TALLAHASSEE MEMORIAL HEALTHCARE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: TALLAHASSEE MEMORIAL HEALTHCARE INC (EIN 59-1917016)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-08-14
IRS object ID: 201812269349300741
Schema version: 2016v3.1
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 M
Schedule O
Schedule R
Affiliated Group Attachment

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-14T13:07:16-05:00	ReturnTs
Tax Period End	2017-09-30	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	2016-10-01	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	2018-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2016	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	$831,714,865	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 HEALTH CARE SYSTEM THAT PROVIDES CHARITABLE, COMPASSIONATE, LEADING-EDGE, PATIENT-CENTERED HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	5919	TotalEmployeeCnt
Total Volunteers	661	TotalVolunteersCnt
Total Gross UBI	$1,385,372	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,091,544	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,602,289	PYContributionsGrantsAmt
CY Contributions Grants	$1,171,428	CYContributionsGrantsAmt
PY Program Service Revenue	$546,543,742	PYProgramServiceRevenueAmt
CY Program Service Revenue	$573,405,029	CYProgramServiceRevenueAmt
PY Investment Income	-$417,496	PYInvestmentIncomeAmt
CY Investment Income	$1,062,221	CYInvestmentIncomeAmt
PY Other Revenue	$179,277,014	PYOtherRevenueAmt
CY Other Revenue	$194,191,278	CYOtherRevenueAmt
PY Total Revenue	$727,005,549	PYTotalRevenueAmt
CY Total Revenue	$769,829,956	CYTotalRevenueAmt
PY Grants And Similar Paid	$203,052	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$180,008	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$287,607,480	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$301,780,937	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$398,251,675	PYOtherExpensesAmt
CY Other Expenses	$420,884,448	CYOtherExpensesAmt
PY Total Expenses	$686,062,207	PYTotalExpensesAmt
CY Total Expenses	$722,845,393	CYTotalExpensesAmt
PY Revenues Less Expenses	$40,943,342	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$46,984,563	CYRevenuesLessExpensesAmt
Total Assets BOY	$920,656,319	TotalAssetsBOYAmt
Total Assets EOY	$962,184,865	TotalAssetsEOYAmt
Total Liabilities BOY	$606,182,402	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$540,413,377	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$314,473,917	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$421,771,488	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	$657,908,401	ExpenseAmt
Grant	$180,008	GrantAmt
Revenue	$768,086,179	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. TMH HOLDS A NUMBER OF IMPORTANT DISTINCTIONS WITHIN THE REGIONAL HEALTH SECTOR. TMH IS HOME TO THE BIG BEND'S ONLY ACCREDITED COMMUNITY HOSPITAL CANCER PROGRAM AND THE REGION'S ONLY STATE-DESIGNATED TRAUMA CENTER. TMH IS ALSO THE AREA'S ONLY HOSPITAL RECOGNIZED BY THE SOCIETY OF CHEST PAIN CENTERS AS AN ACCREDITED CHEST PAIN CENTER WITH PCI AND RESUSCITATATION AS WELL AS AN ACCREDITED ATRIAL FIBRILATION PROGRAM WITH EPS, BOTH THE HIGHEST ACCREDITATION LEVELS AVAILABLE BY THE AMERICAN COLLEGE OF CARDIOLOGY. TMH IS LICENCED AS NORTH FLORIDA'S ONLY COMPREHENSIVE STROKE CENTER AND IS THE ONLY FACILITY IN THE REGION PERFORMING MINIMAL INVASIVE STROKE INTERVENTIONS. TMH MAINTAINS THE AREA'S ONLY PEDIATRIC INTENSIVE CARE UNIT AND THE REGIONS ONLY NEONATAL INTENSIVE CARE UNIT. IN ALL, TMH IS THE SEVENTH-LARGEST HOSPITAL IN FLORIDA WITH A MEDICAL STAFF OF 570 + PHYSICIANS REPRESENTING 50+ DIFFERENT SPECIALTIES. 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. 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	$657,908,401	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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 With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	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	249	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5919	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	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

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
ALMA LITTLES MD
CHAIR	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
STEVE EVANS
CHAIR-ELECT	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
CHRISTOPHER RUMANA MD
SECRETARY	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MARTHA BARNETT
TREASURER	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
REV BRANT COPELAND
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
KELLY DOZIER
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
FRANK E GREDLER MD
DIRECTOR, INDEPENDENT PHYS.	1.5	0.0	Yes (X)		$94,092	$0	$0
LEE HINKLE
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
WINSTON HOWELL
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
AVERY MCKNIGHT
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
ED MURRAY JR
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
MARY PANKOWSKI
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
THOMAS TRUMAN MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
GARY WINCHESTER MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
ANDREW WONG MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
ROGER CHAMPION
EX-OFFICIO DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
GEORGEANN HARTSFIELD
EX-OFFICIO DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
AVON DOLL MD
EX-OFFICIO DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
G MARK O'BRYANT
EX-OFFICIO DIRECTOR & CEO	53.0	2.0	Yes (X)	Yes (X)	$1,067,596	$0	$272,163
WILLIAM GIUDICE
CHIEF FINANCIAL OFFICER	54.0	1.0		Yes (X)	$560,891	$0	$83,113
BARBARA ALFORD
CHIEF CLINICAL OFFICER/CNO/VP	55.0	0.0		Yes (X)	$341,735	$0	$55,306
CYNTHIA BLAIR
CHIEF IMPROVEMENT/PLNG OFFICER	55.0	0.0		Yes (X)	$256,934	$0	$15,416
STEPHANIE M DERZYPOLSKI
CHIEF COMMUNICATION OFFICER	55.0	0.0		Yes (X)	$130,246	$0	$18,312
ANDREA K FRIALL MD
CHIEF MEDICAL STAFF OFFICER	15.0	0.0		Yes (X)	$26,934	$0	$0
DONALD LINDSEY
CHIEF INFORMATION OFFICER	55.0	0.0		Yes (X)	$252,272	$0	$34,852
MICKEY S MOORE
CHIEF ADVANCEMENT OFFICER	55.0	0.0		Yes (X)	$142,702	$0	$4,276
DEAN WATSON MD
CHIEF HEALTH OPS OFFICER	55.0	0.0		Yes (X)	$454,563	$0	$64,853
YASHICA L WILSON-HEARNS
VP/SUPPORT SERVICES	55.0	0.0		Yes (X)	$133,033	$0	$8,237
ELIOT B SIELOFF MD
TMH SURGICAL SPECIALIST	55.0	0.0			$967,319	$0	$10,375	Yes (X)
OVIDIU MARINA MD
PHYSICIAN (RAD ONC)	55.0	0.0			$900,204	$0	$25,768	Yes (X)
PHILIP V SHARP MD
PHYSICIAN (RAD ONC)	55.0	0.0			$842,972	$0	$26,688	Yes (X)
DHANANJAY D BENDRE MD
PHYSICIAN (RAD ONC)	55.0	0.0			$703,389	$0	$25,859	Yes (X)
IMAN IMANIRAD MD
PHYSICIAN (HEM/ONC)	55.0	0.0			$672,364	$0	$25,853	Yes (X)
JASON MOORE
FORMER CHIEF OPERATING OFFICER	55.0	0.0			$578,342	$0	$26,667		Yes (X)
WARREN JONES
FORMER CHIEF COMM. OFFICER	55.0	0.0			$232,866	$0	$18,662		Yes (X)
PAULA S FORTUNAS
FRM CHIEF ADVANCEMENT OFFICER	15.0	40.0			$159,111	$0	$11,356		Yes (X)
ROBERT L MOORE
FORMER CHIEF HR OFFICER	55.0	0.0			$298,396	$0	$17,408		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,815,961	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$745,164	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	307	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 SRVCS	$21,070,936
BRASFIELD GORRIE LLC
1990 VAUGHN ROAD SUITE 100	KENNESAW	GA	30144	CONSTUCT. ENGINEER	$16,138,395
SHIFTWISE
PO BOX	ST PAUL	MN	55170	SOFTWARE SRVCS	$8,451,007
GRESHAM SMITH PARTNER
2073 SUMMIT LAKE DRIVE 152	TALLAHASSEE	FL	32317	ARCHITECHS	$4,147,174
TALLAHASSEE PULMONARY CLINIC
2617 MITCHAM DRIVE	TALLAHASSEE	FL	32308	PHYSICIAN SRVCS	$3,765,149

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	73	CntrctRcvdGreaterThan100KCnt
Related Organizations	$754,492	RelatedOrganizationsAmt
Government Grants	$297,068	GovernmentGrantsAmt
All Other Contributions	$119,868	AllOtherContributionsAmt
Noncash Contributions	$79,197	NoncashContributionsAmt
Total Contributions	$1,171,428	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Healthcare Services	Desc
Business	621500	BusinessCd
Total Revenue Column	$573,405,029	TotalRevenueColumnAmt
Related Or Exempt Func Income	$573,057,569	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$347,460	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$573,405,029	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$777,451	TotalRevenueColumnAmt
Exclusion	$777,451	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	$3,219,136	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,709,008	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$489,872	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$489,872	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,037,912	UnrelatedBusinessRevenueAmt
Exclusion	-$1,527,784	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$13,150,882	SecuritiesAmt
Other	$59,965	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$12,926,077	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$224,805	SecuritiesAmt
Other	$59,965	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$284,770	TotalRevenueColumnAmt
Exclusion	$284,770	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	$237,468,998	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$45,249,824	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$192,219,174	TotalRevenueColumnAmt
Related Or Exempt Func Income	$192,219,174	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
VENDOR REBATES	900099	$1,470,775	$1,470,775
PARKING DECK	900099	$477,117	$477,117
MEDICARE & MEDICAID MEANINGFUL USE	900099	$146,440	$146,440

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$367,644	TotalRevenueColumnAmt
Related Or Exempt Func Income	$367,644	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,461,976	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$769,829,956	TotalRevenueColumnAmt
Related Or Exempt Func Income	$767,738,719	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,385,372	UnrelatedBusinessRevenueAmt
Exclusion	-$465,563	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$180,008	TotalAmt
Program Services	$180,008	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	$5,214,316	TotalAmt
Program Services	$4,499,060	ProgramServicesAmt
Management And General	$715,256	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	$247,817,777	TotalAmt
Program Services	$222,703,850	ProgramServicesAmt
Management And General	$25,113,927	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$10,553,269	TotalAmt
Program Services	$9,561,395	ProgramServicesAmt
Management And General	$991,875	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,138,578	TotalAmt
Program Services	$18,996,388	ProgramServicesAmt
Management And General	$2,142,190	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,056,997	TotalAmt
Program Services	$15,328,436	ProgramServicesAmt
Management And General	$1,728,561	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,282,740	TotalAmt
Program Services	$2,074,178	ProgramServicesAmt
Management And General	$208,561	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$934,646	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$934,646	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$79,152	TotalAmt
Program Services	$79,152	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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	$66,808,494	TotalAmt
Program Services	$62,737,276	ProgramServicesAmt
Management And General	$4,071,218	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,805,556	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,805,556	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$23,470,331	TotalAmt
Program Services	$21,380,358	ProgramServicesAmt
Management And General	$2,089,973	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$18,044,546	TotalAmt
Program Services	$10,191,853	ProgramServicesAmt
Management And General	$7,852,693	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,336,418	TotalAmt
Program Services	$5,311,563	ProgramServicesAmt
Management And General	$1,024,855	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,275,179	TotalAmt
Program Services	$1,438,675	ProgramServicesAmt
Management And General	$836,504	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,004,242	TotalAmt
Program Services	$397,855	ProgramServicesAmt
Management And General	$606,387	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,315,221	TotalAmt
Program Services	$6,315,221	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$32,267,892	TotalAmt
Program Services	$27,841,907	ProgramServicesAmt
Management And General	$4,425,985	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,781,741	TotalAmt
Program Services	$7,354,932	ProgramServicesAmt
Management And General	$426,809	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Bad Debt Expense	$122,307,863	$122,307,863	$0	$0
PATIENT EXPENSE	$91,125,607	$91,125,607	$0	$0
SERVICE/MAINTENANCE	$17,374,330	$12,538,641	$4,835,689	$0
INDIGENT CARE ASSESSMENT	$6,957,596	$6,957,596	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,712,894	TotalAmt
Program Services	$8,586,587	ProgramServicesAmt
Management And General	$5,126,307	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$722,845,393	TotalAmt
Program Services	$657,908,401	ProgramServicesAmt
Management And General	$64,936,992	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	$246,527,531	BOYAmt
EOY	$278,623,043	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	$77,657,632	BOYAmt
EOY	$85,301,671	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	$10,440,976	BOYAmt
EOY	$9,995,841	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$13,753,020	BOYAmt
EOY	$15,842,483	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$730,238,578	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$373,676,176	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$289,807,332	BOYAmt
EOY	$356,562,402	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	$282,442,528	BOYAmt
EOY	$215,832,125	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$920,656,319	BOYAmt
EOY	$962,184,865	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$62,473,099	BOYAmt
EOY	$73,815,884	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	$379,484,085	BOYAmt
EOY	$374,194,885	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	$21,688,393	BOYAmt
EOY	$21,131,557	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	$142,536,825	BOYAmt
EOY	$71,271,051	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$606,182,402	BOYAmt
EOY	$540,413,377	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$314,473,917	BOYAmt
EOY	$421,771,488	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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	$314,473,917	BOYAmt
EOY	$421,771,488	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$920,656,319	BOYAmt
EOY	$962,184,865	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$46,984,563	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$60,313,008	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	$2,093,409	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,325,227	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,892,594	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,602,289	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,171,428	CurrentTaxYearAmt
Total	$9,084,947	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	$2,093,409	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,325,227	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,892,594	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,602,289	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,171,428	CurrentTaxYearAmt
Total	$9,084,947	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$9,084,947	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$306,920	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$248,809	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$263,585	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$105,610	CurrentTaxYearMinus1YearAmt
Current Tax Year	$287,579	CurrentTaxYearAmt
Total	$1,212,503	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,044,550	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,038,869	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,016,454	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,134,955	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,091,544	CurrentTaxYearAmt
Total	$5,326,372	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$820,053	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$702,166	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$779,852	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$947,112	CurrentTaxYearMinus1YearAmt
Current Tax Year	$844,761	CurrentTaxYearAmt
Total	$4,093,944	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$19,717,766	TotalSupportAmt
Gross Receipts Rltd Activities	$3,491,193,698	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.46075	PublicSupportCY170Pct
Public Support PY170	0.46883	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

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$79,152	FilingOrganizationsTotalAmt
Affiliated Group Total	$79,152	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$79,152	FilingOrganizationsTotalAmt
Affiliated Group Total	$79,152	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$722,766,241	FilingOrganizationsTotalAmt
Affiliated Group Total	$724,946,960	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$722,845,393	FilingOrganizationsTotalAmt
Affiliated Group Total	$725,026,112	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	$113,914	CurrentYearMinus3Amt
Current Year Minus2	$133,289	CurrentYearMinus2Amt
Current Year Minus1	$97,499	CurrentYearMinus1Amt
Current Year	$79,152	CurrentYearAmt
Total	$423,854	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 IN ORDER TO SECURE APPROPRIATED FUNDS FOR THE LEVEL II TRAUMA CENTER, AS WELL AS PORTIONS OF VHA AND FLORIDA HOSPITAL ASSOCIATION (FHA) MEMBERSHIP DUES ALLOCATED TO LOBBYING EXPENSES.	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	$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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,134,085	BeginningYearBalanceAmt
Contributions	$195,126	ContributionsAmt
Investment Earnings Or Losses	$198,103	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,000	OtherExpendituresAmt
End Year Balance	$7,521,314	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,171,531	BeginningYearBalanceAmt
Contributions	$375,335	ContributionsAmt
Investment Earnings Or Losses	$94,119	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,506,900	OtherExpendituresAmt
End Year Balance	$7,134,085	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,953,457	BeginningYearBalanceAmt
Contributions	$23,477	ContributionsAmt
Investment Earnings Or Losses	$194,597	InvestmentEarningsOrLossesAmt
End Year Balance	$9,171,531	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,742,748	BeginningYearBalanceAmt
Contributions	$88,362	ContributionsAmt
Investment Earnings Or Losses	$122,347	InvestmentEarningsOrLossesAmt
End Year Balance	$8,953,457	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,162,555	OtherCostOrOtherBasisAmt
Book Value	$17,162,555	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$333,140,996	OtherCostOrOtherBasisAmt
Depreciation	$175,490,391	DepreciationAmt
Book Value	$157,650,605	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,942,919	OtherCostOrOtherBasisAmt
Depreciation	$2,299,854	DepreciationAmt
Book Value	$4,643,065	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$259,774,744	OtherCostOrOtherBasisAmt
Depreciation	$195,885,931	DepreciationAmt
Book Value	$63,888,813	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$113,217,364	OtherCostOrOtherBasisAmt
Book Value	$113,217,364	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$356,562,402	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
DEBT RESERVE FUND	$8,040,744
SWAP COLLATERAL	$659,443
DEPOSITS AND OTHER ASSETS	$10,234,870
OTHER RECEIVABLES	$7,217,857
SELF INSURANCE TRUST FUND	$4,885,333
DUE FROM MEDICARE	$6,517,083
UNEXPENSES CONSTRUCTION FUND	$178,276,795

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$215,832,125	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
WORKER'S COMP SELF INSURANCE	$1,837,286
PROFESSIONAL LIABILITY SELF IN	$24,013,050
MIN PENSION LIABILITY	$24,782,732
OBLIGATION FOR SUPPLEMENTAL EX	$4,053,011
DEFFERRED COMP ARRANGEMENT	$3,123,826
ASSET RETIREMENT OBLIGATION	$380,000
AHCA ASSESSMENT	$3,567,576
OTHER LIABILITIES	$9,511,070
SECURITY DEPOSITS	$2,500

Field	Value	IRS element (for citing)
Total Liability	$71,271,051	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	Insurance Coverage	SpecificServicesProvidedTxt
Region Total Expenditures	$957,500	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$957,500	SubtotalSpentAmt
Total Spent	$957,500	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	$23,804,491	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,804,491	NetCommunityBenefitExpnsAmt
Total Expense	0.03960	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,633,667	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,806,949	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,826,718	NetCommunityBenefitExpnsAmt
Total Expense	0.02470	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,438,158	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,806,949	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,631,209	NetCommunityBenefitExpnsAmt
Total Expense	0.06430	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,649,147	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,998,595	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,650,552	NetCommunityBenefitExpnsAmt
Total Expense	0.01770	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$92,665,494	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,314,439	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,351,055	NetCommunityBenefitExpnsAmt
Total Expense	0.06050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,314,641	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$59,313,034	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,001,607	NetCommunityBenefitExpnsAmt
Total Expense	0.07820	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$196,752,799	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$111,119,983	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$85,632,816	NetCommunityBenefitExpnsAmt
Total Expense	0.14250	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$482,587	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$482,587	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$482,587	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$482,587	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$122,307,863	BadDebtExpenseAmt
Bad Debt Expense Attributable	$24,910,073	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$104,518,731	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$113,553,515	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,034,784	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)
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	15	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	15	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
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 SECOND COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING THE YEAR ENDING SEPTEMBER 30, 2016. YOU MAY FIND THE COMPREHENSIVE RESULTS AT https://www.tmh.org/about-us/community-reports/community-need-report TO SUMMARIZE THE REPORT, TMH USED A VARIETY OF ASSESSMENT TOOLS TO DETERMINE THE NEEDS OF ITS COMMUNITY. AMONG THOSE ASSESSMENT TOOLS UTILIZED INCLUDED: - LEON COUNTY COLLABORATIVE DATA, 2016 - STEP UP FOR GADSDEN GOALS AND STRATEGIES, 2016 - COUNTYHEALTHRANKINGS.ORG, 2016 - FLORIDA CHARTS COUNTY MINORITY HEALTH PROFILE, 2014 - GADSDEN COUNTY COMMUNITY HEALTH COUNCIL, 2016 - JEFFERSON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN, 2015 - TALLAHASSEE MEMORIAL COMMUNITY SURVEY, 2016 - TALLAHASSEE MEMORIAL COMMUNITY MEETINGS, 2016 - INTERVIEWS WITH MAYOR OF TALLAHASSEE AND CHAIR LEON COUNTY COMMISSION THE COMMUNITY HEALTH ASSESSMENT SURVEY CONSISTED OF 94 QUESTIONS ABOUT VARIOUS HEALTH TOPICS. THE SURVEY INSTRUMENT WAS ADAPTED FROM THE TOOLS CREATED BY HOUSTON DEPARTMENT OF HEALTH AND HUMAN SERVICES, FLORIDA DEPARTMENT OF HEALTH IN SARASOTA COUNTY, AND PACE-EH. QUESTIONS WERE SAMPLED FROM MODEL INSTRUMENTS THAT HAD BEEN PREVIOUSLY TESTED FOR VALIDITY. THE SURVEY HAD NINE SECTIONS: 1) ENVIRONMENTAL HEALTH/BUILT ENVIRONMENT; 2) CHILDRENS CONCERNS; 3) ACCESS TO CARE; 4) HEALTH AND WELLBEING; 5) HEALTH-RELATED BEHAVIORS; AND 6) DEMOGRAPHICS. QUESTIONS WERE PRIMARILY MULTIPLE CHOICE, WITH SELECT OPEN-ENDED OPPORTUNITIES. SURVEYS WERE ALL CODED WITH A UNIQUE IDENTIFICATION NUMBER. OF THE 330 SURVEYS ATTEMPTED IN SIX CENSUS TRACTS, 300 WERE COMPLETED. DURING THE COMMUNITY MEETINGS, RESIDENTS WERE PRESENTED WITH THE MAIN FINDINGS FROM THE CHA QUANTITATIVE SURVEY RESULTS. AFTER A PRESENTATION OF RESULTS AND SUPPORTING DATA, ATTENDEES AT EACH MEETING PARTICIPATED IN A FOCUSED CONVERSATION AND CONSENSUS BUILDING WORKSHOP. THE PROCESS FOLLOWED THE TECHNOLOGY OF PARTICIPATION FRAMEWORK. INDIVIDUALS WERE ASKED TO CONSIDER THE FOLLOWING SERIES OF QUESTIONS: - WHAT INFORMATION STOOD OUT TO YOU? - WHERE ARE YOU REALLY CLEAR? WHERE ARE YOU CONFUSED? WHAT CONCERNS YOU? WHAT FEELS CRITICAL? - WHAT QUESTIONS DID THIS RAISE FOR YOU? WHAT OTHER THINGS DO WE NEED TO CONSIDER? - WHAT SEEMS TO BE THE MOST CRITICAL ISSUE OR CONCERN FOR THE COMMUNITY? ATTENDEES WERE ASKED TO WRITE THEIR MOST CRITICAL CONCERNS INDIVIDUALLY ON SEPARATE PIECED OF PAPER. AFTERWARDS, THEY WERE GIVEN A CHANCE TO GROUP SIMILAR ISSUES/CONCERNS TOGETHER. ALL PARTICIPANTS HAD AN OPPORTUNITY TO AGREE OR DISAGREE WITH THE SIMILARITY BETWEEN ITEMS. AFTER ALL CONCERNS WERE GROUPED BY SIMILARITY, ATTENDEES WERE INSTRUCTED TO NAME EACH GROUP. THE WORDING DESCRIBED THEIR ANSWER TO THE ORIGINAL QUESTION WHAT ARE THE MOST CRITICAL ISSUES/PROBLEMS IN YOUR COMMUNITY? THESE RESULTS ALONG WITH THE OBJECTIVE DATA ANALYSIS INFORMED THE DEVELOPMENT OF THE COMMUNITY HEALTH IMPROVEMENT PLAN. TMH COLLABORATED WITH VARIOUS ORGANIZATIONS IN ORDER TO COMPLETE ITS CHNA. PLEASE SEE THE MOST RECENTLY COMPLETED CHNA FOR THIS INFORMATION: 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 11 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA)	TALLAHASSEE MEMORIAL HEALTHCARE ("TMH") CONDUCTED THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN 2016. IDENTIFICATION OF FIVE KEY HEALTH PRIORITIES EVOLVED FOLLOWED BY CREATION OF A 2017-2019 IMPLEMENTATION PLAN TO ADDRESS EACH OF THESE PRIORITY AREAS. THE FIVE KEY HEALTH PRIORITIES ARE (1) CHILDRENS CONCERNS (2) PERSONAL HEALTH (3) BEHAVIORAL HEALTH (4) ACCESS TO CARE AND (5) TOBACCO FREE. TMH SERVICE LINES WORK IN PARTNERSHIP WITH MANY COMMUNITY BASED ORGANIZATIONS TO ADDRESS THESE HEALTH NEEDS. THE FOLLOWING IS AN UPDATE OF PROGRESS MADE IN EACH PRIORITY AREA DURING FISCAL YEAR 2017. (1) CHILDRENS CONCERNS THE LONG-TERM GOAL FOR PRIORITY AREA, CHILDRENS CONCERNS, IS TO IMPROVE BREASTFEEDING RATES FOR MATERNAL PATIENTS. ONE STRATEGY IMPLEMENTED TO ADDRESS THIS GOAL IS TO ACHIEVE THE BABY FRIENDLY HOSPITAL DESIGNATION FROM THE WORLD HEALTH ORGANIZATION (WHO) AND UNITED NATIONS CHILDRENS FUND (UNICEF). BABY FRIENDLY IS A GLOBAL PROGRAM RECOGNIZING HOSPITALS AND BIRTHING CENTERS OFFERING AN OPTIMAL LEVEL OF CARE FOR INFANT FEEDING AND MOTHER/BABY BONDING. TMH IS THE ONLY HOSPITAL IN TALLAHASSEE CURRENTLY WORKING TO OBTAIN THE BABY-FRIENDLY HOSPITAL DESIGNATION WHICH LESS THAN 24 PERCENT OF FACILITIES WORLDWIDE HOLD. TMH IS COMMITTED TO BECOME THE REGIONS FIRST BABY-FRIENDLY HOSPITAL. DURING FISCAL YEAR 2017, IN PREPARATION FOR THE BABY FRIENDLY SITE VISIT, TMH WORKED TO IMPLEMENT ALL "10 STEPS TO SUCCESSFUL BREASTFEEDING" REQUIRED TO ACHIEVE BABY FRIENDLY DESIGNATION. THESE STEPS INCLUDE WRITTEN BREASTFEEDING POLICY, STAFF TRAINING, EDUCATION FOR MOMS AND PROVISION OF NOTHING BUT BREAST MILK FOR BABY UNLESS MEDICALLY INDICATED. TO CONTINUE SUPPORT FOR BREASTFEEDING ONCE MOM AND BABY HAVE LEFT THE HOSPITAL, TMH OFFERS "MILK WITH MOMMY", A FREE BREASTFEEDING SUPPORT GROUP THAT MEETS TWICE A WEEK AND IS LED BY A CERTIFIED LACTATION CONSULTANT. MILK WITH MOMMY IS OPEN TO ANYONE IN THE COMMUNITY AND OFFERS A CASUAL ENVIRONMENT FOR MOMS AND BABIES TO CONNECT WITH EACH OTHER. SINCE MEASURING HOW MUCH MILK A BABY RECEIVES CAN BE A CHALLENGE WHEN BREASTFEEDING, WE PROVIDE AN INFANT SCALE TO WEIGH A BABY BEFORE AND AFTER FEEDING. THIS VENUE ALSO PROVIDES A SOCIAL OUTLET FOR MOMS DURING THEIR TRANSITION AFTER DELIVERY. PARTICIPATION IN SUPPORT GROUPS HAS BEEN STABLE OVER THE LAST FEW YEARS WITH APPROXIMATELY 2,300 MOTHERS ATTENDING IN FISCAL YEAR 2017. OVER THE LAST TWO YEARS, TMH HAS EXPERIENCED SIGNIFICANT IMPROVEMENT IN TWO IMPORTANT MEASURES: INDUCTIONS AND BREASTFEEDING RATES. THERE HAS BEEN A REDUCTION OF NON-MEDICALLY INDICATED INDUCTIONS BEFORE 39 WEEKS FROM 7 PERCENT TO 4 PERCENT AND THE NUMBER OF MOTHERS WHO ATTEMPTED BREASTFEEDING DURING THEIR STAY INCREASED FROM 41 PERCENT TO 49 PERCENT. IN ADDITION, ALL NEW MOTHERS RECEIVE SAFE SLEEP EDUCATION IN THEIR TAKE-HOME PACKET. ANOTHER STRATEGY FOR THE CHILDRENS CONCERNS HEALTH PRIORITY IS INCREASING ACCESS TO PRENATAL SERVICES FOR LOW INCOME AND VULNERABLE POPULATIONS. THE TMH FAMILY PRACTICE RESIDENCY PROGRAM PARTNERS WITH FIVE COUNTY HEALTH DEPARTMENTS, INCLUDING GADSDEN, JEFFERSON, MADISON, TAYLOR AND WAKULLA COUNTIES, TO PROVIDE FULL SCOPE PRENATAL CARE, COUNSELING AND BIRTH CONTROL TO MEDICALLY UNDERSERVED MOTHERS. FAMILY PRACTICE RESIDENTS PROVIDE THESE SAME SERVICES AT BOND COMMUNITY HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER ("FQHC") IN LEON COUNTY. IN FISCAL YEAR 2017, OVER 1,900 WOMEN RECEIVED SERVICES FROM THE TMH RESIDENCY PARTNERSHIP WITH COUNTY HEALTH DEPARTMENTS. THE NUMBER OF WOMEN RECEIVING SERVICES WAS STABLE FROM 2016. IN 2017, TMH DEDICATED APPROXIMATELY 1150 PHYSICIAN HOURS, 380 NURSE PRACTITIONER HOURS AND OVER 450 NURSE HOURS TO THIS PRENATAL CARE. IN ADDITION, OVER 750 PHYSICIAN HOURS WERE DEVOTED TO CARING FOR 600 WOMEN AT BOND COMMUNITY HEALTH CENTER, FQHC, IN 2017. IN ADDITION TO THESE STRATEGIES OUTLINED IN OUR 2017-2019 IMPLEMENTATION STRATEGY, TMH ALSO SUPPORTS AND HOSTS OTHER HEALTH PROMOTION EVENTS IN THE COMMUNITY, SUCH AS THE MARCH OF DIMES WALK AND THE BABY AND FAMILY FAIR. EACH YEAR, TMH COLLEAGUES PARTICIPATE IN THE MARCH OF DIMES FUNDRAISING WALK. IN 2017, TMH COLLEAGUES RAISED $15,800, INCLUDING $10,000 SPONSORSHIP FROM TMH. THE MARCH OF DIMES USES FUNDS RAISED TO SUPPORT PROGRAMS AND SERVICES THAT BENEFIT LOCAL FAMILIES. ONE EXAMPLE IS A MONTHLY DINNER FOR THE NICU PARENTS AT TMH. CURRENT MARCH OF DIMES CAMPAIGNS ALSO INCLUDE SUPPORT FOR EDUCATION OF HEALTH CARE PROVIDERS AND CONSUMERS AGAINST NON-MEDICALLY INDICATED INDUCTIONS BEFORE 39 WEEKS. THE BABY & FAMILY FAIR IS A TMH ANNUAL EDUCATION AND HEALTH EVENT FOR BOTH EXPECTANT PARENTS AND FAMILIES WITH CHILDREN OF ALL AGES. IT SHOW CASES PRODUCTS AND SERVICES FOR THOSE WHO ARE MAKING IMPORTANT DECISIONS ABOUT PREGNANCY, CHILDBIRTH AND RAISING A FAMILY. APPROXIMATELY 400 FAMILIES PARTICIPATED IN THE BABY & FAMILY FAIR IN 2017. (2) PERSONAL HEALTH THE LONG-TERM GOAL FOR THE PRIORITY AREA, PERSONAL HEALTH, IS TO IMPROVE NUTRITION OF COMMUNITY MEMBERS IN AN EFFORT TO REDUCE THE IMPACT OF CHRONIC CONDITIONS SUCH AS DIABETES, OBESITY AND CARDIOVASCULAR DISEASE. IN 2015, TMH CREATED THE TMH FOR LIFE PROGRAM TO PROMOTE PERSONAL HEALTH AND IMPROVE HEALTH BEHAVIORS IN THE COMMUNITY. THE PROGRAM HAS FOUR QUADRANTS: HEALTHY EATING, ACTIVE LIVING, FIND YOUR HAPPY AND KNOW YOUR NUMBERS. THE QUADRANTS ARE DESIGNED TO OFFER SIMPLE MESSAGING, MOTIVATION AND EDUCATION. TMH FOR LIFE PROGRAM HOSTS EVENTS THAT ARE HANDS-ON AND EXPERIENTIAL; THEREFORE, PROVIDING PERSONAL ENGAGEMENT IN A HEALTH ENHANCING ACTIVITY SUCH AS WALKING, RUNNING, STRESS RELIEVING PRACTICE, GROCERY SHOPPING OR NUTRITIOUS EATING AND COOKING. IN 2017, TMH FOCUSED EFFORTS ON THE "HEALTHY EATING" QUADRANT WITH TWO MAIN STRATEGIES. ONE STRATEGY WAS TO ESTABLISH AND INCREASE PARTICIPATION IN A NUTRITION EDUCATION PROGRAM FOR SCHOOL AGE CHILDREN. THE SECOND STRATEGY WAS TO CONTINUE AND INCREASE PARTICIPATION IN GROCERY STORE TOURS IN LOW-INCOME, UNDERSERVED COMMUNITIES. TO ADDRESS THE FIRST STRATEGY, TMH HAS TEAMED UP WITH WOLFSON CHILDRENS HOSPITAL TO OFFER A RANGE OF AGE-APPROPRIATE, SCHOOL-BASED LESSONS THAT ENCOURAGE AND EMPOWER CHILDREN TO DEVELOP HEALTHY NUTRITION HABITS AND VITAL SAFETY SKILLS THAT IMPROVE OVERALL PHYSICAL AND SOCIAL WELL-BEING. IN 2017, TMH HIRED A CHILD HEALTH PROMOTION SPECIALIST TO DEVELOP AND EXECUTE THIS ROLE. THE PRIMARY FOCUS IN 2017 WAS BUILDING PARTNERSHIPS AND COLLABORATIVE RELATIONSHIPS WITH THE FOLLOWING: EARLY LEARNING COALITION, WHOLE CHILD LEON, EARLY CHILDHOOD OBESITY PREVENTION, SAFE KIDS COALITION AND LEON COUNTY SCHOOLS. IN 2018 AND BEYOND, THE CHILD HEALTH PROMOTION SPECIALIST WILL BEGIN OFFERING NUTRITION EDUCATION TO SCHOOL AGE CHILDREN USING TWO CURRICULUMS ENTITLED " I CAN EAT A RAINBOW"MISSION NUTRITION". FOR THE SECOND STRATEGY, IN 2017, THE TMH FOR LIFE PROGRAM HOSTED 18 GROCERY STORE TOURS LEAD BY A TEAM OF REGISTERED DIETITIANS. THE GOAL OF THE TOUR WAS TO EDUCATE THE PARTICIPANTS ON HOW TO READ THE NUTRITION FACTS LABEL, WHILE STILL FINDING CONVENIENT WAYS TO COOK AND SAVE. THIS INTERACTIVE, HANDS-ON EXPERIENCE ATTRACTED OVER 100 PEOPLE TO LEARN SIMPLE WAYS TO MAKE A LARGE IMPACT ON THEIR OVERALL HEALTH AND LIFESTYLE. APPROXIMATELY 25% OF PARTICIPANTS COMPLETED THE POST SURVEY. RESULTS SHOWED 20% INCREASE IN PARTICIPANTS STATING THAT THEY ATE 3-4 SERVINGS/DAY OF FRUITS AND VEGETABLES; 39% INCREASE IN PEOPLE STATING THEY READ THE NUTRITION FACTS LABEL MOST OF THE TIME (75-100% OF THE TIME); 32% INCREASE IN PEOPLE STATING THEY HAVE PURCHASED ITEMS WITH LOWER SODIUM AND 96% STATE THEY FEEL MORE CONFIDENT CHOOSING HEALTHIER ITEMS WHILE AT THE GROCERY STORE. IN ADDITION TO THE PERSONAL HEALTH STRATEGIES OUTLINED IN THE 2017-2019 IMPLEMENTATION PLAN, THE TMH FOR LIFE INITIATIVE FUNDS AND SUPPORTS A ROBUST SELECTION OF EVENTS AND PROGRAMS PROMOTING COMMUNITY HEALTH AND WELLNESS. IN 2017, TMH CONTINUED PARTICIPATION ON THE LOCAL INVEST HEALTH TEAM WORK WHICH BEGAN IN 2016. INVEST HEALTH IS A COLLABORATIVE INITIATIVE BETWEEN THE ROBERT WOOD JOHNSON FOUNDATION AND REINVESTMENT FUND THAT BRINGS TOGETHER DIVERSE LEADERS FROM MID-SIZED U.S. CITIES ACROSS THE NATION TO DEVELOP NEW STRATEGIES FOR INCREASING AND LEVERAGING PRIVATE AND PUBLIC INVESTMENTS TO ACCELERATE IMPROVEMENTS IN NEIGHBORHOODS FACING THE BIGGEST BARRIERS TO BETTER HEALTH. FIFTY MID-SIZED CITIES WERE SELECTED TO PARTICIPATE IN THIS LEARNING GRANT. TMH SERVED AS THE ANCHOR INSTITUTION FOR THE TALLAHASSEE INVEST HEALTH TEAM WHICH INCLUDED MEMBERS FROM FLORIDA A&M UNIVERSITY, CITY OF TALLAHASSEE AND DEPARTMENT OF HEALTH, LEON COUNTY. MEMBERS OF THE TALLAHASSEE TEAM TRAVELED TO NATIONAL CONVENINGS AND REGIONAL POD CONVENINGS TO LEARN ABOUT SOCIAL DETERMINANTS OF HEALTH, HEALTH DISPARITIES AND OBSERVE SOLUTIONS OTHER CITIES HAVE IMPLEMENTED TO TACKLE THESE PROBLEMS. THE TALLAHASSEE TEAM CHOSE TO FOCUS EFFORTS ON FRESH FRUIT AND VEGETABLE ACCESS IN SOUTHSIDE TALLAHASSEE. THIS COMMUNITY HAS EXPERIENCED TWO GROCERY STORES CLOSE IN
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 (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7 (BAD DEBT EXPENSE COSTING METHODOLOGY USED)	THE BAD DEBT EXPENSE AMOUNT INCLUDED ON FORM 990, PART IX, COLUMN 25(A) WAS $122,307,863 FOR THE YEAR ENDED SEPTEMBER 30, 2017. 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. -------------------- PART II (DETAIL OF COMMUNITY BUILDING ACTIVITIES) AS PART OF ITS COMMUNITY BENEFIT PROGRAM, TMH AND ITS COLLEAGUES CONTRIBUTE BOTH TIME AND DOLLARS TO A VARIETY OF LOCAL NONPROFIT ORGANIZATIONS, PARTICULARLY THOSE WHOSE MISSIONS HELP IMPROVE THE HEALTH AND WELFARE OF OUR COMMUNITY. DURING THE FISCAL YEAR, TMH CONTRIBUTED SIGNIFICANTLY IN CASH AND IN-KIND DONATIONS, INCLUDING ADMINISTRATIVE SUPPORT, TO MORE THAN 25 DIFFERENT NONPROFIT ORGANIZATIONS. SOME OF THE ORGANIZATIONS THAT BENEFITTED FROM THE GENEROSITY OF TMH COLLEAGUES WERE THE FOLLOWING: ALZHEIMER'S PROJECT AMERICAN CANCER SOCIETY AMERICAN HEART ASSOCIATION AMERICAN LUNG ASSOCIATION BIG BEND HOSPICE, INC. BOND COMMUNITY HEALTH CENTER CHILDREN'S HOME SOCIETY DOWN'S SYNDROME ASSOCIATION FOUNDATION FOR LEON COUNTY SCHOOLS FSU DANCE MARATHON /CHILDREN'S MIRACLE NETWORK LEUKEMIA & LYMPHOMA SOCIETY MARCH OF DIMES MEALS ON WHEELS RONALD MCDONALD HOUSE ROTARY CLUB SICKLE CELL FOUNDATION TALLAHASSEE SENIOR CENTER UNITED WAY OF THE BIG BEND --------------------
PART III, SECTION A, LINE 1 (BAD DEBT EXPENSE)	TMH REPORTS BAD DEBT EXPENSE IN ACCORDANCE WITH GAAP AND AICPA GUIDELINES. HFMA STATEMENT NO. 15 HAS NOT BEEN ADOPTED BY THE AICPA. --------------- PART III, SECTION A, LINE 2 (BAD DEBT EXPENSE METHODOLOGY) 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). ---------------
PART III, SECTION A, LINE 4 (BAD DEBT EXPENSE FOOTNOTE)	THE BAD DEBT EXPENSE FOOTNOTE DISCLOSURE CAN BE FOUND ON PAGE 9 OF THE ELECTONICALLY 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)	THE HOSPITAL 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. HTTP://MAP.HEALTHCAREFORFLORIDA.ORG/ 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 (COMMUNITY INFORMATION)	TALLAHASSEE MEMORIAL HEALTHCARE IS LOCATED IN THE CAPITAL CITY OF TALLAHASSEE, FLORIDA, IN THE HEART OF THE STATE'S PANHANDLE. TMH'S PRIMARY SERVICE AREA IS A FOUR-COUNTY REGION (PSA) CONTAINING LEON, GADSDEN, WAKULLA, AND JEFFERSON COUNTIES WITH A POPULATION GREATER THAN 375,000. LEON COUNTY IS THE LARGEST COUNTY IN THE PSA REPRESENTING 75% OF THE FOUR COUNTY POPULATION. BASED IN LEON COUNTY, TMH SERVES A TRULY DIVERSE POPULATION. WITHIN THE FOUR-COUNTY REGION, THE UNEMPLOYMENT RATE RANGES FROM 3.5% TO 5.3%. THE NUMBER OF CHILDREN IN POVERTY RANGES FROM 18% IN LEON COUNTY TO 33% IN GADSDEN COUNTY. THE COLLEGE EDUCATION RATE IS STARKLY DIFFERENT IN THE SURROUNDING COUNTIES (AVERAGE OF 17.7%) COMPARED TO LEON COUNTY AT 45.2%. (SOURCE: FLORIDA OFFICE OF ECONOMIC & DEMOGRAPHIC RESEARCH). THE HOUSEHOLD INCOME IN THESE FOUR COUNTIES RANGES FROM $38,533 TO $54,078. AS THE LARGEST SAFETY NET HOSPITAL IN THE SERVICE AREA SPANNING 17 COUNTIES IN NORTH FLORIDA AND SOUTH GEORGIA, TMH HAS A LONG HISTORY OF IMPROVING HEALTH AND QUALITY OF LIFE THROUGHOUT THE REGION. DURING FISCAL YEAR 2017 BETWEEN, TMH EXPANDED ACCESS TO CARE BY BRINGING NEW PHYSICIANS FACILITIES AND TECHNOLOGIES TO THE AREA AND REACHED THE COMMUNITY WITH EDUCATIONAL EVENTS AND INITIATIVES. 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 NEEDED IN THE COMMUNITY. THE MAJORITY OF THESE SERVICES ARE PROVIDED BY THE METABOLIC HEALTH CENTER, THE TRANSITION CENTER, THE BIXLER TRAUMA & EMERGENCY, THE EMERGENCY CENTER - NORTHEAST AND RURAL CLINICS THROUGHOUT THE BIG BEND. 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 DIABETES CENTER, LOCATED WITHIN THE METABOLIC HEALTH CENTER, HELPS PATIENTS BETTER MANAGE THEIR CONDITION AND AVOID COMPLICATIONS. NEARLY A THIRD OF THE DIABETES CENTER 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. TMH'S RURAL CLINICS, INCLUDING FAMILY MEDICINE PRACTICES IN GADSDEN, JEFFERSON, TAYLOR, WAKULLA, AND CALHOUN COUNTIES ENSURE PATIENTS IN TALLAHASSEES SURROUNDING COMMUNITIES ARE ABLE TO RECEIVE CARE CLOSE TO HOME. SINCE 2009, THE BIXLER TRAUMA & EMERGENCY CENTER HAS OPERATED AS THE REGION'S ONLY LEVEL II TRAUMA CENTER. IN 2013, TMH ALSO OPENED THE EMERGENCY CENTER - NORTHEAST, EXPANDING EMERGENCY CARE OPTIONS FOR OUR SERVICE AREA. IMPROVING ACCESS TO HEALTHCARE: TMH HAS MADE MANY INVESTMENTS IN ORDER TO OFFER THE COMMUNITY GREATER ACCESS TO NEEDED HEALTHCARE SERVICES. IN ADDITION TO THE ESTABLISHMENT OF THE TRANSITION CENTER AND THE RECENT OPENING OF THE EMERGENCY CENTER NORTHEAST, TELEMEDICINE TECHNOLOGIES AND THE CONTINUAL DEVELOPMENT OF RESIDENCY PROGRAMS ALLOW MORE PEOPLE TO RECEIVE CARE AT TMH. VIRTUAL HEALTHCARE TOOLS KNOWN AS TELEMEDICINE ALLOW PHYSICIANS AND HEALTHCARE STAFF TO CONNECT WITH PATIENTS AND FELLOW PHYSICIANS FOR ONLINE CONSULTATIONS GREATLY EXPANDING ACCESS TO CARE FOR RESIDENTS OF OUR RURAL COMMUNITIES. RESIDENCY PROGRAMS IN FAMILY MEDICINE, INTERNAL MEDICINE, GENERAL SURGERY, NURSING, AND PHARMACY IMPROVE ACCESS TO CARE AND HELP DEVELOP THE BIG BEND'S MEDICAL COMMUNITY. TALLAHASSEE MEMORIAL HEALTHCARE IS THE REGION'S SAFETY NET HOSPITAL. TRAUMA AND EMERGENCY SERVICES OPERATE AT A FINANCIAL LOSS. HOWEVER, THE PROVISION OF A DESIGNATED LEVEL II TRAUMA CENTER IS AN ESSENTIAL SERVICE FOR TMH'S SERVICE AREA. THE INCREASED COMPLEXITY AND VOLUME OF CARE PROVIDED IN THE EMERGENCY CENTER QUICKLY CAUSED THE FACILITY TO REACH CAPACITY AND RESULTED IN EXTENDED WAIT TIME FOR EMERGENT PATIENT CARE. BETWEEN THE BIXLER TRAUMA & EMERGENCY CENTER, EMERGENCY CENTER NORTHEAST AND OUR URGENT CARE, OVER 382 PATIENTS ARE SEEN DAILY. TMH'S TRAUMA PROGRAM HAS SEEN A 22 PERCENT INCREASE IN VOLUME SINCE 2014, AND THAT UPWARD TREND CONTINUES. THE MEDIAN PATIENT ARRIVAL TIME TO PATIENT PLACEMENT IN A BED HAS DECREASED TO 18 MINUTES FOR FISCAL YEAR 2017. MEDIAN DOOR TO PROVIDER EVALUATION 39.8 MINUTES. THE EMERGENCY CENTER NORTHEAST HAS CONTINUED TO EVOLVE AND TAKE ON A LARGER PATIENT POPULATION, INCLUDING THE OPENING OF A CHILDRENS EMERGENCY CENTER IN AFFILIATION WITH WOLFSONS CHILDRENS HOSPITAL. THE AVERAGE DAILY PATIENT COUNT WAS 87 IN 2014 AND THEY NOW SEE AN AVERAGE OF 117 PATIENTS A DAY. THIS HAS GREATLY INCREASED THE COMMUNITY ACCESS TO CARE. THE MEDIAN PATIENT ARRIVAL TIME ACCESS TO CARE TO PATIENT PLACEMENT IN A BED IS 18 MINUTES. THE MEDIAN PATIENT ARRIVAL TO PROVIDER EVALUATION TIME IS 35.8 MINUTES. THE NUMBER OF PATIENTS WHO LEFT BEFORE BEING SEEN HAS REMAINED BELOW THE NATIONAL AVERAGE AT 1.85 PERCENT IN 2017. REGIONAL ACCESS TO PHYSICIANS: IN CONTINUATION OF TMH'S COMMITMENT TO IMPROVE ACCESS TO HEALTHCARE IN SURROUNDING RURAL COMMUNITIES, TMH OPERATES FIVE FAMILY MEDICINE PRACTICES THROUGHOUT THE AREA WITH OFFICES LOCATED IN GADSDEN, JEFFERSON, TAYLOR, WAKULLA AND CALHOUN COUNTIES. PHYSICIAN PARTNERS HAS EXPANDED THE REGIONAL REFERRAL PROCESS FOR SPECIALTY CARE FOR THE SERVICE AREA AS WELL. INCLUDING THE SPECIALTIES OF BARIATRICS, CARDIOVASCULAR, ENDOCRINOLOGY, GENERAL SURGERY, GENETICS, MATERNAL-FETAL MEDICINE, NEUROLOGY, ONCOLOGY, NEUROLOGY, PAIN MANAGEMENT, PSYCHIATRY, PULMONARY, RHEUMATOLOGY, UROLOGY AND VASCULAR SURGERY. COMMUNITY INVOLVEMENT: TMH CONTINUES TO BE A KEY HEALTH PARTNER ON LOCAL HEALTH INITIATIVES AND ENCOURAGES PARTICIPATION FROM ITS LEADERS. BOARDS, GROUPS AND COUNCILS THAT WE WERE ACTIVELY ENGAGED IN THIS YEAR INCLUDE BUT ARE NOT LIMITED TO: BIG BEND AIDS ALLIANCE BIG BEND HEALTHCARE COALITION BIG BEND HOSPICE CAPITAL AREA HEALTHY START/MATERNAL CHILD EQUITY COLLABORATIVE CHILDRENS HOME SOCIETY CHOOSE TALLAHASSEE DEPARTMENT OF HEALTH MEDICAL SURGE PROGRAM ADVISORY TEAM -BUREAU OF PREPAREDNESS AND RESPONSE-DIVISION OF EMERGENCY PREPAREDNESS & COMMUNITY SUPPORT DOCTORS MEMORIAL HOSPITAL FAMU ADVISORY BOARD FLORIDA COUNCIL FOR COMMUNITY BEHAVIORAL HEALTH FLORIDA HOSPITAL ASSOCIATION FLORIDA ORGANIZATION OF NURSE EXECUTIVES (FONE) FLORIDA REGIONAL DOMESTIC SECURITY TASKFORCE FLORIDA SMART JUSTICE ALLIANCE FLORIDA SURGEON GENERAL DEPARTMENT OF HEALTH TASK FORCE GADSDEN HEALTH COUNCIL GEORGE E. WEEMS HOSPITAL GOODWILL INDUSTRIES-BIG BEND GOODWOOD MUSEUM & GARDENS GOVERNORS HURRICANE CONFERENCE JUNIOR LEAGUE OF TALLAHASSEE KEISER UNIVERSITY LEADERSHIP TALLAHASSEE LEON COUNTY EMS COLLABORATIVE GROUPS LEON COUNTY BEST PRACTICES IMPLEMENTATION ACADEMY (NATIONAL ASSOCIATION OF COUNTIES) LEON COUNTY SHERIFFS MENTAL HEALTH ADVISORY COMMITTEE MARCH OF DIMES MATERNAL MENTAL HEALTH AND DEPRESSION COALITION REFUGE HOUSE RONALD MCDONALD HOUSE SOUTHEASTERN UROLOGY SURGERY CENTER BOARD TALLAHASSEE CHAMBER OF COMMERCE TALLAHASSEE COMMUNITY COLLEGE FOUNDATION TALLAHASSEE PLASTICS BOARD THE AMERICAN CANCER SOCIETY THE AMERICAN HEART ASSOCIATION THE UNITED WAY OF THE BIG BEND THE MENTAL HEALTH COUNCIL OF THE BIG BEND THOMAS UNIVERSITY UNITED PARTNERS FOR HUMAN SERVICES WHOLE CHILD LEON YOUTH LEADERSHIP TALLAHASSEE EDUCATION & TRAINING PROGRAMS FOR MEDICAL PROFESSIONALS: TMH CONTRIBUTES MILLIONS OF DOLLARS EACH YEAR TO THE CLINICAL EDUCATION OF HEALTHCARE PROFESSIONALS. THIS INCLUDES TRAINING FOR FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE STUDENTS, FLORIDA A&M PHARMACY STUDENTS, HANDS-ON EXPERIENCE FOR NURSES FROM MANY DIFFERENT NURSING SCHOOLS THROUGHOUT NORTH FLORIDA AND SOUTH GEORGIA, AND CONTINUING MEDICAL EDUCATION FOR PHYSICIANS IN OUR COMMUNITY. TMH AWARDED A LAND GRANT TO TALLAHASSEE COMMUNITY COLLEGE (TCC) AS PART OF ITS PLAN TO DEVELOP A HEALTH EDUCATION PARTNERSHIP CAMPUS ON A PORTION OF THE 81.4 ACRES OF UNDEVELOPED LAND IT OWNS BEHIND THE HOSPITAL. IN AUGUST 2011, TMH WELCOMED MORE THAN 400 TCC STUDENTS TO THE HOSPITAL'S CAMPUS WITH THE OPENING OF THE NEW GHAZVINI CENTER FOR HEALTHCARE EDUCATION. THE 85,000-SQUARE-FOOT, THREE-STORY 63COMMONS SIX SIMULATION CENTERS, PLUS ADDITIONAL SPACE FOR EXPANSION AND A 296 SEAT AUDITORIUM. THE CENTER NOW HAS 530 STUDENTS ENROLLED. ONE OF TMH'S MOST SIGNIFICANT CONTRIBUTIONS TO THE EDUCATION FOR HEALTHCARE PROFESSIONALS IS THE TALLAHASSEE MEMORIAL FAMILY MEDICINE RESIDENCY PROGRAM, WHICH TRAINS PHYSICIANS WHO HAVE GRADUATED FROM MEDICAL SCHOOL IN THE SPECIALTY OF FAMILY MEDICINE. THE FAMILY MEDICINE RESIDENCY PROGRAM HAS PRODUCED 391 GRADUATES SINCE ITS INCEPTION IN 1973. OF THOSE, 250 HAVE CHOSEN TO REMAIN IN TMH'S SERVICE AREA HELPING TO ENSURE ACCESS TO PRIMARY HEALTHCARE OF RESIDENTS OF THE BIG BEND. IN THE FALL OF 2011, TALLAHASSEE MEMORIAL AND THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE ESTABLISHED A JOINT INTERNAL MEDICINE RESIDENCY PROGRAM FOR THE BIG BEND REGION. THE INTERNAL MEDICINE RESIDENCY PROGRAM CURRENTLY HAS 25
PART VI. LINE 5 (INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH)	AS THE LARGEST SAFETY NET HOSPITAL IN THE SERVICE AREA SPANNING 17 COUNTIES IN NORTH FLORIDA AND SOUTH GEORGIA, TMH HAS A LONG HISTORY OF IMPROVING HEALTH AND QUALITY OF LIFE THROUGHOUT THE REGION. DURING FISCAL YEAR 2016, TMH EXPANDED ACCESS TO CARE BY BRINGING NEW PHYSICIANS FACILITIES AND TECHNOLOGIES TO THE AREA AND REACHED THE COMMUNITY WITH EDUCATIONAL EVENTS AND INITIATIVES. 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 NEEDED IN THE COMMUNITY. THE MAJORITY OF THESE SERVICES ARE PROVIDED BY THE DIABETES CENTER, THE NEUROSCIENCE CENTER, THE TRANSITION CENTER, THE BIXLER TRAUMA & EMERGENCY, THE EMERGENCY CENTER - NORTHEAST AND RURAL CLINICS THROUGHOUT THE BIG BEND. 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 DIABETES CENTER HELPS PATIENTS BETTER MANAGE THEIR CONDITION AND AVOID COMPLICATIONS. NEARLY A THIRD OF THE DIABETES CENTER PATIENTS ACCESS CARE THROUGH SUBSIDIZED SERVICES. THE NEUROSCIENCE CENTER PROVIDES A VARIETY OF SUPPORT SERVICES TO PATIENTS WITH INJURIES AND CONDITIONS AFFECTING BRAIN AND NERVOUS SYSTEM. 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. TMH'S RURAL CLINICS, INCLUDING FAMILY MEDICINE PRACTICES IN GADSDEN, JEFFERSON, TAYLOR, WAKULLA, AND CALHOUN COUNTIES ENSURE PATIENTS IN TALLAHASSEE'S SURROUNDING COMMUNITIES ARE ABLE TO RECEIVE CARE CLOSE TO HOME. SINCE 2009, THE TALLAHASSEE MEMORIAL BIXLER TRAUMA & EMERGENCY CENTER HAS OPERATED AS THE REGION'S ONLY LEVEL II TRAUMA CENTER. IN 2013, TMH ALSO OPENED THE EMERGENCY CENTER - NORTHEAST, EXPANDING EMERGENCY CARE OPTIONS FOR OUR SERVICE AREA. IMPROVING ACCESS TO HEALTHCARE TMH HAS MADE MANY INVESTMENTS IN ORDER TO OFFER THE COMMUNITY GREATER ACCESS TO NEEDED HEALTHCARE SERVICES. IN ADDITION TO THE ESTABLISHMENT OF THE TRANSITION CENTER AND THE RECENT OPENING OF THE TALLAHASSEE MEMORIAL EMERGENCY CENTER - NORTHEAST TELEMEDICINE TECHNOLOGIES AND THE CONTINUAL DEVELOPMENT OF RESIDENCY PROGRAMS ALLOW MORE PEOPLE TO RECEIVE CARE AT TMH. VIRTUAL HEALTHCARE TOOLS KNOWN AS TELEMEDICINE ALLOW PHYSICIANS TO CONNECT WITH PATIENTS AND FELLOW PHYSICIANS FOR ONLINE CONSULTATIONS GREATLY EXPANDING ACCESS TO CARE FOR RESIDENTS OF OUR RURAL COMMUNITIES. RESIDENCY PROGRAMS IN FAMILY MEDICINE, INTERNAL MEDICINE, GENERAL SURGERY, NURSING, AND PHARMACY IMPROVE ACCESS TO CARE AND HELP DEVELOP THE BIG BEND'S MEDICAL COMMUNITY. PROVIDING THE MOST COMPREHENSIVE EMERGENCY SERVICES PROGRAM IN THE REGION TALLAHASSEE MEMORIAL HEALTHCARE IS THE REGIONS SAFETY NET HOSPITAL. TRAUMA AND EMERGENCY SERVICES OPERATE AT A FINANCIAL LOSS. HOWEVER, THE PROVISION OF A DESIGNATED LEVEL II TRAUMA CENTER IS AN ESSENTIAL SERVICE FOR TMHS SERVICE AREA. THE INCREASED COMPLEXITY AND VOLUME OF CARE PROVIDED IN THE EMERGENCY CENTER QUICKLY CAUSED THE FACILITY TO REACH CAPACITY AND RESULTED IN EXTENDED WAIT TIME FOR EMERGENT PATIENT CARE. BETWEEN THE BIXLER TRAUMA & EMERGENCY CENTER, EMERGENCY CENTER NORTHEAST AND URGENT CARE, OVER 379 PATIENTS ARE SEEN DAILY. TMHS TRAUMA PROGRAM HAS SEEN A 26 PERCENT INCREASE IN VOLUME SINCE 2013, AND THAT UPWARD TREND CONTINUES. THE MEDIAN PATIENT ARRIVAL TIME TO PATIENT PLACEMENT IN A BED HAS DECREASED BY SIX MINUTES AT THE BIXLER TRAUMA & EMERGENCY CENTER FROM 2013 TO 2015. THE NUMBER OF PATIENTS THAT LEFT WITHOUT BEING SEEN HAS INCREASED FROM 4.6 PERCENT IN 2013 TO 6.5 PERCENT IN 2016 BECAUSE OF SIGNIFICANT INCREASES IN ORGANIZATIONAL PATIENT VOLUME. THE EMERGENCY CENTER NORTHEAST, WHICH OPENED IN AUGUST OF 2013, HAS CONTINUED TO EVOLVE AND TAKE ON A LARGER PATIENT POPULATION. THE AVERAGE DAILY PATIENT COUNT WAS 87 IN 2014 AND THEY NOW SEE AN AVERAGE OF 125 PATIENTS A DAY. THIS HAS GREATLY INCREASED THE COMMUNITY ACCESS TO CARE. THE MEDIAN PATIENT ARRIVAL TIME ACCESS TO CARE TO PATIENT PLACEMENT IN A BED IS 12 MINUTES. THE MEDIAN PATIENT ARRIVAL TO PROVIDER EVALUATION TIME IS 14 MINUTES. THE NUMBER OF PATIENTS WHO LEFT BEFORE BEING SEEN HAS REMAINED BELOW THE NATIONAL AVERAGE AT 1.85 PERCENT IN 2016. TMH INTRODUCED THE BEHAVIORAL HEALTH ACCESS CENTER IN 2013 TO PROVIDE IMPROVED ACCESS AND QUALITY OF CARE FOR MENTAL HEALTH EMERGENCIES OCCURRING THROUGHOUT THE BIG BEND REGION. APPROPRIATE PATIENTS WHO DO NOT REQUIRE EMERGENCY CARE CAN MOVE DIRECTLY TO THE ACCESS CENTER. BEHAVIORAL HEALTH ACCESS CENTER HAS DECREASED BEHAVIORAL HEALTH VOLUMES IN THE BIXLER TRAUMA & EMERGENCY CENTER BY 64 PERCENT, IMPROVING TIMELY ACCESS TO CARE FOR ALL PATIENT POPULATIONS. CONTINUING DEVELOPMENT OF THE STRATEGIC TMH PHYSICIAN PARTNERS REGIONAL EXPANSION PLAN IN CONTINUATION OF TMHS COMMITMENT TO IMPROVE ACCESS TO HEALTHCARE IN SURROUNDING RURAL COMMUNITIES, TMH OPERATES FIVE FAMILY MEDICINE PRACTICES THROUGHOUT THE AREA WITH OFFICES LOCATED IN GADSDEN, JEFFERSON, TAYLOR, WAKULLA AND CALHOUN COUNTIES. THROUGH OUR PRIMARY CARE RECRUITMENT EFFORTS IN RURAL COMMUNITIES, AND THE ADDITION OF NEW PROVIDERS, PATIENT VISITS WERE INCREASED BY OVER 3,128 VISITS OR 4 PERCENT OVER THE THREE-YEAR PERIOD. PHYSICIAN PARTNERS HAS EXPANDED THE REGIONAL REFERRAL PROCESS FOR SPECIALTY CARE IN RURAL COMMUNITIES AS SEEN BY THE INCREASE OF PATIENT VISITS OVER THE THREE-YEAR PERIOD. TMH CONTINUES TO BE A KEY HEALTH PARTNER ON LOCAL HEALTH INITIATIVES AND GROUPS SUCH AS THE UNITED WAY HEALTH COUNCIL, THE GADSDEN HEALTH COUNCIL, THE LEON COUNTY COMMISSION HEALTH NETWORK GROUP AND THE BOARDS OF BOTH DOCTORS MEMORIAL HOSPITAL AND THE GEORGE E. WEEMS HOSPITAL. TALLAHASSEE MEMORIAL ACCESS TO CARE HEALTHCARE WAS ALSO INSTRUMENTAL IN DEVELOPING A COMMUNITY ACTION GROUP ANCHORED BY SEVERAL COMMUNITY AGENCIES AND COMPANIES IN GADSDEN COUNTY CALLED STEP-UP FOR GADSDEN WITH THE AIM OF HELPING PEOPLE WHO LIVE IN GENERATIONAL POVERTY OBTAIN SUSTAINABILITY. CONTINUE TO BUILD THE TMH/FSU PHYSICIAN RESIDENCY PROGRAMS TMH CONTRIBUTES MILLIONS OF DOLLARS EACH YEAR TO THE CLINICAL EDUCATION OF HEALTHCARE PROFESSIONALS. THIS INCLUDES TRAINING FOR FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE STUDENTS, FLORIDA A&M PHARMACY STUDENTS, HANDS-ON EXPERIENCE FOR NURSES FROM MANY DIFFERENT NURSING SCHOOLS THROUGHOUT NORTH FLORIDA AND SOUTH GEORGIA, AND CONTINUING MEDICAL EDUCATION FOR PHYSICIANS IN OUR COMMUNITY. TMH HAS AWARDED A LAND GRANT TO TALLAHASSEE COMMUNITY COLLEGE (TCC) AS PART OF ITS PLAN TO DEVELOP A HEALTH EDUCATION PARTNERSHIP CAMPUS ON A PORTION OF THE 81.4 ACRES OF UNDEVELOPED LAND IT OWNS BEHIND THE HOSPITAL. IN AUGUST 2011, TMH WELCOMED MORE THAN 400 TCC STUDENTS TO THE HOSPITAL'S CAMPUS WITH THE OPENING OF THE NEW GHAZVINI CENTER FOR HEALTHCARE EDUCATION. THE 85,000-SQUARE-FOOT, THREE-STORY EDUCATIONAL CENTER INCLUDES SIX CLASSROOMS, 13 LABORATORIES, A MULTI-PURPOSE LIBRARY AND LEARNING COMMONS SIX SIMULATION CENTERS, PLUS ADDITIONAL SPACE FOR EXPANSION AND A 296 -SEAT AUDITORIUM. THE CENTER IS EXPECTED TO BE HOME TO AS MANY AS 900 STUDENTS WITHIN FIVE YEARS. ONE OF TMH'S MOST SIGNIFICANT CONTRIBUTIONS TO THE EDUCATION FOR HEALTHCARE PROFESSIONALS IS THE TALLAHASSEE MEMORIAL FAMILY MEDICINE RESIDENCY PROGRAM, WHICH TRAINS PHYSICIANS WHO HAVE GRADUATED FROM MEDICAL SCHOOL IN THE SPECIALTY OF FAMILY MEDICINE. THE FAMILY MEDICINE RESIDENCY PROGRAM HAS PRODUCED 363 GRADUATES SINCE ITS INCEPTION IN 1973. OF THOSE, 155 HAVE CHOSEN TO REMAIN IN TMH'S SERVICE AREA HELPING TO ENSURE ACCESS TO PRIMARY HEALTHCARE OF RESIDENTS OF THE BIG BEND. IN THE FALL OF 2011, TALLAHASSEE MEMORIAL AND THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE ESTABLISHED A JOINT INTERNAL MEDICINE RESIDENCY PROGRAM FOR THE BIG BEND REGION. THE INTERNAL MEDICINE RESIDENCY PROGRAM CURRENTLY HAS 26 RESIDENTS. DURING 2016, BOTH RESIDENCY PROGRAMS OPERATED AT A NET LOSS OF $9,533,353.72. IN EARLY 2014, THE TALLAHASSEE MEMORIAL HEALTHCARE BOARD OF DIRECTORS AND THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE ANNOUNCED PLANS TO CREATE A GENERAL SURGERY RESIDENCY PROGRAM IN TALLAHASSEE. THE PROGRAM, EXPECTED TO PRODUCE TWO NEW GENERAL SURGEONS A YEAR WHEN AT FULL CAPACITY, WILL BE THE FIRST SURGERY RESIDENCY PROGRAM IN NORTHWEST FLORIDA. THE GENERAL SURGERY RESIDENCY PROGRAM ACCEPTED THEIR FIRST RESIDENTS FOR ACADEMIC YEAR 2016-2017. THE GENERAL SURGERY RESIDENCY PROGRAM IS A 5 YEAR PROGRAM AND EXPECTS THEIR FIRST GRADUATION OF RESIDENTS TO BE JUNE 30, 2020. IMPROVING METABOLIC HEALTH TALLAHASSEE MEMORIAL HEALTHCARE WAS AN ACTIVE FOUNDING SPONSOR FOR THE STOMP OUT TYPE 2 DIABETES PROGRAM TARGETED AT LEON COUNTY SCHOOL STUDENTS, AND THEIR FAMILIES, TO PROMOTE HEALTHY WEIGHT AND EATING BEHAVIORS. DURING NATIONAL NUTRITION MONTH, REGISTERED DIETITIANS PROVIDED GARDENING AND NUTRITION EDUCATION TO OVER 350 PEOPLE IN SENIOR CENTERS, WORKSITES AND
PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)	NOT APPLICABLE --------------- PART VI, LINE 7 (STATE FILING OF COMMUNITY BENEFIT REPORT) NOT APPLICABLE ---------------

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN CANCER SOCIETY
2619 CENTENNIAL BLVD	SUITE 101	TALLAHASSEE	FL	32308	131788491	501(C)(3)	$8,000	SPONSORSHIP - RELAY FOR LIFE EVENTS
AMERICAN HEART ASSOCIATION
2851 REMINGTON GREEN CIRCLE		TALLAHASSEE	FL	32308	135613797	501(C)(3)	$19,584	SPONSORSHIP - HEART WALK
FLORIDA TAXWATCH RESEARCH INSTITUTE INC
106 N BRONOUGH ST		TALLAHASSEE	FL	32301	591918055	501(C)(3)	$19,164	MEMBERSHIP
LEON COUNTY SCHOOL FOUNDATION
725 S CALHOUN ST		TALLAHASSEE	FL	32301	592852594	501(C)(3)	$5,930	SPONSORSHIP - STOMP (DIABETES)
MARCH OF DIMES
1990 VILLAGE WAY 3		TALLAHASSEE	FL	32308	131846366	501(C)(3)	$10,000	SPONSORSHIP - MARCH FOR BABIES
TALLAHASSEE CHAMBER OF COMMERCE
300 E PARK AVE		TALLAHASSEE	FL	32301	590474165		$11,650	SPONSORSHIPS - AWARDS SPONSOR, RELOCATION PACKET
GULF WINDS TRACK CLUB INC
PO BOX 3447		TALLAHASSEE	FL	32315	591896178	501(C)(3)	$6,000	SPONSORSHIP - TALLAHASSEE MARATHON
WORD OF SOUTH A FESTIVAL OF LITERATURE & MUSIC
PO BOX 861		TALLAHASSEE	FL	32302	463527772	501(C)(3)	$12,500	SPONSORSHIP - WORD OF SOUTH

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF GRANT PROGRAMS TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") MAINAINS A SPONSORSHIP COMMITTEE WHICH OVERSEES THE ORGANIZATIONS SPONSORSHIP/GRANT-MAKING PROCESS. 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 TMHS MISSION AND VISION, AS WELL AS HOW THE PROPOSED ACTIVITY CAN HELP THE COMMUNITY. APPLICATIONS AND FURTHER INFORMATION ARE AVAILABLE ON TMHS WEBSITE AT: HTTPS://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	Yes (true)	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 (15 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	$826,558	$0	$200,000	$0	$41,038	$0	$261,259	$0	$10,904	$0	$1,339,759	$0	$0	$0
WILLIAM GIUDICE
CHIEF FINANCIAL OFFICER	$466,546	$0	$81,045	$0	$13,300	$0	$72,214	$0	$10,899	$0	$644,004	$0	$0	$0
JASON MOORE
FORMER CHIEF OPERATING OFFICER	$211,805	$0	$56,067	$0	$310,470	$0	$15,900	$0	$10,767	$0	$605,009	$0	$0	$0
WARREN JONES
FORMER CHIEF COMM. OFFICER	$193,162	$0	$37,566	$0	$2,138	$0	$14,129	$0	$4,533	$0	$251,528	$0	$0	$0
BARBARA ALFORD
CHIEF CLINICAL OFFICER/CNO/VP	$305,641	$0	$33,899	$0	$2,195	$0	$45,353	$0	$9,953	$0	$397,041	$0	$0	$0
CYNTHIA BLAIR
CHIEF IMPROVEMENT/PLNG OFFICER	$212,340	$0	$41,301	$0	$3,293	$0	$15,416	$0	$0	$0	$272,350	$0	$0	$0
PAULA S FORTUNAS
FRM CHIEF ADVANCEMENT OFFICER	$83,217	$0	$22,980	$0	$52,914	$0	$9,606	$0	$1,750	$0	$170,467	$0	$0	$0
DONALD LINDSEY
CHIEF INFORMATION OFFICER	$222,200	$0	$28,795	$0	$1,277	$0	$24,065	$0	$10,787	$0	$287,124	$0	$0	$0
ROBERT L MOORE
FORMER CHIEF HR OFFICER	$84,088	$0	$29,830	$0	$184,478	$0	$15,900	$0	$1,508	$0	$315,804	$0	$0	$0
DEAN WATSON MD
CHIEF HEALTH OPS OFFICER	$388,255	$0	$60,564	$0	$5,744	$0	$54,065	$0	$10,788	$0	$519,416	$0	$0	$0
ELIOT B SIELOFF MD
TMH SURGICAL SPECIALIST	$729,084	$0	$234,858	$0	$3,377	$0	$0	$0	$10,375	$0	$977,694	$0	$0	$0
OVIDIU MARINA MD
PHYSICIAN (RAD ONC)	$311,590	$0	$588,434	$0	$180	$0	$15,900	$0	$9,868	$0	$925,972	$0	$0	$0
PHILIP V SHARP MD
PHYSICIAN (RAD ONC)	$492,476	$0	$350,082	$0	$414	$0	$15,900	$0	$10,788	$0	$869,660	$0	$0	$0
DHANANJAY D BENDRE MD
PHYSICIAN (RAD ONC)	$511,366	$0	$189,609	$0	$2,414	$0	$15,900	$0	$9,959	$0	$729,248	$0	$0	$0
IMAN IMANIRAD MD
PHYSICIAN (HEM/ONC)	$446,232	$0	$225,970	$0	$162	$0	$15,900	$0	$9,953	$0	$698,217	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1A	QUESTIONS REGARDING COMPENSATION DIRECTORS RECEIVE COMPLIMENTARY ACCESS TO TMH'S HEALTH CLUB, PREMIER HEALTH AND FITNESS CENTER. ----------------
FORM 990, SCHEDULE J, PART I, LINE 4A	DEATIL OF SEVERANCE PAYMENTS SEVERANCE PAYMENTS WERE MADE TO THE FOLLOWING INDIVIDUALS DURING THE FISCAL YEAR ENDING 9-30-2017 AND WERE INCLUDED AS A COMPONENT OF COMPENSATION REPORTED ON FORM 990, SCHEDULE J, PART II, COLUMN (B)(III) FOR EACH INDIVIDUAL: JASON MOORE- $212,316 ROBERT L. MOORE- $183,986 ----------------
FORM 990, SCHEDULE J, PART I, LINE 4B	SUPPLEMENTAL NONQUALIFED PLAN PARTICIPATION TMH MAINTAINS AN IRC SECTION 457(F) PLAN DESIGNED FOR CERTAIN SENIOR ADMINISTRATORS OF THE ORGANIZATION. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE TMH 457(F) PLAN AND/OR RECEIVED DISTRIBUTIONS DURING THE YEAR: G. MARK O'BRYANT- NO DISTRIBUTIONS BARBARA ALFORD- NO DISTRIBUTIONS WILLIAM GIUDICE- NO DISTRIBUTIONS DONALD LINDSEY- NO DISTRIBUTIONS MICKEY S. MOORE- NO DISTRIBUTIONS DEAN WATSON, MD- NO DISTRIBUTIONS STEPHANIE M. DERZYPOLSKI- 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. CORPORATE GOALS ARE ESTABLISHED AT THE BEGINNING OF THE YEAR 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 CTR 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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	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	$24,521,300	$0	$272,001,300	$0	$0	$0	$1,790,765	$0	$0	$91,953,940	$0	$178,256,595		false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
TIMOTHY FORTUNAS
FAMILY MEMBER OF OFFICER	$13,342	EMPLOYMENT	false
PATRICIA F JONES
FAMILY MEMBER OF OFFICER	$16,789	EMPLOYMENT	false
VIVIAN MOORE
FAMILY MEMBER OF OFFICER	$12,095	EMPLOYMENT	false
STEPHANIE TRUMAN
FAMILY MEMBER OF OFFICER	$54,835	EMPLOYMENT	false
MAD DOG CONSTRUCTION COMPANY
SIMILAR DIRECTOR/OWNER	$1,062,125	CONSTRUCTION SERVICES	false

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	GENERAL SUPPLIES	86	$77,952	ACTUAL COST
Yes (X)	OTHER ITEMS	3	$1,245	ACTUAL COST

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, 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 2016 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30 2017 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR FINANCE TEAM BEFORE IT WAS FILED TO THE IRS. THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE 990 AT THE MEETING OF THE COMITTEE 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, SECTION B, 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. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, A COPY OF OUR CONFLICT OF INTEREST POLICY IS AVAILABLE ON THE TMH WEBSITE. CONSOLIDATED FINANCIAL STATEMENTS ARE ALSO FILED WITH THE DIGITAL ASSURANCE CERTIFICATION, LLC, AGENCY FOR HEALTH CARE ADMINISTRATION. A COPY OF OUR FORM 990 IS ALSO FILED WITH THE FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES. ---------------
FORM 990, PART VI, SECTION C, 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 TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATION BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). ---------------
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS AVAILAVILITY TO PUBLIC OUR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, A COPY OF OUR CONFLICT OF INTEREST POLICY IS AVAILABLE ON THE TMH WEBSITE. CONSOLIDATED FINANCIAL STATEMENTS ARE ALSO FILED WITH THE DIGITAL ASSURANCE CERTIFICATION, LLC, AGENCY FOR HEALTH CARE ADMINISTRATION. A COPY OF OUR FORM 990 IS ALSO FILED WITH THE FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES. DIRECTORS REVIEWED THE 990 AT THE MEETING OF THE COMITTEE 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 XI, LINE 9	DETAIL OF OTHER CHANGED IN NET ASSETS CHANGE IN ADDITIONAL PENSION LIABILITY $59,513,452 CHANGE IN FAIR VALUE OF DERIVATIVE 1,114,207 ADDITIONAL DEPRECIATION (103,120) LOSS ON EXTINGUISHMENT OF DEBT (211,531) ___________ TOTAL $60,313,008 ---------------

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MEDICUS SELECT LLC
1300 MICCOSUKEE ROAD	TALLAHASSEE	FL	32308	452980304	LEASED LABOR	FL	$0	$1,739,453	TMH
1607 BUILDING LLC
1401 CENTERVILLE ROAD SUITE 210	TALLAHASSEE	FL	32308	300957508	ACQUIRED PROP	FL	$4,327	$1,879,923	TMH

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	$1,599,479	$18,096,359	1.00000	Yes (true)
PRIME MERIDIAN HEALTH VENTURES INC
1309 THOMASVILLE ROAD	TALLAHASSEE	FL	32303	592668613	DIAG. IMAGING	FL	TMHV	C CORP				Yes (true)
TALLAHASSEE MEMORIAL TELEPHONE COMPANY
1309 THOMASVILLE ROAD	TALLAHASSEE	FL	32303	593395937	TELEPHONE COMM.	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	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SOUTHEAST COMMUNITY HEALTH SERVICES
A	$675	FMV
SOUTHEAST COMMUNITY HEALTH SERVICES
K	$655,186	FMV
TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION
C	$754,492	FMV
SOUTHEAST COMMUNITY HEALTH SERVICES
O,Q	$48,982	FMV
TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION
O,Q	$860,345	FMV
TALLAHASSE MEMORIAL HEALTCARE VENTURES INC
A	$1,401,864	FMV
TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC
K	$270,536	FMV

Affiliated Group Attachment AffiliatedGroupAttachment

Field	Value	IRS element (for citing)
Meduim Explanation	DIRECT OTHER LOBBYING EXEMPT PURPOSE NAME OF ELECTING ORGANIZATION EXPENDITURES EXPENDITURES ____________________________________ ____________ _____________ TALLAHASSEE MEMORIAL HEALTHCARE INC. $ 79,152 $722,766,241 THIS ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED SEPTEMBER 30, 2017. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2016. -------------------------------------- DIRECT OTHER LOBBYING EXEMPT PURPOSE NAME OF NON-ELECTING ORGANIZATION EXPENDITURES EXPENDITURES ____________________________________ ____________ _____________ SOUTHEAST COMMUNITY HEALTH SRVS, INC. $ NONE $ 130,097 TALLAHASSEE MEMORIAL HEALTHCARE FND. NONE 2,050,622 ------------ ------------- $ NONE $ 2,180,719 TOTALS $ 79,152 $724,946,960 ============ =============	MeduimExplanationTxt