2026-07-24T09:13:46-05:00 2025-09-30 PWC US TAX LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2024-10-01 591917016 TALLAHASSEE MEMORIAL HEALTHCARE INC % PRISCILLA NEEDHAM CFO TALL 8504315238 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 PRISCILLA NEEDHAM CFO 8504310630 2026-07-23 true true ANTONIO C RUSSO P00858539 2673303000 2026-07-21 2024 2025-03-06 01:10:19Z PRISCILLA NEEDHAM CFO 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 1192901856 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. 17 16 7770 702 1274892 1048596 2904503 3645723 1051708541 1133807457 17532392 31908536 8567884 6684811 1080713320 1176046527 515118 502340 0 0 436515048 451017408 0 0 0 611563897 720413089 1048594063 1171932837 32119257 4113690 1151040007 1213957021 562728281 611351136 588311726 602605885 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 998919798 502340 1138951499 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. 998919798 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 281 0 true 7770 true true true false false false false false false false false false true false X 17 16 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 1324491 0 385970 WILLIAM DOBAK DO MATERNAL/FETAL MEDICINE 55.0 0.0 X 1151796 0 40450 ALFREDO RAMIREZ MD CARDIOTHORACIC SURGEON 55.0 0.0 X 1071855 0 138 MITCHELL PEABODY MD HEMATOLOGIST/ONCOLOGIST 55.0 0.0 X 1031940 0 28081 GEORGE PENNINGTON II MD GENERAL SURGEON 55.0 0.0 X 945309 0 40450 YUSEF SYED MD RADIATION ONCOLOGIST 55.0 0.0 X 928171 0 37791 PRISCILLA NEEDHAM VP/CFO 54.0 1.0 X 602030 0 72241 DEAN WATSON MD CHIEF INTEGRATION OFFICER/VP 55.0 0.0 X 573317 0 70022 ANDREW STARR CHIEF HEALTH OPS OFFICER 55.0 0.0 X 426255 0 61640 RYAN SMITH CHIEF CLINICAL OFFICER/CNO/VP 55.0 0.0 X 379130 0 52706 NIGEL ALLEN CHIEF ADVANCEMENT OFFICER/VP 55.0 0.0 X 268296 0 49071 THOMAS NOEL MD DIRECTOR 1.5 0.0 X 43902 0 0 SALLY BRADSHAW CHAIR 2.0 1.0 X X 0 0 0 JAMES KILLIUS MD CHAIR-ELECT 2.0 0.0 X X 0 0 0 CLAUDE WALKER SECRETARY 2.0 0.0 X X 0 0 0 BETH CORUM TREASURER 2.0 0.0 X X 0 0 0 NARLIN BEATY MD DIRECTOR 1.5 0.0 X 0 0 0 JOEDRECKA BROWN SPEIGHTS MD DIRECTOR 1.5 0.0 X 0 0 0 CARLOS CAMPO MD DIRECTOR 1.5 0.0 X 0 0 0 ALLISON HARRELL DIRECTOR 1.5 0.0 X 0 0 0 FRAN CLOSE PHD DIRECTOR 1.5 0.0 X 0 0 0 CISSY PROCTOR DIRECTOR 1.5 0.0 X 0 0 0 KATRINA ROLLE DIRECTOR 1.5 0.0 X 0 0 0 ANDREW GAY DIRECTOR 1.5 0.0 X 0 0 0 HUGH VANLANDINGHAM MD DIRECTOR 1.5 0.0 X 0 0 0 ANATH PRASAD DIRECTOR 1.5 0.0 X 0 0 0 BILL WERTMAN EX-OFFICIO DIRECTOR 1.0 0.0 X 0 0 0 MARK WHEELER MD EX-OFFICIO DIRECTOR 1.0 0.0 X 0 0 0 8746492 0 838560 653 false true false SOUTHERN MEDICAL GROUP PA 1300 MEDICAL DRIVE TALLAHASSEE FL 32308 PHYSICIAN SERVICES 35177741 ENSEMBLE HEALTH PARTNERS 11511 REED HARTMAN HWY BLUE ASH OH 45241 REVENUE CYCLE SRVCS 29871398 CROSS COUNTRY STAFFING INC 6551 PARK OF COMMERCE BLVD BOCA RATON FL 33487 STAFFING SERVICES 24402328 TALLAHASSEE PULMINARY CLINIC 2617 MITCHAM DRIVCE TALLAHASSEE FL 32308 PHYSICIAN SERVICES 13050809 PENNINGTON PA 215 S MONROE STREET TALLAHASSEE FL 32308 LEGAL SERVICES 3387547 112 1095591 2550132 0 0 3645723 NET HEALTH CARE SERVICE REVENUES 621500 1133807457 1133525750 281707 1133807457 7896454 7896454 0 0 4618124 3077355 1540769 0 1540769 993185 547584 1316227 35740038 1088691 11955492 227536 23784546 24012082 24012082 0 0 0 0 0 0 900005 733791 166214 166214 VENDOR REBATES 900099 4168718 4168718 PARKING DECK 900099 319195 319195 ALL OTHER REVENUE 900099 489915 489915 4977828 1176046527 1138669792 1274892 32456120 502340 502340 0 0 0 4662116 3894120 767996 0 0 385247270 345385125 39862145 0 7459100 6723510 735590 0 31406350 28156685 3249665 0 22242572 19941098 2301474 0 0 0 4385480 2401708 1983772 0 908929 0 908929 0 124209 124209 0 0 0 0 204168743 155323120 48845623 0 1028099 0 1028099 0 27989073 25313667 2675406 0 56584315 24991743 31592572 0 0 12703601 10377541 2326060 0 5670726 3075090 2595636 0 0 216758 48359 168399 0 18611929 18611929 0 0 0 41244038 34449946 6794092 0 20703773 19378811 1324962 0 PATIENT EXPENSES 225368467 225368467 0 0 SERVICE/MAINTENANCE 28230336 22824782 5405554 0 INDIGENT CARE ASSESSMENT 10633904 10633904 0 0 ALL OTHER EXPENSES 61840709 41393644 20447065 0 1171932837 998919798 173013039 0 0 0 189092775 196780762 0 0 158882265 132328690 0 0 0 0 0 0 18075727 23616945 75665046 97960037 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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 12236536 75838 238895 0 0 0 12551269 10867450 735252 633834 0 0 0 12236536 10317064 311290 239096 0 0 0 10867450 10360709 398690 -442335 0 0 0 10317064 9423147 526044 411518 0 0 0 10360709 0.00000 1.00000 0.00000 false true true 27879185 27879185 674042339 311316677 362725662 379885096 315835699 64049397 73687894 73687894 528342138 DEBT RESERVE FUND 8317321 DEPOSITS AND OTHER ASSETS 9609047 OTHER RECEIVABLES 21546944 SELF INSURANCE TRUST FUND 7903649 DUE FROM MEDICAID DPP 30662770 SWAP COLLATERAL 1130000 OPERATING LEASE ROU ASSETS 3278934 PENSION ASSETS, NET 143197869 DUE FROM MEDICARE 9254615 234901149 0 WORKER'S COMP SELF INSURANCE 3745351 PROFESSIONAL LIABILITY SELF IN 26612578 OBLIGATION FOR SUPPLEMENTAL EX 2703848 DEFFERRED COMP ARRANGEMENT 4743868 AHCA ASSESSMENT 8424000 OTHER LIABILITIES 8192011 OPERATING LEASE LIABILITY 3324442 57746098 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 false false false false true true true X true X true true true false true true 23534325 0 23534325 0.02010 110386352 109005301 1381051 0.00120 133920677 109005301 24915376 0.02130 23688207 5603662 18084545 0.01540 115705550 59610568 56094982 0.04790 1059662 239772 819890 0.00070 140453419 65454002 74999417 0.06400 274374096 174459303 99914793 0.08530 754018 0 754018 0.00060 754018 0 754018 0.00060 false 195262481 94280102 121327497 122181645 -854148 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 24 true false true true X SEE SCHEDULE H, PART V, SECTION C X true 25 true SEE SCHEDULE H, PART V, SECTION C false true X 200. 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 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 -------------------------------------------------------------------------- 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 true UNITED WAY OF THE BIG BEND INC 307 EAST 7TH AVENUE TALLAHASSEE FL 32303 596011150 501(C)(3) 220250 FMV N/A SPONSORSHIP BIG BEND HOSPICE FOUNDATION INC 1723 MAHAN CENTER BOULEVARD TALLAHASSEE FL 32308 593258493 501(C)(3) 59100 FMV N/A SPONSORSHIP TALLAHASSEE STATE COLLEGE FOUNDATION INC 444 APPLEYARD DR TALLAHASSEE FL 32304 592091480 501(C)(3) 20000 FMV N/A SPONSORSHIP FLORIDA LITFEST INC 1500 MAHAN DRIVE STE 200 TALLAHASSEE FL 32308 463527772 501(C)(3) 12500 FMV N/A SPONSORSHIP FLORIDA STATE UNIVERSITY FOUNDATION INC 325 W COLLEGE AVENUE TALLAHASSEE FL 32301 596152180 501(C)(3) 11000 FMV N/A SPONSORSHIP AMERICAS SECOND HARVEST OF THE BIG BEND INC 4446 ENTREPOT BLVD TALLAHASSEE FL 32310 592610345 501(C)(3) 10000 FMV N/A SPONSORSHIP LEADERSHIP TALLAHASSEE INC PO BOX 1639 TALLAHASSEE FL 32302 201134753 501(C)(3) 8150 FMV N/A SPONSORSHIP CAPITAL MEDICAL SOCIETY FOUNDATION INC 1204 MICCOSUKEE RD TALLAHASSEE FL 32308 592104510 501(C)(3) 6725 FMV N/A SPONSORSHIP LEMOYNE ART FOUNDATION INC 125 N GADSDEN ST TALLAHASSEE FL 32301 596166275 501(C)(3) 5500 FMV N/A SPONSORSHIP 9 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 1154820 0 160637 0 9034 0 367750 0 18220 0 1710461 0 0 0 WILLIAM DOBAK DO MATERNAL/FETAL MEDICINE 634493 0 516889 0 414 0 20700 0 19750 0 1192246 0 0 0 ALFREDO RAMIREZ MD CARDIOTHORACIC SURGEON 925775 0 130682 0 15398 0 0 0 138 0 1071993 0 0 0 MITCHELL PEABODY MD HEMATOLOGIST/ONCOLOGIST 347132 0 684538 0 270 0 20700 0 7381 0 1060021 0 0 0 GEORGE PENNINGTON II MD GENERAL SURGEON 769672 0 175458 0 179 0 20700 0 19750 0 985759 0 0 0 YUSEF SYED MD RADIATION ONCOLOGIST 530221 0 397770 0 180 0 20700 0 17091 0 965962 0 0 0 PRISCILLA NEEDHAM VP/CFO 550681 0 48150 0 3199 0 54084 0 18157 0 674271 0 0 0 DEAN WATSON MD CHIEF INTEGRATION OFFICER/VP 513841 0 55399 0 4077 0 51975 0 18047 0 643339 0 0 0 ANDREW STARR CHIEF HEALTH OPS OFFICER 370970 0 33088 0 22197 0 43420 0 18220 0 487895 0 0 0 RYAN SMITH CHIEF CLINICAL OFFICER/CNO/VP 336858 0 29551 0 12721 0 34486 0 18220 0 431836 0 0 0 NIGEL ALLEN CHIEF ADVANCEMENT OFFICER/VP 225823 0 20768 0 21705 0 31136 0 17935 0 317367 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 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. ---------- A CITY OF TALLAHASSEE - SERIES 2015A 596000435 2025-05-28 111332927 REFUNDING 1992B, 2000 & 2015 BONDS false false false B CITY OF TALLAHASSEE - SERIES 2016A & 2016B 596000435 2026-02-02 272001300 M.T. MUSTIAN CENTER CONSTRUCTION false false false A 4042927 0 111332927 0 0 0 1176569 0 0 0 110156358 0 2015 false true true true B 48046300 0 272001300 0 0 0 1790765 0 0 270210535 0 0 2019 false false true true A false false false false 0.00000 0.00000 0.00000 false false false true B false false false false 0.00000 0.00000 0.00000 false false false true A false false true false false false 0 false 0 false true B false false true false false false 0 false 0 false true A true B true THOMAS NOEL MD BOARD MEMBER 43902 EKG READINGS false 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 MEDICUS SELECT LLC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 452980304 LEASED LABOR FL 38348381 2869954 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 7 OAKS HEALTHCARE INC 1723 MAHAN CENTER BLVD TALLAHASSEE FL 32308 873475393 HOSPICE SRVCS FL 501(c)(3) 7 TMH true BIG BEND HOSPICE INC 1723 MAHAN CENTER BLVD TALLAHASSEE FL 32308 592328806 HOSPICE SRVCS FL 501(c)(3) 10 7 OAKS true BIG BEND HOSPICE FOUNDATION INC 1723 MAHAN CENTER BLVD TALLAHASSEE FL 32308 593258493 FUNDRAISING FL 501(C)(3) 7 7 OAKS 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 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 RELATED 266531 3157915 false 0 false 0.53158 TALLAHASSEE MEMORIAL HEALTH VENTURES INC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 592717050 HOLDING COMPANY FL TMH C CORP 12101856 45374507 1.00000 true true false true false false false false false false true true false true false true false true true false SOUTHEAST COMMUNITY HEALTH SERVICES K 763594 FMV SOUTHEAST COMMUNITY HEALTH SERVICES O,Q 57286 FMV SOUTHEAST COMMUNITY HEALTH SERVICES R 6652157 FMV TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION C 1095591 FMV TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION O,Q 1223746 FMV TALLAHASSEE MEMORIAL HEALTH VENTURES INC J 1285042 FMV TALLAHASSEE MEMORIAL HEALTH VENTURES INC K 525139 FMV TALLAHASSEE MEMORIAL HEALTH VENTURES INC M 68171 FMV 7 OAKS HEALTHCARE INC J 336022 FMV 7 OAKS HEALTHCARE INC A 156831 FMV