2025-08-14T13:12:01-05:00 2024-09-30 PWC US TAX LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2023-10-01 591917016 TALLAHASSEE MEMORIAL HEALTHCARE INC % PRISCILLA NEEDHAM CFO TALL 8504315238 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 PRISCILLA NEEDHAM CFO 8504310630 2025-08-14 true true ANTONIO C RUSSO P00858539 2673303000 2025-08-12 2023 2025-03-06 01:10:19Z PRISCILLA NEEDHAM CFO 1300 MICCOSUKEE ROAD TALLAHASSEE FL 323085054 1085670388 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 7771 694 1250183 1033513 4095505 2904503 937483672 1051708541 9242027 17532392 4964631 8567884 955785835 1080713320 348992 515118 0 0 438451792 436515048 0 0 0 537556065 611563897 976356849 1048594063 -20571014 32119257 1079382336 1151040007 517993814 562728281 561388522 588311726 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 905447066 515118 1059984203 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. 905447066 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 7771 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 2752176 0 371002 OVIDIU MARINA MD RADIATION ONCOLOGIST 55.0 0.0 X 1155397 0 41278 WILLIAM DOBAK MD MATERNAL/FETAL MEDICINE 55.0 0.0 X 1077510 0 41475 GEORGE PENNINGTON II MD GENERAL SURGEON 55.0 0.0 X 965895 0 41475 MITCHELL PEABODY MD HEMATOLOGIST/ONCOLOGIST 55.0 0.0 X 906227 0 40843 JEFFREY CROOMS MD GENERAL SURGEON 55.0 0.0 X 924146 0 6025 WILLIAM GUIDICE FORMER VP/CFO 0.0 0.0 X 705117 0 27854 PRISCILLA NEEDHAM VP/CFO 54.0 1.0 X 479355 0 13610 ANDREW STARR CHIEF HEALTH OPS OFFICER 55.0 0.0 X 397957 0 59357 RYAN SMITH CHIEF CLINICAL OFFICER/CNO/VP 55.0 0.0 X 353553 0 50400 NIGEL ALLEN CHIEF ADVANCEMENT OFFICER/VP 55.0 0.0 X 254566 0 47048 SALLY BRADSHAW CHAIR-ELECT 2.0 0.0 X X 0 0 0 JAMES KILLIUS MD SECRETARY 2.0 0.0 X X 0 0 0 ERMAN MURRAY JR CHAIR 2.0 1.0 X X 0 0 0 CLAUDE WALKER TREASURER 2.0 0.0 X X 0 0 0 AJ BRICKLER 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 BETH CORUM DIRECTOR 1.5 0.0 X 0 0 0 ANDREW GAY DIRECTOR 1.5 0.0 X 0 0 0 ALLISON HARRELL DIRECTOR 1.5 0.0 X 0 0 0 THOMAS NOEL MD 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 JAMES TOTTEN MD DIRECTOR 1.5 0.0 X 0 0 0 HUGH VANLANDINGHAM MD DIRECTOR 1.5 0.0 X 0 0 0 KATHLEEN BROTHERS EX-OFFICIO DIRECTOR 1.0 2.0 X 0 0 0 CLAIRE HARRISON EX-OFFICIO DIRECTOR 1.0 0.0 X 0 0 0 BILL E 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 9971899 0 740367 614 true true false SOUTHERN MEDICAL GROUP PA 1300 MEDICAL DRIVE TALLAHASSEE FL 32308 PHYSICIAN SERVICES 36388745 CROSS COUNTRY STAFFING INC 6551 PARK OF COMMERCE BLVD BOCA RATON FL 33487 STAFFING SERVICES 15837355 TALLAHASSEE PULMONARY CLINIC 2617 MITCHAM DRIVE TALLAHASSEE FL 32308 PHYSICIAN SERVICES 11824264 PENNINGTON PA 215 S MONROE STREET TALLAHASSEE FL 32308 LEGAL SERVICES 3728424 TALLAHASSEE DIAGNOSTIC IMAGING 1600 PHILLIPS ROAD TALLAHASSEE FL 32308 DIAGNOSTIC IMAGING 3291020 106 1324366 1568138 11999 0 2904503 NET HEALTH CARE SERVICE REVENUES 621500 1051708541 1051447825 260716 1051708541 16473223 16473223 0 0 3540062 3247840 292222 0 292222 989467 -697245 2228140 1161471 7500 1066669 -7500 1059169 1059169 0 0 0 0 0 0 822203 540257 281946 281946 VENDOR REBATES 900099 4857106 4857106 MEDICARE AND MEDICAID MEANINGFUL USE 900099 2049524 2049524 PARKING DECK 900099 341121 341121 745965 745965 7993716 1080713320 1059723487 1250183 16835147 X 515118 515118 0 0 0 7144869 6135294 1009575 0 0 368395548 334131909 34263639 0 3933404 3595707 337697 0 31116853 28222745 2894108 0 25924374 23513206 2411168 0 0 0 3823415 3539379 284036 0 461944 0 461944 0 42496 42496 0 0 0 0 153525696 110294651 43231045 0 1519161 0 1519161 0 30895853 28395140 2500713 0 34436299 21276320 13159979 0 0 10076911 8671148 1405763 0 4268027 2838543 1429484 0 0 758537 269614 488923 0 16331278 16331278 0 0 0 40079498 34416398 5663100 0 16113590 15035575 1078015 0 PATIENT EXPENSES 226771848 226771848 0 0 SERVICE/MAINTENANCE 28360671 19904721 8455950 0 INDIGENT CARE ASSESSMENT 10551734 10551734 0 0 ALL OTHER EXPENSES 33546939 10994242 22552697 0 1048594063 905447066 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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: $42,496 - OTHER EXEMPT PURPOSE EXPENDITURES: $1,048,551,567 THIS ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED SEPTEMBER 30, 2024. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2023. NAME OF NON-ELECTING ORGANIZATION: ------------------------------------------------------- SOUTHEAST COMMUNITY HEALTH SRVS, INC. - DIRECT LOBBYING EXPENDITURES: $0 - OTHER EXEMPT PURPOSE EXPENDITURES: $185,067 TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION - DIRECT LOBBYING EXPENDITURES: $0 - OTHER EXEMPT PURPOSE EXPENDITURES: $2,086,564 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 8822389 292251 308507 0 0 0 9423147 0.00000 1.00000 0.00000 false true true 27406700 27406700 696731990 305608743 391123247 8610847 6827725 1783122 380999034 316913489 64085545 23091591 0 23091591 507490205 DEBT RESERVE FUND 8287077 DEPOSITS AND OTHER ASSETS 36081463 OTHER RECEIVABLES 931403 SELF INSURANCE TRUST FUND 7232593 UNEXPENDED CONSTRUCTION FUND 0 SWAP COLLATERAL 1130000 OPERATING LEASE ROU ASSETS 5146012 PENSION ASSETS, NET 134639098 DUE FROM MEDICARE 8359043 201806689 0 WORKER'S COMP SELF INSURANCE 3063536 PROFESSIONAL LIABILITY SELF IN 25351615 OBLIGATION FOR SUPPLEMENTAL EX 2609675 DEFFERRED COMP ARRANGEMENT 4030742 AHCA ASSESSMENT 8001000 OTHER LIABILITIES 10545088 OPERATING LEASE LIABILITY 3219142 56820798 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 19958317 0 19958317 0.01900 96876181 80293712 16582469 0.01580 116834498 80293712 36540786 0.03480 22349239 5364103 16985136 0.01620 131244932 77378410 53866522 0.05140 153594171 82742513 70851658 0.06760 270428669 163036225 107392444 0.10240 716933 0 716933 0.00070 716933 0 716933 0.00070 false 186907280 49356443 111498572 111705027 -206455 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 WITH THE NEXT ONE SCHEDULED FOR 2025. 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 2022. 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 TALLAHASSEE MEMORIAL HEALTHCARE 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 2022, 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 $4,288.00. 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 TO 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 WORKING ON OPENING AN URGENT CARE THAT WILL SERVICE BOTH COMMUNITIES. THE URGENT CARE SERVICING THE 32304 RESIDENT IS SCHEDULED TO OPEN 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 PLAN 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 880 STUDENTS, TEACHERS, AND STAFF SINCE ITS INCEPTION IN 2018. THIS EDUCATIONAL CAMPAIGN OFFER 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 18 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 150% OF THE FEDERAL POVERTY GUIDELINES OR WHOSE CHARGES EXCEED 25% OF THE ANNUAL FAMILY INCOME ARE ELIGIBLE FOR 100 % CHARITY OR FREE CARE. PATIENTS WITH FAMILY INCOMES BETWEEN 151% AND 400 % OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR SLIDING SCALE DISCOUNTS. THESE UNINSURED PATIENTS WILL BE RESPONSIBLE FOR A PERCENTAGE OF HOSPITAL CHARGES DETERMINED BY INCOME AND FAMILY SIZE. THE STATE OF FLORIDA HAS RECOGNIZED THE HIGH LEVEL OF UNCOMPENSATED CARE PROVIDED BY TMH BY DESIGNATING TMH AS A MEDICAID DISPROPORTIONATE SHARE PROVIDER. APPROXIMATELY 3% 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. SERVING 21 COUNTIES IN NORTH FLORIDA AND SOUTH GEORGIA, 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 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, 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. In 2024, Tallahassee Memorial HealthCare embarked on numerous initiatives that underscore our commitment to growth and innovation in healthcare delivery. From a strategic partnership to enhance hospice services to the opening of a new medical office building in Panama City Beach, TMH was busy in 2024 expanding access to essential medical services to meet our community's needs. The first phase of the new healthcare development in Panama City Beach was completed. In partnership with the St. Joe Company, TMH opened the doors to the Medical Office Plaza in July with the new TMH Urgent Care and TMH Physician Partners - Primary Care. Later in October 2024, TMH Physician Partners announced the addition of two more medical practices to the building. Additional tenants are expected to open in 2025, including Coastal Tides Ambulatory Surgery Center, Tallahassee Orthopedic Clinic, Dermatology Associates, Emerald Coast Obstetrics and Gynecology, and Florida State University (FSU). Construction on the campus is ongoing, as the new joint venture hospital between TMH and FSU is set to open in 2027. TMH added a Complex Spine Surgery Program to the array of surgical services with the addition of fellowship-trained neurosurgeon. The Complex Spine Surgery Program, the only of its kind in the region, offers a new level of spine surgery for complicated cases for both adults and children. During the spring, Live Oak Behavioral Health Center, a partnership between TMH and Apalachee Center, Inc, opened to bring outpatient psychiatry, psychological and psychotherapy services under one roof. The Center also hosts the new FSU College of Medicine's Psychiatry Residency Program. Big Bend Hospice and TMH announced 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 celebrated the graduation of the first apprentices of our new Surgical Technology Apprenticeship Program in August. This new initiative is aimed at addressing the growing demand for skilled Certified Surgical Technologists and advancing career opportunities in the region In the fall, leaders from TMH joined Florida State University in a groundbreaking ceremony for the future academic research center 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. In 2024, TMH partnered on a new physician residency program to bring top mental health talent to North Florida. The Florida State University Psychiatry Residency Program is a collaborative effort between the FSU College of Medicine, Apalachee Center, and TMH. This four-year training program prepares graduates to practice psychiatry in diverse academic, clinical, and community settings. The residents train across a full spectrum of inpatient, residential and outpatient services, including Apalachee Center, TMH's outpatient clinics, a number of residential programs and two acute psychiatric hospitals. The program has the potential to add post-residency fellowship opportunities and designated subspecialties that could include addiction medicine and child and adolescent psychiatry. The first set of residents began on July 1, 2024. 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. 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. 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 PART VI, LINE 6 (AFFILIATED HEALTHCARE SYSTEM INFORMATION) N/A true FLORIDA A & M UNIVERSITY FOUNDATION INC 625 E TENNESSEE ST SUITE 100 TALLAHASSEE FL 32308 590977035 501(C)(3) 38610 FMV N/A SPONSORSHIP - FAMU UNITED WAY OF THE BIG BEND INC 307 EAST 7TH AVENUE TALLAHASSEE FL 32303 596011150 501(C)(3) 142000 FMV N/A SPONSORSHIP - UNITED WAY PROGRAMS CHOOSE TALLAHASSEE INC 2601 Capital Medical Blvd TALLAHASSEE FL 32308 463629190 501(C)(3) 10000 FMV N/A SPONSORSHIP BIG BEND HOSPICE FOUNDATION 1723 Mahan Center Blvd TALLAHASSEE FL 32308 592328806 501(C)(3) 138137 FMV N/A SPONSORSHIP SOUTH CITY FOUNDATION 1126A LEE AVENUE TALLAHASSEE FL 32303 473323694 501(C)(3) 25000 FMV N/A SPONSORSHIP TALLAHASSEE CHAMBER OF COMMERCE 300 E PARK AVE TALLAHASSEE FL 32301 590474165 501(c)(6) 28745 FMV N/A SPONSORSHIP WORD OF SOUTH PO BOX 861 TALLAHASSEE FL 32302 463527772 501(C)(3) 12500 FMV N/A SPONSORSHIP 6 1 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 1109585 0 191765 0 1450826 0 353503 0 17499 0 3123178 0 0 0 WILLIAM DOBAK MD MATERNAL/FETAL MEDICINE 635885 0 441211 0 414 0 19800 0 21675 0 1118985 0 0 0 OVIDIU MARINA MD RADIATION ONCOLOGIST 702045 0 453082 0 270 0 19800 0 21478 0 1196675 0 0 0 MITCHELL PEABODY MD HEMATOLOGIST/ONCOLOGIST 315400 0 590561 0 266 0 19800 0 21043 0 947070 0 0 0 GEORGE PENNINGTON II MD GENERAL SURGEON 448594 0 517139 0 162 0 19800 0 21675 0 1007370 0 0 0 WILLIAM GUIDICE FORMER VP/CFO 284795 0 50000 0 370322 0 19800 0 8054 0 732971 0 0 0 RYAN SMITH CHIEF CLINICAL OFFICER/CNO/VP 321271 0 20000 0 12282 0 32901 0 17499 0 403953 0 0 0 ANDREW STARR CHIEF HEALTH OPS OFFICER 359733 0 20000 0 18224 0 41858 0 17499 0 457314 0 0 0 NIGEL ALLEN CHIEF ADVANCEMENT OFFICER/VP 219368 0 20000 0 15198 0 29866 0 17182 0 301614 0 0 0 PRISCILLA NEEDHAM VP/CFO 468151 0 10000 0 1204 0 0 13610 0 492965 0 0 0 JEFFREY CROOMS MD GENERAL SURGEON 795976 0 124604 0 3566 0 0 6025 0 930171 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 AND/OR RECEIVED DISTRIBUTIONS DURING THE YEAR: G. MARK O'BRYANT- $1,431,242 ---------- 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 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 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. 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 44741300 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 0.00000 false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 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 DAVID BRICKLER FAMILY MEMBER OF BRD MBR 186794 EMPLOYMENT false FORM 990, PART I, LINES 8-19 PRIOR YEAR FINANCIAL INFORMATION CERTAIN PRIOR YEAR REVENUE AND EXPENSE BALANCES HAVE BEEN RESTATED TO CONFORM TO THE CURRENT YEAR PRESENTATION. ---------- 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 2023 FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30,2024 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 $ (4,191,500) CHANGE IN FAIR VALUE OF DERIVATIVE (901,433) ADDITIONAL DEPRECIATION (103,120) ______________ TOTAL $ (5,196,053) ---------- FORM 990 PART IX LINE 11G DESCRIPTION:INDEPENDENT LAB TOTAL FEES:6549618 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:10212678 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN PROFESSIONAL FEES TOTAL FEES:58114034 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:78649366 MEDICUS SELECT LLC 1300 MICCOSUKEE ROAD TALLAHASSEE FL 32308 452980304 LEASED LABOR FL 37316091 2793134 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 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 COMPANY FL TMH C CORP 9812525 39846273 1.00000 true true false true false false false false false false true true false true false true false true false false SOUTHEAST COMMUNITY HEALTH SERVICES K 654576 FMV TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION C 58784 FMV SOUTHEAST COMMUNITY HEALTH SERVICES O,Q 1324366 FMV TALLAHASSEE MEMORIAL HEALTHCARE FOUNDATION O,Q 1299247 FMV TALLAHASSEE MEMORIAL HEALTH VENTURES INC J 1401864 FMV TALLAHASSEE MEMORIAL HEALTH VENTURES INC K 534887 FMV TALLAHASSEE MEMORIAL HEALTH VENTURES INC M 72340 FMV 7 OAKS HEALTHCARE INC J 184062 FMV 7 OAKS HEALTHCARE INC A 133432 FMV