2023-07-28T06:45:26-05:00 2022-09-30 593040705 RIVERO GORDIMER & COMPANY PA P O BOX 172359 TAMPA FL 33672 990 2021-10-01 237354477 TAMPA GENERAL HOSPITAL FOUNDATION INC TAMP 8138447250 P O BOX 1289 TAMPA FL 33601 FRANN LEPPLA CHIEF PHILANTHROPY OFFICER 8138447250 2023-07-26 1 FRANN LEPPLA 999009999 SAM A LAZZARA P01342929 8138757774 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z FRANN LEPPLA P O BOX 1289 TAMPA FL 33601 32161374 0 X WWW.TGH.ORG/FOUNDATION X 1974 FL TO SUPPORT AND PROMOTE THE PROGRAM SERVICES OF TAMPA GENERAL HOSPITAL. 23 21 0 25 0 0 1567173 15790978 1314 4615 323525 1068655 113406 493156 2005418 17357404 3214324 13107165 0 0 0 0 0 0 140609 114544 197640 3328868 13304805 -1323450 4052599 49363717 43744733 5338880 2608193 44024837 41136540 X THE TAMPA GENERAL HOSPITAL FOUNDATION EXCLUSIVELY OPERATES FOR THE PURPOSE OF RAISING FUNDS TO SUPPORT THE RESEARCH, EDUCATION AND SERVICE MISSION OF TAMPA GENERAL HOSPITAL. TAMPA GENERAL IS A 1,007 BED, PRIVATE, NOT-FOR-PROFIT, SAFETY NET HOSPITAL AND ONE OF THE MOST COMPREHENSIVE MEDICAL FACILITIES IN WEST CENTRAL FLORIDA SERVING A DOZEN COUNTIES WITH A POPULATION IN EXCESS OF 4 MILLION. 0 0 7000000 7000000 EMERGENCY PREP - COVID 19 - TAMPA GENERAL FOUNDATION PROVIDES SUPPORT TO THE HOSPITAL IN ITS MISSION TO DEAL WITH THE CHALLENGES ASSOCIATED WITH THE ONGOING COVID-19 PANDEMIC. THESE FUNDS MAY BE UTILIZED FOR, BUT NOT LIMITED TO SALARIES, OPERATIONAL NEEDS, PROGRAM DEVELOPMENT AND EQUIPMENT. 800000 800000 INFORMATION TECHNOLOGY - NETWORK EXPANSION - TAMPA GENERAL FOUNDATION PROVIDES SUPPORT TO THE HOSPITAL TO SUPPORT THE EXPANSION AND GROWTH OF THE TGH NETWORK ACROSS THE STATE OF FLORIDA INCLUDING A RECENT EPIC BUILD TO ENSURE CONTINUITY OF CARE FOR OUR PATIENTS AND TEAM. 600000 600000 SHRINER'S GRANT FOR PEDIATRICS DEPARTMENT - THIS FUND WILL ENHANCE TGH'S PEDIATRICS PROGRAM WITH A PRIORITY AND EMPHASIS ON PEDIATRIC ORTHOPEDICS, AND MAY BE USED FOR EXPENSES RELATED TO ENHANCING THE CARE FOR UNINSURED OR UNDERINSURED PEDIATRIC ORTHOPEDIC PATIENTS (INCLUDING SALARY SUPPLEMENTS AND/OR SEED FUNDS FOR PEDIATRIC ORTHOPEDIC PHYSICIANS AND/OR RELATED SUPPORT STAFF). 4707165 4707165 4615 FUNDED OPERATIONAL, EDUCATIONAL AND/OR CAPITAL PURCHASES SUPPORT TO FLORIDA HEALTH SCIENCES CENTER, INC. D/B/A TAMPA GENERAL HOSPITAL. SPECIFIC GRANTS INCLUDED NURSING SCHOLARSHIPS, SMALL CAPITAL EQUIPMENT TO IMPROVE PATIENT SERVICES, HOSPITAL EMPLOYEE EMERGENCY ASSISTANCE AND SUPPORT OF HOSPITAL COMMUNITY OUTREACH, EDUCATIONAL SEMINARS AND REHAB PROGRAMS. 4707165 4707165 4615 13107165 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 100 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 23 21 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X FRANN LEPPLA 8138447250 PO BOX 1289 ROOM H-149 TAMPA FL 336011289 JEFFRIE VAN LOVEREN SECRETARY 2.00 X X 0 0 0 NATALIE ANNIS GOODWIN TREASURER 2.00 X X 0 0 0 MATHEW WASH ASSISTANT TREASURER 2.00 X X 0 0 0 GORDON GILLETTE VICE CHAIRMAN 2.00 X X 0 0 0 T COREY NEIL CHAIRMAN 2.00 X X 0 0 0 JOE WILLIAMS MEMBER AT LARGE 1.00 X 0 0 0 TAMMY KING PT MHS DPT MEMBER AT LARGE 1.00 X 0 0 0 FRANK HANCOCK MEMBER AT LARGE 1.00 X 0 0 0 RAVIENDER BUKKAPATNAM MD MEMBER AT LARGE 1.00 X 0 16000 0 JOHN COURIS EX OFFICIO 1.00 X 0 1913629 79890 E MARK FERNANDEZ TRUSTEE 1.00 X 0 0 0 BETHANY PAGLIARULO TRUSTEE 1.00 X 0 0 0 TAPAN PADHYA MD TRUSTEE 1.00 X 0 0 0 TOM LONCAR TRUSTEE 1.00 X 0 0 0 CLEVELAND BUCK MCINNIS TRUSTEE 1.00 X 0 0 0 TEALE TAGGART SMITH TRUSTEE 1.00 X 0 0 0 DIANNE JACOB TRUSTEE 1.00 X 0 0 0 SUPRIYA TANEJA TRUSTEE 1.00 X 0 0 0 ERIC EBBERT TRUSTEE 1.00 X 0 0 0 RON WEISSER TRUSTEE 1.00 X 0 0 0 PATRICIA J EMMANUEL MD TRUSTEE 1.00 X 0 0 0 JUDETTE LOUIS MD MPH TRUSTEE 1.00 X 0 0 0 BRUCE ZWIEBEL MD TRUSTEE 1.00 X 0 0 0 FRANN LEPPLA SVP/ CHIEF PHILANTROPY OFFICER 50.00 X 0 475248 22323 0 2404877 102213 0 0 1 0 0 772772 15018206 423099 15790978 EDUCATIONAL FEES 900099 4615 4615 4615 1376608 1376608 14496017 14803970 -307953 -307953 -307953 35328 772772 0 35328 35328 MANAGEMENT FEE 900099 457828 457828 457828 17357404 4615 0 1561811 12248061 12248061 859104 859104 24000 24000 21312 21312 152309 11700 140609 19 19 13304805 13107165 57031 140609 7337423 1637199 6309083 10758556 1309 1259 69 50 35717142 31348928 49363717 43744733 1970524 101735 747500 526920 2620856 1979538 5338880 2608193 X 12163587 8945806 31861250 32190734 44024837 41136540 49363717 43744733 X 4052599 -5963379 -977517 X X 0 1 X 1 0 X X X 1 FLORIDA HEALTH SCIENCES CENTER DBA 593458145 3 1 13107165 0 1 13107165 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION D, LINE 3 EVERY GRANT, GIFT AND NEW FUND ESTABLISHED BY THE FOUNDATION DIRECTLY CORRELATES TO THE NEEDS OF THE SUPPORTED ORGANIZATION. NO GIFT IS SOLICITED FOR ANYTHING OTHER THAN THE SUPPORTED ORGANIZATION'S NEEDS. EACH RESTRICTED FUND IS ASSIGNED TO THE TGH VICE PRESIDENT WHO THEN DESIGNATES A FUND OFFICER. THE FUND OFFICER MUST BE EMPLOYEED BY TGH AS A MEDICAL STAFF MEMBER, VICE PRESIDENT, DEPARTMENT MANAGER OR DIRECTOR. THE FUND OFFICER AND VICE PRESIDENT ARE DIRECTLY AND SOLELY RESPONSIBLE FOR MEETING THE REQUIREMENTS OF THE FUND PURPOSE. DISBURSEMENTS FROM THE FUND MAY ONLY BE MADE WHEN A PROPERLY COMPLETED CHECK REQEST FORM WITH SUPPORTING DOCUMENTATION HAS BEEN SUBMITTED BY THE FUND OFFICER, APPROVED BY THE ASSIGNED VICE PRESIDENT AND REVIEWED BY THE FOUNDATION EXECUTIVE DIRECTOR TO ENSURE THAT THE REQUEST MEETS THE ORIGINALLY ESTABLISHED FUND CRITERIA. PART IV, SECTION E, LINE 2A THE FOUNDATION IS A SUPPORTING ORGANIZATION WHICH IS ORGANIZED AND OPERATED EXCLUSIVELY TO PROMOTE, SUPPORT, AND ENHANCE THE MISSION AND SERVICES OF FLORIDA HEALTH SCIENCES CENTER INC. DBA TAMPA GENERAL HOSPITAL (TGH) (EIN 59-3458145). PART IV, SECTION E, LINE 2B IF THE FOUNDATION DID NOT OPERATE TO RAISE THE FUNDS TO SUPPORT TGH'S RESEARCH, EDUCATION, AND SERVICE MISSION, TGH WOULD HAVE TO CONDUCT THESE ACTIVITIES ITSELF. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1338921 338574 1677495 1521211 15622 197952 1338881 1241725 279486 1521211 1133621 108360 256 1241725 919194 214427 1133621 1.00000 0 0 1309 1259 50 50 FUNDS HELD FOR THE BENEFIT OF OTHERS 1979538 1979538 X 13910362 -5963379 2537649 -3425730 17336092 21312 21312 17357404 16798659 2537649 977517 3515166 13283493 21312 21312 13304805 PART V, LINE 4: ENDOWMENT FUNDS SUPPORT THE MISSION OF TAMPA GENERAL HOSPITAL, INCLUDING RESEARCH, EDUCATION, AND HEALTHCARE DELIVERY. PART X, LINE 2: THE FOUNDATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A TAX-EXEMPT ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. INCOME EARNED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THE FOUNDATION IS NOT AWARE OF ANY TAX POSITIONS IT HAS TAKEN THAT ARE SUBJECT TO A SIGNIFICANT DEGREE OF UNCERTAINTY. TAX YEARS AFTER JUNE 30, 2019 REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. PART XII, LINE 2D - OTHER ADJUSTMENTS: ALLOWANCE OF UNCOLLECTIBLE PLEDGES 977,517. GALA 316612 296034 20578 GOLF 476488 461738 14750 1 15000 15000 808100 772772 35328 35328 1 FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 7000000 0 EMERGENCY PREP - HOSPITAL SUPPORT FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 800000 0 INFORMATION TECHNOLOGY - EPIC BUILD FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 600000 0 SURGICAL SUPPLIES - SHRINER'S GRANT FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 456245 0 ORGANIZATIONAL DEVELOPMENT - HEALTHCARE PEOPLE DEVELOPMENT INSTITUTE FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 449500 0 ORTHOPEDICS - ORTHOPEDIC RESEARCH & EDUCATION FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 430998 0 VARIOUS - TAMPA WELLNESS PROJECT FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 388606 0 BURN UNIT - ICU RENOVATIONS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 300000 0 VARIOUS - RESIDENTIAL CONSULTANT FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 218684 0 CLINICAL RESEARCH - VACCINE TRIAL FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 166537 0 VARIOUS - EVENTS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 126681 0 NEONATAL INTENSIVE CARE - EQUIPMENT, TRAINING & EDUCATION FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 126413 0 FACILITIES DEVELOPMENT - GLOBAL EMERGING DISEASES INSTITUTE FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 118676 0 VARIOUS - EQUIPMENT, EDUCATION & PROGRAM EXPENSES FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 111568 0 TEAM MEMBER WELLNESS - FITNESS CENTER RENOVATIONS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 100000 0 VARIOUS - SUPPORTIVE CARE PROGRAM FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 79000 0 CARDIOLOGY - MERGE SYSTEM FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 66159 0 CANCER CENTER - CANCER INSTITUTE FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 65563 0 HOSPITAL ADMINISTRATION - EXECUTIVE HEALTH AMBASSADOR FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 65341 0 CLINICAL ENGINEERING - ULTRASOUND, MEDICAL EQUIPMENT FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 64000 0 VARIOUS - MEDICIAL TREATMENTS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 61491 0 HOME BASE - HOME BASE SUPPORT FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 58707 0 VARIOUS - EVENT SUPPORT FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 58500 0 FACILITIES DEVELOPMENT - GROUND AMBULANCE FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 45246 0 CARDIOLOGY - CARDIOVASCULAR SUPPORT FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 36372 0 ONCOLOGY - ONCOLOGY PATIENT ASSISTANCE FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 35027 0 VARIOUS - PET THERAPY PROGRAM FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 32517 0 MORE HEALTH - CONTRIBUTION OF OPERATING SUPPORT FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 30567 0 GENESIS - EQUIPMENT, MEDICAL SUPPLIES FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 26394 0 SPIRITUAL HEALTH & EDUCATION - WOMEN'S LEADERSHIP FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 23744 0 AEROMED - AEROMED SUPPLIES FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 21573 0 TRANSPLANT - TRANSPLANT ASSISTANCE FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 21221 0 PATIENT EXPERIENCE - PATIENT ASSISTANCE & HARDSHIP SUPPORT FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 15907 0 WOMEN & CHILDREN - REGISTRATION & SUPPLIES FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 13623 0 INTEGRATIVE MEDICINE - INTEGRATIVE MEDICINE TREATMENTS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 12740 0 VARIOUS - EDUCATIONAL SEMINARS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 11460 0 PATHOLOGY - LICENSE FEES & EDUCATION FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 9000 0 FACILITIES DEVELOPMENT - K9 STONE, SUPPORT 1 FLANNERY SCHOLARSHIP FUND 2 1000 NURSING SCHOLARSHIPS 13 132078 NURSE WEEK AWARDS 93 137884 EMPLOYEE EMERGENCY ASSISTANCE 147 588141 PART I, LINE 2: THE FOUNDATION EXECUTIVE COMMITTEE ESTABLISHES A RESTRICTED FUND AFTER A CAREFUL REVIEW OF THE FUND'S SPECIFIC PURPOSE AND ANTICIPATED APPROVED EXPENDITURES. EACH RESTRICTED FUND IS ASSIGNED TO A TAMPA GENERAL HOSPITAL (TGH) VICE PRESIDENT WHO THEN DESIGNATES A FUND OFFICER. THE FUND OFFICER MUST BE EMPLOYED BY TGH AS A MEDICAL STAFF MEMBER, VICE PRESIDENT, DEPARTMENT MANAGER OR DIRECTOR. THE FUND OFFICER AND VICE PRESIDENT ARE DIRECTLY AND SOLELY RESPONSIBLE FOR MEETING THE REQUIREMENTS OF THE FUND PURPOSE. DISBURSEMENTS FROM THE FUND MAY ONLY BE MADE WHEN A PROPERLY COMPLETED CHECK REQUEST FORM WITH SUPPORTING DOCUMENTATION HAS BEEN SUBMITTED BY THE FUND OFFICER, APPROVED BY THE ASSIGNED VICE PRESIDENT AND REVIEWED BY THE FOUNDATION EXECUTIVE DIRECTOR TO ENSURE THAT THE REQUEST MEETS THE ORIGINALLY ESTABLISHED FUND CRITERIA. ALL LEVELS OF APPROVAL MUST BE OBTAINED BEFORE A CHECK IS PRODUCED. THE EXECUTIVE DIRECTOR AND BOARD TREASURER OR ASSISTANT TREASURER PERFORM A FINAL REVIEW OF THE DOCUMENTATION PRIOR TO SIGNING PRINTED CHECKS. 0 0 0 0 0 0 0 0 0 JOHN COURIS EX OFFICIO 0 1148569 0 765050 0 10 0 14250 0 65640 0 1993519 0 0 FRANN LEPPLA SVP/ CHIEF PHILANTROPY OFFICER 0 309383 0 165845 0 20 0 8399 0 13924 0 497571 0 0 PART I, LINE 3 TAMPA GENERAL HOSPITAL (TGH) PAYS THE COMPENSATION FOR THE CEO, OFFICERS, EXECUTIVE GROUP AND KEY EMPLOYEES. TGH UTILIZES COMPENSATION COMMITTEES, INDEPENDENT COMPENSATION CONSULTANTS, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEYS AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THESE INDIVIDUALS. X 5383 RETAIL PRICING X 4 268540 MARKET PRICING X 1 100 RETAIL PRICING X 1 45 RETAIL PRICING X GIFT CARDS/PRIZES 27 83324 RETAIL PRICING X MEALS/TICKETS TO EVENTS 16 31470 RETAIL PRICING X SERVICES 4 19950 RETAIL PRICING X OFFICE SUPPLIES 2 13100 RETAIL PRICING X TOYS/GAMES 12 1187 RETAIL PRICING 0 1 0 FORM 990, PART VI, SECTION A, LINE 7A TWO TRUSTEES ARE APPOINTED FROM TAMPA GENERAL HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE FINANCE COMMITTEE. ONCE SATISFIED WITH THE RETURN, IT WAS PRESENTED TO THE BOARD OF TRUSTEES AT A BOARD MEETING FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C EACH FOUNDATION TRUSTEE, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS IS REQUIRED TO SIGN AN "ANNUAL DISCLOSURE STATEMENT (CONFLICT OF INTEREST AND IRS MATTERS)." ON THE FORM THE PERSON AFFIRMS THAT HE/SHE HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; HAS READ AND UNDERSTANDS THE POLICY; HAS AGREED TO COMPLY WITH THE POLICY; AND UNDERSTANDS THAT THE FOUNDATION IS A CHARITABLE, TAX EXEMPT ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. ADDITIONALLY, HE/SHE DISCLOSES ALL KNOWN POTENTIAL OR ACTUAL CONFLICTS. UPON COMPLETION, THE ANNUAL DISCLOSURE STATEMENT IS PROVIDED TO THE FOUNDATION'S EXECUTIVE DIRECTOR, WITH A COPY TO LEGAL COUNSEL. TO ENSURE THAT THE FOUNDATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEWS ARE CONDUCTED AT LEAST ANNUALLY AND ON A CHANGE OF CIRCUMSTANCE. THE MINUTES OR OTHER RECORDS OF THE BOARD AND ALL COMMITTEES WITH BOARD DELEGATED POWERS CONTAIN THE NAMES OF ANY PERSONS WHO ABSTAIN FROM VOTING DUE TO A REAL OR POTENTIAL CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 TAMPA GENERAL HOSPITAL FOUNDATION, INC. HAS ADOPTED THE FOLLOWING PROCEDURES FROM TAMPA GENERAL HOSPITAL ("TGH") AND DEPENDS ON TGH TO PROVIDE THE ANALYSIS DESCRIBED. WITHIN THE FRAMEWORK OF APPLICABLE LAW, TAMPA GENERAL HOSPITAL HAS ESTABLISHED AND MAINTAINED COMPENSATION GOALS, POLICIES, AND PROGRAMS THAT ENABLE THE HOSPITAL TO RECRUIT, DEVELOP, AND RETAIN THE MOST QUALIFIED AND TALENTED STAFF. TAMPA GENERAL HOSPITAL STRATEGICALLY INVESTS IN THE PEOPLE WHO SUPPORT THE HOSPITAL'S MISSION. COMPENSATION GOALS, POLICIES, AND PROGRAMS ARE GUIDED BY AND REFLECT OUR VALUES AND PRINCIPLES, WHICH ARE CONSISTENT WITH THE HIGH QUALITY OF THE HOSPITAL'S ACHIEVEMENT IN THE FURTHERANCE OF MEDICAL SCIENCE. DIFFERENCES IN PAY WILL NOT BE BASED UPON SUCH FACTORS AS RACE, RELIGION, GENDER, NATIONAL ORIGIN, ANCESTRY, AGE, MARITAL STATUS, OR DISABILITY. TO ENSURE THAT TGH IS PAYING REASONABLE COMPENSATION AND NOT VIOLATING THE PRIVATE INUREMENT PROHIBITION, THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY REVIEWS AND SETS THE COMPENSATION OF OFFICERS, THE EXECUTIVE GROUP, AND KEY EMPLOYEES. THE COMMITTEE UTILIZES THE OUTSIDE CONSULTING FIRM OF MERCER TO PROVIDE EXPERT INFORMATION REGARDING INDUSTRY-WIDE COMPENSATION NORMS. IN ADDITION, THE HOSPITAL UTILIZES AN OUTSIDE CONSULTING FIRM TO REVIEW THE COMPENSATION ARRANGEMENTS OF EMPLOYED PHYSICIANS FOR COMPLIANCE WITH ALL APPLICABLE LAWS. FORM 990, PART VI, SECTION C, LINE 19 TAMPA GENERAL HOSPITAL FOUNDATION, INC. WILL MAKE THE FOLLOWING DOCUMENTS AVAILABLE TO THE PUBLIC: (1) ARTICLES OF INCORPORATION AND AMENDMENTS THERETO; (2) BYLAWS; (3) CONFLICT OF INTEREST POLICY; (4) AUDITED FINANCIAL STATEMENTS; AND (5) IRS FORM 990. THE FOREGOING DOCUMENTS WILL BE AVAILABLE TO THE PUBLIC UPON REQUEST AND AFTER PAYMENT OF REASONABLE COPYING FEES. FORM 990, PART XI, LINE 9: ALLOWANCE FOR UNCOLLECTIBLE PLEDGES -977,517. FORM 990, PART XII, LINE 2C THE PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. FL HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL 1 TAMPA GENERAL CIRCLE TAMPA FL 33606 593458145 1,007 BED PRIVATE, NOT-FOR-PROFIT HOSPITAL FL 501(C)(3) 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0