A review of tax documents has discovered that Tallahassee Memorial Healthcare CEO Mark O’Bryant received $3.7 million in compensation in 2021. This finding follows a TR report revealing $3.1 million in compensation for O’Bryant in 2024.

Over the last five years, O’Bryant has received $11.6 million in compensation for an annual average of $2.3 million. This average is higher than the annual compensation of hospital CEO’s at Shands in Gainesville, Tampa General Hospital and Lakeland Regional Medical Center.
The compensation for high level officials has become an issue during the negotiations between FSU and TMH related to the academic medical center. In May of this year, the Tallahassee Democrat published an article on the issue. In that article, it was noted that TMH officials declined to disclose O’Bryant’s 2025 compensation.
Confusing Answer
The level of compensation and the response from TMH explaining the increase in the 2024 compensation ($3.1 million) when compared to the 2023 compensation ($1.8 million) is not consistent with numbers provided in IRS tax documents.
When TR reported the 2024 compensation of $3.1 million, TMH Vice President and Chief Communications Officer Stephanie Derzypolski said the compensation included “a one-time payout from an enhanced retirement plan.” (This enhanced retirement plan is in addition to O’Bryant’s 457(F) retirement plan maintained by TMH.)
However, a tax document shows O’Bryant received another “one-time payout from an enhanced retirement plan” of $2.4 million in 2021 making the total 2021 compensation $3.7 million.
The IRS Form 990 labels the “enhanced retirement plan” monies as “other reportable compensation” in a category called “supplemental nonqualified retirement plan.”
The IRS defines a “supplemental nonqualified retirement plan” as a plan that is not generally available to all employees but is available only to a certain class or classes of management or highly compensated employees. These plans are typically used to supplement an employee’s qualified plan or serve as an additional compensation tool for highly compensated individuals. They are not subject to the same tax-favored treatment as qualified plans and are often used to provide specialized forms of compensation to key executives or employees instead of making them partners or part owners in a company or corporation.
Compensation Comparison
Over the last five years (2020-2024), O’Bryant has received $11.6 million in compensation for an average annual compensation of $2.3 million. For the same period, this is higher than the average CEO compensation at Shands ($1.83 million), Tampa General Hospital ($1.98 million), and Lakeland Regional Medical Center ($1.8 million). All available compensation numbers were calculated using the same IRS Form 990 reporting categories, including “other reportable compensation.”
For comparison purposes, the 2024 annual revenue for the hospitals in the comparison were TMH – $1.0 billion, Shands $2.3 billion, Tampa General Hospital – $3.1 billion, and Lakeland Regional Medical Center $1.3 billion.


Yeah sad that employees dont even get paid holidays have to use PTO for that too
They need to let Mark O’Brien Needs To Go
I was dumbfounded to see how much money Mark O’Brien makes it unbelievable and I worked there for pennies. It’s not right it’s not right at all.
“Affordable Health Care Act” my a$$! If it needs to be subsidized, then it’s NOT “affordable”. Just more Alinsky semantics like the “Inflation Reduction Act” that didn’t reduce inflation and was NEVER intended to.
History repeats itself “Supplemental Executive Retirement” hum wonder where Mark O got the idea and again the board was the one who approved that payout as well google search Tallahassee Memorial Healthcare and Former CEO go to Court Over Retirement Benefits, https://www.beckershospitalreview.com/compensation-issues/tallahassee-memorial-healthcare-and-former-ceo-go-to-court-over-retirement-benefits/
Mr. Moore, who resigned from TMH in 2003, says the hospital he led for 15 years has been paying only $227,596 of the $604,732 he is owed yearly in retirement money. TMH counters that Moore tricked board members into agreeing to a Supplemental Executive Retirement program based on inflated salary and benefits calculations that included $1.4 million in severance and the cash-value of other perks.
Administrators are big driver of the outrageous cost of health care. How anyone can take a multi-million dollar salary while the average person is impoverished by the cost of health insurance and the rare occasion they get any medical treatment is disgusting. These days the only people getting affordable health care are illegal aliens who are getting free to them, paid for by us.
This is a national disgrace, thank you to the un-Affordable Health Care Act and democrats.
When is he going to resign this is absolutely untenable. Time for the CEO to resign and the board to be held accountable they are the ones who had to approve all this special compensation.
And…I have heard from a TMH Employee that if an ’emergency’ day, such as a hurricane, requires employees to be off from work, they have to use their PLT (Personal Leave Time) in order to be paid for that day.
My grandpa always told me; “Don’t worry son, the poo always floats to the top.”
N.R. was right about that. They kill us with substandard care and then shower our money on the guy foisting it on an innocent population. I hope every board member rots.
Meanwhile, TMH quietly increased employee out of pocket insurance premiums by hundreds of dollars a month and decreased what TMH pays for each employee’s insurance to approximately $10. So, essentially, all of us worker bees just took a pay cut, even after our pretend 3% raise. But at least the suits and Mark O’Bryant are taken care of. Oh, and let’s all not forget that instead of the “I Care, We Share” bonus we used to get, we now get that amazing $10 Walmart gift card at Christmas and 10% off at the OVERPRICED cafeteria. For those who don’t know, your employee appreciation gifts and lunches come right out of your direct manager’s pocket. Don’t think TMH paid for those either. They pressure us for cash to pay and then take the credit. But, like I mentioned, I sure am glad Mark got his $3.1 million. What would Tallahassee do without a dirty hospital with subpar support and constantly breaking down equipment? Oh yeah, we take out family to other hospitals that are clean and run well like Shands, Tampa General, and Mayo.