TAMPA GENERAL HOSPITAL FOUNDATION INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
TAMPA GENERAL HOSPITAL FOUNDATION INC (EIN 23-7354477)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-03-21
IRS object ID
201600819349300140
Schema version
2014v6.0
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)
Return2016-03-21T16:53:20-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

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 Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237354477EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TAMPA GENERAL HOSPITAL FOUNDATION INCBusinessNameLine1Txt
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
Signature2016-03-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSAM A LAZZARAPreparerPersonNm
PTINP01342929PTIN
Phone8138757774PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

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$12,937,110GrossReceiptsAmt
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 Body35VotingMembersGoverningBodyCnt
Voting Members Independent33VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,100,186PYContributionsGrantsAmt
CY Contributions Grants$3,741,873CYContributionsGrantsAmt
PY Program Service Revenue$71,846PYProgramServiceRevenueAmt
CY Program Service Revenue$60,922CYProgramServiceRevenueAmt
PY Investment Income$747,830PYInvestmentIncomeAmt
CY Investment Income$650,068CYInvestmentIncomeAmt
PY Other Revenue$237,789PYOtherRevenueAmt
CY Other Revenue$235,227CYOtherRevenueAmt
PY Total Revenue$4,157,651PYTotalRevenueAmt
CY Total Revenue$4,688,090CYTotalRevenueAmt
PY Grants And Similar Paid$2,475,755PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,230,340CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$313,542PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$318,732CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$371,412CYTotalFundraisingExpenseAmt
PY Other Expenses$1,161PYOtherExpensesAmt
CY Other Expenses$282,208CYOtherExpensesAmt
PY Total Expenses$2,790,458PYTotalExpensesAmt
CY Total Expenses$2,831,280CYTotalExpensesAmt
PY Revenues Less Expenses$1,367,193PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,856,810CYRevenuesLessExpensesAmt
Total Assets BOY$21,148,967TotalAssetsBOYAmt
Total Assets EOY$23,103,930TotalAssetsEOYAmt
Total Liabilities BOY$3,514,291TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,740,054TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,634,676NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,363,876NetAssetsOrFundBalancesEOYAmt
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 1,018 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$186,848ExpenseAmt
Grant$186,848GrantAmt
DescEMPLOYEE WELLNESS CENTER - THE FOUNDATION PROVIDED FUNDING FOR EQUIPMENT AND EDUCATIONAL MATERIALS FOR THE TGH HEALTH & WELLNESS CENTER WHICH SERVES EMPLOYEES, PHYSICIANS, RESIDENTS AND FAMILIES OF PATIENTS WITH LENGTHY STAYS. THE 5,500 SQUARE FOOT FACILITY IS EQUIPPED WITH STATE-OF-THE-ART EXERCISE EQUIPMENT AND OFFERS A VARIETY OF WELLNESS PROGRAMS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$182,618ExpenseAmt
Grant$182,618GrantAmt
DescPALLIATIVE CARE GRANT - THE FOUNDATION PROVIDED FUNDING FOR A CHAPLAIN FOR THE PALLIATIVE CARE PROGRAM AND THE CONVERSION OF TWO HOSPITAL ROOMS INTO PALLIATIVE CARE SUITES. THE SUITES ALLOW FAMILY MEMBERS WHO VISIT THEIR CRITICALLY-ILL LOVED ONES TO SPEND TIME WITH THEM IN A SETTING THAT VALUES PATIENT DIGNITY, COMFORT AND TRANQUILITY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$130,000ExpenseAmt
Grant$130,000GrantAmt
DescLUNG PERFUSION EQUIPMENT INSTALLATION - FUNDING WAS PROVIDED FOR EQUIPMENT AND MINOR ROOM RENOVATIONS FOR THE EX VIVO LUNG PERFUSION PROGRAM WHICH PREPARES DONOR LUNGS FOR TRANSPLANTATION, WHICH DRAMATICALLY INCREASES THE NUMBER OF LUNGS AVAILABLE FOR TRANSPLANT AND REDUCES THE NUMBER OF PATIENTS WHO DIE WHILE WAITING FOR TRANSPLANT.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$1,781,724ExpenseAmt
Grant$1,730,874GrantAmt
Revenue$60,922RevenueAmt
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$1,781,724TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$1,730,874TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$60,922TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$2,281,190TotalProgramServiceExpensesAmt
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
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members35GoverningBodyVotingMembersCnt
Independent Voting Member33IndependentVotingMemberCnt
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
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 (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
PAMELA S MUMA
CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
DOUGLAS J DIECK
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
DREW A GRAHAM
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$1,334,806$62,741
MARY JANE CAMPBELL
TRUSTEE1.00Yes (X)$0$0$0
PHILLIP E CASEY
TRUSTEE1.00Yes (X)$0$0$0
BLAKE J CASPER
TRUSTEE1.00Yes (X)$0$0$0
ANTHONY M EVERETT
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
BARBARA HURST
TRUSTEE1.00Yes (X)$0$0$0
DANNY JACKSON
TRUSTEE1.00Yes (X)$0$0$0
RICHARD L KOUWE
TRUSTEE1.00Yes (X)$0$0$0
TOD LEIWEKE
TRUSTEE1.00Yes (X)$0$0$0
JOHN LEONE MD
TRUSTEE1.00Yes (X)$0$0$0
CLEVELAND MCINNIS
TRUSTEE1.00Yes (X)$0$0$0
JOSEPH METERCHICK
TRUSTEE1.00Yes (X)$0$0$0
T COREY NEIL
TRUSTEE1.00Yes (X)$0$0$0
DEANA NELSON
TRUSTEE1.00Yes (X)$0$884,688$44,492
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
BRUCE ZWIEBEL MD
TRUSTEE1.00Yes (X)$0$0$0
CARIN ZWIEBEL
TRUSTEE1.00Yes (X)$0$0$0
ROBIN DELAVERGNE
EXECUTIVE DIRECTOR50.00Yes (X)$0$436,371$26,989
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,655,865TotReportableCompRltdOrgAmt
Total Other Compensation$134,222TotalOtherCompensationAmt
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$709,319FundraisingAmt
All Other Contributions$3,032,554AllOtherContributionsAmt
Noncash Contributions$132,892NoncashContributionsAmt
Total Contributions$3,741,873TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EDUCATIONAL FEES900099$38,028$38,028
GROWING FAMILY FIRST900099$22,894$22,894
FieldValueIRS element (for citing)
Total Program Service Revenue$60,922TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$495,247TotalRevenueColumnAmt
Exclusion$495,247ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$8,152,016SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$7,997,195SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$154,821SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$154,821TotalRevenueColumnAmt
Exclusion$154,821ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$466,957FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$709,319ContriRptFundraisingEventAmt
Fundraising Direct Expenses$251,825FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$215,132TotalRevenueColumnAmt
Exclusion$215,132ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMANAGEMENT FEEDesc
Business900099BusinessCd
Total Revenue Column$20,095TotalRevenueColumnAmt
Exclusion$20,095ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$20,095OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,688,090TotalRevenueColumnAmt
Related Or Exempt Func Income$60,922RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$885,295ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,047,079TotalAmt
Program Services$2,047,079ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$183,261TotalAmt
Program Services$183,261ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$259,132TotalAmt
Management And General$75,114ManagementAndGeneralAmt
Fundraising$184,018FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$59,600TotalAmt
Management And General$17,276ManagementAndGeneralAmt
Fundraising$42,324FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,524TotalAmt
Management And General$22,524ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$166,930TotalAmt
Management And General$21,860ManagementAndGeneralAmt
Fundraising$145,070FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$15,619TotalAmt
Management And General$15,619ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$25,644TotalAmt
Management And General$25,644ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$573TotalAmt
Management And General$573ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19TotalAmt
Management And General$19ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
ALLOWANCE FOR UNCOLLECT$50,850$50,850
DONOR RECOGNITION$49$49

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,831,280TotalAmt
Program Services$2,281,190ProgramServicesAmt
Management And General$178,678ManagementAndGeneralAmt
Fundraising$371,412FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,368,952BOYAmt
EOY$2,157,393EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$352,461BOYAmt
EOY$810,940EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,182BOYAmt
EOY$9,245EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,809LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,619LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$208BOYAmt
EOY$190EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$18,417,164BOYAmt
EOY$20,126,162EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,148,967BOYAmt
EOY$23,103,930EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$98,859BOYAmt
EOY$204,137EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,415,432BOYAmt
EOY$3,535,917EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,514,291BOYAmt
EOY$3,740,054EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,223,682BOYAmt
EOY$10,986,425EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,500,258BOYAmt
EOY$7,465,715EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$910,736BOYAmt
EOY$911,736EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,634,676BOYAmt
EOY$19,363,876EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,148,967BOYAmt
EOY$23,103,930EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,856,810ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$127,610NetUnrlzdGainsLossesInvstAmt
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$1,977,189CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,914,380CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,567,364CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,100,186CurrentTaxYearMinus1YearAmt
Current Tax Year$3,741,873CurrentTaxYearAmt
Total$13,300,992TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,977,189CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,914,380CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,567,364CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,100,186CurrentTaxYearMinus1YearAmt
Current Tax Year$3,741,873CurrentTaxYearAmt
Total$13,300,992TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$233,526SubstantialContributorsTotAmt
Public Support Total170$13,067,466PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$202,676CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$279,845CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$462,050CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$471,039CurrentTaxYearMinus1YearAmt
Current Tax Year$495,247CurrentTaxYearAmt
Total$1,910,857TotalAmt
FieldValueIRS element (for citing)
Total Support$15,211,849TotalSupportAmt
Gross Receipts Rltd Activities$471,053GrossReceiptsRltdActivitiesAmt
Public Support CY1700.85900PublicSupportCY170Pct
Public Support PY1700.85490PublicSupportPY170Pct
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$910,736BeginningYearBalanceAmt
Contributions$1,000ContributionsAmt
End Year Balance$911,736EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$808,259BeginningYearBalanceAmt
Contributions$8,632ContributionsAmt
Investment Earnings Or Losses$397InvestmentEarningsOrLossesAmt
Other Expenditures$414OtherExpendituresAmt
End Year Balance$816,874EndYearBalanceAmt
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$8,619DepreciationAmt
Book Value$190BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$190TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescFUNDS HELD FOR THE BENEFIT OF OTHERSDesc
Amt$3,535,917Amt
FieldValueIRS element (for citing)
Total Liability$3,535,917TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,382,666TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$127,610NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$570,361DonatedServicesAndUseFcltsAmt
Other Revenue$251,825OtherRevenueAmt
Revenue Not Reported$694,576RevenueNotReportedAmt
Revenue Subtotal$4,688,090RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,688,090TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,653,466TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$570,361DonatedServicesUseFcltsAmt
Other Expenses Included$251,825OtherExpensesIncludedAmt
Expenses Not Reported$822,186ExpensesNotReportedAmt
Expenses Subtotal$2,831,280ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,831,280TotalExpensesPerForm990Amt

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, 2012 REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT DIRECT EXPENSES 251,825.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS DIRECT EXPENSES 251,825.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$447,584GrossReceiptsEvent1Amt
Charitable Contri Event1$319,304CharitableContriEvent1Amt
Gross Revenue Event1$128,280GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,239NonCashPrizesEvent1Amt
Food And Beverage Event1$58,881FoodAndBeverageEvent1Amt
Entertainment Event1$7,350EntertainmentEvent1Amt
Other Direct Expenses Event1$51,131OtherDirectExpensesEvent1Amt
Event2CIRCUSEvent2Nm
Gross Receipts Event2$323,105GrossReceiptsEvent2Amt
Charitable Contri Event2$168,768CharitableContriEvent2Amt
Gross Revenue Event2$154,337GrossRevenueEvent2Amt
Food And Beverage Event2$1,147FoodAndBeverageEvent2Amt
Entertainment Event2$3,542EntertainmentEvent2Amt
Other Direct Expenses Event2$80,429OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$405,587GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$221,247CharitableContriOtherEventsAmt
Gross Revenue Other Events$184,340GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$1,750NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$6,500RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$12,577FoodAndBeverageOtherEventsAmt
Entertainment Other Events$710EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$26,569OthDirectExpnssOtherEventsAmt
Gross Receipts Total$1,176,276GrossReceiptsTotalAmt
Charitable Contributions Tot$709,319CharitableContributionsTotAmt
Gross Revenue Total Events$466,957GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$2,989NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$6,500RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$72,605FoodAndBeverageTotalEventsAmt
Entertainment Total Events$11,602EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$158,129OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$251,825DirectExpenseSummaryEventsAmt
Net Income Summary$215,132NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (16 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)$125,000DEVELOPMENT - DONOR WALL REPLACEMENT
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$104,000INTENSIVE CARE UNIT - VEIN LOCATING ULTRASOUNDS
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$130,000TRANSPLANT SERVICES - LUNG PERFUSION EQUIPMENT CONSTRUCTION
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)$186,848EMPLOYEE WELLNESS CENTER - EQUIPMENT AND EDUCATION
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$182,618NURSING - 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)$20,886REHAB CENTER - EQUIPMENT AND EDUCATION
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$775,321VARIOUS - EQUIPMENT AND EDUCATION
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$19,542WHEELCHAIR SPORTS - EQUIPMENT AND EDUCATION
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$99,704TRANSPLANT SERVICES - TRANSPLANT PROGRAMS
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$70,000LABOR & DELIVERY - ULTRASOUNDS
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$63,875NURSING - INTERGRATIVE MEDICINE PROGRAMS
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$63,039NURSING - CHILDREN'S MEDICAL CENTER PROGRAMS
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$58,880NURSING - BURN CENTER PROGRAMS
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
PO BOX 1289TAMPAFL33601593458145501(C)(3)$42,366NURSING - EDUCATION SEMINARS
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDesc
NURSING SCHOLARSHIPS9$98,013CURRENT SALARY RATES
NURSING AWARDS AND EDUCATION63$41,280AVAILABLE DONOR FUNDING
EMPLOYEE SERVICES - EMERGENCY ASSISTANCE40$43,968BASED 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$815,688$0$378,011$0$141,107$0$51,828$0$10,913$0$1,397,547$0$0
DEANA NELSON
TRUSTEE$0$492,397$0$200,599$0$191,692$0$39,190$0$5,302$0$929,180$0$0
ROBIN DELAVERGNE
EXECUTIVE DIRECTOR$0$245,111$0$86,038$0$105,222$0$21,069$0$5,920$0$463,360$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 $79,596 AND $134,197, RESPECTIVELY.
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
Contribution30ContributionCnt
Noncash Contributions Rpt F990$179NoncashContributionsRptF990Amt
Method Of Determining RevenuesRETAIL PRICINGMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$3,628NoncashContributionsRptF990Amt
Method Of Determining RevenuesRETAIL PRICINGMethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1NoncashContributionsRptF990Amt
Method Of Determining RevenuesRETAIL PRICINGMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution10ContributionCnt
Noncash Contributions Rpt F990$2,579NoncashContributionsRptF990Amt
Method Of Determining RevenuesRETAIL PRICINGMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$500NoncashContributionsRptF990Amt
Method Of Determining RevenuesRETAIL PRICINGMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (6 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)SERVICES14$55,870RETAIL PRICING
Yes (X)TRAVEL/TRIPS32$29,472RETAIL PRICING
Yes (X)TOYS/GAMES10$21,031RETAIL PRICING
Yes (X)GIFT CARDS/PRIZES50$9,375RETAIL PRICING
Yes (X)DECORATIONS2$9,315RETAIL PRICING
Yes (X)TICKETS TO EVENTS6$942RETAIL 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 (5 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.

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 Activities1018 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$2,230,340BASED ON FOUND. BOARD DECISIONS
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
P$318,732BASED ON SALARY AND BENEFIT CALC.
FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL
O$508,561BASED 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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