FURP.ORG / PUBLIC DATA EXPLORER

TALLAHASSEE MEMORIAL HEALTHCARE INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC (EIN 59-1917016)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-11
IRS object ID
201102239349300710
Schema version
2009v1.7
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-11T07:53:35-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1700AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591917016EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TALLAHASSEE MEMORIAL HEALTHCARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTALLNameControl
Phone8504315238Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 MICCOSUKEE ROADAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code323085054ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM GIUDICEName
TitleCFOTitle
Date Signed2011-08-10DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2673303000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM GIUDICE CFONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11300 MICCOSUKEE ROADAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32308ZIPCode
FieldValueIRS element (for citing)
Gross Receipts523990239GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.tmh.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTALLAHASSEE MEMORIAL HEALTHCARE, INC. IS A PRIVATE 770-BED COMMUNITY HEALTH CARE SYSTEM THAT PROVIDES CHARITABLE, COMPASSIONATE, LEADING- EDGE, PATIENT-CENTERED HEALTH CARE FOR ALL.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees4409TotalNbrEmployees
Total Nbr Volunteers600TotalNbrVolunteers
Total Gross UBI1407235TotalGrossUBI
Net Unrelated Business Txbl Income1107344NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2621125ContributionsGrantsPriorYear
Contributions Grants Current Year2466656ContributionsGrantsCurrentYear
Program Service Revenue Prior Year313654876ProgramServiceRevenuePriorYear
Program Service Revenue CY342408202ProgramServiceRevenueCY
Investment Income Prior Year1197664InvestmentIncomePriorYear
Investment Income Current Year300614InvestmentIncomeCurrentYear
Other Revenue Prior Year118404510OtherRevenuePriorYear
Other Revenue Current Year131369594OtherRevenueCurrentYear
Total Revenue Prior Year435878175TotalRevenuePriorYear
Total Revenue Current Year476545066TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year186284140SalariesEtcPriorYear
Salaries Etc Current Year205822631SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year224897328OtherExpensePriorYear
Other Expenses Current Year223856072OtherExpensesCurrentYear
Total Expenses Prior Year411181468TotalExpensesPriorYear
Total Expenses Current Year429678703TotalExpensesCurrentYear
Revenues Less Expenses Prior Year24696707RevenuesLessExpensesPriorYear
Revenues Less Expenses CY46866363RevenuesLessExpensesCY
Total Assets BOY378729285TotalAssetsBOY
Total Assets EOY438478290TotalAssetsEOY
Total Liabilities BOY342508993TotalLiabilitiesBOY
Total Liabilities EOY370703085TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY36220292NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY67775205NetAssetsOrFundBalancesEOY
Mission DescriptionFOUNDED MORE THAN 60 YEARS AGO, TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") IS A PRIVATE, NOT-FOR PROFIT, 770-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. FOR THOSE WE SERVE.MissionDescription
Significant New Program ServicestrueSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense387448087Expense
Grants0Grants
Revenue345544656Revenue
DescriptionTALLAHASSEE 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 264,194, TMH SERVES A TOTAL OF 16 COUNTIES WITH A POPULATION BASE OF 724,477 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 36.8% (BEHIND ALACHUA COUNTY) AND THE SMALLEST PERCENTAGE AGED 65 AND OLDER AT 8.9% (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 HEALTH CARE PROFESSIONALS IN MANY OF THE REGION'S 16 COUNTIES. THE HEALTH RESOURCE AND SERVICES ADMINISTRATION (HRSA) HAS DESIGNATED EIGHT OF THESE SIXTEEN COUNTIES AS MEDICALLY UNDERSERVED AREAS (MUA) AND SEVEN OF THE SIXTEEN COUNTIES CONTAIN MEDICALLY UNDERSERVED POPULATION (MUP) SEGMENTS. ALMOST 25% OF THE POPULATION LIVES AT OR BELOW 150% OF THE FEDERAL POVERTY LEVEL, AND ONE IN EIGHT PEOPLE UNDER AGE 65 HAVE NO HEALTH INSURANCE. BASED ON DATA FROM THOMSON REUTERS, THE PERCENTAGE OF COVERED LIVES THAT ARE ON MEDICAID ARE AS FOLLOWS: LEON - 15%, GADSDEN - 34%, WAKULLA - 16%, JEFFERSON - 25%, CALHOUN - 27%, FRANKLIN - 21%, JACKSON - 27% , LIBERTY - 28%, MADISON - 40%, AND TAYLOR - 31%. THE PERCENTAGE OF COVERED LIVES THAT ARE ON MEDICAID FOR THE COUNTIES IN GEORGIA ARE: BROOKS - 22%, DECATUR - 21%, GRADY - 20%, LOWNDES - 18%, SEMINOLE - 27%, AND THOMAS 20%. HEALTH BARRIERS ARE NUMEROUS AND HARD TO OVERCOME, BUT TMH IS TACKLING THESE BARRIERS AND STRIVING TO IMPROVE HEALTH CARE. > EDUCATING THE PUBLIC ABOUT FINANCIAL ASSISTANCE OPTIONS 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 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 11% 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 - LEON COUNTY HEALTHCARE ADVISORY BOARD - MAYOR'S HOMELESS COALITION - TALLAHASSEE MEMORIAL HEALTHCARE PUBLIC PERCEPTION STUDY - COMMUNITY REQUESTS FOR SERVICES, SUCH AS TRAUMA CENTER AND DIABETES 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: STROKE AGE-ADJUSTED DEATH RATE, PROSTATE CANCER AGE ADJUSTED DEATH RATE, ADULTS WHO CURRENTLY HAVE ASTHMA, HIV CASES REPORTED, AIDS CASES REPORTED, CHLAMYDIA CASES REPORTED, GONORRHEA CASES REPORTED, INFECTIOUS SYPHILIS CASES REPORTED, AND LOW BIRTH RATE BIRTHS (BIRTHS < 2500 GRAMS). GADSDEN COUNTY RANKED IN THE BOTTOM STATE QUARTILES FOR THE FOLLOWING HEALTH INDICATORS; STROKE AGE-ADJUSTED DEATH RATE, COLORECTAL CANCER AGE-ADJUSTED DEATH, COLORECTAL CANCER AGE-ADJUSTED INCIDENCE RATE,, BREAST CANCER AGE-ADJUSTED DEATH RATE, PROSTATE CANCER AGE-ADJUSTED DEATH RATE, PROSTATE CANCER AGE-ADJUSTED INCIDENCE RATE, CERVICAL CANCER AGE-ADJUSTED DEATH RATE, CERVICAL CANCER AGE-ADJUSTED INCIDENCE RATE, ADULTS WHO CURRENTLY HAVE ASTHMA, AMPUTATION DUE TO DIABETES AGE-ADJUSTED HOSPITALIZATION RATE, HIV CASES REPORTED, AIDS CASES REPORTED, 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), 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: STROKE AGE-ADJUSTED DEATH RATE, AND ADULTS WHO CURRENTLY HAVE ASTHMA. FRANKLIN COUNTY RANKED IN THE BOTTOM STATE QUARTILE FOR THE FOLLOWING HEALTH INDICATORS: LUNG CANCER AGE-ADJUSTED INCIDENCE RATE, ADULTS 50 YEARS OF AGE AND OLDER WHO RECEIVED A SIGMOIDOSCOPY OR COLONOSCOPY IN THE PAST FIVE YEARS, BREAST CANCER AGE-ADJUSTED DEATH RATE, CERVICAL CANCER AGE-ADJUSTED INCIDENCE RATE, EARLY PRENATAL CARE (CARE BEGAN 1ST TRIMESTER), BIRTHS TO TEENS 15-19, AND KINDERGARTEN CHILDREN FULLY IMMUNIZED. 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. > PROVIDING ESSENTIAL SERVICES AS A NOT-FOR-PROFIT COMMUNITY HEALTHCARE SYSTEM TMH SUBSIDIZES HEALTH SERVICES ARE THAT DO NOT GENERATE A POSITIVE OPERATING MARGIN BUT ARE OFFERED BECAUSE OF A NEED IN THE COMMUNITY. DURING FISCAL YEAR 2010, TMH CONTRIBUTED $4,817,828 IN SUBSIDIZED HEALTH SERVICES IN OUR SERVICE AREA. ADescription
Total Program Service Expense387448087TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096238NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees4409NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWILLIAM A GIUDICE CFONamePerson
Telephone Number8504315238TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11300 MICCOSUKEE ROADAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32308ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
DAVID L SAINT MD
DIRECTOR1.0X000
ERIN ENNIS
CHAIR1.0X000X
JOSEPH L CAMPS MD
CHAIR-ELECT1.0X000X
LAURIE L DOZIER III
SECRETARY1.0X000X
DEBRA AUSTIN EDD
DIRECTOR1.0X000
HAROLD BROCK
DIRECTOR1.0X000
SUSIE BUSCH-TRANSOU
DIRECTOR1.0X000
FRANK E GREDLER MD
DIRECTOR1.0X000
ALMA LITTLES MD
DIRECTOR1.0X000
RICK MOORE
DIRECTOR1.0X000
MARTIN PROCTOR
DIRECTOR1.0X000
ADRIAN ROBERTS MD
DIRECTOR1.0X000
GLENDA L THORNTON
TREASURER1.0X000X
KIM WILLIAMS
DIRECTOR1.0X000
G MARK O'BRYANT
CEO/PRESIDENT55.06765030222467X
STEVEN ADRIAANSE
VP/CHIEF HR OFFICER55.0270596020689X
WARREN JONES
VP/CHIEF COMMUNICATION OFFICER55.0165320016417X
WILLIAM GIUDICE
VP/CFO55.0395840022453X
BARBARA MACARTHUR
VP/CHIEF PATIENT CARE OFFICER55.0223651013825X
CYNTHIA BLAIR
VP/CHIEF IMPROVEMENT OFFICER55.0189895011574X
PAULA FORTUNAS
VP/CHIEF ADVANCEMENT OFFICER55.0191253014118X
JASON H MOORE
VP/COO55.0342989013484X
DONALD LINDSEY
VP/CIO55.0193318015563X
MICHAEL GLAZE MD
PHYSICIAN40.0492419020725X
STEPHEN CREMIN MD
PHYSICIAN50.0509579022588X
WILLIAM MILLER MD
PHYSICIAN50.0556798014880X
JOSHUA SIMMONS MD
PHYSICIAN40.0482610018025X
JAMES SNYDER MD
PHYSICIAN40.0458110022452X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5148881TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation449260TotalOtherCompensation
Number Individuals GT100 K131NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PENNINGTON MOORE WILKINSON BELL D
215 SOUTH MONROE STREET 2ND FLOORTALLAHASSEEFL32308LEGAL SERVICES2358541
PETER MITCHELL ASSOCIATES
1311 EAST 7TH AVENUETALLAHASSEEFL32303PUBLIC RELATIONS1135769
CROTHALL SERVICES GROUP
955 CHESTERBROOK BLVD SUITE 300WAYNEPA19087ENVIRONMENTAL SVCS1089372
SHIFTWISE
PO BOX 70870ST PAULMN551709705TEMPORARY STAFFING963617
HOSPITAL INPATIENT SERVICES
PO BOX 671042DALLASTX752671042COLLECTION SERVICES927687
FieldValueIRS element (for citing)
Number Of Contractors GT100 K37NumberOfContractorsGT100K
Related Organizations884264RelatedOrganizations
Government Grants1033627GovernmentGrants
All Other Contributions548765AllOtherContributions
Noncash Contributions69969NoncashContributions
Total Contributions2466656TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUESDescription
Business Code622110BusinessCode
Total Revenue Column342408202TotalRevenueColumn
Related Or Exempt Function Income341937338RelatedOrExemptFunctionIncome
Unrelated Business Revenue470864UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue342408202TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column625915TotalRevenueColumn
Exclusion$625,915ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4165742Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real4564641Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-398899Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-398899TotalRevenueColumn
Unrelated Business Revenue936371UnrelatedBusinessRevenue
Exclusion-$1,335,270ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities20390187Securities
Other240965Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities20275073Securities
Other681380Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities115114Securities
Other-440415Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-325301TotalRevenueColumn
Exclusion-$325,301ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory150556118GrossSalesOfInventory
Cost Of Goods Sold21924079CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column128632039TotalRevenueColumn
Exclusion$128,632,039ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
VENDOR REBATES90009922868122286812
PARKING DECK900099555452555452
MISCELLANEOUS REVENUE900099132632132632

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column161558TotalRevenueColumn
Related Or Exempt Function Income161558RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3136454TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column476545066TotalRevenueColumn
Related Or Exempt Function Income345073792RelatedOrExemptFunctionIncome
Unrelated Business Revenue1407235UnrelatedBusinessRevenue
Exclusion$127,597,383ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3243007Total
Program Services2727113ProgramServices
Management And General515894ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total161150322Total
Program Services143429331ProgramServices
Management And General17720991ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total18059821Total
Program Services16073862ProgramServices
Management And General1985959ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11700411Total
Program Services10413768ProgramServices
Management And General1286643ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11669070Total
Program Services10385874ProgramServices
Management And General1283196ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4749980Total
Program Services3074589ProgramServices
Management And General1675391ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total766490Total
Program Services0ProgramServices
Management And General766490ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9591849Total
Program Services8923781ProgramServices
Management And General668068ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1208596Total
Program Services0ProgramServices
Management And General1208596ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14916834Total
Program Services13150943ProgramServices
Management And General1765891ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6736258Total
Program Services5252819ProgramServices
Management And General1483439ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8818677Total
Program Services6830080ProgramServices
Management And General1988597ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1414851Total
Program Services849169ProgramServices
Management And General565682ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total910812Total
Program Services430697ProgramServices
Management And General480115ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total8142376Total
Program Services8142376ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15344865Total
Program Services12904604ProgramServices
Management And General2440261ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total5719480Total
Program Services5393619ProgramServices
Management And General325861ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PROVISION FOR BAD DEBTS659720656597206500
PATIENT EXPENSES592036455920364500
SERVICE MAINTENANCE9495908613005633658520
INDIGENT CARE ASSESSMENT4390628439062800
PATIENT FOOD2733439273154318960

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3739319Total
Program Services1037525ProgramServices
Management And General2701794ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total429678703Total
Program Services387448087ProgramServices
Management And General42230616ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY101093491BOY
EOY130836792EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY36366524BOY
EOY38758546EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6146076BOY
EOY6576423EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4681748BOY
EOY6384898EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis429133603LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec219274081LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY189493533BOY
EOY209859522EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY984800BOY
EOY984800EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY39963113BOY
EOY45077309EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY378729285BOY
EOY438478290EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY42203437BOY
EOY54237885EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY129752555BOY
EOY125579337EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3291152BOY
EOY13533415EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY167261849BOY
EOY177352448EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY342508993BOY
EOY370703085EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY36220292BOY
EOY67775205EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36220292BOY
EOY67775205EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY378729285BOY
EOY438478290EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals76750FilingOrganizationsTotals
Affiliated Group Totals76750AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals76750FilingOrganizationsTotals
Affiliated Group Totals76750AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals429601953FilingOrganizationsTotals
Affiliated Group Totals431504851AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals429678703FilingOrganizationsTotals
Affiliated Group Totals431581601AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals
FieldValueIRS element (for citing)
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus332756CurrentYearMinus3
Current Year Minus224670CurrentYearMinus2
Current Year Minus141190CurrentYearMinus1
Current Year76750CurrentYear
Total175366Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus30CurrentYearMinus3
Current Year Minus20CurrentYearMinus2
Current Year Minus10CurrentYearMinus1
Current Year0CurrentYear
Total0Total

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferenceFORM 990, SCHEDULE C, PART II-AReturnReference
ExplanationLOBBYING 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.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis10508556OtherCostOrOtherBasis
Book Value10508556BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis234586335OtherCostOrOtherBasis
Depreciation109545732Depreciation
Book Value125040603BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2836971OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value2836971BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis164845186OtherCostOrOtherBasis
Depreciation109728349Depreciation
Book Value55116837BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16356555OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value16356555BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings209859522TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
DEBT RESERVE FUND16994504
DEBT SERVICE FUND6604899
DUE FROM PARENT HOLDING CO.5536385
SWAP COLLATERAL4830000
DUE FROM MEDICARE3448845
SELF INSURANCE TRUST FUND3395683
DEPOSITS AND OTHER ASSETS2618778
BOND ISSUE COSTS1648215
FieldValueIRS element (for citing)
Total Book Value Other Assets45077309TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescriptionAmountAmount
MINIMUM PENSION LIABILITY$124,212,522
PROF LIABILITY SELF INSURANCE$29,813,892
DUE TO MEDICARE/MEDICAID$6,441,091
SEPARATION ACCRUAL$4,516,326
SWAP LIABILITY$4,325,922
WORKER'S COMPENSATION SELF INSURANCE$4,099,331
ASSET RETIREMENT OBLIGATION$380,000
AHCA ASSESSMENT$2,426,173
DEFERRED COMP ARRANGEMENT$1,137,191
FieldValueIRS element (for citing)
Total Of Amounts177352448TotalOfAmounts
Total Revenue476545066TotalRevenue
Total Expenses429678703TotalExpenses
Excess Or Deficit For Year46866363ExcessOrDeficitForYear
Other-$15,311,450OtherAmount
Total Adjustments-15311450TotalAdjustments
Excess Or Deficit Per FS31554913ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt481339372TotRevenueEtcAuditedFinclStmt
Other Revenues4794306OtherRevenues
Revenue Not Rptd F9904794306RevenueNotRptdF990
Revenue Subtotal476545066RevenueSubtotal
Total Revenue Per Form990476545066TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt449784459TotExpensesEtcAuditedFinclStmt
Other Expenses Included20105756OtherExpensesIncluded
Expenses Not Rptd F99020105756ExpensesNotRptdF990
Expenses Subtotal429678703ExpensesSubtotal
Total Expenses Per Form990429678703TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
ExplanationDETAIL OF OTHER CHANGES IN NET ASSETS SCHEDULE D, PART XI, LINE 8 Change in Additional Min. Pension Liability $(12,339,180) Change in FMV of derivative Instrument (1,201,775) Other Changes in Net Assets (1,770,495) ------------ TOTAL $(15,311,450) ------------------------------ DETAIL OF OTHER CHANGES IN REVENUE SCHEDULE D, PART XII, LINE 2D Change in Additional Min. Pension Liability $(12,339,180) Change in FMV of derivative Instrument (1,201,775) Auxiliary expenses (691,081) Auxiliary COGS 454,079 Central Service COGS 3,302,229 Pharmacy COGS 19,945,130 Lifeline Unit Depreciation 613 Auxillary Depreciation 1,670 Auxillary Elim Entry (4,558) Child Care Revenue (675,090) Vendor Rebates less Phar Rebates (2,286,812) Pharmacy Rebates 59,576 Other Changes in Net Assets (1,770,495) ------------ TOTAL $ (4,794,306) ------------------------------ DETAIL OF OTHER CHANGES IN EXPENSES SCHEDULE D, PART XIII, LINE 2D Auxiliary expenses $ 691,081 Auxiliary COGS (454,079) Central Service COGS (3,302,229) Pharmacy COGS (19,945,130) Lifeline Unit Depreciation (613) Auxillary Depreciation (1,670) Auxillary Elim Entry 4,558 Child Care Revenue 675,090 Vendor Rebates less Phar Rebates 2,286,812 Pharmacy Rebates (59,576) ---------- TOTAL $(20,105,756)Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedINSURANCESpecificServicesProvided
FieldValueIRS element (for citing)
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense17040569TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense17040569NetCommunityBenefitExpense
Percent Of Total Expense0.04690PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense48319237TotalCommunityBenefitExpense
Direct Offsetting Revenue51212631DirectOffsettingRevenue
Net Community Benefit Expense-2893394NetCommunityBenefitExpense
Percent Of Total Expense0.00800PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense65359806TotalCommunityBenefitExpense
Direct Offsetting Revenue51212631DirectOffsettingRevenue
Net Community Benefit Expense14147175NetCommunityBenefitExpense
Percent Of Total Expense0.03890PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense7018755TotalCommunityBenefitExpense
Direct Offsetting Revenue807479DirectOffsettingRevenue
Net Community Benefit Expense6211276NetCommunityBenefitExpense
Percent Of Total Expense0.01710PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense18567886TotalCommunityBenefitExpense
Direct Offsetting Revenue13750058DirectOffsettingRevenue
Net Community Benefit Expense4817828NetCommunityBenefitExpense
Percent Of Total Expense0.01320PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense25586641TotalCommunityBenefitExpense
Direct Offsetting Revenue14557537DirectOffsettingRevenue
Net Community Benefit Expense11029104NetCommunityBenefitExpense
Percent Of Total Expense0.03030PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense90946447TotalCommunityBenefitExpense
Direct Offsetting Revenue65770168DirectOffsettingRevenue
Net Community Benefit Expense25176279NetCommunityBenefitExpense
Percent Of Total Expense0.06920PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense438877TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense438877NetCommunityBuildingExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense438877TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense438877NetCommunityBuildingExpense
Percent Of Total Expense0.00120PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$17,051,364BadDebtExpenseAmount
Amount Attributable To3372364AmountAttributableTo
Amount Reimbursed By Medicare76956291AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare79789311CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2833020MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1TALLAHASSEE MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11300 MICCOSUKEE ROADAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32308ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedTHE BAD DEBT EXPENSE AMOUNT INCLUDED ON FORM 990, PART IX, COLUMN 25(A) WAS $65,972,065 FOR THE YEAR ENDED SEPTEMBER 30, 2010. 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.CostingMethodUsed
Subsidized Health Services ExplnAS A NOT-FOR-PROFIT COMMUNITY HEALTHCARE SYSTEM, TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH" OR THE "HOSPITAL") SUBSIDIZES HEALTH SERVICES THAT DO NOT GENERATE A POSITIVE OPERATING MARGIN BUT ARE OFFERED BECAUSE OF A NEED IN THE COMMUNITY. DURING FISCAL YEAR 2010, TMH CONTRIBUTED $4,817,828 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. FRANKLIN, GADSDEN, AND JEFFERSON 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 2010, THE DIABETES CENTER OPERATED AT A NET LOSS OF $608,664. 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 2010, THE NET OPERATING LOSS OF THE NEUROSCIENCE CENTER WAS $389,012. 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 8-HOUR TRAINING COURSE FOR CAREGIVERS CALLED "CAREGIVER 101". OTHER PROGRAMS INCLUDE: A MONTHLY SUPPORT GROUP FOR CAREGIVERS, ALZHEIMER'S COMFORT PETS CLASSES, CARFIT COMMUNITY PRESENTATIONS, 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 HEALTH CARE IN SURROUNDING RURAL COMMUNITIES, TMH HAS OPENED A FAMILY MEDICINE CLINIC IN PERRY, FLORIDA, AND TALLAHASSEE MEMORIAL CARDIOLOGY SPECIALISTS IN MARIANNA, FLORIDA. THE ESTABLISHMENT OF TALLAHASSEE MEMORIAL CARDIOLOGY SPECIALISTS WAS A RESPONSE TO THAT AREA'S GROWING NEED FOR CARDIAC CARE - A RURAL COMMUNITY WITH NO FULL TIME CARDIAC CARE. CURRENTLY, TMH OPERATES FIVE FAMILY MEDICINE PRACTICES, WITH 12 PHYSICIANS AND SIX ADVANCED REGISTERED NURSE PRACTITIONERS, THROUGHOUT THE BIG BEND WITH OFFICES LOCATED IN GADSDEN, JEFFERSON, TAYLOR, WAKULLA, AND CALHOUN COUNTIES. DURING 2010, THESE CLINICS OPERATED AT A LOSS OF $1,374,476.SubsidizedHealthServicesExpln
Bad Debt FootnoteTHE COMPONENTS OF NET PATIENT SERVICE REVENUE FOR THE YEARS ENDED SEPTEMBER 30, 2010 AND 2009 ARE AS FOLLOWS: 2010- GROSS PATIENT SERVICE REVENUE $1,397,969,671; CONTRACTUAL ADJUSTMENTS AND OTHER DEDUCTIONS (907,174,154); NET PATIENT SERVICE REVENUE $490,795,517 2009- GROSS PATIENT SERVICE REVENUE $1,247,500,207; CONTRACTUAL ADJUSTMENTS AND OTHER DEDUCTIONS (796,193,014); NET PATIENT SERVICE REVENUE $451,307,193. 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 90% AND 89% OF THE HOSPITAL'S NET PATIENT ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2010 AND 2009 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. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON A COST TO CHARGE RATIO.BadDebtFootnote
Shortfall As Community BenefitTHE 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.ShortfallAsCommunityBenefit
Debt Collection PolicyTHE 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.DebtCollectionPolicy
Needs AssessmentTMH 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. - LEON COUNTY HEALTHCARE ADVISORY BOARD - 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: STROKE AGE-ADJUSTED DEATH RATE, BREAST CANCER AGE-ADJUSTED DEATH RATE, PROSTATE CANCER AGE-ADJUSTED DEATH RATE, ADULTS WHO CURRENTLY HAVE ASTHMA, HIV CASES REPORTED, AIDS CASES REPORTED, CHLAMYDIA CASES REPORTED, GONORRHEA CASES REPORTED, INFECTIOUS SYPHILIS CASES REPORTED, AND LOW BIRTH RATE BIRTHS (BIRTHS< 2500 GRAMS), MULTIPLE BIRTHS, AND FETAL DEATH RATIO. GADSDEN COUNTY RANKED IN THE BOTTOM STATE QUARTILES FOR THE FOLLOWING HEALTH INDICATORS: STROKE AGE-ADJUSTED DEATH RATE, COLORECTAL CANCER AGE-ADJUSTED DEATH, PROSTATE CANCER AGE-ADJUSTED DEATH RATE, CERVICAL CANCER AGE-ADJUSTED DEATH RATE, CERVICAL CANCER AGE-ADJUSTED INCIDENCE RATE, ADULTS WHO CURRENTLY HAVE ASTHMA, DIABETES AGE-ADJUSTED DEATH RATE, AMPUTATION DUE TO DIABETES AGE-ADJUSTED HOSPITALIZATION RATE, 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: STROKE AGE-ADJUSTED DEATH RATE, LUNG CANCER AGE-ADJUSTED DEATH RATE, ADULTS WHO CURRENTLY HAVE ASTHMA, INFANT DEATH RATE, AND NEONATAL DEATH RATE. FRANKLIN COUNTY RANKED IN THE BOTTOM STATE QUARTILE FOR THE FOLLOWING HEALTH INDICATORS: ADULTS 50 YEARS OF AGE AND OLDER WHO RECEIVED A SIGMOIDOSCOPY OR COLONOSCOPY IN THE PAST FIVE YEARS, BREAST CANCER AGE-ADJUSTED DEATH RATE, CERVICAL CANCER AGE-ADJUSTED INCIDENCE RATE, VACCINE PREVENTABLE DISEASES, EARLY PRENATAL CARE (CARE BEGAN 1ST TRIMESTER), PREMATURE BIRTHS (BIRTHS < 37 WEEKS GESTATION), BIRTHS TO TEENS 15-19, FETAL DEATH RATIO, AND KINDERGARTEN CHILDREN FULLY IMMUNIZED.NeedsAssessment
Patient Education AssistanceTMH 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 TMH WEBSITE AT HTTP://WWW.TMH.ORG/BODY.CFM?ID=737. 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 ("HIS"), AN ELIGIBILITY SPECIALTY SERVICE RETAINED BY TMH. HIS, WORKING WITH A 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, HIS 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 WHO'S 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 11% OF THE GROSS REVENUES ARE GENERATED BY SERVICES TO PATIENTS COVERED UNDER THE MEDICAID PROGRAM AND MEDICAID HMOS.PatientEducationAssistance
Community InformationTMH IS LOCATED IN TALLAHASSEE, FL, THE CAPITAL OF FLORIDA IN THE HEART OF ITS PANHANDLE. WITH A POPULATION OF MORE THAN 274,966, TMH SERVES A TOTAL OF 17 COUNTIES WITH A POPULATION BASE OF 701,465 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 37.2% (BEHIND ALACHUA COUNTY) AND THE SMALLEST PERCENTAGE AGED 65 AND OLDER AT 9.2% (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 HEALTH CARE PROFESSIONALS IN MANY OF THE REGION'S 17 COUNTIES. THE HEALTH RESOURCE AND SERVICES ADMINISTRATION (HRSA) HAS DESIGNATED EIGHT 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, AND ONE IN EIGHT PEOPLE UNDER AGE 65 HAVE NO HEALTH INSURANCE. BASED ON ESTIMATES FROM THOMSON REUTERS, THE PERCENTAGE OF UNINSURED ARE AS FOLLOWS: LEON - 37%, GADSDEN - 33.8%, WAKULLA - 18.1%, JEFFERSON - 33.2%, CALHOUN - 33.5%, FRANKLIN - 31.5%, JACKSON - 27.8%, LIBERTY - 34%, MADISON - 41.5%, AND TAYLOR 31.2%. THE PERCENTAGE OF UNINSURED FOR THE COUNTIES IN GEORGIA ARE: BROOKS - 37.1%, COLQUITT - 32.4%, DECATUR - 32.9%, GRADY - 32.7%, MITCHELL - 35.8%, SEMINOLE - 29.7%, AND THOMAS 25.9%. BASED ON DATA FROM THOMSON REUTERS, THE PERCENTAGE OF COVERED LIVES THAT ARE ON MEDICAID ARE AS FOLLOWS: LEON - 12.1%, GADSDEN - 27.1%, WAKULLA - 11.8%, JEFFERSON - 19.8%, CALHOUN - 21.8%, FRANKLIN - 17.7%, JACKSON - 19.5% , LIBERTY - 22.2%, MADISON - 33.3%, AND TAYLOR - 23.3%. THE PERCENTAGE OF COVERED LIVES THAT ARE ON MEDICAID FOR THE COUNTIES IN GEORGIA ARE: BROOKS - 30.8%, COLQUITT - 29.5%, DECATUR - 31.3%, GRADY - 26.7%, MITCHELL - 32.1%, SEMINOLE - 34%, AND THOMAS - 23.8%. HEALTH BARRIERS ARE NUMEROUS AND HARD TO OVERCOME, BUT TMH IS TACKLING THESE BARRIERS AND STRIVING TO IMPROVE HEALTH CARE.CommunityInformation
Community Building ActivitiesTMH 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.CommunityBuildingActivities
Other InformationPART III, SECTION A, LINE 1 (BAD DEBT EXPENSE- HFMA No.15) TMH REPORTS BAD DEBT EXPENSE IN ACCORDANCE WITH GAAP AND AICPA GUIDELINES. HFMA STATEMENT NO. 15 HAS NOT BEEN ADOPTED BY THE AICPA. -------------------------------- PART VI, LINE 6 (DETAIL REGARDING PROMOTION OF THE COMMUNITY'S HEALTH) > EDUCATING FUTURE HEALTH CARE PROVIDERS TMH CONTRIBUTES MILLIONS OF DOLLARS EACH YEAR TO THE CLINICAL EDUCATION OF HEALTH CARE 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. PLANS CALL FOR THE ESTIMATED 60,000 SQUARE-FOOT CENTER TO HOUSE CLASSROOMS, LABORATORY SPACE, SIMULATED ENVIRONMENTS AND ADMINISTRATIVE OFFICES FOR ALL OF TCC'S HEALTH CARE PROGRAMS, INCLUDING NURSING, RESPIRATORY CARE, RADIOLOGY TECHNOLOGY, EMERGENCY MEDICAL SERVICES TECHNOLOGY AND ITS DENTAL HYGIENE AND DENTAL ASSISTANT PROGRAMS. ONE OF TMH'S MOST SIGNIFICANT CONTRIBUTIONS TO THE EDUCATION FOR HEALTH CARE 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 301 GRADUATES SINCE ITS INCEPTION IN 1973. OF THOSE, 97 CHOSE TO REMAIN IN TMH'S SERVICE AREA HELPING TO ENSURE ACCESS TO PRIMARY HEALTH CARE OF RESIDENTS OF THE BIG BEND. DURING 2010, THE FAMILY MEDICINE RESIDENCY PROGRAM OPERATED AT A NET LOSS OF $6,211,276. 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 HEALTH CARE PROVIDERS. DURING 2010, TMH COLLEAGUES CONTRIBUTED THEIR NURSING EXPERTISE TO MORE THAN 40 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 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 HEALTH CARE. TMH CURRENTLY HAS 45 AFFILIATION AGREEMENTS WITH HIGH SCHOOLS, UNIVERSITIES AND VOCATIONAL SCHOOLS THROUGHOUT OUR REGION. HIGH SCHOOL STUDENTS FROM LEON, CHILES AND LINCOLN HIGH SCHOOLS PARTICIPATED IN THE GIFTED EXTERNSHIP PROGRAM AND WERE PLACED IN DIFFERENT AREAS OF THE HOSPITAL WHERE THEY EXPLORED CAREER OPPORTUNITIES IN HEALTH CARE. > BUILDING COMMUNITY PARTNERSHIPS 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 2009-2010 FISCAL YEAR, TMH CONTRIBUTED $232,677 IN CASH DONATIONS AND IN-KIND DONATIONS, INCLUDING ADMINISTRATIVE SUPPORT, TO APPROXIMATELY 40 DIFFERENT NONPROFIT ORGANIZATIONS. SOME OF THE ORGANIZATIONS WHO BENEFITTED FROM THE GENEROSITY OF TMH COLLEAGUES WERE THE FOLLOWING: AMERICAN CANCER SOCIETY AMERICAN HEART ASSOCIATION AMERICAN LUNG ASSOCIATION BIG BEND HOMELESS COALITION BIG BEND HOSPICE, INC. BOND COMMUNITY HEALTH CENTER DOWN'S SYNDROME ASSOCIATION FOUNDATION FOR LEON COUNTY SCHOOLS FSU DANCE MARATHON/CHILDREN'S MIRACLE NETWORK MARCH OF DIMES MEALS ON WHEELS NATIONAL ALLIANCE OF THE MENTALLY ILL RONALD MCDONALD HOUSE SICKLE CELL FOUNDATION TALLAHASSEE URBAN LEAGUE UNITED WAY OF THE BIG BEND TMH'S LIPID CENTER OFFERS CONSULTATION TO PHYSICIANS, PHYSICIAN ASSISTANTS, AND NURSE PRACTITIONERS IN THE MANAGEMENT OF COMPLEX LIPID DISORDERS. IT IS NOT DESIGNED TO SUBSTITUTE FOR THE PRIMARY CARE PHYSICIAN OR CARDIOLOGIST, BUT TO ASSIST IN THE DIAGNOSIS AND MANAGEMENT OF DIFFICULT PATIENTS. IN ASSOCIATION WITH THE DIABETES CENTER, THE LIPID CENTER WILL BE ABLE TO DELIVER APPROPRIATE NUTRITIONAL COUNSELING IN HYPERLIPIDEMIA, OBESITY AND DIABETES. A STRONG EFFORT WILL BE MADE TO HELP THE PATIENT UNDERSTAND THEIR PROBLEM AND PARTICIPATE IN THE SOLUTION. TMH HAS DEVELOPED A WELL WISE HEALTH IMPROVEMENT PROGRAM. THE WELL WISE HEALTH SCREENING PROGRAM WAS SPECIFICALLY DEVELOPED FOR BUSINESSES AND INDIVIDUALS TO PROVIDE CONVENIENT ACCESS TO HEALTH SCREENINGS. HEALTH COUNSELORS PROVIDED CONSULTATION BASED ON THE INDIVIDUAL'S SCREENING RESULT. TMH VOLUNTEERS ARE AN INTEGRAL PART OF THE TEAM OF WORLD-CLASS CAREGIVERS AT TMH. THEY MAKE A DIFFERENCE IN THE PATIENT'S HEALING PROCESS AS THEY PRACTICE EXTRAORDINARY CARE AND DEMONSTRATE THE ICARE VALUES OF INTEGRITY, COMPASSION, ACCOUNTABILITY, RESPECT AND EXCELLENCE EVERY DAY. THIS YEAR, OUR VOLUNTEER PROGRAM INCLUDED OVER 600 MEN, WOMEN, TEENAGERS AND EVEN PETS, EACH OF WHOM MADE A DIFFERENCE IN OUR HOSPITAL THROUGH THEIR GENEROUS DONATION OF TIME AND SERVICES. THESE VOLUNTEERS PROVIDED OVER 84,000 HOURS OF SERVICE TO TMH PATIENTS, FAMILIES AND STAFF. 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. IN RECOGNITION OF ITS WORKPLACE PRACTICES PROMOTING EMPLOYEE WELL-BEING AND ORGANIZATIONAL PERFORMANCE, TMH RECEIVED THE AMERICAN PSYCHOLOGICAL ASSOCIATION'S 2010 PSYCHOLOGICALLY HEALTHY WORKPLACE AWARD AT A CEREMONY IN WASHINGTON D.C. ONE OF FIVE EMPLOYERS FROM ACROSS NORTH AMERICA TO RECEIVE THE AWARD THIS YEAR, TMH WON IN THE NOT-FOR-PROFIT CATEGORY. TMH WAS ALSO RECOGNIZED BY APA AS A BEST PRACTICES HONOREE IN THE COLLEAGUE INVOLVEMENT CATEGORY FOR THE CENTRAL ROLE COLLEAGUES PLAYED IN THE CREATION OF NEW VALUES AND MISSION STATEMENTS THAT HELPED CHANGE THE ORGANIZATIONAL CULTURE AND BECAME THE CORE OF A RECOVERY PLAN TO IMPROVE MORALE, REPUTATION AND FINANCIAL VIABILITY. TMH HAD BEEN HONORED WITH THE FLORIDA PSYCHOLOGICAL ASSOCIATION'S PSYCHOLOGICALLY HEALTHY WORKPLACE AWARD IN JULY, QUALIFYING IT TO BE NOMINATED FOR THE APA AWARD. AN ORGANIZATION WITH SUCH HIGH CONCERN FOR THE EMOTIONAL WELL BEING OF ITS COLLEAGUES ULTIMATELY LENDS TO A HEALTHY FAMILY LIFE, AND A WELL-ADJUSTED COMMUNITY. THE ECONOMIC IMPACT OF THE AREA'S LARGEST PRIVATE BUSINESS IS FAR-REACHING. TMH IS THE BEDROCK OF A LOCAL AND REGIONAL HEALTH CARE ECONOMY THAT GENERATES REVENUES IN EXCESS OF A BILLION DOLLARS ANNUALLY. LIKE A MAGNET, THE HOSPITAL DRAWS PATIENTS AND HEALTH CARE BUSINESSES TO THE COMMUNITY FROM SURROUNDING COUNTIES AND STATES. A DOMINO EFFECT IS CREATED WHEN PATIENTS, VISITORS AND BUSINESSES SPEND IN EXCESS OF $400 MILLION EACH YEAR IN LEON COUNTY. BESIDES ATTRACTING BUSINESS, THE HOSPITAL SUPPORTS COMMUNITY ENTERPRISES. WITH MORE THAN 3,800 COLLEAGUES, TMH IS LEON COUNTY'S LARGEST PRIVATE EMPLOYER. TMH ALSO RECEIVES SUPPORT FROM ITS FOUNDATION. THE TMH FOUNDATION'S MISSION IS TO DEVELOP PHILANTHROPIC SUPPORT FOR TMH AND TO GENERATE FINANCIAL SUPPORT FOR TMH'S MISSION. THE GOALS OF THE TMH FOUNDATION ARE: - PROVIDE INCREASED FUNDING RESOURCES FOR TMH FROM INDIVIDUALS, FOUNDATIONS, CORPORATIONS, BUSINESSES AND PROFESSIONAL PRACTICES. - OFFER A BROAD SPECTRUM OF CHARITABLE GIFT PLANNING OPPORTUNITIES AND OPTIONS: CASH, SECURITIES, REAL AND PERSONAL PROPERTY, EMPLOYER MATCHING GIFTS, CORPORATE AND FOUNDATION GRANTS, SPECIAL EVENTS, WILL BEQUESTS, LIVING TRUST CHARITABLE DISTRIBUTIONS, DESIGNATIONS OF RETIREMENT PLAN ASSETS, CHARITABLE LEAD TRUSTS, CHARITABLE REMAINDER TRUSTS, CHARITABLE GIFT ANNUITIES, POOLED INCOME FUND TRUSTS, LIFE INSURANCE POLICIES AND PERSONAL RESIDENCES OR FARMS WITH A RETRAINED LIFE ESTATE. - SEEK FUNDING AND ADVISORY COLLABORATIONS AND PARTNERSHIPS WITH ENTITIES OF MUTUAL FOCUS AND GOAL. COLLECTIVELY, ALL THESE COMMUNITY BUILDING ACTIVITIES PROVIDE AN IMPORTANT BENEFIT TO FLORIDA'S BIG BEND. THE ENERGY AND RESOURCES COMMITTED BY TMH, AND ITS COLLEAGUES ARE PROOF OF FULFILLMENT OF ITS MISSION: WITH CARING HANDS AND HEARTS, WE HONORABLY SERVE OUR COMMUNITY AND MAINTAIN POSITIVE, COLLABORATIVE RELATIONSHIPS BY PROVIDING COMPASSIONATE, LEADING-EDGE, PATIENT-CENTERED HEALTH CARE FOR ALL. WE PURSUE PERFECTION IN A TRUSTING AND LEARNING ENVIRONMENT, THUS ENHANCING THE QUALITY OF LIFE FOR THOSE WE SERVE.OtherInformation
Affiliated Health Care SystemNOT APPLICABLEAffiliatedHealthCareSystem
Reports Filed With StatesFLReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AccountXDiscretionarySpendingAccount
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
G MARK O'BRYANT
50547801296000414250214700077670898970000
STEVEN ADRIAANSE
23466603230603624014700059890291285000
WARREN JONES
14740301595701960010254061630181737000
WILLIAM GIUDICE
34633704071708786014700077530418293000
BARBARA MACARTHUR
200168022699078401350903160237476000
CYNTHIA BLAIR
172463016648078401139401800201469000
PAULA FORTUNAS
16895702000002296011569025490205371000
JASON H MOORE
3417910118801005717077670356473000
DONALD LINDSEY
18105901224901007953076100208881000
MICHAEL GLAZE MD
14992603423270166014700060250513144000
STEPHEN CREMIN MD
185837032107002672014700078880532167000
WILLIAM MILLER MD
21303003422410152701470001800571678000
JOSHUA SIMMONS MD
16102003214180172014700033250500635000
JAMES SNYDER MD
18994402677420424014700077520480562000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierCOMPENSATION INFORMATIONIdentifier
ExplanationQUESTIONS 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.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF TALLAHASSEE- SERIES 2008BusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN596000435IssuerEIN
Date Issued2008-09-12DateIssued
Issue Price600000IssuePrice
Description Of PurposePURCHASE OF SLEEP CTR EQUIPMENTDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds600000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Amount Defeased0AmountDefeased
Amount Unspent0AmountUnspent
Issuance Costs From Proceeds0IssuanceCostsFromProceeds
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures600000CapitalExpenditures
Year Of Subst Completion2009YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatetrueExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MOORE BASS CONSULTING INC
SIMILAR DIRECTOR/PARTNER209198CONSULTING SERVICESfalse
SOUTHERN MEDICAL GROUP
SIMILAR DIRECTOR/SHARHLDR1066326RENTAL OF PROPERTYfalse
TALLAHASSEE EAR NOSE AND THROAT
SIMILAR DIRECTOR/OFFICER194688RENTAL OF PROPERTYfalse
WEEMS LEASING PARTNERSHIP
SIMILAR DIRECTOR/OFFICER1071000SALE OF PROPERTYfalse
AUSLEY MCMULLEN LAW FIRM
SIMILAR DIRECTOR/OFFICER348130PROFESSIONAL SERVICESfalse
TIM FORTUNAS
FAMILY MEMBER OF OFFICER32396EMPLOYMENTfalse
RICHARD MACARTHUR
FAMILY MEMBER OF OFFICER244270EMPLOYMENTfalse
FAITH JONES
FAMILY MEMBER OF OFFICER97779EMPLOYMENTfalse
VIVIAN MOORE
FAMILY MEMBER OF OFFICER93485EMPLOYMENTfalse

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XTOYS FOR PEDIATRICS13650789ACTUAL COST
XEMPLOYEE RECOGNITION MEALS1211704ACTUAL COST
XWHEELCHAIRS97476ACTUAL COST
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL DISCLOSURESIdentifier
ExplanationSIGNIFICANT NEW PROGRAM SERVICES NOT LISTED ON THE PRIOR YEAR FORM 990 FORM 990, PART III, LINE 2 AS PART OF OUR COMMITMENT TO PROVIDING ACCESS TO HEALTH CARE IN SURROUNDING RURAL COMMUNITIES, TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") HAS OPENED A FAMILY MEDICINE CLINIC IN PERRY, FLORIDA, AND TALLAHASSEE MEMORIAL CARDIOLOGY SPECIALISTS IN MARIANNA, FLORIDA. THE ESTABLISHMENT OF TALLAHASSEE MEMORIAL CARDIOLOGY SPECIALISTS WAS A RESPONSE TO THAT AREA'S GROWING NEED FOR CARDIAC CARE - A RURAL COMMUNITY WITH NO FULL TIME CARDIAC CARE. TMH'S LIPID CENTER, WHICH OPENED IN JANUARY, 2010, OFFERS CONSULTATION TO PHYSICIANS, PHYSICIAN ASSISTANTS, AND NURSE PRACTITIONERS IN THE MANAGEMENT OF COMPLEX LIPID DISORDERS. IT IS NOT DESIGNED TO SUBSTITUTE FOR THE PRIMARY CARE PHYSICIAN OR CARDIOLOGIST, BUT TO ASSIST IN THE DIAGNOSIS AND MANAGEMENT OF DIFFICULT PATIENTS. IN ASSOCIATION WITH THE TALLAHASSEE MEMORIAL DIABETES CENTER, THE LIPID CENTER DELIVERS APPROPRIATE NUTRITIONAL COUNSELING IN HYPERLIPIDEMIA, OBESITY AND DIABETES. A STRONG EFFORT IS MADE TO HELP THE PATIENT UNDERSTAND THEIR PROBLEM AND PARTICIPATE IN THE SOLUTION. TMH HAS DEVELOPED A WELL WISE HEALTH IMPROVEMENT PROGRAM. THE WELL WISE HEALTH SCREENING PROGRAM WAS SPECIFICALLY DEVELOPED FOR BUSINESSES AND INDIVIDUALS TO PROVIDE CONVENIENT ACCESS TO HEALTH SCREENINGS. HEALTH COUNSELORS PROVIDE CONSULTATION BASED ON THE INDIVIDUAL'S SCREENING RESULT. ------------------------------ 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, HOLD A BUSINESS RELATIONSHIP. ------------------------------ 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 2009 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2010 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, L.L.C., 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 OFFICERS, DIRECTORS, TRUSTEES, ETC. FORM 990, PART VII, COLUMN (B) CERTAIN OFFICERS OF THIS ORGANIZATION MAY ALSO DEVOTE TIME EACH WEEK TO RELATED ORGANIZATIONS.Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HEALTH VENTURES PAIN MANAGEMENT LLC
1401 CENERVILLE RD STE 210TALLAHASSEEFL32303202928736HOLDING COFL00TMHV
HEALTH VENTURES SURGICAL CENTER LLC
1309 THOMASVILLE ROADTALLAHASSEEFL32303272216350HOLDING COFL00TMHV

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SOUTHEAST COMMUNITY HEALTH SERVICES INC
1300 MICCOSUKEE ROADTALLAHASSEEFL32308581434992HOLDING COFL501(C)(25)N/ATMH
TALLAHASSEE MEMORIAL HEALTHCARE FDN
1300 MICCOSUKEE ROADTALLAHASSEEFL32308591727645FUNDRAISINGFL501(C)(3)7TMH

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
TALLAHASSEE MEMORIAL HEALTH VENTURES INC
1300 MICCOSUKEE ROADTALLAHASSEEFL32308592717050HOLDING COMPANYFLTMHC CORP322391122322801.00000
PRIME MERIDIAN HEALTH VENTURES INC
1309 THOMASVILLE ROADTALLAHASSEEFL32303592668613DIAGNOSTIC IMAGFLTMHVC CORP000.00000
TALLAHASSEE MEMORIAL TELEPHONE COMPANY
1309 THOMASVILLE ROADTALLAHASSEEFL32303593395937TELEPHONE COMPANYFLTMHVC CORP000.00000
PREMIER HEALTH & FITNESS CENTER INC
3521 MACLAY BOULEVARDTALLAHASSEEFL32312592471569FITNESS CENTERFLTMHVC CORP000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
SOUTHEAST COMMUNITY HEALTH SERVICES INC
A25717
SOUTHEAST COMMUNITY HEALTH SERVICES INC
J596140
TMH FOUNDATION
N743290
TMH FOUNDATION
C890095
TALLAHASSEE MEMORIAL HEALTH VENTURES INC
I1401865
TALLAHASSEE MEMORIAL HEALTH VENTURES INC
J143569

Affiliated Group Attachment AffiliatedGroupAttachment

FieldValueIRS element (for citing)
ExplanationDirect Other LOBBYING Exempt Purpose Name of Electing Organization Expenditures Expenditures ____________________________________ ____________ ______________ TALLAHASSEE MEMORIAL HEALTHCARE, INC. $76,750 $429,601,953 This organization has made the lobbying election under I.R.C. section 501(h) for the tax year ended September 30, 2010. This election has not been revoked before the start of the organization's tax year that began in 2009. ------------------------------------- Direct Other LOBBYING Exempt Purpose Name of Non-Electing Organization Expenditures Expenditures ____________________________________ ____________ ______________ SOUTHEAST COMMUNITY HEALTH SRVS, INC. $NONE $ 338,136 TALLAHASSEE MEMORIAL HEALTHCARE FND NONE 1,564,762 ------------ -------------- $NONE $1,902,898 TOTALS $76,750 $431,504,851 ============ ==============Explanation