2023-08-15T11:10:55-05:00 2022-09-30 PWC US TAX LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2021-10-01 591917016 TALLAHASSEE MEMORIAL HEALTHCARE INC % PRISCILLA NEEDHAM CFO TALL 8504315238 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 PRISCILLA NEEDHAM CFO 8504310630 2023-08-14 true PRISCILLA NEEDHAM 999009999 ANTONIO C RUSSO P00858539 2673303000 2023-08-11 2 2021 2023-04-26 12:10:37Z PRISCILLA NEEDHAM CFO 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 915221090 false X www.tmh.org X 1979 FL TALLAHASSEE MEMORIAL HEALTHCARE, INC. IS A PRIVATE 772-BED, COMMUNITY HEALTHCARE SYSTEM THAT PROVIDES CHARITABLE, COMPASSIONATE, LEADING-EDGE, PATIENT-CENTERED HEALTH CARE. 16 13 7447 603 1077541 906879 6169779 4438847 470889448 522988083 864127 534763 305935909 309497179 783859263 837458872 257525 228661 0 0 368652430 403431553 0 0 0 397075472 439172403 765985427 842832617 17873836 -5373745 1130180703 1094977840 580797957 533433709 549382746 561544131 X FOUNDED MORE THAN 75 YEARS AGO, TALLAHASSEE MEMORIAL HEALTHCARE INC. IS A PRIVATE, NOT-FOR PROFIT, 772-BED, COMMUNITY HEALTH CARE SYSTEM THAT PROVIDES CHARITABLE, COMPASSIONATE, LEADING -EDGE, & PATIENT-CENTERED HEALTH CARE. ITS MISSION: TRANSFORMING CARE. ADVANCING HEALTH. IMPROVING LIVES. false false 747236447 228661 832718481 DESIGNED TO MEET THE DIVERSE HEALTH CARE NEEDS OF THE BIG BEND REGION, TALLAHASSEE MEMORIAL HEALTHCARE, INC. (TMH) IS A COMPREHENSIVE, PRIVATE, NOT-FOR-PROFIT HEALTH CARE SYSTEM THAT SERVES 17 COUNTIES IN NORTH FLORIDA AND SOUTH GEORGIA. TMH INCLUDES A 772-BED ACUTE CARE HOSPITAL AND HAS A TIME-HONORED COMMITMENT TO PROVIDING PATIENT-CENTERED, WORLD-CLASS HEALTH CARE TO ITS COMMUNITY WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. PROVIDING INNOVATIVE TECHNOLOGY AND A BROAD SPECTRUM OF SERVICES, TMH HOLDS A NUMBER OF IMPORTANT DISTINCTIONS ITHIN THE REGIONAL HEALTH SECTOR. TMH IS HOME TO THE AREAS ONLY STATE-DESIGNATED TRAUMA CENTER AND THE REGION'S ONLY ACCREDITED COMMUNITY HOSPITAL CANCER PROGRAM. TMH IS RECOGNIZED BY THE SOCIETY OF CHEST PAIN CENTERS AS AN ACCREDITED CHEST PAIN CENTER WITH PCI. ADDITIONALLY, TMH HAS THE ONLY NEUROLOGICAL AND LEVEL III NEONATAL INTENSIVE CARE UNITS AND IS NORTH FLORIDA'S ONLY COMPREHENSIVE STROKE CENTER. TMH IS MANAGED BY A TEAM OF COMMUNITY CITIZENS WHO VOLUNTEER THEIR TIME AND EXPERTISE WITHOUT COMPENSATION. THE TMH BOARD OF DIRECTORS IS COMMITTED TO ITS COMMUNITY SERVICE MISSION AND MEMBERS SERVE WITHOUT COMPENSATION. THE ENERGY RESOURCES COMMITTED BY TMH AND ITS COLLEAGUES ARE PROOF OF THE FULFILLMENT OF ITS MISSION : TRANSFORMING CARE. ADVANCING HEALTH. IMPROVING LIVES. SEE SCHEDULE H, PART VI FOR ADDITIONAL DETAILS REGARDING SOME OF THE VARIOUS PROGRAM SERVICE ACCOMPLISHMENTS AND ADDITIONAL COMMUNITY BUILDING ACTIVITIES CONDUCTED BY TMH. 747236447 true true false true false false false false false true true false false true true false false true false false true false false false false false true true true false true true false false false false false false false true true true false false false false true true true true true false true 225 0 true 7447 true true true false false false false false false false false false true false X 16 13 false false false false false false false true true false false true true true true true true true true false FL X PRISCILLA NEEDHAM CFO 8504315238 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 X G MARK O'BRYANT EX-OFFICIO DIRECTOR & CEO 53.0 2.0 X X 1212451 0 324804 WILLIAM DOBAK MD HEMATOLOGIST/ONCOLOGIST 55.0 0.0 X 1117376 0 33232 ALEXANDER RAMIREZ MD GENERAL SURGEON 55.0 0.0 X 981220 0 32265 ELIOT B SIELOFF MD GENERAL SURGEON 55.0 0.0 X 963644 0 32123 OVIDIU MARINA MD RADIATION ONCOLOGIST 55.0 0.0 X 953702 0 33118 MITCHELL PEABODY MD HEMATOLOGIST/ONCOLOGIST 55.0 0.0 X 889847 0 33205 WILLIAM GUIDICE VP/CFO 54.0 1.0 X 704573 0 104504 ANDREA K FRIALL MD CHIEF MEDICAL STAFF OFFICER 45.0 0.0 X 439002 0 81900 STEVEN E HAYNES CHIEF HUMAN RESOURCE OFFICER 55.0 0.0 X 383338 0 44865 ANDREW STARR CHIEF HEALTH OPS OFFICER 55.0 0.0 X 357866 0 54103 RYAN SMITH CHIEF CLINICAL OFFICER/CNO/VP 55.0 0.0 X 340827 0 62711 DONALD LINDSEY CHIEF INFORMATION OFFICER 55.0 0.0 X 293117 0 49172 STEPHANIE M DERZYPOLSKI CHIEF COMMUNICATION OFFICER 55.0 0.0 X 267232 0 48019 NIGEL ALLEN CHIEF ADVANCEMENT OFFICER/VP 55.0 0.0 X 244124 0 44225 JANA IEZZI CHIEF IMPROVEMENT OFFICER/VP 55.0 0.0 X 239635 0 34677 YASHICA L WILSON-HEARNS VP/SUPPORT SERVICES 55.0 0.0 X 195009 0 23142 JOSEPH L CAMPS MD CHIEF INTEGRATION OFFICER/VP 15.0 0.0 X 200946 0 0 ANDREW WONG MD CHAIR 2.0 0.0 X X 0 0 0 THOMAS TRUMAN MD CHAIR-ELECT 2.0 0.0 X X 0 0 0 ERMAN MURRAY JR SECRETARY 2.0 0.0 X X 0 0 0 SALLY BRADSHAW TREASURER 2.0 0.0 X X 0 0 0 AJ BRICKLER MD DIRECTOR, INDEPENDENT PHYS. 1.5 0.0 X 0 0 0 BRANT COPELAND DIRECTOR 1.5 0.0 X 0 0 0 KELLY DOZIER DIRECTOR 1.5 0.0 X 0 0 0 WINSTON HOWELL DIRECTOR 1.5 0.0 X 0 0 0 JAMES KILLIUS MD DIRECTOR 1.5 0.0 X 0 0 0 JOEDRECKA BROWN SPEIGHTS MD DIRECTOR 1.5 0.0 X 0 0 0 HUGH VANLANDINGHAM MD DIRECTOR 1.5 0.0 X 0 0 0 CLAUDE WALKER DIRECTOR 1.5 0.0 X 0 0 0 DEBORAH MINNIS EX-OFFICIO DIRECTOR 1.0 2.0 X 0 0 0 PAT GRISE EX-OFFICIO DIRECTOR 1.0 0.0 X 0 0 0 CARLOS CAMPO MD DIRECTOR 1.5 0.0 X 0 0 0 LEE HINKLE DIRECTOR 1.5 0.0 X 0 0 0 BETH CORUM DIRECTOR 1.5 0.0 X 0 0 0 KATRINA ROLLE DIRECTOR 1.5 0.0 X 0 0 0 SHAH HEEMANSKI MD EX-OFFICIO DIRECTOR 1.0 0.0 X 0 0 0 9783909 0 1036065 497 false true false SOUTHERN MEDICAL GROUP PA 1300 MEDICAL DRIVE TALLAHASSEE FL 32308 PHYSICIAN SERVICES 34391847 CROSS COUNTRY STAFFING INC 6551 PARK OF COMMERCE BLVD BOCA RATON FL 33487 STAFFING AGENCY 23765195 TALLAHASSEE PULMONARY CLINIC 2617 MITCHAM DRIVE TALLAHASSEE FL 32308 PHYSICIAN SERVICES 10844431 TALLAHASSEE DIAGNOSTIC IMAGING 1600 PHILLIPS ROAD TALLAHASSEE FL 32308 DIAGNOSTIC IMAGING 2806920 PENNINGONT PA 215 S MONROE STREET TALLAHASSEE FL 32308 LEGAL SERVICES 4036683 70 X 1550126 2880590 8131 3550 4438847 NET HEALTH CARE SERVICE REVENUES 621500 522988083 522916423 71660 522988083 1177801 1177801 0 0 3347874 3652753 -304879 0 -304879 1005881 -1310760 2405678 629569 3164395 513890 -758717 115679 -643038 -643038 0 0 0 0 0 0 374718220 70431180 304287040 304287040 VENDOR REBATES 900099 3969106 3969106 MEDICARE AND MEDICAID MEANINGFUL USE 900099 849792 849792 PARKING DECK 900099 371458 371458 324662 324662 5515018 837458872 832718481 1077541 -775997 X 228661 228661 0 0 0 6569348 5839629 729719 0 0 336551291 304298689 32252602 0 6819251 6177882 641369 0 29410043 26591600 2818443 0 24081620 21773815 2307805 0 0 2445114 2287323 157791 0 1587292 0 1587292 0 44341 44341 0 0 0 0 109435462 99184762 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0 34364127 5048467 6765009 1286777 414380 872922 14387555 1642699 1259247 1424468 1185141 1427370 6938925 0 55690607 3932578319 0.61705 0.60380 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 44341 44341 44341 44341 842788276 845321854 842832617 845366195 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 91430 102009 90869 44341 328649 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 FORM 990, SCHEDULE C, PART II-A, LINE 1 SUPPLEMENTAL INFORMATION REGARDING LOBBYING EXPENSES LOBBYING EXPENSES INCURRED INCLUDE MEETING WITH LOCAL CITY AND COUNTY OFFICIALS AND LEGISLATORS, AS WELL AS PORTIONS OF AMERICAN HOSPITAL ASSOCIATION (AHA) AND FLORIDA HOSPITAL ASSOCIATION (FHA) MEMBERSHIP DUES ALLOCATED TO LOBBYING EXPENSES. ---------- AFFILIATED GROUP INFORMATION: NAME OF ELECTING ORGANIZATION: ------------------------------------------------------- TALLAHASSEE MEMORIAL HEALTHCARE, INC. - DIRECT LOBBYING EXPENDITURES: $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: $2,344,322 10360709 398690 442335 0 0 0 11201734 9423147 526044 411518 0 0 0 10360709 8822389 292251 308507 0 0 0 9423147 8370073 205387 246929 0 0 0 8822389 7958119 251445 164009 0 3500 0 8370073 0.00000 1.00000 0.00000 false true true 25478890 25478890 615624879 261922664 353702215 7877619 5639318 2238301 356218422 281488782 74729640 11775938 0 11775938 467924984 DEBT RESERVE FUND 8208327 DEPOSITS AND OTHER ASSETS 6922407 OTHER RECEIVABLES 6658432 SELF INSURANCE TRUST FUND 5660249 UNEXPENDED CONSTRUCTION FUND 13357292 SWAP COLLATERAL 1130000 OPERATING LEASE ROU ASSETS 8424179 DUE FROM MEDICARE 8418973 166355364 0 WORKER'S COMP SELF INSURANCE 2190427 PROFESSIONAL LIABILITY SELF INSURANCE 29399280 OBLIGATION FOR SUPPLEMENTAL EX 2996101 DEFFERRED COMP ARRANGEMENT 4147525 AHCA ASSESSMENT 7002000 OTHER LIABILITIES 12267087 OPERATING LEASE LIABILITY 5925830 63928250 FORM 990, SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS ALL ENDOWMENT FUNDS ARE UTILIZED IN PURSUIT OF THE ORGANIZATION'S TAX EXEMPT PURPOSE. Central America and the Caribbean Program Services Insurance Coverage 120078 120078 120078 false false true false false false true true true X true X true true false true true 20445904 0 20445904 0.02430 97846045 74257552 23588493 0.02800 118291949 74257552 44034397 0.05230 20029610 4350506 15679104 0.01860 116785393 72574079 44211314 0.05250 136815003 76924585 59890418 0.07110 255106952 151182137 103924815 0.12340 282545 0 282545 0.00030 282545 0 282545 0.00030 false 219457343 57951910 112473818 111163060 1310758 X true true 1 1 TALLAHASSEE MEMORIAL HOSPITAL 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32309 WWW.TMH.ORG LICENSE# 4080 X X X X TALLAHASSEE MEMORIAL HEALTHCARE INC 1 false false true X X X X X X X X X 21 true false true true X SEE SCHEDULE H, PART V, SECTION C X true 22 true SEE SCHEDULE H, PART V, SECTION C false true X 150. 400. X X X X true true X X X X true X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X X X X X X true X false X X X X true X false false 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 ------------------------------------------------------------ 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 true THE TALLAHASSEE COMMUNITY COLLEGE FDN 444 APPLEYARD DR TALLAHASSEE FL 32304 592091480 501(C)(3) 10000 FMV N/A SPONSORSHIP - CLEAVER & CORK UNITED WAY OF THE BIG BEND INC 307 EAST 7TH AVENUE TALLAHASSEE FL 32303 596011150 501(C)(3) 108630 FMV N/A SPONSORSHIP - UNITED WAY PROGRAMS Ronald McDonald House Charities of Tallahassee Inc 712 E 7th Avenue TALLAHASSEE FL 32303 592794505 501(C)(3) 5500 FMV N/A SPONSORSHIPS 3 0 FORM 990, SCHEDULE I, PART I, LINE 2 DESCRIPTION OF GRANT PROGRAMS TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") MAINTAINS A SPONSORSHIP COMMITTEE WHICH OVERSEES THE ORGANIZATION'S SPONSORSHIP AND GRANT-MAKING PROCESSES. COMPLETED APPLICATION FORMS MUST BE SUBMITTED IN ORDER FOR TMH TO EVALUATE THE BENEFITS OF THE PROPOSED ACTIVITY- HOW THE PROPOSED SPONSORSHIP OPPORTUNITY ALIGNS WITH TMH'S MISSION AND VISION, AS WELL AS HOW THE PROPOSED ACTIVITY CAN HELP THE COMMUNITY. APPLICATIONS AND FURTHER INFORMATION ARE AVAILABLE ON TMH'S WEBSITE AT:WWW.TMH.ORG/SPONSORSHIP. X true true X X X X X false true false false false false false true false G MARK O'BRYANT EX-OFFICIO DIRECTOR & CEO 977643 0 177199 0 57609 0 309301 0 15503 0 1537255 0 0 0 WILLIAM DOBAK MD HEMATOLOGIST/ONCOLOGIST 637451 0 479491 0 434 0 17100 0 16132 0 1150608 0 0 0 OVIDIU MARINA MD RADIATION ONCOLOGIST 703361 0 250051 0 290 0 17100 0 16018 0 986820 0 0 0 MITCHELL PEABODY MD HEMATOLOGIST/ONCOLOGIST 316373 0 573274 0 200 0 17100 0 16105 0 923052 0 0 0 ALEXANDER RAMIREZ MD GENERAL SURGEON 472585 0 508201 0 434 0 17100 0 15165 0 1013485 0 0 0 ELIOT B SIELOFF MD GENERAL SURGEON 685329 0 275107 0 3208 0 17100 0 15023 0 995767 0 0 0 WILLIAM GUIDICE VP/CFO 596863 0 92323 0 15387 0 89020 0 15484 0 809077 0 0 0 ANDREA K FRIALL MD CHIEF MEDICAL STAFF OFFICER 401996 0 34062 0 2944 0 64065 0 17835 0 520902 0 0 0 STEVEN E HAYNES CHIEF HUMAN RESOURCE OFFICER 332474 0 44465 0 6399 0 36948 0 7917 0 428203 0 0 0 RYAN SMITH CHIEF CLINICAL OFFICER/CNO/VP 295243 0 40257 0 5327 0 46268 0 16443 0 403538 0 0 0 DONALD LINDSEY CHIEF INFORMATION OFFICER 255547 0 35072 0 2498 0 32755 0 16417 0 342289 0 0 0 ANDREW STARR CHIEF HEALTH OPS OFFICER 331636 0 20658 0 5572 0 38414 0 15689 0 411969 0 0 0 NIGEL ALLEN CHIEF ADVANCEMENT OFFICER/VP 208572 0 28842 0 6710 0 28060 0 16165 0 288349 0 0 0 JANA IEZZI CHIEF IMPROVEMENT OFFICER/VP 209978 0 28129 0 1528 0 27114 0 7563 0 274312 0 0 0 JOSEPH L CAMPS MD CHIEF INTEGRATION OFFICER/VP 200816 0 0 130 0 0 0 200946 0 0 0 YASHICA L WILSON-HEARNS VP/SUPPORT SERVICES 170882 0 22722 0 1405 0 21893 0 1249 0 218151 0 0 0 STEPHANIE M DERZYPOLSKI CHIEF COMMUNICATION OFFICER 231326 0 31760 0 4146 0 30731 0 17288 0 315251 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1A QUESTIONS REGARDING COMPENSATION DIRECTORS RECEIVE COMPLIMENTARY ACCESS TO TMH'S HEALTH CLUB, PREMIER HEALTH AND FITNESS CENTER. ---------------------------------------------------------------- FORM 990, SCHEDULE J, PART I, LINE 4B DETAIL OF SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS THE FOLLOWING INDIVIDUAL LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPANTED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING AND/OR RECEIVED DISTRIBUTIONS DURING THE YEAR: G. MARK O'BRYANT- NO DISTRIBUTIONS ---------- TMH MAINTAINS AN IRC SECTION 457(F) PLAN DESIGNED FOR CERTAIN SENIOR ADMINISTRATORS OF THE ORGANIZATION. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE TMH 457(F) PLAN AND/OR RECEIVED DISTRIBUTIONS DURING THE YEAR: NIGEL ALLEN - NO DISTRIBUTIONS 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 7 PROVISION OF NON-FIXED PAYMENTS TMH MAINTAINS A VARIABLE COMPENSATION PROGRAM FOR CERTAIN MANAGERS THAT MAKE A BONUS PAYMENT BASED UPON ATTAINMENT OF INDIVIDUAL AND CORPORATE GOALS. INDIVIDUAL GOALS ARE ESTABLISHED AT THE BEGINNING OF THE FISCAL YEAR AND INCLUDE QUALITATIVE AND QUANTITATIVE RESULTS AND ARE BASED UPON THE BUDGET APPROVED BY THE BOARD OF DIRECTORS. NO PAYMENT IS MADE FOR VARIABLE COMPENSATION PAYMENT UNLESS THE ORGANIZATION MEETS OR EXCEEDS ITS BUDGETED OPERATING MARGIN FOR THE YEAR. UPON DETERMINATION THAT THE ACTUAL OPERATING MARGIN HAS MET OR EXCEEDED THE BUDGET VIA THE AUDITED FINANCIAL STATEMENTS, OTHER INDIVIDUAL AND CORPORATE GOALS ARE SCORED TO DETERMINE IF THEY MET OR EXCEEDED THE PRE-ESTABLISHED MEASUREMENT FOR THE YEAR. THE ACTUAL AMOUNT OF THE BONUS IS BASED UPON AN INDIVIDUAL'S BASE COMPENSATION FOR THE FISCAL YEAR AND THE PERCENTAGE ATTAINMENT OF INDIVIDUAL AND CORPORATE GOALS. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE TMH COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. ---------------------------------------------------------------- A CITY OF TALLAHASSEE - SERIES 2015A 596000435 2015-05-28 111332927 REFUNDING 1992B, 2000 & 2015 BONDS false false false B CITY OF TALLAHASSEE - SERIES 2016A & 2016B 596000435 2016-02-02 272001300 M.T. MUSTIAN CENTER CONSTRUCTION false false false A 4042927 0 111332927 0 0 0 1176569 0 0 0 110156358 0 2015 false true true true B 38466300 0 272001300 0 0 0 1790765 0 0 256873443 0 13337092 2019 false false false true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false false true false false false 0 false 0 false true B false false true false false false 0 false 0 false true A true B true JOSEPH L CAMPS FAMILY MEMBER OF OFFICER 86220 EMPLOYMENT false CAMERON WONG FAMILY MEMBER OF BOARD MEMBER 24996 EMPLOYMENT false LYNN BRICKLER FAMILY MEMBER OF BOARD MEMBER 124277 EMPLOYMENT false DAVID BRICKLER FAMILY MEMBER OF BOARD MEMBER 181628 EMPLOYMENT false FORM 990, PART VI, LINE 11 FORM 990 REVIEW PROCESS INFORMATION RELATED TO TMH'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO 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 12C CONFLICT OF INTEREST POLICY AS PART OF OUR WRITTEN CONFLICTS OF INTEREST POLICY, OFFICERS, DIRECTORS TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE POTENTIAL CONFLICTS OF THEMSELVES AND THEIR FAMILY MEMBERS. ---------- FORM 990, PART VI, LINE 15 COMPENSATION REVIEW PROCESS COMPENSATION ARRANGEMENTS INVOLVING OUR CEO AND SENIOR LEADERSHIP TEAM ARE ESTABLISHED BY TMH PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE TO SECTION 4958 EXCESS BENEFIT TRANSACTIONS FOR TAX PURPOSES. THIS REQUIRES A REVIEW OF COMPENSATION DETERMINATION BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ---------- FORM 990, PART VI, LINE 19 AVAILABILITY OF DOCUMENTS TO THE PUBLIC OUR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. A COPY OF OUR CONFLICT OF INTEREST POLICY IS ALSO AVAILABLE TO THE PUBLIC ON THE TMH WEBSITE. CONSOLIDATED FINANCIAL STATEMENTS ARE FILED WITH THE DIGITAL ASSURANCE CERTIFICATION, LLC, AGENCY FOR HEALTH CARE ADMINISTRATION AND A COPY OF OUR FORM 990 IS FILED WITH THE FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES. ---------- FORM 990, PART XI, LINE 9 DETAIL OF OTHER CHANGES IN NET ASSETS CHANGE IN ADDITIONAL PENSION LIABILITY $ 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 11G DESCRIPTION:INDEPENDENT LAB TOTAL FEES:5951362 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:5095378 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN PROFESSIONAL FEES TOTAL FEES:52144042 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:46244680 MEDICUS SELECT LLC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 452980304 LEASED LABOR FL 0 2899051 TMH SOUTHEAST COMMUNITY HEALTH SERVICES INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 581434992 HOLDING CO FL 501(C)(25) N/A TMH true TALLAHASSEE MEMORIAL HEALTHCARE FDN 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 591727645 FUNDRAISING FL 501(C)(3) 7 TMH true CADUCEUS PROPERTIES LLC 1401 CENTERVILLE ROAD SUITE 300 TALLAHASSEE FL 32308 030519350 INVESTMENT FL TMHV false RED HILL SURGICAL CENTER LLC 1608 SURGEONS DRIVE TALLAHASSEE FL 32308 264736988 HEALTHCARE FL TMHV false TALLAHASSEE DIAGNOSTIC IMAGING CTR 1600 PHILLIPS ROAD TALLAHASSEE FL 32308 592601294 HEALTHCARE FL TMHV false TALLAHASSEE MEMORIAL HEALTH VENTURES INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 592717050 HOLDING COMPA FL TMH C CORP 4144645 35501654 1.00000 true PRIME MERIDIAN HEALTH VENTURES INC 1309 THOMASVILLE ROAD TALLAHASSEE FL 32308 592668613 DIAG. IMAGING FL TMHV C CORP true TALLAHASSEE MEMORIAL TELEPHONE COMPANY 1309 THOMASVILLE ROAD TALLAHASSEE FL 32308 593395937 TELEPHONE COM FL TMHV C CORP true PREMIER HEALTH & FITNESS CENTER INC 3521 MACLAY BOULEVARD TALLAHASSEE FL 32312 592471569 FITNESS CENTE FL TMHV C CORP true true false true false false false false false false true true false true false true false true false false SOUTHEAST COMMUNITY HEALTH SERVICES A 4612 FMV SOUTHEAST COMMUNITY HEALTH SERVICES K 688494 FMV TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION C 1550126 FMV SOUTHEAST COMMUNITY HEALTH SERVICES O,Q 61763 FMV TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION O,Q 1153000 FMV TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC J 1401864 FMV TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC K 500936 FMV TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC M 80594 FMV