2011-08-11T07:53:35-05:00 2010-09-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1700 PHILADELPHIA PA 19103 990 2009-10-01 591917016 TALLAHASSEE MEMORIAL HEALTHCARE INC TALL 8504315238 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 WILLIAM GIUDICE 2011-08-10 2673303000 2009 2016-02-24 21:20:13Z WILLIAM GIUDICE CFO 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 523990239 false X www.tmh.org X 1976 FL TALLAHASSEE MEMORIAL HEALTHCARE, INC. IS A PRIVATE 770-BED COMMUNITY HEALTH CARE SYSTEM THAT PROVIDES CHARITABLE, COMPASSIONATE, LEADING- EDGE, PATIENT-CENTERED HEALTH CARE FOR ALL. 14 9 4409 600 1407235 1107344 2621125 2466656 313654876 342408202 1197664 300614 118404510 131369594 435878175 476545066 0 0 0 0 186284140 205822631 0 0 0 224897328 223856072 411181468 429678703 24696707 46866363 378729285 438478290 342508993 370703085 36220292 67775205 FOUNDED 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. true false 387448087 0 345544656 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 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. A 387448087 true true false true false false false false false true true true false false true false false false false false true false false true true false false false false false false false true true true true false false false true true true false false true 238 0 true 4409 true true true false false false false false false false false 14 9 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 32308 DAVID L SAINT MD 1.0 X 0 0 0 ERIN ENNIS 1.0 X 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 ADRIAN ROBERTS MD 1.0 X 0 0 0 GLENDA L THORNTON 1.0 X X 0 0 0 KIM WILLIAMS 1.0 X 0 0 0 G MARK O'BRYANT 55.0 X 676503 0 222467 STEVEN ADRIAANSE 55.0 X 270596 0 20689 WARREN JONES 55.0 X 165320 0 16417 WILLIAM GIUDICE 55.0 X 395840 0 22453 BARBARA MACARTHUR 55.0 X 223651 0 13825 CYNTHIA BLAIR 55.0 X 189895 0 11574 PAULA FORTUNAS 55.0 X 191253 0 14118 JASON H MOORE 55.0 X 342989 0 13484 DONALD LINDSEY 55.0 X 193318 0 15563 MICHAEL GLAZE MD 40.0 X 492419 0 20725 STEPHEN CREMIN MD 50.0 X 509579 0 22588 WILLIAM MILLER MD 50.0 X 556798 0 14880 JOSHUA SIMMONS MD 40.0 X 482610 0 18025 JAMES SNYDER MD 40.0 X 458110 0 22452 5148881 0 449260 131 false true false PENNINGTON MOORE WILKINSON BELL D 215 SOUTH MONROE STREET 2ND FLOOR TALLAHASSEE FL 32308 LEGAL SERVICES 2358541 PETER MITCHELL ASSOCIATES 1311 EAST 7TH AVENUE TALLAHASSEE FL 32303 PUBLIC RELATIONS 1135769 CROTHALL SERVICES GROUP 955 CHESTERBROOK BLVD SUITE 300 WAYNE PA 19087 ENVIRONMENTAL SVCS 1089372 SHIFTWISE PO BOX 70870 ST PAUL MN 551709705 TEMPORARY STAFFING 963617 HOSPITAL INPATIENT SERVICES PO BOX 671042 DALLAS TX 752671042 COLLECTION SERVICES 927687 37 884264 1033627 548765 69969 2466656 PATIENT SERVICE REVENUES 622110 342408202 341937338 470864 342408202 625915 625915 0 0 4165742 4564641 -398899 -398899 936371 -1335270 20390187 240965 20275073 681380 115114 -440415 -325301 -325301 0 0 150556118 21924079 128632039 128632039 VENDOR REBATES 900099 2286812 2286812 PARKING DECK 900099 555452 555452 MISCELLANEOUS REVENUE 900099 132632 132632 161558 161558 3136454 476545066 345073792 1407235 127597383 0 0 0 0 3243007 2727113 515894 0 0 161150322 143429331 17720991 0 18059821 16073862 1985959 0 11700411 10413768 1286643 0 11669070 10385874 1283196 0 0 4749980 3074589 1675391 0 766490 0 766490 0 0 0 0 9591849 8923781 668068 0 1208596 0 1208596 0 14916834 13150943 1765891 0 6736258 5252819 1483439 0 0 8818677 6830080 1988597 0 1414851 849169 565682 0 0 910812 430697 480115 0 8142376 8142376 0 0 0 15344865 12904604 2440261 0 5719480 5393619 325861 0 PROVISION FOR BAD DEBTS 65972065 65972065 0 0 PATIENT EXPENSES 59203645 59203645 0 0 SERVICE MAINTENANCE 9495908 6130056 3365852 0 INDIGENT CARE ASSESSMENT 4390628 4390628 0 0 PATIENT FOOD 2733439 2731543 1896 0 3739319 1037525 2701794 0 429678703 387448087 42230616 0 101093491 130836792 36366524 38758546 6146076 6576423 4681748 6384898 429133603 219274081 189493533 209859522 984800 984800 39963113 45077309 378729285 438478290 42203437 54237885 129752555 125579337 3291152 13533415 167261849 177352448 342508993 370703085 X 36220292 67775205 36220292 67775205 378729285 438478290 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 76750 76750 76750 76750 429601953 431504851 429678703 431581601 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 32756 24670 41190 76750 175366 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. 10508556 10508556 234586335 109545732 125040603 2836971 0 2836971 164845186 109728349 55116837 16356555 0 16356555 209859522 DEBT RESERVE FUND 16994504 DEBT SERVICE FUND 6604899 DUE FROM PARENT HOLDING CO. 5536385 SWAP COLLATERAL 4830000 DUE FROM MEDICARE 3448845 SELF INSURANCE TRUST FUND 3395683 DEPOSITS AND OTHER ASSETS 2618778 BOND ISSUE COSTS 1648215 45077309 0 MINIMUM PENSION LIABILITY 124212522 PROF LIABILITY SELF INSURANCE 29813892 DUE TO MEDICARE/MEDICAID 6441091 SEPARATION ACCRUAL 4516326 SWAP LIABILITY 4325922 WORKER'S COMPENSATION SELF INSURANCE 4099331 ASSET RETIREMENT OBLIGATION 380000 AHCA ASSESSMENT 2426173 DEFERRED COMP ARRANGEMENT 1137191 177352448 476545066 429678703 46866363 -15311450 -15311450 31554913 481339372 4794306 4794306 476545066 476545066 449784459 20105756 20105756 429678703 429678703 SUPPLEMENTAL INFORMATION DETAIL 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) Central America and the Caribbean 0 0 Program Services INSURANCE 0 0 true true true X true X true true true false true true 17040569 0 17040569 0.04690 48319237 51212631 -2893394 0.00800 65359806 51212631 14147175 0.03890 7018755 807479 6211276 0.01710 18567886 13750058 4817828 0.01320 25586641 14557537 11029104 0.03030 90946447 65770168 25176279 0.06920 438877 0 438877 0.00120 438877 0 438877 0.00120 false 17051364 3372364 76956291 79789311 -2833020 X true true TALLAHASSEE MEMORIAL HOSPITAL

1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308

X X X X THE 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. AS 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. THE 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. 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. 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. 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 - 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. 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 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. TMH 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. 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. PART 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. NOT APPLICABLE FL X X true true X X X X X false false false false false false false true false G MARK O'BRYANT 505478 0 129600 0 41425 0 214700 0 7767 0 898970 0 0 0 STEVEN ADRIAANSE 234666 0 32306 0 3624 0 14700 0 5989 0 291285 0 0 0 WARREN JONES 147403 0 15957 0 1960 0 10254 0 6163 0 181737 0 0 0 WILLIAM GIUDICE 346337 0 40717 0 8786 0 14700 0 7753 0 418293 0 0 0 BARBARA MACARTHUR 200168 0 22699 0 784 0 13509 0 316 0 237476 0 0 0 CYNTHIA BLAIR 172463 0 16648 0 784 0 11394 0 180 0 201469 0 0 0 PAULA FORTUNAS 168957 0 20000 0 2296 0 11569 0 2549 0 205371 0 0 0 JASON H MOORE 341791 0 1188 0 10 0 5717 0 7767 0 356473 0 0 0 DONALD LINDSEY 181059 0 12249 0 10 0 7953 0 7610 0 208881 0 0 0 MICHAEL GLAZE MD 149926 0 342327 0 166 0 14700 0 6025 0 513144 0 0 0 STEPHEN CREMIN MD 185837 0 321070 0 2672 0 14700 0 7888 0 532167 0 0 0 WILLIAM MILLER MD 213030 0 342241 0 1527 0 14700 0 180 0 571678 0 0 0 JOSHUA SIMMONS MD 161020 0 321418 0 172 0 14700 0 3325 0 500635 0 0 0 JAMES SNYDER MD 189944 0 267742 0 424 0 14700 0 7752 0 480562 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- SERIES 2008 596000435 2008-09-12 600000 PURCHASE OF SLEEP CTR EQUIPMENT false false 600000 0 0 0 0 0 600000 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 209198 CONSULTING SERVICES false SOUTHERN MEDICAL GROUP SIMILAR DIRECTOR/SHARHLDR 1066326 RENTAL OF PROPERTY false TALLAHASSEE EAR NOSE AND THROAT SIMILAR DIRECTOR/OFFICER 194688 RENTAL OF PROPERTY false WEEMS LEASING PARTNERSHIP SIMILAR DIRECTOR/OFFICER 1071000 SALE OF PROPERTY false AUSLEY MCMULLEN LAW FIRM SIMILAR DIRECTOR/OFFICER 348130 PROFESSIONAL SERVICES false TIM FORTUNAS FAMILY MEMBER OF OFFICER 32396 EMPLOYMENT false RICHARD MACARTHUR FAMILY MEMBER OF OFFICER 244270 EMPLOYMENT false FAITH JONES FAMILY MEMBER OF OFFICER 97779 EMPLOYMENT false VIVIAN MOORE FAMILY MEMBER OF OFFICER 93485 EMPLOYMENT false X TOYS FOR PEDIATRICS 136 50789 ACTUAL COST X EMPLOYEE RECOGNITION MEALS 12 11704 ACTUAL COST X WHEELCHAIRS 9 7476 ACTUAL COST 0 false true false SUPPLEMENTAL DISCLOSURES SIGNIFICANT 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. HEALTH VENTURES PAIN MANAGEMENT LLC 1401 CENERVILLE RD STE 210 TALLAHASSEE FL 32303 202928736 HOLDING CO FL 0 0 TMHV HEALTH VENTURES SURGICAL CENTER LLC 1309 THOMASVILLE ROAD TALLAHASSEE FL 32303 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 322391 12232280 1.00000 PRIME MERIDIAN HEALTH VENTURES INC 1309 THOMASVILLE ROAD TALLAHASSEE FL 32303 592668613 DIAGNOSTIC IMAG FL TMHV C CORP 0 0 0.00000 TALLAHASSEE MEMORIAL TELEPHONE COMPANY 1309 THOMASVILLE ROAD TALLAHASSEE FL 32303 593395937 TELEPHONE COMPANY FL TMHV C CORP 0 0 0.00000 PREMIER HEALTH & FITNESS CENTER INC 3521 MACLAY BOULEVARD TALLAHASSEE FL 32312 592471569 FITNESS CENTER FL TMHV C CORP 0 0 0.00000 true false true false false false false false true true false false false true false true false true SOUTHEAST COMMUNITY HEALTH SERVICES INC A 25717 SOUTHEAST COMMUNITY HEALTH SERVICES INC J 596140 TMH FOUNDATION N 743290 TMH FOUNDATION C 890095 TALLAHASSEE MEMORIAL HEALTH VENTURES INC I 1401865 TALLAHASSEE MEMORIAL HEALTH VENTURES INC J 143569 Direct 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 ============ ==============