2014-08-14T11:15:17-05:00 2013-09-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2012-10-01 591917016 TALLAHASSEE MEMORIAL HEALTHCARE INC % WILLIAM A GIUDICE CFO TALL 8504315238 1300 MICCOSUKEE ROAD Suite TALLAHASSEE FL 323085054 WILLIAM GIUDICE 8504315238 2014-08-08 true 2673303000 2012 2015-11-30 17:44:51Z WILLIAM GIUDICE CFO 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323080000 621216964 false X www.tmh.org X 1979 FL TALLAHASSEE MEMORIAL HEALTHCARE, INC. IS A PRIVATE 772-BED, COMMUNITY HEALTH CARE SYSTEM THAT PROVIDES CHARITABLE, COMPASSIONATE, LEADING- EDGE, PATIENT-CENTERED HEALTH CARE FOR ALL. 16 11 4844 790 1425788 1160611 2336724 2093409 399327762 414717765 785760 555761 142264845 148848327 544715091 566215262 0 0 0 0 237332528 245592755 0 0 0 269009726 289123914 506342254 534716669 38372837 31498593 522415027 546351934 380863324 296046245 141551703 250305689 X FOUNDED MORE THAN 60 YEARS AGO, TALLAHASSEE MEMORIAL HEALTHCARE, INC. IS A PRIVATE, NOT-FOR PROFIT, 772-BED, COMMUNITY HEALTH CARE SYSTEM. ITS MISSION: TRANSFORMING CARE. ADVANCING HEALTH. IMPROVING LIVES. false false 478073107 0 564087200 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. 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 AND 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. 478073107 true true false true false false false false false true true false false true true false true true false false true false false false false false true true false false true true false false false false false false false true true true true false false false true true true true true false true 259 0 true 4844 true true true false false false false false false false false false X 16 11 true false false false false false false true true true false true true true true true true true true false FL X WILLIAM A GIUDICE CFO 8504315238 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323080000 X LAURIE L DOZIER III 2.5 1.0 X X 0 0 0 GLENDA L THORNTON 1.6 0.0 X X 0 0 0 FRANK E GREDLER MD 1.4 0.0 X X 0 0 0 SUSIE BUSCH-TRANSOU 1.4 0.0 X X 0 0 0 JOSEPH L CAMPS MD 1.1 0.0 X 0 0 0 ERIN ENNIS 1.1 0.0 X 0 0 0 ALMA LITTLES MD 1.5 0.0 X 0 0 0 AVERY MCKNIGHT 1.1 0.0 X 0 0 0 RICK MOORE 1.5 0.0 X 0 0 0 HAROLD BROCK 1.1 0.0 X 0 0 0 CHRISTOPHER RUMANA MD 1.5 0.0 X 0 0 0 DAVID L SAINT MD 1.1 0.0 X 0 0 0 MARTHA BARNETT 1.1 0.0 X 0 0 0 GARY WINCHESTER MD 1.1 0.0 X 0 0 0 G MARK O'BRYANT 55.0 2.0 X X 886771 0 185232 ALBERT LEE MD 1.1 0.0 X 0 0 0 WILLIAM GIUDICE 55.0 1.0 X 453323 0 23693 BARBARA ALFORD 55.0 0.0 X 70198 0 8160 WARREN JONES 55.0 0.0 X 192191 0 12452 CYNTHIA BLAIR 55.0 0.0 X 213605 0 13821 PAULA S FORTUNAS 15.0 40.0 X 207688 0 16865 JASON H MOORE 55.0 0.0 X 418384 24669 DONALD LINDSEY 55.0 0.0 X 222203 0 18787 DEAN WATSON MD 55.0 0.0 X 367020 0 24669 ROBERT MOORE 55.0 0.0 X 96623 0 4458 TIM BROESEKER MD 40.0 0.0 X 671872 0 8469 JOSHUA SIMMONS MD 40.0 0.0 X 582593 0 18666 MARCUS S WILLETT MD 40.0 0.0 X 558422 0 23709 MICHAEL A GLAZE MD 40.0 0.0 X 548384 0 22214 WILLIAM MILLER MD 40.0 0.0 X 519568 0 15478 STEVEN ADRIAANSE 0.0 0.0 X 284227 0 22687 BARBARA MACARTHUR 0.0 0.0 X 222586 0 13887 6515658 0 457916 195 true true false SOUTHERN MEDICAL GROUP PA 1300 MEDICAL DRIVE TALLAHASSEE FL 32308 PHYSICIAN SERVICES 13751512 TALLAHASSEE PULMONARY CLINIC 2617 MITCHAM DRIVE TALLAHASSEE FL 32308 PHYSICIAN SERVICES 2666317 RANDSTAD TECHNOLOGIES PO BOX 847872 DALLAS TX 75284 IT CONTRACT SERVICES 1495867 PETER MITCHELL ASSOCIATES 1311 E 7th AVE TALLAHASSEE FL 32303 ADVERTISING SRVCS 1494056 SHIFTWISE PO BOX 70870 ST PAUL MN 55170 STAFFING SERVICES 1450314 55 607529 1150173 335707 45335 2093409 Health Care Services 621500 414717765 414308730 409035 All Other Program Services 414717765 306920 306920 0 0 3392020 3913128 -521108 0 -521108 1016753 -1537861 26719799 108863 26579821 139978 108863 248841 248841 0 0 171959702 24508753 147450949 147450949 Vendor Rebates 900099 1098433 1098433 Parking Deck 900099 547928 547928 Contractual Late Fees 900099 89740 89740 182385 182385 1918486 566215262 563678165 1425788 -982100 0 0 0 0 3879519 3290529 588990 0 0 192289225 169692060 22597165 0 20700179 18310605 2389574 0 15051011 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false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 162743 162743 162743 162743 534553926 536513381 534716669 536676124 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 76750 43816 52859 162743 336168 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 SUPPLEMENTAL INFORMATION FORM 990, SCHEDULE C, PART II-A 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. 8742748 88362 122347 0 0 0 8953457 7583960 898431 260357 0 0 0 8742748 7505686 56895 21379 0 0 0 7583960 7212937 153794 138955 0 0 0 7505686 7104605 179449 -71117 0 0 0 7212937 0.00000 1.00000 0.00000 true false 15063683 15063683 296708130 134127866 162580264 4203560 1585761 2617799 208733460 127236101 81497359 0 0 0 261759105 DEBT RESERVE FUND 16217910 DEBT RESERVE FUND 6928719 BOND ISSUE COSTS 1183804 SWAP COLLATERAL 2279443 DEPOSITS AND OTHER ASSETS 7671752 DUE FROM PARENT HOLDING COMPAN 5769896 SELF INSURANCE TRUST FUND 4113570 44165094 0 WORKER'S COMP SELF INSURANCE 1278095 PROFESSIONAL LIABILITY SELF IN 10263230 SWAP LIABILITY 2492076 MIN PENSION LIABILITY 84556204 OBLIGATION FOR SUPPLEMENTAL EX 4384948 DEFFERRED COMP ARRANGEMENT 1927315 ASSET RETIREMENT OBLIGATION 380000 AHCA ASSESSMENT 2750149 DUE TO MEDICARE 487281 OTHER LIABILITIES` 9197104 117716402 665593551 143225 99235064 99378289 566215262 566215262 556839565 22122896 22122896 534716669 534716669 INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 ALL ENDOWMENT FUNDS ARE UTILIZED IN PURSUIT OF THE ORGANIZATION'S TAX-EXEMPT PURPOSES. DETAIL OF OTHER CHANGES IN REVENUES SCHEDULE D, PART XI, LINE 2D CHANGE IN ADD'L MIN PENSION LIABILITY $(77,156,656) CHANGE IN FMV OF DERIVATIVE INSTRUMENT 26,157 ADDITIONAL DEPRECIATION 18,331 COST OF GOODS SOLD (24,070,911) OTHER CHANGES 1,948,015 ------------- TOTAL $(99,235,064) DETAIL OF OTHER CHANGES IN EXPENSES SCHEDULE D, PART XII, LINE 2D COST OF GOODS SOLD $24,070,911 OTHER CHANGES (1,948,015) ------------ TOTAL $22,122,896 Central America & the Caribbean Program Services Insurance Coverage 957500 957500 957500 false false true false false false true true true X true X true true false true true 19642617 19642617 0.04320 52923960 45497248 7426712 0.01640 72566577 45497248 27069329 0.05960 10180970 1082733 9098237 0.02000 61880230 38921275 22958955 0.05050 72061200 40004008 32057192 0.07050 144627777 85501256 59126521 0.13010 393656 0.00090 393656 0.00090 false 80603147 13382016 79366677 85046690 -5680013 X true true NA 1 1 TALLAHASSEE MEMORIAL HOSPITAL

1300 MICCOSUKEE ROAD TALLAHASSEE FL 32309

WWW.TMH.ORG X X X X TALLAHASSEE MEMORIAL HEALTHCARE INC true X X X X X X X X X 12 true false true X X X X X X X false false true true 400. true 400. true X X X X X true true X X X X true false X X X true X false false SUPPLEMENTAL DISCLOSURES PART I, LINES 3C, 6A NOT APPLICABLE. BAD DEBT EXPENSE, COSTING METHODOLOGY USED PART I, LINE 7 THE BAD DEBT EXPENSE AMOUNT INCLUDED ON FORM 990, PART IX, COLUMN 25(A) WAS $80,603,147 FOR THE YEAR ENDED SEPTEMBER 30, 2013. THIS AMOUNT HAS BEEN SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES REPORTED ON THE SCHEDULE H, PART I, LINE 7 TABLE. 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. BAD DEBT EXPENSE PART III, SECTION A, LINE 1 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 8 OF THE ATTACHED FINANCIAL STATEMENTS FOR TALLAHASSEE MEMORIAL HEALTHCARE, INC. COSTING METHODOLOGY, MEDICARE SHORTFALL PART III, SECTION B, LINE 8 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. COLLECTION PRACTICES PART III, LINE 9B 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 V, SECTION B, LINE 5 (CHNA MADE WIDELY AVAILABLE) A COPY OF THE ORGANIZATION'S CHNA AND IMPLEMENTATION PLAN CAN BE FOUND AT: http://www.tmh.org/workfiles/communityHealthNeedsAssessment.pdf PART V, SECTION B, LINE 7 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA) THE FIRST CHNA AND IMPLEMENTATION PLAN FOR THE ORGANIZATION WAS ADOPTED SEPTEMBER 30, 2013. AS A RESULT, THE ORGANIZATION HAS NOT YET HAD THE OPPORTUNITY TO BEGIN ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA. NEEDS ASSESSMENT PART VI, LINE 2 TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") COMPLETED ITS FIRST SCHEDULE H COMMUNITY HEALTH NEEDS ASSESSMENT IN 2013. YOU MAY FIND THE COMPREHENSIVE RESULTS AT WWW.TMH.ORG. TO SUMMARIZE THAT REPORT, TMH USED A VARIETY OF ASSESSMENT TOOLS TO DETERMINE THE NEEDS OF ITS COMMUNITY. AMONG THOSE ASSESSMENT TOOLS ARE: -LEON COUNTY MAPP REPORT, 2012 -JEFFERSON COUNTY MAPP REPORT, 2012 -GADSDEN COUNTY MAPP REPORT, 2012 -WAKULLA COUNTY MAPP REPORT, 2012 -REGIONAL FOCUS GROUPS CONDUCTED BY TALLAHASSEE MEMORIAL, 2012 -COUNTY HEALTH STATUS SUMMARY FROM FLORIDA CHARTS (COMMUNITY HEALTH ASSESSMENT RESOURCE TOOL SET) HTTP://WWW.FLORIDACHARTS.COM/CHARTS/SPECREPORT.ASPX?REPID=1341. FOR INSTANCE, BASED ON THE MOST RECENT PUBLICATIONS FROM THE FLORIDA DEPARTMENT OF HEALTH, LEON COUNTY RANKED IN THE BOTTOM STATE QUARTILE IN THE FOLLOWING HEALTH INDICATORS: ADULTS WHO ARE OVERWEIGHT, RESIDENTS BELOW 100% POVERTY, BREAST CANCER AGE-ADJUSTED INCIDENCE RATE, PROSTATE CANCER AGE-ADJUSTED DEATH RATE, PROSTATE CANCER AGE-ADJUSTED INCIDENCE RATE, HIV CASES REPORTED, AIDS CASES REPORTED, HIV/AIDS AGE-ADJUSTED DEATH RATE, CHLAMYDIA CASES REPORTED, GONORRHEA CASES REPORTED, INFECTIOUS SYPHILIS CASES REPORTED, LOW BIRTH RATE BIRTHS (BIRTHS< 2500 GRAMS), MULTIPLE BIRTHS, INFANT DEATH RATE, POST NEONATAL DEATH RATE, AND FETAL DEATH RATE. GADSDEN COUNTY RANKED IN THE BOTTOM STATE QUARTILES FOR THE FOLLOWING HEALTH INDICATORS: ADULTS WHO MEET MODERATE PHYSICAL ACTIVITY RECOMMENDATIONS, ADULTS WHO MEET VIGOROUS PHYSICAL ACTIVITY RECOMMENDATIONS, ADULTS WHO ARE OVERWEIGHT, ADULTS WHO ARE OBESE, MEDIAN INCOME, RESIDENTS BELOW 100% POVERTY, POPULATION OVER 25 WITHOUT HIGH SCHOOL DIPLOMA OR EQUIVALENCY, ADULTS WHO RATE THEIR HEALTH STATUS AS "FAIR" OR "POOR", STROKE AGE-ADJUSTED HOSPITALIZATION RATE, HEART FAILURE AGE-ADJUSTED DEATH RATE, ADULTS WITH DIAGNOSED HYPERTENSION, BREAST CANCER AGE-ADJUSTED DEATH RATE, PROSTATE CANCER AGE-ADJUSTED DEATH RATE, PROSTATE CANCER AGE-ADJUSTED INCIDENCE RATE, CERVICAL CANCER AGE-ADJUSTED INCIDENCE RATE, DIABETES AGE-ADJUSTED DEATH RATE, DIABETES AGE-ADJUSTED HOSPITALIZATION RATE, ADULTS WITH DIAGNOSED DIABETES, HIV CASES REPORTED, AIDS CASES REPORTED, HIV/AIDS AGE-ADJUSTED DEATH RATE, CHLAMYDIA CASES REPORTED, TB CASES REPORTED, GONORRHEA CASES REPORTED, LOW BIRTH WEIGHT BIRTHS (BIRTHS < 2500 GRAMS), MULTIPLE BIRTHS, BIRTHS TO TEENS 15-19, REPEAT BIRTHS TO MOTHERS 15-19, INFANT DEATH RATE, NEONATAL DEATH RATE, AND POST NEONATAL DEATH RATE. WAKULLA COUNTY RANKED IN THE BOTTOM STATE QUARTILE FOR THE FOLLOWING HEALTH INDICATORS: ADULTS WHO ARE OBESE, ADULTS WHO ARE CURRENT SMOKERS, STROKE AGE-ADJUSTED HOSPITALIZATION RATE, LUNG CANCER AGE-ADJUSTED DEATH RATE, LUNG CANCER AGE-ADJUSTED INCIDENCE RATE, COLORECTAL CANCER AGE-ADJUSTED DEATH RATE, PROSTATE CANCER AGE-ADJUSTED DEATH RATE, MELANOMA AGE-ADJUSTED DEATH RATE, ADULTS WHO CURRENTLY HAVE ASTHMA, AND ADULTS WITH DIAGNOSED DIABETES. JEFFERSON COUNTY RANKED IN THE BOTTOM STATE QUARTILE FOR THE FOLLOWING HEALTH INDICATORS: ADULTS WHO ARE OBESE, STROKE AGE-ADJUSTED DEATH RATE, HEART FAILURE AGE-ADJUSTED DEATH RATE, ADULTS WITH DIAGNOSED HYPERTENSION, ADULTS WHO HAVE DIAGNOSED HIGH BLOOD CHOLESTEROL, BREAST CANCER AGE-ADJUSTED DEATH RATE, PROSTATE CANCER AGE-ADJUSTED INCIDENCE RATE, MELANOMA AGE-ADJUSTED DEATH RATE, MELANOMA AGE-ADJUSTED INCIDENCE RATE, CHLAMYDIA CASES REPORTED, GONORRHEA CASES REPORTED, LOW BIRTH WEIGHT BIRTHS (BIRTHS < 2500 GRAMS), PREMATURE BIRTHS (BIRTHS < 37 WEEKS GESTATION), AND KINDERGARTEN CHILDREN FULLY IMMUNIZED. FRANKLIN COUNTY RANKED IN THE BOTTOM STATE QUARTILE FOR THE FOLLOWING HEALTH INDICATORS: ADULTS WHO MEET VIGOROUS PHYSICAL ACTIVITY RECOMMENDATIONS, ADULTS WHO ARE CURRENT SMOKERS, MEDIAN INCOME, RESIDENTS BELOW 100% POVERTY, ADULTS WHO RATE THEIR HEALTH STATUS AS "FAIR" OR "POOR", ADULTS WITH ANY TYPE OF HEALTHCARE INSURANCE COVERAGE, ADULTS WHO RECEIVE A FLU SHOT IN THE PAST YEAR, LUNG CANCER AGE ADJUSTED DEATH RATE, LUNG CANCER AGE-ADJUSTED INCIDENCE RATE, WOMEN 40 YEARS OF AGE AND OVER WHO RECEIVED A MAMMOGRAM IN THE PAST YEAR, CERVICAL CANCER AGE-ADJUSTED DEATH RATE, MELANOMA AGE-ADJUSTED INCIDENCE RATE, CHRONIC LOWER RESPIRATORY DISEASES AGE-ADJUSTED DEATH RATE, VACCINE PREVENTABLE DISEASES, PREMATURE BIRTHS (BIRTHS < 37 WEEKS GESTATION), BIRTHS TO TEENS 15-19, AND KINDERGARTEN CHILDREN FULLY IMMUNIZED. TALLAHASSEE MEMORIAL COLLEAGUES ARE INVOLVED IN A WIDE VARIETY OF ACTIVITIES AND ESSENTIAL SERVICES TO POSITIVELY AFFECT OUR COMMUNITY'S HEALTH STATUS. PHYSICIANS AND HOSPITAL STAFF CONDUCTED OVER 150 VARIOUS HEALTH SEMINARS, HEALTH SCREENINGS, SUPPORT GROUPS AND HEALTH FAIRS FOR THE PUBLIC THROUGHOUT THE YEAR. IN MOST CASES, THESE ACTIVITIES ARE FREE, OR AT LOW COST FOR PARTICIPANTS. EXAMPLES OF SUCH ACTIVITIES INCLUDE SEMINARS HOSTED BY THE WOMEN'S PAVILION, THE DIABETES CENTER, THE NEUROSCIENCE CENTER, THE HEART AND VASCULAR CENTER AND THE BEHAVIORAL HEALTH CENTER. INFORMATION REGARDING PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 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. INFORMATION IS ALSO AVAILABLE ON THE TALLAHASSEE MEMORIAL WEBSITE AT HTTP://WWW.TMH.ORG/BILLINGANDINSURANCEFINANCIALASSISTANCE. 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 12% OF THE GROSS REVENUES ARE GENERATED BY SERVICES TO PATIENTS COVERED UNDER THE MEDICAID PROGRAM AND MEDICAID HMOS. COMMUNITY INFORMATION PART VI, LINE 4 TMH IS LOCATED IN THE CAPITAL CITY OF TALLAHASSEE, FLORIDA, IN THE HEART OF THE STATE'S PANHANDLE. WITH A POPULATION OF MORE THAN 186,971 IN TALLAHASSEE ALONE, TMH SERVES A TOTAL OF 17 COUNTIES WITH A POPULATION BASE OF 696,664 COVERING 10,700 SQUARE MILES. TMH'S PRIMARY SERVICE AREA COVERS TEN COUNTIES IN FLORIDA WHICH INCLUDE: CALHOUN, GADSDEN, FRANKLIN, JACKSON, JEFFERSON, LIBERTY, MADISON, TAYLOR, AND WAKULLA. THE SEVEN COUNTIES THAT COMPRISE THE GEORGIA SERVICE AREA INCLUDE: BROOKS, COLQUITT, DECATUR, GRADY, MITCHELL, SEMINOLE AND THOMAS. TALLAHASSEE MEMORIAL SERVES A TRULY DIVERSE POPULATION. TALLAHASSEE IS ONE OF THE YOUNGEST AND MOST HIGHLY EDUCATED POPULATIONS IN FLORIDA. IT IS A POPULATION THAT HAS THE MOST IMMEDIATE ACCESS TO MEDICAL CARE, HOWEVER, IT TOO IS CONSIDERED A MEDICALLY UNDERSERVED AREA FOR PRIMARY CARE BY THE HRSA, 2014. LEON COUNTY'S POPULATION OF AGES 20-34 IS 30% COMPARED TO THE STATE'S PERCENTAGE OF 19%, AGED 20-34 YEARS OF AGE. ONLY 9% OF LEON COUNTY'S POPULATION IS OVER AGE 65, COMPARED TO 17% OF THE STATE OF FLORIDA (OVER 65). THE AREA SURROUNDING TALLAHASSEE IS MOSTLY RURAL, WITH BEAUTIFUL GENTLY ROLLING HILLS AND ACTIVE BEACHES. UNFORTUNATELY, MANY OF THESE LESS POPULATED AREAS ARE ALSO MEDICALLY UNDERSERVED DUE TO A SHORTAGE OF HEALTHCARE PROFESSIONALS IN MANY OF THE REGION'S 17 COUNTIES. THE HEALTH RESOURCE AND SERVICES ADMINISTRATION (HRSA) HAS DESIGNATED 16 OF THESE 17 COUNTIES AS MEDICALLY UNDERSERVED AREAS (MUA); THIS HAS INCREASED FROM 41% OF THE COUNTIES IN THE PREVIOUS REPORT, TO 94% OF THE 17 COUNTIES IN THIS REPORT. ALMOST 25% OF THE POPULATION LIVES AT OR BELOW 150% OF THE FEDERAL POVERTY LEVEL. BASED ON ESTIMATES FROM TRUVEN HEALTH, THE PERCENTAGE OF UNINSURED ARE AS FOLLOWS: LEON - 28%, GADSDEN - 32%, WAKULLA - 12%, JEFFERSON - 21%, CALHOUN - 29%, FRANKLIN - 24%, JACKSON - 21%, LIBERTY - 26%, MADISON - 22%, AND TAYLOR 19%. THE PERCENTAGE OF UNINSURED FOR THE COUNTIES IN GEORGIA ARE: BROOKS - 20%, COLQUITT - 24%, DECATUR - 28%, GRADY - 27%, MITCHELL - 23%, SEMINOLE - 20%, AND THOMAS 26%. BASED ON DATA FROM TRUVEN HEALTH, THE PERCENTAGE OF COVERED LIVES THAT ARE ON MEDICAID ARE AS FOLLOWS: LEON - 10%, GADSDEN - 17%, WAKULLA - 10%, JEFFERSON - 12%, CALHOUN - 14%, FRANKLIN - 14%, JACKSON - 14% , LIBERTY - 14%, MADISON - 15%, AND TAYLOR - 15%. THE PERCENTAGE OF COVERED LIVES WHICH ARE ON MEDICAID FOR THE COUNTIES IN GEORGIA ARE: BROOKS - 17%, COLQUITT - 20%, DECATUR - 21%, GRADY - 17%, MITCHELL - 19%, SEMINOLE - 19%, AND THOMAS - 16%. HEALTH BARRIERS ARE NUMEROUS AND HARD TO OVERCOME, BUT TMH IS TACKLING THESE BARRIERS AND STRIVING TO IMPROVE HEALTHCARE. COMMUNITY BUILDING ACTIVITIES PART II TMH COLLEAGUES ARE INVOLVED IN A WIDE VARIETY OF ACTIVITIES AND ESSENTIAL SERVICES TO POSITIVELY AFFECT OUR COMMUNITY'S HEALTH STATUS. PHYSICIANS AND HOSPITAL STAFF CONDUCTED OVER 150 VARIOUS HEALTH SEMINARS, HEALTH SCREENINGS, SUPPORT GROUPS AND HEALTH FAIRS FOR THE PUBLIC THROUGHOUT THE YEAR. IN MOST CASES, THESE ACTIVITIES ARE FREE, OR AT LOW COSTS FOR PARTICIPANTS. EXAMPLES OF SUCH ACTIVITIES INCLUDE SEMINARS HOSTED BY THE WOMEN'S PAVILION, THE DIABETES CENTER, THE NEUROSCIENCE CENTER, THE HEART AND VASCULAR CENTER AND THE BEHAVIORAL HEALTH CENTER. INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 AS A NOT-FOR-PROFIT COMMUNITY HEALTHCARE SYSTEM, TMH SUBSIDIZES HEALTH SERVICES THAT DO NOT GENERATE A POSITIVE OPERATING MARGIN BUT ARE OFFERED BECAUSE OF A NEED IN THE COMMUNITY. DURING FISCAL YEAR 2013, TMH CONTRIBUTED $13,860,719 IN SUBSIDIZED HEALTH SERVICES IN OUR SERVICE AREA. A FEW OF THE SUBSIDIZED SERVICES PROVIDED INCLUDE THE FOLLOWING: -DIABETES CENTER: THE DIABETES CENTER WAS ESTABLISHED AT THE DIRECTION OF LOCAL ENDOCRINOLOGISTS TO IMPROVE THE EDUCATIONAL EXPERIENCE OF PATIENTS. GADSDEN COUNTY'S STATISTICS SHOW A HIGHER THAN AVERAGE RATE OF AGE ADJUSTED DEATHS AND HOSPITALIZATIONS FROM DIABETES. OUR COMPREHENSIVE OUTPATIENT DIABETES CENTER IS STAFFED WITH NURSES AND DIETITIANS WHO ARE CERTIFIED AS DIABETES EDUCATORS. SERVICES OFFERED INCLUDE: DIABETES MANAGEMENT CLASSES AND INDIVIDUAL COUNSELING SESSIONS ON A VARIETY OF TOPICS, INCLUDING BLOOD SUGAR TESTING, MANAGING HIGH- AND LOW-BLOOD SUGAR, MAKING HEALTHY FOOD CHOICES, AND INSULIN AND NUTRITION THERAPY. DURING 2013, THE DIABETES CENTER OPERATED AT A NET LOSS OF $1,014,709. -EMERGENCY AND TRAUMA CARE: THE NEED FOR A TRAUMA CENTER IN THIS AREA BECAME APPARENT WHEN THE UNIVERSITY OF SOUTH FLORIDA CONDUCTED AN ASSESSMENT OF THE STATE'S TRAUMA SYSTEM FOR THE FLORIDA LEGISLATURE. THE 2005 REPORT CAME TO SEVERAL CONCLUSIONS THAT PROMPTED TMH'S ENTRY INTO THE TRAUMA SERVICE. FIRST, THE STUDY FOUND THAT COUNTIES WITHOUT A TRAUMA CENTER REPORTED HIGHER MORTALITY RATES FOR TRAUMA PATIENTS. SECOND, THE STUDY FOUND THAT FIVE OF THE TOP SIX COUNTIES WITH THE HIGHEST MORTALITY RATES ARE IN THE TRAUMA SERVICE AREA SERVED BY TMH. THIRD, THE AUTHORS OF THE STUDY RECOMMENDED THAT, "TRAUMA CENTERS SHOULD BE PLACED IN TALLAHASSEE AND IN BAY COUNTY, WHICH DO NOT CURRENTLY HAVE A TRAUMA CENTER." TMH'S TRAUMA SERVICE AREA INCLUDES THE FOLLOWING COUNTIES: CALHOUN, FRANKLIN, GADSDEN, JACKSON, JEFFERSON, LEON, LIBERTY, MADISON, TAYLOR, AND WAKULLA. LIKE EMERGENCY CENTERS AT MOST SAFETY-NET HOSPITALS, THE TMH BIXLER EMERGENCY CENTER HAS ALWAYS EXPERIENCED AN OPERATING LOSS. HOWEVER, WHEN TMH BECAME A DESIGNATED LEVEL II TRAUMA CENTER, THIS LOSS INCREASED DUE TO THE EXPENSE OF OPERATING A TRAUMA PROGRAM. THE TRAUMA SERVICE CONSISTS OF FIVE TRAUMA SURGEONS. THE TRAUMA TEAM ALSO INCLUDES EMERGENCY PHYSICIANS, STAFF MEMBERS AND SERVICES FROM A VARIETY OF DEPARTMENTS WITHIN THE HOSPITAL. A WIDE VARIETY OF SPECIALTY PHYSICIANS ARE AVAILABLE AS NEEDED. OUR TRAUMA SERVICES DEPARTMENT ALSO INCLUDES A FULL-TIME TRAUMA PHYSICIAN ASSISTANT, NURSE TRAUMA REGISTRAR, AND TRAUMA PROGRAM MANAGER. THE TRAUMA CENTER HAS AN ANNUAL OPERATING BUDGET OF $1,846,500. -NEUROSCIENCE CENTER: THE NEUROSCIENCE CENTER PROVIDES A VARIETY OF SERVICES TO PEOPLE WITH INJURIES AND CONDITIONS AFFECTING THE BRAIN AND NERVOUS SYSTEM AND SERVES AS A CLEARINGHOUSE OF INFORMATION. MANY OF THE PROGRAMS OFFERED BY THE NEUROSCIENCE CENTER RECEIVE SOME GOVERNMENT FUNDING AND PRIVATE GRANTS, BUT STILL EXPERIENCE A NET OPERATING LOSS EACH YEAR. DURING 2013, THE NET OPERATING LOSS OF THE NEUROSCIENCE CENTER WAS $407,124. -THE MEMORY DISORDER CLINIC IS A PARTNERSHIP BETWEEN TMH, THE ALZHEIMER RESOURCE CENTER, AND RESEARCHERS FROM FLORIDA STATE UNIVERSITY. THE CLINIC, WHICH OPENED JULY 1, 1998, WAS AT THAT TIME, ONE OF 13 ACROSS THE STATE BEING FUNDED THROUGH A GRANT FROM THE FLORIDA DEPARTMENT OF ELDER AFFAIRS. THE MEMORY DISORDER CLINIC OFFERS FREE PUBLIC SCREENINGS WHERE PEOPLE CONCERNED ABOUT THEIR MEMORY CAN BE SCREENED. THE PUBLIC ALSO CAN LEARN HOW TO IMPROVE THEIR MEMORIES BY USING SIMPLE STRATEGIES EXPLAINED AT THE SCREENINGS. THE MEMORY DISORDER CLINIC OFFERS A QUARTERLY TRAINING COURSE FOR CAREGIVERS CALLED "ALZHEIMER 101". OTHER PROGRAMS INCLUDE: A MONTHLY SUPPORT GROUP FOR CAREGIVERS, SILVER ALERT PRESENTATIONS, ADI TRAINING, AND MEMORY LOSS/ALZHEIMER'S PRESENTATIONS FOR THE COMMUNITY. -THE PARKINSON'S CENTER PROVIDES DIAGNOSTIC, CONSULTATIVE AND HIGH-QUALITY PATIENT CARE SERVICES, AS WELL AS EDUCATIONAL CLASSES, CAREGIVER TRAINING, COUNSELING AND ONGOING SUPPORT GROUPS. THE CENTER ALSO PARTICIPATES IN ONGOING DATA COLLECTION AND RESEARCH WITH THE NATIONAL PARKINSON FOUNDATION IN MIAMI AND OTHER SATELLITE CENTERS AROUND THE STATE OF FLORIDA. -RURAL CLINICS: AS PART OF OUR COMMITMENT TO PROVIDING ACCESS TO HEALTHCARE IN SURROUNDING RURAL COMMUNITIES, TALLAHASSEE MEMORIAL OPERATES FIVE FAMILY MEDICINE PRACTICES, WITH TWELVE PHYSICIANS AND FOUR ADVANCED REGISTERED NURSE PRACTITIONERS, THROUGHOUT THE BIG BEND WITH OFFICES LOCATED IN GADSDEN, JEFFERSON, TAYLOR, WAKULLA, AND CALHOUN COUNTIES. IN 2011, TMH PHYSICIAN PARTNERS - MARIANNA CARDIOLOGY SPECIALISTS WAS ESTABLISHED IN RESPONSE TO THAT AREA'S GROWING NEED FOR CARDIAC CARE - THE RURAL COMMUNITY PREVIOUSLY HAD NO FULL TIME CARDIAC CARE. DURING 2013, THESE CLINICS OPERATED AT A LOSS OF $1,492,537. -TRANSITION CENTER: IN FEBRUARY 2011, TMH OPENED THE TRANSITION CENTER, AN INNOVATIVE FACILITY THAT PROVIDES FOLLOW-UP CARE TO TMH PATIENTS WHO HAVE RECENTLY BEEN DISCHARGED FROM THE HOSPITAL AND MAY BE AT HIGH RISK FOR READMISSION. WHETHER THESE PATIENTS ARE AT RISK OF READMISSION BECAUSE THEY DO NOT HAVE A PRIMARY CARE PHYSICIAN, DO NOT HAVE INSURANCE, OR CANNOT SEE THEIR OWN DOCTOR IN A REASONABLE PERIOD AFTER LEAVING THE HOSPITAL, THE TRANSITION CENTER ACTS AS A SAFETY NET, HELPING THEM TO AVOID A SECOND HOSPITAL STAY. CREATED IN PARTNERSHIP WITH CAPITAL HEALTH PLAN, THE TRANSITION CENTER IS A PLACE WHERE HEALTHCARE PROFESSIONS CAN CONNECT PATIENTS TO ANY CARE THEY MAY NEED FOLLOWING THEIR TIME IN THE HOSPITAL, WHETHER THIS MEANS FILLING PRESCRIPTIONS, ARRANGING PHYSICAL THERAPY OR OTHER REHABILITATION SERVICES, OR GETTING IN TOUCH WITH CASE MANAGEMENT OR SOCIAL WORK FOR INTERVENTION. BY THE END OF THE YEAR, THE TRANSITION CENTER HAD TREATED MORE THAN 600 PATIENTS, REDUCING EMERGENCY ROOM VISITS AND HOSPITAL READMISSIONS FOR THE IDENTIFIED, HIGH-RISK POPULATION BY AN ASTOUNDING 61 PERCENT. DURING 2013, THE TRANSITION CENTER OPERATED AT A LOSS OF $554,694. EDUCATING FUTURE HEALTH CARE PROVIDERS 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 AS PART OF ITS PLAN TO DEVELOP A HEALTH EDUCATION PARTNERSHIP CAMPUS ON A PORTION OF THE APPROXIMATELY 40 ACRES OF UNDEVELOPED LAND IT CONTROLS 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 TMH 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 332 GRADUATES SINCE ITS INCEPTION IN 1973. OF THOSE, 139 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, TMH 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 22 RESIDENTS, BUT WILL BUILD TO A COMPLEMENT OF 24 RESIDENTS WITHIN A THREE-YEAR PERIOD. DURING 2013, BOTH RESIDENCY PROGRAMS OPERATED AT A NET LOSS OF $9,098,237. NURSING EDUCATION AND ADVANCEMENT ARE A KEY FOCUS. THE PROFESSIONAL DEVELOPMENT MODEL MANAGED BY THE PRACTICE COUNCIL PROVIDES NURSES WITH THE OPPORTUNITY TO EXCEL IN THEIR PROFESSIONAL PRACTICE AND TO ENHANCE PROFESSIONAL RELATIONSHIPS BETWEEN NURSES AND OTHER HEALTHCARE PROVIDERS. DURING 2013, TMH COLLEAGUES CONTRIBUTED THEIR NURSING EXPERTISE TO MORE THAN 50 DIFFERENT COMMUNITY PROJECTS. TMH CREATED, AND IN PART FUNDED, THE NURSING RESEARCH PROGRAM WITHIN THE FLORIDA STATE UNIVERSITY COLLEGE OF NURSING. WITH SUPPORT FROM FLORIDA STATE UNIVERSITY AND THE TMH FOUNDATION, A NURSING RESEARCH AND MENTORING PROGRAM WAS ESTABLISHED. THE PROGRAM UNDERWRITES ROXANNE HAUBER, PHD, RN, A FLORIDA STATE COLLEGE OF NURSING FACULTY MEMBER, WHO ASSISTS IN THE DEVELOPMENT OF NURSING UNIT-BASED RESEARCH AND EVIDENCED-BASED PRACTICE PROJECTS. THE COLLEAGUES OF TMH SERVE AS MENTORS AND EDUCATORS TO HUNDREDS OF COLLEGE AND HIGH SCHOOL STUDENTS MAJORING OR CONSIDERING CAREERS IN HEALTHCARE. TMH CURRENTLY HAS 70 AFFILIATION AGREE AFFILIATED HEALTHCARE SYSTEM INFORMATION PART VI, LINE 6 NOT APPLICABLE. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7 NOT APPLICABLE. X true true X X X X X false false false false false false false true false G MARK O'BRYANT 700003 0 164475 0 22293 0 176539 0 8693 0 1072003 0 0 0 WILLIAM GIUDICE 387368 0 54908 0 11048 0 15000 0 8693 0 477016 0 0 0 STEVEN ADRIAANSE 254701 0 27737 0 1788 0 15000 0 7687 0 306914 0 0 0 WARREN JONES 166293 0 20390 0 5508 0 11545 0 907 0 204643 0 0 0 BARBARA MACARTHUR 100665 0 25527 0 96394 0 13383 0 504 0 236473 0 0 0 CYNTHIA BLAIR 188457 0 23038 0 2110 0 12816 0 1005 0 227426 0 0 0 PAULA S FORTUNAS 184490 0 20000 0 3198 0 12573 0 4292 0 224553 0 0 0 JASON H MOORE 373690 42492 2202 15000 9669 443053 DONALD LINDSEY 197763 0 23176 0 1264 0 9133 0 9654 0 240990 0 0 0 DEAN WATSON MD 315018 0 45740 0 6262 0 15000 0 9669 0 391689 0 0 0 TIM BROESEKER MD 398167 0 269959 0 3746 0 0 0 8469 0 680341 0 0 0 JOSHUA SIMMONS MD 162573 0 419858 0 162 0 15000 0 3666 0 601259 0 0 0 MARCUS S WILLETT MD 154886 0 403374 0 162 0 15000 0 8709 0 582131 0 0 0 MICHAEL A GLAZE MD 170295 0 377927 0 162 0 15000 0 7214 0 570598 0 0 0 WILLIAM MILLER MD 167352 0 350871 0 1345 0 15000 0 478 0 535046 0 0 0 QUESTIONS REGARDING COMPENSATION FORM 990, SCHEDULE J, PART I, LINE 1A DIRECTORS RECEIVE COMPLIMENTARY ACCESS TO TMH'S HEALTH CLUB, PREMIER HEALTH AND FITNESS CENTER. PROVISION OF NON-FIXED PAYMENTS FORM 990, SCHEDULE J, LINE 7 TMH MAINTAINS A VARIABLE COMPENSATION PROGRAM FOR CERTAIN MANAGERS THAT MAKES 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. A CITY OF TALLAHASSEE 596000435 2008-09-12 600000 PURCHASE OF SLEEP CENTER EQUIPMENT false false false A 0 0 600000 0 0 0 0 0 0 600000 0 0 2009 false false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false false true false false false 0 false 0 false true A true Moore Bass Consulting Inc SIMILAR DIRECTOR/PARTNER 366800 CONSULTING SERVICES false Southern Medical Group SIMILAR DIRECTOR/PARTNER 14065260 PROF SRV PYMTS false Tallahassee Neurological Clinic SIMILAR DIRECTOR/PARTNER 222620 PROPERTY RENTAL/PROF SRV PYMTS false Terry Sherraden FAMILY MEMBER OF DIRECTOR 292080 EMPLOYMENT false Tim Fortunas FAMILY MEMBER OF OFFICER 33680 EMPLOYMENT false Patricia Faye Jones FAMILY MEMBER OF OFFICER 121340 EMPLOYMENT false Vivian Moore FAMILY MEMBER OF OFFICER 104820 EMPLOYMENT false DETAIL OF BUSINESS TRANSACTIONS WITH INT. PERSONS FORM 990, SCHEDULE L, PART IV, ITEM 3 THE $222,620 TALLAHASSEE NEUROLOGICAL CLINIC (THE "CLINIC") AMOUNT REPORTED REPRESENTS THE AGGREGATE REPORTING OF TWO SEPERATE TRANSACTION FLOWS: THE CLINIC PAID TMH $211,542 IN RENTAL PAYMENTS DURING THE FISCAL YEAR, WHILE TMH PAID THE CLINIC $11,076 IN MEDICAL DIRECTOR FEES DURING THE FISCAL YEAR. X Books, Toys, Piano, Etc. 119 37052 Actual Cost X Employee Rec. Events 4 5000 Actual Cost X Recliners, Walkers, Etc. 8 3283 Actual Cost false true false DESCRIPTION OF FAMILY OR BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 PAULA S. FORTUNAS, OFFICER, AND MARTHA BARNETT, DIRECTOR SERVE AS BOARD MEMBERS ON A SIMILAR ORIGANIZATION. OFFICER WHO CANNOT BE REACHED AT THE ORGANIZATION'S MAILING ADDRESS FORM 990, PART VI, SECTION A, LINE 9 STEVE ADRIAANSE IS NOW DECEASED. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11 INFORMATION RELATED TO TMH'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW AND RETURN PREPARATION. THE 2012 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2013 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR FINANCE TEAM MEMBERS BEFORE IT WAS FILED WITH THE IRS. THE AUDIT & COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE FORM 990 AT A MEETING OF THE COMMITTEE PRIOR TO ITS FILING. ALL MEMBERS OF THE BOARD WERE AFFORDED THE OPPORTUNITY TO REVIEW FORM 990 PRIOR TO ITS FILING. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C AS PART OF OUR WRITTEN CONFLICT OF INTEREST POLICY, OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE POTENTIAL CONFLICTS OF THEMSELVES AND THEIR FAMILY MEMBERS. COMPENSATION PROCESS FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION ARRANGEMENTS INVOLVING OUR CEO AND SENIOR LEADERSHIP TEAM ARE ESTABLISHED BY TMH PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). DOCUMENTS AVAILABILITY TO PUBLIC FORM 990, PART VI, SECTION C, LINE 19 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. DETAIL OF OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 CHANGE IN ADD'L MIN PENSION LIABILITY $77,156,656 CHANGE IN FMV OF DERIVATIVE INSTRUMENT (26,157) ADDITIONAL DEPRECIATION (18,331) ------------ TOTAL $77,112,168 MEDICUS SELECT LLC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 452980304 LEASED LABOR FL 0 571006 TMH SOUTHEAST COMMUNITY HEALTH SERVICES INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 581434992 HOLDING CO FL 501(C)(25) N/A TMH true TALLAHASSEE MEMORIAL HEALTHCARE FDN 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 591727645 FUNDRAISING FL 501(C)(3) 7 TMH true TALLAHASSEE MEMORIAL HEALTH VENTURES INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 592717050 HOLDING COMPA FL TMH C CORP 0 10719388 1.00000 true PRIME MERIDIAN HEALTH VENTURES INC 1309 THOMASVILLE ROAD TALLAHASSEE FL 32303 592668613 DIAGNOSTIC IM FL TMHV C CORP true TALLAHASSEE MEMORIAL TELEPHONE COMPANY 1309 THOMASVILLE ROAD TALLAHASSEE FL 32303 593395937 TELEPHONE COM FL TMHV C CORP true PREMIER HEALTH & FITNESS CENTER INC 3521 MACLAY BOULEVARD TALLAHASSEE FL 32312 592471569 FITNESS CENTE FL TMHV C CORP true true false true false false false false false false true true false false false true false true false false Southeast Community Health Services a 26000 FMV Southeast Community Health Services j 593000 FMV Southeast Community Health Services n,p 49000 FMV Tallahassee Memorial Foundation c 607529 FMV Tallahassee Memorial Foundation n,p 790000 FMV Tallahassee Memorial Health Ventures Inc a,i 1402000 FMV Tallahassee Memorial Health Ventures Inc j 259000 FMV DIRECT OTHER LOBBYING EXEMPT PURPOSE NAME OF ELECTING ORGANIZATION EXPENDITURES EXPENDITURES ____________________________________ ____________ ______________ TALLAHASSEE MEMORIAL HEALTHCARE, INC. $162,743 $534,553,926 THIS ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED SEPTEMBER 30, 2013. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2012. ------------------------------------- DIRECT OTHER LOBBYING EXEMPT PURPOSE NAME OF NON-ELECTING ORGANIZATION EXPENDITURES EXPENDITURES ____________________________________ ____________ ______________ SOUTHEAST COMMUNITY HEALTH SRVS, INC. $NONE $ 260,227 TALLAHASSEE MEMORIAL HEALTHCARE FND NONE 1,699,228 ------------ -------------- $NONE $1,959,455 TOTALS $162,743 $536,513,381 ============ =============