TAMPA GENERAL HOSPITAL FOUNDATION INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
TAMPA GENERAL HOSPITAL FOUNDATION INC (EIN 23-7354477)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-04-27
IRS object ID
201741179349300839
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-04-27T13:52:10-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN593040705PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RIVERO GORDIMER & COMPANY PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 172359AddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33672ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237354477EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TAMPA GENERAL HOSPITALBusinessNameLine1Txt
Business Name Line2FOUNDATION INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlTAMPBusinessNameControlTxt
Phone8138447250PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 1289 RM H-149AddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBIN DELAVERGNEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8138447250PhoneNum
Signature2017-02-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSAM A LAZZARAPreparerPersonNm
PTINP01342929PTIN
Phone8138757774PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBIN DELAVERGNEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 1289 RM H-149AddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,330,701GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TGH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1974FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO SUPPORT AND PROMOTE THE PROGRAM SERVICES OF TAMPA GENERAL HOSPITAL.ActivityOrMissionDesc
Voting Members Governing Body33VotingMembersGoverningBodyCnt
Voting Members Independent31VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,741,873PYContributionsGrantsAmt
CY Contributions Grants$2,597,193CYContributionsGrantsAmt
PY Program Service Revenue$60,922PYProgramServiceRevenueAmt
CY Program Service Revenue$57,624CYProgramServiceRevenueAmt
PY Investment Income$650,068PYInvestmentIncomeAmt
CY Investment Income$602,261CYInvestmentIncomeAmt
PY Other Revenue$235,227PYOtherRevenueAmt
CY Other Revenue$226,037CYOtherRevenueAmt
PY Total Revenue$4,688,090PYTotalRevenueAmt
CY Total Revenue$3,483,115CYTotalRevenueAmt
PY Grants And Similar Paid$2,230,340PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,268,028CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$318,732PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$252,183CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$296,106CYTotalFundraisingExpenseAmt
PY Other Expenses$282,208PYOtherExpensesAmt
CY Other Expenses$212,928CYOtherExpensesAmt
PY Total Expenses$2,831,280PYTotalExpensesAmt
CY Total Expenses$2,733,139CYTotalExpensesAmt
PY Revenues Less Expenses$1,856,810PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$749,976CYRevenuesLessExpensesAmt
Total Assets BOY$23,103,930TotalAssetsBOYAmt
Total Assets EOY$23,991,549TotalAssetsEOYAmt
Total Liabilities BOY$3,740,054TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,352,704TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,363,876NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,638,845NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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 1,011 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$400,000ExpenseAmt
Grant$400,000GrantAmt
DescELECTRON MICROSCOPE - AN ELECTRON MICROSCOPE IS A MICROSCOPE THAT USES A BEAM OF ACCELERATED ELECTRONS AS A SOURCE OF ILLUMINATION. AS THE WAVELENGTH OF AN ELECTRON CAN BE UP TO 100,000 TIMES SHORTER THAN THAT OF VISIBLE LIGHT PHOTONS, ELECTRON MICROSCOPES HAVE A HIGHER RESOLVING POWER THAN LIGHT MICROSCOPES AND CAN REVEAL THE STRUCTURE OF SMALLER OBJECTS. THE PURCHASE OF THE NEW MICROSCOPE ADDS TO THE ACCURACY OF DIAGNOSIS OF CERTAIN DISEASES AND ALLOWS THE PHYSICIANS TO DO ADDITIONAL STUDIES THAT THE PREVIOUS MICROSCOPE COULD NOT DO.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$328,900ExpenseAmt
Grant$328,900GrantAmt
DescULTRASOUND MACHINES - THE FOUNDATION PURCHASED 3 ULTRASOUND MACHINES FOR THE GENESIS WOMEN'S CENTER WHICH PROVIDES OB/GYN SERVICES AND SERVES HIGH RISK OBSTETRIC PATIENTS WITH OVER 31,650 PATIENT VISITS IN FY 2015. THE EQUIPMENT WAS PURCHASED TO REPLACE THE EXISTING OLDER EQUIPMENT WITH THE LATEST TECHNOLOGY TO ASSIST THE PHYSICIANS IN THE DIAGNOSIS AND TREATMENT OF PATIENTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$140,199ExpenseAmt
Grant$140,199GrantAmt
DescTRANSPLANT RESEARCHERS - THE YEARS OF TRANSPLANT ACTIVITY AT TGH HAS AND CONTINUES TO AMASS AN ENORMOUS AMOUNT OF DATA ABOUT VARIOUS TREATMENT ASPECTS, MEDICATION THERAPIES, PATIENT ASSESSMENT AND MANAGEMENT. IN ORDER TO COLLECT AND REVIEW THIS IN A SCHOLARLY MANNER THAT LEADS TO RESEARCH, PUBLICATIONS, AND DEVELOPMENT OF FURTHER CRITICAL QUESTIONS ABOUT THE MANAGEMENT OF THIS POPULATION, IT IS IMPORTANT TO HAVE RESEARCH ASSISTANTS TO GATHER AND INPUT THE DATA SO THAT PHYSICIANS CAN PERUSE THIS INFORMATION APPROPRIATELY AND GENERATE PUBLICATIONS THAT WILL FURTHER BRING RECOGNITION AND ADDITIONAL RESEARCH OPPORTUNITIES TO THE VARIOUS TRANSPLANT PROGRAMS. THE RESEARCH ASSISTANTS ALSO WORK WITH THE PHYSICIANS ON WRITING GRANTS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$1,404,545ExpenseAmt
Grant$1,398,929GrantAmt
Revenue$57,624RevenueAmt
DescFUNDED OPERATIONAL, EDUCATIONAL AND/OR CAPITAL PURCHASES SUPPORT TO FLORIDA HEALTH SCIENCES CENTER, INC. D/B/A TAMPA GENERAL HOSPITAL. SPECIFIC GRANTS INCLUDED NURSING SCHOLARSHIPS, PURCHASE AND DISTRIBUTION OF INFANT CAR SEATS TO HOSPITAL NEWBORN PARENTS, SMALL CAPITAL EQUIPMENT TO IMPROVE PATIENT SERVICES, HOSPITAL EMPLOYEE EMERGENCY ASSISTANCE AND SUPPORT OF HOSPITAL COMMUNITY OUTREACH, WHEELCHAIR SPORTS AND REHAB PROGRAMS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,404,545TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$1,398,929TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$57,624TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$2,273,644TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document88IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members33GoverningBodyVotingMembersCnt
Independent Voting Member31IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROBIN DELAVERGNEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8138447250PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1289 ROOM H-149AddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP336011289ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DOUGLAS J DIECK
CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
DREW A GRAHAM
VICE CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
J ERIC TAYLOR
SECRETARY2.00Yes (X)Yes (X)$0$0$0
MICHAEL S MURRAY
TREASURER2.00Yes (X)Yes (X)$0$0$0
RICHARD DOBKIN
ASSISTANT TREASURER2.00Yes (X)Yes (X)$0$0$0
CLEVELAND MCINNIS
MEMBER AT LARGE1.00Yes (X)$0$0$0
GREGORY J CELESTAN
MEMBER AT LARGE1.00Yes (X)$0$0$0
DAN RIGGS MD
MEMBER AT LARGE1.00Yes (X)$0$0$0
JEFFRIE VAN LOVEREN
MEMBER AT LARGE1.00Yes (X)$0$0$0
STEPHEN G BRANTLEY MD
TRUSTEE1.00Yes (X)$0$0$0
JAMES BURKHART
TRUSTEE1.00Yes (X)$0$1,173,720$65,371
MARY JANE CAMPBELL
TRUSTEE1.00Yes (X)$0$0$0
PHILLIP E CASEY
TRUSTEE1.00Yes (X)$0$0$0
MARK FERNANDEZ
TRUSTEE1.00Yes (X)$0$0$0
CHARLES B FUNK
TRUSTEE1.00Yes (X)$0$0$0
GORDON GILLETTE
TRUSTEE1.00Yes (X)$0$0$0
NATALIE ANNIS GOODWIN
TRUSTEE1.00Yes (X)$0$0$0
ANDREA I GRAMLING
TRUSTEE1.00Yes (X)$0$0$0
FRANK HANCOCK
TRUSTEE1.00Yes (X)$0$0$0
BARBARA HURST
TRUSTEE1.00Yes (X)$0$0$0
DANNY JACKSON
TRUSTEE1.00Yes (X)$0$0$0
DIANE JACOB
TRUSTEE1.00Yes (X)$0$0$0
JOHN LEONE MD
TRUSTEE1.00Yes (X)$0$0$0
PAMELA S MUMA
TRUSTEE1.00Yes (X)$0$0$0
T COREY NEIL
TRUSTEE1.00Yes (X)$0$0$0
DEANA NELSON
TRUSTEE1.00Yes (X)$0$818,257$45,180
CHARLES N PAIDAS MD
TRUSTEE1.00Yes (X)$0$0$0
CATHERINE LOWRY STRAZ
TRUSTEE1.00Yes (X)$0$0$0
HOLLY TOMLIN
TRUSTEE1.00Yes (X)$0$0$0
ROBERT A WALTER
TRUSTEE1.00Yes (X)$0$0$0
MATT WASH
TRUSTEE1.00Yes (X)$0$0$0
BRUCE ZWIEBEL MD
TRUSTEE1.00Yes (X)$0$0$0
CARIN ZWIEBEL
TRUSTEE1.00Yes (X)$0$0$0
ROBIN DELAVERGNE
EXECUTIVE DIRECTOR50.00Yes (X)$0$381,152$26,747
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,373,129TotReportableCompRltdOrgAmt
Total Other Compensation$137,298TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$829,014FundraisingAmt
All Other Contributions$1,768,179AllOtherContributionsAmt
Noncash Contributions$152,131NoncashContributionsAmt
Total Contributions$2,597,193TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EDUCATIONAL FEES900099$30,545$30,545
GROWING FAMILY FIRST900099$27,079$27,079
FieldValueIRS element (for citing)
Total Program Service Revenue$57,624TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$525,835TotalRevenueColumnAmt
Exclusion$525,835ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,633,386SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,556,960SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$76,426SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$76,426TotalRevenueColumnAmt
Exclusion$76,426ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$492,225FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$829,014ContriRptFundraisingEventAmt
Fundraising Direct Expenses$290,626FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$201,599TotalRevenueColumnAmt
Exclusion$201,599ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMANAGEMENT FEEDesc
Business900099BusinessCd
Total Revenue Column$24,438TotalRevenueColumnAmt
Exclusion$24,438ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$24,438OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,483,115TotalRevenueColumnAmt
Related Or Exempt Func Income$57,624RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$828,298ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,083,325TotalAmt
Program Services$2,083,325ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$184,703TotalAmt
Program Services$184,703ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$205,027TotalAmt
Management And General$67,197ManagementAndGeneralAmt
Fundraising$137,830FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$47,156TotalAmt
Management And General$15,455ManagementAndGeneralAmt
Fundraising$31,701FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$23,270TotalAmt
Management And General$23,270ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$149,601TotalAmt
Management And General$23,026ManagementAndGeneralAmt
Fundraising$126,575FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,739TotalAmt
Management And General$7,739ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$25,554TotalAmt
Management And General$25,554ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,128TotalAmt
Management And General$1,128ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20TotalAmt
Management And General$20ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescALLOWANCE FOR UNCOLLECTDesc
Total$5,616TotalAmt
Program Services$5,616ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,733,139TotalAmt
Program Services$2,273,644ProgramServicesAmt
Management And General$163,389ManagementAndGeneralAmt
Fundraising$296,106FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,157,393BOYAmt
EOY$1,436,017EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$810,940BOYAmt
EOY$728,907EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,245BOYAmt
EOY$14,124EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,809LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,639LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$190BOYAmt
EOY$170EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$20,126,162BOYAmt
EOY$21,812,331EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$23,103,930BOYAmt
EOY$23,991,549EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$204,137BOYAmt
EOY$701,595EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,535,917BOYAmt
EOY$3,651,109EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,740,054BOYAmt
EOY$4,352,704EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,986,425BOYAmt
EOY$10,351,058EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,465,715BOYAmt
EOY$8,372,256EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$911,736BOYAmt
EOY$915,531EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,363,876BOYAmt
EOY$19,638,845EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,103,930BOYAmt
EOY$23,991,549EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$749,976ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$475,007NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,914,380CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,567,364CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,100,186CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,741,873CurrentTaxYearMinus1YearAmt
Current Tax Year$2,597,193CurrentTaxYearAmt
Total$13,920,996TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,914,380CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,567,364CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,100,186CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,741,873CurrentTaxYearMinus1YearAmt
Current Tax Year$2,597,193CurrentTaxYearAmt
Total$13,920,996TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$194,800SubstantialContributorsTotAmt
Public Support Total170$13,726,196PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$279,845CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$462,050CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$471,039CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$495,247CurrentTaxYearMinus1YearAmt
Current Tax Year$525,835CurrentTaxYearAmt
Total$2,234,016TotalAmt
FieldValueIRS element (for citing)
Total Support$16,155,012TotalSupportAmt
Gross Receipts Rltd Activities$422,106GrossReceiptsRltdActivitiesAmt
Public Support CY1700.84970PublicSupportCY170Pct
Public Support PY1700.85900PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$911,736BeginningYearBalanceAmt
Contributions$3,795ContributionsAmt
End Year Balance$915,531EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$910,736BeginningYearBalanceAmt
Contributions$1,000ContributionsAmt
End Year Balance$911,736EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$868,550BeginningYearBalanceAmt
Contributions$42,186ContributionsAmt
End Year Balance$910,736EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$845,186BeginningYearBalanceAmt
Contributions$23,290ContributionsAmt
Investment Earnings Or Losses$74InvestmentEarningsOrLossesAmt
End Year Balance$868,550EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$816,874BeginningYearBalanceAmt
Contributions$38,455ContributionsAmt
Investment Earnings Or Losses$341InvestmentEarningsOrLossesAmt
Other Expenditures$10,484OtherExpendituresAmt
End Year Balance$845,186EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,809OtherCostOrOtherBasisAmt
Depreciation$8,639DepreciationAmt
Book Value$170BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$170TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescFUNDS HELD FOR THE BENEFIT OF OTHERSDesc
Amt$3,651,109Amt
FieldValueIRS element (for citing)
Total Liability$3,651,109TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,882,728TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$475,007NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$583,994DonatedServicesAndUseFcltsAmt
Other Revenue$290,626OtherRevenueAmt
Revenue Not Reported$399,613RevenueNotReportedAmt
Revenue Subtotal$3,483,115RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,483,115TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,607,759TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$583,994DonatedServicesUseFcltsAmt
Other Expenses Included$290,626OtherExpensesIncludedAmt
Expenses Not Reported$874,620ExpensesNotReportedAmt
Expenses Subtotal$2,733,139ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,733,139TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2013 REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT DIRECT EXPENSES 290,626.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS DIRECT EXPENSES 290,626.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$554,153GrossReceiptsEvent1Amt
Charitable Contri Event1$398,961CharitableContriEvent1Amt
Gross Revenue Event1$155,192GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,271NonCashPrizesEvent1Amt
Rent Facility Costs Event1$68,396RentFacilityCostsEvent1Amt
Entertainment Event1$9,778EntertainmentEvent1Amt
Other Direct Expenses Event1$65,180OtherDirectExpensesEvent1Amt
Event2CIRCUSEvent2Nm
Gross Receipts Event2$310,765GrossReceiptsEvent2Amt
Charitable Contri Event2$178,199CharitableContriEvent2Amt
Gross Revenue Event2$132,566GrossRevenueEvent2Amt
Food And Beverage Event2$586FoodAndBeverageEvent2Amt
Entertainment Event2$2,815EntertainmentEvent2Amt
Other Direct Expenses Event2$70,198OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$456,321GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$251,854CharitableContriOtherEventsAmt
Gross Revenue Other Events$204,467GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$19,789NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$19,039RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$8,589FoodAndBeverageOtherEventsAmt
Entertainment Other Events$3,950EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$21,035OthDirectExpnssOtherEventsAmt
Gross Receipts Total$1,321,239GrossReceiptsTotalAmt
Charitable Contributions Tot$829,014CharitableContributionsTotAmt
Gross Revenue Total Events$492,225GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$21,060NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$87,435RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$9,175FoodAndBeverageTotalEventsAmt
Entertainment Total Events$16,543EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$156,413OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$290,626DirectExpenseSummaryEventsAmt
Net Income Summary$201,599NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$400,000LAB OPERATIONS - MICROSCOPE
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$328,900INTENSIVE CARE UNIT - ULTRASOUNDS
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$140,199TRANSPLANT SERVICES - TRANSPLANT PROGRAMS
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$75,000CHILDREN'S MEDICAL CENTER - INFANT CAR SEATS
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$20,917EMPLOYEE WELLNESS CENTER - EQUIPMENT AND EDUCATION
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$20,925NURSING - PALLIATIVE CARE PROGRAMS
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$30,000MORE HEALTH - CONTRIBUTION OF OPERATING SUPPORT
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$18,090REHAB CENTER - EQUIPMENT AND EDUCATION
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$497,815VARIOUS - EQUIPMENT AND EDUCATION
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$15,203WHEELCHAIR SPORTS - EQUIPMENT AND EDUCATION
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$100,000FACILITIES - WAYFINDER SOFTWARE
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$15,610LABOR & DELIVERY - EQUIPMENT AND EDUCATION
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$139,796NURSING - INTERGRATIVE MEDICINE PROGRAMS
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$21,601NURSING - CHILDREN'S MEDICAL CENTER PROGRAMS
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$43,113NURSING - BURN CENTER PROGRAMS
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$122,505NURSING - EDUCATION SEMINARS
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$93,651NURSING - SIMMAN TRAINING UNIT
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDesc
NURSING SCHOLARSHIPS7$90,068CURRENT SALARY RATES
NURSE WEEK SCHOLARSHIPS82$57,738AVAILABLE DONOR FUNDING
EMPLOYEE SERVICES - EMERGENCY ASSISTANCE72$36,897BASED ON EMPLOYEE NEED

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES BURKHART
TRUSTEE$0$847,366$0$287,044$0$39,310$0$53,387$0$11,984$0$1,239,091$0$0
DEANA NELSON
TRUSTEE$0$512,827$0$150,503$0$154,927$0$39,149$0$6,031$0$863,437$0$0
ROBIN DELAVERGNE
EXECUTIVE DIRECTOR$0$256,270$0$64,552$0$60,330$0$20,112$0$6,635$0$407,899$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4B:FLORIDA HEALTH SCIENCES CENTER, INC., A RELATED ORGANIZATION, PROVIDES QUALIFIED MEMBERS OF ITS EXECUTIVE STAFF WITH A SUPPLEMENTAL RETIREMENT PLAN (SERP). PARTICIPANTS OF THIS PLAN BECOME VESTED AND THE INCREMENTAL AMOUNT OF VESTED BENEFITS IS INCLUDED ON FORM W-2, HOWEVER, DISTRIBUTIONS ARE NOT MADE UNTIL EITHER THE PARTICIPANT RETIRES OR LEAVES THE ORGANIZATION. THE VESTED BENEFITS FROM THIS PLAN FOR ROBIN DELAVERGNE AND DEANA NELSON WERE $47,322 AND $101,279, RESPEECTIVELY.
PART II, LINE 1, COLUMN E:ROBIN DELAVERGNE'S COMPENSATION IS NOT PAID BY THE TAMPA GENERAL HOSPITAL FOUNDATION, INC. HER COMPENSATION IS PAID BY A RELATED ORGANIZATION, FLORIDA HEALTH SCIENCES CENTER, INC. D/B/A TAMPA GENERAL HOSPITAL.

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution6ContributionCnt
Noncash Contributions Rpt F990$31,450NoncashContributionsRptF990Amt
Method Of Determining RevenuesRETAIL PRICINGMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$1,810NoncashContributionsRptF990Amt
Method Of Determining RevenuesRETAIL PRICINGMethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4ContributionCnt
Noncash Contributions Rpt F990$1,985NoncashContributionsRptF990Amt
Method Of Determining RevenuesRETAIL PRICINGMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution7ContributionCnt
Noncash Contributions Rpt F990$5,157NoncashContributionsRptF990Amt
Method Of Determining RevenuesRETAIL PRICINGMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$3,590NoncashContributionsRptF990Amt
Method Of Determining RevenuesRETAIL PRICINGMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (6 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)TRAVEL/TRIPS19$33,178RETAIL PRICING
Yes (X)TOYS/GAMES13$27,657RETAIL PRICING
Yes (X)SERVICES23$21,705RETAIL PRICING
Yes (X)GIFT CARDS/PRIZES61$13,979RETAIL PRICING
Yes (X)TICKETS TO EVENTS7$6,620RETAIL PRICING
Yes (X)JEWELRY1$5,000RETAIL PRICING
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CEACH 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 15TAMPA 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 WILL ESTABLISH AND MAINTAIN COMPENSATION GOALS, POLICIES, AND PROGRAMS THAT ENABLE THE HOSPITAL TO RECRUIT, DEVELOP, AND RETAIN THE MOST QUALIFIED AND TALENTED STAFF. TAMPA GENERAL HOSPITAL STRIVES TO EFFECT A STRATEGIC INVESTMENT 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 TOWERS WATSON TO PROVIDE EXPERT INFORMATION REGARDING INDUSTRY-WIDE COMPENSATION NORMS.
FORM 990, PART VI, SECTION C, LINE 19TAMPA 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 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.
GENERAL DISCLOSURE:IN FY 2015 THE FOUNDATION COMPLETED TWO SUCCESSFUL MINI-CAMPAIGNS. IN FY 2016 A 3RD MINI-CAMPAIGN STARTED HALFWAY THROUGH THE YEAR, WHICH IMPACTED THE TIMING OF GIFTS AND PLEDGES. ADDITIONALLY, A LARGE CONTRIBUTION EXPECTED IN FY 2016 WAS MADE AT THE VERY END OF FY 2015.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1FL HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 TAMPA GENERAL CIRCLEAddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33606ZIPCd
FieldValueIRS element (for citing)
EIN593458145EIN
Primary Activities1011 BED PRIVATE, NOT-FOR-PROFIT HOSPITALPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status3PublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
B$2,268,028BASED ON FOUND. BOARD DECISIONS
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
P$252,183BASED ON SALARY AND BENEFIT CALC.
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
O$522,194BASED ON SALARY AND BENEFIT CALC.
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
N$49,800BASED ON FAIR RENTAL VALUE

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