2020-08-17T14:03:05-05:00 2019-09-30 135565207 KPMG LLP 300 N GREENE ST STE 400 GREENSBORO NC 27401 990 2018-10-01 593458145 FLORIDA HEALTH SCIENCES CENTER INC FLOR 8138447000 PO BOX 1289 TAMPA FL 33601 MARK RUNYON EXECUTIVE VP & CFO 8138447000 2020-08-17 1 KAVITA GADA P01773072 3362753394 38.101.20.2 2020-08-17 14:54:23 ED P 9CFFA6E148FBB7D926D75F8F302B034A43557EA4 9CFFA6E148FBB7D926D75F8F302B034A43557EA4 2018 2020-11-06 18:47:13Z TAMPA GENERAL HOSPITAL MARK RUNYON PO BOX 1289 TAMPA FL 33601 1675730199 0 X WWW.TGH.ORG X 1997 FL WE HEAL. WE TEACH. WE INNOVATE. CARE FOR EVERYONE. EVERY DAY. 16 12 9886 956 712538 281067 4877139 4745155 1301791630 1395047179 27352263 22828016 0 0 1334021032 1422620350 2419108 633044 0 0 570179306 619879701 0 0 0 688947934 747427536 1261546348 1367940281 72474684 54680069 1842365906 1893124366 810985192 786432279 1031380714 1106692087 X AS THE REGION'S LEADING SAFETY NET HOSPITAL, TAMPA GENERAL HOSPITAL IS COMMITTED TO PROVIDING AREA RESIDENTS WITH EXCELLENT AND COMPASSIONATE HEALTH CARE RANGING FROM THE SIMPLEST TO THE MOST COMPLEX MEDICAL SERVICES. OUR SHARED PURPOSE: WE HEAL. WE TEACH. WE INNOVATE. CARE FOR EVERYONE. EVERY DAY.THE TGH VISION: WE WILL BE THE SAFEST AND MOST INNOVATIVE ACADEMIC HEALTH SYSTEM IN AMERICA. 0 0 1012419626 1318183296 HEALTHCARE SERVICES: TAMPA GENERAL HOSPITAL, A LEADING SAFETY NET, PRIVATE NOT-FOR-PROFIT HOSPITAL, IS ONE OF THE MOST COMPREHENSIVE MEDICAL FACILITIES IN WEST CENTRAL FLORIDA, SERVING A DOZEN COUNTIES WITH A POPULATION IN EXCESS OF 4 MILLION. AS ONE OF THE LARGEST HOSPITALS IN FLORIDA, TAMPA GENERAL IS LICENSED FOR 1,007 BEDS, IS A LEVEL 1 TRAUMA CENTER, AND IS ONE OF JUST FOUR BURN CENTERS IN FLORIDA. WITH FIVE MEDICAL HELICOPTERS, WE ARE ABLE TO TRANSPORT CRITICALLY INJURED OR ILL PATIENTS FROM 23 SURROUNDING COUNTIES TO RECEIVE THE ADVANCED CARE THEY NEED. THE HOSPITAL IS HOME TO ONE OF THE LEADING ORGAN TRANSPLANT CENTERS IN THE COUNTRY, HAVING PERFORMED MORE THAN 10,000 TRANSPLANTS, INCLUDING THE STATE'S FIRST SUCCESSFUL HEART TRANSPLANT IN 1985. TGH IS A STATE-CERTIFIED COMPREHENSIVE STROKE CENTER, AND ITS 32-BED NEUROSCIENCE INTENSIVE CARE UNIT IS THE LARGEST ON THE WEST COAST OF FLORIDA. OTHER OUTSTANDING CENTERS INCLUDE CARDIOVASCULAR, ORTHOPEDICS, HIGH RISK AND NORMAL OBSTETRICS, A LEVEL IV NICU, UROLOGY, ENT, ENDOCRINOLOGY, AND THE CHILDREN'S MEDICAL CENTER, WHICH FEATURES A NINE-BED PEDIATRIC INTENSIVE CARE UNIT AND ONE OF JUST THREE OUTPATIENT PEDIATRIC DIALYSIS UNITS IN THE STATE. SERVICES FOR OUTPATIENTS ARE PROVIDED IN A VARIETY OF LOCATIONS. A RANGE OF DIAGNOSTIC AND THERAPEUTIC OUTPATIENT SERVICES ARE PROVIDED ON THE TGH CAMPUS. IN ADDITION, TGH PROVIDES OUTPATIENT REHABILITATION SERVICES IN AN OFFSITE FACILITY AND PRIMARY AND SPECIALTY PHYSICIAN SERVICES IN VARIOUS OFFSITE CLINICS. AS THE REGION'S LEADING SAFETY NET HOSPITAL, TAMPA GENERAL IS COMMITTED TO PROVIDING AREA RESIDENTS WITH EXCELLENT AND COMPASSIONATE HEALTH CARE RANGING FROM THE SIMPLEST TO THE MOST COMPLEX MEDICAL SERVICES. TGH PROVIDES MEDICAL SERVICES TO THOSE UNABLE TO PAY THROUGH VARIOUS MEANS, INCLUDING THE HILLSBOROUGH COUNTY HEALTH PLAN AND THE STATE MEDICAID PROGRAM. IN ADDITION, TGH PROVIDES TRAUMA CARE ON A REGIONAL BASIS AS WELL AS OTHER SERVICES AT NO CHARGE TO ELIGIBLE PATIENTS THROUGH ITS CHARITY CARE PROGRAM. STATISTICS: TOTAL PATIENT DAYS: 301,545, EMERGENCY ROOM VISITS: 122,442, DELIVERIES: 6,371, AND SURGERIES: 33,807. 26174498 6199803 RESIDENTS' TEACHING PROGRAM (THE REVENUES AND EXPENSES DISCLOSED IN THIS SECTION INCLUDE DIRECT GRADUATE MEDICAL EDUCATION ONLY): TAMPA GENERAL HOSPITAL HAS BEEN AFFILIATED WITH THE UNIVERSITY OF SOUTH FLORIDA ("USF") COLLEGE OF MEDICINE SINCE THE SCHOOL WAS CREATED IN THE EARLY 1970S. TAMPA GENERAL HOSPITAL IS THE PRIMARY TEACHING AFFILIATE OF THE MORSANI COLLEGE OF MEDICINE AT THE UNIVERSITY OF SOUTH FLORIDA. TGH HAS APPROXIMATELY 330 RESIDENT POSITIONS THAT ROTATE THROUGH THE HOSPITAL EACH YEAR. THE MEDICARE PROGRAM FUNDS APPROXIMATELY 209 RESIDENTS, WITH THE REMAINING SLOTS FUNDED SOLELY BY THE HOSPITAL. THESE RESIDENTS ARE ASSIGNED TO TAMPA GENERAL HOSPITAL FOR SPECIALTY TRAINING IN AREAS RANGING FROM GENERAL INTERNAL MEDICINE TO NEUROSURGERY. IN ADDITION, MEDICAL, NURSING, AND PHYSICAL THERAPY STUDENTS ALL RECEIVE PART OF THEIR TRAINING AT TAMPA GENERAL HOSPITAL ON AN ANNUAL BASIS. UNIVERSITY OF SOUTH FLORIDA HAD APPROXIMATELY 100 MEDICAL STUDENTS ROTATING AT TAMPA GENERAL HOSPITAL DURING OUR FISCAL YEAR 2019. FACULTY OF THE MORSANI COLLEGE OF MEDICINE AT THE UNIVERSITY OF SOUTH FLORIDA ADMIT AND CARE FOR PATIENTS AT TAMPA GENERAL HOSPITAL, AS DO COMMUNITY PHYSICIANS, MANY OF WHOM ALSO SERVE AS USF ADJUNCT CLINICAL FACULTY. 5354483 2379413 CLINICAL RESEARCH: AS THE REGION'S ONLY LEVEL 1 TRAUMA CENTER AND THE PRIMARY TEACHING HOSPITAL FOR THE MORSANI COLLEGE OF MEDICINE AT THE UNIVERSITY OF SOUTH FLORIDA, TAMPA GENERAL HOSPITAL IS UNIQUELY POISED TO CONDUCT CUTTING-EDGE CLINICAL TRIALS ADVANCING THE STATE OF MEDICINE EVERY DAY. THE OFFICE OF CLINICAL RESEARCH (OCR) IS COMMITTED TO SUPPORTING INVESTIGATORS, SPONSORS, AND PATIENTS PARTICIPATING IN CLINICAL TRIALS. WE PROVIDE STRATEGIC SERVICES, EDUCATION AND TRAINING, AND COMPREHENSIVE REVIEW PROCESSES DESIGNED TO FULFILL THE POTENTIAL OF CLINICAL INVESTIGATORS AND THEIR RESEARCH STAFF. TGH WORKS IN PARTNERSHIP WITH ITS INTERNAL INVESTIGATORS, MULTIPLE UNIVERSITIES, COMMUNITY BASED PHYSICIANS, AND TAMPA GENERAL MEDICAL GROUP PHYSICIANS TO DEVELOP AND TEST GROUND-BREAKING TREATMENTS THAT WILL INCREASE THE MEDICAL COMMUNITY'S KNOWLEDGE AND POTENTIALLY ADVANCE THE QUALITY OF MEDICAL CARE. THIS PROGRAM PROVIDES INNOVATIVE AND CUTTING-EDGE SCIENCE THAT MAY BENEFIT OUR DIVERSE PATIENT POPULATION NOW AND IN THE FUTURE; SCIENCE AND TECHNOLOGY THAT MAY BECOME GENERALIZABLE FOR THE PUBLIC AND MEDICAL PROFESSIONALS. IN ADDITION TO THE OCR ADMINISTRATIVE SERVICES, THE TGH CENTER FOR OUTPATIENT RESEARCH EXCELLENCE (CORE) PROVIDES COORDINATION SERVICES THAT BEGIN BEFORE SITE INITIATION AND CONTINUE FOR THE DURATION OF THE STUDY. PRE-STUDY SERVICES INCLUDE STUDY PLACEMENT, COORDINATION OF PRE-STUDY SITE VISIT, REGULATORY WORK, LABORATORY AND RADIOLOGY RESEARCH PRICING, AND ARRANGEMENTS FOR SPECIAL SERVICES. STUDY COORDINATION SERVICES INCLUDE RECRUITMENT, SCREENING, SUBJECT ENROLLMENT, STUDY VISITS/PROCEDURES, INVESTIGATIONAL DRUG SERVICES, ADMINISTRATION AND ACCOUNTABILITY, PACKAGING AND SHIPPING, SOURCE DOCUMENTATION, CASE REPORT FORM COMPLETION, AND LONG TERM RECORD STORAGE. 57992200 633044 68284667 TAMPA GENERAL HOSPITAL'S OTHER PROGRAM SERVICES INCLUDE CAFETERIA AND VENDING SALES, PARKING GARAGE REVENUES, PHARMACY SALES TO EMPLOYEES, NET ASSETS RELEASED FROM RESTRICTIONS, AND OTHER MISCELLANEOUS REVENUE. 57992200 633044 68284667 1101940807 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 1 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 750 0 1 9886 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 0 X 16 12 0 0 0 0 0 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X X MARK RUNYON EXEC VP & CFO 8138447000 1 TAMPA GENERAL CIRCLE TAMPA FL 33606 JOHN T TOUCHTON JR BOARD MEMBER, CHAIRMAN 3.20 0.40 X X 0 0 0 PHILLIP S DINGLE BOARD MEMBER, VICE-CHAIRMAN 2.20 X X 0 0 0 GENE E MARSHALL BOARD MEMBER, CORP SECRETARY 2.10 0.30 X X 0 0 0 RAVIENDER BUKKAPATNAM MD BOARD MEMBER 1.40 X 96222 0 0 BLAKE J CASPER BOARD MEMBER 2.10 X 0 0 0 DEVANAND MANGAR MD BOARD MEMBER 2.20 X 0 0 0 JOHN A BRABSON JR BOARD MEMBER 1.50 0.40 X 0 0 0 DREW GRAHAM BOARD MEMBER 1.80 1.90 X 0 0 0 THOMAS L BERNASEK MD BOARD MEMBER 2.40 X 0 0 0 PATRICIA JURINSKI BOARD MEMBER 1.60 X 0 0 0 WARREN E ROSS MD BOARD MEMBER 2.20 X 0 0 0 KATHLEEN SHANAHAN BOARD MEMBER 1.60 X 0 0 0 RICHARD GONZMART BOARD MEMBER 1.00 X 0 0 0 LES MUMA BOARD MEMBER 0.70 X 0 0 0 FRED DOBBINS BOARD MEMBER, TREASURER 2.10 X X 0 0 0 TAPAN PADHYA MD BOARD MEMBER, CHIEF OF STAFF 0.70 X 0 0 0 JOHN COURIS PRESIDENT & CEO 49.00 1.00 X 1675563 0 33667 JUDITH PLOSZEK EXEC VP & CFO (END 5/19) 45.00 5.00 X 996099 0 44391 SALLY HOUSTON MD EXEC VP & CMO 45.00 5.00 X 1249834 0 48822 KELLY CULLEN EXEC VP & COO 50.00 X 525349 0 9981 SCOTT J ARNOLD SENIOR VP & CIO 50.00 X 769101 0 41011 CHRIS A ROEDERER SENIOR VP & CHIEF HR OFC 50.00 X 850208 0 40781 ROBIN W DELAVERGNE SENIOR VP & EXTERNAL AFFAI 50.00 X 522843 0 32242 STEVE L SHORT EXEC VP & CFO (BEG 5/19) 45.00 5.00 X 1664463 0 48217 STACEY BRANDT SENIOR VP & CHIEF STRATEGY/MKTG OFC 50.00 X 517570 0 19408 DEBBIE A RINDE-HOFFMAN TRANSPLANT CARDIOLOGIST 50.00 X 859868 0 44829 MARK W WESTON TRANSPLANT CARDIOLOGIST 50.00 X 793145 0 44933 PETER J BERMAN TRANSPLANT CARDIOLOGIST 50.00 X 720010 0 37693 KEITH E SOMMERS CARDIOTHORACIC SURGEON 50.00 X 967123 0 0 LUIS ARROYO TRANSPLANT CARDIOLOGIST 50.00 X 686535 0 40921 JAMES R BURKHART FORMER CEO 0.00 X 898543 0 20333 DEANA L NELSON FORMER COO 0.00 X 277240 0 3983 14069716 0 511212 749 1 1 0 UNIV MED SERVICE ASSOC PO BOX 917492 ORLANDO FL 328917492 PHYSICIANS/RESIDENTS 23033602 LIFELINK FL GA AND PUERTO RICO PO BOX 102474 ATLANTA GA 303680308 ORGAN ACQUISITION 11122837 TAMPA FAMILY HEALTH CTRS INC PO BOX 82969 TAMPA FL 33682 PHYSICIAN/MEDICAL SERVICES 6468473 LIFELINK FOUNDATION INC PO BOX 102474 ATLANTA GA 303680308 ORGAN ACQUISITION 5488005 GULF TO BAY ANESTHESIOLOGY PO BOX 637791 CINCINNATI OH 452637791 PHYSICIAN/MEDICAL SERVICES 4401543 118 555706 3784505 404944 4745155 PATIENT SERVICE REVENUE 622110 1317637558 1317637558 OUTPATIENT PHARMACY SALES - EMPLO 446110 60867570 60867570 RESEARCH, MEANINGFUL USE AND OTHE 621990 9796510 9629710 166800 DISPROPORTIONATE SHARE REVENUE 622110 6199803 6199803 COMMERCIAL LAB 621500 545738 545738 1395047179 21790778 21790778 128 128 254146959 253109849 1037110 1037110 1037110 1422620350 1394334641 712538 22828016 633044 633044 9185772 1993312 7192460 475902875 396062566 79840309 19370088 15594143 3775945 80429588 64531413 15898175 34991378 28028094 6963284 5919768 837285 5082483 5661435 5661435 391840 391840 187090 187090 102048667 95638635 6410032 9574542 609398 8965144 439688143 409586031 30102112 31809183 16283121 15526062 17554770 15448198 2106572 1775151 684177 1090974 583861 102198 481663 12687966 11165410 1522556 38235 38235 62744579 24940398 37804181 29647230 29647230 ASSESSMENTS 17103808 17103808 DUES AND MEMBERSHIPS 2478010 569999 1908011 RECRUITMENT COSTS 1502749 134342 1368407 PROPERTY AND OTHER TAXE 719698 627683 92015 5310811 1367552 3943259 1367940281 1101940807 265999474 0 21125 17775 119418435 52893949 627752 713868 317559038 348607756 25726652 27740932 72840093 77713446 1177717640 637710805 521700857 540006835 714109806 789611825 1546050 1546050 2565794 1812312 66250304 52459618 1842365906 1893124366 350834002 340618990 598832 272197 365663480 357723835 20563395 21333298 73325483 66483959 810985192 786432279 X 1024966111 1100960166 6414603 5731921 1031380714 1106692087 1842365906 1893124366 X 54680069 23289314 -2658010 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 127886 1 328022 0 0 455908 0 PART II-B, LINE 1: TAMPA GENERAL HOSPITAL'S LOBBYING ACTIVITIES FOCUS ON COMMUNICATING THE HOSPITAL'S SPECIAL STATUS AND CHALLENGES TO ELECTED OFFICIALS AT THE COUNTY, STATE, AND FEDERAL LEVELS. GIVEN TGH'S LARGE SHARE OF INDIGENT CARE IN THE REGION, EFFORTS ARE PRIMARILY FOCUSED ON MAINTAINING EXISTING FUNDING AND SEEKING ADDITIONAL GOVERNMENT SUPPORT TO ENSURE TGH CAN CONTINUE TO DELIVER QUALITY CARE TO ITS PATIENTS. 919194 214427 1133621 919194 919194 915531 3663 919194 912821 2710 915531 910736 2085 912821 1.00000 0 1 1 12427593 46639634 59067227 532313962 250195428 282118534 27617407 10381518 17235889 536530243 375578466 160951777 22188801 1555393 20633408 540006835 ACCRUED POSTRETIREMENT BENEFITS 2871081 MALPRACTICE TAIL LIABILITY 30749820 ACCRUED CLAIMS PAYABLE - WORKERS COMPENSATION 1717797 CAPTIVE LT LIABILITY 31145261 66483959 X 1492887429 23289314 46977765 70267079 1422620350 0 1422620350 1433702335 65762054 65762054 1367940281 0 1367940281 PART X, LINE 2: THE CENTER APPLIES FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS AND PROVIDES GUIDANCE WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUE OF THESE POSITIONS ARE DETERMINED. U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (U.S. GAAP) REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINABLE UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2019 AND 2018, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE FROM SUBSIDIARIES PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES FROM SUBSIDIARIES CENTRAL AMERICA AND THE CARIBBEAN 1 0 PROGRAM SERVICES FLORIDA HEALTH SCIENCES CENTER, LTD WAS FORMED IN THE CAYMAN ISLANDS AND BEGAN OPERATIONS IN JUNE 2010. THIS ENTITY PROVIDES PROFESSIONAL AND GENERAL LIABILITY INSURANCES TO FLORIDA HEALTH SCIENCES CENTER, INC AND ITS AFFILIATES. 289005 1 0 0 0 1 0 289005 0 289005 1 0 1 0 0 0 1 1 X 1 X 1 X 1 1 1 0 1 1 53167824 7594184 45573640 0.03330 233985189 172315518 61669671 0.04510 25836500 8408665 17427835 0.01270 312989513 188318367 124671146 0.09110 2715658 2715658 0.00200 48151499 18213310 29938189 0.02190 17639329 9300261 8339068 0.00610 5354483 2379413 2975070 0.00220 1600810 1600810 0.00120 75461779 29892984 45568795 0.03340 388451292 218211351 170239941 0.12450 1 88485501 271175429 290107753 -18932324 X 1 1 1 1 FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA FL 33601 WWW.TGH.ORG FL LIC NO 4044 X X X X X FHSC INC DBA TAMPA GENERAL HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X WWW.TGH.ORG 1 18 1 WWW.TGH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X WWW.TGH.ORG X WWW.TGH.ORG X WWW.TGH.ORG X X X X X X 1 X 0 X X 1 X 0 0 FHSC, INC. D/B/A TAMPA GENERAL HOSPITAL PART V, SECTION B, LINE 5: TAMPA GENERAL HOSPITAL'S (TGH) 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS BASED ON PARTICIPATION IN A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT. THE FLORIDA DEPARTMENT OF HEALTH COORDINATED AND LED THIS COLLABORATIVE ASSESSMENT FOR THE GREATER TAMPA BAY AREA. COLLABORATING PARTNERS INCLUDED LOCAL AREA HOSPITALS, COUNTY HEALTH DEPARTMENTS AND OTHER AREA HEALTH ORGANIZATIONS IN HILLSBOROUGH, PASCO, PINELLAS AND POLK COUNTIES.IN ORDER TO PROVIDE COMMUNITY INPUT, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) METHODOLOGY INCLUDED ASSESSMENT OF COMMUNITY PERCEPTIONS, STRENGTHS, AND THEMES. SURVEYS WERE ADMINISTERED TO MEMBERS OF THE COMMUNITY, AND KEY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH REPRESENTATIVES OF COMMUNITY-BASED ORGANIZATIONS. THIS METHODOLOGY PROVIDED BOTH QUALITATIVE AND QUANTITATIVE INFORMATION THAT SUPPLEMENTED DATA AVAILABLE FROM SECONDARY DATA SOURCES ON A VARIETY OF HEALTH STATUS INDICATORS. AN ONLINE CHNA SURVEY WAS CONDUCTED FROM FEBRUARY 21 - MAY 1, 2019. THE SURVEY WAS AVAILABLE IN ENGLISH AND SPANISH VERSIONS AND WAS PROMOTED ON HEALTH DEPARTMENT AND HOSPITAL WEBSITES AND OTHER SOCIAL MEDIA PLATFORMS. IN ADDITION, PAPER SURVEYS WERE DISSEMINATED TO CERTAIN DEMOGRAPHIC POPULATIONS IN EFFORTS TO OBTAIN PROPORTIONAL REPRESENTATION WITH THAT OF THE COMMUNITY AT LARGE. SURVEY PARTICIPANTS WERE DIRECTED TO COMPLETE THE SURVEY FOR THE COUNTY THEY LIVED IN. A TOTAL OF 5,304 INDIVIDUALS FROM HILLSBOROUGH COUNTY PARTICIPATED IN THE SURVEY.ADDITIONALLY, INTERVIEWS WERE CONDUCTED WITH KEY STAKEHOLDERS REPRESENTING COMMUNITY-BASED ORGANIZATIONS PROVIDING SERVICES IN HILLSBOROUGH COUNTY. A SURVEY MONKEY QUESTIONNAIRE WAS DISTRIBUTED TO INDIVIDUALS IDENTIFIED BY THE COMMUNITY COLLABORATIVE AS EXPERTS IN THEIR FIELD WITH SPECIFIC KNOWLEDGE OF COMMUNITY NEED AND VULNERABLE POPULATIONS. INTERVIEW TEXT WAS ANALYZED USING THE WEB-BASED QUALITATIVE TOOL, DEDOOSE. EXCERPTS WERE CODED BY RELEVANT TOPIC AREAS AND KEY HEALTH THEMES.HEALTHY COMMUNITIES INSTITUTE'S DATA SCORING TOOL WAS UTILIZED TO COMPARE AND SCORE HEALTH-RELATED ISSUES FOR EACH COUNTY PARTICIPATING IN THE CHNA. OVER 141 DEMOGRAPHIC, SOCIAL, ECONOMIC AND HEALTH INDICATORS WERE COLLECTED FROM SECONDARY DATA SOURCES. THE SCORING METHODOLOGY QUALITATIVELY SCORES COUNTY DATA TO THE STATE VALUE, THE NATIONAL VALUE AND TARGET VALUES SUCH HAS THE NATIONWIDE HEALTHY PEOPLE 2020 GOALS. SCORES WERE COMPILED FOR EACH INDICATOR AND SUMMARIZED INTO 28 TOPIC AREAS. INFORMATION GATHERED DURING THE CHNA WAS SYNTHESIZED TO IDENTIFY OVERLAPPING NEEDS FROM ALL SOURCES OF INPUT. THE FINDINGS FROM ALL THREE DATA SETS WERE COMPARED AND STUDIED SIMULTANEOUSLY TO GAIN A BETTER UNDERSTANDING OF THE SIGNIFICANT HEALTH NEEDS FOR HILLSBOROUGH COUNTY. ELEVEN HEALTH ISSUES WERE IDENTIFIED AS SIGNIFICANT HEALTH NEEDS ACROSS ALL THREE DATA SOURCES AND WERE USED FOR FURTHER PRIORITIZATION.A PRIORITIZATION SESSION WAS HELD ON JULY 24, 2019 WITH APPROXIMATELY 150 INDIVIDUALS FROM THE COMMUNITY REPRESENTING SCHOOLS, HOSPITAL SYSTEMS AND MEDICAL PROVIDERS, LOCAL BUSINESSES, LOCAL GOVERNMENT, CHURCHES AND OTHER COMMUNITY-BASED ORGANIZATIONS. COLLABORATIVE LABS FACILITATED THE ALL-DAY SESSION TO FURTHER REVIEW AND DISCUSS THE TOP IDENTIFIED NEEDS. THESE SESSIONS INCLUDED A DATA PRESENTATION HIGHLIGHTING PRIMARY AND SECONDARY DATA FINDINGS FOR THE ELEVEN SIGNIFICANT HEALTH NEEDS UP FOR CONSIDERATION. FOCUS GROUPS WERE ASSEMBLED TO FURTHER DISCUSS RELEVANT DEMOGRAPHICS AND HEALTH OUTCOMES DATA FOR THE ELEVEN HEALTH CATEGORIES. IN ADDITION, THE FLORIDA DEPARTMENT OF HEALTH CONDUCTED A FORCES OF CHANGE ASSESSMENT. AT THE END OF THE DAY, ALL 150 REPRESENTATIVES FOR HILLSBOROUGH COUNTY PARTICIPATED IN A PRIORITY SETTING EXERCISE. UTILIZING POLLING SOFTWARE AND RESPONSE KEYPADS, PARTICIPANTS PROVIDED A RATING FROM ONE TO TEN FOR TWO CRITERIA FOR EACH OF THE TOP HEALTH NEEDS. THE PRIORITIZATION CRITERIA WEREAS FOLLOWS: * SCOPE AND SEVERITY (PREVALENCE AND HEALTH CONSEQUENCES RELATED TO THE HEALTH NEED) * ABILITY TO IMPACTCRITERIA SCORES WERE THEN COMBINED TO CALCULATE AN OVERALL RANKING OF HEALTH NEEDS. AFTER CONSIDERATION, IT WAS DECIDED TO COMBINE THE CATEGORIES OF MENTAL HEALTH AND MENTAL DISORDERS AND SUBSTANCE ABUSE INTO THE SINGULAR CATEGORY OF BEHAVIORAL HEALTH. THUS, THE FINAL THREE TOP HEALTH PRIORITIES FOR HILLSBOROUGH COUNTY ARE: 1) BEHAVIORAL HEALTH; 2) ACCESS TO HEALTH SERVICES; AND 3) EXERCISE, NUTRITION, AND WEIGHT. FHSC, INC. D/B/A TAMPA GENERAL HOSPITAL PART V, SECTION B, LINE 6A: TAMPA GENERAL HOSPITAL'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED IN CONJUNCTION WITH A COLLABORATIVE ASSESSMENT FOR THE GREATER TAMPA BAY AREA COORDINATED BY THE FLORIDA DEPARTMENT OF HEALTH. COLLABORATING PARTNERS INCLUDED LOCAL AREA HOSPITALS, COUNTY HEALTH DEPARTMENTS, AND OTHER AREA HEALTH ORGANIZATIONS IN HILLSBOROUGH, PASCO, PINELLAS, AND POLK COUNTIES. THE RESULTS OF THE ASSESSMENT ARE INCLUDED IN TAMPA GENERAL HOSPITAL'S PUBLICLY AVAILABLE 2019 CHNA. FHSC, INC. D/B/A TAMPA GENERAL HOSPITAL PART V, SECTION B, LINE 6B: TAMPA GENERAL HOSPITAL'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS BASED ON THE WORK COMPLETED BETWEEN OCTOBER 2018 AND AUGUST 2019 THROUGH A COLLABORATIVE EFFORT COORDINATED BY THE FLORIDA DEPARTMENT OF HEALTH. THE RESULTS OF THE ASSESSMENT ARE INCLUDED IN TAMPA GENERAL HOSPITAL'S PUBLICLY AVAILABLE 2019 CHNA. FHSC, INC. D/B/A TAMPA GENERAL HOSPITAL PART V, SECTION B, LINE 11: THE THREE HEALTH PRIORITIES IDENTIFIED IN TAMPA GENERAL HOSPITAL'S 2019 CHNA ARE: 1) BEHAVIORAL HEALTH; 2) ACCESS TO HEALTH SERVICES; AND 3) EXERCISE, NUTRITION, AND WEIGHT. THE INFORMATION BELOW SUMMARIZES TGH'S INITIATIVES FOCUSED ON THESE THREE AREAS. DETAILED DESCRIPTIONS CAN BE FOUND IN TGH'S 2019 CHNA, ALONG WITH FUTURE INITIATIVES IDENTIFIED IN THE IMPLEMENTATION PLAN. THERE ARE NO PRIORITIES THAT ARE NOT BEING ADDRESSED. TGH IS INVOLVED IN NUMEROUS INITIATIVES THAT ADDRESS OBESITY, BOTH DIRECTLY AND INDIRECTLY. THE COMMUNITY RELATIONS DEPARTMENT LEADS PROGRAMS IN THE COMMUNITY AIMED AT DIABETES PREVENTION, EXERCISE, NUTRITION, AND SCREENINGS WHERE OBESITY MAY BE A FACTOR. TGH IS COMMITTED TO INFANT NUTRITION AND PROVIDES BREAST FEEDING EDUCATION AND INDIVIDUAL SUPPORT TO NEW MOTHERS. TGH'S EMPLOYEE HEALTH DEPARTMENT ALSO PROVIDES A NUMBER OF PROGRAMS AIMED AT REDUCING OBESITY AMONG EMPLOYEES. THESE EMPLOYEE HEALTH PROGRAMS INCLUDE WEIGHT WATCHERS, COMMIT TO HEALTHY EATING FOR WELLNESS (CHEW), AND A BETTER WEIGH. FINALLY, TGH IS A SIGNIFICANT SOURCE OF FINANCIAL SUPPORT FOR MORE HEALTH. MORE HEALTH PROVIDES HEALTH EDUCATION IN BOTH PUBLIC AND PRIVATE SCHOOLS, AND THEIR CURRICULUM INCLUDES HEALTHY DIET AND EXERCISE EDUCATION. THE TGH 2019 CHNA IMPLEMENTATION STRATEGY PROVIDES DETAIL ON ACTIVITIES PLANNED FOR THE FUTURE TO ADDRESS OBESITY. TGH IS INVOLVED IN NUMEROUS BEHAVIORAL HEALTH INITIATIVES IN THE COMMUNITY. THE COMMUNITY RELATIONS DEPARTMENT LEADS SEVERAL PROGRAMS INCLUDING COMPLEMENTARY MEDICINE FOR HEALTH AND WELL-BEING, MENTAL AND EMOTIONAL HEALTH EDUCATION, THE POWERFUL TOOLS FOR CAREGIVERS PROGRAM, POST-CONCUSSION MENTAL HEALTH EDUCATION, AND SUPPORT GROUPS. TGH ALSO OFFERS SEVERAL SPECIALIZED PROGRAMS FOR THEIR PATIENTS INCLUDING THE PEDIATRIC OUTPATIENT MEDICAL COPING CLINIC, PRE-TRANSPLANT MENTAL HEALTH COUNSELING, AND CHRONIC PAIN MANAGEMENT PSYCHOLOGY SERVICES. IN ADDITION, TGH PARTICIPATES IN THE HILLSBOROUGH COUNTY HEALTH PLAN'S BEHAVIORAL HEALTH PILOT WHICH COMBINES PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES FOR PARTICIPANTS IN THE COUNTY'S HEALTH PLAN (WHICH SERVES AN INDIGENT POPULATION). THE TGH 2016 CHNA IMPLEMENTATION STRATEGY PROVIDES DETAIL ON ACTIVITIES PLANNED FOR THE FUTURE TO ADDRESS BEHAVIORAL HEALTH ISSUES. IN 2016, TGH INVESTED IN A MENTAL HEALTH PLATFORM, MY STRENGTH, THAT ALLOWS FREE ACCESS TO ONLINE MENTAL HEALTH RESOURCES FOR EMPLOYEES AND THE COMMUNITY. THIS PLATFORM IS PROMOTED TO ALL EMPLOYEES AND ALL PATIENTS OF OUR PRIMARY CARE CLINICS. THERE IS NO FEE TO REGISTER OR PARTAKE IN THE RESOURCES. TGH OFFERS A VARIETY OF PROGRAMS THAT ADDRESS HEALTHCARE ACCESS ISSUES. THE COMMUNITY RELATIONS DEPARTMENT LEADS SEVERAL INITIATIVES AVAILABLE TO THE COMMUNITY, INCLUDING SCREENINGS FOR COMMUNITY MEMBERS, EDUCATIONAL PROGRAMS ON HEALTH-RELATED ISSUES, SUPPORT GROUPS, SEMINARS ON SMOKING CESSATION, AND INFORMATIONAL PROGRAMS ON DIFFERENT TYPES OF INSURANCE. TGH FINANCIAL COUNSELORS PARTICIPATED IN LOCAL EFFORTS TO ENROLL INDIVIDUALS IN THE AFFORDABLE CARE ACT HEALTH EXCHANGES. TAMPA GENERAL MEDICAL GROUP (TGMG) HAS 16 PRIMARY CARE LOCATIONS THROUGHOUT HILLSBOROUGH COUNTY. TWO PROVIDER-BASED SITES PROVIDE PRIMARY CARE AND SPECIALTY SERVICES TO RESIDENTS WITH LIMITED OR NO FINANCIAL RESOURCES. IN 2017, TGH OPENED THE BRANDON HEALTHPLEX, A COMPREHENSIVE AMBULATORY CENTER THAT IS DESIGNED TO BE A CONVENIENT DESTINATION FOR PATIENTS TO ACCESS A BROAD SPECTRUM OF QUALITY OF HEALTHCARE SERVICES. THE TGH 2019 CHNA IMPLEMENTATION STRATEGY PROVIDES ADDITIONAL DETAIL ON ACTIVITIES PLANNED FOR THE FUTURE TO ADDRESS ACCESS. 17 1 - TGH FAMILY CARE CENTER KENNEDY 2501 WEST KENNEDY BOULEVARD TAMPA FL 33609 FAMILY CARE CLINIC 2 - TGMG BRANDON 214 MORRISON ROAD BRANDON FL 33511 FAMILY CARE CLINIC 3 - TGMG FISHHAWK 13421 FISHHAWK BLVD LITHIA FL 33547 FAMILY CARE CLINIC 4 - TGH FAMILY CARE CENTER HEALTHPARK 5802 NORTH 30TH STREET TAMPA FL 33610 FAMILY CARE CLINIC 5 - TGMG CARROLLWOOD 13860 N DALE MABRY HIGHWAY TAMPA FL 33618 FAMILY CARE CLINIC 6 - TGMG LOIS 2106 S LOIS AVENUE TAMPA FL 33629 FAMILY CARE CLINIC 7 - TGMG WESLEY CHAPEL 2324 OAK MYRTLE LANE WESLEY CHAPEL FL 33544 FAMILY CARE CLINIC 8 - TGMG TAMPA PALMS 16011 TAMPA PALMS WEST BLVD TAMPA FL 33647 FAMILY CARE CLINIC 9 - TGMG RIVERVIEW 10647 BIG BEND ROAD RIVERVIEW FL 33579 FAMILY CARE CLINIC 10 - TGMG SUN CITY CENTER 1647 SUN CITY CENTER PLAZA SUN CITY CENTER FL 33573 FAMILY CARE CLINIC 11 - TGMG WESTCHASE 10718 COUNTRYWAY BOULEVARD TAMPA FL 33626 FAMILY CARE CLINIC 12 - TGMG TRINITY 2433 COUNTRY PLACE BLVD TRINITY FL 34655 FAMILY CARE CLINIC 13 - TGMG APOLLO BEACH 6488 N US HIGHWAY 41 APOLLO BEACH FL 33572 FAMILY CARE CLINIC 14 - TGMG ARMENIA 2333 W HILLSBOROUGH AVE TAMPA FL 33603 FAMILY CARE CLINIC 15 - TGMG AT THE TGH BRANDON HEALTHPLEX 10740 PALM RIVER ROAD TAMPA FL 33619 FAMILY CARE CLINIC 16 - TGMG VALRICO 2211 LITHIA CENTER LN VALRICO FL 33596 FAMILY CARE CLINIC 17 - TGH COMMUNITY HEALTH EDUCATION CENTER 2106 S LOIS AVE TAMPA FL 33629 COMMUNITY HEALTH EDUCATION CENTER PART I, LINE 6A: TGH DEVELOPED A COMMUNITY BENEFIT REPORT FOR THE PERIOD ENDING SEPTEMBER 30, 2018 DURING FISCAL 2019 (10/1/2018-9/30/2019). THIS REPORT SUMMARIZES TGH'S COMMUNITY BENEFIT COST, AS REPORTED TO THE IRS IN SCHEDULE H, AS REQUIRED BY THE AFFORDABLE CARE ACT. THE REPORT CAN BE FOUND ON THE HOSPITAL'S WEBSITE AT TGH.ORG. PART I, LINE 7: THE HOSPITAL'S COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS REPORTED IN LINE 7. FOR THE PURPOSES OF COMPUTING SUBSIDIZED SERVICES, BOTH DIRECT AND INDIRECT COSTS WERE CONSIDERED. FOR RESEARCH, ONLY DIRECT COSTS WERE CONSIDERED. PART III, LINE 2: BAD DEBT REPRESENTS THE DIFFERENCE BETWEEN: 1) GROSS CHARGES LESS CONTRACTUAL ADJUSTMENT (IF ANY) AND DISCOUNTS (IN THE CASE OF SELF-PAY PATIENTS), AND 2) THE AMOUNT THAT THE HOSPITAL EXPECTS TO COLLECT BASED ON HISTORICAL INFORMATION. THE MAJORITY OF BAD DEBT REPRESENTS AN IMPLICIT PRICE CONCESSION. THIS IS BECAUSE THE HOSPITAL CONTINUES TO PROVIDE SERVICES TO A PATIENT (OR PATIENT CLASS) EVEN WHEN HISTORICAL EXPERIENCE INDICATES THAT IT IS NOT PROBABLE THAT THE ENTITY WILL COLLECT SUBSTANTIALLY ALL OF THE DISCOUNTED CHARGES (GROSS OR STANDARD CHARGES LESS ANY CONTRACTUAL ADJUSTMENTS OR DISCOUNTS). THIS IS APPLICABLE FOR BOTH PATIENTS WHO HAVE INSURANCE WITH THIRD PARTIES, AS WELL AS THOSE PATIENTS WHO ARE UNINSURED. FOR UNINSURED PATIENTS, THE GROSS CHARGES ARE HIGHLY DISCOUNTED.ALTHOUGH IT MAY NOT BE PROBABLE THAT THE DISCOUNTED CHARGES WILL BE COLLECTED, THE HOSPITAL STILL ATTEMPTS TO COLLECT THE CHARGES. A PORTION OF THE BAD DEBT BALANCE HAS BEEN CONCLUDED TO BE TRULY BAD DEBT DUE TO THE HOSPITAL HAVING CHOSEN TO ACCEPT THE RISK OF DEFAULT BY THE PATIENT. THE PORTION THAT IS CONSIDERED BAD DEBT INCLUDES INSTANCES IN WHICH THE PATIENT IS TRULY IN DISTRESS (FOR EXAMPLE, THE PATIENT IS IN BANKRUPTCY). THE HOSPITAL HAS A MECHANISM IN PLACE FOR TRACKING THESE TYPES OF ACCOUNTS.SIMILAR TO THE ESTIMATION OF THE CONTRACTUAL ADJUSTMENTS, THE HOSPITAL UTILIZES THE MODEL WITHIN THE RCA TOOL. THE BAD DEBT ALLOWANCE AND CHARITY ADJUSTMENTS ARE BASED OFF OF THE AVERAGE EXPERIENCE FROM A SERIES OF SIX YEARLY HINDSIGHT TRENDING REPORTS. CHARITY IS BASED OFF OF THE HISTORICAL AVERAGE PERCENTAGE OF CHARITY BY IP/OP, FINANCIAL CLASS AND AGING BUCKET. BAD DEBT IS BASED OFF OF THE HISTORICAL AVERAGE PERCENTAGE OF BAD DEBT COMBINED WITH THE AVERAGE PERCENTAGE OF REMAINING BALANCES BY IP/OP, FINANCIAL CLASS AND AGING BUCKET. ALL BALANCES GREATER THAN 361 DAYS ARE RESERVED AT 100%.THE RESERVE PERCENTAGE APPLIED TO THE A/R BALANCE VARIES BASED ON THE FINANCIAL CLASS, AS WELL AS THE AGING OF THE GROSS ACCOUNTS RECEIVABLE BALANCE (FOR EXAMPLE, FOR THE "MEDICAID IP" PORTFOLIO, THE RESERVE PERCENTAGE WILL BE DIFFERENT FOR THE A/R THAT IS IN THE 31-60 DAY AGING BUCKET FROM THE A/R THAT IS IN THE 91-120 DAY AGING BUCKET). THE RESERVE PERCENTAGES ARE APPLIED TO THE GROSS A/R BALANCE TO ESTIMATE THE BAD DEBT BALANCE. PART III, LINE 4: SEE FOOTNOTE 1(U) ON PAGE 15 IN THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE $18.9 MILLION SHORTFALL REPORTED AT PT. III LINE 7 SHOULD BE CONSIDERED AS A COMMUNITY BENEFIT IN THAT MUCH OF THE SHORTFALL IN MEDICARE PAYMENTS RELATES TO THE ADDITIONAL COSTS ASSOCIATED WITH TREATING LOW INCOME MEDICARE BENEFICIARIES, COSTS ASSOCIATED WITH THE TGH LIVER, HEART, KIDNEY, LUNG AND PANCREAS ORGAN TRANSPLANT PROGRAMS, AND THE SIZABLE MEDICAL EDUCATION PROGRAMS, WHICH ARE A SIGNIFICANT BENEFIT TO ALL PATIENTS IN THESE PROGRAMS AND THE COMMUNITY AS A WHOLE. MEDICARE REVENUE AND COSTS ARE BASED ON THE 2018 MEDICARE COST REPORT EXCLUDING REVENUES AND COSTS ASSOCIATED WITH SUBSIDIZED HEALTH SERVICES AND GRADUATE MEDICAL EDUCATION, WHICH ARE REPORTED SEPARATELY IN PART I LINES 7G AND 7F. PART III, LINE 9B: EACH SELF-PAY PATIENT IS EVALUATED TO DETERMINE IF COVERED BY MEDICAID, HILLSBOROUGH COUNTY, AND/OR CHARITY ASSISTANCE. THE FINANCIAL INFORMATION PROVIDED BY THIS EVALUATION DETERMINES INTO WHICH CATEGORY A PATIENT RESIDES. PATIENTS WHO DO NOT QUALIFY FOR GOVERNMENT ASSISTANCE ARE THEN EVALUATED IN ACCORDANCE WITH HOSPITAL POLICY FOR CHARITY AND DISCOUNTED CARE. PATIENT BALANCES WILL EITHER QUALIFY FOR A TOTAL WRITE-OFF OR A DISCOUNT BASED ON THE PATIENT'S HOUSEHOLD INCOME AND FAMILY SIZE IN RELATION TO THE FEDERAL POVERTY LIMITATIONS. TGH'S FINANCIAL ASSISTANCE AND CHARITY CARE POLICY, FOLLOWING THE GUIDELINES OF THE INTERNAL REVENUE SECTION 501(R) REQUIREMENT: INCLUDES ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE FREE AND DISCOUNTED (PARTIAL CHARITY) CARE; DESCRIBES HOW TO APPLY FOR FINANCIAL ASSISTANCE; DESCRIBES HOW TGH WILL WIDELY PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL; LIMITS THE AMOUNTS THAT THE HOSPITAL WILL CHARGE FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE PROVIDED TO INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE TO THE AMOUNT GENERALLY BILLED FOR MEDICALLY NECESSARY CARE. PART VI, LINE 2: DURING FISCAL 2019, TAMPA GENERAL HOSPITAL (TGH) COMPLETED ITS THIRD COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AS REQUIRED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT SIGNED INTO LAW IN 2010. THE CHNA IS AVAILABLE TO THE COMMUNITY FOR REVIEW ON THE HOSPITAL'S WEBSITE (TGH.ORG). PART VI, LINE 3: FOR FISCAL YEAR 2019, THE COSTS ASSOCIATED WITH CHARITY CARE, UNREIMBURSED MEDICAID, AND THE UNREIMBURSED COSTS OF OTHER MEANS-TESTED GOVERNMENT PROGRAMS EXCEEDED $123 MILLION. THESE INCLUDE PATIENTS WHO QUALIFY FOR FREE CARE UNDER TAMPA GENERAL HOSPITAL'S (TGH) CHARITY CARE POLICY OR ARE ENROLLED IN PROGRAMS FOR LOW-INCOME OR UNDER-INSURED INDIVIDUALS SPONSORED BY STATE AND LOCAL GOVERNMENTS. WHILE TGH RECEIVED REIMBURSEMENT FOR SOME OF THESE PATIENTS, THE AMOUNTS ARE NOT SUFFICIENT TO COVER THE COSTS OF CARE PROVIDED. FREE CARE IS PROVIDED TO PATIENTS WHO QUALIFY BASED ON AN EVALUATION OF THEIR INCOME AND ASSETS. INDIVIDUALS WITH AN INCOME THAT IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY LEVEL (FPL) ARE ELIGIBLE FOR CHARITY OR FREE CARE AS ARE INDIVIDUALS WHOSE INCOME IS LESS THAN 400% OF THE FPL BUT WHOSE HOSPITAL CHARGES ARE GREATER THAN 25% OF THEIR ANNUAL INCOME. FINANCIAL COUNSELORS WORK WITH INDIVIDUALS WHO SEEK CARE AND ARE UNINSURED. ENROLLMENT ASSISTANCE IS PROVIDED TO INDIVIDUALS FOR GOVERNMENT PROGRAMS SUCH AS MEDICAID, MEDICARE DISABILITY, HEALTHCARE MARKETPLACE, OR THE HILLSBOROUGH COUNTY HEALTH PLAN AS WELL AS DETERMINING WHETHER THEY QUALIFY FOR CHARITY OR DISCOUNTED CARE. TGH'S FINANCIAL ASSISTANCE (CHARITY CARE AND DISCOUNTED CARE) POLICY IS AVAILABLE TO CONSUMERS AT TGH.ORG AS WELL AS IN THE HOSPITAL ADMISSIONS AREA. THE INFORMATION IS WRITTEN IN BOTH ENGLISH AND SPANISH. THE PATIENT SHALL BE ELIGIBLE FOR A DISCOUNT THAT IS ANNUALLY CALCULATED USING A "LOOK-BACK" METHOD. PATIENTS ELIGIBLE FOR MEDICAID OR OTHER INDIGENT CARE PROGRAMS MAY BE ELIGIBLE FOR FREE OR DISCOUNTED CARE FOR NON-COVERED SERVICES (INCLUDING CHARGES FOR DAYS EXCEEDING ANY LENGTH OF STAY LIMIT).NON-ELIGIBLE SERVICES AND BALANCES: FINANCIAL ASSISTANCE WILL NOT APPLY TO THE FOLLOWING SERVICES OR PATIENT RESPONSIBILITIES: * COSMETIC PROCEDURES THAT ARE NOT MEDICALLY NECESSARY * CO-PAYMENTS AND DEDUCTIBLE AMOUNTS * BALANCES PAYABLE BY OTHER INSURANCE (MEDICARE, MEDICAID, AUTOMOBILE INSURANCE, WORKER'S COMPENSATION, OR LIABILITY INSURANCE) * VENTRICULAR ASSIST DEVICES * TRANSPLANTS * ELECTIVE PROCEDURES FOR PATIENTS RESIDING OUTSIDE HILLSBOROUGH COUNTY, FLORIDA DETERMINATION AND SCREENING PROCESS: ALL PATIENTS SEEKING FINANCIAL ASSISTANCE ARE REQUIRED TO COMPLETE THE TGH FINANCIAL ASSISTANCE APPLICATION. PATIENTS WILL BE INSTRUCTED TO COMPLETE THE FORMS AND RETURN THEM BY MAIL OR IN PERSON TO A FINANCIAL ASSISTANCE SPECIALIST. PATIENTS WHO APPEAR TO QUALIFY FOR GOVERNMENT ASSISTANCE WILL BE OFFERED COURTESY ASSISTANCE WITH THE APPLICATION PROCESS. UNFUNDED OR UNDER-FUNDED PATIENTS WILL BE ASKED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION AT THE TIME OF REGISTRATION. FINANCIAL ASSISTANCE COUNSELING COMMUNICATION IS INTENDED TO BE CLEAR, CONCISE AND CONSIDERATE OF THE PATIENT AND FAMILY MEMBERS. IN ADDITION TO INCOME AND FAMILY INFORMATION, THE PATIENT MAY BE REQUIRED TO PROVIDE PROOF OF EMPLOYMENT. SOME PATIENTS MAY ALSO BE ASKED TO PROVIDE ADDITIONAL INFORMATION ABOUT THEIR ASSETS, MONTHLY EXPENSES, AND ANY OTHER RESOURCES TO PAY FOR THEIR CARE. DETERMINATION OF ELIGIBILITY OR DENIAL OF FINANCIAL ASSISTANCE WILL BE COMMUNICATED TO THE RESPONSIBLE PARTY WITHIN 30 DAYS OF RECEIPT OF ALL REQUIRED DOCUMENTATION. THE GRANTING OF FINANCIAL ASSISTANCE SHALL BE BASED ON AN INDIVIDUALIZED DETERMINATION OF FINANCIAL NEED AND MEDICAL NECESSITY, AND SHALL NOT TAKE INTO ACCOUNT AGE, GENDER, RACE, SOCIAL OR IMMIGRANT STATUS, SEXUAL ORIENTATION OR RELIGIOUS AFFILIATION.RELATIONSHIP TO COLLECTIONS AND BILLING POLICY: TGH MAINTAINS A SEPARATE POLICY OUTLINING ITS BILLING AND COLLECTION PROCEDURES. IN ACCORDANCE WITH ITS BILLING AND COLLECTIONS POLICY, TGH WILL NOT ENGAGE IN, NOR WILL IT AUTHORIZE ITS COLLECTION AGENCY TO ENGAGE IN, EXTRAORDINARY COLLECTION ACTIONS WITHOUT VERIFYING THAT PATIENTS HAVE BEEN GIVEN THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE.COMMUNICATION OF THE AVAILABILITY OF FINANCIAL ASSISTANCE WITHIN THE COMMUNITY: NOTIFICATION ABOUT FINANCIAL ASSISTANCE AVAILABLE FROM TGH SHALL BE DISSEMINATED BY TGH TO THE COMMUNITY BY VARIOUS MEANS, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, PUBLISHING THIS POLICY ON THE TGH WEBSITE, PLACING POSTERS AROUND THE HOSPITAL, AND MAKING BROCHURES AVAILABLE AT ALL PATIENT REGISTRATION AREAS.REGULATORY REQUIREMENTS: IN IMPLEMENTING THIS POLICY, TGH WILL COMPLY WITH ALL OTHER FEDERAL, STATE, AND LOCAL LAWS, RULES, AND REGULATIONS THAT MAY APPLY TO ACTIVITIES CONDUCTED PURSUANT TO THIS POLICY.AVAILABILITY OF FORMS AND POLICY: COPIES OF THE FINANCIAL ASSISTANCE POLICY AND APPLICATIONS WILL BE MADE AVAILABLE UPON REQUEST AND WITHOUT CHARGE BY CONTACTING A FINANCIAL ASSISTANCE SPECIALIST, OR BY SUBMITTING A WRITTEN REQUEST TO TAMPA GENERAL HOSPITAL. THE HOSPITAL'S FINANCIAL ASSISTANCE SPECIALISTS ARE ALSO AVAILABLE TO ANSWER ANY QUESTIONS ABOUT THIS POLICY. PART VI, LINE 4: TAMPA GENERAL HOSPITAL'S PRIMARY SERVICE AREA IS HILLSBOROUGH COUNTY, FLORIDA. 71% OF THE INPATIENTS WHO ARE TREATED AT TGH ARE RESIDENTS OF HILLSBOROUGH COUNTY. THE REMAINING 29% COME FROM OTHER AREAS OF FLORIDA AND THE UNITED STATES. HILLSBOROUGH COUNTY IS LOCATED IN WEST CENTRAL FLORIDA ALONG TAMPA BAY, AND IS HOME TO THREE INCORPORATED CITIES - TAMPA, TEMPLE TERRACE, AND PLANT CITY. TAMPA IS THE LARGEST CITY AND THE COUNTY SEAT. HILLSBOROUGH COUNTY HAS A HUMID SUBTROPICAL CLIMATE CHARACTERIZED BY FREQUENT THUNDERSTORMS DURING THE WARM AND HUMID SUMMER, AND COOLER, DRIER WINTERS. HILLSBOROUGH COUNTY'S MEDIAN HOUSEHOLD INCOME IS ESTIMATED TO BE $48,968, WITH AN ESTIMATED 13.7% OF ALL COUNTY RESIDENTS LIVING BELOW THE FEDERAL POVERTY LEVEL. HILLSBOROUGH COUNTY IS HOME TO MANY COLLEGES, UNIVERSITIES, AND TECHNICAL/CAREER SCHOOLS INCLUDING HEALTH PROFESSION SCHOOLS SUCH AS THE UNIVERSITY OF SOUTH FLORIDA COLLEGE OF PUBLIC HEALTH, MORSANI COLLEGE OF MEDICINE, COLLEGE OF NURSING, AND COLLEGE OF PHARMACY. FOR THIS REASON, MANY PERSONS IN THE COUNTY ARE HERE TO PURSUE EDUCATIONAL INTERESTS AS WELL AS CAREER OPPORTUNITIES. APPROXIMATELY 30% OF HILLSBOROUGH COUNTY RESIDENTS HAVE A BACHELOR'S DEGREE OR HIGHER. A LARGE PERCENTAGE OF THE ADULT POPULATION (58%) IS IN THE LABOR FORCE, WITH HEALTH CARE AND SOCIAL ASSISTANCE BEING THE PRIMARY EMPLOYMENT SECTOR. PART VI, LINE 5: TAMPA GENERAL HOSPITAL'S COMMITMENT TO THE HEALTH OF THE COMMUNITY IT SERVES IS EXEMPLIFIED BY ITS MISSION STATEMENT. THE KEY ELEMENTS OF TGH'S MISSION INCLUDE THE PROVISION OF SERVICES RANGING FROM WELLNESS AND PRIMARY CARE TO THE MOST COMPLEX SPECIALTY AND POST-ACUTE SERVICES TO ALL OF THE RESIDENTS OF WEST CENTRAL FLORIDA, AND A COMMITMENT TO A PATIENT-CENTERED APPROACH AND BENCHMARK PERFORMANCE. WITH ITS UNIQUE BLEND OF ACADEMIC AND OTHER HEALTHCARE PARTNERS, TGH PLAYS A SPECIAL ROLE IN SUPPORTING MEDICAL EDUCATION AND RESEARCH IN THE REGION. THE BOARD ALSO AUTHORIZES THE USE OF SURPLUS FUNDS THROUGH THE ANNUAL BUDGET PROCESS TO FUND ENHANCEMENTS TO SERVICES, THE PHYSICAL PLANT, INFRASTRUCTURE AND FINANCIAL SUPPORT FOR TRAINING PHYSICIANS, NURSES AND OTHER HEALTH CARE PROVIDERS, HEALTH EDUCATION TO THE COMMUNITY, AND SUPPORT OF OTHER NOT-FOR-PROFIT ORGANIZATIONS IN THE COMMUNITY WITH COMPLIMENTARY GOALS AND MISSIONS. THE 16-MEMBER VOLUNTEER BOARD IS COMPOSED OF INDEPENDENT COMMUNITY LEADERS, AS WELL AS MEMBERS OF THE TGH MEDICAL STAFF. THE BOARD BYLAWS SPECIFY THAT ITS MEMBERSHIP WILL INCLUDE THE ELECTED MEDICAL CHIEF OF STAFF, A REPRESENTATIVE OF THE UNIVERSITY OF SOUTH FLORIDA, AND THE CHAIRMAN OF THE TGH FOUNDATION. TGH UTILIZES ITS SURPLUS FUNDS FOR THE DEVELOPMENT OF INPATIENT SERVICES AND TO SUBSIDIZE OUTPATIENT SERVICES FOR UNDERSERVED MEMBERS OF THE COMMUNITY. TGH OPERATES A NUMBER OF OUTPATIENT CLINICS THAT PROVIDE PRIMARY AND SPECIALTY CARE FOR THE UNINSURED AND UNDER-INSURED. SERVICES INCLUDE ADULT PRIMARY AND SPECIALTY CARE, PEDIATRICS, AND HIGH RISK OBSTETRICS. WHILE MANY OF THESE PATIENTS HAVE SOME FUNDING THROUGH EITHER MEDICAID OR THE HILLSBOROUGH COUNTY HEALTH PLAN, THE REVENUE FROM THESE SOURCES IS INSUFFICIENT TO COVER THE COSTS OF PROVIDING THE SERVICES. THE TGH MEDICAL STAFF IS OPEN TO ANY PHYSICIAN THAT MEETS THE REQUIREMENTS OF THE MEDICAL STAFF BYLAWS AND RULES AND REGULATIONS. THE MEDICAL STAFF IS COMPOSED OF COMMUNITY PHYSICIANS WITH PRIVATE PRACTICES AND PHYSICIANS ON THE FACULTY OF THE USF HEALTH MORSANI COLLEGE OF MEDICINE (USFHMCOM). BOTH THE COMMUNITY AND USFHMCOM PHYSICIANS ARE INVOLVED IN RESEARCH AND TRAINING. MANY OF THE COMMUNITY PHYSICIANS HOLD CLINICAL APPOINTMENTS WITH THE USFHMCOM AND ALL STAFF PHYSICIANS MAY PARTICIPATE IN RESEARCH. DURING FISCAL YEAR 2019, THE TGH OFFICE OF CLINICAL RESEARCH SUPPORTED MANY CURRENT ACTIVE RESEARCH STUDIES WHICH RECEIVED FUNDING FROM A VARIETY OF PUBLIC AGENCIES AND PRIVATE SPONSORS, INCLUDING THE DEPARTMENT OF DEFENSE AND THE CHILDREN'S ONCOLOGY GROUP. STUDIES WERE LED BY BOTH COMMUNITY AND UNIVERSITY PHYSICIAN PRINCIPAL INVESTIGATORS. THESE RESEARCH INITIATIVES HAVE IMMEDIATE BENEFITS TO THE PATIENTS WHO PARTICIPATE IN THEM AS WELL AS LONG-TERM BENEFITS TO THE COMMUNITY. TGH IS CONSIDERED A STATUTORY TEACHING HOSPITAL UNDER FLORIDA LAW. THIS DESIGNATION IS ONLY AVAILABLE TO HOSPITALS THAT HAVE MADE A SIGNIFICANT COMMITMENT TO GRADUATE MEDICAL EDUCATION. IN FISCAL YEAR 2019, TGH FUNDED APPROXIMATELY 330 GME FULL-TIME EQUIVALENT SLOTS IN APPROXIMATELY 60 SPECIALTIES. THE MEDICARE PROGRAM REIMBURSES TGH FOR APPROXIMATELY 209 OF THESE GME SLOTS SUPPLEMENTED BY MINIMAL REIMBURSEMENT FROM THE MEDICAID AND TRICARE PROGRAMS. IN ADDITION TO A ROBUST MEDICAL EDUCATION PROGRAM, TGH IS ALSO COMMITTED TO THE TRAINING OF NURSES, PHARMACISTS, AND OTHER CLINICAL STAFF. TGH PROVIDES FINANCIAL SUPPORT FOR NURSING EDUCATION AT BOTH THE UNIVERSITY OF SOUTH FLORIDA AND THE UNIVERSITY OF TAMPA. STUDENTS AND RESIDENTS IN A VARIETY OF CLINICAL PROGRAMS (PHARMACY, PASTORAL CARE, AND OTHER PROGRAMS) ROTATE THROUGH TGH OR IN SOME CASES ARE ASSIGNED TO TGH FOR THEIR TRAINING. FINALLY, TGH SPONSORS CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS IN THE COMMUNITY AND IN OUTLYING AREAS. IN FISCAL YEAR 2019, TGH CME SPONSORSHIPS PROVIDED CME EDUCATION TO 1300 PHYSICIANS, NONE OF WHOM WERE ON THE TGH MEDICAL STAFF. THE COST OF CME SPONSORSHIPS WAS APPROXIMATELY $125,000. IN ALL CASES, SURPLUS FUNDS ARE DEDICATED TO THE EDUCATIONAL MISSION OF TGH. TAMPA GENERAL'S COMMITMENT TO IMPROVING THE HEALTH STATUS OF THE COMMUNITY IS EVIDENT IN THE VAST ARRAY OF EDUCATIONAL PROGRAMS, SCREENINGS AND SUPPORT GROUPS IT PROVIDES TO THE COMMUNITY. IN FISCAL YEAR 2019, TGH PROVIDED FREE PROGRAMS AND SCREENINGS TO OVER 2,000 MEMBERS OF THE COMMUNITY. EDUCATIONAL PROGRAMS FOCUSED ON EVERYTHING FROM PREVENTING THE FLU, TO SMOKING CESSATION, TO CAREGIVER SUPPORT WERE PROVIDED IN A VARIETY OF LOCATIONS. TGH ALSO COLLABORATES WITH OTHER COMMUNITY ORGANIZATIONS IN ORDER TO PROVIDE ACCESS TO MORE INDIVIDUALS. LIVING HEALTHY AND A MATTER OF BALANCE ARE BOTH MULTI-WEEK PROGRAMS AIMED AT INDIVIDUALS WITH CHRONIC ILLNESSES OR BALANCE CONCERNS. THESE PROGRAMS WERE PROVIDED IN CONJUNCTION WITH THE FLORIDA'S WEST COAST AREA AGENCY ON AGING. IN ADDITION, TGH PROVIDED FINANCIAL AND OTHER SUPPORT TO THE LOCAL STUDENT INITIATIVES AROUND NUTRITION. DURING FY 2019, TGH CONTINUED TO OFFER PROGRAMS BASED ON THE FY2016 COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDING THE "NATIONAL DIABETES PREVENTION PROGRAM" (NDPP) AND THE BREATHING EASIER WITH ASTHMA WORKSHOPS AND SUPPORT GROUP (ASTHMA WORKSHOP). THE NDPP IS A 16-WEEK EVIDENCE-BASED PROGRAM PROMOTED BY THE CENTERS FOR DISEASE CONTROL (CDC). COMMUNITY RELATIONS STAFF WORKED WITH THE PHYSICIANS OF THE TAMPA GENERAL MEDICAL GROUP TO ENSURE THAT THEIR PATIENTS THAT WOULD BENEFIT FROM THE PROGRAM RECEIVED REFERRALS. SCREENINGS PROVIDED DURING FISCAL YEAR 2019 INCLUDED SCREENINGS FOR HEART DISEASE RISK FACTORS AND DIABETES. TGH HAS A DEDICATED COMMUNITY RELATIONS DEPARTMENT RESPONSIBLE FOR DEVELOPING PROGRAMS AS WELL AS IDENTIFYING HIGH RISK AREAS WITHIN THE COUNTY THAT MIGHT BENEFIT MOST FROM SCREENINGS AND HEALTH PREVENTION AND PROMOTION PROGRAMS. IN ADDITION TO PROVIDING EDUCATIONAL PROGRAMS AND SCREENINGS, TGH ALSO PROVIDES FINANCIAL SUPPORT TO OTHER COMMUNITY NOT-FOR-PROFIT ORGANIZATIONS. THIS FUNDING IS ANOTHER WAY THAT TGH UTILIZES ITS SURPLUS FUNDS TO SUPPORT THE COMMUNITY HEALTH AND WELL-BEING. IN FISCAL YEAR 2019, TGH PROVIDED FINANCIAL SUPPORT TO NUMEROUS NOT-FOR-PROFIT ORGANIZATIONS. THIS SUPPORT RANGED FROM DONATIONS UNDER $1,000 TO COMMITMENTS IN EXCESS OF $500,000. ORGANIZATIONS THAT RECEIVED SIGNIFICANT SUPPORT FROM TGH INCLUDE: MORE HEALTH INC., AMERICAN HEART ASSOCIATION, UNIVERSITY OF SOUTH FLORIDA FOUNDATION, AND HILLSBOROUGH COMMUNITY COLLEGE FOUNDATION. FOR MORE THAN 20 YEARS, TGH HAS BEEN THE LARGEST SINGLE SPONSOR OF MORE HEALTH, INC. MORE HEALTH PROVIDES HEALTH EDUCATION IN HILLSBOROUGH AND PINELLAS COUNTY PUBLIC AND PRIVATE SCHOOLS. INNOVATIVE, HANDS ON INSTRUCTION FOR ALL GRADES IS A KEY FEATURE OF MORE HEALTH AND MORE THAN A MILLION CHILDREN HAVE BENEFITED FROM THE EDUCATION PROVIDED BY MORE HEALTH. IN ADDITION, TGH SUPPORTS A VARIETY OF OTHER NOT-FOR-PROFITS INCLUDING THE MARCH OF DIMES, RONALD MCDONALD HOUSE CHARITIES, THE SALVATION ARMY, AND MANY OTHERS. IN ADDITION TO FINANCIAL SUPPORT, MANY TGH EMPLOYEES VOLUNTEER THEIR TIME AND PARTICIPATE IN FUNDRAISING EVENTS SUCH AS THE AMERICAN HEART ASSOCIATION'S HEART WALK. PART VI, LINE 6: NOT APPLICABLE. 1 AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 125000 SUPPORT THE MISSION OF THE AHA VIA SPONSORSHIP OF VARIOUS FUNDRAISING EVENTS. COPPERHEAD CHARITIES INC 36750 US HIGHWAY 19 N PALM HARBOR FL 34684 592319162 501(C)(3) 30200 SUPPORT THE MISSION TO AID TAMPA BAY AREA CHARITIES THROUGH FUNDRAISING EVENTS CENTERED AROUND PROFESSIONAL GOLF. JUNIOR ACHIEVEMENT OF TAMPA BAY 13707 N 22ND STREET TAMPA FL 33613 591098499 501(C)(3) 17500 SUPPORT THE MISSION OF JA TO EMPOWER THE FUTURE OF LOCAL STUDENTS. FRIEDREICH'S ATAXIA RESEARCH ALLIANCE PO BOX 1537 SPRINGFIELD VA 22151 522122720 501(C)(3) 10000 SUPPORT THE MISSION OF ADVANCING RESEARCH AND AWARENESS OF FRIEDREICH'S ATAXIA. HILLSBOROUGH COUNTY FIRE RESCUE FOUNDATION 2709 E HANNA AVE TAMPA FL 33610 463310942 501(C)(3) 5500 SUPPORT THE MISSION OF PROMOTING FIRE AND LIFE SAFETY IN HILLSBOROUGH COUNTY. MARCH OF DIMES FOUNDATION 1275 MAMARONECK AVENUE WHITE PLAINS NY 10605 131846366 501(C)(3) 25000 TO IMPROVE THE HEALTH OF BABIES BY PREVENTING BIRTH DEFECTS, PREMATURE BIRTH, AND INFANT MORTALITY THROUGH RESEARCH, COMMUNITY SERVICE, EDUCATION AND ADVOCACY. AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW ATLANTA GA 30303 131788491 501(C)(3) 25000 SUPPORT ACS' MISSION TO SAVE LIVES, CELEBRATE LIVES, AND LEAD THE FIGHT FOR A WORLD WITHOUT CANCER. RONALD MCDONALD HOUSE CHARITIES OF TAMPA BAY INC 35 DAVIS BLVD TAMPA FL 33606 591835985 501(C)(3) 55000 PROVIDE COMFORT AND CARE TO CHILDREN AND THEIR FAMILIES, AND PROVIDE A HOME-AWAY-FROM-HOME FOR FAMILIES OF PEDIATRIC PATIENTS AT AREA HOSPITALS. INDIA FESTIVAL TAMPAGUJARATI SAMAJ OF TAMPA BAY 5513 LYNN ROAD TAMPA FL 33624 592657408 501(C)(3) 20000 SUPPORT MISSION TO PROMOTE CULTURAL VALUE UNIVERSITY OF SOUTH FLORIDA FOUNDATION 4202 EAST FOWLER AVENUE TAMPA FL 33620 590879015 501(C)(3) 154094 SUPPORT THE UNIVERSITY'S HEALTH AND EDUCATION MISSION. NATIONAL COUNCIL FOR BEHAVIORAL HEALTH 1400 K STREET NW NO 400 WASHINGTON DC 20005 237092671 501(C)(3) 6050 SUPPORT THE ORGANZATION'S MISSION TO ENSURE THOSE WITH MENTAL HEALTH DISORDERS HAVE ACCESS TO HEALTH CARE SERVICES THE AIRLIFTTANKER ASSOCIATION 7983 RHODES FARM WAY CHATTANOOGA TN 37421 591852735 501(C)(3) 7500 SUPPORT LOCAL A/TA CHAPTER AT MACDILL AIR FORCE BASE. GASPARILLA DISTANCE CLASSIC ASSOCIATION INC PO BOX 1881 TAMPA FL 33601 591943559 501(C)(3) 20000 PROMOTE RUNNING AND TRACK AS SPORTS IN THE TAMPA BAY AREA TO RAISE FUNDS FOR CHARITABLE ORGANIZATIONS WHICH SERVE YOUTH IN THE TAMPA BAY AREA, AND TO DIRECT AND/OR SPONSOR ATHLETIC EVENTS IN THE TAMPA BAY AREA TO FURTHER THESE GOALS. SPECIALLY FIT FOUNDATION 11118 LAKESIDE VISTA DRIVE RIVERVIEW FL 33569 831994985 501(C)(3) 10000 SUPPORT THE MISSION TO CHANGE THE COMMUNITY THROUGH FITNESS, PROVIDING EVENTS AND PROGRAMS TO REACH INDIVIDUALS WITH DIABILITIES AND THOSE AT-RISK FRIENDS OF THE RIVERWALK INC 201 N FRANKLIN ST 2900 TAMPA FL 33602 203146250 501(C)(3) 11200 PROVIDE SUPPORT TO ENHANCE QUALITY OF LIFE AND BUILD STRONGER SENSE OF COMMUNITY FOR TAMPA BAY AMERICAN DIABETES ASSOCIATION 204 37TH AVENUE N 432 ST PETERSBURG FL 33704 131623888 501(C)(3) 10000 SUPPORT MISSION TO PREVENT AND CURE DIABETES AND TO IMPROVE THE LIVES OF ALL PEOPLE AFFECTED BY DIABETES LIFELINK FOUNDATION PO BOX 102474 ATLANTA GA 303680308 592193032 501(C)(3) 10000 SUPPORT THE MISSION OF FACILITATING ORGAN AND TISSUE DONATIONS, RESEARCH, AND IMPROVING CLINICAL OUTCOMES CURESEARCH FOR CHILDREN'S CANCER PO BOX 45781 BALTIMORE MD 212975781 954132414 501(C)(3) 10000 SUPPORT MISSION TO END CHILDHOOD CANCER BY DRIVING TARGETED AND INNOVATIVE RESEARCH CHILDREN'S DREAM FUND 200 CENTRAL AVE ST PETERSBURG FL 33701 592145821 501(C)(3) 7500 SUPPORT MISSION OF FULFILLING DREAMS FOR CHILDREN WHO HAVE BEEN DIAGNOSED WITH A LIFE-THREATENING ILLNESS HILLSBOROUGH COUNTY MEDICAL ASSOCIATION FOUNDATION INC 606 SOUTH BOULEVARD TAMPA FL 33606 593470072 501(C)(3) 17500 SUPPORT MISSION TO CONTRIBUTE TO HEALTH AND MEDICAL PROGRAMS TAMPA METROPOLITAN AREA YMCA 110 E OAK AVE TAMPA FL 33602 591742909 501(C)(3) 10000 SUPPORT PROGRAMS THAT BUILD HEALTHY SPIRIT, MIND, AND BODY THE FLORIDA AQUARIUM INC 701 CHANNELSIDE DRIVE TAMPA FL 33602 592807815 501(C)(3) 10000 SUPPORT MISSION TO EDUCATE AND INSPIRE STEWARDSHIP ABOUT OUR NATURAL ENVIRONMENT THE JUNIOR LEAGUE OF TAMPA INC 87 COLUMBIA DR TAMPA FL 33606 590693993 501(C)(3) 28500 SUPPORT MISSION TO PROMOTE VOLUNTEERISM, DEVELOP THE POTENTIAL OF WOMEN, AND IMPROVE COMMUNITIES TOBA FOUNDATION PO BOX 3485 TAMPA FL 33601 593154126 501(C)(3) 7500 SUPPORT MISSION OF INSPIRING, EMPOWERING, AND PREPARING A NEW GENERATION OF LEADERS 24 PART I, LINE 2: TAMPA GENERAL HOSPITAL MONITORS THE CHARITABLE CONTRIBUTIONS DONATED THROUGHOUT THE YEAR. WE HAVE A SELECT STAFF WHOSE PURPOSE IS TO PROMOTE HEALTH THROUGHOUT THE COMMUNITY WITH THE HELP OF LOCAL CHARITIES. THE STAFF WORKS CLOSELY WITH THE CHARITIES TO ENSURE THAT THE FUNDS ARE DIRECTLY BENEFICIAL TO THE COMMUNITY. X 1 1 X X X X X 1 0 0 0 0 1 0 1 0 JOHN COURIS PRESIDENT & CEO 946802 0 728761 0 0 0 0 0 33667 0 1709230 0 0 0 JUDITH PLOSZEK EXEC VP & CFO (END 5/19) 475212 0 495805 0 25082 0 29024 0 15367 0 1040490 0 0 0 SALLY HOUSTON MD EXEC VP & CMO 534453 0 714861 0 520 0 30940 0 17882 0 1298656 0 0 0 KELLY CULLEN EXEC VP & COO 310265 0 175084 0 40000 0 0 0 9981 0 535330 0 0 0 SCOTT J ARNOLD SENIOR VP & CIO 355349 0 395949 0 17803 0 13970 0 27041 0 810112 0 0 0 CHRIS A ROEDERER SENIOR VP & CHIEF HR OFC 397366 0 434710 0 18132 0 16871 0 23910 0 890989 0 0 0 ROBIN W DELAVERGNE SENIOR VP & EXTERNAL AFFAI 287842 0 234351 0 650 0 19076 0 13166 0 555085 0 0 0 STEVE L SHORT EXEC VP & CFO (BEG 5/19) 884023 0 780440 0 0 0 24884 0 23333 0 1712680 0 0 0 STACEY BRANDT SENIOR VP & CHIEF STRATEGY/MKTG OFC 336072 0 181498 0 0 0 0 0 19408 0 536978 0 0 0 DEBBIE A RINDE-HOFFMAN TRANSPLANT CARDIOLOGIST 761170 0 45298 0 53400 0 16716 0 28113 0 904697 0 0 0 MARK W WESTON TRANSPLANT CARDIOLOGIST 747847 0 45298 0 0 0 16820 0 28113 0 838078 0 0 0 PETER J BERMAN TRANSPLANT CARDIOLOGIST 646976 0 45298 0 27736 0 15684 0 22009 0 757703 0 0 0 KEITH E SOMMERS CARDIOTHORACIC SURGEON 101538 0 0 0 865585 0 0 0 0 0 967123 0 0 0 LUIS ARROYO TRANSPLANT CARDIOLOGIST 641237 0 45298 0 0 0 14059 0 26862 0 727456 0 0 0 JAMES R BURKHART FORMER CEO 898543 0 0 0 0 0 6255 0 14078 0 918876 0 0 0 DEANA L NELSON FORMER COO 277100 0 0 0 140 0 0 0 3983 0 281223 0 0 0 PART I, LINE 1A DUE TO LIMITED FLIGHT SCHEDULES TO THE CAYMAN ISLANDS, A CHARTERED PLANE IS USED TO ATTEND BOARD MEETINGS FOR THE HOSPITAL'S SUBSIDIARY, FHSC LIMITED. PART I, LINE 3 WITHIN THE FRAMEWORK OF APPLICABLE LAW, TAMPA GENERAL HOSPITAL (TGH) WILL ESTABLISH AND MAINTAIN COMPENSATION GOALS, POLICIES, AND PROGRAMS THAT ENABLE THE HOSPITAL TO RECRUIT, DEVELOP, AND RETAIN THE MOST QUALIFIED AND TALENTED STAFF. TGH STRIVES TO AFFECT 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, SEXUAL ORIENTATION, 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 MERCER TO PROVIDE EXPERT INFORMATION REGARDING INDUSTRY-WIDE COMPENSATION NORMS. PART I, LINE 4A SEVERANCE PAYMENTS WERE MADE BY THE ORGANIZATION TO THE FOLLOWING: JAMES R BURKHART $898,543 DEANA L NELSON $277,240 PART I, LINE 6 A PORTION OF BONUSES AND INCENTIVE PAYMENTS IS BASED ON ACHIEVING CERTAIN FINANCIAL TARGETS. THE REMAINING BONUSES ARE BASED ON THE ACHIEVEMENT OF CERTAIN QUALITY INDICATORS AND OTHER NON-FINANCIAL METRICS. PART I, LINE 7 BONUS AND INCENTIVE COMPENSATION IS BASED ON ACHIEVEMENT OF CERTAIN TARGETS, QUALITY INDICATORS, AND NON-FINANCIAL METRICS. A HILLSBOROUGH COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 591293512 43233AER3 2013-02-28 179392697 HOSPITAL EXPANSION AND REFUNDING 2003 BOND ISSUE 0 0 0 B HILLSBOROUGH COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 591293512 2013-09-19 37020000 REFUNDING 2003 BOND ISSUE 0 0 0 C HILLSBOROUGH COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 591293512 2015-12-11 183387500 PARTIAL REFUND 2006 BOND ISSUE 0 0 0 A 179397635 1947725 127444972 622750 50007274 2015 0 1 1 1 B 37023095 36726976 296119 2014 1 0 1 1 C 184432103 183674147 757956 2015 0 1 1 1 A 0 1 0 0 0.00200 0.00200 0 0 1 B 0 1 0 0 0.00200 0.00200 0 0 1 C 0 1 0 0 0.00200 0.00200 0 0 1 A 1 0 0 0 0 1 B 1 0 0 0 0 1 C 1 0 0 0 0 1 A 1 B 1 C 1 PART I, COLUMN (E) AND PART II, LINE 3 THE DIFFERENCE BETWEEN ISSUE PRICE SHOWN ON PART I, COLUMN (E) AND TOTAL PROCEEDS OF ISSUE SHOWN ON PART II, LINE 3 IS DUE TO CUMULATIVE INVESTMENT EARNINGS. GULF TO BAY ANESTHESIOLOGY ASSOCIATES DR DEVANAND MANGAR, BOARD MEMBER OF FHSC, IS AN OFFICER AND EMPLOYEE 4401543 ANESTHESIOLOGY SERVICES AT FMV 0 130087 0 MUSCULOSKELETAL INSTITUTE CHARTERED DR THOMAS BERNASEK, BOARD MEMBER OF FHSC, IS SHAREHOLDER AND EMPLOYEE 2235954 ORTHOPAEDIC SERVICES AT FMV 0 CASPERS COMPANY BLAKE CASPER, BOARD DIRECTOR OF FHSC, IS AN OFFICER AND OWNER 155486 LEASES SPACE FROM FHSC AT FMV 0 SOUTH FLORIDA MOBILE LITHOTRIPSY LLC DR RAVIENDER BUKKAPATNAM, BOARD MEMBER OF FHSC, IS A PARTNER 258000 LITHOTRIPSY SERVICES AT FMV 0 FORM 990, PART VI, SECTION A, LINE 7A USF DESIGNATES ONE INDIVIDUAL TO PARTICIPATE IN FHSC'S BOARD. IN ADDITION, THE CHAIRMAN OF THE BOARD OF THE TAMPA GENERAL HOSPITAL FOUNDATION IS ALSO A MEMBER OF THE FHSC'S BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE HILLSBOROUGH COUNTY HOSPITAL AUTHORITY HAS THE RIGHT TO APPROVE AMENDMENTS TO FHSC'S ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT OF FHSC AND SENT TO THEIR EXTERNAL TAX ACCOUNTANTS AND LAW FIRM FOR REVIEW. FOLLOWING THE REVISIONS MADE AT THE SUGGESTION OF TAMPA GENERAL HOSPITAL'S EXTERNAL TAX ACCOUNTANTS, IF ANY, FORM 990 IS PROVIDED TO THE CHIEF FINANCIAL OFFICER (CFO) AND THE PRESIDENT/CHIEF EXECUTIVE OFFICER (CEO) FOR COMMENT AND RECOMMENDED CHANGES. THE FINANCE DEPARTMENT MAKES ALL APPROPRIATE REVISIONS. THE CFO REVIEWS FORM 990 WITH THE AUDIT COMMITTEE AND CONSIDERS ANY CHANGES RECOMMENDED BY THE AUDIT COMMITTEE. ANY AGREED-UPON CHANGES ARE INCORPORATED AND THE DRAFT FORM 990 IS THEN DISTRIBUTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. UPON APPROVAL BY THE BOARD, THE FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE MONITORING AND ENFORCING OF THE CONFLICT OF INTEREST POLICY IS A JOINT EFFORT BETWEEN CORPORATE COMPLIANCE AND HUMAN RESOURCES. ALL NEW HIRES ARE REQUIRED TO REVIEW, COMPLETE, AND SIGN THE CONFLICT OF INTEREST (COI) STATEMENT. THE LEADERSHIP GROUP AND ALL BOARD MEMBERS ARE REQUIRED TO REVIEW, COMPLETE, AND SIGN THE COI ANNUALLY. IN ADDITION, EXISTING EMPLOYEES ARE REQUIRED AS PART OF THEIR ANNUAL PERFORMANCE EVALUATION TO REVIEW, COMPLETE, AND SIGN THE COI. ALL THE COIS ARE REVIEWED BY HUMAN RESOURCES. IF THERE IS A COI DISCLOSED ON THE FORM, ADDITIONAL INFORMATION IS REQUESTED FROM THE EMPLOYEE. IN SOME CASES, THE CORPORATE COMPLIANCE DEPARTMENT IS INVOLVED WHERE ADDITIONAL INPUT OR GUIDANCE IS NEEDED BY HUMAN RESOURCES. EMPLOYEES ARE ALSO ADVISED TO DISCLOSE COIS THAT MAY ARISE DURING THE COURSE OF THE YEAR. EMPLOYEES AND OTHER TGH HEALTHCARE PARTNERS CAN SIMILARLY REPORT COIS TO CORPORATE COMPLIANCE USING THE COMPLIANCE LINE, EMAIL, PHONE, ETC. PERIODICALLY, IN NEWSLETTERS ISSUED BY CORPORATE COMPLIANCE, REFERENCE IS MADE TO COI. IT IS THE RESPONSIBILITY OF CORPORATE COMPLIANCE TO INITIATE INVESTIGATIONS OF ALLEGATIONS OF COIS. FORM 990, PART VI, SECTION B, LINE 15 WITHIN THE FRAMEWORK OF APPLICABLE LAW, TAMPA GENERAL HOSPITAL HAS ESTABLISHED AND MAINTAINED COMPENSATION GOALS, POLICIES, AND PROGRAMS THAT ENABLE THE HOSPITAL TO RECRUIT, DEVELOP, AND RETAIN THE MOST QUALIFIED AND TALENTED STAFF. TAMPA GENERAL HOSPITAL STRATEGICALLY INVESTS IN THE PEOPLE WHO SUPPORT THE HOSPITAL'S MISSION. COMPENSATION GOALS, POLICIES, AND PROGRAMS ARE GUIDED BY AND REFLECT OUR VALUES AND PRINCIPLES, WHICH ARE CONSISTENT WITH THE HIGH QUALITY OF THE HOSPITAL'S ACHIEVEMENT IN THE FURTHERANCE OF MEDICAL SCIENCE. DIFFERENCES IN PAY WILL NOT BE BASED UPON SUCH FACTORS AS RACE, RELIGION, GENDER, NATIONAL ORIGIN, ANCESTRY, AGE, MARITAL STATUS, OR DISABILITY. TO ENSURE THAT TGH IS PAYING REASONABLE COMPENSATION AND NOT VIOLATING THE PRIVATE INUREMENT PROHIBITION, THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY REVIEWS AND SETS THE COMPENSATION OF OFFICERS, THE EXECUTIVE GROUP, AND KEY EMPLOYEES. THE COMMITTEE UTILIZES THE OUTSIDE CONSULTING FIRM OF MERCER TO PROVIDE EXPERT INFORMATION REGARDING INDUSTRY-WIDE COMPENSATION NORMS. IN ADDITION, THE HOSPITAL UTILIZES AN OUTSIDE CONSULTING FIRM TO REVIEW THE COMPENSATION ARRANGEMENTS OF EMPLOYED PHYSICIANS FOR COMPLIANCE WITH ALL APPLICABLE LAWS. FORM 990, PART VI, SECTION C, LINE 19 FLORIDA HEALTH SCIENCES CENTER, INC. D/B/A TAMPA GENERAL HOSPITAL ("TGH") 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; (5) IRS FORM 990 AND IRS FORM 1023; AND (6) COMMUNITY BENEFITS REPORT. THE PRECEDING DOCUMENTS WILL BE AVAILABLE TO THE PUBLIC EITHER THROUGH (A) THE WEBSITE AT WWW.TGH.ORG OR (B) UPON REQUEST MADE TO THE TGH PUBLIC RELATIONS OFFICE, AFTER PAYMENT OF REASONABLE COPYING FEE. FORM 990, PART XI, LINE 9: PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS -5,325,527. INTERCOMPANY ELIMINATIONS 2,667,517. 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