2020-05-15T06:12:13-05:00 2019-06-30 593040705 RIVERO GORDIMER & COMPANY PA P O BOX 172359 TAMPA FL 33672 990 2018-07-01 237354477 TAMPA GENERAL HOSPITAL FOUNDATION INC TAMP 8138447250 P O BOX 1289 RM H-149 TAMPA FL 33601 ROBIN DELAVERGNE CHIEF DEVELOPMENT OFFICER 8138447250 2020-05-12 1 SAM A LAZZARA P01342929 8138757774 209.202.225.84 2020-05-12 14:27:27 ED P 69A26F9334EBCBBAE563FF7F9523795D603EB3D5 425BBEDD4FE3D6157E7D42C8E7BC794A0085AF35 2018 2020-09-23 17:36:50Z FRANN RICHARDS P O BOX 1289 RM H-149 TAMPA FL 33601 18151675 0 X WWW.TGH.ORG X 1974 FL TO SUPPORT AND PROMOTE THE PROGRAM SERVICES OF TAMPA GENERAL HOSPITAL. 28 27 0 150 0 0 3949644 4904551 18210 27068 769314 1427039 287271 2878 5024439 6361536 2900611 3550654 0 0 170593 500463 0 0 499820 236629 286847 3307833 4337964 1716606 2023572 28964967 31610334 3388665 3980340 25576302 27629994 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 242865 242865 CYSTIC FIBROSIS RESEARCH - TAMPA GENERAL FOUNDATION PROVIDES SUPPORT TO THE CYSTIC FIBROSIS PROGRAM BY MANAGING FUNDS RECEIVED VIA GRANTS FOR RESEARCH STUDIES OR DONATIONS. THE FUNDS ARE HELD BY THE TAMPA GENERAL FOUNDATION AND DISBURSED ACCORDING TO THE GRANT EXPENSE REPORTS EACH YEAR. THE PURPOSE OF THIS ACCOUNT IS TO SUPPORT CORE PERSONNEL SALARIES, BENEFITS, EDUCATIONAL MATERIALS AND TRAVEL EXPENSES TO THE ANNUAL NORTH AMERICAN CYSTIC FIBROSIS FOUNDATION CONFERENCE. 120851 120851 TRANSPLANT RESEARCH AND PROGRAMS - TAMPA GENERAL FOUNDATION PROVIDES SUPPORT TO THE VARIOUS TRANSPLANT PROGRAMS TO BRING AWARENESS TO THE LIFE-CHANGING IMPACT TRANSPLANTS HAVE ON ORGAN RECIPIENTS. FUNDS ARE HELD BY THE TAMPA GENERAL FOUNDATION AND DISBURSED BASED ON AN IDENTIFIABLE NEED. FUNDING ALSO SUPPORTS PROVIDING ASSISTANCE TO TRANSPLANT RECIPIENTS, SPONSORING CONFERENCES AND SYMPOSIUMS TO EDUCATE THE PUBLIC AND RAISE AWARENESS OF THE ONGOING NEED FOR DONORS, AS WELL AS THE IDENTIFICATION OF ADDITIONAL RESEARCH AND GRANT OPPORTUNITIES. 117843 117843 CHILDREN'S MEDICAL CENTER PROGRAMS - TAMPA GENERAL FOUNDATION PROVIDES SUPPORT TO THE CHILDREN'S MEDICAL CENTER FOR ACTIVITIES, SPECIAL PROJECTS, EDUCATION AND OTHER PROGRAMS. FUNDS ARE HELD BY THE TAMPA GENERAL FOUNDATION AND DISBURSED BASED ON AN IDENTIFIABLE NEED. FUNDING IS ALSO USED FOR ARTS & CRAFTS, HOLIDAY AND BIRTHDAY DECORATIONS AND SMALL GIFTS FOR THOSE CHILDREN EXPERIENCING AN EXTENDED STAY AT THE HOSPITAL DUE TO THE SEVERITY OF THEIR ILLNESS. 3069095 3069095 27068 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. 3069095 3069095 27068 3550654 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 1 108 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 28 27 1 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X FRANN RICHARDS 8138447250 PO BOX 1289 ROOM H-149 TAMPA FL 336011289 DREW A GRAHAM CHAIRMAN 2.00 X X 0 0 0 GREGORY J CELESTAN VICE CHAIRMAN 2.00 X X 0 0 0 DIANE JACOB SECRETARY 2.00 X X 0 0 0 T COREY NEIL TREASURER 2.00 X X 0 0 0 GORDON GILLETTE ASSISTANT TREASURER 2.00 X X 0 0 0 NATALIE ANNIS GOODWIN MEMBER AT LARGE 1.00 X 0 0 0 FRANK HANCOCK MEMBER AT LARGE 1.00 X 0 0 0 MATT WASH MEMBER AT LARGE 1.00 X 0 0 0 BRUCE ZWIEBEL MD MEMBER AT LARGE 1.00 X 0 0 0 STEPHEN G BRANTLEY MD TRUSTEE 1.00 X 0 0 0 RAVIENDER BUKKAPATNAM MD TRUSTEE 1.00 50.00 X 0 96222 0 DOUGLAS DIECK TRUSTEE 1.00 X 0 0 0 PATRICIA J EMANUEL MD TRUSTEE 1.00 X 0 0 0 E MARK FERNANDEZ TRUSTEE 1.00 X 0 0 0 BARBARA HURST TRUSTEE 1.00 X 0 0 0 DANNY JACKSON TRUSTEE 1.00 X 0 0 0 TAMMY KING PT MHS DPT 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 YVETTE SEGURA TRUSTEE 1.00 X 0 0 0 TEALE TAGGART SMITH TRUSTEE 1.00 X 0 0 0 CATHERINE LOWRY STRAZ TRUSTEE 1.00 X 0 0 0 JEFFRIE VAN LOVEREN TRUSTEE 1.00 X 0 0 0 DAVID WEIN MD TRUSTEE 1.00 X 0 0 0 RON WEISSER TRUSTEE 1.00 X 0 0 0 JOE WILLIAMS TRUSTEE 1.00 X 0 0 0 CARIN ZWIEBEL TRUSTEE 1.00 X 0 0 0 JOHN COURIS TRUSTEE 1.00 50.00 X 0 1675563 33667 ROBIN DELAVERGNE FORMER EXECUTIVE DIRECTOR 50.00 X 0 522843 32242 FRANN RICHARDS SVP/CHIEF DEV OFFICER 50.00 X 0 105897 2227 0 2400525 68136 0 0 1 0 0 1990367 2914184 195333 4904551 EDUCATIONAL FEES 900099 27068 27068 27068 1145611 1145611 11612993 11331565 281428 281428 281428 445997 1990367 458574 -12577 -12577 MANAGEMENT FEE 900099 15455 15455 15455 6361536 27068 0 1429917 3321117 3321117 229537 229537 394075 155096 238979 106388 41873 64515 21824 21824 218900 22574 196326 67 67 44108 44108 1929 1929 19 19 4337964 3550654 287490 499820 1795183 3210685 744991 308984 3724 3740 1309 1197 131 112 26420938 28086813 28964967 31610334 162393 964660 3226272 3015680 3388665 3980340 X 12812060 14223486 11845048 12272887 919194 1133621 25576302 27629994 28964967 31610334 X 2023572 119271 -89151 X X 0 1 X 1 0 X 3741873 2597193 4521708 3949644 4904551 19714969 3741873 2597193 4521708 3949644 4904551 19714969 1750976 17963993 495247 525835 524793 356008 1145611 3047494 22762463 291647 0.78920 0.81550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 919194 214427 1133621 919194 919194 915531 3663 919194 911736 3795 915531 910736 1000 911736 1.00000 0 0 1309 1197 112 112 FUNDS HELD FOR THE BENEFIT OF OTHERS 3015680 3015680 X 7697085 119271 757704 458574 1335549 6361536 0 6361536 5554242 757704 458574 1216278 4337964 0 4337964 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, 2016 REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT DIRECT EXPENSES 458,574. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS DIRECT EXPENSES 458,574. GALA 1629152 1415936 213216 314054 GOLF 424464 400197 24267 60079 2 382748 174234 208514 84441 2436364 1990367 445997 458574 458574 -12577 1 FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 969075 FACILITIES DEVELOPMENT - PHYSICIANS LOUNGE RENOVATIONS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 242865 RESEARCH/GRANTS - CYSTIC FIBROSIS RESEARCH FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 120851 TRANSPLANT SERVICES - TRANSPLANT PROGRAMS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 91071 VARIOUS - EDUCATIONAL SEMINARS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 620000 SURGICAL SUITES - EQUIPMENT FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 50809 INTEGRATIVE MEDICINE - INTEGRATIVE MEDICINE TREATMENTS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 17714 EMPLOYEE WELLNESS CENTER - EQUIPMENT AND EDUCATION FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 45780 PHARMACY - PHARMACY EDUCATION FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 91088 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) 117843 NURSING - CHILDREN'S MEDICAL CENTER PROGRAMS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 27353 CANCER CENTER - THYROID CANCER INSTITUTE FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 13438 CLINICAL PASTORAL CARE - TRAINING AND EDUCATION FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 248127 VARIOUS - EQUIPMENT AND EDUCATION FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 150009 NEONATAL ICU - EQUIPMENT AND EDUCATION FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 35475 REHAB CENTER - REHABILITATION EQUIPMENT FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 63000 LABOR AND DELIVERY - EQUIPMENT AND EDUCATION FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 201760 CARDIOLOGY - EQUIPMENT FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 99200 CHIEF MEDICAL OFFICE - DEPRESSION RESEARCH FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 60927 NURSING - NURSES' WEEK DINNER AND GIFT BAGS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 34000 PARKING SERVICES - EQUIPMENT AND SOFTWARE FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 20732 NEUROSURGERY - TRAINING AND EDUCATION 1 NURSING SCHOLARSHIPS 11 99800 CURRENT SALARY RATES NURSE WEEK SCHOLARSHIPS 85 59975 AVAILABLE DONOR FUNDING EMPLOYEE SERVICES - EMERGENCY ASSISTANCE 52 66662 BASED ON EMPLOYEE NEED ACE UNIT FUND SCHOLARSHIPS 4 2100 FLANNERY SCHOLARSHIP FUND 2 1000 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. X X X X X 0 0 0 0 0 0 0 0 0 JOHN COURIS TRUSTEE 0 946802 0 728761 0 0 0 0 0 33667 0 1709230 0 0 ROBIN DELAVERGNE FORMER EXECUTIVE DIRECTOR 0 287842 0 234351 0 650 0 19076 0 13166 0 555085 0 0 X 1 1050 RETAIL PRICING X 4852 RETAIL PRICING X 4 952 RETAIL PRICING X GIFT CARDS/PRIZES 94 72021 RETAIL PRICING X DESIGN - REMODEL 1 30925 RETAIL PRICING X SERVICES 12 29522 RETAIL PRICING X TRAVEL/TRIPS 19 25350 RETAIL PRICING X TICKETS TO EVENTS 24 16949 RETAIL PRICING X JEWELRY 3 7425 RETAIL PRICING X TOYS/GAMES 7 6288 RETAIL PRICING 0 1 0 FORM 990, PART VI, SECTION A, LINE 2 BRUCE & CARIN ZWIEBEL ARE MARRIED AND BOTH SERVE AS BOARD MEMBERS. 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: PLEDGE ALLOWANCE ADJUSTMENTS -89,151. FORM 990, PART XII, LINE 2C, FINANCIAL STATEMENTS AND REPORTING: 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 1 0 0 0 FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL B 3550654 BASED ON FOUND. BOARD DECISIONS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL P 500463 BASED ON SALARY AND BENEFIT CALC. FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL O 695904 BASED ON SALARY AND BENEFIT CALC. FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL N 49800 BASED ON FAIR RENTAL VALUE