2022-08-12T14:45:51-05:00 2021-09-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2020-10-01 591917016 TALLAHASSEE MEMORIAL HEALTHCARE INC % WILLIAM A GIUDICE CFO TALL 8504315238 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 WILLIAM GIUDICE CFO 8504315238 2022-08-12 true WILLIAM GIUDICE 999009999 ANTONIO C RUSSO P00858539 2673303000 2 2020 2022-09-23 18:48:47Z WILLIAM GIUDICE CFO 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 861644597 false X www.tmh.org X 1979 FL TALLAHASSEE MEMORIAL HEALTHCARE, INC. IS A PRIVATE 772-BED, COMMUNITY HEALTHCARE SYSTEM THAT PROVIDES CHARITABLE, COMPASSIONATE, LEADING-EDGE, PATIENT-CENTERED HEALTH CARE. 16 13 7447 51 1422149 1185141 18901148 6169779 413211927 470889448 2252705 864127 270129138 305935909 704494918 783859263 358431 257525 0 0 347971404 368652430 0 0 0 370276449 397075472 718606284 765985427 -14111366 17873836 1043128439 1130180703 570544786 580797957 472583653 549382746 X 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. false false 684577840 257525 776461705 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. 684577840 true true false true false false false false false true true false false true true false false true false false true false false false false false true true true false true true false false false false false false false true true true false false false false true true true true true false true 225 0 true 7447 true true true false false false false false false false false false true false X 16 13 false false false false false false false true true false false true true true true true true true true false FL X WILLIAM A GIUDICE CFO 8504315238 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 X X G MARK O'BRYANT EX-OFFICIO DIRECTOR & CEO 53.0 2.0 X X 3398495 0 310248 WILLIAM DOBAK MD HEMATOLOGIST/ONCOLOGIST 55.0 0.0 X 1098410 0 31728 OVIDIU MARINA MD RADIATION ONCOLOGIST 55.0 0.0 X 1082931 0 31670 MITCHELL PEABODY MD HEMATOLOGIST/ONCOLOGIST 55.0 0.0 X 840919 0 31822 JAYAN NAIR MD HEMATOLOGIST/ONCOLOGIST 55.0 0.0 X 781588 0 31728 ELIOT B SIELOFF MD GENERAL SURGEON 55.0 0.0 X 755881 0 31575 WILLIAM GUIDICE VP/CFO 54.0 1.0 X 584328 0 99938 ANDREA K FRIALL MD CHIEF MEDICAL STAFF OFFICER 55.0 0.0 X 377480 0 14628 STEVEN E HAYNES CHIEF HUMAN RESOURCE OFFICER 55.0 0.0 X 317581 0 41824 RYAN SMITH CHIEF CLINICAL OFFICER/CNO/VP 55.0 0.0 X 257587 0 23948 DONALD LINDSEY CHIEF INFORMATION OFFICER 55.0 0.0 X 241132 0 40316 STEPHANIE M DERZYPOLSKI CHIEF COMMUNICATION OFFICER 55.0 0.0 X 217470 0 41557 DEAN WATSON MD FMR CHIEF HEALTH OPS OFFICER 0.0 0.0 X 240478 0 14429 NIGEL ALLEN CHIEF ADVANCEMENT OFFICER/VP 54.0 1.0 X 196164 0 39151 ANDREW STARR CHIEF HEALTH OPS OFFICER 55.0 0.0 X 215558 0 8358 JANA IEZZI CHIEF IMPROVEMENT OFFICER/VP 55.0 0.0 X 197272 0 22331 JOSEPH L CAMPS MD CHIEF INTEGRATION OFFICER/VP 55.0 0.0 X 192119 0 0 YASHICA L WILSON-HEARNS VP/SUPPORT SERVICES 55.0 0.0 X 161100 0 19542 AJ BRICKLER MD DIRECTOR, INDEPENDENT PHYS. 1.5 0.0 X 7000 0 0 LEE HINKLE CHAIR 2.0 0.0 X X 0 0 0 ANDREW WONG MD CHAIR-ELECT 2.0 0.0 X X 0 0 0 THOMAS TRUMAN MD SECRETARY 2.0 0.0 X X 0 0 0 ERMAN MURRAY JR TREASURER 2.0 0.0 X X 0 0 0 SALLY BRADSHAW DIRECTOR 1.5 0.0 X 0 0 0 BRANT COPELAND DIRECTOR 1.5 0.0 X 0 0 0 KELLY DOZIER DIRECTOR 1.5 0.0 X 0 0 0 STEVEN EVANS DIRECTOR 1.5 0.0 X 0 0 0 WINSTON HOWELL DIRECTOR 1.5 0.0 X 0 0 0 JAMES KILLIUS MD DIRECTOR 1.5 0.0 X 0 0 0 MARTHA BARNETT DIRECTOR 1.5 0.0 X 0 0 0 JOSEPH SOTO MD DIRECTOR 1.5 0.0 X 0 0 0 JOEDRECKA BROWN SPEIGHTS MD DIRECTOR 1.5 0.0 X 0 0 0 HUGH VANLANDINGHAM MD DIRECTOR 1.5 0.0 X 0 0 0 CLAUDE WALKER DIRECTOR 1.5 0.0 X 0 0 0 DEBORAH MINNIS EX-OFFICIO DIRECTOR 1.0 2.0 X 0 0 0 PAT GRISE EX-OFFICIO DIRECTOR 1.0 0.0 X 0 0 0 CARLOS CAMPO MD EX-OFFICIO DIRECTOR 1.0 0.0 X 0 0 0 11163493 0 834793 441 true true false SOUTHERN MEDICAL GROUP PA 1300 MEDICAL DRIVE TALLAHASSEE FL 32308 PHYSICIAN SERVICES 28874493 CROSS COUNTRY STAFFING INC 6551 PARK OF COMMERCE BLVD BOCA RATON FL 33487 STAFFING AGENCY 27012948 TALLAHASSEE PULMONARY CLINIC 2617 MITCHAM DRIVE TALLAHASSEE FL 32308 PHYSICIAN SERVICES 8634289 RANDSTAD TECHNOLOGIES PO BOX 847872 DALLAS TX 75284 STAFFING AGENCY 2896484 TALLAHASSEE DIAGNOSTIC IMAGING 1600 PHILLIPS ROAD TALLAHASSEE FL 32308 DIAGNOSTIC IMAGING 2730169 85 1116242 4879374 174163 15489 6169779 NET HEALTH CARE SERVICE REVENUES 621500 470889448 470467959 421489 470889448 472217 472217 0 0 3380810 3438647 -57837 0 -57837 1000660 -1058497 1303630 192306 579482 524544 724148 -332238 391910 391910 0 0 0 0 0 0 374713615 73242661 301470954 301470954 VENDOR REBATES 900099 2833660 2833660 MEDICARE AND MEDICAID MEANINGFUL USE 900099 860175 860175 PARKING DECK 900099 407710 407710 421247 421247 4522792 783859263 776461705 1422149 -194370 X 257525 257525 0 0 0 5766324 5166511 599813 0 0 303365680 271778903 31586777 11657675 10443792 1213883 26412172 23662106 2750066 21450579 19217120 2233459 0 2916045 2744749 171296 1547329 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31096708 0 31096708 287579 5048467 6765009 1286777 414380 13802212 1091544 1642699 1259247 1424468 1185141 6603099 0 51502019 3913198210 0.60380 0.56959 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 90869 90869 90869 90869 765894558 767796793 765985427 767887662 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 93548 91430 102009 90869 377856 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 FORM 990, SCHEDULE C, PART II-A, LINE 1 SUPPLEMENTAL INFORMATION REGARDING LOBBYING EXPENSES LOBBYING EXPENSES INCURRED INCLUDE MEETING WITH LOCAL CITY AND COUNTY OFFICIALS AND LEGISLATORS, AS WELL AS PORTIONS OF AMERICAN HOSPITAL ASSOCIATION (AHA) AND FLORIDA HOSPITAL ASSOCIATION (FHA) MEMBERSHIP DUES ALLOCATED TO LOBBYING EXPENSES. ---------- AFFILIATED GROUP INFORMATION: NAME OF ELECTING ORGANIZATION: ------------------------------------------------------- TALLAHASSEE MEMORIAL HEALTHCARE, INC. - DIRECT LOBBYING EXPENDITURES: $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 9423147 526044 411518 10360709 8822389 292251 308507 9423147 8370073 205387 246929 8822389 7958119 251445 164009 3500 8370073 7521314 256272 181583 1050 7958119 0.00000 1.00000 0.00000 false true true 25009846 25009846 606572118 242173187 364398931 7867932 5041799 2826133 363553772 273378847 90174925 7484100 0 7484100 489893935 DEBT RESERVE FUND 8170494 DEPOSITS AND OTHER ASSETS 92546805 OTHER RECEIVABLES 7733605 SELF INSURANCE TRUST FUND 6418966 UNEXPENDED CONSTRUCTION FUND 13357292 SWAP COLLATERAL 50000 128277162 0 WORKER'S COMP SELF INSURANCE 1920860 PROFESSIONAL LIABILITY SELF IN 21528583 OBLIGATION FOR SUPPLEMENTAL EX 3550355 DEFFERRED COMP ARRANGEMENT 4461177 AHCA ASSESSMENT 6696000 OTHER LIABILITIES 21232428 DEFERRED EMPLOYER PAYROLL TAXE 4793736 DUE TO MEDICARE 49975516 114158655 FORM 990, SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS ALL ENDOWMENT FUNDS ARE UTILIZED IN PURSUIT OF THE ORGANIZATION'S TAX EXEMPT PURPOSE. Central America and the Caribbean Program Services Insurance Coverage 120078 120078 120078 false false true false false false true true true X true X true true false true true 21335826 21335826 0.02790 76546133 46662583 29883550 0.03900 97881959 46662583 51219376 0.06690 20325591 5227542 15098049 0.01970 97188976 66955699 30233277 0.03950 117514567 72183241 45331326 0.05920 215396526 118845824 96550702 0.12610 366987 366987 0.00050 366987 366987 0.00050 false 207221167 54720714 116091231 111798627 4292604 X true true 1 1 TALLAHASSEE MEMORIAL HOSPITAL 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32309 WWW.TMH.ORG LICENSE #4080 X X X X TALLAHASSEE MEMORIAL HEALTHCARE INC 1 false false true X X X X X X X X X 18 true false true true X SEE SCHEDULE H, PART V, SECTION C X true 19 true SEE SCHEDULE H, PART V, SECTION C false true X 150. 400. X X X X true true X X X X true X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5, 6B (INPUT FROM COMMUNITY; COLLABORATION) TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") COMPLETED ITS 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 ------------------------------------------------------------ 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 true AMERICAN HEART ASSOCIATION 2851 REMINGTON GREEN CIRCLE SUITE 101 TALLAHASSEE FL 32308 135613797 501(C)(3) 15000 FMV N/A SPONSORSHIP - HEART WALK SPRINGTIME TALLAHASSEE INC 501 ETENNESSEE ST TALLAHASSEE FL 32308 237241347 501(C)(3) 10000 FMV N/A SPONSORSHIP - SPRING TIME TALLAHASSEE THE TALLAHASSEE COMMUNITY COLLEGE FDN 444 APPLEYARD DR TALLAHASSEE FL 32304 592091480 501(C)(3) 10000 FMV N/A SPONSORSHIP - CLEAVER & CORK TALLAHASSEE CHAMBER OF COMMERCE 300 E PARK AVE TALLAHASSEE FL 32301 590474165 9650 FMV N/A SPONSORSHIPS UNITED WAY OF THE BIG BEND INC 307 EAST 7TH AVENUE TALLAHASSEE FL 32303 596011150 501(C)(3) 146000 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) 6500 FMV N/A SPONSORSHIPS 5 1 FORM 990, SCHEDULE I, PART I, LINE 2 DESCRIPTION OF GRANT PROGRAMS TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") MAINTAINS A SPONSORSHIP COMMITTEE WHICH OVERSEES THE ORGANIZATION'S SPONSORSHIP AND GRANT-MAKING PROCESSES. COMPLETED APPLICATION FORMS MUST BE SUBMITTED IN ORDER FOR TMH TO EVALUATE THE BENEFITS OF THE PROPOSED ACTIVITY- HOW THE PROPOSED SPONSORSHIP OPPORTUNITY ALIGNS WITH TMH'S MISSION AND VISION, AS WELL AS HOW THE PROPOSED ACTIVITY CAN HELP THE COMMUNITY. APPLICATIONS AND FURTHER INFORMATION ARE AVAILABLE ON TMH'S WEBSITE AT: WWW.TMH.ORG/SPONSORSHIP. X true true X X X X X false true false false false false false true false G MARK O'BRYANT EX-OFFICIO DIRECTOR & CEO 919039 0 121000 0 2358456 0 295173 0 15075 0 3708743 0 2314547 0 WILLIAM DOBAK MD HEMATOLOGIST/ONCOLOGIST 637435 0 460705 0 270 0 17100 0 14628 0 1130138 0 0 0 OVIDIU MARINA MD RADIATION ONCOLOGIST 706016 0 376645 0 270 0 17100 0 14570 0 1114601 0 0 0 MITCHELL PEABODY MD HEMATOLOGIST/ONCOLOGIST 356890 0 483849 0 180 0 17100 0 14722 0 872741 0 0 0 JAYAN NAIR MD HEMATOLOGIST/ONCOLOGIST 541102 0 240216 0 270 0 17100 0 14628 0 813316 0 0 0 ELIOT B SIELOFF MD GENERAL SURGEON 704237 0 48749 0 2895 0 17100 0 14475 0 787456 0 0 0 WILLIAM GUIDICE VP/CFO 557617 0 11747 0 14964 0 84884 0 15054 0 684266 0 0 0 ANDREA K FRIALL MD CHIEF MEDICAL STAFF OFFICER 376133 0 0 0 1347 0 0 0 14628 0 392108 0 0 0 STEVEN E HAYNES CHIEF HUMAN RESOURCE OFFICER 311310 0 0 0 6271 0 35885 0 5939 0 359405 0 0 0 RYAN SMITH CHIEF CLINICAL OFFICER/CNO/VP 253559 0 0 0 4028 0 10490 0 13458 0 281535 0 0 0 DONALD LINDSEY CHIEF INFORMATION OFFICER 238887 0 0 0 2245 0 25841 0 14475 0 281448 0 0 0 DEAN WATSON MD FMR CHIEF HEALTH OPS OFFICER 0 0 0 0 240478 0 14429 0 0 0 254907 0 0 0 ANDREW STARR CHIEF HEALTH OPS OFFICER 214883 0 0 0 675 0 0 0 8358 0 223916 0 0 0 NIGEL ALLEN CHIEF ADVANCEMENT OFFICER/VP 192152 0 0 0 4012 0 24676 0 14475 0 235315 0 0 0 JANA IEZZI CHIEF IMPROVEMENT OFFICER/VP 195844 0 0 0 1428 0 16493 0 5838 0 219603 0 0 0 JOSEPH L CAMPS MD CHIEF INTEGRATION OFFICER/VP 192119 0 0 0 0 0 0 0 0 0 192119 0 0 0 YASHICA L WILSON-HEARNS VP/SUPPORT SERVICES 159740 0 0 0 1360 0 19332 0 210 0 180642 0 0 0 STEPHANIE M DERZYPOLSKI CHIEF COMMUNICATION OFFICER 215801 0 0 0 1669 0 26987 0 14570 0 259027 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1A QUESTIONS REGARDING COMPENSATION DIRECTORS RECEIVE COMPLIMENTARY ACCESS TO TMH'S HEALTH CLUB, PREMIER HEALTH AND FITNESS CENTER. ---------------------------------------------------------------- FORM 990, SCHEDULE J, 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. ---------------------------------------------------------------- A CITY OF TALLAHASSEE - SERIES 2015A 596000435 2015-05-28 111332927 REFUNDING 1992B, 2000 & 2015 BONDS false false false B CITY OF TALLAHASSEE - SERIES 2016A & 2016B 596000435 2016-02-02 272001300 M.T. 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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 MEDICUS SELECT LLC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 452980304 LEASED LABOR FL 0 4223184 TMH SOUTHEAST COMMUNITY HEALTH SERVICES INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 581434992 HOLDING CO FL 501(C)(25) N/A TMH true TALLAHASSEE MEMORIAL HEALTHCARE FDN 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 591727645 FUNDRAISING FL 501(C)(3) 7 TMH true TALLAHASSEE MEMORIAL HEALTH VENTURES INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 592717050 HOLDING COMPANY FL TMH C CORP 8463148 31972448 1.00000 true PRIME MERIDIAN HEALTH VENTURES INC 1309 THOMASVILLE ROAD TALLAHASSEE FL 32308 592668613 DIAG. IMAGING FL TMHV C CORP true TALLAHASSEE MEMORIAL TELEPHONE COMPANY 1309 THOMASVILLE ROAD TALLAHASSEE FL 32308 593395937 TELEPHONE COMPANY FL TMHV C CORP true PREMIER HEALTH & FITNESS CENTER INC 3521 MACLAY BOULEVARD TALLAHASSEE FL 32312 592471569 FITNESS CENTER FL TMHV C CORP true true false true false false false false false false true true false true false true false true false false SOUTHEAST COMMUNITY HEALTH SERVICES A 16802 FMV SOUTHEAST COMMUNITY HEALTH SERVICES K 655337 FMV TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION C 1116242 FMV SOUTHEAST COMMUNITY HEALTH SERVICES O,Q 48300 FMV TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION O,Q 1039000 FMV TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC J 1401864 FMV TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC K 475357 FMV TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC M 78139 FMV