN THE HOSPITAL TO THEIR PHYSICIANS. AN ESTIMATED 1,692 TELEMEDICINE CONSULTS WERE COMPLETED ON THE INPATIENT TELEMEDICINE CARTS. AS PART OF THE NEW CHNA STRATEGIES FOR FY 2023, THE COMMITTEE IDENTIFIED THE NEED TO COLLABORATE WITH HOSPITAL COLLEAGUES WHO ARE EXPERTS AND/OR SUPERUSERS IN THE AREA OF TELEMEDICINE TO IMPROVE UTILIZATION. THE GOAL IS TO DEVELOP A TELEMEDICINE ADVISORY BOARD. THE COMMITTEE IS WORKING TO DEVELOP THIS BOARD. IN ADDITION, THE COMMITTEE WILL BE WORKING ON COLLECTING BASELINE TELEMEDICINE VISIT VOLUMES BY ZIP CODE FROM WHICH TO CREATE A SUCCESS MEASURE. (B) INCREASE ACCESS TO HEALTHCARE SERVICES FOR RESIDENTS OF WAKULLA COUNTY AND 32304 ZIP CODE TRANSPORTATION CONTINUES TO BE A BARRIER FOR VULNERABLE POPULATIONS TO ACCESS HEALTHCARE SERVICES. THE REASONS ARE MULTIFACTORIAL INCLUDING LACK OF RESOURCES TO TRAVEL FROM RURAL AREAS TO URBAN AREAS WHERE SERVICES ARE LOCATED, UNDERDEVELOPED PUBLIC TRANSPORTATION SYSTEM AND HIGH COST AND UNRELIABILITY OF PRIVATE OPTIONS SUCH AS CAB OR RIDE-HAILING APPS SUCH AS UBER AND LYFT. IN 2023, TMH PROVIDED 138 PATIENTS TRANSPORTATION ASSISTANCE TOTALING $4,288. THESE RIDES ALLOW FOR OUR MOST VULNERABLE PATIENTS TO GET TO AND FROM HEALTHCARE SERVICES IN A TIMELY, SAFE, LESS STRESSFUL MANNER. IN ADDITION, TO ADDRESS THE ACCESS CONCERN FOR OUR MOST VULNERABLE PATIENTS, TMH IS CURRENTLY COLLABORATING WITH 211 BIG BEND TO EXPAND/INCREASE TRANSPORTATION FOR MEDICALLY RELATED SERVICES. IN AN EFFORT TO INCREASE ACCESS TO SERVICES FOR RESIDENTS LIVING IN WAKULLA COUNTY AND 32304 ZIP CODE (FRENCHTOWN RESIDENTS, IMPOVERISHED COMMUNITY), TMH IS CURRENTLY OPENED AN URGENT CARE THAT SERVICES BOTH COMMUNITIES. THE URGENT CARE SERVICING THE 32304 RESIDENT OPENED AT END OF 2023. WAKULLA URGENT CARE DEVELOPMENT STARTED WITH A TARGET OPENING DATE OF JANUARY 2025. THE PURPOSE OF BOTH EFFORTS IS TO INCREASE IN NUMBER OF RESIDENTS FROM 32304 AND WAKULLA COUNTY UTILIZING TMH'S URGENT CARE CENTERS AND HOPEFULLY DECREASE IN NUMBER OF RESIDENTS FROM 32304 AND WAKULLA COUNTY UTILIZING TMH'S EMERGENCY ROOMS. IN ADDITION, TMH WOULD LIKE TO INCREASE VOLUME OF SAME-DAY APPOINTMENTS TO ASSIST IN ACCESS BARRIERS. (C) EVALUATE DISPARITIES TO ADDRESS AND IDENTIFY EXISTING GAPS IN SERVICES TMH HAS EXPANDED THIS STRATEGY FROM ITS PREVIOUS FOCUS, CULTURAL COMPETENCE, TO ADDRESSING HEALTH DISPARITIES TO ACHIEVE HEALTH EQUITY. THE TMH DIVERSITY, EQUITY & INCLUSION COUNCIL (DEIC) IS THRIVING AND THE COMMITTEE WORKING ON THIS STRATEGY PLAN TO CONTINUE TO INVOLVE THE COUNCIL IN THIS STRATEGY. THE PLAN IS TO FOCUS ON IDENTIFYING HEALTH DISPARITIES AND GAPS IN CARE BY DEVELOPING A STANDARD TO REVIEW DATA THROUGH AN EQUITY LENS FOR THE REPORTING OF RACE, ETHNICITY, AGE, LANGUAGE (REAL), ZIP CODE AND COUNTY DATA. THE COMMITTEE IS WORKING TOWARDS ADDING DEI DATA TO NEWLY DEVELOPED DATA ENTERPRISE WAREHOUSE. (D) IMPROVE HEALTH LITERACY RELATED TO ACCESS TO HEALTHCARE TMH PLANS COLLABORATE WITH STAKEHOLDERS TO DEVELOP MULTILINGUAL EDUCATIONAL RESOURCES TO HELP PATIENTS NAVIGATE THE HEALTHCARE SYSTEM. THE EXPECTED OUTCOME IS TO INCREASED AVAILABILITY OF EDUCATIONAL RESOURCES IN DIFFERENT LANGUAGES. THE COMMITTEE PLANS TO OBTAIN DATA FROM LANGUAGE LINE TO IDENTIFY COMMONLY SPOKEN PRIMARY LANGUAGES IN OUR PRIMARY SERVICE AREA. IN ADDITION, TMH WILL BE ADOPTING A NEW ELECTRONIC MEDICAL RECORD SYSTEM (EPIC) IN 2025 AND THE COMMITTEE WILL COLLABORATE WITH THE EPIC TEAM TO DETERMINE WHAT MULTI-LINGUAL RESOURCES ARE AVAILABLE TO ADDRESS THE NEED. (2) NUTRITION, PHYSICAL ACTIVITY AND OBESITY THE LONG-TERM GOALS FOR THE PRIORITY AREA, PREVENTIVE SERVICES RELATED TO NUTRITION, PHYSICAL ACTIVITY AND OBESITY, ARE TO INCREASE ACCESS TO NUTRITIOUS FOOD, INCREASE FRUIT AND VEGETABLE CONSUMPTION, INCREASE PARTICIPATION IN PHYSICAL ACTIVITY AND TO INCREASE WATER CONSUMPTION AND DECREASE SUGAR SWEETENED BEVERAGE CONSUMPTION. FOUR MAJOR STRATEGIES WERE IDENTIFIED: (A) EDUCATE AND SUPPORT ELEMENTARY SCHOOL STUDENTS IN INCREASING WATER CONSUMPTION (AND DECREASING SUGAR-SWEETENED BEVERAGE CONSUMPTION) (B) SUPPORT AND PROMOTE COMMUNITY WALKING PROGRAMS (C) EDUCATE AND SUPPORT LOW-INCOME FAMILIES IN INCREASING FRUIT AND VEGETABLE CONSUMPTION AT LOCAL FARMERS MARKETS (D) INCREASE ACCESS TO NUTRITIOUS FOOD BY ADDRESSING FOOD INSECURITY IN THE BIG BEND REGION. THE FOLLOWING SHARES PROGRESS TOWARDS THESE STRATEGIES AS OF 2022. (A) EDUCATE AND SUPPORT ELEMENTARY SCHOOL STUDENTS IN INCREASING WATER CONSUMPTION (AND DECREASING SUGAR-SWEETENED BEVERAGE CONSUMPTION) THE HAPPY HYDRATORS CHALLENGE WAS DEVELOPED AND IMPLEMENTED AS PART OF THE LEON COUNTY HEALTH DEPARTMENT'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WORKING COLLABORATIVELY WITH EARLY CHILDHOOD OBESITY PREVENTION WORK GROUP (ECOP), BIG BEND AREA HEALTH EDUCATION CENTER (AHEC), WHOLE CHILD LEON, DEPARTMENT OF HEALTH IN LEON COUNTY, FAMU COOPERATIVE EXTENSION AND UF/IFAS EXTENSION. TO PROMOTE A POSITIVE CULTURE OF HEALTH AND INSPIRE STUDENTS TO MAKE HEALTHY CHOICES, THE HAPPY HYDRATORS CHALLENGE HAS ENGAGED OVER 830 STUDENTS, TEACHERS, AND STAFF SINCE ITS INCEPTION IN 2018. THIS EDUCATIONAL CAMPAIGN OFFERED TO THIRD GRADERS OF TITLE 1 SCHOOLS, IS A FUN AND EASY WAY TO REDUCE SUGAR SWEETENED BEVERAGE
PART V, SECTION B, LINE 16 (FINANCIAL ASSISTANCE AVAILABILITY)	A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: https://www.tmh.org/patients-and-visitors/billing-and-financial-assistance -information --------------------------------------------------------------------------

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED)	CONSISTENT WITH PRIOR YEAR, DUE TO THE ADOPTION OF ACCOUNTING PRONOUNCEMENT ASC 606, IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS. ------------------------------------------------------------
PART III, SECTION A, LINES 1-2(IMPLICIT PRICE CONCESSION/BAD DEBT EXPENSE)	TMH REPORTS ITS IMPLICIT PRICE CONCESSIONS IN ACCORDANCE WITH GAAP AND AICPA GUIDELINES. HFMA STATEMENT NO. 15 HAS NOT BEEN ADOPTED BY THE AICPA. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606). ------------------------------------------------------------
PART III, SECTION A, LINE 4 (IMPLICIT PRICE CONCESSION FOOTNOTE)	THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE DISCLOSURE CAN BE FOUND STARTING ON PAGE 16 OF THE ELECTRONICALLY ATTACHED FINANCIAL STATEMENTS FOR TALLAHASSEE MEMORIAL HEALTHCARE, INC. & SUBSIDIARIES. ------------------------------------------------------------
PART III, SECTION B (COSTING METHODOLOGY, MEDICARE SHORTFALL)	THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON THE HOSPITAL'S MEDICARE COST REPORT FILING FOR THE YEAR. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF TMH AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, TMH PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY TMH TO PROVIDE SUCH SERVICES. AS A RESULT, TMH VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. ------------------------------------------------------------
PART III, SECTION B, LINE 9B (COLLECTION PRACTICES)	TMH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. ------------------------------------------------------------
PART VI, LINE 2 (NEEDS ASSESSMENT)	SEE RESPONSE TO PART V, SECTION B, LINE 5 (INPUT FROM COMMUNITY) AND PART VI, LINE 4 (COMMUNITY INFORMATION). ------------------------------------------------------------
PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE)
PART VI, LINE 4 & 5(COMMUNITY INFORMATION & PROMOTION OF COMMUNITY HEALTH)
PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)	FOUNDED IN 1948, TALLAHASSEE MEMORIAL HEALTHCARE (TMH) IS A PRIVATE, NOT-FOR-PROFIT COMMUNITY HEALTHCARE SYSTEM LOCATED IN THE HEART OF FLORIDA'S PANHANDLE AND CAPITAL CITY OF TALLAHASSEE. SERVING A 21-COUNTY REGION IN NORTH FLORIDA, SOUTH GEORGIA, AND SOUTHEAST ALABAMA. TMH IS COMPRISED OF A 772-BED ACUTE CARE HOSPITAL, A SURGERY AND ADULT ICU CENTER, A PSYCHIATRIC HOSPITAL, MULTIPLE SPECIALTY CARE CENTERS, 3 RESIDENCY PROGRAMS AND 38 AFFILIATED PHYSICIAN PRACTICES. TMH ALSO COLLABORATES WITH OTHER HOSPITALS AND EDUCATION LEADERS THROUGHOUT THE COMMUNITY AND STATE TO BRING THE MOST ADVANCED CARE TO TALLAHASSEE. TMH PARTNERSHIPS INCLUDE ALLIANT MANAGEMENT SERVICES, APALACHEE CENTER, CALHOUN-LIBERTY HOSPITAL, CAPITAL HEALTH PLAN, DOCTORS' MEMORIAL HOSPITAL, FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE, BIG BEND HOSPICE, AND RADIOLOGY ASSOCIATES. WITHIN ITS 21-COUNTY SERVICE AREA, TMH'S PRIMARY SERVICE AREA (PSA) IS A FOUR-COUNTY REGION CONTAINING LEON, GADSDEN, WAKULLA AND JEFFERSON COUNTIES, WITH A COMBINED POPULATION OF APPROXIMATELY 391,000. LOCATED IN LEON COUNTY - THE LARGEST IN THE PSA, REPRESENTING 76% OF THE FOUR-COUNTY POPULATION - TMH SERVES A VERY DIVERSE POPULATION. AS THE LARGEST SAFETY NET HOSPITAL IN THE 21-COUNTY SERVICE AREA, TMH HAS A LONG HISTORY OF IMPROVING OVERALL HEALTH AND QUALITY OF LIFE THROUGHOUT THE REGION. DURING FISCAL YEAR 2023, TMH CONTINUED TO EXPAND ACCESS TO CARE THROUGH A FORMAL PARTNERSHIP WITH CALHOUN LIBERTY HOSPITAL ASSOCIATION, INC. INTENDED TO ENHANCE SERVICES AND IMPROVE CARE FOR THE CITIZENS OF CALHOUN AND LIBERTY COUNTIES. CALHOUN LIBERTY HOSPITAL, AS A TMH RURAL HOSPITAL AFFILIATE, KICKED OFF CONSTRUCTION OF A NEW 50,000 SQUARE FOOT HOSPITAL. THE FIRST PHASE INCLUDES AN EMERGENCY ROOM, 8 PRIVATE INPATIENT ROOMS, 3 FLEXIBLE CLINICAL DECISION ROOMS AND REHABILITATIVE SERVICES. TMH ALSO EXPANDED HEALTHCARE SERVICES TO THE PANAMA CITY BEACH COMMUNITIES DURING 2023. TMH OPENED ITS FIRST PRIMARY CARE PRACTICE IN BAY COUNTY AND, TOGETHER WITH PARTNERS FLORIDA STATE UNIVERSITY AND THE ST. JOE COMPANY, TMH BROKE GROUND ON AN 80,000-SQUARE-FOOT MEDICAL OFFICE BUILDING. THE BUILDING IS SCHEDULED TO BE COMPLETE IN 2024 AND WILL HOUSE TMH PHYSICIAN PARTNERS - PRIMARY CARE, TALLAHASSEE MEMORIAL URGENT CARE CENTER, AN AMBULATORY SURGERY CENTER, AS WELL AS CARDIOLOGY AND ORTHOPEDIC SERVICES. SUBSIDIZED MEDICAL CARE: AS A NOT-FOR-PROFIT COMMUNITY HEALTHCARE SYSTEM, TMH OFTEN SUBSIDIZES HEALTH SERVICES THAT DO NOT GENERATE A POSITIVE OPERATING MARGIN BUT ARE MUCH NEEDED IN THE COMMUNITY. MANY OF THESE SERVICES ARE PROVIDED THROUGH THE TALLAHASSEE MEMORIAL METABOLIC HEALTH CENTER, THE TALLAHASSEE MEMORIAL TRANSITION CENTER, THE TALLAHASSEE MEMORIAL BIXLER TRAUMA & EMERGENCY CENTER, THE TALLAHASSEE MEMORIAL EMERGENCY CENTER - NORTHEAST, THE TALLAHASSEE MEMORIAL NEONATAL INTENSIVE CARE UNIT (NICU) AND RURAL CLINICS THROUGHOUT THE BIG BEND REGION. THROUGH CLASSES AND INDIVIDUAL OR FAMILY COUNSELING SESSIONS ON TOPICS SUCH AS MANAGING AND TESTING BLOOD SUGAR, CHOOSING HEALTHY FOODS AND STARTING INSULIN AND NUTRITION THERAPY, THE METABOLIC HEALTH CENTER HELPS ADULT AND PEDIATRIC PATIENTS BETTER MANAGE THEIR DIABETES AND AVOID COMPLICATIONS. NEARLY A THIRD OF THESE PATIENTS ACCESS CARE THROUGH SUBSIDIZED SERVICES. IMPROVING ACCESS TO HEALTHCARE: THE TRANSITIONS CENTER, AN INNOVATIVE FACILITY DESIGNED TO REDUCE EMERGENCY ROOM VISITS AND HOSPITAL READMISSIONS, PROVIDES FOLLOW-UP CARE TO PATIENTS WHO MAY BE AT HIGH-RISK FOR READMISSION AFTER LEAVING THE HOSPITAL. THE GOAL OF THE TRANSITION CENTER IS TO IMPROVE OUR COMMUNITY'S HEALTH, ENHANCE THE PATIENT CARE EXPERIENCE, INCLUDING QUALITY, ACCESS AND RELIABILITY, AND REDUCE THE DEMAND FOR HOSPITAL SERVICES, VISITS TO EMERGENCY CENTERS AND READMISSIONS TO THE HOSPITAL. THE HEALTHCARE SYSTEM IS COMPLEX, AND PATIENTS OFTEN FACE CHALLENGES GETTING THE CARE THEY NEED. THE TEAM'S FOCUS AT THE TRANSITION CENTER IS TO HELP PATIENTS ACCESS CARE WHEN AND WHERE THEY NEED IT. IN 2019, TMH EXPANDED THE TRANSITION CENTER'S SERVICES BY OPENING A SATELLITE LOCATION WITHIN THE KEARNEY CENTER - THE LARGEST SHELTER IN THE BIG BEND REGION - PROVIDING EMERGENCY SERVICES TO INDIVIDUALS EXPERIENCING OR ON THE VERGE OF EXPERIENCING HOMELESSNESS. THE PRESENCE OF THE TRANSITION CENTER WITHIN THE KEARNEY CENTER HAS SIGNIFICANTLY REDUCED CALLS FOR EMS, RESULTING IN LARGE SAVINGS FOR LEON COUNTY. PATIENTS SEEN AT THE TRANSITION CENTER INCLUDE ADULTS PREVIOUSLY HOSPITALIZED AT TMH AND WHO MEET ANY OF THE FOLLOWING CRITERIA WHEN DISCHARGED - PATIENTS WITHOUT A PRIMARY CARE PROVIDER, WITHOUT HEALTH INSURANCE, THOSE WHO ARE NOT ABLE TO OBTAIN A FOLLOW-UP APPOINTMENT WITH A PROVIDER WITHIN SEVEN DAYS OF DISCHARGE, AND THOSE WHO HAVE BEEN HOSPITALIZED THREE OR MORE TIMES OVER THE LAST 12 MONTHS. ON AVERAGE, THE TRANSITION CENTER ASSISTS OVER 1,200 UNIQUE PATIENTS PER YEAR. IT HAS A SUCCESSFUL TRACK RECORD OF REDUCING HOSPITAL READMISSIONS BY OVER 90 PERCENT IN THE FIRST 30 DAYS FOLLOWING DISCHARGE FROM TMH. THE TRANSITION CENTER TEAM HAS SUCCESSFULLY HELPED OVER 75 PERCENT OF PATIENTS OBTAIN A PRIMARY CARE PROVIDER AND ATTEND THEIR INITIAL APPOINTMENT. THESE RESULTS CAN BE ATTRIBUTED TO THE STRONG WORKING RELATIONSHIPS WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) SUCH AS BOND COMMUNITY HEALTH CENTER AND NEIGHBORHOOD MEDICAL CENTER, AND COMMUNITY PROVIDERS SUCH AS CARE POINT HEALTH & WELLNESS CENTER AND THE KEARNEY CENTER, WHICH PROVIDE SERVICES TO THE HOMELESS. SINCE 2009, THE BIXLER TRAUMA & EMERGENCY CENTER HAS OPERATED AS THE REGION'S ONLY LEVEL II TRAUMA CENTER. TMH ALSO OPERATES A SECOND FREE-STANDING EMERGENCY CENTER - THE EMERGENCY CENTER - NORTHEAST. SINCE OPENING IN 2013, THE EMERGENCY CENTER - NORTHEAST HAS PROVIDED THE TALLAHASSEE COMMUNITY WITH EXPANDED ACCESS TO NON-TRAUMA EMERGENCY SERVICES, REDUCED WAIT TIMES, AND OFFERED AN ENHANCED EXPERIENCE FOR PATIENTS AND VISITORS. THE CENTER HAS TREATED MORE THAN 400,000 PATIENTS IN NEED OF EMERGENCY CARE. AS THE REGION'S SAFETY NET HOSPITAL, TMH'S TRAUMA AND EMERGENCY SERVICES OPERATE AT A FINANCIAL LOSS. HOWEVER, PROVIDING THE COMMUNITY A DESIGNATED LEVEL II TRAUMA CENTER IS AN ESSENTIAL NEED FOR TMH'S SERVICE AREA. BY PROVIDING INCREASED COMPLEXITY AND VOLUME OF CARE IN THE EMERGENCY CENTER, TMH IS GUARANTEEING ACCESS TO HIGH QUALITY CARE. DURING FY2023, BIXLER SAW AN INCREASE OF 3,153 PATIENTS (71,019 VERSUS 67,886 IN FY2022) AND EMERGENCY CENTER - NORTHEAST SAW AN INCREASE OF 1,339 PATIENTS (42,335 VERSUS 40,996 IN FY2022). TMH HAS ALWAYS HAD A PRESENCE IN MANY OF THE RURAL COUNTIES WE SERVE, INCLUDING FAMILY MEDICINE PRACTICES IN FRANKLIN, GADSDEN, JEFFERSON, TAYLOR, WAKULLA, JACKSON, BAY AND CALHOUN COUNTIES. THROUGH THE YEARS, TMH HAS PRIORITIZED AND INVESTED IN MAKING HEALTHCARE MORE ACCESSIBLE FOR OUR COMMUNITY. IN ADDITION TO ESTABLISHING THE TRANSITION CENTER AND OPENING THE EMERGENCY CENTER NORTHEAST, TMH HAS IMPLEMENTED TELEMEDICINE TECHNOLOGIES AND CULTIVATED RESIDENCY PROGRAMS AS ADDITIONAL AVENUES FOR OFFERING ACCESSIBLE HEALTHCARE. TMH IS EXPANDING ACCESS TO CARE IN RURAL COMMUNITIES BY TRANSFORMING HOW CARE IS PROVIDED IN THE REGION. TMH CARELINK, IS A REGIONAL TELEMEDICINE NETWORK THAT ALLOWS PHYSICIANS, SPECIALISTS AND HEALTHCARE STAFF TO PROVIDE CONSULTATIONS IN REMOTE LOCATIONS AND IN THE PATIENT HOME. TMH CARELINK PROVIDES TELEMEDICINE VISITS IN TAYLOR COUNTY AT DOCTORS MEMORIAL HOSPITAL, FRANKLIN COUNTY AT WEEMS MEMORIAL HOSPITAL, MADISON COUNTY AT MADISON COMMUNITY MEMORIAL HOSPITAL, LIBERTY AND CALHOUN COUNTIES AT CALHOUN/LIBERTY HOSPITAL, WASHINGTON COUNTY AT NORTHWEST FLORIDA COMMUNITY HOSPITAL AND JACKSON COUNTY AT JACKSON HOSPITAL. RESIDENCY PROGRAMS IN FAMILY MEDICINE, INTERNAL MEDICINE, AND GENERAL SURGERY, AS WELL AS NURSING AND PHARMACY, IMPROVE ACCESS TO CARE AND HELP DEVELOP THE BIG BEND'S MEDICAL COMMUNITY. TMH IS HOME TO THE REGION'S ONLY PEDIATRIC INTENSIVE CARE UNIT (PICU) AND FIRST NICU. TMH PROVIDES ACCESS TO PEDIATRIC AND NEONATAL CRITICAL CARE FOR FAMILIES AND BABIES THROUGHOUT THE 21-COUNTY SERVICE AREA WHO REQUIRE CRITICAL CARE AT BIRTH, DUE TO PRETERM BIRTHS OR HEALTH COMPLICATIONS. ONE IN TEN BABIES BORN REQUIRES THIS HIGHER LEVEL OF CARE, WHICH TMH PROVIDES THROUGH TWO NICU UNITS - A LEVEL-III UNIT FOR CRITICAL CARE BABIES AND A LEVEL-II STEP-DOWN OR INTERMEDIATE CARE UNIT. CRITICAL BABIES BORN IN RURAL HOSPITALS UNEQUIPPED TO CARE FOR THEIR CRITICAL NEEDS ARE TRANSPORTED TO TMH'S NICU VIA TMH'S NEONATAL TRANSPORT TEAM. THIS TEAM DEPARTS FROM TMH TO THE OUTLYING HOSPITAL, WHERE THEY STABILIZE THE BABY, THEN TRANSPORT THE INFANT BACK TO TMH. THIS SERVICE OFFERS FAMILIES WHO DO NOT HAVE IMMEDIATE ACCESS TO NEONATAL CRITICAL CARE A MEANS FOR ACCESSING A HIGHER LEVEL OF CARE. IN JUNE 2021, TMH PARTNERED WITH DOCTORS MEMORIAL HOSPITAL IN TAYLOR COUNTY, AN HOUR AWAY FROM LEON COUNTY, TO OPEN A NEW WOUND CARE CENTER. PATIENTS IN TAYLOR AND SURROUNDING RURAL AREAS MAY RECEIVE TREATMENT FOR DI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
THE TALLAHASSEE COMMUNITY COLLEGE FDN
444 APPLEYARD DR	TALLAHASSEE	FL	32304	592091480	501(C)(3)	$20,000	FMV	N/A	SPONSORSHIP - CLEAVER & CORK
FLORIDA A & M UNIVERSITY FOUNDATION INC
625 E TENNESSEE ST SUITE 100	TALLAHASSEE	FL	32308	590977035	501(C)(3)	$19,305	FMV	N/A	SPONSORSHIP - FAMU
UNITED WAY OF THE BIG BEND INC
307 EAST 7TH AVENUE	TALLAHASSEE	FL	32303	596011150	501(C)(3)	$144,350	FMV	N/A	SPONSORSHIP - UNITED WAY PROGRAMS
Ronald McDonald House Charities of Tallahassee Inc
712 E 7th Avenue	TALLAHASSEE	FL	32303	592794505	501(C)(3)	$5,500	FMV	N/A	SPONSORSHIPS

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF GRANT PROGRAMS TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") MAINTAINS A SPONSORSHIP COMMITTEE WHICH OVERSEES THE ORGANIZATION'S SPONSORSHIP AND GRANT-MAKING PROCESSES. COMPLETED APPLICATION FORMS MUST BE SUBMITTED IN ORDER FOR TMH TO EVALUATE THE BENEFITS OF THE PROPOSED ACTIVITY- HOW THE PROPOSED SPONSORSHIP OPPORTUNITY ALIGNS WITH TMH'S MISSION AND VISION, AS WELL AS HOW THE PROPOSED ACTIVITY CAN HELP THE COMMUNITY. APPLICATIONS AND FURTHER INFORMATION ARE AVAILABLE ON TMH'S WEBSITE AT: WWW.TMH.ORG/SPONSORSHIP.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
G MARK O'BRYANT
EX-OFFICIO DIRECTOR & CEO	$1,043,068	$0	$330,724	$0	$45,848	$0	$340,106	$0	$16,090	$0	$1,775,836	$0	$0	$0
WILLIAM DOBAK MD
MATERNAL/FETAL MEDICINE	$636,789	$0	$526,550	$0	$434	$0	$18,300	$0	$16,726	$0	$1,198,799	$0	$0	$0
OVIDIU MARINA MD
RADIATION ONCOLOGIST	$702,699	$0	$361,093	$0	$290	$0	$18,300	$0	$16,530	$0	$1,098,912	$0	$0	$0
MITCHELL PEABODY MD
HEMATOLOGIST/ONCOLOGIST	$315,706	$0	$625,131	$0	$200	$0	$18,300	$0	$16,564	$0	$975,901	$0	$0	$0
GEORGE PENNINGTON II MD
GENERAL SURGEON	$396,164	$0	$536,044	$0	$182	$0	$7,917	$0	$16,726	$0	$957,033	$0	$0	$0
WILLIAM GUIDICE
VP/CFO- THRU 5/26/2023	$624,310	$0	$121,477	$0	$15,641	$0	$96,480	$0	$16,070	$0	$873,978	$0	$0	$0
PHILIP SHARP MD
RADIATION ONCOLOGIST	$502,561	$0	$314,909	$0	$794	$0	$18,300	$0	$15,818	$0	$852,382	$0	$0	$0
RYAN SMITH
CHIEF CLINICAL OFFICER/CNO/VP	$308,885	$0	$54,644	$0	$8,477	$0	$31,816	$0	$17,354	$0	$421,176	$0	$0	$0
ANDREW STARR
CHIEF HEALTH OPS OFFICER	$346,949	$0	$61,181	$0	$7,650	$0	$40,263	$0	$17,312	$0	$473,355	$0	$0	$0
NIGEL ALLEN
CHIEF ADVANCEMENT OFFICER/VP	$213,312	$0	$39,151	$0	$13,160	$0	$30,587	$0	$16,806	$0	$313,016	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1A	QUESTIONS REGARDING COMPENSATION DIRECTORS RECEIVE COMPLIMENTARY ACCESS TO TMH'S HEALTH CLUB, PREMIER HEALTH AND FITNESS CENTER. ----------
FORM 990, SCHEDULE J, PART I, LINE 4B	DETAIL OF SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS THE FOLLOWING INDIVIDUAL LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPANTED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING AND/OR RECEIVED DISTRIBUTIONS DURING THE YEAR: G. MARK O'BRYANT- NO DISTRIBUTIONS ---------- TMH MAINTAINS AN IRC SECTION 457(F) PLAN DESIGNED FOR CERTAIN SENIOR ADMINISTRATORS OF THE ORGANIZATION. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE TMH 457(F) PLAN AND/OR RECEIVED DISTRIBUTIONS DURING THE YEAR: NIGEL ALLEN - NO DISTRIBUTIONS WILLIAM GIUDICE - NO DISTRIBUTIONS G. MARK O'BRYANT - NO DISTRIBUTIONS RYAN SMITH - NO DISTRIBUTIONS ANDREW STARR - NO DISTRIBUTIONS ----------
FORM 990, SCHEDULE J, PART I, LINE 7	PROVISION OF NON-FIXED PAYMENTS TMH MAINTAINS A VARIABLE COMPENSATION PROGRAM FOR CERTAIN MANAGERS THAT MAKE 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 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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF TALLAHASSEE - SERIES 2015A
A	596000435	2015-05-28	$111,332,927	REFUNDING 1992B, 2000 & 2015 BONDS	false	false	false
CITY OF TALLAHASSEE - SERIES 2016A & 2016B
B	596000435	2016-02-02	$272,001,300	M.T. MUSTIAN CENTER CONSTRUCTION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$4,042,927	$0	$111,332,927	$0	$0	$0	$1,176,569	$0	$0	$0	$110,156,358	$0	2015	false	Yes (true)	Yes (true)	Yes (true)
B	$41,551,300	$0	$272,001,300	$0	$0	$0	$1,790,765	$0	$0	$256,873,443	$0	$13,337,092	2019	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0.00000	0.00000	0.00000	false	false	0.00000	false	Yes (true)
B	false	false	false	false	0.00000	0.00000	0.00000	false	false	0.00000	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	Yes (true)	false	false	false	false	0	false	Yes (true)
0
B	false	false	Yes (true)	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LYNN BRICKLER
FAMILY MEMBER OF BRD MBR	$110,068	EMPLOYMENT	false
DAVID BRICKLER
FAMILY MEMBER OF BRD MBR	$189,506	EMPLOYMENT	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 11	FORM 990 REVIEW PROCESS INFORMATION RELATED TO TMH'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PWC US TAX LLP FOR REVIEW AND RETURN PREPARATION. THE 2022 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30,2023 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR FINANCE TEAM MEMBERS BEFORE IT WAS FILED WITH THE IRS. THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE 990 PRIOR TO ITS FILING. ALL MEMBERS OF THE BOARD WERE AFFORDED THE OPPORTUNITY TO REVIEW THE FORM 990 PRIOR TO ITS FILING. ----------
FORM 990, PART VI, LINE 12C	CONFLICT OF INTEREST POLICY AS PART OF OUR WRITTEN CONFLICTS 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, LINE 15	COMPENSATION REVIEW PROCESS COMPENSATION ARRANGEMENTS INVOLVING OUR CEO AND SENIOR LEADERSHIP TEAM ARE ESTABLISHED BY TMH PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE TO SECTION 4958 EXCESS BENEFIT TRANSACTIONS FOR TAX PURPOSES. THIS REQUIRES A REVIEW OF COMPENSATION DETERMINATION BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ----------
FORM 990, PART VI, LINE 19	AVAILABILITY OF DOCUMENTS TO THE PUBLIC OUR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. A COPY OF OUR CONFLICT OF INTEREST POLICY IS ALSO AVAILABLE TO THE PUBLIC ON THE TMH WEBSITE. CONSOLIDATED FINANCIAL STATEMENTS ARE FILED WITH THE DIGITAL ASSURANCE CERTIFICATION, LLC, AGENCY FOR HEALTH CARE ADMINISTRATION AND A COPY OF OUR FORM 990 IS FILED WITH THE FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES. ----------
FORM 990, PART XI, LINE 9	DETAIL OF OTHER CHANGES IN NET ASSETS CHANGE IN ADDITIONAL PENSION LIABILITY $ 19,873,769 CHANGE IN FAIR VALUE OF DERIVATIVE 644,756 ADDITIONAL DEPRECIATION (103,120) ______________ TOTAL $ 20,415,405 ----------
FORM 990 PART IX LINE 11G	DESCRIPTION:INDEPENDENT LAB TOTAL FEES:5993971
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING TOTAL FEES:6967271
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN PROFESSIONAL FEES TOTAL FEES:53807071
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:40010385

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MEDICUS SELECT LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 MICCOSUKEE ROAD	AddressLine1Txt
City	TALLAHASSEE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32308	ZIPCd

Field	Value	IRS element (for citing)
EIN	452980304	EIN
Primary Activities	LEASED LABOR	PrimaryActivitiesTxt
Legal Domicile State	FL	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$2,642,588	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	TMH	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SOUTHEAST COMMUNITY HEALTH SERVICES INC
1300 MICCOSUKEE ROAD	TALLAHASSEE	FL	32308	581434992	HOLDING CO	FL	501(C)(25)	N/A	TMH	Yes (true)
TALLAHASSEE MEMORIAL HEALTHCARE FDN
1300 MICCOSUKEE ROAD	TALLAHASSEE	FL	32308	591727645	FUNDRAISING	FL	501(C)(3)	7	TMH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	General Or Managing PartnerGeneralOrManagingPartnerInd
CADUCEUS PROPERTIES LLC
1401 CENTERVILLE ROAD SUITE 300	TALLAHASSEE	FL	32308	030519350	INVESTMENT	FL	TMHV	false
RED HILL SURGICAL CENTER LLC
1608 SURGEONS DRIVE	TALLAHASSEE	FL	32308	264736988	HEALTHCARE	FL	TMHV	false
TALLAHASSEE DIAGNOSTIC IMAGING CTR
1600 PHILLIPS ROAD	TALLAHASSEE	FL	32308	592601294	HEALTHCARE	FL	TMHV	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
TALLAHASSEE MEMORIAL HEALTH VENTURES INC
1300 MICCOSUKEE ROAD	TALLAHASSEE	FL	32308	592717050	HOLDING COMPA	FL	TMH	C CORP	$4,450,309	$40,161,785	1.00000	Yes (true)
PRIME MERIDIAN HEALTH VENTURES INC
1309 THOMASVILLE ROAD	TALLAHASSEE	FL	32308	592668613	DIAG. IMAGING	FL	TMHV	C CORP				Yes (true)
TALLAHASSEE MEMORIAL TELEPHONE COMPANY
1309 THOMASVILLE ROAD	TALLAHASSEE	FL	32308	593395937	TELEPHONE COM	FL	TMHV	C CORP				Yes (true)
PREMIER HEALTH & FITNESS CENTER INC
3521 MACLAY BOULEVARD	TALLAHASSEE	FL	32312	592471569	FITNESS CENTE	FL	TMHV	C CORP				Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SOUTHEAST COMMUNITY HEALTH SERVICES
K	$626,218	FMV
TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION
C	$2,823,403	FMV
SOUTHEAST COMMUNITY HEALTH SERVICES
O,Q	$64,434	FMV
TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION
O,Q	$1,233,000	FMV
TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC
J	$1,401,864	FMV
TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC
K	$515,069	FMV
TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC
M	$75,040	FMV