TALLAHASSEE MEMORIAL HEALTHCARE INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: TALLAHASSEE MEMORIAL HEALTHCARE INC (EIN 59-1917016)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-07-24
IRS object ID: 202622059349300017
Schema version: 2024v5.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-07-24T09:13:46-05:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PWC US TAX LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	591917016	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TALLAHASSEE MEMORIAL HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% PRISCILLA NEEDHAM CFO	InCareOfNm
Business Name Control	TALL	BusinessNameControlTxt
Phone	8504315238	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 MICCOSUKEE ROAD	AddressLine1Txt
City	TALLAHASSEE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	323085054	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PRISCILLA NEEDHAM	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8504310630	PhoneNum
Signature	2026-07-23	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANTONIO C RUSSO	PreparerPersonNm
PTIN	P00858539	PTIN
Phone	2673303000	PhoneNum
Preparation	2026-07-21	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PRISCILLA NEEDHAM CFO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 MICCOSUKEE ROAD	AddressLine1Txt
City	TALLAHASSEE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	323085054	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,192,901,856	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.tmh.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1979	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	TALLAHASSEE MEMORIAL HEALTHCARE, INC. IS A PRIVATE 772-BED, COMMUNITY HEALTHCARE SYSTEM THAT PROVIDES CHARITABLE, COMPASSIONATE, LEADING-EDGE, PATIENT-CENTERED HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	7770	TotalEmployeeCnt
Total Volunteers	702	TotalVolunteersCnt
Total Gross UBI	$1,274,892	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,048,596	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,904,503	PYContributionsGrantsAmt
CY Contributions Grants	$3,645,723	CYContributionsGrantsAmt
PY Program Service Revenue	$1,051,708,541	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,133,807,457	CYProgramServiceRevenueAmt
PY Investment Income	$17,532,392	PYInvestmentIncomeAmt
CY Investment Income	$31,908,536	CYInvestmentIncomeAmt
PY Other Revenue	$8,567,884	PYOtherRevenueAmt
CY Other Revenue	$6,684,811	CYOtherRevenueAmt
PY Total Revenue	$1,080,713,320	PYTotalRevenueAmt
CY Total Revenue	$1,176,046,527	CYTotalRevenueAmt
PY Grants And Similar Paid	$515,118	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$502,340	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$436,515,048	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$451,017,408	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$611,563,897	PYOtherExpensesAmt
CY Other Expenses	$720,413,089	CYOtherExpensesAmt
PY Total Expenses	$1,048,594,063	PYTotalExpensesAmt
CY Total Expenses	$1,171,932,837	CYTotalExpensesAmt
PY Revenues Less Expenses	$32,119,257	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,113,690	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,151,040,007	TotalAssetsBOYAmt
Total Assets EOY	$1,213,957,021	TotalAssetsEOYAmt
Total Liabilities BOY	$562,728,281	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$611,351,136	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$588,311,726	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$602,605,885	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	FOUNDED MORE THAN 75 YEARS AGO, TALLAHASSEE MEMORIAL HEALTHCARE INC. IS A PRIVATE, NOT-FOR PROFIT, 772-BED, COMMUNITY HEALTH CARE SYSTEM THAT PROVIDES CHARITABLE, COMPASSIONATE, LEADING -EDGE, & PATIENT-CENTERED HEALTH CARE. ITS MISSION: TRANSFORMING CARE. ADVANCING HEALTH. IMPROVING LIVES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$998,919,798	ExpenseAmt
Grant	$502,340	GrantAmt
Revenue	$1,138,951,499	RevenueAmt
Desc	DESIGNED TO MEET THE DIVERSE HEALTH CARE NEEDS OF THE BIG BEND REGION, TALLAHASSEE MEMORIAL HEALTHCARE, INC. (TMH) IS A COMPREHENSIVE, PRIVATE, NOT-FOR-PROFIT HEALTH CARE SYSTEM THAT SERVES 21 COUNTIES IN NORTH FLORIDA AND SOUTH GEORGIA. TMH INCLUDES A 772-BED ACUTE CARE HOSPITAL AND HAS A TIME-HONORED COMMITMENT TO PROVIDING PATIENT-CENTERED, WORLD-CLASS HEALTH CARE TO ITS COMMUNITY WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. PROVIDING INNOVATIVE TECHNOLOGY AND A BROAD SPECTRUM OF SERVICES, TMH HOLDS A NUMBER OF IMPORTANT DISTINCTIONS ITHIN THE REGIONAL HEALTH SECTOR. TMH IS HOME TO THE AREAS ONLY STATE-DESIGNATED TRAUMA CENTER AND THE REGION'S ONLY ACCREDITED COMMUNITY HOSPITAL CANCER PROGRAM. TMH IS RECOGNIZED BY THE SOCIETY OF CHEST PAIN CENTERS AS AN ACCREDITED CHEST PAIN CENTER WITH PCI. ADDITIONALLY, TMH HAS THE ONLY NEUROLOGICAL AND LEVEL III NEONATAL INTENSIVE CARE UNITS AND IS NORTH FLORIDA'S ONLY COMPREHENSIVE STROKE CENTER. TMH IS MANAGED BY A TEAM OF COMMUNITY CITIZENS WHO VOLUNTEER THEIR TIME AND EXPERTISE WITHOUT COMPENSATION. THE TMH BOARD OF DIRECTORS IS COMMITTED TO ITS COMMUNITY SERVICE MISSION AND MEMBERS SERVE WITHOUT COMPENSATION. THE ENERGY RESOURCES COMMITTED BY TMH AND ITS COLLEAGUES ARE PROOF OF THE FULFILLMENT OF ITS MISSION: TRANSFORMING CARE. ADVANCING HEALTH. IMPROVING LIVES. SEE SCHEDULE H, PART VI FOR ADDITIONAL DETAILS REGARDING SOME OF THE VARIOUS PROGRAM SERVICE ACCOMPLISHMENTS AND ADDITIONAL COMMUNITY BUILDING ACTIVITIES CONDUCTED BY TMH.	Desc
Total Program Service Expenses	$998,919,798	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	281	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7770	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	PRISCILLA NEEDHAM CFO	PersonNm
Phone	8504310630	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 MICCOSUKEE ROAD	AddressLine1Txt
City	TALLAHASSEE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	323085054	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
G MARK O'BRYANT
EX-OFFICIO DIRECTOR & CEO	53.0	2.0	Yes (X)	Yes (X)	$1,324,491	$0	$385,970
WILLIAM DOBAK DO
MATERNAL/FETAL MEDICINE	55.0	0.0			$1,151,796	$0	$40,450	Yes (X)
ALFREDO RAMIREZ MD
CARDIOTHORACIC SURGEON	55.0	0.0			$1,071,855	$0	$138	Yes (X)
MITCHELL PEABODY MD
HEMATOLOGIST/ONCOLOGIST	55.0	0.0			$1,031,940	$0	$28,081	Yes (X)
GEORGE PENNINGTON II MD
GENERAL SURGEON	55.0	0.0			$945,309	$0	$40,450	Yes (X)
YUSEF SYED MD
RADIATION ONCOLOGIST	55.0	0.0			$928,171	$0	$37,791	Yes (X)
PRISCILLA NEEDHAM
VP/CFO	54.0	1.0		Yes (X)	$602,030	$0	$72,241
DEAN WATSON MD
CHIEF INTEGRATION OFFICER/VP	55.0	0.0			$573,317	$0	$70,022		Yes (X)
ANDREW STARR
CHIEF HEALTH OPS OFFICER	55.0	0.0			$426,255	$0	$61,640		Yes (X)
RYAN SMITH
CHIEF CLINICAL OFFICER/CNO/VP	55.0	0.0			$379,130	$0	$52,706		Yes (X)
NIGEL ALLEN
CHIEF ADVANCEMENT OFFICER/VP	55.0	0.0		Yes (X)	$268,296	$0	$49,071
THOMAS NOEL MD
DIRECTOR	1.5	0.0	Yes (X)		$43,902	$0	$0
SALLY BRADSHAW
CHAIR	2.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
JAMES KILLIUS MD
CHAIR-ELECT	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
CLAUDE WALKER
SECRETARY	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
BETH CORUM
TREASURER	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
NARLIN BEATY MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
JOEDRECKA BROWN SPEIGHTS MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
CARLOS CAMPO MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
ALLISON HARRELL
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
FRAN CLOSE PHD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
CISSY PROCTOR
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
KATRINA ROLLE
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
ANDREW GAY
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
HUGH VANLANDINGHAM MD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
ANATH PRASAD
DIRECTOR	1.5	0.0	Yes (X)		$0	$0	$0
BILL WERTMAN
EX-OFFICIO DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MARK WHEELER MD
EX-OFFICIO DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,746,492	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$838,560	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	653	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SOUTHERN MEDICAL GROUP PA
1300 MEDICAL DRIVE	TALLAHASSEE	FL	32308	PHYSICIAN SERVICES	$35,177,741
ENSEMBLE HEALTH PARTNERS
11511 REED HARTMAN HWY	BLUE ASH	OH	45241	REVENUE CYCLE SRVCS	$29,871,398
CROSS COUNTRY STAFFING INC
6551 PARK OF COMMERCE BLVD	BOCA RATON	FL	33487	STAFFING SERVICES	$24,402,328
TALLAHASSEE PULMINARY CLINIC
2617 MITCHAM DRIVCE	TALLAHASSEE	FL	32308	PHYSICIAN SERVICES	$13,050,809
PENNINGTON PA
215 S MONROE STREET	TALLAHASSEE	FL	32308	LEGAL SERVICES	$3,387,547

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	112	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,095,591	RelatedOrganizationsAmt
Government Grants	$2,550,132	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$3,645,723	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET HEALTH CARE SERVICE REVENUES	Desc
Business	621500	BusinessCd
Total Revenue Column	$1,133,807,457	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,133,525,750	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$281,707	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,133,807,457	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,896,454	TotalRevenueColumnAmt
Exclusion	$7,896,454	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,618,124	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,077,355	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,540,769	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,540,769	TotalRevenueColumnAmt
Unrelated Business Revenue	$993,185	UnrelatedBusinessRevenueAmt
Exclusion	$547,584	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,316,227	SecuritiesAmt
Other	$35,740,038	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,088,691	SecuritiesAmt
Other	$11,955,492	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$227,536	SecuritiesAmt
Other	$23,784,546	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,012,082	TotalRevenueColumnAmt
Exclusion	$24,012,082	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$900,005	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$733,791	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$166,214	TotalRevenueColumnAmt
Related Or Exempt Func Income	$166,214	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
VENDOR REBATES	900099	$4,168,718	$4,168,718
PARKING DECK	900099	$319,195	$319,195
ALL OTHER REVENUE	900099	$489,915	$489,915

Field	Value	IRS element (for citing)
Other Revenue Total	$4,977,828	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,176,046,527	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,138,669,792	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,274,892	UnrelatedBusinessRevenueAmt
Exclusion	$32,456,120	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$502,340	TotalAmt
Program Services	$502,340	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,662,116	TotalAmt
Program Services	$3,894,120	ProgramServicesAmt
Management And General	$767,996	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$385,247,270	TotalAmt
Program Services	$345,385,125	ProgramServicesAmt
Management And General	$39,862,145	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,459,100	TotalAmt
Program Services	$6,723,510	ProgramServicesAmt
Management And General	$735,590	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$31,406,350	TotalAmt
Program Services	$28,156,685	ProgramServicesAmt
Management And General	$3,249,665	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$22,242,572	TotalAmt
Program Services	$19,941,098	ProgramServicesAmt
Management And General	$2,301,474	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,385,480	TotalAmt
Program Services	$2,401,708	ProgramServicesAmt
Management And General	$1,983,772	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$908,929	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$908,929	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$124,209	TotalAmt
Program Services	$124,209	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$204,168,743	TotalAmt
Program Services	$155,323,120	ProgramServicesAmt
Management And General	$48,845,623	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,028,099	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,028,099	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$27,989,073	TotalAmt
Program Services	$25,313,667	ProgramServicesAmt
Management And General	$2,675,406	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$56,584,315	TotalAmt
Program Services	$24,991,743	ProgramServicesAmt
Management And General	$31,592,572	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,703,601	TotalAmt
Program Services	$10,377,541	ProgramServicesAmt
Management And General	$2,326,060	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,670,726	TotalAmt
Program Services	$3,075,090	ProgramServicesAmt
Management And General	$2,595,636	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$216,758	TotalAmt
Program Services	$48,359	ProgramServicesAmt
Management And General	$168,399	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$18,611,929	TotalAmt
Program Services	$18,611,929	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$41,244,038	TotalAmt
Program Services	$34,449,946	ProgramServicesAmt
Management And General	$6,794,092	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$20,703,773	TotalAmt
Program Services	$19,378,811	ProgramServicesAmt
Management And General	$1,324,962	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PATIENT EXPENSES	$225,368,467	$225,368,467	$0	$0
SERVICE/MAINTENANCE	$28,230,336	$22,824,782	$5,405,554	$0
INDIGENT CARE ASSESSMENT	$10,633,904	$10,633,904	$0	$0
ALL OTHER EXPENSES	$61,840,709	$41,393,644	$20,447,065	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,171,932,837	TotalAmt
Program Services	$998,919,798	ProgramServicesAmt
Management And General	$173,013,039	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$189,092,775	BOYAmt
EOY	$196,780,762	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$158,882,265	BOYAmt
EOY	$132,328,690	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$18,075,727	BOYAmt
EOY	$23,616,945	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$75,665,046	BOYAmt
EOY	$97,960,037	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,155,494,514	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$627,152,376	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$507,490,205	BOYAmt
EOY	$528,342,138	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$27,300	BOYAmt
EOY	$27,300	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$201,806,689	BOYAmt
EOY	$234,901,149	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,151,040,007	BOYAmt
EOY	$1,213,957,021	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$113,508,835	BOYAmt
EOY	$132,229,355	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$342,024,230	BOYAmt
EOY	$388,129,156	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$50,374,418	BOYAmt
EOY	$33,246,527	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$56,820,798	BOYAmt
EOY	$57,746,098	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$562,728,281	BOYAmt
EOY	$611,351,136	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$588,311,726	BOYAmt
EOY	$602,605,885	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$588,311,726	BOYAmt
EOY	$602,605,885	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,151,040,007	BOYAmt
EOY	$1,213,957,021	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,113,690	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$10,180,469	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,169,779	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,438,847	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,095,505	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,904,503	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,645,723	CurrentTaxYearAmt
Total	$21,254,357	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

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

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

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

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,169,779	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,438,847	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,095,505	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,904,503	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,645,723	CurrentTaxYearAmt
Total	$21,254,357	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$21,254,357	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$414,380	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$872,922	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,702,677	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$15,775,978	CurrentTaxYearMinus1YearAmt
Current Tax Year	$8,444,038	CurrentTaxYearAmt
Total	$33,209,995	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,185,141	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,427,370	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,069,431	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,033,513	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,048,596	CurrentTaxYearAmt
Total	$5,764,051	TotalAmt

Other Income170 OtherIncome170Grp

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

Field	Value	IRS element (for citing)
Total Support	$60,228,403	TotalSupportAmt
Gross Receipts Rltd Activities	$4,666,331,550	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.35290	PublicSupportCY170Pct
Public Support PY170	0.53148	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$124,209	FilingOrganizationsTotalAmt
Affiliated Group Total	$124,209	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$124,209	FilingOrganizationsTotalAmt
Affiliated Group Total	$124,209	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,171,808,628	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,174,051,326	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,171,932,837	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,174,175,535	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Field	Value	IRS element (for citing)
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$44,341	CurrentYearMinus3Amt
Current Year Minus2	$40,085	CurrentYearMinus2Amt
Current Year Minus1	$42,496	CurrentYearMinus1Amt
Current Year	$124,209	CurrentYearAmt
Total	$251,131	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$0	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE C, PART II-A, LINE 1	FormAndLineReferenceDesc
Explanation	SUPPLEMENTAL INFORMATION REGARDING LOBBYING EXPENSES LOBBYING EXPENSES INCURRED INCLUDE MEETING WITH LOCAL CITY AND COUNTY OFFICIALS AND LEGISLATORS, AS WELL AS PORTIONS OF AMERICAN HOSPITAL ASSOCIATION (AHA) AND FLORIDA HOSPITAL ASSOCIATION (FHA) MEMBERSHIP DUES ALLOCATED TO LOBBYING EXPENSES. ---------- AFFILIATED GROUP INFORMATION: NAME OF ELECTING ORGANIZATION: ------------------------------------------------------- TALLAHASSEE MEMORIAL HEALTHCARE, INC. - DIRECT LOBBYING EXPENDITURES: $124,209 - OTHER EXEMPT PURPOSE EXPENDITURES: $1,171,808,628 THIS ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED SEPTEMBER 30, 2025. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2024. NAME OF NON-ELECTING ORGANIZATION: ------------------------------------------------------- SOUTHEAST COMMUNITY HEALTH SRVS, INC. - DIRECT LOBBYING EXPENDITURES: $0 - OTHER EXEMPT PURPOSE EXPENDITURES: $219,953 TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION - DIRECT LOBBYING EXPENDITURES: $0 - OTHER EXEMPT PURPOSE EXPENDITURES: $2,022,745	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,236,536	BeginningYearBalanceAmt
Contributions	$75,838	ContributionsAmt
Investment Earnings Or Losses	$238,895	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$12,551,269	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,867,450	BeginningYearBalanceAmt
Contributions	$735,252	ContributionsAmt
Investment Earnings Or Losses	$633,834	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$12,236,536	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,317,064	BeginningYearBalanceAmt
Contributions	$311,290	ContributionsAmt
Investment Earnings Or Losses	$239,096	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$10,867,450	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,360,709	BeginningYearBalanceAmt
Contributions	$398,690	ContributionsAmt
Investment Earnings Or Losses	-$442,335	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$10,317,064	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,423,147	BeginningYearBalanceAmt
Contributions	$526,044	ContributionsAmt
Investment Earnings Or Losses	$411,518	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$10,360,709	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,879,185	OtherCostOrOtherBasisAmt
Book Value	$27,879,185	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$674,042,339	OtherCostOrOtherBasisAmt
Depreciation	$311,316,677	DepreciationAmt
Book Value	$362,725,662	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$379,885,096	OtherCostOrOtherBasisAmt
Depreciation	$315,835,699	DepreciationAmt
Book Value	$64,049,397	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$73,687,894	OtherCostOrOtherBasisAmt
Book Value	$73,687,894	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$528,342,138	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
DEBT RESERVE FUND	$8,317,321
DEPOSITS AND OTHER ASSETS	$9,609,047
OTHER RECEIVABLES	$21,546,944
SELF INSURANCE TRUST FUND	$7,903,649
DUE FROM MEDICAID DPP	$30,662,770
SWAP COLLATERAL	$1,130,000
OPERATING LEASE ROU ASSETS	$3,278,934
PENSION ASSETS, NET	$143,197,869
DUE FROM MEDICARE	$9,254,615

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$234,901,149	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
WORKER'S COMP SELF INSURANCE	$3,745,351
PROFESSIONAL LIABILITY SELF IN	$26,612,578
OBLIGATION FOR SUPPLEMENTAL EX	$2,703,848
DEFFERRED COMP ARRANGEMENT	$4,743,868
AHCA ASSESSMENT	$8,424,000
OTHER LIABILITIES	$8,192,011
OPERATING LEASE LIABILITY	$3,324,442

Field	Value	IRS element (for citing)
Total Liability	$57,746,098	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	Insurance Coverage	SpecificServicesProvidedTxt
Region Total Expenditures	$120,078	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$120,078	SubtotalSpentAmt
Total Spent	$120,078	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,534,325	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,534,325	NetCommunityBenefitExpnsAmt
Total Expense	0.02010	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$110,386,352	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$109,005,301	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,381,051	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$133,920,677	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$109,005,301	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,915,376	NetCommunityBenefitExpnsAmt
Total Expense	0.02130	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,688,207	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,603,662	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,084,545	NetCommunityBenefitExpnsAmt
Total Expense	0.01540	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$115,705,550	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$59,610,568	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,094,982	NetCommunityBenefitExpnsAmt
Total Expense	0.04790	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,059,662	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$239,772	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$819,890	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$140,453,419	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,454,002	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$74,999,417	NetCommunityBenefitExpnsAmt
Total Expense	0.06400	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$274,374,096	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$174,459,303	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$99,914,793	NetCommunityBenefitExpnsAmt
Total Expense	0.08530	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$754,018	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$754,018	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$754,018	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$754,018	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$195,262,481	BadDebtExpenseAmt
Bad Debt Expense Attributable	$94,280,102	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$121,327,497	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$122,181,645	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$854,148	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TALLAHASSEE MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 MICCOSUKEE ROAD	AddressLine1Txt
City	TALLAHASSEE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32309	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.TMH.ORG	WebsiteAddressTxt
State License	LICENSE# 4080	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	TALLAHASSEE MEMORIAL HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	25	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCH H, PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SCH H, PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SCH H, PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5, 6B (INPUT FROM COMMUNITY; COLLABORATION)	TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") COMPLETED ITS FIFTH COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING THE YEAR ENDING SEPTEMBER 30, 2025. YOU MAY FIND FURTHER DETAILS AND COMPREHENSIVE RESULTS AT: HTTPS://WWW.TMH.ORG/ABOUT-TMH/COMMUNITY-REPORTS/ ------------------------------------------------------------
PART V, SECTION B, LINE 7A & 10A (CHNA & IMP. PlAN AVAILABILITY TO PUBLIC)	THE CHNA AND IMPLEMENTATION PLAN CAN BE ACCESSED AT: HTTPS://WWW.TMH.ORG/ABOUT-TMH/COMMUNITY-REPORTS/ ------------------------------------------------------------ PART V, SECTION B, LINE 9 (TAX YEAR THE MOST RECENT IMP. STRATEGY WAS ADOPTED) THE ORGANIZATION'S MOST RECENT IMPLEMENTATION STRATEGY WAS ADOPTED BY FEBRUARY 2026, AS PERMITTED UNDER THE REGULATIONS. ------------------------------------------------------------
PART V, SECTION B, LINE 11 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA)	TALLAHASSEE MEMORIAL HEALTHCARE (TMH) CONDUCTED ITS LAST COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN FY2025. HOWEVER, THE PROGRESS SHARED IN THIS DOCUMENT IS BASED ON THE 2022 CHNA AND THE 2023-2025 IMPLEMENTATION STRATEGY. IDENTIFICATION OF FIVE KEY HEALTH PRIORITIES EMERGED FROM THE 2022 CHNA, FOLLOWED BY CREATION OF A 2023-2025 IMPLEMENTATION PLAN TO ADDRESS EACH OF THESE PRIORITY AREAS. IN 2022, THE TMH CHNA ADVISORY COMMITTEE, PARTNERS AND STAKEHOLDERS PARTICIPATED IN AN INTERACTIVE EXERCISE TO IDENTIFY THE GREATEST NEEDS IN THE SERVICE AREA BASED ON THE PRIMARY AND SECONDARY DATA PRESENTED BASED ON THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. ADDITIONALLY, PARTICIPANTS WERE ALSO ASKED IF THEY WOULD CONSIDER MATERNAL, INFANT AND CHILD HEALTH SERVICES AS A NEED TO ADDRESS. ONE HUNDRED PERCENT OF THE RESPONDENTS AGREED THAT MATERNAL, INFANT AND CHILD HEALTH SERVICES SHOULD ALSO BE ADDRESSED. AT THE CONCLUSION, THE FOLLOWING FIVE KEY HEALTH PRIORITY AREAS IDENTIFIED FOR THE 2023-2025 PERIOD WERE: (1) ACCESS TO HEALTH SERVICES (2) NUTRITION, PHYSICAL ACTIVITY AND OBESITY, (3) MENTAL HEALTH AND SUBSTANCE ABUSE, (4) CLINICAL PREVENTIVE SERVICES, AND (5) MATERNAL, INFANT, AND CHILD HEALTH. THE FOLLOWING IS AN UPDATE OF PROGRESS MADE IN EACH PRIORITY AREA DURING FY2025. PLEASE VISIT HTTPS://WWW.TMH.ORG/ABOUT-US/COMMUNITY-REPORTS/COMMUNITY-NEED-REPORT TO VIEW OUR CHNA PUBLISHED IN SEPTEMBER 2022 AND IMPLEMENTATION STRATEGY PUBLISHED IN FEBRUARY 2023 ADDRESSING HEALTH PRIORITIES FOR FISCAL YEARS 2023 TO 2025. ADDITIONALLY, THE MOST RECENTLY COMPLETED CHNA FOR FY2025 IS ALSO PUBLISHED TO THE SAME SITE. THE FINALIZED IMPLEMENTATION STRATEGY AND PROGRESS IS SHARED IN THE BELOW UPDATE. THE STRATEGIES IN EACH OF THE PRIORITY AREAS WERE REVIEWED BY COMMITTEE MEMBERS IN EACH AREA AND SOME CHANGES WERE MADE FROM PREVIOUS IMPLEMENTATION PLANS BASED ON COMMUNITY NEEDS AND ORGANIZATION AND PARTNER RESOURCES. (1) ACCESS TO HEALTH SERVICES THE LONG-TERM GOALS FOR PRIORITY AREA, ACCESS TO HEALTH SERVICES, REMAIN TO DECREASE BARRIERS TO ACCESS HEALTH CARE AND TO PROVIDE MORE FLEXIBLE AND ACCESSIBLE OPTIONS TO ACCESS HEALTHCARE. FOUR MAJOR STRATEGIES IDENTIFIED: (A) INCREASE UTILIZATION OF TELEMEDICINE (B) INCREASE ACCESS TO HEALTHCARE SERVICES FOR RESIDENTS OF WAKULLA COUNTY AND 32304 ZIP CODE (C) IMPROVE ACCESS TO TRANSPORTATION TO MEDICALLY RELATED SERVICES (D) EVALUATE DISPARITIES TO ADDRESS AND IDENTIFY EXISTING GAPS IN SERVICES (E) IMPROVE HEALTH LITERACY RELATED TO ACCESS TO HEALTHCARE. THE FOLLOWING SHARES PROGRESS TOWARDS THESE STRATEGIES BEGINNING MARCH 2023. (A) INCREASE UTILIZATION OF TELEMEDICINE TALLAHASSEE MEMORIAL HEALTHCARE CONTINUES TO LEVERAGE TELEHEALTH AS A KEY STRATEGY TO EXPAND ACCESS TO CARE ACROSS THE REGION. DURING THE 2025 FISCAL YEAR, 6,383 TELEHEALTH CONSULTS WERE COMPLETED ACROSS THE HEALTH SYSTEM. TELEHEALTH SERVICES SUPPORT A BROAD RANGE OF CLINICAL NEEDS AND CARE SETTINGS, HELPING TO CONNECT PATIENTS WITH PROVIDERS IN A TIMELY MANNER WHILE REDUCING BARRIERS RELATED TO GEOGRAPHY, TRANSPORTATION, AND MOBILITY. THESE VIRTUAL CARE CAPABILITIES CONTINUE TO PLAY AN IMPORTANT ROLE IN IMPROVING ACCESS, ENHANCING CARE COORDINATION, AND SUPPORTING TIMELY CLINICAL DECISION-MAKING. ON MARCH 1, 2025, TMH SUCCESSFULLY IMPLEMENTED ITS NEW ELECTRONIC HEALTH RECORD (EHR), EPIC. THIS TRANSITION HAS STRENGTHENED TELEHEALTH WORKFLOWS, IMPROVED INTEGRATION ACROSS CARE SETTINGS, AND POSITIONED THE ORGANIZATION FOR CONTINUED GROWTH IN VIRTUAL CARE DELIVERY. AS THESE WORKFLOWS CONTINUE TO MATURE WITH EPIC, TMH ANTICIPATES INCREASED EFFICIENCY AND AN EXPANDED VOLUME OF TELEHEALTH CONSULTS MOVING FORWARD. (B) INCREASE ACCESS TO HEALTHCARE SERVICES FOR RESIDENTS OF WAKULLA COUNTY AND 32304 ZIP CODE TRANSPORTATION CONTINUES TO BE A BARRIER FOR VULNERABLE POPULATIONS TO ACCESS HEALTHCARE SERVICES. THE REASONS ARE MULTIFACTORIAL, INCLUDING LACK OF RESOURCES TO TRAVEL FROM RURAL AREAS TO URBAN AREAS WHERE SERVICES ARE LOCATED, UNDERDEVELOPED PUBLIC TRANSPORTATION SYSTEM AND HIGH COST AND UNRELIABILITY OF PRIVATE OPTIONS SUCH AS CAB OR RIDE-HAILING APPS SUCH AS UBER AND LYFT. IN AN EFFORT TO INCREASE ACCESS TO SERVICES FOR RESIDENTS LIVING IN THE 32304 ZIP CODE (FRENCHTOWN RESIDENTS, IMPOVERISHED COMMUNITY), TMH OPENED AN URGENT CARE CLINIC DURING FY2024 TO SERVICE THIS AREA. URGENT CARE SERVICES ARE CURRENTLY PROVIDED IN CONJUNCTION WITH THE TALLAHASSEE MEMORIAL PHYSICIAN PARTNERS - WAKULLA CLINIC. A SEPARATE STRUCTURE FOR THESE SERVICES IS PLANNED FOR THE FUTURE IN WAKULLA COUNTY. (C) EVALUATE DISPARITIES TO ADDRESS AND IDENTIFY EXISTING GAPS IN SERVICES WHILE FY2025 SAW THE IMPLEMENTATION OF THE NEW EHR SYSTEM EPIC, AS MORE PATIENT INFORMATION IS AVAILABLE, EPIC WILL BE UTILIZED TO HELP IDENTIFY TRENDS AND HEALTH DISPARITIES IN OUR COMMUNITY POPULATIONS SEEN IN TMH'S HOSPITAL AND CLINICS. THIS WILL HELP INFORM EFFORTS TO PROVIDE SERVICES WHERE THERE ARE GAPS OR ADDITIONAL NEEDS IN SPECIFIC POPULATIONS. (D) IMPROVE HEALTH LITERACY RELATED TO ACCESS TO HEALTHCARE WITH THE IMPLEMENTATION OF THE NEW ELECTRONIC MEDICAL RECORD SYSTEM, EPIC, DOCUMENTS AND PATIENT EDUCATION MATERIALS ARE ABLE TO BE TRANSLATED INTO MULTIPLE LANGUAGES. THIS INCREASE THE RESOURCES AVAILABLE TO HELP PATIENTS UNDERSTAND THEIR MEDICAL CARE, TREATMENT, AND DISCHARGE INSTRUCTIONS. TMH CONTINUES TO MAKE USE OF THE LANGUAGE LINE SERVICES FOR REAL TIME TRANSLATION SERVICES. (2) NUTRITION, PHYSICAL ACTIVITY AND OBESITY THE LONG-TERM GOALS FOR THE PRIORITY AREA, PREVENTIVE SERVICES RELATED TO NUTRITION, PHYSICAL ACTIVITY AND OBESITY, ARE TO INCREASE ACCESS TO NUTRITIOUS FOOD, INCREASE FRUIT AND VEGETABLE CONSUMPTION, INCREASE PARTICIPATION IN PHYSICAL ACTIVITY AND TO INCREASE WATER CONSUMPTION AND DECREASE SUGAR SWEETENED BEVERAGE CONSUMPTION. FOUR MAJOR STRATEGIES WERE IDENTIFIED: (A) EDUCATE AND SUPPORT ELEMENTARY SCHOOL STUDENTS IN INCREASING WATER CONSUMPTION (AND DECREASING SUGAR-SWEETENED BEVERAGE CONSUMPTION) (B) SUPPORT AND PROMOTE COMMUNITY WALKING PROGRAMS (C) EDUCATE AND SUPPORT LOW-INCOME FAMILIES IN INCREASING FRUIT AND VEGETABLE CONSUMPTION AT LOCAL FARMERS MARKETS (D) INCREASE ACCESS TO NUTRITIOUS FOOD BY ADDRESSING FOOD INSECURITY IN THE BIG BEND REGION. THE FOLLOWING SHARES PROGRESS TOWARDS THESE STRATEGIES AS OF 2022. (A) EDUCATE AND SUPPORT ELEMENTARY SCHOOL STUDENTS IN INCREASING WATER CONSUMPTION (AND DECREASING SUGAR-SWEETENED BEVERAGE CONSUMPTION) THE HAPPY HYDRATORS CHALLENGE WAS DEVELOPED AND IMPLEMENTED TO PROMOTE A POSITIVE CULTURE OF HEALTH AND INSPIRE STUDENTS TO MAKE HEALTHY CHOICES. THE HAPPY HYDRATORS CHALLENGE HAS ENGAGED OVER 880 STUDENTS, TEACHERS, AND STAFF SINCE ITS INCEPTION IN 2018. THIS EDUCATIONAL CAMPAIGN OFFERED TO THIRD GRADERS OF TITLE 1 SCHOOLS, IS A FUN AND EASY WAY TO REDUCE SUGAR SWEETENED BEVERAGE CONSUMPTION AND INCREASE WATER INTAKE. STUDENTS ARE TAUGHT THE BENEFITS AND IMPORTANCE OF DRINKING AT LEAST 6 CUPS OF WATER A DAY AND REDUCING CONSUMPTION OF SUGAR SWEETENED BEVERAGES TO ONE OR FEWER A DAY. (B) SUPPORT AND PROMOTE COMMUNITY WALKING PROGRAMS TMH HAS SUPPORTED COMMUNITY WALKING EVENTS THROUGH SOCIAL MEDIA ADVERTISING AS WELL AS PARTICIPATING IN "WALK WITH A DOCOTHER FITNESS EVENTS IN 2024 AND 2025. WE HAVE SUPPORTED OUR PARTNER COMMUNITY ORGANIZATION, PREMIER HEALTH AND FITNESS, MOVE TALLAHASSEE AND CAPITAL HEALTH PLAN, IN THESE EFFORTS. THESE COMMUNITY WALKS WERE HELD IN LEON AND SURROUNDING COUNTIES WITH THE GOAL OF PROMOTING FREE, ACCESSIBLE OUTDOOR PHYSICAL ACTIVITY OPTIONS AND INCREASING PHYSICAL ACTIVITY LEVELS OF RESIDENTS.
PART V, SECTION B, LINE 11 (ADDRESSING THE NEEDS- CONTINUED)	(C) EDUCATE AND SUPPORT LOW-INCOME FAMILIES IN INCREASING FRUIT AND VEGETABLE CONSUMPTION AT LOCAL FARMERS MARKETS THE PRIMARY STRATEGY IMPLEMENTED TO ADDRESS THE NEEDS OF THIS PRIORITY AREA IS A COMPREHENSIVE INITIATIVE DESIGNED TO IMPROVE HEALTHY FOOD ACCESS AND NUTRITIONAL INTAKE BY WAY OF THE SOUTHSIDE FARMERS MARKET AND FRESH FRUIT AND VEGETABLE RX (FFVRX) PROGRAM. THE SOUTHSIDE FARMERS MARKET AND FFVRX PROGRAM IS A COMMUNITY-DRIVEN PARTNERSHIP THAT ADDRESSES THE OVERALL HEALTH AND WELL-BEING OF SOUTHSIDE TALLAHASSEE RESIDENTS. THIS PROGRAM IS DONE IN PARTNERSHIP WITH CITY OF TALLAHASSEE NEIGHBORHOOD AFFAIRS DIVISION AND HAS INVOLVED VARIOUS COMMUNITY PARTNERS OVER THE YEARS, INCLUDING TMH. THE PROGRAM IS DESIGNED TO ADDRESS BOTH SOCIAL DETERMINANTS OF HEALTH, PARTICULARLY ENVIRONMENTS AND BEHAVIORS LINKED TO HEALTHY NUTRITION CHOICES AND FRUIT AND VEGETABLE CONSUMPTION AND THE CLINICAL CARE OF PATIENTS. THE FFVRX PROGRAM, CONDUCTED IN COORDINATION WITH THE SOUTHSIDE FARMERS MARKET, EXPANDS BEYOND HEALTHY FOOD ACCESS AND PROVIDES EDUCATIONAL AND SKILL BUILDING EXPERIENCE FOR PARTICIPANTS TO BETTER MANAGE BEHAVIORS AFFECTING NUTRITION AND HEALTH. THE PROGRAM ALSO INVESTS IN MAKING HEALTHY FOOD MORE ACCESSIBLE TO LOWER INCOME FAMILIES VIA PRODUCE VOUCHERS FUNDED BY TMH. PARTICIPANTS RECEIVE A $15 VOUCHER PER MARKET FOR PARTICIPATING IN EDUCATIONAL COOKING AND NUTRITION CLASSES. MARKETS HAVE CONTINUED THROUGH FY2025. (D) INCREASE ACCESS TO NUTRITIOUS FOOD BY ADDRESSING FOOD INSECURITY IN THE BIG BEND REGION THE TMH FOUNDATION WAS AWARDED A GRANT IN 2022 TO SUPPORT FOOD INSECURITY INTERVENTION AMONG EMPLOYEES AND COMMUNITY MEMBERS IN THE BIG BEND THROUGH EDUCATION. ONE OF THE INITIATIVES OF THIS PROJECT HAS BEEN TO IMPLEMENT A FOOD INSECURITY INTERVENTION WHICH COMBINES NUTRITION AND BUDGETING EDUCATIONAL SEMINARS WITH FOOD VOUCHERS. THESE SEMINARS WERE BEGUN IN FY 2023 AND HAVE CONTINUED INTO FY 2025. TMH HAS PARTNERED WITH THE LEON COUNTY EXTENSION OFFICE TO IMPLEMENT THE SEMINARS IN TMH'S PRIMARY SERVICE AREA (LEON, GADSDEN, WAKULLA, AND JEFFERSON COUNTIES). AS PART OF THESE SEMINARS, THE FIRST 30 ATTENDEES RECEIVE A $30 GIFT CARD FOR ATTENDING AND LEARNING ABOUT HEALTHY EATING ON A BUDGET. FIFTEEN SEMINARS WERE HELD BETWEEN FY2023 - 2025 WITH A TOTAL OF 341 ATTENDEES. DATA FROM THE SURVEY ADMINISTERED AT THE END OF THE CLASS SHOWS THAT 94% OF RESPONDENTS PLAN TO MAKE HEALTHIER FOOD CHOICES WHEN GROCERY SHOPPING, 92% OF RESPONDENTS PLAN TO INCORPORATE MORE FRUITS AND VEGETABLES INTO THEIR DIET, 86% OF RESPONDENTS PLAN TO READ THE FOOD LABEL TO MAKE HEALTHIER CHOICES, 88% OF RESPONDENTS PLAN TO PREPARE AND EAT MORE HEALTHY MEALS AT HOME, 78% OF RESPONDENTS PLAN TO REDUCE SPENDING, 65% OF RESPONDENTS PLAN TO CREATE A FINANCIAL PLAN, 77% OF RESPONDENTS PLAN TO INCREASE SAVINGS, AND 80% PLAN TO REDUCE DEBT. THESE SEMINARS WILL CONTINUE TO BE CONDUCTED INTO FY2026. (3) MENTAL HEALTH AND SUBSTANCE ABUSE THE LONG-TERM GOALS FOR THE PRIORITY AREA, MENTAL HEALTH AND SUBSTANCE ABUSE, ARE TO EXPAND PREVENTION AND SUPPORT SERVICES FOR EMOTIONAL AND SOCIAL WELLBEING, TO INCREASE AWARENESS AND SKILLS TO ASSIST INDIVIDUALS EXPERIENCING MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS AND TO RAISE PUBLIC AWARENESS OF ISSUES AND RESOURCES. FIVE MAJOR STRATEGIES WERE IDENTIFIED FROM THE 2023 IMPLEMENTATION STRATEGY: (A) IMPROVE ACCESS TO COMMUNITY-BASED, PREVENTIVE EMOTIONAL AND SOCIAL WELLBEING SERVICES (B) IMPROVE COMMUNITY MEMBERS' KNOWLEDGE AND SKILLS TO ASSIST INDIVIDUALS IN CRISIS AND CONNECT TO MENTAL HEALTH SERVICES (C) PARTICIPATE IN THE MENTAL HEALTH COUNCIL OF THE BIG BEND (D) EXPAND EDUCATION AND SERVICES AVAILABLE THROUGH TMH'S EMPLOYEE ASSISTANCE PROGRAM (EAP) AND BEHAVIORAL HEALTH CENTER (E) EXPAND CRITICAL INCIDENT STRESS MANAGEMENT (CISM) PROGRAM AND SERVICES AVAILABLE TO COMMUNITY STAKEHOLDERS TO SUPPORT WELLBEING THE FOLLOWING SHARES PROGRESS TOWARDS THESE STRATEGIES AS OF FY2025. (A) IMPROVE ACCESS TO COMMUNITY-BASED, PREVENTIVE EMOTIONAL AND SOCIAL WELLBEING SERVICES IN THE 2022 CHNA, THE COMMUNITY IDENTIFIED THE NEED FOR COMMUNITY-BASED, PREVENTIVE EMOTIONAL AND SOCIAL WELLBEING SERVICES. SPECIFICALLY, PROGRAMS AND RESOURCES DIRECTED AT HELPING COMMUNITY MEMBERS TO ENHANCE AND MAINTAIN EMOTIONAL AND SOCIAL WELLBEING. THE BRIDGE PROGRAM WAS LAUNCHED IN 2023 BETWEEN TALLAHASSEE MEMORIAL HEALTHCARE AND THE APALACHEE CENTER. THIS PROGRAM INITIATES EMERGENCY MEDICATION ASSISTED TREATMENT (MAT) SERVICES IN THE TMH EMERGENCY DEPARTMENTS AND LINKS INDIVIDUALS TO LONGER-TERM CARE THROUGH THE APALACHEE CENTER'S COMMUNITY-BASED MAT PROGRAM. IT WAS SUCCESSFUL IN PROVIDING TIMELY REFERRALS TO TREATMENT FOR THOSE WITH OPIOID USE DISORDER. BUILDING AND EXPANDING UPON THIS PROGRAM CONCEPT, THE COORDINATED OPIOID RECOVERY NETWORK (CORE) WAS INITIATED IN 2024 AND CONTINUED IN 2025. TMH AND APALACHEE CENTER ARE INVOLVED IN THIS PROGRAM TO HELP ADDRESS SIMILAR NEEDS IN OUR COMMUNITY. THE APALACHEE CENTER, INC. AND TALLAHASSEE MEMORIAL HEALTHCARE (TMH), OPENED A NEW FACILITY CALLED LIVE OAK OUTPATIENT CENTER IN 2024 WHERE PATIENTS OF BOTH ORGANIZATIONS CAN RECEIVE OUTPATIENT PSYCHIATRIC, PSYCHOLOGICAL, AND PSYCHOTHERAPY SERVICES IN ONE CENTRAL LOCATION. THE LIVE OAK OUTPATIENT CENTER IS ALSO HOME TO THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE'S PSYCHIATRY RESIDENCY PROGRAM. IN ADDITION TO TRADITIONAL OUTPATIENT SERVICES, THE LIVE OAK OUTPATIENT CENTER ALSO FACILITATES AN INTENSIVE OUTPATIENT PROGRAM (IOP) THAT LAUNCHED LATE IN 2024, AND A PARTIAL HOSPITALIZATION PROGRAM (PHP). BOTH PROGRAMS AIM TO REDUCE HOSPITALIZATIONS AND FOSTER WELLBEING IN THE COMMUNITY-SETTING. THE LIVE OAK OUTPATIENT CENTER TREATS CHILDREN/ADOLESCENTS, AND ADULTS WITH CO-OCCURRING MENTAL HEALTH AND/OR SUBSTANCE USE DISORDERS. ADDITIONALLY, IN 2023, THE APALACHEE NAVIGATE PROGRAM WAS OPENED. THE NAVIGATE PROGRAM SERVES INDIVIDUALS WITH THE PRESENCE OF, OR RISK FOR, A MAJOR PSYCHIATRIC DISORDER. SERVICES CONTINUE TO BE PROVIDED IN THIS PROGRAM THROUGH FY2025. THE BRADLEY REACH @APALACHEE CENTER PROGRAM OPENED IN 2023 AND BEGAN PROVIDING HIGH-QUALITY TELEHEALTH SERVICES TO YOUTH THROUGHOUT THE STATE OF FLORIDA. SERVICES INCLUDING INDIVIDUAL, FAMILY, AND GROUP THERAPY AND PSYCHIATRIC CARE CONTINUE TO BE PROVIDED IN FY2024 AND 2025. (B) IMPROVE COMMUNITY MEMBERS KNOWLEDGE AND SKILLS TO ASSIST INDIVIDUALS IN CRISIS AND CONNECT TO MENTAL HEALTH SERVICES MENTAL HEALTH FIRST AID (MHFA) HELPS INDIVIDUALS ASSIST SOMEONE EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS. IN THE MHFA COURSE, PARTICIPANTS LEARN RISK FACTORS AND WARNING SIGNS FOR MENTAL HEALTH AND ADDICTION CONCERNS, STRATEGIES FOR HOW TO HELP SOMEONE IN BOTH CRISIS AND NON-CRISIS SITUATIONS, AND WHERE TO TURN FOR HELP. THE COURSE COVERS THE FOLLOWING TOPICS: DEPRESSION AND MOOD DISORDERS, ANXIETY DISORDERS, TRAUMA, PSYCHOSIS AND SUBSTANCE USE DISORDERS. THIS PROGRAM IS OFFERED TO TARGETED GROUPS IN PARTNERSHIP WITH APALACHEE CENTER, A BEHAVIORAL AND MENTAL HEALTHCARE FACILITY. THESE TRAININGS HAVE CONTINUED INTO FY2025 AND WERE PROVIDED AT AGENCIES/ENTITIES SUCH AS KEISER UNIVERSITY, FAMU, FSU, AND FDLE. ADDITIONALLY, IN APRIL 2025, THE TMH EMPLOYEE ASSISTANCE PROGRAM SENT THERAPISTS TO THE TMH MAIN HOSPITAL FOR VICTIMS AND FAMILIES OF THE FSU SHOOTING. THIS PROGRAM CONTINUED TO PARTICIPATE IN COMMUNITY EVENTS THROUGHOUT 2025 AND PROVIDE EDUCATION AND RESOURCES.
PART V, SECTION B, LINE 11 (ADDRESSING THE NEEDS- CONTINUED)	(C) PARTICIPATE IN THE MENTAL HEALTH COUNCIL OF THE BIG BEND TMH PARTNERS WITH 20 AREA PROVIDERS INCLUDING APALACHEE CENTER, THE LEON COUNTY HEALTH DEPARTMENT, FLORIDA STATE UNIVERSITY COLLEGES OF NURSING AND MEDICINE, AND FLORIDA A& M UNIVERSITY IN THE MENTAL HEALTH COUNCIL OF THE BIG BEND. THE MENTAL HEALTH COUNCIL'S PURPOSE IS TO IMPROVE BEHAVIORAL HEALTHCARE IN THE BIG BEND REGION AND TO PURSUE STRATEGIES TO REDUCE BARRIERS TO ACCESS. THE MENTAL HEALTH COUNCIL SUCCESSFULLY EDUCATED LEON COUNTY AND THE CITY OF TALLAHASSEE CONCERNING THE NEED FOR COMMUNITY MENTAL HEALTH NAVIGATION (FUNDED THROUGH THE LEON COUNTY DEPARTMENT OF HEALTH); EXPANDED USE OF MOBILE CRISIS RESPONSE TEAMS (FUNDED THROUGH THE CITY OF TALLAHASSEE); AND EXPANDED ACCESS TO MENTAL HEALTH SERVICES IN HIGH IMPACT COMMUNITIES (FUNDED THROUGH THE CITY OF TALLAHASSEE). IN 2025, THE COUNCIL CONTINUES TO DEVELOP EXPANDED OBJECTIVES WITHIN THE AREAS OF EVALUATION, EXPANSION, EDUCATION, AND ENGAGEMENT FOR THE MENTAL HEALTH AND SUBSTANCE ABUSE NEEDS OF OUR COMMUNITY AND THE SURROUNDING RURAL COUNTIES. TMH CONTINUES TO SUPPORT AND PARTICIPATE IN ACTIVITIES OF THE MENTAL HEALTH COUNCIL OF THE BIG BEND. (D) EXPAND EDUCATION AND SERVICES AVAILABLE THROUGH TMH'S EMPLOYEE ASSISTANCE PROGRAM (EAP) AND BEHAVIORAL HEALTH CENTER SEVERAL PROGRAMS AND INITIATIVES HAVE BEEN DESIGNED AND UTILIZED TO SUPPORT TMH COLLEAGUE WELLBEING. ONE PROGRAM IS OUR EMPLOYEE ASSISTANCE PROGRAM (EAP). TMH OFFERS AN EMPLOYEE ASSISTANCE PROGRAM (EAP), NOT JUST TO TMH COLLEAGUES, BUT ALSO AS A SERVICE TO ORGANIZATIONS WITHIN THE BIG BEND REGION. EAP HAS INCREASED AWARENESS OF EAP BENEFITS AND SERVICES THROUGH MEETINGS WITH DEPARTMENT MANAGERS AND DIRECTORS WITHIN TMH. THEY HAVE ALSO WORKED CLOSELY WITH TMH HUMAN RESOURCES TO PROMOTE AND INCREASE AWARENESS OF SERVICES FOR STAFF. ADDITIONAL SERVICE OFFERINGS TO EXPAND INTEGRATIVE MEDICINE OFFERINGS TO HELP PREVENT OPIOID DEPENDENCE AND SUPPORT ADDITIONAL PATIENT NEEDS: TMH CURRENTLY HAS SEVERAL INITIATIVES DIRECTED AT OFFERING ALTERNATIVE THERAPIES TO PREVENT OPIOID DEPENDENCE. THESE INITIATIVES INCLUDE THERAPEUTIC TOUCH, MEDICAL MUSIC THERAPY AND ANIMAL THERAPY. THERAPEUTIC TOUCH (TT) IS A HEALING METHOD THAT USES FOCUSED INTENTION, COMPASSION, AND ENERGY TO RESTORE BALANCE THROUGHOUT THE BODY. RESEARCH HAS SHOWN THAT TT IS BENEFICIAL IN RELIEVING SYMPTOMS SUCH AS PAIN, NAUSEA, AND ANXIETY, AND CAN PROMOTE RELAXATION AND A SENSE OF WELL-BEING. SINCE 2014, OVER 3,000 TT SESSIONS HAVE BEEN PROVIDED TO TMH PATIENTS, AND IN ALMOST EVERY UNIT OF THE HOSPITAL. PATIENTS WHO RECEIVE TT TYPICALLY REPORT IMPROVEMENTS IN SLEEP, COMFORT, MOOD AND RELAXATION. MEDICAL MUSIC THERAPY IS AN ESTABLISHED ALLIED HEALTH PROFESSION AND EVIDENCE-BASED PRACTICE THAT USES MUSIC AND MUSIC INTERVENTIONS TO ADDRESS PHYSICAL, EMOTIONAL, COGNITIVE, AND SOCIAL NEEDS OF PATIENTS DURING THEIR HOSPITALIZATION AND REHABILITATION. PATIENTS OF ALL AGES AND BACKGROUNDS MAY BENEFIT FROM MUSIC THERAPY SERVICES. ALL HEALTHCARE PROFESSIONALS AT TMH CAN REFER PATIENTS TO MUSIC THERAPY WITHIN ALL AREAS OF THE MAIN HOSPITAL, NEUROREHABILITATION CENTER, AND CANCER CENTER. MUSIC THERAPY CAN ADDRESS GOALS INCLUDING MOOD ELEVATION, PAIN PERCEPTION, ISOLATION, COPING/COUNSELING, AND ANXIETY, AMONG OTHERS. PATIENTS HAVE EXPRESSED OVERALL STATEMENTS OF GRATITUDE AND APPRECIATION TOWARDS THE IMPACT OF SERVICES. FOR FY 2025, THERE WERE 1338 TOTAL MUSIC THERAPY REFERRALS. THE MUSIC THERAPY TEAM LED A TOTAL OF 3315 INDIVIDUAL SESSIONS. THERE WERE ALSO A TOTAL OF 2122 PARTICIPANTS RECORDED BETWEEN COMMUNITY MUSIC GROUPS SUCH AS THE TMH UKULELE CHOIR, NICU PARENT SUPPORT GROUP, AND LITTLE ONES MUSIC PLAY ANIMAL THERAPY'S MISSION IS TO IMPROVE EMOTIONAL AND PHYSICAL HEALTH BY PROVIDING THERAPEUTIC MODALITIES THROUGH ANIMAL-ASSISTED INTERACTIONS. TALLAHASSEE MEMORIAL ANIMAL THERAPY IS A CLINICAL DEPARTMENT WITHIN TALLAHASSEE MEMORIAL HEALTHCARE AND HAS BEEN SERVING THE BIG BEND SINCE 1985. CURRENTLY, MORE THAN 225 VOLUNTEER TEAMS SERVE OVER 160 FACILITIES IN THE BIG BEND AREA WITH CATS, DOGS, BIRDS, RABBITS, GUINEA PIGS, GOATS, AND HORSES PARTICIPATING. IN ADDITION TO PROVIDING ANIMAL ASSISTED THERAPY IN HEALTHCARE AND REHAB FACILITIES AND HOSPITALS, TMAT TEAMS SERVE LEON, WAKULLA AND JEFFERSON COUNTY SCHOOLS AND LIBRARIES THROUGH THE READ PROGRAM AND SUPPORTS FAMILIES IN DEPENDENCY CASES AND VICTIMS/WITNESSES IN CRIMINAL CASES IN THE SECOND JUDICIAL CIRCUIT THROUGH THE COURTHOUSE THERAPY DOGS PROGRAM. IN FY2025, ANIMAL THERAPY VOLUNTEERS PROVIDED 4100 VISITS FOR JUST OVER 6100 HOURS OF SERVICE COMING FROM REQUESTS AT OUR MAIN HOSPITAL CAMPUS, TALLAHASSEE MEMORIAL REHAB CENTER, OUTPATIENT UNITS, AND LOCAL COMMUNITY ORGANIZATIONS. (4) CLINICAL PREVENTIVE SERVICES TMH'S CLINICAL PREVENTIVE SERVICES WORKGROUP HAS WORKED TO ENHANCE HEALTH PROMOTION AND SCREENING OPPORTUNITIES THROUGH PARTNERSHIPS, EDUCATION, AND DIRECT INTERVENTIONS FOCUSED ON KEY HEALTH ISSUES IN THE COMMUNITY. THE PROGRAM (A) SUPPORTS CLINICAL QUALITY MEASURES, (B) ADDRESSES SOCIAL DETERMINANTS OF HEALTH (SDOH) AND (C) FOSTERS OUTREACH ACTIVITIES IN UNDERSERVED AREAS TO REDUCE HEALTH DISPARITIES AND IMPROVE THE WELL-BEING OF LOCAL POPULATIONS. OVERVIEW OF KEY ACTIVITIES AND COMPLETED INITIATIVES (A) SUPPORT CLINICAL QUALITY MEASURES TMH HAS SUCCESSFULLY COMPLETED SEVERAL INITIATIVES FOCUSED ON IMPROVING CLINICAL QUALITY AND PREVENTIVE CARE: - DIABETIC EYE EXAMS: INCREASED THE NUMBER OF EYE EXAMS IN FY2025 THROUGH INNOVATIVE TECHNOLOGY THAT ALLOWS EYE EXAMS TO BE COMPLETED AT THE PRIMARY CARE OFFICE. THIS HAS BEEN PARTICULARLY HELPFUL AT THE RURAL HEALTH PRACTICE SITES IN QUINCY, WAKULLA AND MONTICELLO AND WE EXPANDED TO INCLUDE THE REST OF PRIMARY CARE INCLUDING THE FAMILY MEDICINE AND INTERNAL MEDICINE RESIDENCY PROGRAMS. (B) SOCIAL DETERMINANTS OF HEALTH (SDOH) TMH HAS SUCCESSFULLY IMPLEMENTED MEASURES TO ADDRESS SOCIAL FACTORS AFFECTING HEALTH OUTCOMES, INCLUDING: - SDOH SCREENING INTEGRATION: WE HAVE IMPLEMENTED THE ELECTRONIC MEDICAL RECORD SYSTEM, EPIC, AND NOW HAVE THE ABILITY TO SCREEN PATIENTS FOR ALL COMPONENTS OF SDOH AND UPDATED OUR PROCESSES TO INCLUDE SCREENING ALL PORTIONS IN THE PRIMARY CARE AND INTERNAL MEDICINE PRACTICES THAT HAD PREVIOUSLY BEEN LIMITED TO NUTRITION SCREENING ONLY (DUE TO LIMITATIONS OF THE PREVIOUS EHR SYSTEM). - 211 BIG BEND RESOURCE BROCHURE: A BROCHURE WITH INFORMATION ON COMMUNITY RESOURCES WAS DEVELOPED AND DISTRIBUTED TO PATIENTS BY CASE MANAGEMENT TEAMS. THIS RESOURCE IS BEING TRACKED TO ASSESS ITS EFFECTIVENESS. THERE ARE ONGOING CONVERSATIONS WITH COMMUNITY PARTNERS TO ENHANCE THE PATIENT EXPERIENCE AND REFERRAL SUCCESS. - DEVELOPMENT OF ENHANCED SDOH SCREENING PROCESS: WITH THE CONVERSION TO EPIC EMR, THE CLINICAL PREVENTIVE SERVICES GROUP WILL PROVIDE CONTENT AND WORKFLOW GUIDANCE TO ENHANCE THE SDOH SCREENING PROCESS WITH A GOAL OF INCREASING THE NUMBER OF DOMAINS AND COMPLIANCE WITH SCREENING IN THE OUTPATIENT SETTING. (C) COMMUNITY OUTREACH AND ENGAGEMENT - HEALTH DEPARTMENT PARTNERSHIPS: PARTICIPATED IN EVENTS SUCH AS FAMILY FUN DAY IN WAKULLA IN FY2025. WE HAVE ONGOING PARTNERSHIPS WITH JEFFERSON/MADISON HEALTH DEPARTMENT IN CHRONIC DISEASE MANAGEMENT. - HEALTH CAMPAIGNS: MARKETING AND EDUCATIONAL CAMPAIGNS FOR COLON CANCER PREVENTION AS PART OF COLON CANCER AWARENESS MONTH IN FY2025 WERE DONE BY MARKETING. TMH'S COMMUNITY HEALTH OUTREACH PROGRAM HAS SUCCESSFULLY COMPLETED KEY INITIATIVES IN CLINICAL QUALITY, SDOH SCREENINGS, AND COMMUNITY OUTREACH IN FY2025. THESE EFFORTS HAVE MADE A MEANINGFUL IMPACT ON PUBLIC HEALTH BY ENHANCING ACCESS TO SCREENINGS, ADDRESSING SOCIAL HEALTH RISKS, AND IMPROVING COMMUNITY ENGAGEMENT. THE PROGRAM REMAINS COMMITTED TO CONTINUING THESE EFFORTS AND EXPANDING ITS REACH IN THE COMING YEAR.
PART V, SECTION B, LINE 11 (ADDRESSING THE NEEDS- CONTINUED)	(5) MATERNAL, INFANT, AND CHILD HEALTH THE LONG-TERM GOALS FOR THIS HEALTH PRIORITY ARE TO DECREASE INFANT DEATHS AND CHILDHOOD INJURIES THROUGH SAFE SLEEP AND CAR SEAT EDUCATION; ADDRESS HEALTH EQUITY AND HEALTH DISPARITIES AMONG UNDERSERVED COMMUNITIES; COLLABORATE WITH STATE CONNECT PARTNER AND LOCAL RESOURCES TO ADDRESS THE GAP IN CONNECTING NEW AND EXPECTANT MOTHERS WITH COMMUNITY RESOURCES; EDUCATE AND SUPPORT ELEMENTARY SCHOOL STUDENTS IN INCREASING WATER CONSUMPTION AND DECREASING SUGAR-SWEETENED BEVERAGES. THE COMMITTEE IS WORKING TO PROVIDE EDUCATION AND RESOURCES TO FAMILIES WITH CHILDREN UNDER THE AGE OF ONE YEAR TO PROVIDE SAFE SLEEP ENVIRONMENTS WITH AN UNDERSTANDING OF SUDDEN INFANT DEATH SYNDROME (SIDS) AND SUDDEN UNEXPECTED INFANT DEATH (SUID) WHICH ARE THE LEADING CAUSE OF DEATH IN INFANCY. THROUGH DEMONSTRATIONS AND EDUCATION SHOWING THE DANGERS OF UNSAFE SLEEP CONDITIONS LEADING TO ACCIDENTAL SUFFOCATION AND STRANGULATION. PROVIDING RESOURCES SUCH AS PORTABLE PLAY YARDS WHEN SAFE SLEEPING ENVIRONMENTS ARE NOT AVAILABLE. THE COMMITTEE IS WORKING TO PROVIDE EDUCATION AND RESOURCES FOR FAMILIES WITH CHILDREN REQUIRING CHILD PASSENGER SEATS AND BOOSTER SEATS AS WELL AS THE USE OF SEATBELTS. EDUCATING FAMILIES AND CAREGIVERS ON THE IMPORTANCE OF USING NEW, PROPERLY FITTED AND INSTALLED CAR AND BOOSTER SEATS. PROVIDE CAR SEAT INSPECTIONS, INSTALLATION CHECKS AND APPROPRIATELY SIZED CAR SEATS, REDUCING RISK OF SERIOUS INJURY AND/OR DEATH. ADDRESSING THE GAP IN CONNECTING NEW AND EXPECTANT MOTHERS WITH COMMUNITY RESOURCES, IN FY2024, TMH HAS PARTNERED WITH CONNECT PARTNER AND HEALTHY START TO PLACE A CONNECT PARTNER REPRESENTATIVE IN THE HOSPITAL AND IN MANY OF THE AREAS OB/GYN OFFICES. THE COMMITTEE AND PARTNER HAVE ESTABLISHED A PLAN TO IMPROVE ENROLLMENT RATE OF PATIENTS WHO ARE IDENTIFIED AS HIGH RISK TO APPROPRIATE COMMUNITY RESOURCES SUCH AS SNAP, WIC, TRANSPORTATION, ETC. IN EFFORT TO STANDARDIZE PATIENT EDUCATION ON SEXUAL WELLNESS AND PERINATAL CARE, THE COMMITTEE HAS PARTNERED WITH C.O.A.S.T. WHICH IS A COMMUNITY OUTREACH AND SUPPORT TEAM DESIGNED TO SUPPORT PREGNANT AND POSTPARTUM WOMEN WHO ARE AT RISK FOR POOR BIRTHING OUTCOMES OR POST-PARTUM COMPLICATIONS. A PROCESS HAS BEEN IMPLEMENTED FOR HIGH-RISK PATIENTS TO BE SEEN AT TWO WEEKS POSTPARTUM. THE FAMILY PRACTICE OB OFFICE IS SUCCESSFULLY IDENTIFYING POST-PARTUM PATIENTS THAT NEED TO BE SEEN AT ONE OR TWO WEEKS POSTPARTUM AS WELL AS A SIX-WEEK FOLLOW-UP BASED ON HEALTH NEEDS. CONCLUSION THIS NARRATIVE DOCUMENTS YEAR- THREE (2025) PROGRESS TOWARDS THE FIVE KEY HEALTH PRIORITIES IDENTIFIED IN THE 2023-2025 COMMUNITY HEALTH NEEDS ASSESSMENT / IMPLEMENTATION STRATEGY: (1) ACCESS TO HEALTH SERVICES (2) NUTRITION, PHYSICAL ACTIVITY AND OBESITY, (3) MENTAL HEALTH AND SUBSTANCE ABUSE, (4) CLINICAL PREVENTIVE SERVICES, AND (5) MATERNAL, INFANT, AND CHILD HEALTH. IN ALIGNMENT WITH THE TMH MISSION, VISION AND STRATEGIC PLAN, TMH CONTINUED TO WORK WITH PARTNERS AND STAKEHOLDERS TO ADDRESS THESE IDENTIFIED HEALTH NEEDS WHILE COMPLETING A NEW COMMUNITY HEALTH NEEDS ASSESSMENT IN FY2025. ------------------------------------------------------------
PART V, SECTION B, LINE 16 (FINANCIAL ASSISTANCE AVAILABILITY)	A COPY OF THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: https://www.tmh.org/patients-and-visitors/billing-and-financial-assistance -information --------------------------------------------------------------------------

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C (OTHER CRITERIA USED IN FINACIAL ASSISTANCE ELEGIBILITY)	IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, TMH ALSO USES TOTAL CHARGES AS A PERCENTAGE OF ANNUAL INCOME, ASSET LEVEL, INSURANCE STATUS, AND RESIDENCY IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. ------------------------------------------------------------ PART I, LINE 7 (BAD DEBT EXPENSE, COSTING METHODOLOGY USED) CONSISTENT WITH PRIOR YEAR, DUE TO THE ADOPTION OF ACCOUNTING PRONOUNCEMENT ASC 606, IMPLICIT PRICE CONCESSIONS ARE TREATED AS A CONTRA-REVENUE ITEM ON THE STATEMENT OF REVENUE. 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 OF THE FORM 990, SCHEDULE H INSTRUCTIONS. ------------------------------------------------------------
PART III, SECTION A, LINES 1-2(IMPLICIT PRICE CONCESSION/BAD DEBT EXPENSE)	TMH REPORTS ITS IMPLICIT PRICE CONCESSIONS IN ACCORDANCE WITH GAAP AND AICPA GUIDELINES. HFMA STATEMENT NO. 15 HAS NOT BEEN ADOPTED BY THE AICPA. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 ARE BASED ON ACTUAL CHARGES WRITTEN OFF (AMOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE AND RECORDED AS IMPLICIT PRICE CONCESSIONS UNDER ACCOUNTING PRONOUNCEMENT ASC 606). ------------------------------------------------------------
PART III, SECTION A, LINE 4 (IMPLICIT PRICE CONCESSION FOOTNOTE)	THE IMPLICIT PRICE CONCESSION (BAD DEBT EXPENSE) FOOTNOTE DISCLOSURE CAN BE FOUND STARTING ON PAGE 17 OF THE ELECTRONICALLY ATTACHED FINANCIAL STATEMENTS FOR TALLAHASSEE MEMORIAL HEALTHCARE, INC. & SUBSIDIARIES. ------------------------------------------------------------
PART III, SECTION B (COSTING METHODOLOGY, MEDICARE SHORTFALL)	THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON THE HOSPITAL'S MEDICARE COST REPORT FILING FOR THE YEAR. CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF TMH AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, TMH PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER THE REIMBURSEMENT PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY TMH TO PROVIDE SUCH SERVICES. AS A RESULT, TMH VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION. ------------------------------------------------------------
PART III, SECTION B, LINE 9B (COLLECTION PRACTICES)	TMH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. ------------------------------------------------------------
PART VI, LINE 2 (NEEDS ASSESSMENT)	SEE RESPONSE TO PART V, SECTION B, LINE 5 (INPUT FROM COMMUNITY) AND PART VI, LINE 4 (COMMUNITY INFORMATION). ------------------------------------------------------------
PART VI, LINE 3 (PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE)	TMH ATTEMPTS TO EDUCATE ALL PATIENTS, OR THEIR GUARANTORS, ABOUT THEIR FINANCIAL RESPONSIBILITY, AS WELL AS THEIR OPTIONS AND OPPORTUNITIES FOR ASSISTANCE WITH HOSPITAL BILLS. ALL PATIENTS ARE GIVEN THE OPPORTUNITY TO RECEIVE A GOOD FAITH ESTIMATE OF SERVICES TO BE PROVIDED ALONG WITH INFORMATION ABOUT FINANCIAL ASSISTANCE. SIGNS ARE POSTED IN CENTRAL REGISTRATION, AS WELL AS OTHER ENTRY POINTS IN THE HOSPITAL, PROVIDING PATIENTS WITH A PHONE NUMBER TO CALL FOR THIS INFORMATION. THOSE PATIENTS WHO ARE UNINSURED ARE ASKED TO COMPLETE A BRIEF APPLICATION FOR FINANCIAL ASSISTANCE. IT IS THROUGH THIS APPLICATION THAT TMH CAN ASSESS THE PATIENT'S NEED FOR FINANCIAL ASSISTANCE OR PROGRAM ELIGIBILITY. A PATIENT MAY BE REFERRED TO NTHRIVE, 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 REVIEWED BY A CUSTOMER SERVICE REPRESENTATIVE. 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 NTHRIVE. NTHRIVE, THROUGH THE STATE OF FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES SERVICES, ASSISTS PATIENTS IN COMPLETING THE MEDICAID APPLICATION. IF THE PATIENT IS DISABLED, OR GOING TO BE DISABLED FOR AT LEAST A YEAR, NTHRIVE 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 STATE/FEDERAL 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 AND UNDERINSURED PATIENTS. FAP IS A CHARITY AND SLIDING SCALE DISCOUNT PROGRAM BASED ON THE PATIENT'S FAMILY INCOME AND HOUSEHOLD SIZE. PATIENTS WITH FAMILY INCOMES AT OR BELOW 200% 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 201% AND 400 % OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR 80 % ASSISTANCE. THE STATE OF FLORIDA HAS RECOGNIZED THE HIGH LEVEL OF UNCOMPENSATED CARE PROVIDED BY TMH BY DESIGNATING TMH AS A MEDICAID DISPROPORTIONATE SHARE PROVIDER. APPROXIMATELY 3% OF TMH'S GROSS REVENUES ARE PROVIDED WITHOUT COMPENSATION TO INDIGENT PATIENTS WITH NO FUNDING SOURCE AND ANOTHER 12% OF THE GROSS REVENUES ARE GENERATED BY SERVICES TO PATIENTS COVERED UNDER THE MEDICAID PROGRAM AND MEDICAID HMOS. A COPY OF OUR FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTPS://WWW.TMH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-ASSISTANCE -INFORMATION ------------------------------------------------------------
PART VI, LINE 4&5 (COMMUNITY INFORMATION & PROMOTION OF COMMUNITY HEALTH)	FOUNDED IN 1948, TALLAHASSEE MEMORIAL HEALTHCARE (TMH) IS A PRIVATE, NONPROFIT COMMUNITY HEALTHCARE SYSTEM COMMITTED TO TRANSFORMING CARE, ADVANCING HEALTH AND IMPROVING LIVES WITH AN ULTIMATE VISION OF BEING KNOWN AS THE MOST ENGAGED AND SUPPORTIVE ORGANIZATION IN AMERICA. TMH IS COMPRISED OF A 772-BED ACUTE CARE HOSPITAL, A SURGERY AND ADULT ICU CENTER, A PSYCHIATRIC HOSPITAL, MULTIPLE SPECIALTY CARE CENTERS, FIVE RESIDENCY PROGRAMS AND OVER 50 AFFILIATED PHYSICIAN PRACTICES. TMH HAS ESTABLISHED PARTNERSHIPS WITH ALLIANT MANAGEMENT SERVICES, APALACHEE CENTER, CALHOUN LIBERTY HOSPITAL, CAPITAL HEALTH PLAN, DOCTORS' MEMORIAL HOSPITAL, FLORIDA STATE UNIVERSITY (FSU), BIG BEND HOSPICE AND RADIOLOGY ASSOCIATES. WITHIN ITS 21-COUNTY SERVICE AREA, TMH'S PRIMARY SERVICE AREA (PSA) IS A FOUR-COUNTY REGION CONTAINING LEON, GADSDEN, WAKULLA AND JEFFERSON COUNTIES, WITH A COMBINED POPULATION OF APPROXIMATELY 398,000. LOCATED IN LEON COUNTY - THE LARGEST IN THE PSA, REPRESENTING 76% OF THE FOUR-COUNTY POPULATION - TMH SERVES A VERY DIVERSE POPULATION. IN 2025, TMH EMBARKED ON NUMEROUS INITIATIVES THAT UNDERSCORE THEIR COMMITMENT TO GROWTH AND INNOVATION IN HEALTHCARE DELIVERY. FROM IMPLEMENTING NEW TECHNOLOGIES TO EXPANDING CLINICAL CAPABILITIES AND BUILDING STRATEGIC PARTNERSHIPS, TMH'S FOCUS REMAINED ON DELIVERING HIGH-QUALITY, PATIENT-CENTERED CARE WHILE PREPARING FOR THE NEXT ERA OF HEALTHCARE. ONE OF THE MOST SIGNIFICANT MILESTONES OF THE YEAR WAS THE SUCCESSFUL LAUNCH OF EPIC, AN ELECTRONIC HEALTH RECORD SYSTEM. THIS INVESTMENT REPRESENTS A MAJOR ADVANCEMENT IN HOW TMH IS ABLE TO COORDINATE PATIENT CARE AND SUPPORT THE CLINICAL TEAMS. EPIC ALLOWS TMH TO PROVIDE A MORE SEAMLESS HEALTHCARE EXPERIENCE WHILE IMPROVING SAFETY, EFFICIENCY AND ACCESS TO INFORMATION. ANOTHER DEFINING MOMENT FOR TMH WAS THE APPROVAL OF A MEMORANDUM OF UNDERSTANDING FOR AN ACADEMIC HEALTH CENTER PARTNERSHIP BETWEEN TMH AND FSU. THIS IS A MILESTONE MOMENT IN THE PARTNERSHIP THAT DATES BACK TO 2008 WHEN THEY FIRST LAID OUT A STRATEGIC PLAN TO COLLABORATE WITH FSU TO STRENGTHEN MEDICAL EDUCATION, EXPAND RESEARCH OPPORTUNITIES AND ENHANCE ACCESS TO SPECIALIZED PROVIDERS. TOGETHER, TMH AND FSU WILL BUILD A MODEL THAT WILL BENEFIT THE COMMUNITY FOR GENERATIONS TO COME. THROUGH THIS PARTNERSHIP AN ACADEMIC RESEARCH CENTER IS BEING CONSTRUCTED ON THE MAIN TMH CAMPUS. THE CENTER, SCHEDULED TO OPEN IN FALL 2026, WILL OFFER AROUND 130,000 SQUARE FEET OF SPACE FOR CLINICAL RESEARCH, THE FAMILY RESIDENCY PROGRAM, LABORATORY FACILITIES AND OTHER RESOURCES DESIGNED TO BRIDGE THE GAP BETWEEN ACADEMIC RESEARCH AND PATIENT CARE. TMH COMPLETED THE FIRST PHASE OF THE NEW HEALTHCARE DEVELOPMENT IN PANAMA CITY. IN PARTNERSHIP WITH THE ST. JOE COMPANY, TMH OPENED THE DOORS TO THE MEDICAL OFFICE PLAZA WITH THE NEW TMH URGENT CARE AND TMH PHYSICIAN PARTNERS PRIMARY CARE. ADDITIONAL TENANTS ARE EXPECTED TO OPEN IN 2026, INCLUDING COASTAL TIDES AMBULATORY SURGERY CENTER, TALLAHASSEE ORTHOPEDIC CLINIC, DERMATOLOGY ASSOCIATES, EMERALD COAST OBSTETRICS AND GYNECOLOGY, AND FSU. CONSTRUCTION ON THE CAMPUS IS ONGOING, AND THE NEW JOINT VENTURE HOSPITAL BETWEEN TMH AND FSU IS SET TO OPEN IN 2027. LIVE OAK BEHAVIORAL HEALTH CENTER, A PARTNERSHIP BETWEEN TMH AND APALACHEE CENTER, INC, OPENED IN 2024 TO BRING OUTPATIENT PSYCHIATRY, PSYCHOLOGICAL AND PSYCHOTHERAPY SERVICES UNDER ONE ROOF. THE CENTER ALSO HOSTS THE FSU COLLEGE OF MEDICINE'S PSYCHIATRY RESIDENCY PROGRAM. BIG BEND HOSPICE AND TMH HAVE A FORMAL AFFILIATION PARTNERSHIP TO DEVELOP A TRANSFORMATIVE APPROACH TO IMPROVING TRANSITIONS OF CARE IN THE BIG BEND COMMUNITY. THE PARTNERSHIP AIMS TO STREAMLINE TRANSITIONS BETWEEN HOSPITALS, DOCTOR'S OFFICES, REHABILITATION CENTERS AND HOME CARE. TMH'S TRANSITION CENTER HAS A GOAL TO IMPROVE THE COMMUNITY'S HEALTH, ENHANCE THE PATIENT CARE EXPERIENCE, INCLUDING QUALITY, ACCESS AND RELIABILITY, AND REDUCE THE DEMAND FOR HOSPITAL SERVICES, VISITS TO EMERGENCY CENTERS AND READMISSIONS TO THE HOSPITAL. THE TEAM'S FOCUS AT THE TRANSITION CENTER IS TO HELP PATIENTS ACCESS CARE WHEN AND WHERE THEY NEED IT. TMH EXPANDED THE TRANSITION CENTER'S SERVICES BY OPENING A SATELLITE LOCATION WITHIN THE KEARNEY CENTER - THE LARGEST SHELTER IN THE BIG BEND REGION - PROVIDING EMERGENCY SERVICES TO INDIVIDUALS EXPERIENCING OR ON THE VERGE OF EXPERIENCING HOMELESSNESS. THE PRESENCE OF THE TRANSITION CENTER WITHIN THE KEARNEY CENTER HAS SIGNIFICANTLY REDUCED CALLS FOR EMS, RESULTING IN LARGE SAVINGS FOR LEON COUNTY. ON AVERAGE, THE TRANSITION CENTERS ASSISTS OVER 1,200 UNIQUE PATIENTS PER YEAR. IT HAS A SUCCESSFUL TRACK RECORD OF REDUCING HOSPITAL READMISSIONS BY OVER 90 PERCENT IN THE FIRST 30 DAYS FOLLOWING DISCHARGE FROM TMH. THE TRANSITION CENTER TEAM HAS SUCCESSFULLY HELPED OVER 75 PERCENT OF PATIENTS OBTAIN A PRIMARY CARE PROVIDER AND ATTEND THEIR INITIAL APPOINTMENT. THESE RESULTS CAN BE ATTRIBUTED TO THE STRONG WORKING RELATIONSHIPS WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) SUCH AS BOND COMMUNITY HEALTH CENTER AND NEIGHBORHOOD MEDICAL CENTER, AND COMMUNITY PROVIDERS SUCH AS CARE POINT HEALTH & WELLNESS CENTER AND THE KEARNEY CENTER, WHICH PROVIDE SERVICES TO THE HOMELESS. THE BIXLER TRAUMA & EMERGENCY CENTER OPERATES AS THE REGION'S ONLY LEVEL II TRAUMA CENTER. TMH ALSO OPERATES A SECOND FREE-STANDING EMERGENCY CENTER - THE EMERGENCY CENTER - NORTHEAST. THE EMERGENCY CENTER - NORTHEAST HAS PROVIDED THE TALLAHASSEE COMMUNITY WITH EXPANDED ACCESS TO NON-TRAUMA EMERGENCY SERVICES, REDUCED WAIT TIMES, AND OFFERED AN ENHANCED EXPERIENCE FOR PATIENTS AND VISITORS. TMH'S TRAUMA AND EMERGENCY SERVICES OPERATE AT A FINANCIAL LOSS. HOWEVER, PROVIDING THE COMMUNITY A DESIGNATED LEVEL II TRAUMA CENTER IS AN ESSENTIAL NEED FOR TMH'S SERVICE AREA. TMH IS EXPANDING ACCESS TO CARE IN RURAL COMMUNITIES BY TRANSFORMING HOW CARE IS PROVIDED IN THE REGION. TMH CARELINK, IS A REGIONAL TELEMEDICINE NETWORK THAT ALLOWS PHYSICIANS, SPECIALISTS AND HEALTHCARE STAFF TO PROVIDE CONSULTATIONS IN REMOTE LOCATIONS AND IN THE PATIENT HOME. TMH CARELINK PROVIDES TELEMEDICINE VISITS IN TAYLOR COUNTY AT DOCTORS MEMORIAL HOSPITAL, FRANKLIN COUNTY AT WEEMS MEMORIAL HOSPITAL, MADISON COUNTY AT MADISON COMMUNITY MEMORIAL HOSPITAL, LIBERTY AND CALHOUN COUNTIES AT CALHOUN/LIBERTY HOSPITAL, WASHINGTON COUNTY AT NORTHWEST FLORIDA COMMUNITY HOSPITAL AND JACKSON COUNTY AT JACKSON HOSPITAL. TMH CONTRIBUTES MILLIONS OF DOLLARS EACH YEAR TO THE CLINICAL EDUCATION OF HEALTHCARE PROFESSIONALS. THIS INCLUDES TRAINING FOR FSU COLLEGE OF MEDICINE STUDENTS, FLORIDA A&M UNIVERSITY PHARMACY STUDENTS, HANDS-ON EXPERIENCE FOR NURSES FROM MANY DIFFERENT NURSING SCHOOLS THROUGHOUT NORTH FLORIDA AND SOUTH GEORGIA, AS WELL AS CONTINUING MEDICAL EDUCATION FOR PHYSICIANS IN OUR COMMUNITY.
PART VI, LINE 4&5 (COMMUNITY INFORMATION & PROMOTION OF HEALTH- CONT.)	TMH'S FAMILY MEDICINE RESIDENCY PROGRAM (FMRP) IS THE OLDEST RESIDENCY PROGRAM IN FLORIDA AND HAS PRODUCED OVER 450 GRADUATES SINCE ITS INCEPTION IN 1973. OF THOSE, MANY HAVE CHOSEN TO REMAIN IN TMH'S SERVICE AREA, HELPING TO ENSURE ACCESS TO PRIMARY HEALTHCARE FOR THE BIG BEND AREA. TMH ALSO PARTNERS WITH FSU COLLEGE OF MEDICINE ON A JOINT INTERNAL MEDICINE AND GENERAL SURGERY RESIDENCY PROGRAM. IN ADDITION, THE FSU PSYCHIATRY RESIDENCY PROGRAM IS A COLLABORATIVE EFFORT BETWEEN FSU COLLEGE OF MEDICINE, APALACHEE CENTER, AND TMH. THE PROGRAM HAS THE POTENTIAL TO ADD POST-RESIDENCY FELLOWSHIP OPPORTUNITIES AND DESIGNATED SUBSPECIALTIES THAT COULD INCLUDE ADDICTION MEDICINE AND CHILD AND ADOLESCENT PSYCHIATRY. THIS PARTNERSHIP BRINGS TOP MENTAL HEALTH TALENT TO NORTH FLORIDA. TMH ALSO CONTINUES TO PARTNER WITH TALLAHASSEE COMMUNITY COLLEGE (TCC) WHICH RUNS THE GHAZVINI CENTER FOR HEALTHCARE EDUCATION. TMH DONATED THE LAND FOR THE CENTER WHICH FEATURES SIX SIMULATION CENTERS, A 296-SEAT AUDITORIUM AND ADDITIONAL SPACE FOR EXPANSION, ALL DEVOTED TO TEACHING FUTURE MEDICAL PROFESSIONALS ABOUT EMERGENCY MEDICAL SERVICES, NURSING, RADIOLOGIC TECHNOLOGY, RESPIRATORY CARE, PHARMACY TECHNOLOGY AND SURGICAL TECHNOLOGIES. TMH HAS A PEDIATRIC DIABETES EDUCATION TEAM THAT WORKS WITH SCHOOL NURSES, HEALTH ASSISTANTS AND DAY CARE PROVIDERS IN LEON, GADSDEN, WAKULLA AND SEVERAL SOUTH GEORGIA COUNTIES TO PROVIDE DIABETES EDUCATION AND MANAGEMENT ASSISTANCE. OVER 60 PERSONNEL FROM LEON AND WAKULLA COUNTIES WERE TRAINED IN FY2025. TMH BEGAN UTILIZING TELEMEDICINE AS WAY TO CONNECT NEWLY DIAGNOSED PEDIATRIC DIABETES PATIENTS WITH EDUCATORS, NURSES AND DIETICIANS AT THE METABOLIC HEALTH CENTER FROM THEIR INPATIENT STAY AND BEGIN THEIR EDUCATIONAL PROCESS. TMH IS PROUD TO BE THE REGION'S LEADER IN MATERNITY SERVICES, DELIVERING MORE THAN 75 PERCENT OF BABIES BORN IN THE BIG BEND REGION. IN 2025, 3,249 BABIES WERE BORN AT TMH. TMH ALSO PROVIDES THE REGION'S HIGHEST LEVEL OF NEONATAL INTENSIVE CARE WITH BOTH A LEVEL II AND LEVEL III NEONATAL INTENSIVE CARE UNITS (NICU) AND A HIGH-RISK LABOR & DELIVERY UNIT, PROVIDING SPECIALIZED CRITICAL CARE TO MOTHERS AND INFANTS IN NEED. IN 2025, THE NICU RECEIVED OVER 400 ADMISSIONS. IN ADDITION, BABIES BORN IN THE BIG BEND AREA OUTSIDE OF TMH WHO REQUIRE CRITICAL CARE ARE TRANSPORTED TO TMH'S NICU BY TMH'S NEONATAL TRANSPORT TEAM, SPECIALLY TRAINED TO PROVIDE OUT-OF-HOSPITAL NEONATAL CRITICAL CARE AND ON CALL 24/7. TMH IS INVOLVED WITH VARIOUS PROGRAMS THROUGHOUT OUR COMMUNITY, INCLUDING THE FLORIDA PERINATAL QUALITY COLLABORATIVE (FPQC), AN ORGANIZATION ESTABLISHED TO IMPROVE FLORIDA'S MATERNAL AND INFANT HEALTH OUTCOMES THROUGH THE DELIVERY OF HIGH-QUALITY, EVIDENCE-BASED PERINATAL CARE. THE FPQC CONSISTS OF STATEWIDE PARTNERSHIPS WITH PERINATAL-RELATED ORGANIZATIONS, INDIVIDUALS, HEALTH PROFESSIONALS, ADVOCATES, POLICYMAKERS, HOSPITALS AND PAYERS. THESE STAKEHOLDERS HAVE BEEN WORKING VOLUNTARILY ON DATA-DRIVEN, POPULATION-BASED, QUALITY IMPROVEMENT PROCESSES FOCUSED ON SOME OF THE MOST CRITICAL PERINATAL HEALTH ISSUES IN FLORIDA. TMH CONTINUES TO WORK TO DECREASE THE RATE OF CAESAREAN SECTIONS AND TO INCREASE THE AMOUNT OF TIME NEWBORNS SPEND SKIN-TO-SKIN WITH THEIR PARENTS IMMEDIATELY FOLLOWING BIRTH. BOTH PROJECTS HAVE SEEN SUCCESSFUL OUTCOMES SO FAR AND ARE ONGOING. EVERY YEAR, TMH SPEARHEADS A COMMUNITY-WIDE, EDUCATIONAL FAMILY EVENT CALLED BABY & FAMILY FAIR TO INTRODUCE NEW AND EXPECTING PARENTS TO RESOURCES AVAILABLE THROUGH THE HOSPITAL AND THE COMMUNITY. FEATURING FREE CLASSES AND MORE THAN 40 COMMUNITY VENDORS REPRESENTING LOCAL BUSINESSES, ORGANIZATIONS AND SERVICES, THE EVENT HELPS THOSE MAKING IMPORTANT DECISIONS ABOUT PREGNANCY, CHILDBIRTH AND RAISING A FAMILY. EACH PARTICIPANT HAS THE OPPORTUNITY TO MEET WITH REPRESENTATIVES FROM TMH'S LABOR & DELIVERY UNIT, NICU, FAMILY CARE UNIT, LACTATION SERVICES AND CHILDREN'S CENTER, AS WELL AS THE METABOLIC HEALTH CENTER, FAMILY MEDICINE RESIDENCY PROGRAM, PHARMACY AND MORE. TMH CONTINUES TO PRIORITIZE IMPROVEMENT IN BREASTFEEDING RATES. TO ENCOURAGE BREASTFEEDING AND SUPPORT MOTHERS WHO MAY NEED EXTRA ASSISTANCE, TMH EMPLOYS INTERNATIONAL BOARD-CERTIFIED LACTATION CONSULTANTS TO OFFER BOTH INPATIENT AND OUTPATIENT LACTATION CONSULTATIONS. TMH ALSO HOSTS A BREASTFEEDING SUPPORT GROUP CALLED "MILK WITH MOMMY," TO WHICH EVERY MOM WHO DELIVERS AT TMH IS INVITED TO ATTEND. TMH ALSO HAS A BREAST MILK TECHNICIAN TO THE MILK BANK IN THE NICU. THIS IS A SPECIALLY TRAINED TECHNICIAN WHO ORDERS, RECEIVES AND MIXES DIETARY PRESCRIPTIONS FOR EACH INDIVIDUAL NICU BABY AS ORDERED BY THE NEONATOLOGIST AND/OR DIETICIAN. IN ADDITION, TO ENCOURAGE BREASTFEEDING, AN ELECTRIC BREAST PUMP IS PROVIDED TO ALL MOTHERS OF NICU BABIES WHO CHOOSE TO BREASTFEED WITHIN FOUR TO SIX HOURS OF BIRTH. TMH HAS PARTNERED WITH WOLFSON CHILDREN'S HOSPITAL AND SAFE KIDS WORLDWIDE TO LAUNCH SAFE KIDS BIG BEND (SKBB). SAFE KIDS WORLDWIDE IS A NONPROFIT ORGANIZATION WORKING TO HELP FAMILIES AND COMMUNITIES KEEP CHILDREN SAFE FROM PREVENTABLE INJURIES - THE NO. 1 KILLER OF KIDS IN THE UNITED STATES. SKBB BRINGS TOGETHER PARTNERS FROM THROUGHOUT THE COMMUNITY, INCLUDING LEON COUNTY EMS, MOTHERS AGAINST DRUNK DRIVING, FLORIDA DEPARTMENT OF HEALTH, LOCAL LAW ENFORCEMENT, FIRST RESPONDERS AND MANY MORE TO CHAMPION CHILDREN'S HEALTH AND SAFETY IN THE REGION. THE COALITION HOSTS EDUCATIONAL EVENTS FOR COMMUNITY FAMILIES AND SCHOOLS, COVERING PEDESTRIAN, BIKE, FIRE, CHILD PASSENGER AND FIREARM SAFETY. TMH'S HEART & VASCULAR CENTER IS RECOGNIZED AS ONE OF THE TOP COMPLEX CARDIOVASCULAR PROGRAMS IN THE SOUTHEAST, FACILITATES MORE RESEARCH THAN ANY HOSPITAL IN THE REGION AND IS HOME TO THE AREA'S ONLY ACCREDITED CHEST PAIN CENTER WITH PRIMARY PCI & RESUSCITATION - THE HIGHEST LEVEL OF ACCREDITATION FOR A CHEST PAIN CENTER. IN ADDITION TO PROVIDING LIFE-SAVING INTERVENTIONS AND CHRONIC CARE, TMH IS INVESTED IN HELPING THE COMMUNITY ACHIEVE GREATER CARDIOVASCULAR HEALTH THROUGH EDUCATION AND COMMUNITY ENGAGEMENT. TMH'S "FROM HEART FAILURE TO HEART SUCCESS" PROGRAM IS DESIGNED FOR THOSE WHO HAVE BEEN DIAGNOSED WITH HEART FAILURE AND THEIR CAREGIVERS, TO PROVIDE EDUCATION ON HOW TO SUCCESSFULLY MANAGE THE CHRONIC CONDITION. THE PROGRAM EDUCATES PATIENTS ON SIGNS AND SYMPTOMS TO CHECK FOR DAILY AND WHEN TO CALL THEIR PROVIDER, AS EARLY IDENTIFICATION AND INTERVENTION ARE KEY TO SUCCESSFULLY MANAGING HEART FAILURE. THROUGH A GIFT FROM THE TMH FOUNDATION, TMH HAS PROVIDED THE PROGRAM'S HEART FAILURE NAVIGATOR AND HEART FAILURE CLINIC WITH SCALES FOR PATIENTS WHO DO NOT HAVE ONE, SO THEY CAN PERFORM THE MOST IMPORTANT STEP IN THEIR DAILY MONITORING FROM THE FIRST DAY OF DISCHARGE. DAILY WEIGHT MONITORING HAS BEEN PROVEN AS ONE OF THE MOST IMPORTANT TOOLS THAT WILL HELP KEEP THIS POPULATION HEALTHY AND ON THE ROAD TO SUCCESSFUL LIFESTYLE CHANGES.
PART VI, LINE 4&5 (COMMUNITY INFORMATION & PROMOTION OF HEALTH- CONT.)	TMH IS THE BIG BEND'S LEADER IN CANCER CARE AND WAS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEON'S COMMISSION OF CANCER IN 1951, MAKING TMH THE LONGEST CONTINUOUSLY ACCREDITED COMMUNITY HOSPITAL CANCER PROGRAM IN FLORIDA. TMH IS ALSO AFFILIATED WITH UNIVERSITY OF FLORIDA HEALTH, THE SOUTHEAST'S MOST COMPREHENSIVE ACADEMIC HEALTH CENTER, TO EXPAND CANCER-RELATED RESOURCES, EDUCATION AND RESEARCH AVAILABLE IN THE BIG BEND REGION. THE WALKER BREAST PROGRAM AT TMH IS A BREAST IMAGING CENTER OF EXCELLENCE AND IS RECOGNIZED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS. IN ADDITION, OUR ONGOING PARTNERSHIP WITH THE LEON COUNTY HEALTH DEPARTMENT ENSURES PATIENT AWARENESS AND ACCESS TO BREAST SERVICES AND IMPROVES THE EARLY DETECTION AND TREATMENT OF BREAST DISEASE FOR UNINSURED WOMEN. THE CANCER CENTER'S SMOKING CESSATION CLASSES OFFERS BIWEEKLY COUNSELING OPPORTUNITITES WITH NICOTINE REPLACEMENT TREATMENT FOR APPROPRIATE INDIVIDUALS. THE CANCER CENTER CONTINUES TO TARGET HIGH-RISK POPULATIONS WITH EDUCATION AND DISCUSSION ABOUT CANCER SYMPTOMS, PREVENTION, DETECTION AND TREATMENT OPTIONS. HUNDREDS OF PATIENTS BENEFITED WITH SUPPORT SERVICES, GENEROUSLY SPONSORED THROUGH THE CANCER CENTER BY THE TMH FOUNDATION. SERVICES INCLUDED TRANSPORTATION, HOTEL ACCOMMODATIONS, AND IMAGING ASSISTANCE AS WELL AS APPEARANCE AND COMFORT MEASURES SUCH AS WIGS, CAMISOLES, BLANKETS AND ROBES. TMH HAS PROVIDED OVER 70,000 TAXI RIDES TO CANCER PATIENTS IN NEED OF TRANSPORTATION TO RECEIVE TREATMENT. TMH OFFERS AN EMPLOYEE ASSISTANCE PROGRAM (EAP), NOT JUST TO TMH COLLEAGUES, BUT ALSO AS A SERVICE TO ORGANIZATIONS WITHIN THE BIG BEND REGION. THE EMPLOYEE ASSISTANCE PROGRAM HAS 18 EMPLOYER CONTRACTS SERVING OVER 16,000 EMPLOYEES AND COVERING AN ESTIMATED 25,000 TOTAL LIVES, INCLUDING EMPLOYEES' HOUSEHOLD FAMILY MEMBERS. TMH PARTNERS WITH THE APALACHEE CENTER, THE LARGEST COMMUNITY MENTAL HEALTH CENTER SERVICING LEON AND THE SEVEN SURROUNDING COUNTIES. THROUGH THE PARTNERSHIP, TMH AND APALACHEE CENTER SHARE THE COST OF TMH PHYSICIAN SERVICES TO PROVIDE NIGHT CALL COVERAGE AT APALACHEE CENTER AND ADMINISTRATIVE LEADERSHIP AND OVERSIGHT OF THE OPERATIONS OF THE TMH BEHAVIORAL HEALTH CENTER. WITH SUCCESS ON BOTH FRONTS, TMH AND APALACHEE CENTER APPLIED FOR AND WERE AWARDED A GRANT FROM FLORIDA'S DEPARTMENT OF CHILDREN AND FAMILIES TO FUND A CENTRAL BAKER ACT RECEIVING FACILITY (CRF) AT APALACHEE CENTER. THE GRANT PROVIDES APPROXIMATELY $2.3 MILLION ANNUALLY FOR FIVE YEARS, INCLUDING LOCAL MATCH FROM TMH, AN ADDITIONAL PARTNER, FLORIDA CAPITAL HOSPITAL (HCA) AND LEON COUNTY. THE CENTRAL RECEIVING FACILITY PROVIDES LOCAL LAW ENFORCEMENT A SINGLE POINT OF ACCESS TO THE REGIONAL BEHAVIORAL HEALTH SYSTEM. THE TMH BEHAVIORAL HEALTH CENTER ESTABLISHED THE BEHAVIORAL EMERGENCY SERVICES TEAM (BEST) TO PROVIDE 24/7 PSYCHIATRIC SERVICES IN THE EMERGENCY ROOMS, INPATIENT MEDICAL/SURGICAL FLOORS, AND TELEPSYCHIATRY SERVICES WITH THE CENTRAL RECEIVING FACILITY, AND SEVERAL CRITICAL ACCESS HOSPITALS. BEST HAS EXPANDED THE TELE-PSYCHIATRY SERVICES TO INCLUDE CONSULTATIVE PSYCHIATRY EVALUATIONS FOR DOCTOR'S MEMORIAL, WEEMS HOSPITAL, CALHOUN-LIBERTY HOSPITAL, AND MADISON COUNTY MEMORIAL. TMH IS HOME TO THE REGION'S ONLY COMPREHENSIVE STROKE CENTER, THE ONLY NEURO INTENSIVE CARE UNIT, AND THE ONLY COMPREHENSIVE PARKINSON'S & MOVEMENT DISORDERS PROGRAM, MAKING TMH THE MOST ADVANCED AND INNOVATIVE NEUROSCIENCE PROGRAM IN THE AREA. TMH'S HIGH-POWERED ENDOVASCULAR NEUROSURGICAL CATHETERIZATION SUITE, WHICH HOUSES 2 STATE-OF-THE-ART LABS DEDICATED TO TREATING STROKE, IS THE ONLY ONE OF ITS KIND AND PROVIDES THE COMMUNITY WITH THE BEST TREATMENT OPTIONS FOR STROKES AND ANEURYSMS. THE ESTABLISHMENT OF THESE PROGRAM ARE ALSO OFFERED PATIENTS IN THE BIG BEND ACCESS TO THE LATEST TREATMENT TECHNOLOGY, DEEP BRAIN STIMULATION (DBS). TMH'S NEUROSCIENCE PROGRAM PROVIDES EDUCATION AND SCREENINGS FOR STROKE, MEMORY LOSS AND FALLS PREVENTION, AS WELL AS A VARIETY OF SUPPORT GROUPS FOR PATIENTS AND CAREGIVERS WHO ARE DEALING WITH NEUROLOGICAL ISSUES AND TREATMENT. IN FY2025, THE NEURO TEAM PARTICIPATED IN OR HOSTED A WIDE VARIETY OF COMMUNITY EVENTS ACROSS THE BIG BEND REGION, PROVIDING FREE BRAIN HEALTH EDUCATION, CAREGIVER COUNSELING AND MORE. TMH IS HOME TO THE REGION'S ONLY MEMORY DISORDER CLINIC, FUNDED IN PART BY A GRANT FROM THE STATE OF FLORIDA DEPARTMENT OF ELDER AFFAIRS AS PART OF THE STATE'S ALZHEIMER'S DISEASE INITIATIVE PROGRAM. THE INTERDISCIPLINARY TEAM OF NEUROLOGISTS, NEUROPSYCHOLOGISTS, AND SOCIAL WORKERS PROVIDES EVALUATION, DIAGNOSIS, SUPPORT, EDUCATION, AND REFERRAL TO RESOURCES FOR PEOPLE LIVING WITH DEMENTIA AND THEIR FAMILIES, AS WELL AS COMMUNITY OUTREACH AND EDUCATION. DURING FY2025, THIS TEAM PARTICIPATED IN VIRTUAL AND IN-PERSON EVENTS ACROSS THE BIG BEND REGION, PROVIDING FREE DEMENTIA SENSITIVITY TRAININGS, TRAININGS AND EDUCATION FOR COMMUNITY MEMBERS AND PROFESSIONALS, MEMORY SCREENINGS, AND SUPPORT GROUPS FOR PATIENTS LIVING WITH OR RECOVERING FROM A NEUROLOGICAL CONDITION AND THEIR CAREGIVERS. TMH'S ORTHOPEDICS TEAM OFFERS JOINT ADVENTURES CLASSES (VIRTUALLY AND IN-PERSON) WHICH A FREE EDUCATION CLASS OPEN TO ANY PATIENT THAT HELP PATIENTS PREPARE FOR THEIR TOTAL JOINT REPLACEMENT SURGERIES. TMH CONTINUES TO BE A KEY COMMUNITY HEALTH PARTNER FOR THE AREA'S LOCAL HEALTH INITIATIVES AND ENCOURAGES TMH LEADERSHIP TO ACTIVELY PARTICIPATE IN MEANINGFUL CAUSES. LOCAL BOARDS, GROUPS AND COUNCILS ACTIVELY ENGAGED INCLUDE, BUT ARE NOT LIMITED TO: 100 BLACK MEN OF AMERICA INC. 2-1-1 BIG BEND, INC. ALZHEIMER'S ASSOCIATION - CNFL ALZHEIMER'S PROJECT OF TALLAHASSEE, INC. AMERICAN CANCER SOCIETY AMERICAN RED CROSS APALACHEE CENTER B.H.S. CENTURY CLUB, INC. BIG BEND CARES, INC. BIG BEND FILIPINO-AMERICAN BIG BEND HOMELESS COALITION BIG BEND HOSPICE FOUNDATION BIG BROTHERS BIG SISTERS OF TALLAHASSEE BLOUNTSTOWN HIGH SCHOOL BOND COMMUNITY HEALTH CENTER BOY SCOUTS OF AMERICA BREHON FAMILY SERVICES CALHOUN COUNTY DIXIE YOUTH CAMP KESEM NATIONAL CAPITAL AREA HEALTHY START COALITION CAPITAL CITY CLASSIC CAPITAL CITY CULTURAL COMMUNITY OUTREACH INC CAPITAL CITY ROWING, INC CAPITAL MEDICAL SOCIETY GODBY HIGH SCHOOL CHILES HIGH SCHOOL CHOOSE TALLAHASSEE, INC. COURAGE THROUGH CANCER DOCTORS' MEMORIAL HOSPITAL ELC BIG BEND REGION, INC. ELDER CARE SERVICES FLORIDA A&M UNIVERSITY FLORIDA LITFEST, INC. FLORIDA STATE UNIVERSITY FRANKLIN COUNTY SCHOOL BOARD FSU RESEARCH FOUNDATION INC. GADSDEN COUNTY CHAMBER OF COMMERCE GIRLS ON THE RUN OF THE BIG BEND GOOD SAMARITAN NETWORK, INC. GOODWOOD MUSEUM & GARDENS, INC GULF WINDS TRACK CLUB HANG TOUGH FOUNDATION INC HOLOCAUST EDUCATION RESOURCE C HOLY COMFORTER EPISCOPAL HUMBLE HOUSE MINISTRIES, INC. HUNGER FIGHT, INC INDEPENDENCE LANDING INC JACKSON HOSPTL FOUNDATION INC JOSEPH HOUSE, INC. JUDY FIELD MEMORIAL FOUNDATION KIDS INCORPORATED LEMOYNE ART FOUNDATION, INC. LEON COUNTY SCHOOLS MOTHERS AGAINST DRUNK DRIVING NAMI TALLAHASSEE ONE CHURCH ONE CHILD OF FLORIDA PEYTON TUTHILL FOUNDATION, INC RED HILLS SMALL FARM ALLIANCE RONALD MCDONALD HOUSE SECOND HARVEST OF THE BIG BEND SPRINGTIME TALLAHASSEE SURVIVE & THRIVE ADVOCACY CENTER TALLAHASSEE BOMBERS TALLAHASSEE CHAMBER OF COMMERCE TALLAHASSEE FRIENDS OF OUR PARKS TALLAHASSEE HOUSING AUTHORITY TALLAHASSEE MUSEUM TALLAHASSEE SENIOR CENTER TALLAHASSEE STATE COLLEGE FOUNDATION, INC. THE CHILDREN'S HOME SOCIETY OF FLORIDA UNITED WAY OF THE BIG BEND,INC WAKULLA SENIOR CITIZEN COUNCIL WHOLE CHILD LEON, INC. WORKING WELL, INC. TMH IS COMMITTED TO TRANSFORMING CARE, ADVANCING HEALTH, AND IMPROVING LIVES WITH AN ULTIMATE VISION TO ELEVATE THE STANDARDS OF OUR HEALTHCARE PRACTICE AND QUALITY AND INNOVATION IN OUR REGION. TMH IS MANAGED BY OUR BOARD OF DIRECTORS, A TEAM OF COMMUNITY CITIZENS, WHO VOLUNTEER THEIR TIME AND EXPERTISE. OUR BOARD IS COMMITTED TO OUR SERVICE MISSION AND THEY SERVE WITHOUT COMPENSATION. TMH IS NOT ONLY THE BIG BEND REGION'S LARGEST PRIVATE BUSINESS, IT IS ALSO THE LARGEST LOCAL AND REGIONAL HEALTHCARE EMPLOYER WITH MORE THAN 5,500 EMPLOYEES. ------------------------------------------------------------
PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION)	TALLAHASSEE MEMORIAL HEALTHCARE, INC. AND SUBSIDIARIES ("TMH, INC.") IS A NOT FOR-PROFIT PARENT HOLDING CORPORATION WHICH MANAGES AND OPERATES A HEALTH DELIVERY SYSTEM. TALLAHASSEE MEMORIAL HOSPITAL (THE "HOSPITAL"), A NOT-FOR-PROFIT HEALTH CARE FACILITY, IS THE HOSPITAL DIVISION OF TMH, INC. THROUGH COMMON BOARD CONTROL, PROVISION OF BYLAWS AND DIRECT STOCK OWNERSHIP, TMH, INC. IS THE PARENT CORPORATION OF SOUTHEAST COMMUNITY HEALTH SERVICES, INC. ("SECHS"), TALLAHASSEE MEMORIAL HEALTH VENTURES, INC. ("TMHV"), TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION, INC. ("FOUNDATION"), AND MEDICUS SELECT, LLC ("MEDICUS"). SECHS IS A NOT-FOR-PROFIT PROPERTY HOLDING COMPANY. TMHV IS A FOR-PROFIT CORPORATION WHICH MANAGES ACTIVITIES WHICH ARE NOT TAX EXEMPT. THE FOUNDATION IS A NOT-FOR-PROFIT ORGANIZATION WHICH PROMOTES THE EDUCATIONAL TRAINING AND RESEARCH PROGRAMS OF TMH, INC. MEDICUS IS A DISREGARDED ENTITY THAT PROVIDES THE HOSPITAL WITH LEASED LABOR. IN 2022, TMH, INC. ENTERED INTO A MASTER AGREEMENT WITH THE ST. JOE COMPANY TO DEVELOP A HEALTH CARE CAMPUS IN PANAMA CITY BEACH, FLORIDA IN COOPERATION WITH THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE. THE INTENT OF THE AGREEMENT IS TO JOINTLY PLAN AND DEVELOP THE CAMPUS TO INITIALLY INCLUDE AN AMBULATORY AND URGENT CARE CENTER, AND PROFESSIONAL OFFICE BUILDING. FUTURE DEVELOPMENT PLANS INCLUDE THE CONSTRUCTION OF AN EMERGENCY CENTER AND INPATIENT HOSPITAL FACILITY. ON OCTOBER 1, 2023, TMH, INC. ENTERED INTO A MEMBERSHIP AFFILIATION AGREEMENT WITH 7 OAKS HEALTHCARE, INC. ("7 OAKS") BY WHICH TMH, INC. BECAME THE SOLE MEMBER OF 7 OAKS. 7 OAKS IS THE SOLE MEMBER OF BIG BEND HOSPICE, INC., A NON-PROFIT HOSPICE PROVIDER IN TALLAHASSEE, FLORIDA. THE PURPOSE OF THE ACQUISITION WAS TO CREATE A MORE CLINICALLY INTEGRATED NETWORK THAT PROVIDES A BROADER CONTINUUM OF HIGH QUALITY, COST EFFECTIVE, NOT-FOR-PROFIT SERVICES TO PATIENTS. ALTHOUGH NO CONSIDERATION WAS TRANSFERRED, TMH, INC. ASSUMED ALL THE ASSETS AND LIABILITIES OF 7 OAKS AS OF THE AFFILIATION DATE. ------------------------------------------------------------
PART VI, LINE 7 (STATE FILING OF COMMUNITY BENEFIT REPORT)	N/A

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
UNITED WAY OF THE BIG BEND INC
307 EAST 7TH AVENUE	TALLAHASSEE	FL	32303	596011150	501(C)(3)	$220,250	FMV	N/A	SPONSORSHIP
BIG BEND HOSPICE FOUNDATION INC
1723 MAHAN CENTER BOULEVARD	TALLAHASSEE	FL	32308	593258493	501(C)(3)	$59,100	FMV	N/A	SPONSORSHIP
TALLAHASSEE STATE COLLEGE FOUNDATION INC
444 APPLEYARD DR	TALLAHASSEE	FL	32304	592091480	501(C)(3)	$20,000	FMV	N/A	SPONSORSHIP
FLORIDA LITFEST INC
1500 MAHAN DRIVE STE 200	TALLAHASSEE	FL	32308	463527772	501(C)(3)	$12,500	FMV	N/A	SPONSORSHIP
FLORIDA STATE UNIVERSITY FOUNDATION INC
325 W COLLEGE AVENUE	TALLAHASSEE	FL	32301	596152180	501(C)(3)	$11,000	FMV	N/A	SPONSORSHIP
AMERICAS SECOND HARVEST OF THE BIG BEND INC
4446 ENTREPOT BLVD	TALLAHASSEE	FL	32310	592610345	501(C)(3)	$10,000	FMV	N/A	SPONSORSHIP
LEADERSHIP TALLAHASSEE INC
PO BOX 1639	TALLAHASSEE	FL	32302	201134753	501(C)(3)	$8,150	FMV	N/A	SPONSORSHIP
CAPITAL MEDICAL SOCIETY FOUNDATION INC
1204 MICCOSUKEE RD	TALLAHASSEE	FL	32308	592104510	501(C)(3)	$6,725	FMV	N/A	SPONSORSHIP
LEMOYNE ART FOUNDATION INC
125 N GADSDEN ST	TALLAHASSEE	FL	32301	596166275	501(C)(3)	$5,500	FMV	N/A	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF GRANT PROGRAMS TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") MAINTAINS A SPONSORSHIP COMMITTEE WHICH OVERSEES THE ORGANIZATION'S SPONSORSHIP AND GRANT-MAKING PROCESSES. COMPLETED APPLICATION FORMS MUST BE SUBMITTED IN ORDER FOR TMH TO EVALUATE THE BENEFITS OF THE PROPOSED ACTIVITY- HOW THE PROPOSED SPONSORSHIP OPPORTUNITY ALIGNS WITH TMH'S MISSION AND VISION, AS WELL AS HOW THE PROPOSED ACTIVITY CAN HELP THE COMMUNITY. APPLICATIONS AND FURTHER INFORMATION ARE AVAILABLE ON TMH'S WEBSITE AT: WWW.TMH.ORG/SPONSORSHIP.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
G MARK O'BRYANT
EX-OFFICIO DIRECTOR & CEO	$1,154,820	$0	$160,637	$0	$9,034	$0	$367,750	$0	$18,220	$0	$1,710,461	$0	$0	$0
WILLIAM DOBAK DO
MATERNAL/FETAL MEDICINE	$634,493	$0	$516,889	$0	$414	$0	$20,700	$0	$19,750	$0	$1,192,246	$0	$0	$0
ALFREDO RAMIREZ MD
CARDIOTHORACIC SURGEON	$925,775	$0	$130,682	$0	$15,398	$0	$0	$0	$138	$0	$1,071,993	$0	$0	$0
MITCHELL PEABODY MD
HEMATOLOGIST/ONCOLOGIST	$347,132	$0	$684,538	$0	$270	$0	$20,700	$0	$7,381	$0	$1,060,021	$0	$0	$0
GEORGE PENNINGTON II MD
GENERAL SURGEON	$769,672	$0	$175,458	$0	$179	$0	$20,700	$0	$19,750	$0	$985,759	$0	$0	$0
YUSEF SYED MD
RADIATION ONCOLOGIST	$530,221	$0	$397,770	$0	$180	$0	$20,700	$0	$17,091	$0	$965,962	$0	$0	$0
PRISCILLA NEEDHAM
VP/CFO	$550,681	$0	$48,150	$0	$3,199	$0	$54,084	$0	$18,157	$0	$674,271	$0	$0	$0
DEAN WATSON MD
CHIEF INTEGRATION OFFICER/VP	$513,841	$0	$55,399	$0	$4,077	$0	$51,975	$0	$18,047	$0	$643,339	$0	$0	$0
ANDREW STARR
CHIEF HEALTH OPS OFFICER	$370,970	$0	$33,088	$0	$22,197	$0	$43,420	$0	$18,220	$0	$487,895	$0	$0	$0
RYAN SMITH
CHIEF CLINICAL OFFICER/CNO/VP	$336,858	$0	$29,551	$0	$12,721	$0	$34,486	$0	$18,220	$0	$431,836	$0	$0	$0
NIGEL ALLEN
CHIEF ADVANCEMENT OFFICER/VP	$225,823	$0	$20,768	$0	$21,705	$0	$31,136	$0	$17,935	$0	$317,367	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1A	QUESTIONS REGARDING COMPENSATION DIRECTORS RECEIVE COMPLIMENTARY ACCESS TO TMH'S HEALTH CLUB, PREMIER HEALTH AND FITNESS CENTER. ----------
FORM 990, SCHEDULE J, PART I, LINE 4B	TMH MAINTAINS AN IRC SECTION 457(F) PLAN DESIGNED FOR CERTAIN SENIOR ADMINISTRATORS OF THE ORGANIZATION. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE TMH 457(F) PLAN AND/OR RECEIVED DISTRIBUTIONS DURING THE YEAR: NIGEL ALLEN - NO DISTRIBUTIONS G. MARK O'BRYANT - NO DISTRIBUTIONS RYAN SMITH - NO DISTRIBUTIONS ANDREW STARR - NO DISTRIBUTIONS PRISCILLA NEEDHAM - NO DISTRIBUTIONS DEAN WATSON, MD - NO DISTRIBUTIONS ----------
FORM 990, SCHEDULE J, PART I, LINE 7	PROVISION OF NON-FIXED PAYMENTS TMH MAINTAINS A VARIABLE COMPENSATION PROGRAM FOR CERTAIN MANAGERS THAT MAKE A BONUS PAYMENT BASED UPON ATTAINMENT OF INDIVIDUAL AND CORPORATE GOALS. INDIVIDUAL GOALS ARE ESTABLISHED AT THE BEGINNING OF THE FISCAL YEAR AND INCLUDE QUALITATIVE AND QUANTITATIVE RESULTS AND ARE BASED UPON THE BUDGET APPROVED BY THE BOARD OF DIRECTORS. NO PAYMENT IS MADE FOR VARIABLE COMPENSATION PAYMENT UNLESS THE ORGANIZATION MEETS OR EXCEEDS ITS BUDGETED OPERATING MARGIN FOR THE YEAR. UPON DETERMINATION THAT THE ACTUAL OPERATING MARGIN HAS MET OR EXCEEDED THE BUDGET VIA THE AUDITED FINANCIAL STATEMENTS, OTHER INDIVIDUAL AND CORPORATE GOALS ARE SCORED TO DETERMINE IF THEY MET OR EXCEEDED THE PRE-ESTABLISHED MEASUREMENT FOR THE YEAR. THE ACTUAL AMOUNT OF THE BONUS IS BASED UPON AN INDIVIDUAL'S BASE COMPENSATION FOR THE FISCAL YEAR AND THE PERCENTAGE ATTAINMENT OF INDIVIDUAL AND CORPORATE GOALS. PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE TMH COMPENSATION COMMITTEE THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15. ----------

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF TALLAHASSEE - SERIES 2015A
A	596000435	2025-05-28	$111,332,927	REFUNDING 1992B, 2000 & 2015 BONDS	false	false	false
CITY OF TALLAHASSEE - SERIES 2016A & 2016B
B	596000435	2026-02-02	$272,001,300	M.T. MUSTIAN CENTER CONSTRUCTION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$4,042,927	$0	$111,332,927	$0	$0	$0	$1,176,569	$0	$0	$0	$110,156,358	$0	2015	false	Yes (true)	Yes (true)	Yes (true)
B	$48,046,300	$0	$272,001,300	$0	$0	$0	$1,790,765	$0	$0	$270,210,535	$0	$0	2019	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0.00000	0.00000	0.00000	false	false	false	Yes (true)
B	false	false	false	false	0.00000	0.00000	0.00000	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	Yes (true)	false	false	false	false	0	false	Yes (true)
0
B	false	false	Yes (true)	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	THOMAS NOEL MD	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$43,902	TransactionAmt
Transaction	EKG READINGS	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 11	FORM 990 REVIEW PROCESS INFORMATION RELATED TO TMH'S FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PWC US TAX LLP FOR REVIEW AND RETURN PREPARATION. THE 2024 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30,2025 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR FINANCE TEAM MEMBERS BEFORE IT WAS FILED WITH THE IRS. THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED THE 990 PRIOR TO ITS FILING. ALL MEMBERS OF THE BOARD WERE AFFORDED THE OPPORTUNITY TO REVIEW THE FORM 990 PRIOR TO ITS FILING. ----------
FORM 990, PART VI, LINE 12C	CONFLICT OF INTEREST POLICY AS PART OF OUR WRITTEN CONFLICTS OF INTEREST POLICY, OFFICERS, DIRECTORS TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE POTENTIAL CONFLICTS OF THEMSELVES AND THEIR FAMILY MEMBERS. ----------
FORM 990, PART VI, LINE 15	COMPENSATION REVIEW PROCESS COMPENSATION ARRANGEMENTS INVOLVING OUR CEO AND SENIOR LEADERSHIP TEAM ARE ESTABLISHED BY TMH PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE TO SECTION 4958 EXCESS BENEFIT TRANSACTIONS FOR TAX PURPOSES. THIS REQUIRES A REVIEW OF COMPENSATION DETERMINATION BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ----------
FORM 990, PART VI, LINE 19	AVAILABILITY OF DOCUMENTS TO THE PUBLIC OUR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. A COPY OF OUR CONFLICT OF INTEREST POLICY IS ALSO AVAILABLE TO THE PUBLIC ON THE TMH WEBSITE. CONSOLIDATED FINANCIAL STATEMENTS ARE FILED WITH THE DIGITAL ASSURANCE CERTIFICATION, LLC, AGENCY FOR HEALTH CARE ADMINISTRATION AND A COPY OF OUR FORM 990 IS FILED WITH THE FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES. ----------
FORM 990, PART XI, LINE 9	DETAIL OF OTHER CHANGES IN NET ASSETS CHANGE IN ADDITIONAL PENSION LIABILITY $ 2,504,537 CHANGE IN FAIR VALUE OF DERIVATIVE 1,126,895 ADDITIONAL DEPRECIATION (103,120) RELATED PARTY TRANSFER 6,652,157 ______________ TOTAL $ 10,180,469 ----------
FORM 990 PART IX LINE 11G	DESCRIPTION:INDEPENDENT LAB TOTAL FEES:3755761
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING TOTAL FEES:17564486
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN PROFESSIONAL FEES TOTAL FEES:60034376
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:XXX-XX-XXXX

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	452980304	EIN
Primary Activities	LEASED LABOR	PrimaryActivitiesTxt
Legal Domicile State	FL	LegalDomicileStateCd
Total Income	$38,348,381	TotalIncomeAmt
End Of Year Assets	$2,869,954	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SOUTHEAST COMMUNITY HEALTH SERVICES INC
1300 MICCOSUKEE ROAD	TALLAHASSEE	FL	32308	581434992	HOLDING CO	FL	501(C)(25)	N/A	TMH	Yes (true)
TALLAHASSEE MEMORIAL HEALTHCARE FDN
1300 MICCOSUKEE ROAD	TALLAHASSEE	FL	32308	591727645	FUNDRAISING	FL	501(C)(3)	7	TMH	Yes (true)
7 OAKS HEALTHCARE INC
1723 MAHAN CENTER BLVD	TALLAHASSEE	FL	32308	873475393	HOSPICE SRVCS	FL	501(c)(3)	7	TMH	Yes (true)
BIG BEND HOSPICE INC
1723 MAHAN CENTER BLVD	TALLAHASSEE	FL	32308	592328806	HOSPICE SRVCS	FL	501(c)(3)	10	7 OAKS	Yes (true)
BIG BEND HOSPICE FOUNDATION INC
1723 MAHAN CENTER BLVD	TALLAHASSEE	FL	32308	593258493	FUNDRAISING	FL	501(C)(3)	7	7 OAKS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	General Or Managing PartnerGeneralOrManagingPartnerInd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	OwnershipOwnershipPct
CADUCEUS PROPERTIES LLC
1401 CENTERVILLE ROAD SUITE 300	TALLAHASSEE	FL	32308	030519350	INVESTMENT	FL	TMHV	false
RED HILL SURGICAL CENTER LLC
1608 SURGEONS DRIVE	TALLAHASSEE	FL	32308	264736988	HEALTHCARE	FL	TMHV	false
TALL DIAG IMAGING CTR LTD
1600 PHILLIPS ROAD	TALLAHASSEE	FL	32308	592601294	HEALTHCARE	FL	TMHV	false
TALL DIAG IMAGING CTR LLC
1600 PHILLIPS ROAD	TALLAHASSEE	FL	32308	201476610	HEALTHCARE	FL	TMHV	false
RED HILL REAL ESTATE LLC
1608 SURGEONS DRIVE	TALLAHASSEE	FL	32308	264730967	REAL ESTATE	FL	TMH	false	RELATED	$266,531	$3,157,915	false	$0	0.53158

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	TALLAHASSEE MEMORIAL HEALTH VENTURES INC	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	592717050	EIN
Primary Activities	HOLDING COMPANY	PrimaryActivitiesTxt
Legal Domicile State	FL	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C CORP	EntityTypeTxt
Share Of Total Income	$12,101,856	ShareOfTotalIncomeAmt
Share Of EOY Assets	$45,374,507	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SOUTHEAST COMMUNITY HEALTH SERVICES
K	$763,594	FMV
SOUTHEAST COMMUNITY HEALTH SERVICES
O,Q	$57,286	FMV
SOUTHEAST COMMUNITY HEALTH SERVICES
R	$6,652,157	FMV
TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION
C	$1,095,591	FMV
TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION
O,Q	$1,223,746	FMV
TALLAHASSEE MEMORIAL HEALTH VENTURES INC
J	$1,285,042	FMV
TALLAHASSEE MEMORIAL HEALTH VENTURES INC
K	$525,139	FMV
TALLAHASSEE MEMORIAL HEALTH VENTURES INC
M	$68,171	FMV
7 OAKS HEALTHCARE INC
J	$336,022	FMV
7 OAKS HEALTHCARE INC
A	$156,831	FMV