TALLAHASSEE MEMORIAL HEALTHCARE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: TALLAHASSEE MEMORIAL HEALTHCARE INC (EIN 59-1917016)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-12
IRS object ID: 202222249349302572
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-12T14:45:51-05:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	591917016	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WILLIAM GIUDICE	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8504315238	PhoneNum
Signature	2022-08-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	WILLIAM	PersonFirstNm
Person Last	GIUDICE	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

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

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	WILLIAM GIUDICE CFO	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$861,644,597	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.tmh.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1979	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	TALLAHASSEE MEMORIAL HEALTHCARE, INC. IS A PRIVATE 772-BED, COMMUNITY HEALTHCARE SYSTEM THAT PROVIDES CHARITABLE, COMPASSIONATE, LEADING-EDGE, PATIENT-CENTERED HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	7447	TotalEmployeeCnt
Total Volunteers	51	TotalVolunteersCnt
Total Gross UBI	$1,422,149	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,185,141	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$18,901,148	PYContributionsGrantsAmt
CY Contributions Grants	$6,169,779	CYContributionsGrantsAmt
PY Program Service Revenue	$413,211,927	PYProgramServiceRevenueAmt
CY Program Service Revenue	$470,889,448	CYProgramServiceRevenueAmt
PY Investment Income	$2,252,705	PYInvestmentIncomeAmt
CY Investment Income	$864,127	CYInvestmentIncomeAmt
PY Other Revenue	$270,129,138	PYOtherRevenueAmt
CY Other Revenue	$305,935,909	CYOtherRevenueAmt
PY Total Revenue	$704,494,918	PYTotalRevenueAmt
CY Total Revenue	$783,859,263	CYTotalRevenueAmt
PY Grants And Similar Paid	$358,431	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$257,525	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$347,971,404	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$368,652,430	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$370,276,449	PYOtherExpensesAmt
CY Other Expenses	$397,075,472	CYOtherExpensesAmt
PY Total Expenses	$718,606,284	PYTotalExpensesAmt
CY Total Expenses	$765,985,427	CYTotalExpensesAmt
PY Revenues Less Expenses	-$14,111,366	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$17,873,836	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,043,128,439	TotalAssetsBOYAmt
Total Assets EOY	$1,130,180,703	TotalAssetsEOYAmt
Total Liabilities BOY	$570,544,786	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$580,797,957	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$472,583,653	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$549,382,746	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	FOUNDED MORE THAN 60 YEARS AGO, TALLAHASSEE MEMORIAL HEALTHCARE INC. IS A PRIVATE, NOT-FOR PROFIT, 772-BED, COMMUNITY HEALTH CARE SYSTEM THAT PROVIDES CHARITABLE, COMPASSIONATE, LEADING -EDGE, & PATIENT-CENTERED HEALTH CARE. ITS MISSION: TRANSFORMING CARE. ADVANCING HEALTH. IMPROVING LIVES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$684,577,840	ExpenseAmt
Grant	$257,525	GrantAmt
Revenue	$776,461,705	RevenueAmt
Desc	DESIGNED TO MEET THE DIVERSE HEALTH CARE NEEDS OF THE BIG BEND REGION, TALLAHASSEE MEMORIAL HEALTHCARE, INC. (TMH) IS A COMPREHENSIVE, PRIVATE, NOT-FOR-PROFIT HEALTH CARE SYSTEM THAT SERVES 17 COUNTIES IN NORTH FLORIDA AND SOUTH GEORGIA. TMH INCLUDES A 772-BED ACUTE CARE HOSPITAL AND HAS A TIME-HONORED COMMITMENT TO PROVIDING PATIENT-CENTERED, WORLD-CLASS HEALTH CARE TO ITS COMMUNITY WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. PROVIDING INNOVATIVE TECHNOLOGY AND A BROAD SPECTRUM OF SERVICES, TMH HOLDS A NUMBER OF IMPORTANT DISTINCTIONS ITHIN THE REGIONAL HEALTH SECTOR. TMH IS HOME TO THE AREAS ONLY STATE-DESIGNATED TRAUMA CENTER AND THE REGION'S ONLY ACCREDITED COMMUNITY HOSPITAL CANCER PROGRAM. TMH IS RECOGNIZED BY THE SOCIETY OF CHEST PAIN CENTERS AS AN ACCREDITED CHEST PAIN CENTER WITH PCI. ADDITIONALLY, TMH HAS THE ONLY NEUROLOGICAL AND LEVEL III NEONATAL INTENSIVE CARE UNITS AND IS NORTH FLORIDA'S ONLY COMPREHENSIVE STROKE CENTER. TMH IS MANAGED BY A TEAM OF COMMUNITY CITIZENS WHO VOLUNTEER THEIR TIME AND EXPERTISE WITHOUT COMPENSATION. THE TMH BOARD OF DIRECTORS IS COMMITTED TO ITS COMMUNITY SERVICE MISSION AND MEMBERS SERVE WITHOUT COMPENSATION. THE ENERGY RESOURCES COMMITTED BY TMH AND ITS COLLEAGUES ARE PROOF OF THE FULFILLMENT OF ITS MISSION : TRANSFORMING CARE. ADVANCING HEALTH. IMPROVING LIVES. SEE SCHEDULE H, PART VI FOR ADDITIONAL DETAILS REGARDING SOME OF THE VARIOUS PROGRAM SERVICE ACCOMPLISHMENTS AND ADDITIONAL COMMUNITY BUILDING ACTIVITIES CONDUCTED BY TMH.	Desc
Total Program Service Expenses	$684,577,840	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	225	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7447	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	WILLIAM A GIUDICE CFO	PersonNm
Phone	8504315238	PhoneNum

US Address USAddress

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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
G MARK O'BRYANT
EX-OFFICIO DIRECTOR & CEO	53.0	2.0	Yes (X)	Yes (X)	$3,398,495	$0	$310,248
WILLIAM DOBAK MD
HEMATOLOGIST/ONCOLOGIST	55.0	0.0			$1,098,410	$0	$31,728	Yes (X)
OVIDIU MARINA MD
RADIATION ONCOLOGIST	55.0	0.0			$1,082,931	$0	$31,670	Yes (X)
MITCHELL PEABODY MD
HEMATOLOGIST/ONCOLOGIST	55.0	0.0			$840,919	$0	$31,822	Yes (X)
JAYAN NAIR MD
HEMATOLOGIST/ONCOLOGIST	55.0	0.0			$781,588	$0	$31,728	Yes (X)
ELIOT B SIELOFF MD
GENERAL SURGEON	55.0	0.0			$755,881	$0	$31,575	Yes (X)
WILLIAM GUIDICE
VP/CFO	54.0	1.0		Yes (X)	$584,328	$0	$99,938
ANDREA K FRIALL MD
CHIEF MEDICAL STAFF OFFICER	55.0	0.0		Yes (X)	$377,480	$0	$14,628
STEVEN E HAYNES
CHIEF HUMAN RESOURCE OFFICER	55.0	0.0		Yes (X)	$317,581	$0	$41,824
RYAN SMITH
CHIEF CLINICAL OFFICER/CNO/VP	55.0	0.0		Yes (X)	$257,587	$0	$23,948
DONALD LINDSEY
CHIEF INFORMATION OFFICER	55.0	0.0		Yes (X)	$241,132	$0	$40,316
STEPHANIE M DERZYPOLSKI
CHIEF COMMUNICATION OFFICER	55.0	0.0		Yes (X)	$217,470	$0	$41,557
DEAN WATSON MD
FMR CHIEF HEALTH OPS OFFICER	0.0	0.0			$240,478	$0	$14,429		Yes (X)
NIGEL ALLEN
CHIEF ADVANCEMENT OFFICER/VP	54.0	1.0		Yes (X)	$196,164	$0	$39,151
ANDREW STARR
CHIEF HEALTH OPS OFFICER	55.0	0.0		Yes (X)	$215,558	$0	$8,358
JANA IEZZI
CHIEF IMPROVEMENT OFFICER/VP	55.0	0.0		Yes (X)	$197,272	$0	$22,331
JOSEPH L CAMPS MD
CHIEF INTEGRATION OFFICER/VP	55.0	0.0		Yes (X)	$192,119	$0	$0
YASHICA L WILSON-HEARNS
VP/SUPPORT SERVICES	55.0	0.0		Yes (X)	$161,100	$0	$19,542
AJ BRICKLER MD
DIRECTOR, INDEPENDENT PHYS.	1.5	0.0	Yes (X)		$7,000	$0	$0
LEE HINKLE
CHAIR	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ANDREW WONG MD
CHAIR-ELECT	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
THOMAS TRUMAN MD
SECRETARY	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ERMAN MURRAY JR
TREASURER	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
SALLY BRADSHAW
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
BRANT COPELAND
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
KELLY DOZIER
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
STEVEN EVANS
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
WINSTON HOWELL
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
JAMES KILLIUS MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
MARTHA BARNETT
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
JOSEPH SOTO MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
JOEDRECKA BROWN SPEIGHTS MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
HUGH VANLANDINGHAM MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
CLAUDE WALKER
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
DEBORAH MINNIS
EX-OFFICIO DIRECTOR	1.0	2.0	Yes (X)		$0	$0	$0
PAT GRISE
EX-OFFICIO DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
CARLOS CAMPO MD
EX-OFFICIO DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,163,493	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$834,793	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	441	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SOUTHERN MEDICAL GROUP PA
1300 MEDICAL DRIVE	TALLAHASSEE	FL	32308	PHYSICIAN SERVICES	$28,874,493
CROSS COUNTRY STAFFING INC
6551 PARK OF COMMERCE BLVD	BOCA RATON	FL	33487	STAFFING AGENCY	$27,012,948
TALLAHASSEE PULMONARY CLINIC
2617 MITCHAM DRIVE	TALLAHASSEE	FL	32308	PHYSICIAN SERVICES	$8,634,289
RANDSTAD TECHNOLOGIES
PO BOX 847872	DALLAS	TX	75284	STAFFING AGENCY	$2,896,484
TALLAHASSEE DIAGNOSTIC IMAGING
1600 PHILLIPS ROAD	TALLAHASSEE	FL	32308	DIAGNOSTIC IMAGING	$2,730,169

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	85	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,116,242	RelatedOrganizationsAmt
Government Grants	$4,879,374	GovernmentGrantsAmt
All Other Contributions	$174,163	AllOtherContributionsAmt
Noncash Contributions	$15,489	NoncashContributionsAmt
Total Contributions	$6,169,779	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET HEALTH CARE SERVICE REVENUES	Desc
Business	621500	BusinessCd
Total Revenue Column	$470,889,448	TotalRevenueColumnAmt
Related Or Exempt Func Income	$470,467,959	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$421,489	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$470,889,448	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$472,217	TotalRevenueColumnAmt
Exclusion	$472,217	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,380,810	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,438,647	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$57,837	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$57,837	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,000,660	UnrelatedBusinessRevenueAmt
Exclusion	-$1,058,497	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,303,630	SecuritiesAmt
Other	$192,306	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$579,482	SecuritiesAmt
Other	$524,544	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$724,148	SecuritiesAmt
Other	-$332,238	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$391,910	TotalRevenueColumnAmt
Exclusion	$391,910	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$374,713,615	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$73,242,661	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$301,470,954	TotalRevenueColumnAmt
Related Or Exempt Func Income	$301,470,954	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
VENDOR REBATES	900099	$2,833,660	$2,833,660
MEDICARE AND MEDICAID MEANINGFUL USE	900099	$860,175	$860,175
PARKING DECK	900099	$407,710	$407,710

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$421,247	TotalRevenueColumnAmt
Related Or Exempt Func Income	$421,247	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,522,792	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$783,859,263	TotalRevenueColumnAmt
Related Or Exempt Func Income	$776,461,705	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,422,149	UnrelatedBusinessRevenueAmt
Exclusion	-$194,370	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$257,525	TotalAmt
Program Services	$257,525	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,766,324	TotalAmt
Program Services	$5,166,511	ProgramServicesAmt
Management And General	$599,813	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$303,365,680	TotalAmt
Program Services	$271,778,903	ProgramServicesAmt
Management And General	$31,586,777	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,657,675	TotalAmt
Program Services	$10,443,792	ProgramServicesAmt
Management And General	$1,213,883	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$26,412,172	TotalAmt
Program Services	$23,662,106	ProgramServicesAmt
Management And General	$2,750,066	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$21,450,579	TotalAmt
Program Services	$19,217,120	ProgramServicesAmt
Management And General	$2,233,459	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,916,045	TotalAmt
Program Services	$2,744,749	ProgramServicesAmt
Management And General	$171,296	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,547,329	TotalAmt
Management And General	$1,547,329	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$90,869	TotalAmt
Program Services	$90,869	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$99,384,198	TotalAmt
Program Services	$90,733,491	ProgramServicesAmt
Management And General	$8,650,707	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,209,274	TotalAmt
Management And General	$1,209,274	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$30,134,200	TotalAmt
Program Services	$27,857,342	ProgramServicesAmt
Management And General	$2,276,858	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$23,862,487	TotalAmt
Program Services	$14,860,325	ProgramServicesAmt
Management And General	$9,002,162	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,809,577	TotalAmt
Program Services	$6,776,069	ProgramServicesAmt
Management And General	$1,033,508	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,945,138	TotalAmt
Program Services	$1,557,097	ProgramServicesAmt
Management And General	$1,388,041	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$473,402	TotalAmt
Program Services	$292,771	ProgramServicesAmt
Management And General	$180,631	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,224,798	TotalAmt
Program Services	$13,224,798	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$43,267,608	TotalAmt
Program Services	$38,767,088	ProgramServicesAmt
Management And General	$4,500,520	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$11,071,337	TotalAmt
Program Services	$10,644,271	ProgramServicesAmt
Management And General	$427,066	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PATIENT EXPENSES	$110,565,944	$110,565,944	$0	$0
SERVICE/MAINTENANCE	$20,345,625	$17,321,265	$3,024,360	$0
INDIGENT CARE ASSESSMENT	$8,695,848	$8,695,848	$0	$0
ALL OTHER EXPENSES	$19,531,793	$9,919,956	$9,611,837	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$765,985,427	TotalAmt
Program Services	$684,577,840	ProgramServicesAmt
Management And General	$81,407,587	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$362,339,130	BOYAmt
EOY	$380,396,675	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$76,188,542	BOYAmt
EOY	$91,935,351	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,130,449	BOYAmt
EOY	$13,361,371	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$18,427,905	BOYAmt
EOY	$26,288,909	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,010,487,768	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$520,593,833	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$505,038,013	BOYAmt
EOY	$489,893,935	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$67,977,100	BOYAmt
EOY	$128,277,162	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,043,128,439	BOYAmt
EOY	$1,130,180,703	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$77,547,068	BOYAmt
EOY	$93,305,955	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$359,490,445	BOYAmt
EOY	$354,582,695	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$19,470,096	BOYAmt
EOY	$18,750,652	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$114,037,177	BOYAmt
EOY	$114,158,655	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$570,544,786	BOYAmt
EOY	$580,797,957	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$472,583,653	BOYAmt
EOY	$549,382,746	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$472,583,653	BOYAmt
EOY	$549,382,746	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,043,128,439	BOYAmt
EOY	$1,130,180,703	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$17,873,836	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$58,925,257	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,171,428	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,724,422	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,129,931	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$18,901,148	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,169,779	CurrentTaxYearAmt
Total	$31,096,708	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

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

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

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

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,171,428	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,724,422	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,129,931	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$18,901,148	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,169,779	CurrentTaxYearAmt
Total	$31,096,708	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$31,096,708	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$287,579	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,048,467	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,765,009	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,286,777	CurrentTaxYearMinus1YearAmt
Current Tax Year	$414,380	CurrentTaxYearAmt
Total	$13,802,212	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,091,544	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,642,699	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,259,247	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,424,468	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,185,141	CurrentTaxYearAmt
Total	$6,603,099	TotalAmt

Other Income170 OtherIncome170Grp

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

Field	Value	IRS element (for citing)
Total Support	$51,502,019	TotalSupportAmt
Gross Receipts Rltd Activities	$3,913,198,210	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.60380	PublicSupportCY170Pct
Public Support PY170	0.56959	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

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

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$90,869	FilingOrganizationsTotalAmt
Affiliated Group Total	$90,869	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$90,869	FilingOrganizationsTotalAmt
Affiliated Group Total	$90,869	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$765,894,558	FilingOrganizationsTotalAmt
Affiliated Group Total	$767,796,793	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$765,985,427	FilingOrganizationsTotalAmt
Affiliated Group Total	$767,887,662	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

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

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

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

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

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

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$93,548	CurrentYearMinus3Amt
Current Year Minus2	$91,430	CurrentYearMinus2Amt
Current Year Minus1	$102,009	CurrentYearMinus1Amt
Current Year	$90,869	CurrentYearAmt
Total	$377,856	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

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

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

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE C, PART II-A, LINE 1	FormAndLineReferenceDesc
Explanation	SUPPLEMENTAL INFORMATION REGARDING LOBBYING EXPENSES LOBBYING EXPENSES INCURRED INCLUDE MEETING WITH LOCAL CITY AND COUNTY OFFICIALS AND LEGISLATORS, AS WELL AS PORTIONS OF AMERICAN HOSPITAL ASSOCIATION (AHA) AND FLORIDA HOSPITAL ASSOCIATION (FHA) MEMBERSHIP DUES ALLOCATED TO LOBBYING EXPENSES. ---------- AFFILIATED GROUP INFORMATION: NAME OF ELECTING ORGANIZATION: ------------------------------------------------------- TALLAHASSEE MEMORIAL HEALTHCARE, INC. - DIRECT LOBBYING EXPENDITURES: $90,869 - OTHER EXEMPT PURPOSE EXPENDITURES: $765,894,558 THIS ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED SEPTEMBER 30, 2021. THIS ELECTION HAS NO BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2020. 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: $1,712,980	ExplanationTxt

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,423,147	BeginningYearBalanceAmt
Contributions	$526,044	ContributionsAmt
Investment Earnings Or Losses	$411,518	InvestmentEarningsOrLossesAmt
End Year Balance	$10,360,709	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,822,389	BeginningYearBalanceAmt
Contributions	$292,251	ContributionsAmt
Investment Earnings Or Losses	$308,507	InvestmentEarningsOrLossesAmt
End Year Balance	$9,423,147	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,370,073	BeginningYearBalanceAmt
Contributions	$205,387	ContributionsAmt
Investment Earnings Or Losses	$246,929	InvestmentEarningsOrLossesAmt
End Year Balance	$8,822,389	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,958,119	BeginningYearBalanceAmt
Contributions	$251,445	ContributionsAmt
Investment Earnings Or Losses	$164,009	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,500	OtherExpendituresAmt
End Year Balance	$8,370,073	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,521,314	BeginningYearBalanceAmt
Contributions	$256,272	ContributionsAmt
Investment Earnings Or Losses	$181,583	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,050	OtherExpendituresAmt
End Year Balance	$7,958,119	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,009,846	OtherCostOrOtherBasisAmt
Book Value	$25,009,846	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$606,572,118	OtherCostOrOtherBasisAmt
Depreciation	$242,173,187	DepreciationAmt
Book Value	$364,398,931	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,867,932	OtherCostOrOtherBasisAmt
Depreciation	$5,041,799	DepreciationAmt
Book Value	$2,826,133	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$363,553,772	OtherCostOrOtherBasisAmt
Depreciation	$273,378,847	DepreciationAmt
Book Value	$90,174,925	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,484,100	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$7,484,100	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$489,893,935	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DEBT RESERVE FUND	$8,170,494
DEPOSITS AND OTHER ASSETS	$92,546,805
OTHER RECEIVABLES	$7,733,605
SELF INSURANCE TRUST FUND	$6,418,966
UNEXPENDED CONSTRUCTION FUND	$13,357,292
SWAP COLLATERAL	$50,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$128,277,162	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
WORKER'S COMP SELF INSURANCE	$1,920,860
PROFESSIONAL LIABILITY SELF IN	$21,528,583
OBLIGATION FOR SUPPLEMENTAL EX	$3,550,355
DEFFERRED COMP ARRANGEMENT	$4,461,177
AHCA ASSESSMENT	$6,696,000
OTHER LIABILITIES	$21,232,428
DEFERRED EMPLOYER PAYROLL TAXE	$4,793,736
DUE TO MEDICARE	$49,975,516

Field	Value	IRS element (for citing)
Total Liability	$114,158,655	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

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

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

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,335,826	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,335,826	NetCommunityBenefitExpnsAmt
Total Expense	0.02790	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,546,133	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,662,583	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,883,550	NetCommunityBenefitExpnsAmt
Total Expense	0.03900	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$97,881,959	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,662,583	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,219,376	NetCommunityBenefitExpnsAmt
Total Expense	0.06690	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,325,591	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,227,542	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,098,049	NetCommunityBenefitExpnsAmt
Total Expense	0.01970	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$97,188,976	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,955,699	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,233,277	NetCommunityBenefitExpnsAmt
Total Expense	0.03950	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$117,514,567	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,183,241	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,331,326	NetCommunityBenefitExpnsAmt
Total Expense	0.05920	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$215,396,526	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$118,845,824	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$96,550,702	NetCommunityBenefitExpnsAmt
Total Expense	0.12610	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$366,987	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$366,987	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$366,987	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$366,987	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$207,221,167	BadDebtExpenseAmt
Bad Debt Expense Attributable	$54,720,714	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$116,091,231	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$111,798,627	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$4,292,604	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCH H, PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SCH H, PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SCH H, PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5, 6B (INPUT FROM COMMUNITY; COLLABORATION)	TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") COMPLETED ITS THIRD COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING THE YEAR ENDING SEPTEMBER 30, 2019. YOU MAY FIND FURTHER DETAILS AND COMPREHENSIVE RESULTS AT: HTTPS://WWW.TMH.ORG/ABOUT-US/COMMUNITY-REPORTS/COMMUNITY-NEED-REPORT ------------------------------------------------------------
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-us/community-reports/community-need-report ------------------------------------------------------------ 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 2/15/2020, 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 2019. 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 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 2021. PLEASE VISIT HTTPS://WWW.TMH.ORG/ABOUT-US/COMMUNITY-REPORTS/COMMUNITY-NEED-REPORT TO VIEW OUR MOST RECENT CHNA PUBLISHED IN SEPTEMBER 2019 AND IMPLEMENTATION STRATEGY PUBLISHED IN FEBRUARY 2020 ADDRESSING HEALTH PRIORITIES FOR FISCAL YEARS 2020 TO 2022. THE YEAR 2021 CONTINUED TO DELIVER MANY UNPRECEDENTED CHALLENGES AND OBSTACLES. AS THE CORONAVIRUS PANDEMIC SPREAD ACROSS THE WORLD, HOSPITALS AND HEALTH SYSTEMS, LIKE TMH, WERE CONSUMED WITH PLANNING, PREPARING AND CARING FOR COVID-19 PATIENTS. AS PHYSICAL DISTANCING BECAME THE NORM, MUCH OF HOW WE WOULD NORMALLY APPROACH COMMUNITY HEALTH IMPROVEMENT VIA CLASSES AND GROUP ACTIVITIES NEEDED TO CHANGE. IN MOST CASES, WE WERE ABLE TO MODIFY AND ADJUST TO CONTINUE OFFERING INTERVENTIONS THROUGHOUT THE PANDEMIC. IN A FEW CASES, WE'VE POSTPONED UNTIL TIMING AND/OR INTERVENTION IS MORE APPROPRIATE. IN ADDITION TO MODIFYING STRATEGIES TO MITIGATE COVID-19 SPREAD AND YET CONTINUE TO MAKE PROGRESS WITH STRATEGIES, RESOURCES WERE PRIORITIZED TO ACCOMMODATE TESTING NEEDS AND EVENTUALLY VACCINATION NEEDS AS THE YEAR WENT BY. COVID-19 RESPONSE AND IMPACT IS DISCUSSED FURTHER UNDER PRIORITY HEADINGS BELOW SPECIFIC TO EACH ACTIVITY. (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 2021. (A) UTILIZE TELEMEDICINE TO IMPROVE ACCESS FOR HEALTHCARE SERVICES TALLAHASSEE MEMORIAL HEALTHCARE IS TRANSFORMING HOW CARE IS PROVIDED IN THE REGION THROUGH TMH CARELINK, A REGIONAL TELEMEDICINE NETWORK, THAT ALLOWS PROVIDERS TO SEE PATIENTS IN REMOTE LOCATIONS AND IN THEIR HOMES. IN MARCH OF 2020, THIS NETWORK QUICKLY BECAME A LIFELINE SO MANY AS THE COVID-19 PANDEMIC HIT THE TMH PRIMARY AND SECONDARY SERVICE AREAS. AS MANY HEALTH SYSTEMS SCRAMBLED FOR SOLUTIONS FOR HOW TO SERVE THEIR PATIENTS, TMH WAS ABLE TO QUICKLY STEP UP AND PROVIDE LEADERSHIP IN THE REGION FOR HELP ON HOW TO OPERATIONALIZE VIRTUAL CARE. WITHIN A FEW DAYS STARTING ON MARCH 15, 2020, THE USE OF TELEMEDICINE EXPLODED ACROSS THE REGION AND ACROSS THE CONTINUUM OF CARE. AS THE COMMUNITY SYSTEM OF AMBULATORY CLINICS WAS FORCED TO SHUT DOWN ACCESS TO ITS PATIENTS IN PERSON, TMH WAS WELL POISED TO SHIFT THE DELIVERY OF CARE TO VIRTUAL VISITS. A MULTI-DISCIPLINARY TEAM WAS QUICKLY ESTABLISHED, AND WITHIN 5 DAYS, ALL 39 OF THE TMH AMBULATORY CLINICS WERE OPERATIONAL IN PROVIDING TELEMEDICINE VISITS. DURING THAT TIME, OVER 500 USERS WERE ADDED TO THE NETWORK, TRAINED ON THE TECHNOLOGY, AND SUCCESSFULLY PROVIDING CARE TO PATIENTS. PROVIDERS ACROSS THE TMH ENTERPRISE WERE ABLE TO SAFELY PROVIDE CARE TO THEIR PATIENTS AT HOME USING TELEMEDICINE TECHNOLOGY. THIS VIRTUAL CARE PLATFORM KEPT PATIENTS AND THEIR FAMILIES SAFE, BUT ALSO ENSURED THE HEALTH AND WELL-BEING OF THE ESSENTIAL TMH CARE PROVIDERS AND STAFF. PRIOR TO MARCH 2020, ONLY ABOUT 10% OF OUTPATIENT VISITS WERE CONDUCTED VIA TELEMEDICINE. BY THE END OF APRIL 2020 THAT NUMBER SPIKED TO OVER 45% AND REMAINED AT OVER 30% FOR THE NEXT SEVERAL MONTHS. THE QUICK AND GLOBAL ADOPTION TELEMEDICINE HAS HELPED INCREASE ACCESS TO CARE FOR MANY PATIENTS WHO TRADITIONALLY STRUGGLED TO ATTEND APPOINTMENTS DUE TO TRANSPORTATION AND GEOGRAPHIC CHALLENGES. FROM JANUARY 2020 THROUGH SEPTEMBER OF 2020, TMH CONDUCTED OVER 33,400 OUTPATIENT PATIENT TELEMEDICINE VISITS, AND OVER 2,000 TELEPHONIC VISITS DURING THAT SAME TIME PERIOD. THE PANDEMIC HAD CREATED A STRONGER RELATIONSHIP BETWEEN SOME OF THE RURAL HOSPITALS IN THE TMH SERVICE AREA THROUGH THE USE OF TELEMEDICINE. AS COVID-19 CASES STARTED APPEARING IN EARLY 2020, TMH PROACTIVELY REACHED OUT TO 4 PARTNER RURAL PARTNERS, AND IMMEDIATELY PROVIDED SUPPORT THROUGH SOFTWARE AND HARDWARE, BY DELIVERING A TELEMEDICINE CART TO EACH FACILITY SO THAT THE FACILITIES COULD MINIMIZE TRANSFERS AND HAVE IMMEDIATE VIRTUAL ACCESS TO THE COVID-19 TEAM. MANY OF THE FACILITIES SUDDENLY FOUND THEMSELVES CARING FOR PATIENTS AT A MUCH HIGHER ACUITY LEVEL THAN THEY WERE USED TO. TMH WAS ABLE TO PROVIDE IMMEDIATE ACCESS TO SPECIALISTS AND ANCILLARY SUPPORTS SUCH AS RESPIRATORY THERAPY TO PROVIDE SUPPORT IN CARING FOR COMPLEX PATIENTS. THIS TREND OF ACCESSING SUPPORTS VIA TELEMEDICINE HAS CONTINUED AND TMH NOW PROVIDES TELEMEDICINE CONSULTS TO 6 RURAL HOSPITALS INCLUDING BEHAVIORAL HEALTH, CARDIOLOGY, PULMONARY AND CRITICAL CARE, AND METABOLIC HEALTH. THIS HAS REDUCED THE NUMBER OF UNNECESSARY TRANSPORTS AND INCREASED ACCESS TO CARE IN PATIENTS' HOME COMMUNITIES. TELEMEDICINE ALSO BECAME A VITAL TOOL IN THE INPATIENT ENVIRONMENT, ESPECIALLY FOR PATIENTS IN THE COVID-19 UNIT OR ON ISOLATION. CLINICIANS WERE ABLE TO SAFELY COMMUNICATE WITH PATIENTS VIA TELEMEDICINE CARTS AND TABLETS. DURING THE 2021 FISCAL YEAR, OVER 100 TELEMEDICINE CARTS WERE DEPLOYED IN THE INPATIENT UNITS AND EMERGENCY ROOMS TO ALLOW FOR PROVIDER, NURSE, AND FAMILY VISITS WITH HIGH RISK PATIENTS. IN ADDITION, TMH CREATED "DRIVE THRU" EMERGENCY ROOM ACCESS FOR PATIENTS CONCERNED ABOUT COVID-19, AND THERE ABLE TO ACCESS AN EMERGENCY ROOM PHYSICIAN VIA TELEMEDICINE SAFELY FROM THEIR CAR AND PRESERVE VITAL PPE RESOURCES WHILE ALSO MAINTAINING SAFETY. THROUGHOUT THE INPATIENT AND EMERGENCY ROOM CARE ENVIRONMENTS, OVER 9,000 CONSULTS WERE COMPLETED IN DURING THE 2021 FISCAL YEAR. FINALLY, THE LAST ACTIVITY UNDER THIS PRIORITY IS AIMED AT INCREASING ACCESS FOR ONE OF OUR MOST VULNERABLE POPULATIONS, COMMUNITY MEMBERS EXPERIENCING HOMELESSNESS. WITH THE ONSET OF THE PANDEMIC, MANY OF THE CLIENTS LIVING IN THE KEARNEY CENTER SHELTER WERE MOVED TO ONE OF THREE HOTELS SERVING AS TEMPORARY SHELTERS TO SUPPORT SOCIAL DISTANCING. DURING THE OVER SIX MONTHS THAT THEY WERE LIVING THERE, TMH SENT A MEDICAL ASSISTANT OUT TO VISIT PATIENTS AND FACILITATE TELEMEDICINE VISITS WITH THE APPROPRIATE CLINICIANS AS NEEDED. THIS INCREASED ACCESS TO CARE PREVENTED UNNECESSARY CALLS TO 911, AND SUBSEQUENT EMERGENCY ROOM VISITS. OVER 150 TELEMEDICINE VISITS WERE COMPLETED FOR THOSE PATIENTS. (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 2021, TMH PROVIDED 1,162 RIDES FOR INDIVIDUALS TOTALING $39,639. 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 2020 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, CREATED IN FY 2020, 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. THIS COUNCIL WILL CONTINUE TO FOCUS ON EDUCATION/TRAINING FOR STAFF, WAYS TO CELEBRATE DIVERSITY/MULTI-CULTURALISM FOR COL
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/transparency-billing-and-quality ------------------------------------------------------------

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED)	CONSISTENT WITH PRIOR YEAR, DUE TO THE ADOPTION OF ACCOUNTING PRONOUNCEMENT ASC 606, IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. THE COSTING METHODOLOGY USED IN CALCULATING THE AMOUNTS REPORTED ON THE LINE 7 TABLE ARE BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 OF THE FORM 990, SCHEDULE H INSTRUCTIONS. ------------------------------------------------------------
PART III, SECTION A, LINES 1-2(IMPLICIT PRICE CONCESSION/BAD DEBT EXPENSE)	TMH REPORTS ITS IMPLICIT PRICE CONCESSIONS IN ACCORDANCE WITH GAAP AND AICPA GUIDELINES. HFMA STATEMENT NO. 15 HAS NOT BEEN ADOPTED BY THE AICPA. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606). ------------------------------------------------------------
PART III, SECTION A, LINE 4 (IMPLICIT PRICE CONCESSION FOOTNOTE)	THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE DISCLOSURE CAN BE FOUND STARTING ON PAGE 18 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 11 % 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/TRANSPARENCY-BILLING-AND-QUALITY ------------------------------------------------------------
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, THREE RESIDENCY PROGRAMS, 38 AFFILIATED PHYSICIAN PRACTICES AND PARTNERSHIPS WITH 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 385,776. 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 2021 (FY21), TMH CONTINUED TO EXPAND ACCESS TO CARE BY ANNOUNCING A PARTNERSHIP WITH FLORIDA STATE UNIVERSITY WITH PLANS TO BUILD AN ORTHOPEDIC CLINIC IN BAY COUNTY, OPENING THE FIRST BREAST CLINIC AND FIRST CARDIO-ONCOLOGY PROGRAM, AND OPENED A SECOND URGENT CARE IN THE SOUTHWOOD NEIGHBORHOOD, AN EXPANDING REGION IN SOUTH TALLAHASSEE. PHYSICIAN RECRUITMENT IS AN ONGOING PRIORITY AND TMH CONTINUES TO BE AT THE FOREFRONT OF BRINGING ROBOTIC SURGERIES TO THE BIG BEND REGION. TMH HAS BEEN FOCUSED ON PUBLIC HEALTH BY EDUCATING THE COMMUNITY ABOUT THE EFFECTIVENESS OF COVID VACCINES. TMH FOR LIFE IS A PROGRAM FOR PROMOTING HEALTH BEYOND OUR WALLS BY CHALLENGING OUR COMMUNITY TO BE ACTIVE, EAT HEALTHIER, KNOW THEIR NUMBERS AND FIND THEIR HAPPY THROUGH FREE EVENTS, SCREENINGS, PROGRAMS, CLASSES AND EDUCATIONAL OPPORTUNITIES. THIS APPROACH WAS DESIGNED AFTER THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REVEALED VAST DISPARITIES BASED ON LOCALITY, AGE, RACE/ETHNICITY, LOWER INCOME AND ACADEMIC ATTAINMENT RATES COMPARED TO LEON COUNTY AND STATEWIDE AVERAGES. THE CHNA DATA IS COLLECTED EVERY THREE YEARS AND WE ARE COLLECTING THE DATA NOW AND WILL REPORT ON THE 2022 FINDINGS NEXT YEAR. 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, 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. AN INNOVATIVE FACILITY DESIGNED TO REDUCE EMERGENCY ROOM VISITS AND HOSPITAL READMISSIONS, THE TRANSITION CENTER PROVIDES FOLLOW-UP CARE TO PATIENTS WHO MAY BE AT HIGH-RISK FOR READMISSION AFTER LEAVING THE HOSPITAL. 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 HAD SIGNIFICANTLY REDUCED CALLS FOR EMS, RESULTING IN LARGE SAVINGS FOR LEON COUNTY. WITH THE ONSET OF THE PANDEMIC, MANY OF THE CLIENTS LIVING IN THE KEARNEY CENTER SHELTER WERE MOVED TO ONE OF THREE HOTELS SERVING AS TEMPORARY SHELTERS TO SUPPORT SOCIAL DISTANCING. DURING THE OVER SIX MONTHS THAT THEY WERE LIVING THERE, TMH SENT A MEDICAL ASSISTANT OUT TO VISIT PATIENTS AND FACILITATE TELEMEDICINE VISITS WITH THE APPROPRIATE CLINICIANS AS NEEDED. THIS INCREASED ACCESS TO CARE PREVENTED UNNECESSARY CALLS TO 911, AND SUBSEQUENT EMERGENCY ROOM VISITS. OVER 150 TELEMEDICINE VISITS WERE COMPLETED FOR THOSE PATIENTS. THE TRANSITIONS CENTER, AN INNOVATIVE FACILITY DESIGNED TO REDUCE EMERGENCY ROOM VISITS AND HOSPITAL READMISSIONS, CELEBRATED TEN YEARS IN EARLY 2021. THE GOAL OF THE TRANSITIONS CENTER IS THE TRANSITION CENTER'S GOAL 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. 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. SINCE OPENING THE DOORS ON FEBRUARY 11, 2011, THE CENTER HAS SEEN MORE THAN 14,000 PATIENTS. 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. BOTH EMERGENCY CENTERS REMAINED BUSY DURING THE CORONAVIRUS PANDEMIC. 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 AND CALHOUN COUNTIES. TMH HAS RECENTLY EXPANDED SERVICES IN JACKSON COUNTY AND HAS PLANS TO PARTNER WITH FLORIDA STATE UNIVERSITY TO BUILD AND OPERATE A HOSPITAL IN BAY COUNTY IN 2022. 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, JACKSON COUNTY, AND JACKSON HOSPITAL. TELEMEDICINE ALSO BECAME A VITAL TOOL IN THE INPATIENT ENVIRONMENT, ESPECIALLY FOR PATIENTS IN THE COVID UNIT OR ON ISOLATION. CLINICIANS WERE ABLE TO SAFELY COMMUNICATE WITH PATIENTS VIA TELEMEDICINE CARTS AND TABLETS. DURING THE 2021 FISCAL YEAR, OVER 100 TELEMEDICINE CARTS WERE DEPLOYED IN THE INPATIENT UNITS AND EMERGENCY ROOMS TO ALLOW FOR PROVIDER, NURSE, AND FAMILY VISITS WITH HIGH RISK PATIENTS. IN ADDITION, TMH CREATED "DRIVE THRU" EMERGENCY ROOM ACCESS FOR PATIENTS CONCERNED ABOUT COVID, AND THERE ABLE TO ACCESS AN EMERGENCY ROOM PHYSICIAN VIA TELEMEDICINE SAFELY FRO
PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)	N/A

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION
2851 REMINGTON GREEN CIRCLE	SUITE 101	TALLAHASSEE	FL	32308	135613797	501(C)(3)	$15,000	FMV	N/A	SPONSORSHIP - HEART WALK
SPRINGTIME TALLAHASSEE INC
501 ETENNESSEE ST		TALLAHASSEE	FL	32308	237241347	501(C)(3)	$10,000	FMV	N/A	SPONSORSHIP - SPRING TIME TALLAHASSEE
THE TALLAHASSEE COMMUNITY COLLEGE FDN
444 APPLEYARD DR		TALLAHASSEE	FL	32304	592091480	501(C)(3)	$10,000	FMV	N/A	SPONSORSHIP - CLEAVER & CORK
TALLAHASSEE CHAMBER OF COMMERCE
300 E PARK AVE		TALLAHASSEE	FL	32301	590474165		$9,650	FMV	N/A	SPONSORSHIPS
UNITED WAY OF THE BIG BEND INC
307 EAST 7TH AVENUE		TALLAHASSEE	FL	32303	596011150	501(C)(3)	$146,000	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)	$6,500	FMV	N/A	SPONSORSHIPS

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
G MARK O'BRYANT
EX-OFFICIO DIRECTOR & CEO	$919,039	$0	$121,000	$0	$2,358,456	$0	$295,173	$0	$15,075	$0	$3,708,743	$0	$2,314,547	$0
WILLIAM DOBAK MD
HEMATOLOGIST/ONCOLOGIST	$637,435	$0	$460,705	$0	$270	$0	$17,100	$0	$14,628	$0	$1,130,138	$0	$0	$0
OVIDIU MARINA MD
RADIATION ONCOLOGIST	$706,016	$0	$376,645	$0	$270	$0	$17,100	$0	$14,570	$0	$1,114,601	$0	$0	$0
MITCHELL PEABODY MD
HEMATOLOGIST/ONCOLOGIST	$356,890	$0	$483,849	$0	$180	$0	$17,100	$0	$14,722	$0	$872,741	$0	$0	$0
JAYAN NAIR MD
HEMATOLOGIST/ONCOLOGIST	$541,102	$0	$240,216	$0	$270	$0	$17,100	$0	$14,628	$0	$813,316	$0	$0	$0
ELIOT B SIELOFF MD
GENERAL SURGEON	$704,237	$0	$48,749	$0	$2,895	$0	$17,100	$0	$14,475	$0	$787,456	$0	$0	$0
WILLIAM GUIDICE
VP/CFO	$557,617	$0	$11,747	$0	$14,964	$0	$84,884	$0	$15,054	$0	$684,266	$0	$0	$0
ANDREA K FRIALL MD
CHIEF MEDICAL STAFF OFFICER	$376,133	$0	$0	$0	$1,347	$0	$0	$0	$14,628	$0	$392,108	$0	$0	$0
STEVEN E HAYNES
CHIEF HUMAN RESOURCE OFFICER	$311,310	$0	$0	$0	$6,271	$0	$35,885	$0	$5,939	$0	$359,405	$0	$0	$0
RYAN SMITH
CHIEF CLINICAL OFFICER/CNO/VP	$253,559	$0	$0	$0	$4,028	$0	$10,490	$0	$13,458	$0	$281,535	$0	$0	$0
DONALD LINDSEY
CHIEF INFORMATION OFFICER	$238,887	$0	$0	$0	$2,245	$0	$25,841	$0	$14,475	$0	$281,448	$0	$0	$0
DEAN WATSON MD
FMR CHIEF HEALTH OPS OFFICER	$0	$0	$0	$0	$240,478	$0	$14,429	$0	$0	$0	$254,907	$0	$0	$0
ANDREW STARR
CHIEF HEALTH OPS OFFICER	$214,883	$0	$0	$0	$675	$0	$0	$0	$8,358	$0	$223,916	$0	$0	$0
NIGEL ALLEN
CHIEF ADVANCEMENT OFFICER/VP	$192,152	$0	$0	$0	$4,012	$0	$24,676	$0	$14,475	$0	$235,315	$0	$0	$0
JANA IEZZI
CHIEF IMPROVEMENT OFFICER/VP	$195,844	$0	$0	$0	$1,428	$0	$16,493	$0	$5,838	$0	$219,603	$0	$0	$0
JOSEPH L CAMPS MD
CHIEF INTEGRATION OFFICER/VP	$192,119	$0	$0	$0	$0	$0	$0	$0	$0	$0	$192,119	$0	$0	$0
YASHICA L WILSON-HEARNS
VP/SUPPORT SERVICES	$159,740	$0	$0	$0	$1,360	$0	$19,332	$0	$210	$0	$180,642	$0	$0	$0
STEPHANIE M DERZYPOLSKI
CHIEF COMMUNICATION OFFICER	$215,801	$0	$0	$0	$1,669	$0	$26,987	$0	$14,570	$0	$259,027	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1A	QUESTIONS REGARDING COMPENSATION DIRECTORS RECEIVE COMPLIMENTARY ACCESS TO TMH'S HEALTH CLUB, PREMIER HEALTH AND FITNESS CENTER. ----------------------------------------------------------------
FORM 990, SCHEDULE J, LINE 4B	DETAIL OF SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED DISTRIBUTIONS DURING THE YEAR FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: G. MARK O'BRYANT - $2,314,547 ---------- TMH ALSO 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. ----------------------------------------------------------------

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$4,042,927	$0	$111,332,927	$0	$0	$0	$1,176,569	$0	$0	$0	$110,156,358	$0	2015	false	Yes (true)	Yes (true)	Yes (true)
B	$35,486,300	$0	$272,001,300	$0	$0	$0	$1,790,765	$0	$0	$256,873,443	$0	$13,337,092	2019	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	false	false	false	Yes (true)
B	false	false	false	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JOSEPH L CAMPS
FAMILY MEMBER OF OFFICER	$68,849	EMPLOYMENT	false
CAMERON WONG
FAMILY MEMBER OF BOARD MEMBER	$70,076	EMPLOYMENT	false
STEPHANIE TRUMAN
FAMILY MEMBER OF BOARD MEMBER	$26,316	EMPLOYMENT	false
DAVID BRICKLER
FAMILY MEMBER OF BOARD MEMBER	$166,186	EMPLOYMENT	false
LYNN BRICKLER
FAMILY MEMBER OF BOARD MEMBER	$99,936	EMPLOYMENT	false
MAD DOG CONSTRUCTION COMPANY
SIMILAR DIRECTOR/OWNER	$824,850	CONSTRUCTION SERVICES	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 11	FORM 990 REVIEW PROCESS INFORMATION RELATED TO TMH'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW AND RETURN PREPARATION. THE 2020 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2021 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 $ 58,564,498 CHANGE IN FAIR VALUE OF DERIVATIVE 463,879 ADDITIONAL DEPRECIATION (103,120) ______________ TOTAL $ 58,925,257 ----------
FORM 990 PART IX LINE 11G	DESCRIPTION:INDEPEENDENT LAB TOTAL FEES:6946312
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING TOTAL FEES:4107767
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN PROFESSIONAL FEES TOTAL FEES:51101414
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:37228705

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	452980304	EIN
Primary Activities	LEASED LABOR	PrimaryActivitiesTxt
Legal Domicile State	FL	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$4,223,184	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
TALLAHASSEE MEMORIAL HEALTH VENTURES INC
1300 MICCOSUKEE ROAD	TALLAHASSEE	FL	32308	592717050	HOLDING COMPANY	FL	TMH	C CORP	$8,463,148	$31,972,448	1.00000	Yes (true)
PRIME MERIDIAN HEALTH VENTURES INC
1309 THOMASVILLE ROAD	TALLAHASSEE	FL	32308	592668613	DIAG. IMAGING	FL	TMHV	C CORP				Yes (true)
TALLAHASSEE MEMORIAL TELEPHONE COMPANY
1309 THOMASVILLE ROAD	TALLAHASSEE	FL	32308	593395937	TELEPHONE COMPANY	FL	TMHV	C CORP				Yes (true)
PREMIER HEALTH & FITNESS CENTER INC
3521 MACLAY BOULEVARD	TALLAHASSEE	FL	32312	592471569	FITNESS CENTER	FL	TMHV	C CORP				Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SOUTHEAST COMMUNITY HEALTH SERVICES
A	$16,802	FMV
SOUTHEAST COMMUNITY HEALTH SERVICES
K	$655,337	FMV
TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION
C	$1,116,242	FMV
SOUTHEAST COMMUNITY HEALTH SERVICES
O,Q	$48,300	FMV
TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION
O,Q	$1,039,000	FMV
TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC
J	$1,401,864	FMV
TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC
K	$475,357	FMV
TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC
M	$78,139	FMV