TALLAHASSEE MEMORIAL HEALTHCARE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: TALLAHASSEE MEMORIAL HEALTHCARE INC (EIN 59-1917016)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-08-15
IRS object ID: 201722279349301217
Schema version: 2015v3.0
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	2017-08-15T08:28:02-05:00	ReturnTs
Tax Period End	2016-09-30	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	2015-10-01	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	2017-08-14	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	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	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	$786,458,002	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	16	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	5239	TotalEmployeeCnt
Total Volunteers	690	TotalVolunteersCnt
Total Gross UBI	$1,444,372	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,134,955	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,892,594	PYContributionsGrantsAmt
CY Contributions Grants	$1,602,289	CYContributionsGrantsAmt
PY Program Service Revenue	$493,811,383	PYProgramServiceRevenueAmt
CY Program Service Revenue	$546,543,742	CYProgramServiceRevenueAmt
PY Investment Income	-$231,698	PYInvestmentIncomeAmt
CY Investment Income	-$417,496	CYInvestmentIncomeAmt
PY Other Revenue	$167,606,083	PYOtherRevenueAmt
CY Other Revenue	$179,277,014	CYOtherRevenueAmt
PY Total Revenue	$663,078,362	PYTotalRevenueAmt
CY Total Revenue	$727,005,549	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$203,052	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$268,958,216	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$287,607,480	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$355,327,735	PYOtherExpensesAmt
CY Other Expenses	$398,251,675	CYOtherExpensesAmt
PY Total Expenses	$624,285,951	PYTotalExpensesAmt
CY Total Expenses	$686,062,207	CYTotalExpensesAmt
PY Revenues Less Expenses	$38,792,411	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$40,943,342	CYRevenuesLessExpensesAmt
Total Assets BOY	$610,770,221	TotalAssetsBOYAmt
Total Assets EOY	$920,656,319	TotalAssetsEOYAmt
Total Liabilities BOY	$336,270,695	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$606,182,402	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$274,499,526	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$314,473,917	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	$620,347,730	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$726,224,783	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 THE AREA'S ONLY CETIFIED ATRIAL FIBRILATION CLINIC. 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.	Desc
Total Program Service Expenses	$620,347,730	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	254	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5239	EmployeeCnt
Employment Tax Returns Filed	false	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	16	GoverningBodyVotingMembersCnt
Independent Voting Member	14	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 (31 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
SUSIE BUSCH-TRANSOU
CHAIR	2.5	0.0	Yes (X)	Yes (X)	$0	$0	$0
ALMA LITTLES MD
CHAIR-ELECT	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
STEVE EVANS
SECRETARY	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
CHRIS RUMANA MD
TREASURER	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MARTHA BARNETT
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
REV BRANT COPELAND
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
FRANK E GREDLER MD
DIRECTOR, INDEPENDENT PHYS.	1.5	0.0	Yes (X)		$83,444	$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 ESQ
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
RICK MOORE
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
ED MURRAY JR
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
ALBERTO FERNANDEZ MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
G MARK O'BRYANT
CEO/PRESIDENT	53.0	2.0		Yes (X)	$1,023,896	$0	$262,351
WILLIAM GIUDICE
VP/CFO	54.0	1.0		Yes (X)	$543,901	$0	$26,397
JASON MOORE
VP/COO	55.0	0.0		Yes (X)	$470,569	$0	$22,553
WARREN JONES
VP/CHIEF COMMUNICATION OFFICER	55.0	0.0		Yes (X)	$212,011	$0	$15,008
BARBARA ALFORD
VP/CHIEF PATIENT CARE OFFICER	55.0	0.0		Yes (X)	$291,630	$0	$22,116
CYNTHIA BLAIR
VP/CHIEF IMPROVEMENT OFFICER	55.0	0.0		Yes (X)	$239,483	$0	$14,369
PAULA S FORTUNAS
VP/CHIEF ADVANCEMENT OFFICER	15.0	40.0		Yes (X)	$232,375	$0	$16,235
DONALD LINDSEY
VP/CMO	55.0	0.0		Yes (X)	$248,701	$0	$17,281
ROBERT L MOORE
VP/CHIEF HR OFFICER	55.0	0.0		Yes (X)	$286,734	$0	$18,135
DEAN WATSON MD
VP/CMO	55.0	0.0		Yes (X)	$420,505	$0	$24,217
PHILIP V SHARP MD
PHYSICIAN (RAD ONC)	40.0	0.0			$846,240	$0	$22,951	Yes (X)
IMAN IMANIRAD MD
PHYSICIAN (HEM/ONC)	40.0	0.0			$750,150	$0	$19,474	Yes (X)
AMIT JAIN MD
PHYSICIAN (HEM/ONC)	40.0	0.0			$730,072	$0	$22,477	Yes (X)
DHANANJAY D BENDRE MD
PHYSICIAN (RAD ONC)	40.0	0.0			$726,018	$0	$22,141	Yes (X)
OVIDIU MARINA MD
PHYSICIAN (RAD ONC)	40.0	0.0			$622,425	$0	$15,593	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,728,154	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$541,298	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	300	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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	$19,828,743
SHIFTWISE
PO Box 70870	ST PAUL	MN	55170	SOFTWARE SRVCS	$4,178,337
PENNINGTON MOORE WILKINSON
PO BOX 10095	TALLAHASSEE	FL	32302	LEGAL SRVCS	$3,715,375
TALLAHASSEE PULMONARY CLINIC
2617 MITCHAM DRIVE	TALLAHASSEE	FL	32308	PHYSICIAN SRVCS	$3,392,443
TALLAHASSEE SURGICAL ASSOCIATES
1405 CENTERVILLE ROAD SUITE 4400	TALLAHASSEE	FL	32308	PHYSICIAN SRVCS	$3,105,666

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	57	CntrctRcvdGreaterThan100KCnt
Related Organizations	$520,697	RelatedOrganizationsAmt
Government Grants	$911,021	GovernmentGrantsAmt
All Other Contributions	$170,571	AllOtherContributionsAmt
Noncash Contributions	$70,051	NoncashContributionsAmt
Total Contributions	$1,602,289	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	HEALTH CARE SEVICES	Desc
Business	621500	BusinessCd
Total Revenue Column	$546,543,742	TotalRevenueColumnAmt
Related Or Exempt Func Income	$546,206,517	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$337,225	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$546,543,742	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$509,637	TotalRevenueColumnAmt
Exclusion	$509,637	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	$3,240,318	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,644,345	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$404,027	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$404,027	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,107,147	UnrelatedBusinessRevenueAmt
Exclusion	-$1,511,174	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$11,715,780	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$12,052,009	SecuritiesAmt
Other	$590,904	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$336,229	SecuritiesAmt
Other	-$590,904	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$927,133	TotalRevenueColumnAmt
Exclusion	-$927,133	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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	$220,320,394	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$43,165,195	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$177,155,195	TotalRevenueColumnAmt
Related Or Exempt Func Income	$177,155,195	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
VENDOR REBATES	900099	$1,252,013	$1,252,013
PARKING DECK	900099	$480,512	$480,512
MEDICARE & MEDICAID MEANINGFUL USE	900099	$326,721	$326,721

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$466,600	TotalRevenueColumnAmt
Related Or Exempt Func Income	$466,600	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,525,846	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$727,005,549	TotalRevenueColumnAmt
Related Or Exempt Func Income	$725,887,558	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,444,372	UnrelatedBusinessRevenueAmt
Exclusion	-$1,928,670	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$203,052	TotalAmt
Program Services	$203,052	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	$4,835,582	TotalAmt
Program Services	$4,123,782	ProgramServicesAmt
Management And General	$711,800	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	$235,449,088	TotalAmt
Program Services	$210,854,151	ProgramServicesAmt
Management And General	$24,594,937	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,948,555	TotalAmt
Program Services	$10,766,864	ProgramServicesAmt
Management And General	$1,181,691	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,188,909	TotalAmt
Program Services	$17,184,442	ProgramServicesAmt
Management And General	$2,004,467	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$16,185,346	TotalAmt
Program Services	$14,494,630	ProgramServicesAmt
Management And General	$1,690,716	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	$2,361,761	TotalAmt
Program Services	$2,137,355	ProgramServicesAmt
Management And General	$224,406	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,124,009	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,124,009	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$88,841	TotalAmt
Program Services	$81,818	ProgramServicesAmt
Management And General	$7,023	ManagementAndGeneralAmt

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
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$56,998,969	TotalAmt
Program Services	$52,493,042	ProgramServicesAmt
Management And General	$4,505,927	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,157,333	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,157,333	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,831,867	TotalAmt
Program Services	$19,846,340	ProgramServicesAmt
Management And General	$1,985,527	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$17,494,989	TotalAmt
Program Services	$10,009,179	ProgramServicesAmt
Management And General	$7,485,810	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,523,400	TotalAmt
Program Services	$5,268,710	ProgramServicesAmt
Management And General	$1,254,690	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,669,461	TotalAmt
Program Services	$1,315,612	ProgramServicesAmt
Management And General	$1,353,849	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	$1,161,714	TotalAmt
Program Services	$449,612	ProgramServicesAmt
Management And General	$712,102	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,351,262	TotalAmt
Program Services	$6,351,262	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	$31,702,642	TotalAmt
Program Services	$27,036,268	ProgramServicesAmt
Management And General	$4,666,374	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$17,013,541	TotalAmt
Program Services	$16,577,392	ProgramServicesAmt
Management And General	$436,149	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
BAD DEBT EXPENSE	$112,773,298	$112,773,298	$0	$0
PATIENT EXPENSE	$82,033,405	$82,033,405	$0	$0
SERVICE/MAINTENANCE	$16,393,813	$11,839,936	$4,553,877	$0
INDIGENT CARE ASSETMENT	$6,362,440	$6,362,440	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,208,930	TotalAmt
Program Services	$8,145,140	ProgramServicesAmt
Management And General	$5,063,790	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$686,062,207	TotalAmt
Program Services	$620,347,730	ProgramServicesAmt
Management And General	$65,714,477	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	$228,703,841	BOYAmt
EOY	$246,527,531	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	$74,777,022	BOYAmt
EOY	$77,657,632	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	$9,649,154	BOYAmt
EOY	$10,440,976	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,385,468	BOYAmt
EOY	$13,753,020	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$631,320,456	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$341,513,124	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$265,233,451	BOYAmt
EOY	$289,807,332	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	$21,993,985	BOYAmt
EOY	$282,442,528	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$610,770,221	BOYAmt
EOY	$920,656,319	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$53,824,886	BOYAmt
EOY	$62,473,099	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	$111,882,903	BOYAmt
EOY	$379,484,085	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	$21,882,389	BOYAmt
EOY	$21,688,393	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	$148,680,517	BOYAmt
EOY	$142,536,825	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$336,270,695	BOYAmt
EOY	$606,182,402	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$274,499,526	BOYAmt
EOY	$314,473,917	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	$274,499,526	BOYAmt
EOY	$314,473,917	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$610,770,221	BOYAmt
EOY	$920,656,319	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$40,943,342	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$968,951	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	$2,336,724	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,093,409	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,325,227	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,892,594	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,602,289	CurrentTaxYearAmt
Total	$10,250,243	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	$2,336,724	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,093,409	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,325,227	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,892,594	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,602,289	CurrentTaxYearAmt
Total	$10,250,243	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$10,250,243	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$412,649	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$306,920	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$248,809	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$263,585	CurrentTaxYearMinus1YearAmt
Current Tax Year	$509,637	CurrentTaxYearAmt
Total	$1,741,600	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,058,183	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,160,611	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,154,299	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,129,393	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,261,061	CurrentTaxYearAmt
Total	$5,763,547	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$859,028	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$820,053	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$702,166	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$779,852	CurrentTaxYearMinus1YearAmt
Current Tax Year	$947,112	CurrentTaxYearAmt
Total	$4,108,211	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$21,863,601	TotalSupportAmt
Gross Receipts Rltd Activities	$3,237,004,917	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.46883	PublicSupportCY170Pct
Public Support PY170	0.49425	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	$97,499	FilingOrganizationsTotalAmt
Affiliated Group Total	$97,499	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$97,499	FilingOrganizationsTotalAmt
Affiliated Group Total	$97,499	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$685,964,708	FilingOrganizationsTotalAmt
Affiliated Group Total	$687,529,384	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$686,062,207	FilingOrganizationsTotalAmt
Affiliated Group Total	$687,626,883	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	$162,743	CurrentYearMinus3Amt
Current Year Minus2	$113,914	CurrentYearMinus2Amt
Current Year Minus1	$133,289	CurrentYearMinus1Amt
Current Year	$97,499	CurrentYearAmt
Total	$507,445	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-B, 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	$7,134,085	BeginningYearBalanceAmt
Contributions	$195,126	ContributionsAmt
Investment Earnings Or Losses	$198,103	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$6,000	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$7,521,314	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,171,531	BeginningYearBalanceAmt
Contributions	$375,335	ContributionsAmt
Investment Earnings Or Losses	$94,119	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$2,506,900	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$7,134,085	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,953,457	BeginningYearBalanceAmt
Contributions	$23,477	ContributionsAmt
Investment Earnings Or Losses	$194,597	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$9,171,531	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,742,748	BeginningYearBalanceAmt
Contributions	$88,362	ContributionsAmt
Investment Earnings Or Losses	$122,347	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$8,953,457	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,583,960	BeginningYearBalanceAmt
Contributions	$898,431	ContributionsAmt
Investment Earnings Or Losses	$260,357	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$8,742,748	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,162,554	OtherCostOrOtherBasisAmt
Book Value	$17,162,554	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$322,862,542	OtherCostOrOtherBasisAmt
Depreciation	$163,612,633	DepreciationAmt
Book Value	$159,249,909	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,849,074	OtherCostOrOtherBasisAmt
Depreciation	$1,725,083	DepreciationAmt
Book Value	$5,123,991	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$247,955,486	OtherCostOrOtherBasisAmt
Depreciation	$176,175,408	DepreciationAmt
Book Value	$71,780,078	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$36,490,800	OtherCostOrOtherBasisAmt
Book Value	$36,490,800	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$289,807,332	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
DEBT RESERVE FUND	$7,850,911
SWAP COLLATERAL	$939,443
DEPOSITS AND OTHER ASSETS	$8,897,734
OTHER RECEIVABLES	$5,008,898
SELF INSURANCE TRUST FUND	$4,572,860
DUE FROM MEDICARE	$7,149,668
UNEXPENSES CONSTRUCTION FUND	$248,023,014

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$282,442,528	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
WORKER'S COMP SELF INSURANCE	$1,612,545
PROFESSIONAL LIABILITY SELF IN	$22,108,657
MIN PENSION LIABILITY	$97,950,891
OBLIGATION FOR SUPPLEMENTAL EX	$4,314,332
DEFFERRED COMP ARRANGEMENT	$2,950,976
ASSET RETIREMENT OBLIGATION	$380,000
AHCA ASSESSMENT	$3,354,858
OTHER LIABILITIES	$9,864,566

Field	Value	IRS element (for citing)
Total Liability	$142,536,825	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE D, PART V, LINE 3A & 4	FormAndLineReferenceDesc
Explanation	ALL ENDOWMENT FUNDS ARE UTILIZED IN PURSUIT OF THE ORGANIZATION'S TAX EXEMPT PURPOSES. ---------------	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

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

Field	Value	IRS element (for citing)
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	$22,012,662	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,012,662	NetCommunityBenefitExpnsAmt
Total Expense	0.03840	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,383,541	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,920,677	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,462,864	NetCommunityBenefitExpnsAmt
Total Expense	0.02000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$85,396,203	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,920,677	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,475,526	NetCommunityBenefitExpnsAmt
Total Expense	0.05840	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,184,651	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,768,631	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,416,020	NetCommunityBenefitExpnsAmt
Total Expense	0.01820	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,627,671	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,346,279	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,281,392	NetCommunityBenefitExpnsAmt
Total Expense	0.05630	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$97,812,322	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,114,910	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,697,412	NetCommunityBenefitExpnsAmt
Total Expense	0.07450	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$183,208,525	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$107,035,587	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,172,938	NetCommunityBenefitExpnsAmt
Total Expense	0.13290	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$594,629	TotalCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$594,629	TotalCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$112,773,298	BadDebtExpenseAmt
Bad Debt Expense Attributable	$19,938,162	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$98,001,339	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$106,339,700	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$8,338,361	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

Field	Value	IRS element (for citing)
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
Information Gaps	Yes (X)	InformationGapsInd
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
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCH H, PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SCH H, PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SCH H, PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
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)	FOR A COMPLETE DESCRIPTION ON HOW THE ORGANIZATION IS ADDRESSING THE NEEDS IDENTIFIED IN THE MOST RECENTLY COMPLETED CHNA, SEE THE FOLLOWING: https://www.tmh.org/about-us/community-reports/community-need-report --------------------
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 $112,773,298 FOR THE YEAR ENDED SEPTEMBER 30, 2016. 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 ATTACHED FINANCIAL STATEMENTS FOR TALLAHASSEE MEMORIAL HEALTHCARE, INC. & SUBSIDIARIES. ---------------
PART III, SECTION B, LINE 8 (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, 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) --------------------
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 A FINANCIAL COUNSELOR OR ADREIMA, 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 A MEETING WITH A FINANCIAL COUNSELOR MAY BE SCHEDULED AS NEEDED. DURING THIS MEETING, 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 ADREIMA. ADREIMA, THROUGH A STATE OF FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES REPRESENTATIVE, ASSISTS PATIENTS IN COMPLETING THE MEDICAID APPLICATION. IF THE PATIENT IS DISABLED, OR GOING TO BE DISABLED FOR AT LEAST A YEAR, HOSPITAL INPATIENT SERVICES 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 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 PATIENTS. FAP IS A CHARITY AND SLIDING SCALE DISCOUNT PROGRAM BASED ON THE PATIENT'S FAMILY INCOME. 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 PERCENT 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)	TMH 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 24.62% OF RESIDENTS ARE UNINSURED AND UNEMPLOYMENT IS 11.75%. THE NUMBER OF CHILDREN IN POVERTY STANDS AT 22.69%, THOSE OVER THE AGE OF 65 IN POVERTY IS 13.17% AND THE NUMBER OF FAMILIES WITH A SINGLE PARENT IN POVERTY IS 39.18%. THESE FIGURES PLACE THE REGION IN THE LOWEST QUARTILE IN THE STATE OF FLORIDA IN THESE CATEGORIES. (TRUVEN HEALTH ANALYTICS, COMMUNITY NEED INDEX, 2016.) LEON COUNTY BOASTS A HIGH EDUCATIONAL RATE WITH 44% OF THE COUNTY POPULATION OVER THE AGE OF 25 HAVING A BACHELORS DEGREE OR HIGHER COMPARED TO THE FLORIDA RATE OF 27%. WAKULLA AND JEFFERSON COUNTIES RATE IS 17%, FRANKLIN IS AT 27% AND GADSDENS RATE IS 16% (US CENSUS BUREAU QUICK FACTS, 2016). ---------------
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 (10 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)	$12,500	SPONSORSHIP - RELAY FOR LIFE EVENTS
ECONOMIC DEVELOPMENT COUNCIL OF TALLAHASSEE-LEON
PO BOX 1639		TALLAHASSEE	FL	32302	593374108	501(C)(3)	$6,667	SPONSORSHIP
GOODWOOD MUSEUM AND GARDENS INC
1600 MICCOSUKEE ROAD		TALLAHASSEE	FL	32308	311539800	501(C)(3)	$7,500	SPONSORSHIP - GOODWOOD JAMS
MARCH OF DIMES
555 WINDERLY PLACE	SUITE 105	MAITLAND	FL	32751	131846366	501(C)(3)	$10,075	SPONSORSHIP - MARCH FOR BABIES
RONALD MCDONALD HOUSE CHARITIES OF TALLAHASSEE INC
712 E 7TH AVE		TALLAHASSEE	FL	32303	592794505	501(C)(3)	$5,500	SPONSORSHIP - STONE CRAB FEST
TALLAHASSEE CHAMBER OF COMMERCE
PO BOX 1639		TALLAHASSEE	FL	32302	590474165		$9,810	SPONSORSHIPS - AWARDS SPONSOR, RELOCATION PACKET
GULF WINDS TRACK CLUB INC
1820 TYNDALL DRIVE		TALLAHASSEE	FL	32304	591896178	501(C)(3)	$6,000	SPONSORSHIP - TALLAHASSEE MARATHON
UNITED WAY OF THE BIG BEND
307 EAST 7TH AVENUE		TALLAHASSEE	FL	32303	596011150	501(C)(3)	$100,000	SPONSORSHIP OF UNITED WAY PROGRAMS
FLORIDA LITFEST INC
PO BOX 861		TALLAHASSEE	FL	32303	463527772	501(C)(3)	$12,500	SPONSORSHIP - WORD OF SOUTH
FLORIDA TAXWATCH RESEARCH INSTITUTE INC
PO BOX 10209		TALLAHASSEE	FL	32302	591918055	501(C)(3)	$7,500	MEMBERSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF GRANT PROGRAMS TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") 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	false	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
CEO/PRESIDENT	$817,087	$0	$185,477	$0	$21,332	$0	$251,858	$0	$10,493	$0	$1,286,247	$0	$0	$0
WILLIAM GIUDICE
VP/CFO	$462,319	$0	$68,657	$0	$12,925	$0	$15,900	$0	$10,497	$0	$570,298	$0	$0	$0
JASON MOORE
VP/COO	$424,326	$0	$38,745	$0	$7,498	$0	$15,900	$0	$6,653	$0	$493,122	$0	$0	$0
WARREN JONES
VP/CHIEF COMMUNICATION OFFICER	$192,272	$0	$17,634	$0	$2,104	$0	$12,850	$0	$2,158	$0	$227,019	$0	$0	$0
BARBARA ALFORD
VP/CHIEF PATIENT CARE OFFICER	$266,461	$0	$23,016	$0	$2,152	$0	$15,900	$0	$6,216	$0	$313,746	$0	$0	$0
CYNTHIA BLAIR
VP/CHIEF IMPROVEMENT OFFICER	$214,036	$0	$23,295	$0	$2,152	$0	$14,369	$0	$0	$0	$253,852	$0	$0	$0
PAULA S FORTUNAS
VP/CHIEF ADVANCEMENT OFFICER	$209,461	$0	$20,000	$0	$2,914	$0	$14,072	$0	$2,163	$0	$248,610	$0	$0	$0
DONALD LINDSEY
VP/CMO	$224,509	$0	$22,924	$0	$1,267	$0	$10,230	$0	$7,051	$0	$265,982	$0	$0	$0
ROBERT L MOORE
VP/CHIEF HR OFFICER	$261,402	$0	$23,926	$0	$1,406	$0	$15,900	$0	$2,235	$0	$304,869	$0	$0	$0
DEAN WATSON MD
VP/CMO	$364,277	$0	$51,255	$0	$4,974	$0	$15,900	$0	$8,317	$0	$444,722	$0	$0	$0
PHILIP V SHARP MD
PHYSICIAN (RAD ONC)	$512,181	$0	$333,660	$0	$399	$0	$15,900	$0	$7,051	$0	$869,191	$0	$0	$0
IMAN IMANIRAD MD
PHYSICIAN (HEM/ONC)	$350,372	$0	$399,621	$0	$156	$0	$15,900	$0	$3,574	$0	$769,624	$0	$0	$0
AMIT JAIN MD
PHYSICIAN (HEM/ONC)	$347,368	$0	$382,565	$0	$139	$0	$15,900	$0	$6,577	$0	$752,549	$0	$0	$0
DHANANJAY D BENDRE MD
PHYSICIAN (RAD ONC)	$657,072	$0	$66,686	$0	$2,260	$0	$15,900	$0	$6,241	$0	$748,159	$0	$0	$0
OVIDIU MARINA MD
PHYSICIAN (RAD ONC)	$349,670	$0	$272,582	$0	$173	$0	$9,519	$0	$6,074	$0	$638,018	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1A	QUESTIONS REGARDING COMPENSATION DIRECTORS RECEIVE COMPLIMENTARY ACCESS TO TMH'S HEALTH CLUB, PREMIER HEALTH AND FITNESS CENTER. ---------------
FORM 990, SCHEDULE J, PART I, LINE 4A	SEVERANCE PAYMENTS DURING THE SEPTEMBER 30, 2016 FISCAL YEAR, ROBERT L. MOORE, JR. RECEIVED A $108,227 SEVERANCE PAYMENT FROM THE ORGANIZATION. ---------------
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 (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF TALLAHASSEE - SERIES OF 2008
A	596000435	2008-09-12	$600,000	PURCHASE OF SLEEP CENTER EQUIPMENT	false	false	false
CITY OF TALLAHASSEE - SERIES 2015A
B	596000435	2015-05-28	$111,332,927	REFUNDING 1992B, 2000 & 2015 BONDS	false	false	false
CITY OF TALLAHASSEE - SERIES 2016A & 2016B
C	596000435	2016-02-02	$272,001,300	M.T. MUSTIAN CTR CONSTRUCTION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 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	$0	$0	$600,000	$0	$0	$0	$0	$0	$0	$600,000	$0	$0	2009	false	false	Yes (true)	Yes (true)
B	$0	$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)
C	$0	$0	$272,001,300	$0	$0	$0	$1,790,765	$0	$0	$22,207,721	$0	$248,002,814		false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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)
0
C	false	false	Yes (true)	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MOORE BASS CONSULTING INC
SIMILAR DIRECTOR/OWNER	$823,393	CONSULTING ENGINEER SERVICES	false
TIMOTHY FORTUNAS
FAMILY MEMBER OF OFFICER	$32,686	EMPLOYMENT	false
PATRICIA FAYE JONES
FAMILY MEMBER OF OFFICER	$87,789	EMPLOYMENT	false
VIVIAN MOORE
FAMILY MEMBER OF OFFICER	$67,232	EMPLOYMENT	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

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$2,051	NoncashContributionsRptF990Amt
Method Of Determining Revenues	ACTUAL COST	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$4,437	NoncashContributionsRptF990Amt
Method Of Determining Revenues	ACTUAL COST	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
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

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	22	ContributionCnt
Noncash Contributions Rpt F990	$33,161	NoncashContributionsRptF990Amt
Method Of Determining Revenues	ACTUAL COST	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
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)	TOYS	35	$29,323	ACTUAL COST
Yes (X)	OTHER ITEMS	3	$1,079	ACTUAL COST

Field	Value	IRS element (for citing)
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 2015 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2016 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. ---------------
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 AVAILABILITY 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. ---------------
FORM 990, PART XI, LINE 9	DETAIL OF OTHER CHANGES IN NET ASSETS CHANGE IN ADDITIONAL PENSION LIABILITY $(1,966,994) CHANGE IN FAIR VALUE OF DERIVATIVE INST 1,102,161 ADDITIONAL DEPRECIATION (103,120) ___________ TOTAL $ (968,951) ---------------

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	452980304	EIN
Primary Activities	LEASED LABOR	PrimaryActivitiesTxt
Legal Domicile State	FL	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$1,228,917	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
TALLAHASSEE MEMORIAL HEALTH VENTURES INC
1300 MICCOSUKEE ROAD	TALLAHASSEE	FL	32308	592717050	HOLDING COMPANY	FL	TMH	C CORP	$2,104,589	$16,820,622	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	Yes (true)	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 (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SOUTHEAST COMMUNITY HEALTH SERVICES
A	$6,989	FMV
SOUTHEAST COMMUNITY HEALTH SERVICES
K	$563,517	FMV
SOUTHEAST COMMUNITY HEALTH SERVICES
O, Q	$52,519	FMV
SOUTHEAST COMMUNITY HEALTH SERVICES
H	$1,360,000	FMV
TALLAHASSEE MEMORIAL FOUNDATION
C	$520,697	FMV
TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION
O, Q	$932,000	fmv
TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC
A	$1,401,864	FMV
TALLAHASSEE MEMORIAL HEALTHCARE VENTURES INC
K	$266,968	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. $ 97,499 $685,964,708 THIS ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED SEPTEMBER 30, 2016. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2015. -------------------------------------- DIRECT OTHER LOBBYING EXEMPT PURPOSE NAME OF NON-ELECTING ORGANIZATION EXPENDITURES EXPENDITURES ____________________________________ ____________ _____________ SOUTHEAST COMMUNITY HEALTH SRVS, INC. $ NONE $ 147,463 TALLAHASSEE MEMORIAL HEALTHCARE FND. NONE 1,417,213 ------------ ------------- $ NONE $ 1,564,676 TOTALS $ 97,499 $687,529,384 ============ =============	MeduimExplanationTxt