2017-04-27T13:52:10-05:00 2016-06-30 593040705 RIVERO GORDIMER & COMPANY PA P O BOX 172359 TAMPA FL 33672 990 2015-07-01 237354477 TAMPA GENERAL HOSPITAL FOUNDATION INC TAMP 8138447250 P O BOX 1289 RM H-149 TAMPA FL 33601 ROBIN DELAVERGNE EXECUTIVE DIRECTOR 8138447250 2017-02-24 1 SAM A LAZZARA P01342929 8138757774 2015 2017-02-10 21:41:12Z ROBIN DELAVERGNE P O BOX 1289 RM H-149 TAMPA FL 33601 8330701 0 X WWW.TGH.ORG X 1974 FL TO SUPPORT AND PROMOTE THE PROGRAM SERVICES OF TAMPA GENERAL HOSPITAL. 33 31 0 150 0 0 3741873 2597193 60922 57624 650068 602261 235227 226037 4688090 3483115 2230340 2268028 0 0 318732 252183 0 0 296106 282208 212928 2831280 2733139 1856810 749976 23103930 23991549 3740054 4352704 19363876 19638845 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 1,011 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. 0 0 400000 400000 ELECTRON 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. 328900 328900 ULTRASOUND 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. 140199 140199 TRANSPLANT 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. 1404545 1398929 57624 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, 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. 1404545 1398929 57624 2273644 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 88 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 33 31 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X ROBIN DELAVERGNE 8138447250 PO BOX 1289 ROOM H-149 TAMPA FL 336011289 DOUGLAS J DIECK CHAIRMAN 2.00 X X 0 0 0 DREW A GRAHAM VICE CHAIRMAN 2.00 X X 0 0 0 J ERIC TAYLOR SECRETARY 2.00 X X 0 0 0 MICHAEL S MURRAY TREASURER 2.00 X X 0 0 0 RICHARD DOBKIN ASSISTANT TREASURER 2.00 X X 0 0 0 CLEVELAND MCINNIS MEMBER AT LARGE 1.00 X 0 0 0 GREGORY J CELESTAN MEMBER AT LARGE 1.00 X 0 0 0 DAN RIGGS MD MEMBER AT LARGE 1.00 X 0 0 0 JEFFRIE VAN LOVEREN MEMBER AT LARGE 1.00 X 0 0 0 STEPHEN G BRANTLEY MD TRUSTEE 1.00 X 0 0 0 JAMES BURKHART TRUSTEE 1.00 X 0 1173720 65371 MARY JANE CAMPBELL TRUSTEE 1.00 X 0 0 0 PHILLIP E CASEY TRUSTEE 1.00 X 0 0 0 MARK FERNANDEZ TRUSTEE 1.00 X 0 0 0 CHARLES B FUNK TRUSTEE 1.00 X 0 0 0 GORDON GILLETTE TRUSTEE 1.00 X 0 0 0 NATALIE ANNIS GOODWIN TRUSTEE 1.00 X 0 0 0 ANDREA I GRAMLING TRUSTEE 1.00 X 0 0 0 FRANK HANCOCK 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 DIANE JACOB TRUSTEE 1.00 X 0 0 0 JOHN LEONE MD TRUSTEE 1.00 X 0 0 0 PAMELA S MUMA TRUSTEE 1.00 X 0 0 0 T COREY NEIL TRUSTEE 1.00 X 0 0 0 DEANA NELSON TRUSTEE 1.00 X 0 818257 45180 CHARLES N PAIDAS MD TRUSTEE 1.00 X 0 0 0 CATHERINE LOWRY STRAZ TRUSTEE 1.00 X 0 0 0 HOLLY TOMLIN TRUSTEE 1.00 X 0 0 0 ROBERT A WALTER TRUSTEE 1.00 X 0 0 0 MATT WASH TRUSTEE 1.00 X 0 0 0 BRUCE ZWIEBEL MD TRUSTEE 1.00 X 0 0 0 CARIN ZWIEBEL TRUSTEE 1.00 X 0 0 0 ROBIN DELAVERGNE EXECUTIVE DIRECTOR 50.00 X 0 381152 26747 0 2373129 137298 0 0 1 0 0 829014 1768179 152131 2597193 EDUCATIONAL FEES 900099 30545 30545 GROWING FAMILY FIRST 900099 27079 27079 57624 525835 525835 4633386 4556960 76426 76426 76426 492225 829014 290626 201599 201599 MANAGEMENT FEE 900099 24438 24438 24438 3483115 57624 0 828298 2083325 2083325 184703 184703 205027 67197 137830 47156 15455 31701 23270 23270 149601 23026 126575 7739 7739 25554 25554 1128 1128 20 20 ALLOWANCE FOR UNCOLLECT 5616 5616 2733139 2273644 163389 296106 2157393 1436017 810940 728907 9245 14124 8809 8639 190 170 20126162 21812331 23103930 23991549 204137 701595 3535917 3651109 3740054 4352704 X 10986425 10351058 7465715 8372256 911736 915531 19363876 19638845 23103930 23991549 749976 -475007 0 X X 0 1 X 1 0 X 1914380 2567364 3100186 3741873 2597193 13920996 1914380 2567364 3100186 3741873 2597193 13920996 194800 13726196 279845 462050 471039 495247 525835 2234016 16155012 422106 0.84970 0.85900 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 911736 3795 915531 910736 1000 911736 868550 42186 910736 845186 23290 74 868550 816874 38455 341 10484 845186 1.00000 0 0 8809 8639 170 170 FUNDS HELD FOR THE BENEFIT OF OTHERS 3651109 3651109 X 3882728 -475007 583994 290626 399613 3483115 0 3483115 3607759 583994 290626 874620 2733139 0 2733139 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. GALA 554153 398961 155192 1271 68396 9778 65180 CIRCUS 310765 178199 132566 586 2815 70198 3 456321 251854 204467 19789 19039 8589 3950 21035 1321239 829014 492225 21060 87435 9175 16543 156413 290626 201599 1 FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 400000 LAB OPERATIONS - MICROSCOPE FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 328900 INTENSIVE CARE UNIT - ULTRASOUNDS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 140199 TRANSPLANT SERVICES - TRANSPLANT PROGRAMS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 75000 CHILDREN'S MEDICAL CENTER - INFANT CAR SEATS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 20917 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) 20925 NURSING - PALLIATIVE CARE PROGRAMS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 30000 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) 18090 REHAB CENTER - EQUIPMENT AND EDUCATION FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 497815 VARIOUS - EQUIPMENT AND EDUCATION FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 15203 WHEELCHAIR SPORTS - EQUIPMENT AND EDUCATION FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 100000 FACILITIES - WAYFINDER SOFTWARE FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 15610 LABOR & DELIVERY - EQUIPMENT AND EDUCATION FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 139796 NURSING - INTERGRATIVE MEDICINE PROGRAMS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 21601 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) 43113 NURSING - BURN CENTER PROGRAMS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 122505 NURSING - EDUCATION SEMINARS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 593458145 501(C)(3) 93651 NURSING - SIMMAN TRAINING UNIT 1 NURSING SCHOLARSHIPS 7 90068 CURRENT SALARY RATES NURSE WEEK SCHOLARSHIPS 82 57738 AVAILABLE DONOR FUNDING EMPLOYEE SERVICES - EMERGENCY ASSISTANCE 72 36897 BASED ON EMPLOYEE NEED 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 X 0 1 0 0 0 0 0 0 0 JAMES BURKHART TRUSTEE 0 847366 0 287044 0 39310 0 53387 0 11984 0 1239091 0 0 DEANA NELSON TRUSTEE 0 512827 0 150503 0 154927 0 39149 0 6031 0 863437 0 0 ROBIN DELAVERGNE EXECUTIVE DIRECTOR 0 256270 0 64552 0 60330 0 20112 0 6635 0 407899 0 0 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. X 6 31450 RETAIL PRICING X 1810 RETAIL PRICING X 4 1985 RETAIL PRICING X 7 5157 RETAIL PRICING X 2 3590 RETAIL PRICING X TRAVEL/TRIPS 19 33178 RETAIL PRICING X TOYS/GAMES 13 27657 RETAIL PRICING X SERVICES 23 21705 RETAIL PRICING X GIFT CARDS/PRIZES 61 13979 RETAIL PRICING X TICKETS TO EVENTS 7 6620 RETAIL PRICING X JEWELRY 1 5000 RETAIL PRICING 0 1 0 FORM 990, PART VI, SECTION B, LINE 11 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 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 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 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. FL HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL 1 TAMPA GENERAL CIRCLE TAMPA FL 33606 593458145 1011 BED PRIVATE, NOT-FOR-PROFIT HOSPITAL FL 501(C)(3) 3 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL B 2268028 BASED ON FOUND. BOARD DECISIONS FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL P 252183 BASED ON SALARY AND BENEFIT CALC. FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL O 522194 BASED ON SALARY AND BENEFIT CALC. FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL N 49800 BASED ON FAIR RENTAL VALUE