2024-08-14T14:24:10-05:00 2023-09-30 PWC US TAX LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2022-10-01 591917016 TALLAHASSEE MEMORIAL HEALTHCARE INC % PRISCILLA NEEDHAM CFO TALL 8504315238 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 PRISCILLA NEEDHAM CFO 8504310630 2024-08-14 true ANTONIO C RUSSO P00858539 2673303000 2022 2024-08-08 14:25:15Z PRISCILLA NEEDHAM CFO 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 963150103 false X www.tmh.org X 1979 FL TALLAHASSEE MEMORIAL HEALTHCARE, INC. IS A PRIVATE 772-BED, COMMUNITY HEALTHCARE SYSTEM THAT PROVIDES CHARITABLE, COMPASSIONATE, LEADING-EDGE, PATIENT-CENTERED HEALTH CARE. 16 15 7790 488 1264110 1069431 4438847 4095505 522988083 548799817 534763 9242027 309497179 310537531 837458872 872674880 228661 348992 0 0 403431553 438451792 0 0 0 439172403 454445110 842832617 893245894 -5373745 -20571014 1094977840 1079382336 533433709 517993814 561544131 561388522 X 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. false false 768749152 348992 859369543 DESIGNED TO MEET THE DIVERSE HEALTH CARE NEEDS OF THE BIG BEND REGION, TALLAHASSEE MEMORIAL HEALTHCARE, INC. (TMH) IS A COMPREHENSIVE, PRIVATE, NOT-FOR-PROFIT HEALTH CARE SYSTEM THAT SERVES 17 COUNTIES IN NORTH FLORIDA AND SOUTH GEORGIA. TMH INCLUDES A 772-BED ACUTE CARE HOSPITAL AND HAS A TIME-HONORED COMMITMENT TO PROVIDING PATIENT-CENTERED, WORLD-CLASS HEALTH CARE TO ITS COMMUNITY WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. 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. 768749152 true true false true false false false false false true true false false true true false false true false false true false false false false false true true true false true true false false false false false false false true true false false false false false true true true true true false true 199 0 true 7790 true true true false false false false false false false false false true false X 16 15 false false false false false false false true true false false true true true true true true true true false FL X PRISCILLA NEEDHAM CFO 8504310630 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 X G MARK O'BRYANT EX-OFFICIO DIRECTOR & CEO 53.0 2.0 X X 1419640 0 356196 WILLIAM DOBAK MD MATERNAL/FETAL MEDICINE 55.0 0.0 X 1163773 0 35026 OVIDIU MARINA MD RADIATION ONCOLOGIST 55.0 0.0 X 1064082 0 34830 MITCHELL PEABODY MD HEMATOLOGIST/ONCOLOGIST 55.0 0.0 X 941037 0 34864 GEORGE PENNINGTON II MD GENERAL SURGEON 55.0 0.0 X 932390 0 24643 WILLIAM GUIDICE VP/CFO- THRU 5/26/2023 54.0 1.0 X 761428 0 112550 PHILIP SHARP MD RADIATION ONCOLOGIST 55.0 0.0 X 818264 0 34118 ANDREW STARR CHIEF HEALTH OPS OFFICER 55.0 0.0 X 415780 0 57575 RYAN SMITH CHIEF CLINICAL OFFICER/CNO/VP 55.0 0.0 X 372006 0 49170 NIGEL ALLEN CHIEF ADVANCEMENT OFFICER/VP 55.0 0.0 X 265623 0 47393 THOMAS TRUMAN MD CHAIR 2.0 1.0 X X 0 0 0 ERMAN MURRAY JR CHAIR-ELECT 2.0 0.0 X X 0 0 0 SALLY BRADSHAW SECRETARY 2.0 0.0 X X 0 0 0 JAMES KILLIUS MD TREASURER 2.0 0.0 X X 0 0 0 JOEDRECKA BROWN SPEIGHTS MD DIRECTOR 1.5 0.0 X 0 0 0 HUGH VANLANDINGHAM MD DIRECTOR 1.5 0.0 X 0 0 0 CLAUDE WALKER DIRECTOR 1.5 0.0 X 0 0 0 LEE HINKLE DIRECTOR 1.5 0.0 X 0 0 0 BETH CORUM DIRECTOR 1.5 0.0 X 0 0 0 KATRINA ROLLE DIRECTOR 1.5 0.0 X 0 0 0 SHAH HEEMANSKI MD DIRECTOR 1.5 0.0 X 0 0 0 AJ BRICKLER MD DIRECTOR, IND. PHYSICIAN 1.5 0.0 X 0 0 0 BRANT COPELAND DIRECTOR 1.5 0.0 X 0 0 0 ALLISON HARRELL DIRECTOR 1.5 0.0 X 0 0 0 CISSY PROCTOR DIRECTOR 1.5 0.0 X 0 0 0 THOMAS NOEL MD DIRECTOR 1.5 0.0 X 0 0 0 KATHLEEN BROTHERS EX-OFFICIO DIRECTOR 1.0 2.0 X 0 0 0 PAT GRISE EX-OFFICIO DIRECTOR 1.0 0.0 X 0 0 0 JAMES TOTTEN MD EX-OFFICIO DIRECTOR 1.0 0.0 X 0 0 0 PRISCILLA NEEDHAM VP/CFO- AS OF 1/30/2023 54.0 1.0 X 0 0 0 8154023 0 786365 652 false true false SOUTHERN MEDICAL GROUP PA 1300 MEDICAL DRIVE TALLAHASSEE FL 32308 PHYSICIAN SERVICES 35216971 CROSS COUNTRY STAFFING INC 6551 PARK OF COMMERCE BLVD BOCA RATON FL 33487 STAFFING AGENCY 29006017 TALLAHASSEE PULMONARY CLINIC 2617 MITCHAM DRIVE TALLAHASSEE FL 32308 PHYSICIAN SERVICES 11242467 PENNINGONT PA 215 S MONROE STREET TALLAHASSEE FL 32308 LEGAL SERVICES 3227211 TALLAHASSEE SURGICAL ASSOCIATES P 1405 CENTERVILLE ROAD SUITE 4400 TALLAHASSEE FL 32308 PHYSICIAN SERVICES 2941633 108 X 2823218 1256663 15624 185 4095505 NET HEALTH CARE SERVICE REVENUES 621500 548799817 548538188 261629 548799817 8736353 8736353 0 0 3587033 3619228 -32195 0 -32195 1002481 -1033676 3670069 3164395 505674 505674 505674 0 0 0 0 0 0 389463203 83691600 305771603 305771603 VENDOR REBATES 900099 3684855 3684855 MEDICARE AND MEDICAID MEANINGFUL USE 900099 206309 206309 PARKING DECK 900099 378550 378550 528409 528409 4798123 872674880 859107914 1264110 8208351 X 348992 348992 0 0 0 6714294 5838464 875830 0 0 364121551 325349906 38771645 0 9377752 8395678 982074 0 32519406 29056740 3462666 0 25718789 22980254 2738535 0 0 3978164 3759287 218877 0 1646369 1646369 0 40085 40085 0 0 106778698 92084007 14694691 0 1417009 1417009 0 33829294 31577162 2252132 0 27553332 17052289 10501043 0 0 9340307 7649971 1690336 0 5125686 2512077 2613609 0 0 946691 341835 604856 0 15671156 15671156 0 0 38109478 33138606 4970872 0 13588210 12777478 810732 0 PATIENT EXPENSES 122503652 122503652 0 0 SERVICE/MAINTENANCE 26792629 18197832 8594797 0 INDIGENT CARE ASSESSMENT 9296761 9296761 0 0 ALL OTHER EXPENSES 37827589 10176920 27650669 0 893245894 768749152 124496742 0 0 0 295303601 223365801 0 0 112694326 127219673 0 0 0 0 0 0 14637244 14298832 38035021 48829251 1058035957 588216103 467924984 469819854 0 0 27300 27300 0 0 0 0 166355364 195821625 1094977840 1079382336 101867176 94258391 0 0 0 0 349700584 345876493 0 0 0 0 17937699 17024197 0 0 63928250 60834733 533433709 517993814 X 561544131 561388522 0 0 561544131 561388522 1094977840 1079382336 X -20571014 20415405 X false true X true true true X 1129931 18901148 6169779 4438847 4095505 34735210 0 0 1129931 18901148 6169779 4438847 4095505 34735210 0 34735210 6765009 1286777 414380 872922 7702677 17041765 1259247 1424468 1185141 1427370 1069431 6365657 0 58142632 3909884084 0.59741 0.61705 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 40085 40085 40085 40085 893205809 897151229 893245894 897191314 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 102009 90869 44341 40085 277304 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 FORM 990, SCHEDULE C, PART II-A, LINE 1 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: $40,085 - OTHER EXEMPT PURPOSE EXPENDITURES: $893,205,809 THIS ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED SEPTEMBER 30, 2023. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2022. NAME OF NON-ELECTING ORGANIZATION: ------------------------------------------------------- SOUTHEAST COMMUNITY HEALTH SRVS, INC. - DIRECT LOBBYING EXPENDITURES: $0 - OTHER EXEMPT PURPOSE EXPENDITURES: $174,491 TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION - DIRECT LOBBYING EXPENDITURES: $0 - OTHER EXEMPT PURPOSE EXPENDITURES: $3,770,928 10317064 311290 239096 0 0 0 10867450 10360709 398690 -442335 0 0 0 10317064 9423147 526044 411518 0 0 0 10360709 8822389 292251 308507 0 0 0 9423147 8370073 205387 246929 0 0 0 8822389 0.00000 1.00000 0.00000 false true true 27406700 27406700 620634026 282903983 337730043 7877619 6225556 1652063 371614979 299086564 72528415 30502633 30502633 469819854 DEBT RESERVE FUND 8244411 DEPOSITS AND OTHER ASSETS 8734297 OTHER RECEIVABLES 7551213 SELF INSURANCE TRUST FUND 6165924 UNEXPENDED CONSTRUCTION FUND 13357292 SWAP COLLATERAL 1130000 OPERATING LEASE ROU ASSETS 6826408 PENSION ASSETS, NET 131083057 DUE FROM MEDICARE 12729023 195821625 0 WORKER'S COMP SELF INSURANCE 2859102 PROFESSIONAL LIABILITY SELF IN 27100928 OBLIGATION FOR SUPPLEMENTAL EX 2727845 DEFFERRED COMP ARRANGEMENT 4183305 AHCA ASSESSMENT 7227000 OTHER LIABILITIES 12216781 OPERATING LEASE LIABILITY 4519772 60834733 FORM 990, SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS ALL ENDOWMENT FUNDS ARE UTILIZED IN PURSUIT OF THE ORGANIZATION'S TAX EXEMPT PURPOSE. Central America and the Caribbean 0 0 Program Services Insurance Coverage 120078 0 0 0 0 120078 120078 false false true false false false true true true X true X true true false true true 18800906 0 18800906 0.02100 107436231 87267072 20169159 0.02260 126237137 87267072 38970065 0.04360 20674401 5206744 15467657 0.01730 124737377 76761126 47976251 0.05370 145411778 81967870 63443908 0.07100 271648915 169234942 102413973 0.11460 600932 0 600932 0.00070 600932 0 600932 0.00070 false 237230529 62645260 110801165 110695663 105502 X true true 1 1 TALLAHASSEE MEMORIAL HOSPITAL 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32309 WWW.TMH.ORG LICENSE# 4080 X X X X TALLAHASSEE MEMORIAL HEALTHCARE INC 1 false false true X X X X X X X X X 21 true false true true X SEE SCHEDULE H, PART V, SECTION C X true 22 true SEE SCHEDULE H, PART V, SECTION C false true X 150. 400. X X X X true true X X X X true X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X SEE SCH H, PART V, SECTION C X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5, 6B (INPUT FROM COMMUNITY; COLLABORATION) TALLAHASSEE MEMORIAL HEALTHCARE, INC. ("TMH") COMPLETED ITS FOURTH COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING THE YEAR ENDING SEPTEMBER 30, 2022. 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 2023, AS PERMITTED UNDER THE REGULATIONS. ------------------------------------------------------------ PART V, SECTION B, LINE 11 (ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA) TALLAHASSEE MEMORIAL HEALTHCARE (TMH) CONDUCTED THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022. IDENTIFICATION OF FIVE KEY HEALTH PRIORITIES EMERGED 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. OVER 70 PEOPLE ATTENDED THE MEETING AND PARTICIPATED IN THE EXERCISE. THE IDENTIFIED DATA CONTINUES TO SUPPORT THE SAME HEALTH PRIORITIES ABOVE. HOWEVER, 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. IN ADDITION, WE WERE ASKED IF WE SHOULD KEEP THE HEALTH PRIORITIES COMBINED AS 3 HEALTH PRIORITIES. THE PARTICIPANTS ASKED TO NOT COMBINE THE 5 PRIORITIES INTO 3 WITH THE EXCEPTION OF MENTAL HEALTH AND SUBSTANCE ABUSE PRIORITY AREA. THE FIVE KEY HEALTH PRIORITIES ARE (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 FISCAL YEAR 2023. PLEASE VISIT HTTPS://WWW.TMH.ORG/ABOUT-US/COMMUNITY-REPORTS/COMMUNITY-NEED-REPORT TO VIEW OUR MOST RECENT CHNA PUBLISHED IN SEPTEMBER 2022 AND IMPLEMENTATION STRATEGY PUBLISHED IN FEBRUARY 2023 ADDRESSING HEALTH PRIORITIES FOR FISCAL YEARS 2023 TO 2025. THE IMPLEMENTATION STRATEGY HAS BEEN FINALIZED AND 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 TMH CONTINUES SERVE AS THE REGIONAL LEADER IN PROVIDING ACCESS TO CARE THROUGH TMH CARELINK, A REGIONAL TELEMEDICINE NETWORK, THAT ALLOWS PROVIDERS TO SEE PATIENTS IN REMOTE LOCATIONS AND IN THEIR HOMES. TMH HAS DEVELOPED A REGIONAL NETWORK WITH 5 RURAL HOSPITAL TO PROVIDE ACCESS TO SPECIALTY CONSULTS SUCH AS EMERGENCY PSYCHIATRIC EVALUATIONS AND CARDIAC CONSULTS. THIS HAS REDUCED THE NUMBER OF UNNECESSARY TRANSPORTS AND INCREASED ACCESS TO CARE IN PATIENTS' HOME COMMUNITIES. DURING 2023, THERE WERE 29 PSYCHIATRIC EVALUATIONS, 7 CARDIOLOGY CONSULTS FOR A TOTAL OF 36 SPECIALTY TELEMEDICINE CONSULTS. A TOTAL OF 10,314 TELEMEDICINE CONSULTS WERE COMPLETED WITH PATIENTS IN THEIR HOMES FOR EITHER PRIMARY CARE OF SPECIALTY CARE APPOINTMENTS. THIS REPRESENTED APPROXIMATELY 2.5% OF ALL OUTPATIENT CLINIC VISITS. THESE VIRTUAL APPOINTMENTS HELPED KEEP VULNERABLE PATIENTS SAFE IN THEIR HOMES AND INCREASED ACCESS TO CARE FOR PATIENTS LIVING IN RURAL COMMUNITIES. LASTLY, TELEMEDICINE CONTINUED TO BE A VALUABLE TOOL TO CONNECT PATIENTS IN THE HOSPITAL TO THEIR PHYSICIANS. AN ESTIMATED 1,692 TELEMEDICINE CONSULTS WERE COMPLETED ON THE INPATIENT TELEMEDICINE CARTS. AS PART OF THE NEW CHNA STRATEGIES FOR FY 2023, THE COMMITTEE IDENTIFIED THE NEED TO COLLABORATE WITH HOSPITAL COLLEAGUES WHO ARE EXPERTS AND/OR SUPERUSERS IN THE AREA OF TELEMEDICINE TO IMPROVE UTILIZATION. THE GOAL IS TO DEVELOP A TELEMEDICINE ADVISORY BOARD. THE COMMITTEE IS WORKING TO DEVELOP THIS BOARD. IN ADDITION, THE COMMITTEE WILL BE WORKING ON COLLECTING BASELINE TELEMEDICINE VISIT VOLUMES BY ZIP CODE FROM WHICH TO CREATE A SUCCESS MEASURE. (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 2023, TMH PROVIDED 138 PATIENTS TRANSPORTATION ASSISTANCE TOTALING $4,288. THESE RIDES ALLOW FOR OUR MOST VULNERABLE PATIENTS TO GET TO AND FROM HEALTHCARE SERVICES IN A TIMELY, SAFE, LESS STRESSFUL MANNER. IN ADDITION, TO ADDRESS THE ACCESS CONCERN FOR OUR MOST VULNERABLE PATIENTS, TMH IS CURRENTLY COLLABORATING WITH 211 BIG BEND TO EXPAND/INCREASE TRANSPORTATION FOR MEDICALLY RELATED SERVICES. IN AN EFFORT TO INCREASE ACCESS TO SERVICES FOR RESIDENTS LIVING IN WAKULLA COUNTY AND 32304 ZIP CODE (FRENCHTOWN RESIDENTS, IMPOVERISHED COMMUNITY), TMH IS CURRENTLY OPENED AN URGENT CARE THAT SERVICES BOTH COMMUNITIES. THE URGENT CARE SERVICING THE 32304 RESIDENT OPENED AT END OF 2023. WAKULLA URGENT CARE DEVELOPMENT STARTED WITH A TARGET OPENING DATE OF JANUARY 2025. THE PURPOSE OF BOTH EFFORTS IS TO INCREASE IN NUMBER OF RESIDENTS FROM 32304 AND WAKULLA COUNTY UTILIZING TMH'S URGENT CARE CENTERS AND HOPEFULLY DECREASE IN NUMBER OF RESIDENTS FROM 32304 AND WAKULLA COUNTY UTILIZING TMH'S EMERGENCY ROOMS. IN ADDITION, TMH WOULD LIKE TO INCREASE VOLUME OF SAME-DAY APPOINTMENTS TO ASSIST IN ACCESS BARRIERS. (C) EVALUATE DISPARITIES TO ADDRESS AND IDENTIFY EXISTING GAPS IN SERVICES TMH HAS EXPANDED THIS STRATEGY FROM ITS PREVIOUS FOCUS, CULTURAL COMPETENCE, TO ADDRESSING HEALTH DISPARITIES TO ACHIEVE HEALTH EQUITY. THE TMH DIVERSITY, EQUITY & INCLUSION COUNCIL (DEIC) IS THRIVING AND THE COMMITTEE WORKING ON THIS STRATEGY PLAN TO CONTINUE TO INVOLVE THE COUNCIL IN THIS STRATEGY. THE PLAN IS TO FOCUS ON IDENTIFYING HEALTH DISPARITIES AND GAPS IN CARE BY DEVELOPING A STANDARD TO REVIEW DATA THROUGH AN EQUITY LENS FOR THE REPORTING OF RACE, ETHNICITY, AGE, LANGUAGE (REAL), ZIP CODE AND COUNTY DATA. THE COMMITTEE IS WORKING TOWARDS ADDING DEI DATA TO NEWLY DEVELOPED DATA ENTERPRISE WAREHOUSE. (D) IMPROVE HEALTH LITERACY RELATED TO ACCESS TO HEALTHCARE TMH PLANS COLLABORATE WITH STAKEHOLDERS TO DEVELOP MULTILINGUAL EDUCATIONAL RESOURCES TO HELP PATIENTS NAVIGATE THE HEALTHCARE SYSTEM. THE EXPECTED OUTCOME IS TO INCREASED AVAILABILITY OF EDUCATIONAL RESOURCES IN DIFFERENT LANGUAGES. THE COMMITTEE PLANS TO OBTAIN DATA FROM LANGUAGE LINE TO IDENTIFY COMMONLY SPOKEN PRIMARY LANGUAGES IN OUR PRIMARY SERVICE AREA. IN ADDITION, TMH WILL BE ADOPTING A NEW ELECTRONIC MEDICAL RECORD SYSTEM (EPIC) IN 2025 AND THE COMMITTEE WILL COLLABORATE WITH THE EPIC TEAM TO DETERMINE WHAT MULTI-LINGUAL RESOURCES ARE AVAILABLE TO ADDRESS THE NEED. (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 AS PART OF THE LEON COUNTY HEALTH DEPARTMENT'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WORKING COLLABORATIVELY WITH EARLY CHILDHOOD OBESITY PREVENTION WORK GROUP (ECOP), BIG BEND AREA HEALTH EDUCATION CENTER (AHEC), WHOLE CHILD LEON, DEPARTMENT OF HEALTH IN LEON COUNTY, FAMU COOPERATIVE EXTENSION AND UF/IFAS EXTENSION. TO PROMOTE A POSITIVE CULTURE OF HEALTH AND INSPIRE STUDENTS TO MAKE HEALTHY CHOICES, THE HAPPY HYDRATORS CHALLENGE HAS ENGAGED OVER 830 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 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 -------------------------------------------------------------------------- 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 16 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) PART VI, LINE 4 & 5(COMMUNITY INFORMATION & PROMOTION OF COMMUNITY HEALTH) PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION) FOUNDED IN 1948, TALLAHASSEE MEMORIAL HEALTHCARE (TMH) IS A PRIVATE, NOT-FOR-PROFIT COMMUNITY HEALTHCARE SYSTEM LOCATED IN THE HEART OF FLORIDA'S PANHANDLE AND CAPITAL CITY OF TALLAHASSEE. SERVING A 21-COUNTY REGION IN NORTH FLORIDA, SOUTH GEORGIA, AND SOUTHEAST ALABAMA. TMH IS COMPRISED OF A 772-BED ACUTE CARE HOSPITAL, A SURGERY AND ADULT ICU CENTER, A PSYCHIATRIC HOSPITAL, MULTIPLE SPECIALTY CARE CENTERS, 3 RESIDENCY PROGRAMS AND 38 AFFILIATED PHYSICIAN PRACTICES. TMH ALSO COLLABORATES WITH OTHER HOSPITALS AND EDUCATION LEADERS THROUGHOUT THE COMMUNITY AND STATE TO BRING THE MOST ADVANCED CARE TO TALLAHASSEE. TMH PARTNERSHIPS INCLUDE ALLIANT MANAGEMENT SERVICES, APALACHEE CENTER, CALHOUN-LIBERTY HOSPITAL, CAPITAL HEALTH PLAN, DOCTORS' MEMORIAL HOSPITAL, FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE, 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 391,000. LOCATED IN LEON COUNTY - THE LARGEST IN THE PSA, REPRESENTING 76% OF THE FOUR-COUNTY POPULATION - TMH SERVES A VERY DIVERSE POPULATION. AS THE LARGEST SAFETY NET HOSPITAL IN THE 21-COUNTY SERVICE AREA, TMH HAS A LONG HISTORY OF IMPROVING OVERALL HEALTH AND QUALITY OF LIFE THROUGHOUT THE REGION. DURING FISCAL YEAR 2023, TMH CONTINUED TO EXPAND ACCESS TO CARE THROUGH A FORMAL PARTNERSHIP WITH CALHOUN LIBERTY HOSPITAL ASSOCIATION, INC. INTENDED TO ENHANCE SERVICES AND IMPROVE CARE FOR THE CITIZENS OF CALHOUN AND LIBERTY COUNTIES. CALHOUN LIBERTY HOSPITAL, AS A TMH RURAL HOSPITAL AFFILIATE, KICKED OFF CONSTRUCTION OF A NEW 50,000 SQUARE FOOT HOSPITAL. THE FIRST PHASE INCLUDES AN EMERGENCY ROOM, 8 PRIVATE INPATIENT ROOMS, 3 FLEXIBLE CLINICAL DECISION ROOMS AND REHABILITATIVE SERVICES. TMH ALSO EXPANDED HEALTHCARE SERVICES TO THE PANAMA CITY BEACH COMMUNITIES DURING 2023. TMH OPENED ITS FIRST PRIMARY CARE PRACTICE IN BAY COUNTY AND, TOGETHER WITH PARTNERS FLORIDA STATE UNIVERSITY AND THE ST. JOE COMPANY, TMH BROKE GROUND ON AN 80,000-SQUARE-FOOT MEDICAL OFFICE BUILDING. THE BUILDING IS SCHEDULED TO BE COMPLETE IN 2024 AND WILL HOUSE TMH PHYSICIAN PARTNERS - PRIMARY CARE, TALLAHASSEE MEMORIAL URGENT CARE CENTER, AN AMBULATORY SURGERY CENTER, AS WELL AS CARDIOLOGY AND ORTHOPEDIC SERVICES. SUBSIDIZED MEDICAL CARE: AS A NOT-FOR-PROFIT COMMUNITY HEALTHCARE SYSTEM, TMH OFTEN SUBSIDIZES HEALTH SERVICES THAT DO NOT GENERATE A POSITIVE OPERATING MARGIN BUT ARE MUCH NEEDED IN THE COMMUNITY. MANY OF THESE SERVICES ARE PROVIDED THROUGH THE TALLAHASSEE MEMORIAL METABOLIC HEALTH CENTER, THE TALLAHASSEE MEMORIAL TRANSITION CENTER, THE TALLAHASSEE MEMORIAL BIXLER TRAUMA & EMERGENCY CENTER, THE TALLAHASSEE MEMORIAL EMERGENCY CENTER - NORTHEAST, THE TALLAHASSEE MEMORIAL NEONATAL INTENSIVE CARE UNIT (NICU) AND RURAL CLINICS THROUGHOUT THE BIG BEND REGION. THROUGH CLASSES AND INDIVIDUAL OR FAMILY COUNSELING SESSIONS ON TOPICS SUCH AS MANAGING AND TESTING BLOOD SUGAR, CHOOSING HEALTHY FOODS AND STARTING INSULIN AND NUTRITION THERAPY, THE METABOLIC HEALTH CENTER HELPS ADULT AND PEDIATRIC PATIENTS BETTER MANAGE THEIR DIABETES AND AVOID COMPLICATIONS. NEARLY A THIRD OF THESE PATIENTS ACCESS CARE THROUGH SUBSIDIZED SERVICES. IMPROVING ACCESS TO HEALTHCARE: THE TRANSITIONS CENTER, AN INNOVATIVE FACILITY DESIGNED TO REDUCE EMERGENCY ROOM VISITS AND HOSPITAL READMISSIONS, PROVIDES FOLLOW-UP CARE TO PATIENTS WHO MAY BE AT HIGH-RISK FOR READMISSION AFTER LEAVING THE HOSPITAL. THE GOAL OF THE TRANSITION CENTER IS TO IMPROVE OUR 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 HEALTHCARE SYSTEM IS COMPLEX, AND PATIENTS OFTEN FACE CHALLENGES GETTING THE CARE THEY NEED. THE TEAM'S FOCUS AT THE TRANSITION CENTER IS TO HELP PATIENTS ACCESS CARE WHEN AND WHERE THEY NEED IT. IN 2019, 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. PATIENTS SEEN AT THE TRANSITION CENTER INCLUDE ADULTS PREVIOUSLY HOSPITALIZED AT TMH AND WHO MEET ANY OF THE FOLLOWING CRITERIA WHEN DISCHARGED - PATIENTS WITHOUT A PRIMARY CARE PROVIDER, WITHOUT HEALTH INSURANCE, THOSE WHO ARE NOT ABLE TO OBTAIN A FOLLOW-UP APPOINTMENT WITH A PROVIDER WITHIN SEVEN DAYS OF DISCHARGE, AND THOSE WHO HAVE BEEN HOSPITALIZED THREE OR MORE TIMES OVER THE LAST 12 MONTHS. ON AVERAGE, THE TRANSITION CENTER 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. SINCE 2009, THE BIXLER TRAUMA & EMERGENCY CENTER HAS OPERATED AS THE REGION'S ONLY LEVEL II TRAUMA CENTER. TMH ALSO OPERATES A SECOND FREE-STANDING EMERGENCY CENTER - THE EMERGENCY CENTER - NORTHEAST. SINCE OPENING IN 2013, 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. THE CENTER HAS TREATED MORE THAN 400,000 PATIENTS IN NEED OF EMERGENCY CARE. AS THE REGION'S SAFETY NET HOSPITAL, 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. BY PROVIDING INCREASED COMPLEXITY AND VOLUME OF CARE IN THE EMERGENCY CENTER, TMH IS GUARANTEEING ACCESS TO HIGH QUALITY CARE. DURING FY2023, BIXLER SAW AN INCREASE OF 3,153 PATIENTS (71,019 VERSUS 67,886 IN FY2022) AND EMERGENCY CENTER - NORTHEAST SAW AN INCREASE OF 1,339 PATIENTS (42,335 VERSUS 40,996 IN FY2022). TMH HAS ALWAYS HAD A PRESENCE IN MANY OF THE RURAL COUNTIES WE SERVE, INCLUDING FAMILY MEDICINE PRACTICES IN FRANKLIN, GADSDEN, JEFFERSON, TAYLOR, WAKULLA, JACKSON, BAY AND CALHOUN COUNTIES. THROUGH THE YEARS, TMH HAS PRIORITIZED AND INVESTED IN MAKING HEALTHCARE MORE ACCESSIBLE FOR OUR COMMUNITY. IN ADDITION TO ESTABLISHING THE TRANSITION CENTER AND OPENING THE EMERGENCY CENTER NORTHEAST, TMH HAS IMPLEMENTED TELEMEDICINE TECHNOLOGIES AND CULTIVATED RESIDENCY PROGRAMS AS ADDITIONAL AVENUES FOR OFFERING ACCESSIBLE HEALTHCARE. 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. RESIDENCY PROGRAMS IN FAMILY MEDICINE, INTERNAL MEDICINE, AND GENERAL SURGERY, AS WELL AS NURSING AND PHARMACY, IMPROVE ACCESS TO CARE AND HELP DEVELOP THE BIG BEND'S MEDICAL COMMUNITY. TMH IS HOME TO THE REGION'S ONLY PEDIATRIC INTENSIVE CARE UNIT (PICU) AND FIRST NICU. TMH PROVIDES ACCESS TO PEDIATRIC AND NEONATAL CRITICAL CARE FOR FAMILIES AND BABIES THROUGHOUT THE 21-COUNTY SERVICE AREA WHO REQUIRE CRITICAL CARE AT BIRTH, DUE TO PRETERM BIRTHS OR HEALTH COMPLICATIONS. ONE IN TEN BABIES BORN REQUIRES THIS HIGHER LEVEL OF CARE, WHICH TMH PROVIDES THROUGH TWO NICU UNITS - A LEVEL-III UNIT FOR CRITICAL CARE BABIES AND A LEVEL-II STEP-DOWN OR INTERMEDIATE CARE UNIT. CRITICAL BABIES BORN IN RURAL HOSPITALS UNEQUIPPED TO CARE FOR THEIR CRITICAL NEEDS ARE TRANSPORTED TO TMH'S NICU VIA TMH'S NEONATAL TRANSPORT TEAM. THIS TEAM DEPARTS FROM TMH TO THE OUTLYING HOSPITAL, WHERE THEY STABILIZE THE BABY, THEN TRANSPORT THE INFANT BACK TO TMH. THIS SERVICE OFFERS FAMILIES WHO DO NOT HAVE IMMEDIATE ACCESS TO NEONATAL CRITICAL CARE A MEANS FOR ACCESSING A HIGHER LEVEL OF CARE. IN JUNE 2021, TMH PARTNERED WITH DOCTORS MEMORIAL HOSPITAL IN TAYLOR COUNTY, AN HOUR AWAY FROM LEON COUNTY, TO OPEN A NEW WOUND CARE CENTER. PATIENTS IN TAYLOR AND SURROUNDING RURAL AREAS MAY RECEIVE TREATMENT FOR DI true THE TALLAHASSEE COMMUNITY COLLEGE FDN 444 APPLEYARD DR TALLAHASSEE FL 32304 592091480 501(C)(3) 20000 FMV N/A SPONSORSHIP - CLEAVER & CORK FLORIDA A & M UNIVERSITY FOUNDATION INC 625 E TENNESSEE ST SUITE 100 TALLAHASSEE FL 32308 590977035 501(C)(3) 19305 FMV N/A SPONSORSHIP - FAMU UNITED WAY OF THE BIG BEND INC 307 EAST 7TH AVENUE TALLAHASSEE FL 32303 596011150 501(C)(3) 144350 FMV N/A SPONSORSHIP - UNITED WAY PROGRAMS Ronald McDonald House Charities of Tallahassee Inc 712 E 7th Avenue TALLAHASSEE FL 32303 592794505 501(C)(3) 5500 FMV N/A SPONSORSHIPS 4 0 FORM 990, SCHEDULE I, PART I, LINE 2 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. X true true X X X X X false true false false false false false true false G MARK O'BRYANT EX-OFFICIO DIRECTOR & CEO 1043068 0 330724 0 45848 0 340106 0 16090 0 1775836 0 0 0 WILLIAM DOBAK MD MATERNAL/FETAL MEDICINE 636789 0 526550 0 434 0 18300 0 16726 0 1198799 0 0 0 OVIDIU MARINA MD RADIATION ONCOLOGIST 702699 0 361093 0 290 0 18300 0 16530 0 1098912 0 0 0 MITCHELL PEABODY MD HEMATOLOGIST/ONCOLOGIST 315706 0 625131 0 200 0 18300 0 16564 0 975901 0 0 0 GEORGE PENNINGTON II MD GENERAL SURGEON 396164 0 536044 0 182 0 7917 0 16726 0 957033 0 0 0 WILLIAM GUIDICE VP/CFO- THRU 5/26/2023 624310 0 121477 0 15641 0 96480 0 16070 0 873978 0 0 0 PHILIP SHARP MD RADIATION ONCOLOGIST 502561 0 314909 0 794 0 18300 0 15818 0 852382 0 0 0 RYAN SMITH CHIEF CLINICAL OFFICER/CNO/VP 308885 0 54644 0 8477 0 31816 0 17354 0 421176 0 0 0 ANDREW STARR CHIEF HEALTH OPS OFFICER 346949 0 61181 0 7650 0 40263 0 17312 0 473355 0 0 0 NIGEL ALLEN CHIEF ADVANCEMENT OFFICER/VP 213312 0 39151 0 13160 0 30587 0 16806 0 313016 0 0 0 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 DETAIL OF SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS THE FOLLOWING INDIVIDUAL LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPANTED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DURING AND/OR RECEIVED DISTRIBUTIONS DURING THE YEAR: G. MARK O'BRYANT- NO DISTRIBUTIONS ---------- 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 WILLIAM GIUDICE - NO DISTRIBUTIONS G. MARK O'BRYANT - NO DISTRIBUTIONS RYAN SMITH - NO DISTRIBUTIONS ANDREW STARR - 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. ---------- A CITY OF TALLAHASSEE - SERIES 2015A 596000435 2015-05-28 111332927 REFUNDING 1992B, 2000 & 2015 BONDS false false false B CITY OF TALLAHASSEE - SERIES 2016A & 2016B 596000435 2016-02-02 272001300 M.T. 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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 $ 19,873,769 CHANGE IN FAIR VALUE OF DERIVATIVE 644,756 ADDITIONAL DEPRECIATION (103,120) ______________ TOTAL $ 20,415,405 ---------- FORM 990 PART IX LINE 11G DESCRIPTION:INDEPENDENT LAB TOTAL FEES:5993971 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:6967271 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN PROFESSIONAL FEES TOTAL FEES:53807071 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL SERVICES TOTAL FEES:40010385 MEDICUS SELECT LLC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 452980304 LEASED LABOR FL 0 2642588 TMH SOUTHEAST COMMUNITY HEALTH SERVICES INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 581434992 HOLDING CO FL 501(C)(25) N/A TMH true TALLAHASSEE MEMORIAL HEALTHCARE FDN 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 591727645 FUNDRAISING FL 501(C)(3) 7 TMH true 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 TALLAHASSEE DIAGNOSTIC IMAGING CTR 1600 PHILLIPS ROAD TALLAHASSEE FL 32308 592601294 HEALTHCARE FL TMHV false TALLAHASSEE MEMORIAL HEALTH VENTURES INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 592717050 HOLDING COMPA FL TMH C CORP 4450309 40161785 1.00000 true PRIME MERIDIAN HEALTH VENTURES INC 1309 THOMASVILLE ROAD TALLAHASSEE FL 32308 592668613 DIAG. 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