2012-08-14T12:50:11-05:00 2011-09-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2010-10-01 591917016 TALLAHASSEE MEMORIAL HEALTHCARE INC TALL 8504315238 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 WILLIAM GIUDICE 2012-08-06 2673303000 2010 2016-02-24 21:20:13Z WILLIAM GIUDICE CFO 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323080000 564783541 false X www.tmh.org X 1976 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. 14 10 4473 500 1338696 1092326 2466656 2144045 342408202 380545439 300614 140031 131369594 126700671 476545066 509530186 0 0 0 0 205822631 211384138 0 0 0 223856072 230949354 429678703 442333492 46866363 67196694 438478290 490295287 370703085 391953971 67775205 98341316 FOUNDED MORE THAN 60 YEARS AGO, TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") IS A PRIVATE, NOT-FOR PROFIT, 772-BED, COMMUNITY HEALTH CARE SYSTEM. WITH CARING HANDS AND HEARTS, TMH HONORABLY SERVES THE COMMUNITY AND MAINTAINS POSITIVE, COLLABORATIVE RELATIONSHIPS BY PROVIDING COMPASSIONATE, LEADING-EDGE, PATIENT-CENTERED HEALTH CARE FOR ALL. TMH PURSUES PERFECTION IN A TRUSTING AND LEARNING ENVIRONMENT, THUS ENHANCING THE QUALITY OF LIFE FOR THOSE SERVED. false false 396511511 0 508157406 TALLAHASSEE MEMORIAL HEALTHCARE ("TMH") IS A COMPREHENSIVE HEALTHCARE PROVIDER LOCATED IN TALLAHASSEE, FLORIDA, THE CAPITAL OF FLORIDA, IN THE HEART OF ITS PANHANDLE. WITH A POPULATION OF MORE THAN 275,000 IN TALLAHASSEE ALONE, TMH SERVES A TOTAL OF 17 COUNTIES WITH A POPULATION BASE OF 685,033 COVERING 10,700 SQUARE MILES. TMH'S PRIMARY SERVICE AREA COVERS 10 COUNTIES IN FLORIDA WHICH INCLUDE: CALHOUN, GADSDEN, FRANKLIN, JACKSON, JEFFERSON, LIBERTY, MADISON, TAYLOR, AND WAKULLA. THE SIX COUNTIES THAT COMPRISE THE GEORGIA SERVICE AREA INCLUDE: BROOKS, DECATUR, GRADY, LOWNDES, SEMINOLE AND THOMAS. 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. TMH 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. LEON COUNTY HAS THE SECOND HIGHEST PERCENTAGE OF POPULATION BETWEEN THE AGES OF 18 AND 34 IN THE STATE AT 37.0% (BEHIND ALACHUA COUNTY) AND THE SMALLEST PERCENTAGE AGED 65 AND OLDER AT 9.4% (OF COUNTIES WITH A POPULATION GREATER THAN 20,000). 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 HOSPITAL INPATIENT SERVICES 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 IS SCHEDULED. 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 HOSPITAL INPATIENT SERVICES. HOSPITAL INPATIENT SERVICES, THROUGH A 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 3.0% 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. > IMPROVING REGIONAL HEALTH STATUS TMH USES A VARIETY OF ASSESSMENT TOOLS TO DETERMINE THE NEEDS OF ITS COMMUNITY. AMONG THOSE ASSESSMENT TOOLS ARE: - COUNTY HEALTH STATUS SUMMARY FROM FLORIDA CHARTS (COMMUNITY HEALTH ASSESSMENT RESOURCE TOOL SET) HTTP://WWW.FLORIDACHARTS.COM/CHARTS/SPECREPORT.ASPX?REPID=1341. - TALLAHASSEE MEMORIAL HEALTHCARE PUBLIC PERCEPTION STUDY. - COMMUNITY REQUESTS FOR SERVICES SUCH AS TRAUMA CENTER, DIABETES CENTER, LIPID CENTER, AND ADDICTION RECOVERY CENTER. 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, HIV CASES REPORTED, AIDS CASES REPORTED, CHLAMYDIA CASES REPORTED, GONORRHEA CASES REPORTED, INFECTIOUS SYPHILIS CASES REPORTED, LOW BIRTH RATE BIRTHS (BIRTHS< 2500 GRAMS), POSTNEONATAL 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 ENGAGE IN NO LEISURE-TIME PHYSICAL ACTIVITY, 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 DEATH RATE, ADULTS WITH DIAGNOSED HYPERTENSION, PROSTATE CANCER AGE-ADJUSTED DEATH RATE, CERVICAL CANCER AGE-ADJUSTED DEATH RATE, CERVICAL CANCER AGE-ADJUSTED INCIDENCE RATE, DIABETES AGE-ADJUSTED DEATH RATE, DIABETES AGE-ADJUSTED HOSPITALIZATION RATE, AMPUTATION DUE TO 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, INFECTIOUS SYPHILIS CASES REPORTED, LOW BIRTH WEIGHT BIRTHS (BIRTHS < 2500 GRAMS), PREMATURE BIRTHS (BIRTHS < 37 WEEKS GESTATION), MULTIPLE BIRTHS, BIRTHS TO TEENS 15-19, INFANT DEATH RATE, NEONATAL DEATH RATE, POST NEONATAL DEATH RATE, AND FETAL DEATH RATIO. WAKULLA COUNTY RANKED IN THE BOTTOM STATE QUARTILE FOR THE FOLLOWING HEALTH INDICATORS: ADULTS WHO ARE OBESE, ADULTS WHO ARE CURRENT SMOKERS, 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, ADULTS WITH DIAGNOSED DIABETES, LOW BIRTH WEIGHT BIRTHS (BIRTHS < 2500 GRAMS), INFANT DEATH RATE, AND NEONATAL DEATH RATE. JEFFERSON COUNTY RANKED IN THE BOTTOM STATE QUARTILE FOR THE FOLLOWING HEALTH INDICATORS: ADULTS WHO ARE OBESE, STROKE AGE-ADJUSTED DEATH RATE, ADULTS WITH DIAGNOSED HYPERTENSION, ADULTS WHO HAVE DIAGNOSED HIGH BLOOD CHOLESTEROL, BREAST CANCER AGE-ADJUSTED DEATH RATE, BREAST CANCER AGE-ADJUSTED INCIDENCE RATE, MELANOMA AGE-ADJUSTED DEATH RATE, AMPUTATION DUE TO DIABETES AGE-ADJUSTED HOSPITALIZATION RATE, CHLAMYDIA CASES REPORTED, GONORRHEA CASES REPORTED, PREMATURE BIRTHS (BIRTHS < 37 WEEKS GESTATION), MULTIPLE BIRTHS, REPEAT BIRTHS TO MOTHERS 15-19, INFANT DEATH RATE, NEONATAL DEATH RATE, UNINTENTIONAL INJURIES AGE-ADJUSTED DEATH RATE, AND MOTOR VEHICLE CRASH AGE-ADJUSTED DEATH RATE. 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, 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, WOMEN 40 YEARS OF AGE AND OVER WHO RECEIVED A MAMMOGRAM IN THE PAST YEAR, VACCINE PREVENTABLE DISEASES, CHLAMYDIA CASES REPORTED, PREMATURE BIRTHS (BIRTHS < 37 WEEKS GESTATION), BIRTHS TO TEENS 15-19, POSTNEONATAL DEATH RATE, FETAL DEATH RATIO, KINDERGARTEN CHILDREN FULLY IMMUNIZED, UNINTENTIONAL INJURIES AGE-ADJUSTED DEATH RATE, AND MOTOR VEHICLE CRASH AGE-ADJUSTED DEATH RATE. 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 OV 396511511 true true false true false false false false false 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 247 0 true 4473 true true true false false false false false false false false false X 14 10 true false false false false false false true true false false true true true true true true true true false FL X WILLIAM A GIUDICE CFO 8504315238 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323080000 X DAVID L SAINT MD 1.0 X 0 0 0 ERIN ENNIS 1.0 X 0 0 0 JOSEPH L CAMPS MD 1.0 X X 0 0 0 LAURIE L DOZIER III 1.0 X X 0 0 0 DEBRA AUSTIN EDD 1.0 X 0 0 0 HAROLD BROCK 1.0 X 0 0 0 SUSIE BUSCH-TRANSOU 1.0 X 0 0 0 FRANK E GREDLER MD 1.0 X 0 0 0 ALMA LITTLES MD 1.0 X 0 0 0 RICK MOORE 1.0 X 0 0 0 MARTIN PROCTOR 1.0 X 0 0 0 WAYNE BATCHELOR MD 1.0 X 0 0 0 GLENDA L THORNTON 1.0 X X 0 0 0 KIM WILLIAMS 1.0 X X 0 0 0 G MARK O'BRYANT 55.0 X 742957 0 222822 STEVEN ADRIAANSE 55.0 X 273505 0 20696 WARREN JONES 55.0 X 173754 0 17728 WILLIAM GIUDICE 55.0 X 414980 0 22822 BARBARA MACARTHUR 55.0 X 226863 0 13974 CYNTHIA BLAIR 55.0 X 196593 0 11952 PAULA FORTUNAS 15.0 X 196219 0 14658 JASON H MOORE 55.0 X 388030 0 22798 DONALD LINDSEY 55.0 X 206288 0 16579 DEAN WATSON MD 55.0 X 351108 0 22617 ALEX HO MD 40.0 X 438213 0 22798 EDWARD EASTMAN MD 43.0 X 469987 0 22798 STEPHEN CREMIN MD 44.0 X 482551 0 22919 WILLIAM MILLER MD 47.0 X 512173 0 14850 JOSHUA SIMMONS MD 42.0 X 530908 0 18140 5604129 0 488151 150 false true false PENNINGTON MOORE WILKINSON BELL 215 N MONROE STREET TALLAHASSEE FL 32301 LEGAL SERVICES 3213316 CLEMONS RUTHERFORD ASSOCIATES IN 3027 THOMASVILLE ROAD TALLAHASSEE FL 32308 ARCHITECT SERVICES 998998 PETER MITCHELL ASSOCIATES 1311 E 7th AVE TALLAHASSEE FL 32303 ADVERTISING SRVCS 979196 ADREIMA 3200 N CENTRAL AVENUE STE 1000 PHOENIX AZ 85012 MEDICAID/CHARITY 975552 PRICEWATERHOUSECOOPERS LLP 50 N LAURA STREET STE 3000 JACKSONVILLE FL 32202 AUDITING/TAX SRVCS 826555 38 702106 781021 660918 145276 2144045 PATIENT SERVICE REVENUE 622110 380545439 380111664 433775 380545439 232854 232854 0 0 4126494 5037790 -911296 -911296 904921 -1816217 26473611 53566 26496788 123212 -23177 -69646 -92823 -92823 0 0 148509719 23595565 124914154 124914154 Services to other Organizations 900099 23358 23358 Parking Deck 900099 534187 534187 Vendor Rebates 900099 1875595 1875595 264673 264673 2697813 509530186 507723631 1338696 -1676186 0 0 0 0 3840177 3197576 642601 0 0 166440590 147645264 18795326 0 18312170 16266828 2045342 0 11034064 9788041 1246023 0 11757137 10429461 1327676 0 0 5060048 2867156 2192892 0 785529 0 785529 0 0 0 0 11464251 11005465 458786 0 1289961 1289961 0 15202467 13418372 1784095 0 8150257 6132333 2017924 0 0 8854984 7311660 1543324 0 1837420 854732 982688 0 0 884155 343206 540949 0 8772814 8772814 0 17198833 14321121 2877712 0 -270394 -310001 39607 0 PROVISION FOR BAD DEBT 68749715 68749715 0 0 PATIENT EXPENSES 59545168 59545168 0 0 SERVICE MAINTENANCE 10832441 6775507 4056934 0 INDIGENT CARE 5242680 5242680 0 0 PATIENT FOOD 3128792 3128792 0 0 4220233 1025621 3194612 0 442333492 396511511 45821981 0 130836792 159208726 38758546 49104979 6576423 6902669 6384898 7085485 446561920 222668139 209859522 223893781 984800 957500 45077309 43142147 438478290 490295287 54237885 42642750 125579337 121134063 13533415 20973400 177352448 207203758 370703085 391953971 X 67775205 98341316 67775205 98341316 438478290 490295287 X 67196694 -36630583 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 43816 43816 43816 43816 442289676 444262186 442333492 444306002 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 24670 41190 76750 43816 186426 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. 12542079 12542079 258903140 116569296 142333844 3607739 1235179 2372560 164331216 104863664 59467552 7177746 0 7177746 223893781 VHA Florida Partnership 27300 Debt Reserve Fund 16308827 Debt Service Fund 6733404 Bond Issue Costs 1493412 SWAP Collateral 3609443 Deposits and Other Assets 4849646 Due from Parent Holding Compan 5963535 Self Insurance Trust Fund 3431379 Due from Medicare 725201 43142147 0 Worker's Comp Self Insurance 2129122 Professional Liability Self Insurance 25289438 SWAP Liability 4559404 Min Pension Liability 160096170 Obligation for supplemental executive retirement benefits 4531595 Defferred comp arrangement 1347753 Due to Medicaid 6175179 Asset retirement obligation 380000 AHCA ASESSMENT 2695097 207203758 509530186 442333492 67196694 -23178 -36607405 -36630583 30566111 493328108 -23178 -16178900 -16202078 509530186 509530186 462761997 20428505 20428505 442333492 442333492 SUPPLEMENTAL INFORMATION DETAIL OF OTHER CHANGES IN NET ASSETS SCHEDULE D, PART XI, LINE 8 CHANGE IN ADD'L MIN PENSION LIABILITY $(36,261,141) CHANGE IN FMV OF DERIVATIVE INSTRUMENT (233,482) OTHER CHANGES IN NET ASSETS (112,782) ----------- TOTAL $(36,607,405) ------------------------------ DETAIL OF OTHER CHANGES IN REVENUE SCHEDULE D, PART XII, LINE 2D CHANGE IN ADD'L MIN PENSION LIABILITY $(36,261,141) CHANGE IN FMV OF DERIVATIVE INSTRUMENT (233,482) OTHER CHANGES IN NET ASSETS (112,782) COST OF GOODS SOLD 23,595,565 DEPRECIATION (18,333) AUXILIARY ACTIVITIES (222,210) CHILD CARE REVENUES (671,897) VENDOR REBATES (1,875,595) DONATED EQUIPMENT (379,025) ------------ TOTAL $(16,178,900) ------------------------------ DETAIL OF OTHER CHANGES IN EXPENSES SCHEDULE D, PART XIII, LINE 2D COST OF GOODS SOLD $23,595,565 DEPRECIATION (18,333) AUXILIARY ACTIVITIES (222,210) CHILD CARE REVENUES (671,897) VENDOR REBATES (1,875,595) DONATED EQUIPMENT (379,025) ----------- TOTAL $20,428,505 Central America and the Caribbean 0 0 Program Services Insurance 957500 0 0 0 0 957500 957500 false false true false false false true true true X true X true true false true true 17534616 0 17534616 0.04690 47313170 49612277 -2299107 0.00000 64847786 49612277 15235509 0.04690 7542981 836028 6706953 0.01800 21548528 14916357 6632171 0.01780 29091509 15752385 13339124 0.03580 93939295 65364662 28574633 0.08270 398119 0 398119 0.00110 398119 0 398119 0.00110 false 17028310 3569491 80097206 81074391 -977185 X true true 1 1 TALLAHASSEE MEMORIAL HOSPITAL

1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308

X X X X TALLAHASSEE MEMORIAL HOSPITAL 1 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 $68,749,715 FOR THE YEAR ENDED SEPTEMBER 30, 2011. 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 4 THE COMPONENTS OF NET PATIENT SERVICE REVENUE FOR THE YEARS ENDED SEPTEMBER 30, 2011 AND 2010 ARE AS FOLLOWS: 2011- GROSS PATIENT SERVICE REVENUE $1,483,636,094; CONTRACTUAL ADJUSTMENTS AND OTHER DEDUCTIONS (956,780,435); NET PATIENT SERVICE REVENUE $526,855,659 2010- GROSS PATIENT SERVICE REVENUE $1,397,969,671; CONTRACTUAL ADJUSTMENTS AND OTHER DEDUCTIONS (907,174,154); NET PATIENT SERVICE REVENUE $490,795,517 NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRDPARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. APPROXIMATELY 83% AND 86% OF THE HOSPITAL'S NET PATIENT ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2011 AND 2010 ARE DUE FROM COMMERCIAL INSURANCE CARRIERS AND GOVERNMENTAL PAYORS, AND THE REMAINDER IS DUE FROM OTHERS WHO RESIDE PRIMARILY IN THE GEOGRAPHICAL AREA IN OR NEAR TALLAHASSEE, FLORIDA. PATIENT ACCOUNTS RECEIVABLES ARE STATED AT THEIR ESTIMATED NET REALIZABLE VALUE AS DETERMINED BY MANAGEMENT. MANAGEMENT'S ESTIMATE IS BASED ON AN ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON A COST TO CHARGE RATIO. 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. NEEDS ASSESSMENT PART VI, LINE 2 TALLAHASSEE MEMORIAL HEALTHCARE (TMH) USES A VARIETY OF ASSESSMENT TOOLS TO DETERMINE THE NEEDS OF ITS COMMUNITY. AMONG THOSE ASSESSMENT TOOLS ARE: - COUNTY HEALTH STATUS SUMMARY FROM FLORIDA CHARTS (COMMUNITY HEALTH ASSESSMENT RESOURCE TOOL SET) HTTP://WWW.FLORIDACHARTS.COM/CHARTS/SPECREPORT.ASPX?REPID=1341. - TALLAHASSEE MEMORIAL HEALTHCARE PUBLIC PERCEPTION STUDY. - COMMUNITY REQUESTS FOR SERVICES SUCH AS TRAUMA CENTER, DIABETES CENTER, LIPID CENTER, AND ADDICTION RECOVERY CENTER. 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, HIV CASES REPORTED, AIDS CASES REPORTED, CHLAMYDIA CASES REPORTED, GONORRHEA CASES REPORTED, INFECTIOUS SYPHILIS CASES REPORTED, LOW BIRTH RATE BIRTHS (BIRTHS< 2500 GRAMS), POSTNEONATAL 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 ENGAGE IN NO LEISURE-TIME PHYSICAL ACTIVITY, 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 DEATH RATE, ADULTS WITH DIAGNOSED HYPERTENSION, PROSTATE CANCER AGE-ADJUSTED DEATH RATE, CERVICAL CANCER AGE-ADJUSTED DEATH RATE, CERVICAL CANCER AGE-ADJUSTED INCIDENCE RATE, DIABETES AGE-ADJUSTED DEATH RATE, DIABETES AGE-ADJUSTED HOSPITALIZATION RATE, AMPUTATION DUE TO 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, INFECTIOUS SYPHILIS CASES REPORTED, LOW BIRTH WEIGHT BIRTHS (BIRTHS < 2500 GRAMS), PREMATURE BIRTHS (BIRTHS < 37 WEEKS GESTATION), MULTIPLE BIRTHS, BIRTHS TO TEENS 15-19, INFANT DEATH RATE, NEONATAL DEATH RATE, POST NEONATAL DEATH RATE, AND FETAL DEATH RATIO. WAKULLA COUNTY RANKED IN THE BOTTOM STATE QUARTILE FOR THE FOLLOWING HEALTH INDICATORS: ADULTS WHO ARE OBESE, ADULTS WHO ARE CURRENT SMOKERS, 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, ADULTS WITH DIAGNOSED DIABETES, LOW BIRTH WEIGHT BIRTHS (BIRTHS < 2500 GRAMS), INFANT DEATH RATE, AND NEONATAL DEATH RATE. JEFFERSON COUNTY RANKED IN THE BOTTOM STATE QUARTILE FOR THE FOLLOWING HEALTH INDICATORS: ADULTS WHO ARE OBESE, STROKE AGE-ADJUSTED DEATH RATE, ADULTS WITH DIAGNOSED HYPERTENSION, ADULTS WHO HAVE DIAGNOSED HIGH BLOOD CHOLESTEROL, BREAST CANCER AGE-ADJUSTED DEATH RATE, BREAST CANCER AGE-ADJUSTED INCIDENCE RATE, MELANOMA AGE-ADJUSTED DEATH RATE, AMPUTATION DUE TO DIABETES AGE-ADJUSTED HOSPITALIZATION RATE, CHLAMYDIA CASES REPORTED, GONORRHEA CASES REPORTED, PREMATURE BIRTHS (BIRTHS < 37 WEEKS GESTATION), MULTIPLE BIRTHS, REPEAT BIRTHS TO MOTHERS 15-19, INFANT DEATH RATE, NEONATAL DEATH RATE, UNINTENTIONAL INJURIES AGE-ADJUSTED DEATH RATE, AND MOTOR VEHICLE CRASH AGE-ADJUSTED DEATH RATE. 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, 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, WOMEN 40 YEARS OF AGE AND OVER WHO RECEIVED A MAMMOGRAM IN THE PAST YEAR, VACCINE PREVENTABLE DISEASES, CHLAMYDIA CASES REPORTED, PREMATURE BIRTHS (BIRTHS < 37 WEEKS GESTATION), BIRTHS TO TEENS 15-19, POSTNEONATAL DEATH RATE, FETAL DEATH RATIO, KINDERGARTEN CHILDREN FULLY IMMUNIZED, UNINTENTIONAL INJURIES AGE-ADJUSTED DEATH RATE, AND MOTOR VEHICLE CRASH AGE-ADJUSTED DEATH RATE. 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 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 TMHWEBSITE 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 HOSPITAL INPATIENT SERVICES 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 IS SCHEDULED. 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 HOSPITAL INPATIENT SERVICES. HOSPITAL INPATIENT SERVICES, THROUGH A 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 3.0% 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 CAPITOL CITY OF TALLAHASSEE, FLORIDA, IN THE HEART OF THE STATE'S PANHANDLE. WITH A POPULATION OF MORE THAN 275,000 IN TALLAHASSEE ALONE, TMH SERVES A TOTAL OF 17 COUNTIES WITH A POPULATION BASE OF 685,033 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. TMH 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. LEON COUNTY HAS THE SECOND HIGHEST PERCENTAGE OF POPULATION BETWEEN THE AGES OF 18 AND 34 IN THE STATE AT 37.0% (BEHIND ALACHUA COUNTY) AND THE SMALLEST PERCENTAGE AGED 65 AND OLDER AT 9.4% (OF COUNTIES WITH A POPULATION GREATER THAN 20,000). 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 NINE OF THESE 17 COUNTIES AS MEDICALLY UNDERSERVED AREAS (MUA) AND SEVEN OF THE 17 COUNTIES CONTAIN MEDICALLY UNDERSERVED POPULATION (MUP) SEGMENTS. ALMOST 25% OF THE POPULATION LIVES AT OR BELOW 150% OF THE FEDERAL POVERTY LEVEL. BASED ON ESTIMATES FROM THOMSON REUTERS, THE PERCENTAGE OF UNINSURED ARE AS FOLLOWS: LEON - 39%, GADSDEN - 36.1%, WAKULLA - 18.0%, JEFFERSON - 33.3%, CALHOUN - 37.1%, FRANKLIN - 32.9%, JACKSON - 29.1%, LIBERTY - 33.8%, MADISON - 42%, AND TAYLOR 33.9%. THE PERCENTAGE OF UNINSURED FOR THE COUNTIES IN GEORGIA ARE: BROOKS - 37%, COLQUITT - 35%, DECATUR - 36%, GRADY -35.4%, MITCHELL - 38.9%, SEMINOLE - 31%, AND THOMAS 28.1%. BASED ON DATA FROM THOMSON REUTERS, THE PERCENTAGE OF COVERED LIVES THAT ARE ON MEDICAID ARE AS FOLLOWS: LEON - 13.2%, GADSDEN - 25.4%, WAKULLA - 10.6%, JEFFERSON - 16.4%, CALHOUN - 20.1%, FRANKLIN - 16.6%, JACKSON - 16.3% , LIBERTY - 17.9%, MADISON - 28.3%, AND TAYLOR - 21.2%. THE PERCENTAGE OF COVERED LIVES THAT ARE ON MEDICAID FOR THE COUNTIES IN GEORGIA ARE: BROOKS - 26.9%, COLQUITT - 30.4%, DECATUR - 30.4%, GRADY - 26.3%, MITCHELL - 31.5%, SEMINOLE - 29.4%, AND THOMAS - 21.7%. 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. PROSTATE SCREENING: TMH, ALONG WITH SOUTHEASTERN UROLOGICAL CENTER, TEAMED TO OFFER A FREE PROSTATE CANCER SCREENING FOR MORE THAN 700 MEN. PROSTATE CANCER IS THE MOST COMMON CANCER AMONG MEN AND THE SECOND LEADING CAUSE OF DEATH. THE SCREENING EDUCATED MEN ABOUT THE WARNING SIGNS, POTENTIAL CAUSES FOR PROSTATE CANCER AND ENCOURAGED EARLY DETECTION. THE EXAM CONSISTED OF A DRE AND PSA BLOOD TEST. THESE METHODS ARE THE MOST EFFECTIVE FOR DETECTING PROSTATE CANCER AT AN EARLY AND POTENTIALLY CURABLE STAGE. 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 2011, TMH CONTRIBUTED $6,632,170 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, JEFFERSON, AND WAKULLA COUNTIES' STATISTICS SHOW A HIGHER THAN AVERAGE RATE OF AGE ADJUSTED DEATHS AND AMPUTATIONS 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 2011, THE DIABETES CENTER OPERATED AT A NET LOSS OF $470,376. > 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 TMHBIXLER 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 1,900,000. > 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 2011, THE NET OPERATING LOSS OF THE NEUROSCIENCE CENTER WAS $389,019. > 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, TMH HAS OPENED A FAMILY MEDICINE CLINIC IN PERRY, FLORIDA, AND TMHCARDIOLOGY SPECIALISTS IN MARIANNA, FLORIDA. THE ESTABLISHMENT OF TMH CARDIOLOGY SPECIALISTS WAS A RESPONSE TO THAT AREA'S GROWING NEED FOR CARDIAC CARE - THE RURAL COMMUNITY PREVIOUSLY HAD NO FULL TIME CARDIAC CARE. CURRENTLY, TMH 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. DURING 2011, THESE CLINICS OPERATED AT A LOSS OF $2,481,755. > PROSTATE SCREENING: TMH, ALONG WITH SOUTHEASTERN UROLOGICAL CENTER, TEAMED TO OFFER A FREE PROSTATE CANCER SCREENING FOR MORE THAN 600 MEN. PROSTATE CANCER IS THE MOST COMMON CANCER AMONG MEN AND THE SECOND LEADING CAUSE OF DEATH. THE SCREENING EDUCATED MEN ABOUT THE WARNING SIGNS AND POTENTIAL CAUSES FOR PROSTATE CANCER AND ENCOURAGED EARLY DETECTION. THE EXAM CONSISTED OF A DRE AND PSA BLOOD TEST. THESE METHODS ARE THE MOST EFFECTIVE FOR DETECTING PROSTATE CANCER AT AN EARLY AND POTENTIALLY CURABLE STAGE. > TRANSITION CENTER: IN FEBRUARY 2011, OPENED THE TRANSITION CENTER, AN INNOVATIVE FACILITY THAT PROVIDES FOLLOW-UP CARE TO TMHPATIENTS 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 2011, THE TRANSITION CENTER OPERATED AT A LOSS OF $249,000. > 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 81.4 ACRES OF UNDEVELOPED LAND IT OWNS BEHIND THE HOSPITAL. IN AUGUST, 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 312 GRADUATES SINCE ITS INCEPTION IN 1973. OF THOSE, 97 HAVE CHOSEN TO REMAIN IN TMH'S SERVICE AREA HELPING TO ENSURE ACCESS TO PRIMARY HEALTHCARE OF RESIDENTS OF THE BIG BEND. DURING 2011, THE FAMILY MEDICINE RESIDENCY PROGRAM OPERATED AT A NET LOSS OF $6,706,953. 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 2011, 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 FACULT AFFILIATED HEALTHCARE SYSTEM INFORMATION PART VI, LINE 6 NOT APPLICABLE. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7 NOT APPLICABLE. X X true true X X X X X false false false false false false false true false G MARK O'BRYANT 524999 0 156000 0 61958 0 214700 0 8122 0 965779 0 0 0 STEVEN ADRIAANSE 241822 0 30899 0 784 0 14700 0 5996 0 294201 0 0 0 WARREN JONES 151522 0 19865 0 2366 0 10988 0 6740 0 191482 0 0 0 WILLIAM GIUDICE 356653 0 49286 0 9041 0 14700 0 8122 0 437802 0 0 0 BARBARA MACARTHUR 206561 0 19518 0 784 0 13681 0 293 0 240837 0 0 0 CYNTHIA BLAIR 177633 0 18176 0 784 0 11796 0 156 0 208545 0 0 0 PAULA FORTUNAS 173923 0 20000 0 2296 0 11876 0 2782 0 210877 0 0 0 JASON H MOORE 352304 0 34528 0 1198 0 14700 0 8098 0 410828 0 0 0 DONALD LINDSEY 186442 0 19662 0 184 0 8481 0 8098 0 222867 0 0 0 ALEX HO MD 160309 0 275597 0 2307 0 14700 0 8098 0 461011 0 0 0 EDWARD EASTMAN MD 169980 0 297379 0 2628 0 14700 0 8098 0 492785 0 0 0 STEPHEN CREMIN MD 172056 0 307996 0 2498 0 14700 0 8219 0 505470 0 0 0 WILLIAM MILLER MD 191130 0 319769 0 1275 0 14700 0 150 0 527023 0 0 0 JOSHUA SIMMONS MD 169112 0 361634 0 162 0 14700 0 3440 0 549048 0 0 0 DEAN WATSON MD 295363 0 33203 0 22542 0 14700 0 7917 0 373725 0 0 0 COMPENSATION INFORMATION 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. THE TMH PRESIDENT/CEO IS REIMBURSED FOR ONE COUNTRY CLUB MEMBERSHIP AND RECEIVES A MONTHLY AUTOMOBILE ALLOWANCE. ------------------------------ 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. City of Tallahassee 596000435 2008-09-12 600000 PURCHASE OF SLEEP CTR EQUIPMENT false false false 0 0 600000 0 0 0 0 0 0 600000 0 0 2009 false false true true false false false false true 0.00000 0.00000 0.00000 true false false false false false true MOORE BASS CONSULTING INC SIMILAR DIRECTOR/PARTNER 468335 CONSULTING SERVICES false SOUTHERN MEDICAL GROUP SIMILAR DIRECTOR/SHARHLDR 3088541 PROPERTY RENTAL/ASSET PURCHASE false HEART SURGERY CENTER SIMILAR DIRECTOR/SHARHLDR 137018 PROPERTY RENTAL/INC. GUARANTEE false TIM FORTUNAS FAMILY MEMBER OF OFFICER 34003 EMPLOYMENT false RICHARD MACARTHUR FAMILY MEMBER OF OFFICER 261586 EMPLOYMENT false FAITH JONES FAMILY MEMBER OF OFFICER 107175 EMPLOYMENT false VIVIAN MOORE FAMILY MEMBER OF OFFICER 97106 EMPLOYMENT false DETAIL OF BUSINESS TRANSACTIONS WITH INT. PERSONS FORM 990, SCHEDULE L, PART IV, ITEM 3 THE $137,018 HEART SURGERY CENTER AMOUNT REPORTED REPRESENTS THE AGGREGATE REPORTING OF TWO SEPERATE TRANSACTION FLOWS: HEART SURGERY CENTER PAID TALLAHASSEE MEMORIAL HOSPITAL ("TMH") $67,125 IN RENTAL PAYMENTS DURING THE FISCAL YEAR, WHILE TMH PAID HEART SURGERY CENTER $69,893 IN PHYSICIAN INCOME GUARANTEES DURING THE FISCAL YEAR. X Book, Toys, Giftcards 131 52062 actual cost X Employee Recognition Meals 14 5363 actual cost X Specialty Air Mattress 2 10200 actual cost 67625 false true false SUPPLEMENTAL DISCLOSURES DESCRIPTION OF FAMILY OR BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 G. MARK O'BRYANT, OFFICER, AND JOSEPH L. CAMPS, MD, DIRECTOR, SERVE AS DIRECTORS ON THE BOARD OF AN ORGANIZATION. GLENDA L. THORNTON, DIRECTOR, AND KIM WILLIAMS, DIRECTOR, SERVE AS DIRECTORS ON THE BOARD OF AN ORGANIZATION. ------------------------------ FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11A INFORMATION RELATED TO TMH'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW AND RETURN PREPARATION. THE 2010 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2011 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 ALL DOCUMENTS 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 5 CHANGE IN ADD'L MIN PENSION LIABILITY $(36,261,141) CHANGE IN FMV OF DERIVATIVE INSTRUMENT (233,482) UNREALIZED GAIN/(LOSS) ON INVESTMENTS (23,178) OTHER CHANGES IN NET ASSETS (112,782) ----------- TOTAL $(36,630,583) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOSEPH L. CAMPS, MD TITLE:CHAIR HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:G. MARK O'BRYANT TITLE:CEO/PRESIDENT HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WILLIAM GIUDICE TITLE:VP/CFO HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAULA FORTUNAS TITLE:VP/CHIEF ADVANCEMENT OFFICER HOURS:40 HEALTH VENTURES PAIN MANAGEMENT LLC 1401 CENERVILLE RD STE 210 TALLAHASSEE FL 323030000 202928736 HOLDING CO FL 0 0 TMHV HEALTH VENTURES SURGICAL CENTER LLC 1309 THOMASVILLE ROAD TALLAHASSEE FL 323030000 272216350 HOLDING CO FL 0 0 TMHV SOUTHEAST COMMUNITY HEALTH SERVICES INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 581434992 HOLDING CO FL 501(c) 25 N/A TMH TALLAHASSEE MEMORIAL HEALTHCARE FDN 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 591727645 FUNDRAISING FL 501(c) 3 7 TMH TALLAHASSEE MEMORIAL HEALTH VENTURES INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 592717050 HOLDING COMPANY FL TMH C CORP -1708001 11716150 1.00000 PRIME MERIDIAN HEALTH VENTURES INC 1309 THOMASVILLE ROAD TALLAHASSEE FL 32303 592668613 DIAGNOSTIC IM FL TMHV C CORP TALLAHASSEE MEMORIAL TELEPHONE COMPANY 1309 THOMASVILLE ROAD TALLAHASSEE FL 32303 593395937 TELEPHONE COM FL TMHV C CORP PREMIER HEALTH & FITNESS CENTER INC 3521 MACLAY BOULEVARD TALLAHASSEE FL 32312 592471569 FITNESS CENTE FL TMHV C CORP true false true false false false false false true true false false false true false true false false SOUTHEAST COMMUNITY HEALTH SERVICES INC A 26000 SOUTHEAST COMMUNITY HEALTH SERVICES INC J 608000 SOUTHEAST COMMUNITY HEALTH SERVICES INC N,P 48000 TALLAHASSEE MEMORIAL HEALTHCARE FDN C 702106 TALLAHASSEE MEMORIAL HEALTHCARE FDN N,P 776000 TALLAHASSEE MEMORIAL HEALTH VENTURES INC A,I 1402000 TALLAHASSEE MEMORIAL HEALTH VENTURES INC J 230000 DIRECT OTHER LOBBYING EXEMPT PURPOSE NAME OF ELECTING ORGANIZATION EXPENDITURES EXPENDITURES ____________________________________ ____________ ______________ TALLAHASSEE MEMORIAL HEALTHCARE, INC. $43,816 $442,289,676 THIS ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED SEPTEMBER 30, 2011. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2010. ------------------------------------- DIRECT OTHER LOBBYING EXEMPT PURPOSE NAME OF NON-ELECTING ORGANIZATION EXPENDITURES EXPENDITURES ____________________________________ ____________ ______________ SOUTHEAST COMMUNITY HEALTH SRVS, INC. $NONE $ 318,774 TALLAHASSEE MEMORIAL HEALTHCARE FND NONE 1,653,736 ------------ -------------- $NONE $ 1,972,510 TOTALS $43,816 $444,262,186 ============ ==============