TALLAHASSEE MEMORIAL HEALTHCARE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC (EIN 59-1917016)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-15
IRS object ID
202302279349301395
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-08-15T11:10:55-05:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PWC US TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN591917016EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TALLAHASSEE MEMORIAL HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% PRISCILLA NEEDHAM CFOInCareOfNm
Business Name ControlTALLBusinessNameControlTxt
Phone8504315238PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 MICCOSUKEE ROADAddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP323085054ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPRISCILLA NEEDHAMPersonNm
Person TitleCFOPersonTitleTxt
Phone8504310630PhoneNum
Signature2023-08-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPRISCILLAPersonFirstNm
Person LastNEEDHAMPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTONIO C RUSSOPreparerPersonNm
PTINP00858539PTIN
Phone2673303000PhoneNum
Preparation2023-08-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPRISCILLA NEEDHAM CFOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 MICCOSUKEE ROADAddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP323085054ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$915,221,090GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.tmh.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTALLAHASSEE 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 Body16VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee7447TotalEmployeeCnt
Total Volunteers603TotalVolunteersCnt
Total Gross UBI$1,077,541TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$906,879NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,169,779PYContributionsGrantsAmt
CY Contributions Grants$4,438,847CYContributionsGrantsAmt
PY Program Service Revenue$470,889,448PYProgramServiceRevenueAmt
CY Program Service Revenue$522,988,083CYProgramServiceRevenueAmt
PY Investment Income$864,127PYInvestmentIncomeAmt
CY Investment Income$534,763CYInvestmentIncomeAmt
PY Other Revenue$305,935,909PYOtherRevenueAmt
CY Other Revenue$309,497,179CYOtherRevenueAmt
PY Total Revenue$783,859,263PYTotalRevenueAmt
CY Total Revenue$837,458,872CYTotalRevenueAmt
PY Grants And Similar Paid$257,525PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$228,661CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$368,652,430PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$403,431,553CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$397,075,472PYOtherExpensesAmt
CY Other Expenses$439,172,403CYOtherExpensesAmt
PY Total Expenses$765,985,427PYTotalExpensesAmt
CY Total Expenses$842,832,617CYTotalExpensesAmt
PY Revenues Less Expenses$17,873,836PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,373,745CYRevenuesLessExpensesAmt
Total Assets BOY$1,130,180,703TotalAssetsBOYAmt
Total Assets EOY$1,094,977,840TotalAssetsEOYAmt
Total Liabilities BOY$580,797,957TotalLiabilitiesBOYAmt
Total Liabilities EOY$533,433,709TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$549,382,746NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$561,544,131NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFOUNDED 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$747,236,447ExpenseAmt
Grant$228,661GrantAmt
Revenue$832,718,481RevenueAmt
DescDESIGNED 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$747,236,447TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document225IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee7447EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPRISCILLA NEEDHAM CFOPersonNm
Phone8504315238PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 MICCOSUKEE ROADAddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP323085054ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
G MARK O'BRYANT
EX-OFFICIO DIRECTOR & CEO53.02.0Yes (X)Yes (X)$1,212,451$0$324,804
WILLIAM DOBAK MD
HEMATOLOGIST/ONCOLOGIST55.00.0$1,117,376$0$33,232Yes (X)
ALEXANDER RAMIREZ MD
GENERAL SURGEON55.00.0$981,220$0$32,265Yes (X)
ELIOT B SIELOFF MD
GENERAL SURGEON55.00.0$963,644$0$32,123Yes (X)
OVIDIU MARINA MD
RADIATION ONCOLOGIST55.00.0$953,702$0$33,118Yes (X)
MITCHELL PEABODY MD
HEMATOLOGIST/ONCOLOGIST55.00.0$889,847$0$33,205Yes (X)
WILLIAM GUIDICE
VP/CFO54.01.0Yes (X)$704,573$0$104,504
ANDREA K FRIALL MD
CHIEF MEDICAL STAFF OFFICER45.00.0Yes (X)$439,002$0$81,900
STEVEN E HAYNES
CHIEF HUMAN RESOURCE OFFICER55.00.0Yes (X)$383,338$0$44,865
ANDREW STARR
CHIEF HEALTH OPS OFFICER55.00.0Yes (X)$357,866$0$54,103
RYAN SMITH
CHIEF CLINICAL OFFICER/CNO/VP55.00.0Yes (X)$340,827$0$62,711
DONALD LINDSEY
CHIEF INFORMATION OFFICER55.00.0Yes (X)$293,117$0$49,172
STEPHANIE M DERZYPOLSKI
CHIEF COMMUNICATION OFFICER55.00.0Yes (X)$267,232$0$48,019
NIGEL ALLEN
CHIEF ADVANCEMENT OFFICER/VP55.00.0Yes (X)$244,124$0$44,225
JANA IEZZI
CHIEF IMPROVEMENT OFFICER/VP55.00.0Yes (X)$239,635$0$34,677
YASHICA L WILSON-HEARNS
VP/SUPPORT SERVICES55.00.0Yes (X)$195,009$0$23,142
JOSEPH L CAMPS MD
CHIEF INTEGRATION OFFICER/VP15.00.0Yes (X)$200,946$0$0
ANDREW WONG MD
CHAIR2.00.0Yes (X)Yes (X)$0$0$0
THOMAS TRUMAN MD
CHAIR-ELECT2.00.0Yes (X)Yes (X)$0$0$0
ERMAN MURRAY JR
SECRETARY2.00.0Yes (X)Yes (X)$0$0$0
SALLY BRADSHAW
TREASURER2.00.0Yes (X)Yes (X)$0$0$0
AJ BRICKLER MD
DIRECTOR, INDEPENDENT PHYS.1.50.0Yes (X)$0$0$0
BRANT COPELAND
DIRECTOR1.50.0Yes (X)$0$0$0
KELLY DOZIER
DIRECTOR1.50.0Yes (X)$0$0$0
WINSTON HOWELL
DIRECTOR1.50.0Yes (X)$0$0$0
JAMES KILLIUS MD
DIRECTOR1.50.0Yes (X)$0$0$0
JOEDRECKA BROWN SPEIGHTS MD
DIRECTOR1.50.0Yes (X)$0$0$0
HUGH VANLANDINGHAM MD
DIRECTOR1.50.0Yes (X)$0$0$0
CLAUDE WALKER
DIRECTOR1.50.0Yes (X)$0$0$0
DEBORAH MINNIS
EX-OFFICIO DIRECTOR1.02.0Yes (X)$0$0$0
PAT GRISE
EX-OFFICIO DIRECTOR1.00.0Yes (X)$0$0$0
CARLOS CAMPO MD
DIRECTOR1.50.0Yes (X)$0$0$0
LEE HINKLE
DIRECTOR1.50.0Yes (X)$0$0$0
BETH CORUM
DIRECTOR1.50.0Yes (X)$0$0$0
KATRINA ROLLE
DIRECTOR1.50.0Yes (X)$0$0$0
SHAH HEEMANSKI MD
EX-OFFICIO DIRECTOR1.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,783,909TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,036,065TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K497IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SOUTHERN MEDICAL GROUP PA
1300 MEDICAL DRIVETALLAHASSEEFL32308PHYSICIAN SERVICES$34,391,847
CROSS COUNTRY STAFFING INC
6551 PARK OF COMMERCE BLVDBOCA RATONFL33487STAFFING AGENCY$23,765,195
TALLAHASSEE PULMONARY CLINIC
2617 MITCHAM DRIVETALLAHASSEEFL32308PHYSICIAN SERVICES$10,844,431
TALLAHASSEE DIAGNOSTIC IMAGING
1600 PHILLIPS ROADTALLAHASSEEFL32308DIAGNOSTIC IMAGING$2,806,920
PENNINGONT PA
215 S MONROE STREETTALLAHASSEEFL32308LEGAL SERVICES$4,036,683
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K70CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$1,550,126RelatedOrganizationsAmt
Government Grants$2,880,590GovernmentGrantsAmt
All Other Contributions$8,131AllOtherContributionsAmt
Noncash Contributions$3,550NoncashContributionsAmt
Total Contributions$4,438,847TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET HEALTH CARE SERVICE REVENUESDesc
Business621500BusinessCd
Total Revenue Column$522,988,083TotalRevenueColumnAmt
Related Or Exempt Func Income$522,916,423RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$71,660UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$522,988,083TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,177,801TotalRevenueColumnAmt
Exclusion$1,177,801ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,347,874RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$3,652,753RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$304,879RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$304,879TotalRevenueColumnAmt
Unrelated Business Revenue$1,005,881UnrelatedBusinessRevenueAmt
Exclusion-$1,310,760ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,405,678SecuritiesAmt
Other$629,569OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,164,395SecuritiesAmt
Other$513,890OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$758,717SecuritiesAmt
Other$115,679OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$643,038TotalRevenueColumnAmt
Exclusion-$643,038ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$374,718,220GrossSalesOfInventoryAmt
Cost Of Goods Sold$70,431,180CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$304,287,040TotalRevenueColumnAmt
Related Or Exempt Func Income$304,287,040RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
VENDOR REBATES900099$3,969,106$3,969,106
MEDICARE AND MEDICAID MEANINGFUL USE900099$849,792$849,792
PARKING DECK900099$371,458$371,458

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$324,662TotalRevenueColumnAmt
Related Or Exempt Func Income$324,662RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,515,018OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$837,458,872TotalRevenueColumnAmt
Related Or Exempt Func Income$832,718,481RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,077,541UnrelatedBusinessRevenueAmt
Exclusion-$775,997ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$228,661TotalAmt
Program Services$228,661ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,569,348TotalAmt
Program Services$5,839,629ProgramServicesAmt
Management And General$729,719ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$336,551,291TotalAmt
Program Services$304,298,689ProgramServicesAmt
Management And General$32,252,602ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,819,251TotalAmt
Program Services$6,177,882ProgramServicesAmt
Management And General$641,369ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$29,410,043TotalAmt
Program Services$26,591,600ProgramServicesAmt
Management And General$2,818,443ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$24,081,620TotalAmt
Program Services$21,773,815ProgramServicesAmt
Management And General$2,307,805ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,445,114TotalAmt
Program Services$2,287,323ProgramServicesAmt
Management And General$157,791ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,587,292TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,587,292ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$44,341TotalAmt
Program Services$44,341ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$109,435,462TotalAmt
Program Services$99,184,762ProgramServicesAmt
Management And General$10,250,700ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,523,045TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,523,045ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$35,771,811TotalAmt
Program Services$33,298,460ProgramServicesAmt
Management And General$2,473,351ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$24,812,642TotalAmt
Program Services$15,248,787ProgramServicesAmt
Management And General$9,563,855ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,730,406TotalAmt
Program Services$7,121,274ProgramServicesAmt
Management And General$1,609,132ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,383,117TotalAmt
Program Services$1,965,598ProgramServicesAmt
Management And General$2,417,519ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$944,543TotalAmt
Program Services$205,583ProgramServicesAmt
Management And General$738,960ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$13,312,701TotalAmt
Program Services$13,312,701ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$38,759,731TotalAmt
Program Services$34,454,530ProgramServicesAmt
Management And General$4,305,201ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,863,313TotalAmt
Program Services$18,295,407ProgramServicesAmt
Management And General$567,906ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PATIENT EXPENSES$119,215,446$119,215,446$0$0
SERVICE/MAINTENANCE$25,126,298$18,161,034$6,965,264$0
INDIGENT CARE ASSESSMENT$8,968,852$8,968,852$0$0
ALL OTHER EXPENSES$25,248,289$10,562,072$14,686,217$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$842,832,617TotalAmt
Program Services$747,236,447ProgramServicesAmt
Management And General$95,596,170ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$380,396,675BOYAmt
EOY$295,303,601EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$91,935,351BOYAmt
EOY$112,694,326EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,361,371BOYAmt
EOY$14,637,244EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$26,288,909BOYAmt
EOY$38,035,021EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,016,975,748LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$549,050,764LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$482,011,912BOYAmt
EOY$467,924,984EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$27,300BOYAmt
EOY$27,300EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$136,159,185BOYAmt
EOY$166,355,364EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,130,180,703BOYAmt
EOY$1,094,977,840EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$93,305,955BOYAmt
EOY$101,867,176EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$354,582,695BOYAmt
EOY$349,700,584EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$18,750,652BOYAmt
EOY$17,937,699EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$114,158,655BOYAmt
EOY$63,928,250EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$580,797,957BOYAmt
EOY$533,433,709EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$549,382,746BOYAmt
EOY$561,544,131EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$549,382,746BOYAmt
EOY$561,544,131EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,130,180,703BOYAmt
EOY$1,094,977,840EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$5,373,745ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$17,535,130OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,724,422CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,129,931CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,901,148CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,169,779CurrentTaxYearMinus1YearAmt
Current Tax Year$4,438,847CurrentTaxYearAmt
Total$34,364,127TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,724,422CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,129,931CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,901,148CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,169,779CurrentTaxYearMinus1YearAmt
Current Tax Year$4,438,847CurrentTaxYearAmt
Total$34,364,127TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$34,364,127PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,048,467CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,765,009CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,286,777CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$414,380CurrentTaxYearMinus1YearAmt
Current Tax Year$872,922CurrentTaxYearAmt
Total$14,387,555TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,642,699CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,259,247CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,424,468CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,185,141CurrentTaxYearMinus1YearAmt
Current Tax Year$1,427,370CurrentTaxYearAmt
Total$6,938,925TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$55,690,607TotalSupportAmt
Gross Receipts Rltd Activities$3,932,578,319GrossReceiptsRltdActivitiesAmt
Public Support CY1700.61705PublicSupportCY170Pct
Public Support PY1700.60380PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$44,341FilingOrganizationsTotalAmt
Affiliated Group Total$44,341AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$44,341FilingOrganizationsTotalAmt
Affiliated Group Total$44,341AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$842,788,276FilingOrganizationsTotalAmt
Affiliated Group Total$845,321,854AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$842,832,617FilingOrganizationsTotalAmt
Affiliated Group Total$845,366,195AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt
FieldValueIRS element (for citing)
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$91,430CurrentYearMinus3Amt
Current Year Minus2$102,009CurrentYearMinus2Amt
Current Year Minus1$90,869CurrentYearMinus1Amt
Current Year$44,341CurrentYearAmt
Total$328,649TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE C, PART II-A, LINE 1FormAndLineReferenceDesc
ExplanationSUPPLEMENTAL 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: $44,341 - OTHER EXEMPT PURPOSE EXPENDITURES: $842,788,276 THIS ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED SEPTEMBER 30, 2022. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2021. NAME OF NON-ELECTING ORGANIZATION: ------------------------------------------------------- SOUTHEAST COMMUNITY HEALTH SRVS, INC. - DIRECT LOBBYING EXPENDITURES: $0 - OTHER EXEMPT PURPOSE EXPENDITURES: $189,256 TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION - DIRECT LOBBYING EXPENDITURES: $0 - OTHER EXEMPT PURPOSE EXPENDITURES: $2,344,322ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,360,709BeginningYearBalanceAmt
Contributions$398,690ContributionsAmt
Investment Earnings Or Losses$442,335InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$11,201,734EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,958,119BeginningYearBalanceAmt
Contributions$251,445ContributionsAmt
Investment Earnings Or Losses$164,009InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$3,500OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$8,370,073EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,478,890OtherCostOrOtherBasisAmt
Book Value$25,478,890BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$615,624,879OtherCostOrOtherBasisAmt
Depreciation$261,922,664DepreciationAmt
Book Value$353,702,215BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,877,619OtherCostOrOtherBasisAmt
Depreciation$5,639,318DepreciationAmt
Book Value$2,238,301BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$356,218,422OtherCostOrOtherBasisAmt
Depreciation$281,488,782DepreciationAmt
Book Value$74,729,640BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,775,938OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$11,775,938BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$467,924,984TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDescBook ValueBookValueAmt
DEBT RESERVE FUND$8,208,327
DEPOSITS AND OTHER ASSETS$6,922,407
OTHER RECEIVABLES$6,658,432
SELF INSURANCE TRUST FUND$5,660,249
UNEXPENDED CONSTRUCTION FUND$13,357,292
SWAP COLLATERAL$1,130,000
OPERATING LEASE ROU ASSETS$8,424,179
DUE FROM MEDICARE$8,418,973
FieldValueIRS element (for citing)
Total Book Value Other Assets$166,355,364TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
WORKER'S COMP SELF INSURANCE$2,190,427
PROFESSIONAL LIABILITY SELF INSURANCE$29,399,280
OBLIGATION FOR SUPPLEMENTAL EX$2,996,101
DEFFERRED COMP ARRANGEMENT$4,147,525
AHCA ASSESSMENT$7,002,000
OTHER LIABILITIES$12,267,087
OPERATING LEASE LIABILITY$5,925,830
FieldValueIRS element (for citing)
Total Liability$63,928,250TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE D, PART V, LINE 4FormAndLineReferenceDesc
ExplanationINTENDED 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

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConductedTxt
Specific Services ProvidedInsurance CoverageSpecificServicesProvidedTxt
Region Total Expenditures$120,078RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Spent$120,078SubtotalSpentAmt
Total Spent$120,078TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,445,904TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,445,904NetCommunityBenefitExpnsAmt
Total Expense0.02430TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$97,846,045TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$74,257,552DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,588,493NetCommunityBenefitExpnsAmt
Total Expense0.02800TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$118,291,949TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$74,257,552DirectOffsettingRevenueAmt
Net Community Benefit Expns$44,034,397NetCommunityBenefitExpnsAmt
Total Expense0.05230TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,029,610TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,350,506DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,679,104NetCommunityBenefitExpnsAmt
Total Expense0.01860TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$116,785,393TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$72,574,079DirectOffsettingRevenueAmt
Net Community Benefit Expns$44,211,314NetCommunityBenefitExpnsAmt
Total Expense0.05250TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$136,815,003TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,924,585DirectOffsettingRevenueAmt
Net Community Benefit Expns$59,890,418NetCommunityBenefitExpnsAmt
Total Expense0.07110TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$255,106,952TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$151,182,137DirectOffsettingRevenueAmt
Net Community Benefit Expns$103,924,815NetCommunityBenefitExpnsAmt
Total Expense0.12340TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$282,545TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$282,545NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$282,545TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$282,545NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$219,457,343BadDebtExpenseAmt
Bad Debt Expense Attributable$57,951,910BadDebtExpenseAttributableAmt
Reimbursed By Medicare$112,473,818ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$111,163,060CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,310,758MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TALLAHASSEE MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 MICCOSUKEE ROADAddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32309ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.TMH.ORGWebsiteAddressTxt
State LicenseLICENSE# 4080StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1TALLAHASSEE MEMORIAL HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SCHEDULE H, PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SCHEDULE H, PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SCH H, PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SCH H, PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SCH H, PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. HOWEVER, THE PROGRESS SHARED IN THIS DOCUMENT IS BASED ON THE 2019 CHNA AND 2020-2022 IMPLEMENTATION STRATEGY. IDENTIFICATION OF THREE KEY HEALTH PRIORITIES EMERGED FOLLOWED BY CREATION OF A 2020-2022 IMPLEMENTATION PLAN TO ADDRESS EACH OF THESE PRIORITY AREAS. THE THREE KEY HEALTH PRIORITIES ARE (1) ACCESS TO HEALTH SERVICES (2) PREVENTIVE SERVICES RELATED TO NUTRITION, PHYSICAL ACTIVITY AND OBESITY AND (3) MENTAL HEALTH AND SUBSTANCE ABUSE. TMH SERVICE LINES CONTINUE TO WORK IN PARTNERSHIP WITH NUMEROUS COMMUNITY-BASED ORGANIZATIONS TO ADDRESS THESE HEALTH NEEDS. THE FOLLOWING IS AN UPDATE OF PROGRESS MADE IN EACH PRIORITY AREA DURING FISCAL YEAR 2022. 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 2022 ADDRESSING HEALTH PRIORITIES FOR FISCAL YEARS 2023 TO 2025. THE IMPLEMENTATION PLAN PROGRESS WILL BE FINALIZED AND SHARED IN THE FY 2023 UPDATE. (1) ACCESS TO HEALTH SERVICES THE LONG-TERM GOALS FOR PRIORITY AREA, ACCESS TO HEALTH SERVICES, ARE TO DECREASE BARRIERS AND TO PROVIDE MORE FLEXIBLE AND ACCESSIBLE OPTIONS TO ACCESS HEALTHCARE. FOUR MAJOR STRATEGIES WERE IDENTIFIED: (A) UTILIZE TELEMEDICINE TO IMPROVE ACCESS FOR HEALTHCARE SERVICES (B) IMPROVE ACCESS TO HEALTHCARE SERVICES (C) IMPROVE CULTURAL COMPETENCE (D) CONDUCT AN EDUCATIONAL CAMPAIGN FOCUSING ON IMPORTANCE OF CHOOSING THE MOST EFFECTIVE AND EFFICIENT TYPE OF HEALTHCARE FOR CONDITION. THE FOLLOWING SHARES PROGRESS TOWARDS THESE STRATEGIES AS OF 2022. (A) UTILIZE TELEMEDICINE TO IMPROVE ACCESS FOR HEALTHCARE SERVICES TALLAHASSEE MEMORIAL HEALTHCARE HAS SERVED 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 2022, THERE WERE 18 PSYCHIATRIC EVALUATIONS, 6 CARDIOLOGY CONSULTS AND 1 CONSULT FOR A COVID PATIENT COMPLETED, FOR A TOTAL OF 25 SPECIALTY TELEMEDICINE CONSULTS. A TOTAL OF 15,160 TELEMEDICINE CONSULTS WERE COMPLETED WITH PATIENTS IN THEIR HOMES FOR EITHER PRIMARY CARE OF SPECIALTY CARE APPOINTMENTS. THIS REPRESENTED APPROXIMATELY 3.5% 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. A TOTAL OF 1,601 TELEMEDICINE CONSULTS WERE COMPLETED ON THE INPATIENT TELEMEDICINE CARTS. (B) IMPROVE ACCESS TO HEALTHCARE SERVICES TRANSPORTATION IS 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 2022, TMH PROVIDED 228 PATIENTS TRANSPORTATION ASSISTANCE TOTALING $12,742.21. THESE RIDES ALLOW FOR OUR MOST VULNERABLE PATIENTS TO GET TO AND FROM HEALTHCARE SERVICES IN A TIMELY, SAFE, LESS STRESSFUL MANNER. (C) IMPROVE CULTURAL COMPETENCE PROVIDING CULTURALLY COMPETENT AND COMPASSIONATE CARE TO ALL PATIENTS AND ONE ANOTHER IS A TOP PRIORITY AND CORE VALUE OF TMH. TMH HAS EMBARKED ON SEVERAL NEW INITIATIVES IN 2022 TO ACHIEVE THIS VISION. TMH ESTABLISHED THE DIVERSITY, EQUITY & INCLUSION COUNCIL (DEIC) IN SEPTEMBER 2020. THE DEIC'S PURPOSE IS, "...[TO] BRING TOGETHER A DIVERSE AND PASSIONATE GROUP OF PEOPLE FROM ACROSS THE ORGANIZATION. SERVING AS REPRESENTATIVES OF COLLEAGUE AND PATIENT EXPERIENCES, THE COUNCIL WILL PROMOTE A SAFE, INCLUSIVE ATMOSPHERE OF ACCEPTANCE AND BELONGING. WE WILL ADVOCATE FOR A CULTURE THAT VALUES, PROTECTS AND EMBRACES THE STRENGTH OF A DIVERSE ORGANIZATION. WE ARE COMMITTED TO EFFORTS THAT PROMOTE EQUITABLE TRANSFORMATION AND LEAD TO POSITIVE CHANGE, IMPROVED HEALTH OUTCOMES, AND A THRIVING COMMUNITY." THE DEIC IS COMPRISED OF SIXTEEN COUNCIL MEMBERS INCLUDING TMH COLLEAGUES AND A COMMUNITY ADVISOR. THE DEIC IS CURRENTLY EVALUATING TMH'S WORKFORCE DIVERSITY POLICY AND PROCEDURES FOR DIVERSITY, EQUITY AND INCLUSION. THE POLICY HAS BEEN DRAFTED WITH INPUT FROM THE VICE PRESIDENT OF HUMAN RESOURCES AS WELL AS THE CHIEF MEDICAL OFFICER AT TMH. THE PLAN IS TO PRESENT THE POLICY TO THE HOSPITAL'S BOARD OF DIRECTORS IN FY 2023. THIS COUNCIL WILL CONTINUE TO FOCUS ON EDUCATION/TRAINING FOR STAFF, WAYS TO CELEBRATE DIVERSITY/MULTI-CULTURALISM FOR COLLEAGUES, LEADERSHIP TRAINING AND CAREER ADVANCEMENT PATHWAYS, UNDERSTANDING OUR EQUAL EMPLOYMENT OPPORTUNITY (EEO) DATA AND ADDRESSING FOOD INSECURITY. AS MENTIONED IN FY2020, FOOD INSECURITY WAS AN AREA OF FOCUS FOR THE COUNCIL, BUT IN FY 2021, THIS FOCUS HAS NOW EXPANDED TO INCLUDE OTHER SOCIAL FACTORS THAT IMPACT HEALTH AND IS BROADLY DEFINED AS SOCIAL DETERMINANTS OF HEALTH (SDOH). THE DEIC HELD THREE TOWN HALL MEETINGS IN 2020/2021. OVER 80 PEOPLE ATTENDED AND EXPRESSED THEIR DESIRES AND CONCERNS FOR THE FUTURE OF DIVERSITY, EQUITY AND INCLUSION FOR THE COLLEAGUE AND PATIENT EXPERIENCE. COLLEAGUE FEEDBACK WILL BE INCORPORATED INTO THE COUNCIL'S STRATEGIC PLAN. IN FY2022, THE DEIC IS STILL MAKING PROGRESS ON THE DEI POLICY AND IS CONTINUING TO WORK ON PRESS GANEY SURVEY RESULTS RELATED TO NEW QUESTIONS ON DIVERSITY, EQUITY, AND INCLUSION. IN ADDITION, THE TMH STRATEGIC PLAN INCLUDES A PILLAR ON CULTURE WITH THE GOAL TO CREATE AND CONNECT OUR CULTURE TO PRIORITIZE AND VALUE DIVERSITY, EQUITY AND INCLUSION. OVER THE NEXT 2-3 YEARS, TMH PLANS TO ADVANCE KNOWLEDGE AND FACILITATE CHANGE IN INTERNAL POLICY AND PRACTICES TO HELP MOVE TOWARDS A MORE EQUITABLE HEALTHCARE ORGANIZATION. (D) CONDUCT AN EDUCATIONAL CAMPAIGN FOCUSING ON IMPORTANCE OF CHOOSING THE MOST EFFECTIVE AND EFFICIENT TYPE OF HEALTHCARE FOR CONDITION HAVING THE RIGHT TYPE OF MEDICAL CARE, DELIVERED WHEN NEEDED, IS ESSENTIAL FOR AN INDIVIDUAL TO NAVIGATE TO GOOD HEALTH AND TO MAINTAIN HEALTH AND WELLBEING. HAVING ESTABLISHED PRIMARY CARE OR A MEDICAL HOME AND KNOWING WHEN AND HOW TO ACCESS OTHER TYPES OF CARE, SUCH AS URGENT, EMERGENT AND SPECIALTY, IS KEY IN THIS PROCESS. ASSISTING COMMUNITY MEMBERS TO NAVIGATE THE SYSTEM TOWARDS ACCESSING CARE APPROPRIATELY INVOLVES A BLENDED APPROACH OF EDUCATION AND REDUCING BARRIERS TO ACCESS. TMH HAS DEVELOPED TWO PARTNERSHIPS TO WORK ON INITIATIVES DIRECTED AT GUIDING PATIENTS TO THE APPROPRIATE LOCATION FOR CARE. TMH HAS A LONG-STANDING PARTNERSHIP WITH WORKING WELL, INC., A NON-PROFIT ORGANIZATION WHOSE MISSION IS TO PROVIDE RESOURCES, INFORMATION, EDUCATION AND EVENTS TO IMPROVE THE WELL-BEING OF OUR COMMUNITY'S WORKFORCE. IN MAY 2020, TMH ALONG WITH WORKING WELL, INC. AND OTHER LARGE EMPLOYER GROUPS, LAUNCHED A SOCIAL MEDIA CAMPAIGN TO EDUCATE THE COMMUNITY ON "RIGHT PATIENT, RIGHT LOCATION FOR CARE". THE CAMPAIGN INCLUDED FACEBOOK POSTS WITH STATISTICS ON UNNECESSARY EMERGENCY ROOM VISITS AND ADVANTAGES OF ACCESSING CARE IN A MORE APPROPRIATE SETTING FOR ACUITY LEVEL. THE COMMUNITY INITIATIVES COMMITTEE, A SUBCOMMITTEE UNDER THE WORKING WELL BOARD OF DIRECTORS, DID NOT CREATE ANY NEW CONTENT IN 2021 OR 2022. HOWEVER, THEY CONTINUED TO POST INFOGRAPHICS RELATED TO CHOOSING THE RIGHT HEATH CARE OPTIONS AND CALLED IT "KNOW BEFORE YOU GO". THE SECOND INITIATIVE IN THIS ARENA IS A COMMUNITY COLLABORATIVE WITH TMH, CAPITAL HEALTH PLAN, A NON-PROFIT HEALTH MAINTENANCE ORGANIZATION AND TALLAHASSEE PRIMARY CARE ASSOCIATES, A LARGE PRIMARY CARE PRACTICE, AND NUMEROUS OTHER SOLO PRIMARY CARE PRACTICES. THIS COMMUNITY COLLABORATIVE IS FOCUSED ON STRATEGIES TO GUIDE PATIENTS TO THE APPROPRIATE LOCATION FOR CARE BY IDENTIFYING HIGH UTILIZERS OF EMERGENCY CARE, IDENTIFYING THE MOST COMMON DIAGNOSES AND BY TRANSITIONING PATIENTS BACK TO PRIMARY CARE FROM EMERGENCY OR URGENT CARE. CURRENT STRATEGIES INCLUDE SCHEDULING HIGH UTILIZERS FOR MORE FREQUENT OFFICE VISITS, PSYCHOLOGICAL ASSESSMENTS AND REFERRALS, ALIGNING MESSAGING TO EDUCATE PATIENTS AND STAFF , STANDARDIZING OUTPATIENT CARE THROUGH THE USE OF A QUALITY AND EFFICIENCY DASHBOARD AND CREATING A PROCESS TO IDENTIFY AND GIVE IMMEDIATE ACCESS TO PATIENTS KNOWN TO FREQUENTLY USE EMERGENCY CARE. THE EXPECTED OUTCOME OF THIS COMMITTEE IS A 25% REDUCTION IN TOTAL EMERGENCY DEPARTMENT VISITS FOR IDENTIFIED HIGH UTILIZERS. IN 2020 AND 2021, TMH WORKED WITH THE CESC KEARNEY CENTER TO REDUCE UNNECESSARY 911 CALLS AND SUBSEQUENT EMERGENCY DEPARTMENT VISITS AMONG PATIENTS EXPERIENC
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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 17 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)TMH ATTEMPTS TO EDUCATE ALL PATIENTS, OR THEIR GUARANTORS, ABOUT THEIR FINANCIAL RESPONSIBILITY, AS WELL AS THEIR OPTIONS AND OPPORTUNITIES FOR ASSISTANCE WITH HOSPITAL BILLS. ALL PATIENTS ARE GIVEN THE OPPORTUNITY TO RECEIVE A GOOD FAITH ESTIMATE OF SERVICES TO BE PROVIDED ALONG WITH INFORMATION ABOUT FINANCIAL ASSISTANCE. SIGNS ARE POSTED IN CENTRAL REGISTRATION, AS WELL AS OTHER ENTRY POINTS IN THE HOSPITAL, PROVIDING PATIENTS WITH A PHONE NUMBER TO CALL FOR THIS INFORMATION. THOSE PATIENTS WHO ARE UNINSURED ARE ASKED TO COMPLETE A BRIEF APPLICATION FOR FINANCIAL ASSISTANCE. IT IS THROUGH THIS APPLICATION THAT TMH CAN ASSESS THE PATIENT'S NEED FOR FINANCIAL ASSISTANCE OR PROGRAM ELIGIBILITY. A PATIENT MAY BE REFERRED TO NTHRIVE, WHICH IS A CONTRACTED COMPANY THAT PROVIDES MEDICAID ELIGIBILITY SERVICES TO THE HOSPITAL. FOR THOSE WHO DO NOT SPEAK ENGLISH, TRANSLATION SERVICES ARE AVAILABLE. WHEN AN UNINSURED PATIENT PRESENTS IN A NON-EMERGENT SETTING, A FINANCIAL APPLICATION IS COMPLETED AND REVIEWED BY A CUSTOMER SERVICE REPRESENTATIVE. VARIOUS OPTIONS, RANGING FROM VOCATIONAL REHAB TO PAYMENT PLANS BASED ON A SLIDING FEE SCHEDULE, TO REFERRAL TO THE WECARE NETWORK, WHICH OFFERS FREE CARE, ARE EXPLORED. IN THE EVENT THAT THE PATIENT WOULD QUALIFY FOR MEDICAID, A REFERRAL IS MADE TO NTHRIVE. NTHRIVE, THROUGH THE STATE OF FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES SERVICES, ASSISTS PATIENTS IN COMPLETING THE MEDICAID APPLICATION. IF THE PATIENT IS DISABLED, OR GOING TO BE DISABLED FOR AT LEAST A YEAR, NTHRIVE WILL ASSIST THE PATIENT IN APPLYING FOR DISABILITY. IF A PATIENT PRESENTS TO THE EMERGENCY ROOM, CARE IS PROVIDED PRIOR TO ASCERTAINING THE PATIENT'S COVERAGE AND/OR ABILITY TO PAY. ONCE THE PATIENT IS STABILIZED, THE STEPS OUTLINED FOR THE NON-EMERGENT SETTING ARE TAKEN. IN THE EVENT THAT A PATIENT DOES NOT QUALIFY FOR ANY STATE/FEDERAL PROGRAMS, AND IS UNINSURED, A CHARITY APPLICATION IS COMPLETED. IT IS THROUGH THIS PROCESS THAT A DETERMINATION IS MADE AS TO WHETHER THE PATIENT QUALIFIES FOR CHARITY OR THE SLIDING FEE SCHEDULE. THE HOSPITAL SPONSORED FINANCIAL ASSISTANCE PROGRAM (FAP) IS AVAILABLE FOR UNINSURED AND UNDERINSURED PATIENTS. FAP IS A CHARITY AND SLIDING SCALE DISCOUNT PROGRAM BASED ON THE PATIENT'S FAMILY INCOME AND HOUSEHOLD SIZE. PATIENTS WITH FAMILY INCOMES AT OR BELOW 150% OF THE FEDERAL POVERTY GUIDELINES OR WHOSE CHARGES EXCEED 25% OF THE ANNUAL FAMILY INCOME ARE ELIGIBLE FOR 100 % CHARITY OR FREE CARE. PATIENTS WITH FAMILY INCOMES BETWEEN 151% AND 400 % OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR SLIDING SCALE DISCOUNTS. THESE UNINSURED PATIENTS WILL BE RESPONSIBLE FOR A PERCENTAGE OF HOSPITAL CHARGES DETERMINED BY INCOME AND FAMILY SIZE. THE STATE OF FLORIDA HAS RECOGNIZED THE HIGH LEVEL OF UNCOMPENSATED CARE PROVIDED BY TMH BY DESIGNATING TMH AS A MEDICAID DISPROPORTIONATE SHARE PROVIDER. APPROXIMATELY 3% OF TMH'S GROSS REVENUES ARE PROVIDED WITHOUT COMPENSATION TO INDIGENT PATIENTS WITH NO FUNDING SOURCE AND ANOTHER 12% OF THE GROSS REVENUES ARE GENERATED BY SERVICES TO PATIENTS COVERED UNDER THE MEDICAID PROGRAM AND MEDICAID HMOS. A COPY OF OUR FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.TMH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE -INFORMATION ------------------------------------------------------------
PART VI, LINE 4 & 5(COMMUNITY INFORMATION & PROMOTION OF COMMUNITY HEALTH)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 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, RADIOLOGY ASSOCIATES, UNIVERSITY OF FLORIDA HEALTH, WEEMS MEMORIAL HOSPITAL AND WOLFSON CHILDREN'S HOSPITAL IN JACKSONVILLE, FL. 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 2022, TMH CONTINUED TO EXPAND ACCESS TO CARE BY CREATING A FORMAL PARTNERSHIP WITH CALHOUN LIBERTY HOSPITAL ASSOCIATION, INC. (CLHA) TO ENHANCE SERVICES AND IMPROVE CARE FOR THE CITIZENS OF CALHOUN AND LIBERTY COUNTIES. TMH ALSO EXPANDED HEALTHCARE SERVICES TO THE PANAMA CITY BEACH COMMUNITIES DURING 2022. 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. 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. IN 2013, TMH ALSO OPENED A SECOND EMERGENCY CENTER - THE EMERGENCY CENTER - NORTHEAST - EXPANDING EMERGENCY CARE OPTIONS FOR THE SERVICE AREA. AS HOME TO THE REGION'S ONLY NICU, TMH CARES FOR BABIES BORN IN 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. 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. IMPROVING ACCESS TO HEALTHCARE: 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. 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. RECENT CHANGES AT BIXLER HAVE FOCUSED ON REDUCING THE LENGTH OF TIME TO SEE A PHYSICIAN AND THE NUMBER OF PATIENTS WHO LEAVE THE FACILITY WITHOUT BEING SEEN. BIXLER SAW AN INCREASE OF 4, 719 PATIENTS IN FY2022 (67,886 VERSUS 63,147 IN FY2021) AND EMERGENCY CENTER NORTHEAST SAW AN INCREASE OF 4,548 PATIENTS IN FY2022 (40,996 VERSUS 36,448 IN FY2021). DURING FY 2022 THE PERCENTAGE OF PATIENTS THAT LEFT WITHOUT BEING SEEN WAS 1.88% FOR BIXLER AND 1.08% FOR EMERGENCY CENTER NORTHEAST, BOTH OF WHICH IS WELL BELOW THE NATIONAL BENCHMARK OF 2.6%. THE AVERAGE WAIT TIME TO SEE A PHYSICIAN AT BIXLER WAS 27 MINUTES AND EMERGENCY CENTER NORTHEAST WAS 25 MINUTES, BOTH WAIT TIMES STILL WELL UNDER THE NATIONAL BENCHMARK. THESE CHANGES ENSURE THAT OUR COMMUNITY HAS FASTER ACCESS TO PHYSICIANS IN THEIR TIME OF NEED. TMH IS HOME TO THE REGION'S ONLY PEDIATRIC INTENSIVE CARE UNIT (PICU) AND FIRST NICU. TMH ALSO PROVIDES ACCESS TO PEDIATRIC AND NEONATAL CRITICAL CARE TO FAMILIES THROUGHOUT THE ENTIRE 21-COUNTY SERVICE AREA. 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
PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)N/A

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
THE TALLAHASSEE COMMUNITY COLLEGE FDN
444 APPLEYARD DRTALLAHASSEEFL32304592091480501(C)(3)$10,000FMVN/ASPONSORSHIP - CLEAVER & CORK
UNITED WAY OF THE BIG BEND INC
307 EAST 7TH AVENUETALLAHASSEEFL32303596011150501(C)(3)$108,630FMVN/ASPONSORSHIP - UNITED WAY PROGRAMS
Ronald McDonald House Charities of Tallahassee Inc
712 E 7th AvenueTALLAHASSEEFL32303592794505501(C)(3)$5,500FMVN/ASPONSORSHIPS
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationDESCRIPTION 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

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
G MARK O'BRYANT
EX-OFFICIO DIRECTOR & CEO$977,643$0$177,199$0$57,609$0$309,301$0$15,503$0$1,537,255$0$0$0
WILLIAM DOBAK MD
HEMATOLOGIST/ONCOLOGIST$637,451$0$479,491$0$434$0$17,100$0$16,132$0$1,150,608$0$0$0
OVIDIU MARINA MD
RADIATION ONCOLOGIST$703,361$0$250,051$0$290$0$17,100$0$16,018$0$986,820$0$0$0
MITCHELL PEABODY MD
HEMATOLOGIST/ONCOLOGIST$316,373$0$573,274$0$200$0$17,100$0$16,105$0$923,052$0$0$0
ALEXANDER RAMIREZ MD
GENERAL SURGEON$472,585$0$508,201$0$434$0$17,100$0$15,165$0$1,013,485$0$0$0
ELIOT B SIELOFF MD
GENERAL SURGEON$685,329$0$275,107$0$3,208$0$17,100$0$15,023$0$995,767$0$0$0
WILLIAM GUIDICE
VP/CFO$596,863$0$92,323$0$15,387$0$89,020$0$15,484$0$809,077$0$0$0
ANDREA K FRIALL MD
CHIEF MEDICAL STAFF OFFICER$401,996$0$34,062$0$2,944$0$64,065$0$17,835$0$520,902$0$0$0
STEVEN E HAYNES
CHIEF HUMAN RESOURCE OFFICER$332,474$0$44,465$0$6,399$0$36,948$0$7,917$0$428,203$0$0$0
RYAN SMITH
CHIEF CLINICAL OFFICER/CNO/VP$295,243$0$40,257$0$5,327$0$46,268$0$16,443$0$403,538$0$0$0
DONALD LINDSEY
CHIEF INFORMATION OFFICER$255,547$0$35,072$0$2,498$0$32,755$0$16,417$0$342,289$0$0$0
ANDREW STARR
CHIEF HEALTH OPS OFFICER$331,636$0$20,658$0$5,572$0$38,414$0$15,689$0$411,969$0$0$0
NIGEL ALLEN
CHIEF ADVANCEMENT OFFICER/VP$208,572$0$28,842$0$6,710$0$28,060$0$16,165$0$288,349$0$0$0
JANA IEZZI
CHIEF IMPROVEMENT OFFICER/VP$209,978$0$28,129$0$1,528$0$27,114$0$7,563$0$274,312$0$0$0
JOSEPH L CAMPS MD
CHIEF INTEGRATION OFFICER/VP$200,816$0$0$130$0$0$0$200,946$0$0$0
YASHICA L WILSON-HEARNS
VP/SUPPORT SERVICES$170,882$0$22,722$0$1,405$0$21,893$0$1,249$0$218,151$0$0$0
STEPHANIE M DERZYPOLSKI
CHIEF COMMUNICATION OFFICER$231,326$0$31,760$0$4,146$0$30,731$0$17,288$0$315,251$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1AQUESTIONS REGARDING COMPENSATION DIRECTORS RECEIVE COMPLIMENTARY ACCESS TO TMH'S HEALTH CLUB, PREMIER HEALTH AND FITNESS CENTER. ----------------------------------------------------------------
FORM 990, SCHEDULE J, PART I, LINE 4BDETAIL 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 STEPHANIE M. DERZYPOLSKI - NO DISTRIBUTIONS ANDREA K. FRIALL, MD - NO DISTRIBUTIONS WILLIAM GIUDICE - NO DISTRIBUTIONS STEVEN E. HAYNES - NO DISTRIBUTIONS JANA IEZZI - NO DISTRIBUTIONS DONALD LINDSEY - NO DISTRIBUTIONS G. MARK O'BRYANT - NO DISTRIBUTIONS RYAN SMITH - NO DISTRIBUTIONS ANDREW STARR - NO DISTRIBUTIONS YASHICA WILSON-HEARNS - NO DISTRIBUTIONS ----------------------------------------------------------------
FORM 990, SCHEDULE J, PART I, LINE 7PROVISION 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF TALLAHASSEE - SERIES 2015A
A5960004352015-05-28$111,332,927REFUNDING 1992B, 2000 & 2015 BONDSfalsefalsefalse
CITY OF TALLAHASSEE - SERIES 2016A & 2016B
B5960004352016-02-02$272,001,300M.T. MUSTIAN CENTER CONSTRUCTIONfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$4,042,927$0$111,332,927$0$0$0$1,176,569$0$0$0$110,156,358$02015falseYes (true)Yes (true)Yes (true)
B$38,466,300$0$272,001,300$0$0$0$1,790,765$0$0$256,873,443$0$13,337,0922019falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0.000000.000000.00000falsefalse0.00000falseYes (true)
Bfalsefalsefalsefalse0.000000.000000.00000falsefalse0.00000falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
BfalsefalseYes (true)falsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JOSEPH L CAMPS
FAMILY MEMBER OF OFFICER$86,220EMPLOYMENTfalse
CAMERON WONG
FAMILY MEMBER OF BOARD MEMBER$24,996EMPLOYMENTfalse
LYNN BRICKLER
FAMILY MEMBER OF BOARD MEMBER$124,277EMPLOYMENTfalse
DAVID BRICKLER
FAMILY MEMBER OF BOARD MEMBER$181,628EMPLOYMENTfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 11FORM 990 REVIEW PROCESS INFORMATION RELATED TO TMH'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW AND RETURN PREPARATION. THE 2020 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2022 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 12CCONFLICT 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 15COMPENSATION 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 19AVAILABILITY 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 9DETAIL OF OTHER CHANGES IN NET ASSETS CHANGE IN ADDITIONAL PENSION LIABILITY $ 21,378,363 CHANGE IN FAIR VALUE OF DERIVATIVE (3,740,113) ADDITIONAL DEPRECIATION (103,120) ______________ TOTAL $ 17,535,130 ----------
FORM 990 PART IX LINE 11GDESCRIPTION:INDEPENDENT LAB TOTAL FEES:5951362
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING TOTAL FEES:5095378
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN PROFESSIONAL FEES TOTAL FEES:52144042
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:46244680

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MEDICUS SELECT LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 MICCOSUKEE ROADAddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32308ZIPCd
FieldValueIRS element (for citing)
EIN452980304EIN
Primary ActivitiesLEASED LABORPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$2,899,051EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1TMHBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SOUTHEAST COMMUNITY HEALTH SERVICES INC
1300 MICCOSUKEE ROADTALLAHASSEEFL32308581434992HOLDING COFL501(C)(25)N/ATMHYes (true)
TALLAHASSEE MEMORIAL HEALTHCARE FDN
1300 MICCOSUKEE ROADTALLAHASSEEFL32308591727645FUNDRAISINGFL501(C)(3)7TMHYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtGeneral Or Managing PartnerGeneralOrManagingPartnerInd
CADUCEUS PROPERTIES LLC
1401 CENTERVILLE ROAD SUITE 300TALLAHASSEEFL32308030519350INVESTMENTFLTMHVfalse
RED HILL SURGICAL CENTER LLC
1608 SURGEONS DRIVETALLAHASSEEFL32308264736988HEALTHCAREFLTMHVfalse
TALLAHASSEE DIAGNOSTIC IMAGING CTR
1600 PHILLIPS ROADTALLAHASSEEFL32308592601294HEALTHCAREFLTMHVfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
TALLAHASSEE MEMORIAL HEALTH VENTURES INC
1300 MICCOSUKEE ROADTALLAHASSEEFL32308592717050HOLDING COMPAFLTMHC CORP$4,144,645$35,501,6541.00000Yes (true)
PRIME MERIDIAN HEALTH VENTURES INC
1309 THOMASVILLE ROADTALLAHASSEEFL32308592668613DIAG. IMAGINGFLTMHVC CORPYes (true)
TALLAHASSEE MEMORIAL TELEPHONE COMPANY
1309 THOMASVILLE ROADTALLAHASSEEFL32308593395937TELEPHONE COMFLTMHVC CORPYes (true)
PREMIER HEALTH & FITNESS CENTER INC
3521 MACLAY BOULEVARDTALLAHASSEEFL32312592471569FITNESS CENTEFLTMHVC CORPYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SOUTHEAST COMMUNITY HEALTH SERVICES
A$4,612FMV
SOUTHEAST COMMUNITY HEALTH SERVICES
K$688,494FMV
TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION
C$1,550,126FMV
SOUTHEAST COMMUNITY HEALTH SERVICES
O,Q$61,763FMV
TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION
O,Q$1,153,000FMV
TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC
J$1,401,864FMV
TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC
K$500,936FMV
TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC
M$80,594FMV

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