TAMPA GENERAL HOSPITAL FOUNDATION INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- TAMPA GENERAL HOSPITAL FOUNDATION INC (EIN 23-7354477)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-02-01
- IRS object ID
- 201340329349301214
- Schema version
- 2011v1.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-02-01T14:48:29-06:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593040705 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIVERO GORDIMER & COMPANY PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 172359 | AddressLine1 |
| City | TAMPA | City |
| State | FL | State |
| ZIP Code | 33672 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237354477 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAMPA GENERAL HOSPITAL FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TAMP | NameControl |
| Phone | 8138447250 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1289 RM H-149 | AddressLine1 |
| City | TAMPA | City |
| State | FL | State |
| ZIP Code | 33601 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBIN DELAVERGNE | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 8138447250 | Phone |
| Date Signed | 2013-01-23 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SAM A LAZZARA | Name |
| PTIN | P01342929 | PTIN |
| Phone | 8138757774 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBIN DELAVERGNE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1289 RM H-149 | AddressLine1 |
| City | TAMPA | City |
| State | FL | State |
| ZIP Code | 33601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 24431616 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.TGH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1974 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | TO SUPPORT AND PROMOTE THE PROGRAM SERVICES OF TAMPA GENERAL HOSPITAL. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 32 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 30 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 150 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1977189 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1914380 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 102058 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 60904 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 337199 | InvestmentIncomePriorYear |
| Investment Income Current Year | 569840 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 162052 | OtherRevenuePriorYear |
| Other Revenue Current Year | 327323 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2578498 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2872447 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 875199 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1850604 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 164573 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 143427 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 287459 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | -92030 | OtherExpensePriorYear |
| Other Expenses Current Year | 320662 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 947742 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2314693 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1630756 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 557754 | RevenuesLessExpensesCY |
| Total Assets BOY | 16113633 | TotalAssetsBOY |
| Total Assets EOY | 16579472 | TotalAssetsEOY |
| Total Liabilities BOY | 3390166 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3546398 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12723467 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 13033074 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF TAMPA GENERAL HOSPITAL FOUNDATION IS TO SUPPORT AND PROMOTE THE PROGRAMS AND SERVICES OF TAMPA GENERAL HOSPITAL. THE STATED MISSIONS OF TAMPA GENERAL HOSPITAL INCLUDE SERVING AS A SAFETY NET HOSPITAL PROVIDING HIGH QUALITY HEALTH SERVICES TO ALL RESIDENTS OF WEST CENTRAL FLORIDA AND AS A TEACHING FACILITY PARTNERING WITH ACADEMIC AND COMMUNITY INSTITUTIONS TO SUPPORT BOTH TEACHING AND RESEARCH. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 621699 | Expense |
| Grants | 583627 | Grants |
| Revenue | 60904 | Revenue |
| Description | PROVIDE OPERATIONAL, EDUCATIONAL AND/OR CAPITAL PURCHASES SUPPORT TO FLORIDA HEALTH SCIENCES CENTER, INC. D/B/A TAMPA GENERAL HOSPITAL. SPECIFIC GRANTS INCLUDE NURSING SCHOLARSHIPS TO ASSIST HOSPITAL EMPLOYEES IN OBTAINING NURSING CREDENTIALS, SMALL CAPITAL EQUIPMENT TO IMPROVE PATIENT SERVICES, HOSPITAL EMPLOYEE EMERGENCY ASSISTANCE, AND SUPPORT OF HOSPITAL COMMUNITY OUTREACH, WHEELCHAIR SPORTS AND REHAB PROGRAMS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 875000 | Expense |
| Grants | 875000 | Grants |
| Description | NICU- RENOVATIONS AND EXPANSION OF THE NEONATAL INTENSIVE CARE UNIT. THE FOUNDATION HAS FUNDED OVER 20% OF THE $35 MILLION HOSPITAL PROJECT WHICH INCLUDED AN 82 BED NEONATAL INTENSIVE CARE UNIT EXPANSION. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 315000 | Expense |
| Grants | 315000 | Grants |
| Description | SURGERY- RENOVATIONS OF OPERATING SUITES WAITING ROOMS. THIS IS A PORTION OF A $15.8 MILLION HOSPITAL PROJECT TO RENOVATE OVER 35,000 SQUARE FEET IN THE SURGICAL, RADIOLOGY AND CARDIOTHORACIC ICU UNITS. THE PROJECT WILL INCREASE THE SURGICAL AREA FROM SIX TO NINE OPERATING ROOMS AND INCREASE WAITING ROOM AREA BY MORE THAN 50%. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 76977 | Expense |
| Grants | 76977 | Grants |
| Description | CHILDRENS MEDICAL CENTER - PURCHASE AND DISTRIBUTION OF INFANT CAR SEATS TO ALL HOSPITAL NEWBORN PARENTS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 76977 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 76977 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 1888676 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 28 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 32 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 30 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBIN DELAVERGNE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8138447250 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1289 ROOM H-149 | AddressLine1 |
| City | TAMPA | City |
| State | FL | State |
| ZIP Code | 336011289 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (33 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| RICHARD L KOUWE | ||||||
| CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 |
| PAMELA S MUMA | ||||||
| VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 |
| J ERIC TAYLOR | ||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| DOUGLAS J DIECK | ||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 |
| MICHAEL S MURRAY | ||||||
| ASST TREASURER | 2.00 | X | X | 0 | 0 | 0 |
| MCIVER BERNER | ||||||
| MEMBER AT LARGE | 2.00 | X | 0 | 0 | 0 | |
| STEPHEN G BRANTLEY MD | ||||||
| MEMBER AT LARGE | 1.00 | X | 0 | 0 | 0 | |
| HOLLY TOMLIN | ||||||
| MEMBER AT LARGE | 1.00 | X | 0 | 0 | 0 | |
| HENRY GONZALEZ III | ||||||
| MEMBER AT LARGE | 1.00 | X | 0 | 0 | 0 | |
| MARY JANE CAMPBELL | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| BLAKE J CASPER | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| GREGORY J CELESTAN | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| RICHARD DOBKIN | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| ANTHONY M EVERETT | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| ANDREA I GRAMLING | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| DREW A GRAHAM | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| RONALD A HYTOFF | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| JOHN LEONE MD | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| BARBARA HURST | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| CLEVELAND A MCINNIS | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| DEVANAND MANGAR MD | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| CHARLES N PAIDAS MD | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| STEVE L SHORT | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| DAN RIGGS MD | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| CARIN ZWIEBEL | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| ROBERT A WALTER | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| JULIE C WOOLEY | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| CHARLES B FUNK | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| PHILLIP E CASEY | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| T COREY NEIL | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| CATHERINE LOWRY STRAZ | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| JEFFRIE VAN LOVEREN | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| ROBIN DELAVERGNE | ||||||
| EXECUTIVE DIRECTOR | 50.00 | X | 0 | 437109 | 43034 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 437109 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 43034 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 493537 | FundraisingEvents |
| All Other Contributions | 1420843 | AllOtherContributions |
| Noncash Contributions | 115860 | NoncashContributions |
| Total Contributions | 1914380 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| EDUCATIONAL FEES | 900099 | 32941 | 32941 |
| GROWING FAMILY FIRST | 900099 | 14439 | 14439 |
| EMPLOYEE WELLNESS CENT | 900099 | 13524 | 13524 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 60904 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 279845 | TotalRevenueColumn |
| Exclusion | $279,845 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 21691176 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 21401181 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 289995 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 289995 | TotalRevenueColumn |
| Exclusion | $289,995 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 458591 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 493537 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 157988 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 300603 | TotalRevenueColumn |
| Exclusion | $300,603 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MANAGEMENT FEE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 26720 | TotalRevenueColumn |
| Exclusion | $26,720 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 26720 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2872447 | TotalRevenueColumn |
| Related Or Exempt Function Income | 60904 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $897,163 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1751604 | Total |
| Program Services | 1751604 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 99000 | Total |
| Program Services | 99000 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113050 | Total |
| Management And General | 45352 | ManagementAndGeneral |
| Fundraising | 67698 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30377 | Total |
| Management And General | 12186 | ManagementAndGeneral |
| Fundraising | 18191 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19600 | Total |
| Management And General | 19600 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 245577 | Total |
| Management And General | 44007 | ManagementAndGeneral |
| Fundraising | 201570 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15461 | Total |
| Management And General | 15461 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1952 | Total |
| Management And General | 1952 | ManagementAndGeneral |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ALLOWANCE FOR UNCOLLECT | Description |
| Total | 38072 | Total |
| Program Services | 38072 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2314693 | Total |
| Program Services | 1888676 | ProgramServices |
| Management And General | 138558 | ManagementAndGeneral |
| Fundraising | 287459 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1892726 | BOY |
| EOY | 700201 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1774747 | BOY |
| EOY | 807719 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8412 | BOY |
| EOY | 4607 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 50849 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 50603 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 265 | BOY |
| EOY | 246 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8418188 | BOY |
| EOY | 14181210 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4019295 | BOY |
| EOY | 885489 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16113633 | BOY |
| EOY | 16579472 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 219925 | BOY |
| EOY | 143557 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3170241 | BOY |
| EOY | 3402841 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3390166 | BOY |
| EOY | 3546398 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7991081 | BOY |
| EOY | 8512360 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3915512 | BOY |
| EOY | 3675528 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 816874 | BOY |
| EOY | 845186 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12723467 | BOY |
| EOY | 13033074 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16113633 | BOY |
| EOY | 16579472 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 557754 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -248147 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5235133 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2280581 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2075310 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1977189 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1914380 | CurrentTaxYear |
| Total | 13482593 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5235133 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2280581 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2075310 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1977189 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1914380 | CurrentTaxYear |
| Total | 13482593 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 2088782 | AmountsSubstContributorsTotal |
| Public Support Total170 | 11393811 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 862684 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 365152 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 261060 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 202676 | CurrentTaxYearMinus1Year |
| Current Tax Year | 279845 | CurrentTaxYear |
| Total | 1971417 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 15454010 | TotalSupport |
| Gross Receipts From Admissions Etc | 637396 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.73730 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.76150 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 816874 | BeginningOfYearBalance |
| Contributions | 38455 | Contributions |
| Investment Earnings Or Losses | 341 | InvestmentEarningsOrLosses |
| Other Expenditures | 10484 | OtherExpenditures |
| End Of Year Balance | 845186 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 808259 | BeginningOfYearBalance |
| Contributions | 8632 | Contributions |
| Investment Earnings Or Losses | 397 | InvestmentEarningsOrLosses |
| Other Expenditures | 414 | OtherExpenditures |
| End Of Year Balance | 816874 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 766418 | BeginningOfYearBalance |
| Contributions | 42339 | Contributions |
| Investment Earnings Or Losses | 1025 | InvestmentEarningsOrLosses |
| Other Expenditures | 1523 | OtherExpenditures |
| End Of Year Balance | 808259 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 746527 | BeginningOfYearBalance |
| Contributions | 19870 | Contributions |
| Investment Earnings Or Losses | 3335 | InvestmentEarningsOrLosses |
| Other Expenditures | 3314 | OtherExpenditures |
| End Of Year Balance | 766418 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 50849 | OtherCostOrOtherBasis |
| Depreciation | 50603 | Depreciation |
| Book Value | 246 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 246 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CERTIFICATES OF DEPOSIT | 92000 | F |
| MONEY MARKET FUNDS | 793489 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 885489 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | FUNDS HELD FOR THE BENEFIT OF OTHERS | Description |
| Amount | $3,402,841 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3402841 | TotalOfAmounts |
| Total Revenue | 2872447 | TotalRevenue |
| Total Expenses | 2314693 | TotalExpenses |
| Excess Or Deficit For Year | 557754 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -248147 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -248147 | TotalAdjustments |
| Excess Or Deficit Per FS | 309607 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 3264863 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -248147 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 482575 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 157988 | OtherRevenues |
| Revenue Not Rptd F990 | 392416 | RevenueNotRptdF990 |
| Revenue Subtotal | 2872447 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 2872447 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2955256 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 482575 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 157988 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 640563 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2314693 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 2314693 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | ENDOWMENT FUNDS SUPPORT THE MISSION OF TAMPA GENERAL HOSPITAL, INCLUDING RESEARCH, EDUCATION, AND HEALTHCARE DELIVERY. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | 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, 2009 REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENT DIRECT EXPENSES 157,988. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENTS DIRECT EXPENSES 157,988. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA | NameOfEvent1 |
| Gross Receipts Event1 | 319916 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 194320 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 125596 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 43904 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 28544 | OtherDirectExpensesEvent1 |
| Name Of Event2 | CIRCUS | NameOfEvent2 |
| Gross Receipts Event2 | 254613 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 121560 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 133053 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 77656 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 377599 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 177657 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 199942 | GrossRevenueOtherEvents |
| Rent Facility Costs Other Events | 6500 | RentFacilityCostsOtherEvents |
| Other Direct Expenses Other Events | 1384 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 952128 | GrossReceiptsTotal |
| Charitable Contributions Total | 493537 | CharitableContributionsTotal |
| Gross Revenue Total Events | 458591 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 50404 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 107584 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 157988 | DirectExpenseSummaryEvents |
| Net Income Summary | 300603 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL | |||||||
| PO BOX 1289 | TAMPA | FL | 33601 | 593458145 | 501(C)(3) | 35468 | EMPLOYEE SERVICES- EQUIPMENT AND EMERGENCY ASSISTANCE |
| FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL | |||||||
| PO BOX 1289 | TAMPA | FL | 33601 | 593458145 | 501(C)(3) | 46609 | RESEARCH DEPARTMENT- CYSTIC FIBROSIS RESEARCH |
| FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL | |||||||
| PO BOX 1289 | TAMPA | FL | 33601 | 593458145 | 501(C)(3) | 875000 | NICU- RENOVATIONS |
| FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL | |||||||
| PO BOX 1289 | TAMPA | FL | 33601 | 593458145 | 501(C)(3) | 76977 | 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) | 24276 | 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) | 315000 | SURGERY - WAITING ROOM RENOVATIONS |
| 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) | 21100 | REHAB CENTER- EQUIPMENT AND EDUCATION |
| FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL | |||||||
| PO BOX 1289 | TAMPA | FL | 33601 | 593458145 | 501(C)(3) | 303616 | VARIOUS - EQUIPMENT AND EDUCATION |
| FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL | |||||||
| PO BOX 1289 | TAMPA | FL | 33601 | 593458145 | 501(C)(3) | 23558 | WHEELCHAIR SPORTS- EQUIPMENT AND EDUCATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation |
|---|---|---|---|
| NURSING SCHOLARSHIPS | 8 | 76300 | CURRENT SALARY RATES |
| NURSING AWARDS AND EDUCATION | 8 | 22700 | CURRENT SALARY RATES |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ROBIN DELAVERGNE | NamePerson |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 227992 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 104268 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 104849 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 32070 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 10964 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 480143 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | PART I, LINE 4B: ROBIN DELAVERGNE PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN. SHE HAD $85,515 OF NONVESTED BENEFITS ACCRUE DURING THE TAX YEAR ENDING JUNE 30, 2012. THIS AMOUNT IS INCLUDED IN PART II, COLUMN B(III). PART II, LINE 1(II), 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. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | COREY NEIL | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | TRUSTEE | Relationship |
| Amount Of Transaction | 14338 | AmountOfTransaction |
| Description Of Transaction | MR. NEIL IS THE EXECUTIVE VICE PRESIDENT OF THE FOUNDATION'S PRIMARY BANKING INSTITUTION. "AMOUNT OF TRANSACTION" RELATES TO FEES PAID TO THE FINANCIAL INSTITUTION IN THE NORMAL COURSE OF BUSINESS. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 5 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 4350 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | RETAIL PRICING | MethodOfDeterminingRevenues |
Food Inventory FoodInventory
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 3 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 1645 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | RETAIL PRICING | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (5 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | GIFTS AND PRIZES | 123 | 77824 | RETAIL PRICING |
| X | DECORATIONS | 3 | 1209 | RETAIL PRICING |
| X | TOYS/GAMES | 9 | 6949 | RETAIL PRICING |
| X | SERVICES | 10 | 22882 | RETAIL PRICING |
| X | JEWELRY | 2 | 1000 | RETAIL PRICING |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -248,147. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| PART XI FINANCIAL STATEMENTS AND REPORTING - LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FL HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 TAMPA GENERAL CIRCLE | AddressLine1 |
| City | TAMPA | City |
| State | FL | State |
| ZIP Code | 33606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593458145 | EIN |
| Primary Activities | 1004 BED PRIVATE, NOT-FOR-PROFIT HOSPITAL | PrimaryActivities |
| Legal Domicile State | FL | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 3 | PublicCharityStatus |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL | ||
| B | 1850604 | BASED ON FOUND. BOARD DECISIONS |
| FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL | ||
| O | 143427 | BASED ON SALARY AND BENEFIT CALC. |
| FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL | ||
| N | 482575 | BASED ON SALARY AND BENEFIT CALC. |
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