TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) JOHN T TOUCHTON JR...................................................................... BOARD MEMBER, CHAIRMAN	3.20 ................. 0.40	X	X	0	0
(2) PHILLIP S DINGLE...................................................................... BOARD MEMBER, VICE-CHAIRMAN	2.20 .................	X	X	0	0
(3) GENE E MARSHALL...................................................................... BOARD MEMBER, CORP SECRETARY	2.10 ................. 0.30	X	X	0	0
(4) RAVIENDER BUKKAPATNAM MD...................................................................... BOARD MEMBER	1.40 .................	X		96,222	0
(5) BLAKE J CASPER...................................................................... BOARD MEMBER	2.10 .................	X		0	0
(6) DEVANAND MANGAR MD...................................................................... BOARD MEMBER	2.20 .................	X		0	0
(7) JOHN A BRABSON JR...................................................................... BOARD MEMBER	1.50 ................. 0.40	X		0	0
(8) DREW GRAHAM...................................................................... BOARD MEMBER	1.80 ................. 1.90	X		0	0
(9) THOMAS L BERNASEK MD...................................................................... BOARD MEMBER	2.40 .................	X		0	0
(10) PATRICIA JURINSKI...................................................................... BOARD MEMBER	1.60 .................	X		0	0
(11) WARREN E ROSS MD...................................................................... BOARD MEMBER	2.20 .................	X		0	0
(12) KATHLEEN SHANAHAN...................................................................... BOARD MEMBER	1.60 .................	X		0	0
(13) RICHARD GONZMART...................................................................... BOARD MEMBER	1.00 .................	X		0	0
(14) LES MUMA...................................................................... BOARD MEMBER	0.70 .................	X		0	0
(15) FRED DOBBINS...................................................................... BOARD MEMBER, TREASURER	2.10 .................	X	X	0	0
(16) TAPAN PADHYA MD...................................................................... BOARD MEMBER, CHIEF OF STAFF	0.70 .................	X		0	0
(17) JOHN COURIS...................................................................... PRESIDENT & CEO	49.00 ................. 1.00		X	1,675,563	33,667

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) JUDITH PLOSZEK........................................................................ EXEC VP & CFO (END 5/19)	45.00 .......................5.00	X			996,099	44,391
(19) SALLY HOUSTON MD........................................................................ EXEC VP & CMO	45.00 .......................5.00	X			1,249,834	48,822
(20) KELLY CULLEN........................................................................ EXEC VP & COO	50.00 .......................	X			525,349	9,981
(21) SCOTT J ARNOLD........................................................................ SENIOR VP & CIO	50.00 .......................	X			769,101	41,011
(22) CHRIS A ROEDERER........................................................................ SENIOR VP & CHIEF HR OFC	50.00 .......................	X			850,208	40,781
(23) ROBIN W DELAVERGNE........................................................................ SENIOR VP & EXTERNAL AFFAI	50.00 .......................	X			522,843	32,242
(24) STEVE L SHORT........................................................................ EXEC VP & CFO (BEG 5/19)	45.00 .......................5.00	X			1,664,463	48,217
(25) STACEY BRANDT........................................................................ SENIOR VP & CHIEF STRATEGY/MKTG OFC	50.00 .......................	X			517,570	19,408
(26) DEBBIE A RINDE-HOFFMAN........................................................................ TRANSPLANT CARDIOLOGIST	50.00 .......................		X		859,868	44,829
(27) MARK W WESTON........................................................................ TRANSPLANT CARDIOLOGIST	50.00 .......................		X		793,145	44,933
(28) PETER J BERMAN........................................................................ TRANSPLANT CARDIOLOGIST	50.00 .......................		X		720,010	37,693
(29) KEITH E SOMMERS........................................................................ CARDIOTHORACIC SURGEON	50.00 .......................		X		967,123	0
(30) LUIS ARROYO........................................................................ TRANSPLANT CARDIOLOGIST	50.00 .......................		X		686,535	40,921
(31) JAMES R BURKHART........................................................................ FORMER CEO	0.00 .......................			X	898,543	20,333
(32) DEANA L NELSON........................................................................ FORMER COO	0.00 .......................			X	277,240	3,983

(A) Name and business address	(B) Description of services	(C) Compensation
UNIV MED SERVICE ASSOC PO BOX 917492 ORLANDO,FL328917492	PHYSICIANS/RESIDENTS	23,033,602
LIFELINK FL GA AND PUERTO RICO PO BOX 102474 ATLANTA,GA303680308	ORGAN ACQUISITION	11,122,837
TAMPA FAMILY HEALTH CTRS INC PO BOX 82969 TAMPA,FL33682	PHYSICIAN/MEDICAL SERVICES	6,468,473
LIFELINK FOUNDATION INC PO BOX 102474 ATLANTA,GA303680308	ORGAN ACQUISITION	5,488,005
GULF TO BAY ANESTHESIOLOGY PO BOX 637791 CINCINNATI,OH452637791	PHYSICIAN/MEDICAL SERVICES	4,401,543
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 118

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

FLORIDA HEALTH SCIENCES CENTER INC

Employer identification number

59-3458145

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

FLORIDA HEALTH SCIENCES CENTER INC

Employer identification number

59-3458145

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization FLORIDA HEALTH SCIENCES CENTER INC

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization FLORIDA HEALTH SCIENCES CENTER INC		Employer identification number 59-3458145

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization FLORIDA HEALTH SCIENCES CENTER INC			Employer identification number 59-3458145
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

FLORIDA HEALTH SCIENCES CENTER INC

Employer identification number

59-3458145

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

127,886

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

328,022

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

455,908

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
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.

Return Reference

Explanation

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.

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

FLORIDA HEALTH SCIENCES CENTER INC

Employer identification number

59-3458145

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	919,194	919,194	915,531	912,821	910,736
b	Contributions ...	214,427		3,663	2,710	2,085
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	1,133,621	919,194	919,194	915,531	912,821

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	12,427,593	46,639,634		59,067,227
b	Buildings ....		532,313,962	250,195,428	282,118,534
c	Leasehold improvements		27,617,407	10,381,518	17,235,889
d	Equipment ....		536,530,243	375,578,466	160,951,777
e	Other .....		22,188,801	1,555,393	20,633,408
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					540,006,835

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
ACCRUED POSTRETIREMENT BENEFITS	2,871,081
MALPRACTICE TAIL LIABILITY	30,749,820
ACCRUED CLAIMS PAYABLE - WORKERS COMPENSATION	1,717,797
CAPTIVE LT LIABILITY	31,145,261
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	66,483,959
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	1,492,887,429
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	23,289,314
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	46,977,765
e	Add lines 2a through 2d .....................			2e	70,267,079
3	Subtract line 2e from line 1..................			3	1,422,620,350
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,422,620,350

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	1,433,702,335
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	65,762,054
e	Add lines 2a through 2d....................			2e	65,762,054
3	Subtract line 2e from line 1...................			3	1,367,940,281
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,367,940,281

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
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

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
FLORIDA HEALTH SCIENCES CENTER INC

Employer identification number

59-3458145

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	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.	289,005
















3a	Sub-total .....	1	0			289,005
b	Total from continuation sheets to Part I ...					0
c	Totals (add lines 3a and 3b)	1	0			289,005

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

FLORIDA HEALTH SCIENCES CENTER INC

Employer identification number

59-3458145

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	53,167,824	7,594,184	45,573,640	3.330 %
b	Medicaid (from Worksheet 3, column a) . . . . .	233,985,189	172,315,518	61,669,671	4.510 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	25,836,500	8,408,665	17,427,835	1.270 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	312,989,513	188,318,367	124,671,146	9.110 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	2,715,658		2,715,658	0.200 %
f	Health professions education (from Worksheet 5) . . .	48,151,499	18,213,310	29,938,189	2.190 %
g	Subsidized health services (from Worksheet 6) . . . .	17,639,329	9,300,261	8,339,068	0.610 %
h	Research (from Worksheet 7) .	5,354,483	2,379,413	2,975,070	0.220 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,600,810		1,600,810	0.120 %
j	Total. Other Benefits . .	75,461,779	29,892,984	45,568,795	3.340 %
k	Total. Add lines 7d and 7j .	388,451,292	218,211,351	170,239,941	12.450 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

88,485,501

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

271,175,429

Enter Medicare allowable costs of care relating to payments on line 5.....

290,107,753

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-18,932,324

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	FLORIDA HEALTH SCIENCES CENTER INC DBA TAMPA GENERAL HOSPITAL PO BOX 1289 TAMPA,FL33601 WWW.TGH.ORG FL LIC NO 4044	X	X	X	X	X

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FHSC INC DBA TAMPA GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.TGH.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.TGH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FHSC INC DBA TAMPA GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.TGH.ORG

The FAP application form was widely available on a website (list url):

WWW.TGH.ORG

A plain language summary of the FAP was widely available on a website (list url):
WWW.TGH.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	FHSC INC DBA TAMPA GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FHSC INC DBA TAMPA GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
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.

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?17
Name and address		Type of Facility (describe)
1	1 - TGH FAMILY CARE CENTER KENNEDY 2501 WEST KENNEDY BOULEVARD TAMPA,FL33609	FAMILY CARE CLINIC
2	2 - TGMG BRANDON 214 MORRISON ROAD BRANDON,FL33511	FAMILY CARE CLINIC
3	3 - TGMG FISHHAWK 13421 FISHHAWK BLVD LITHIA,FL33547	FAMILY CARE CLINIC
4	4 - TGH FAMILY CARE CENTER HEALTHPARK 5802 NORTH 30TH STREET TAMPA,FL33610	FAMILY CARE CLINIC
5	5 - TGMG CARROLLWOOD 13860 N DALE MABRY HIGHWAY TAMPA,FL33618	FAMILY CARE CLINIC
6	6 - TGMG LOIS 2106 S LOIS AVENUE TAMPA,FL33629	FAMILY CARE CLINIC
7	7 - TGMG WESLEY CHAPEL 2324 OAK MYRTLE LANE WESLEY CHAPEL,FL33544	FAMILY CARE CLINIC
8	8 - TGMG TAMPA PALMS 16011 TAMPA PALMS WEST BLVD TAMPA,FL33647	FAMILY CARE CLINIC
9	9 - TGMG RIVERVIEW 10647 BIG BEND ROAD RIVERVIEW,FL33579	FAMILY CARE CLINIC
10	10 - TGMG SUN CITY CENTER 1647 SUN CITY CENTER PLAZA SUN CITY CENTER,FL33573	FAMILY CARE CLINIC
11	11 - TGMG WESTCHASE 10718 COUNTRYWAY BOULEVARD TAMPA,FL33626	FAMILY CARE CLINIC
12	12 - TGMG TRINITY 2433 COUNTRY PLACE BLVD TRINITY,FL34655	FAMILY CARE CLINIC
13	13 - TGMG APOLLO BEACH 6488 N US HIGHWAY 41 APOLLO BEACH,FL33572	FAMILY CARE CLINIC
14	14 - TGMG ARMENIA 2333 W HILLSBOROUGH AVE TAMPA,FL33603	FAMILY CARE CLINIC
15	15 - TGMG AT THE TGH BRANDON HEALTHPLEX 10740 PALM RIVER ROAD TAMPA,FL33619	FAMILY CARE CLINIC
16	16 - TGMG VALRICO 2211 LITHIA CENTER LN VALRICO,FL33596	FAMILY CARE CLINIC
17	17 - TGH COMMUNITY HEALTH EDUCATION CENTER 2106 S LOIS AVE TAMPA,FL33629	COMMUNITY HEALTH EDUCATION CENTER

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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.

Schedule H (Form 990) 2018

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
FLORIDA HEALTH SCIENCES CENTER INC

Employer identification number
59-3458145

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVENUE DALLAS,TX75231	13-5613797	501(C)(3)	125,000	SUPPORT THE MISSION OF THE AHA VIA SPONSORSHIP OF VARIOUS FUNDRAISING EVENTS.
(2) COPPERHEAD CHARITIES INC 36750 US HIGHWAY 19 N PALM HARBOR,FL34684	59-2319162	501(C)(3)	30,200	SUPPORT THE MISSION TO AID TAMPA BAY AREA CHARITIES THROUGH FUNDRAISING EVENTS CENTERED AROUND PROFESSIONAL GOLF.
(3) JUNIOR ACHIEVEMENT OF TAMPA BAY 13707 N 22ND STREET TAMPA,FL33613	59-1098499	501(C)(3)	17,500	SUPPORT THE MISSION OF JA TO EMPOWER THE FUTURE OF LOCAL STUDENTS.
(4) FRIEDREICH'S ATAXIA RESEARCH ALLIANCE PO BOX 1537 SPRINGFIELD,VA22151	52-2122720	501(C)(3)	10,000	SUPPORT THE MISSION OF ADVANCING RESEARCH AND AWARENESS OF FRIEDREICH'S ATAXIA.
(5) HILLSBOROUGH COUNTY FIRE RESCUE FOUNDATION 2709 E HANNA AVE TAMPA,FL33610	46-3310942	501(C)(3)	5,500	SUPPORT THE MISSION OF PROMOTING FIRE AND LIFE SAFETY IN HILLSBOROUGH COUNTY.
(6) MARCH OF DIMES FOUNDATION 1275 MAMARONECK AVENUE WHITE PLAINS,NY10605	13-1846366	501(C)(3)	25,000	TO IMPROVE THE HEALTH OF BABIES BY PREVENTING BIRTH DEFECTS, PREMATURE BIRTH, AND INFANT MORTALITY THROUGH RESEARCH, COMMUNITY SERVICE, EDUCATION AND ADVOCACY.
(7) AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW ATLANTA,GA30303	13-1788491	501(C)(3)	25,000	SUPPORT ACS' MISSION TO SAVE LIVES, CELEBRATE LIVES, AND LEAD THE FIGHT FOR A WORLD WITHOUT CANCER.
(8) RONALD MCDONALD HOUSE CHARITIES OF TAMPA BAY INC 35 DAVIS BLVD TAMPA,FL33606	59-1835985	501(C)(3)	55,000	PROVIDE COMFORT AND CARE TO CHILDREN AND THEIR FAMILIES, AND PROVIDE A HOME-AWAY-FROM-HOME FOR FAMILIES OF PEDIATRIC PATIENTS AT AREA HOSPITALS.
(9) INDIA FESTIVAL TAMPAGUJARATI SAMAJ OF TAMPA BAY 5513 LYNN ROAD TAMPA,FL33624	59-2657408	501(C)(3)	20,000	SUPPORT MISSION TO PROMOTE CULTURAL VALUE
(10) UNIVERSITY OF SOUTH FLORIDA FOUNDATION 4202 EAST FOWLER AVENUE TAMPA,FL33620	59-0879015	501(C)(3)	154,094	SUPPORT THE UNIVERSITY'S HEALTH AND EDUCATION MISSION.
(11) NATIONAL COUNCIL FOR BEHAVIORAL HEALTH 1400 K STREET NW NO 400 WASHINGTON,DC20005	23-7092671	501(C)(3)	6,050	SUPPORT THE ORGANZATION'S MISSION TO ENSURE THOSE WITH MENTAL HEALTH DISORDERS HAVE ACCESS TO HEALTH CARE SERVICES
(12) THE AIRLIFTTANKER ASSOCIATION 7983 RHODES FARM WAY CHATTANOOGA,TN37421	59-1852735	501(C)(3)	7,500	SUPPORT LOCAL A/TA CHAPTER AT MACDILL AIR FORCE BASE.
(13) GASPARILLA DISTANCE CLASSIC ASSOCIATION INC PO BOX 1881 TAMPA,FL33601	59-1943559	501(C)(3)	20,000	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.
(14) SPECIALLY FIT FOUNDATION 11118 LAKESIDE VISTA DRIVE RIVERVIEW,FL33569	83-1994985	501(C)(3)	10,000	SUPPORT THE MISSION TO CHANGE THE COMMUNITY THROUGH FITNESS, PROVIDING EVENTS AND PROGRAMS TO REACH INDIVIDUALS WITH DIABILITIES AND THOSE AT-RISK
(15) FRIENDS OF THE RIVERWALK INC 201 N FRANKLIN ST 2900 TAMPA,FL33602	20-3146250	501(C)(3)	11,200	PROVIDE SUPPORT TO ENHANCE QUALITY OF LIFE AND BUILD STRONGER SENSE OF COMMUNITY FOR TAMPA BAY
(16) AMERICAN DIABETES ASSOCIATION 204 37TH AVENUE N 432 ST PETERSBURG,FL33704	13-1623888	501(C)(3)	10,000	SUPPORT MISSION TO PREVENT AND CURE DIABETES AND TO IMPROVE THE LIVES OF ALL PEOPLE AFFECTED BY DIABETES
(17) LIFELINK FOUNDATION PO BOX 102474 ATLANTA,GA303680308	59-2193032	501(C)(3)	10,000	SUPPORT THE MISSION OF FACILITATING ORGAN AND TISSUE DONATIONS, RESEARCH, AND IMPROVING CLINICAL OUTCOMES
(18) CURESEARCH FOR CHILDREN'S CANCER PO BOX 45781 BALTIMORE,MD212975781	95-4132414	501(C)(3)	10,000	SUPPORT MISSION TO END CHILDHOOD CANCER BY DRIVING TARGETED AND INNOVATIVE RESEARCH
(19) CHILDREN'S DREAM FUND 200 CENTRAL AVE ST PETERSBURG,FL33701	59-2145821	501(C)(3)	7,500	SUPPORT MISSION OF FULFILLING DREAMS FOR CHILDREN WHO HAVE BEEN DIAGNOSED WITH A LIFE-THREATENING ILLNESS
(20) HILLSBOROUGH COUNTY MEDICAL ASSOCIATION FOUNDATION INC 606 SOUTH BOULEVARD TAMPA,FL33606	59-3470072	501(C)(3)	17,500	SUPPORT MISSION TO CONTRIBUTE TO HEALTH AND MEDICAL PROGRAMS
(21) TAMPA METROPOLITAN AREA YMCA 110 E OAK AVE TAMPA,FL33602	59-1742909	501(C)(3)	10,000	SUPPORT PROGRAMS THAT BUILD HEALTHY SPIRIT, MIND, AND BODY
(22) THE FLORIDA AQUARIUM INC 701 CHANNELSIDE DRIVE TAMPA,FL33602	59-2807815	501(C)(3)	10,000	SUPPORT MISSION TO EDUCATE AND INSPIRE STEWARDSHIP ABOUT OUR NATURAL ENVIRONMENT
(23) THE JUNIOR LEAGUE OF TAMPA INC 87 COLUMBIA DR TAMPA,FL33606	59-0693993	501(C)(3)	28,500	SUPPORT MISSION TO PROMOTE VOLUNTEERISM, DEVELOP THE POTENTIAL OF WOMEN, AND IMPROVE COMMUNITIES
(24) TOBA FOUNDATION PO BOX 3485 TAMPA,FL33601	59-3154126	501(C)(3)	7,500	SUPPORT MISSION OF INSPIRING, EMPOWERING, AND PREPARING A NEW GENERATION OF LEADERS

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
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.

Schedule I (Form 990) 2018

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

FLORIDA HEALTH SCIENCES CENTER INC

Employer identification number

59-3458145

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Yes

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JOHN COURIS PRESIDENT & CEO	(i) (ii)	946,802 ------------- 0	728,761 ------------- 0	0 ------------- 0	0 ------------- 0	33,667 ------------- 0	1,709,230 ------------- 0	0 ------------- 0
2JUDITH PLOSZEK EXEC VP & CFO (END 5/19)	(i) (ii)	475,212 ------------- 0	495,805 ------------- 0	25,082 ------------- 0	29,024 ------------- 0	15,367 ------------- 0	1,040,490 ------------- 0	0 ------------- 0
3SALLY HOUSTON MD EXEC VP & CMO	(i) (ii)	534,453 ------------- 0	714,861 ------------- 0	520 ------------- 0	30,940 ------------- 0	17,882 ------------- 0	1,298,656 ------------- 0	0 ------------- 0
4KELLY CULLEN EXEC VP & COO	(i) (ii)	310,265 ------------- 0	175,084 ------------- 0	40,000 ------------- 0	0 ------------- 0	9,981 ------------- 0	535,330 ------------- 0	0 ------------- 0
5SCOTT J ARNOLD SENIOR VP & CIO	(i) (ii)	355,349 ------------- 0	395,949 ------------- 0	17,803 ------------- 0	13,970 ------------- 0	27,041 ------------- 0	810,112 ------------- 0	0 ------------- 0
6CHRIS A ROEDERER SENIOR VP & CHIEF HR OFC	(i) (ii)	397,366 ------------- 0	434,710 ------------- 0	18,132 ------------- 0	16,871 ------------- 0	23,910 ------------- 0	890,989 ------------- 0	0 ------------- 0
7ROBIN W DELAVERGNE SENIOR VP & EXTERNAL AFFAI	(i) (ii)	287,842 ------------- 0	234,351 ------------- 0	650 ------------- 0	19,076 ------------- 0	13,166 ------------- 0	555,085 ------------- 0	0 ------------- 0
8STEVE L SHORT EXEC VP & CFO (BEG 5/19)	(i) (ii)	884,023 ------------- 0	780,440 ------------- 0	0 ------------- 0	24,884 ------------- 0	23,333 ------------- 0	1,712,680 ------------- 0	0 ------------- 0
9STACEY BRANDT SENIOR VP & CHIEF STRATEGY/MKTG OFC	(i) (ii)	336,072 ------------- 0	181,498 ------------- 0	0 ------------- 0	0 ------------- 0	19,408 ------------- 0	536,978 ------------- 0	0 ------------- 0
10DEBBIE A RINDE-HOFFMAN TRANSPLANT CARDIOLOGIST	(i) (ii)	761,170 ------------- 0	45,298 ------------- 0	53,400 ------------- 0	16,716 ------------- 0	28,113 ------------- 0	904,697 ------------- 0	0 ------------- 0
11MARK W WESTON TRANSPLANT CARDIOLOGIST	(i) (ii)	747,847 ------------- 0	45,298 ------------- 0	0 ------------- 0	16,820 ------------- 0	28,113 ------------- 0	838,078 ------------- 0	0 ------------- 0
12PETER J BERMAN TRANSPLANT CARDIOLOGIST	(i) (ii)	646,976 ------------- 0	45,298 ------------- 0	27,736 ------------- 0	15,684 ------------- 0	22,009 ------------- 0	757,703 ------------- 0	0 ------------- 0
13KEITH E SOMMERS CARDIOTHORACIC SURGEON	(i) (ii)	101,538 ------------- 0	0 ------------- 0	865,585 ------------- 0	0 ------------- 0	0 ------------- 0	967,123 ------------- 0	0 ------------- 0
14LUIS ARROYO TRANSPLANT CARDIOLOGIST	(i) (ii)	641,237 ------------- 0	45,298 ------------- 0	0 ------------- 0	14,059 ------------- 0	26,862 ------------- 0	727,456 ------------- 0	0 ------------- 0
15JAMES R BURKHART FORMER CEO	(i) (ii)	898,543 ------------- 0	0 ------------- 0	0 ------------- 0	6,255 ------------- 0	14,078 ------------- 0	918,876 ------------- 0	0 ------------- 0
16DEANA L NELSON FORMER COO	(i) (ii)	277,100 ------------- 0	0 ------------- 0	140 ------------- 0	0 ------------- 0	3,983 ------------- 0	281,223 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
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.

Schedule J (Form 990) 2018

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
FLORIDA HEALTH SCIENCES CENTER INC

Employer identification number
59-3458145

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	HILLSBOROUGH COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY	59-1293512	43233AER3	02-28-2013	179,392,697	HOSPITAL EXPANSION AND REFUNDING 2003 BOND ISSUE		X		X		X
B	HILLSBOROUGH COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY	59-1293512		09-19-2013	37,020,000	REFUNDING 2003 BOND ISSUE		X		X		X
C	HILLSBOROUGH COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY	59-1293512		12-11-2015	183,387,500	PARTIAL REFUND 2006 BOND ISSUE		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	179,397,635		37,023,095		184,432,103
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	1,947,725
6 Proceeds in refunding escrows ...............	127,444,972		36,726,976		183,674,147
7 Issuance costs from proceeds ...............	622,750		296,119		757,956
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	50,007,274
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............	2015		2014		2015
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X	X			X
15 Were the bonds issued as part of an advance refunding issue? .....	X			X	X
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.200 %		0.200 %		0.200 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............	0.200 %		0.200 %		0.200 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...	X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......
b Exception to rebate? ........
c No rebate due? .........
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
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.

Schedule K (Form 990) 2018

Additional Data

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Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

FLORIDA HEALTH SCIENCES CENTER INC

Employer identification number

59-3458145

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2018

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) GULF TO BAY ANESTHESIOLOGY ASSOCIATES	DR DEVANAND MANGAR, BOARD MEMBER OF FHSC, IS AN OFFICER AND EMPLOYEE	4,401,543	ANESTHESIOLOGY SERVICES AT FMV		No
(2)		130,087			No
(3) MUSCULOSKELETAL INSTITUTE CHARTERED	DR THOMAS BERNASEK, BOARD MEMBER OF FHSC, IS SHAREHOLDER AND EMPLOYEE	2,235,954	ORTHOPAEDIC SERVICES AT FMV		No
(4) CASPERS COMPANY	BLAKE CASPER, BOARD DIRECTOR OF FHSC, IS AN OFFICER AND OWNER	155,486	LEASES SPACE FROM FHSC AT FMV		No
(5) SOUTH FLORIDA MOBILE LITHOTRIPSY LLC	DR RAVIENDER BUKKAPATNAM, BOARD MEMBER OF FHSC, IS A PARTNER	258,000	LITHOTRIPSY SERVICES AT FMV		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

FLORIDA HEALTH SCIENCES CENTER INC

Employer identification number

59-3458145

Return Reference	Explanation
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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

FLORIDA HEALTH SCIENCES CENTER INC

Employer identification number

59-3458145

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) FHSC REAL PROPERTY HOLDING COMPANY LLC PO BOX 1289 TAMPA,FL336011289 47-1396315	REAL ESTATE HOLDING COMPANY	FL	67,971	13,276,339	FLORIDA HEALTH SCIENCES CENTER INC
(2) TGH ARCHITECTURE & ENGINEERING LLC PO BOX 1289 TAMPA,FL336011289 46-4515477	ARCHITECTURE	FL	0	0	FLORIDA HEALTH SCIENCES CENTER INC

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)TAMPA GENERAL HOSPITAL FOUNDATION INC PO BOX 1289 TAMPA,FL336011289 23-7354477	FUNDRAISING TO SUPPORT TGH'S MISSION	FL	501(C)(3)	LINE 7	N/A		No
(2)TAMPA GENERAL HOSPITAL AUXILIARY INC PO BOX 1289 TAMPA,FL336011289 59-0810712	SUPPORT TGH	FL	501(C)(3)	LINE 12B, II	N/A		No
(3)TAMPA GENERAL MEDICAL GROUP INC PO BOX 1289 TAMPA,FL336011289 27-4749421	PHYSICIAN SPECIALTY CLINICS	FL	501(C)(3)	LINE 10	FLORIDA HEALTH SCIENCES CENTER INC	Yes
(4)FRIENDS OF TAMPA GENERAL HOSPITAL 610 S BOULEVARD TAMPA,FL33606 84-2794384	POLITICAL ORGANIZATION	FL	527		N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) THE SURGERY CENTER AT TGH BRANDON HEALTHPLEX LLC PO BOX 1289 TAMPA,FL336011289 61-1795393	SURGERY CENTER	FL	TGH AMBULATORY SERVICES COMPANY	RELATED	2,606,749	2,695,087	Yes			Yes		55.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) FLORIDA HEALTH SCIENCES CENTER LTD LIME TREE BAY AVE PO BOX 1051 CJ 98-0695992	PROFESSIONAL & GENERAL LIABILITY INSURANCE	CJ	FLORIDA HEALTH SCIENCES CENTER INC	C		78,925,604	100.000 %	Yes
(2) TGHHOC INC PO BOX 1289 TAMPA,FL336011289 47-2089251	RESTAURANT	FL	FLORIDA HEALTH SCIENCES CENTER INC	C	76,910	1,178,959	100.000 %	Yes
(3) TGH AMBULATORY SERVICES COMPANY PO BOX 1289 TAMPA,FL336011289 81-2203868	HOLDING COMPANY	FL	FLORIDA HEALTH SCIENCES CENTER INC	C	822,101	37,311,511	100.000 %	Yes

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

Yes

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) TAMPA GENERAL HOSPITAL FOUNDATION INC	C	555,706	DISBURSEMENTS FROM FOUNDATION
(2) TAMPA GENERAL HOSPITAL FOUNDATION INC	N	61,800	FAIR MARKET VALUE
(3) TAMPA GENERAL HOSPITAL FOUNDATION INC	O	865,415	SALARIES AND BENEFITS-SHARED EES
(4) TAMPA GENERAL HOSPITAL FOUNDATION INC	Q	480,798	COST
(5) TAMPA GENERAL MEDICAL GROUP INC	J	1,277,193	FAIR MARKET VALUE
(6) TAMPA GENERAL MEDICAL GROUP INC	L	3,465,098	COST
(7) TAMPA GENERAL MEDICAL GROUP INC	R	23,604,936	COST
(8) TGH AMBULATORY SERVICES COMPANY INC	D	3,800,000	LOAN
(9) TGH AMBULATORY SERVICES COMPANY INC	J	65,474	FAIR MARKET VALUE
(10) TGH AMBULATORY SERVICES COMPANY INC	L	514,705	COST
(11) TGHHOC INC	J	40,057	FAIR MARKET VALUE
(12) TGHHOC INC	L	29,390	COST
(13) THE SURGERY CENTER AT TGH BRANDON HEALTHPLEX LLC	A	524,917	LOAN AMORTIZATION
(14) THE SURGERY CENTER AT TGH BRANDON HEALTHPLEX LLC	D	4,000,000	LOAN VALUE
(15) THE SURGERY CENTER AT TGH BRANDON HEALTHPLEX LLC	J	1,251,000	FAIR MARKET VALUE
(16) THE SURGERY CENTER AT TGH BRANDON HEALTHPLEX LLC	L	118,214	COST
(17) THE SURGERY CENTER AT TGH BRANDON HEALTHPLEX LLC	H	8,000,000	FAIR MARKET VALUE

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: WE HEAL. WE TEACH. WE INNOVATE. CARE FOR EVERYONE. EVERY DAY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	9,886
6	Total number of volunteers (estimate if necessary) .............	6	956
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	712,538
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	281,067

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,877,139	4,745,155
9	Program service revenue (Part VIII, line 2g) .........	1,301,791,630	1,395,047,179
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	27,352,263	22,828,016
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,334,021,032	1,422,620,350
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,419,108	633,044
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	570,179,306	619,879,701
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	688,947,934	747,427,536
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,261,546,348	1,367,940,281
19	Revenue less expenses. Subtract line 18 from line 12.......	72,474,684	54,680,069
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,842,365,906	1,893,124,366
21	Total liabilities (Part X, line 26).............	810,985,192	786,432,279
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,031,380,714	1,106,692,087

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,012,419,626 including grants of $ ) (Revenue $ 1,318,183,296 )
	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.

4b	(Code: ) (Expenses $ 26,174,498 including grants of $ ) (Revenue $ 6,199,803 )
	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.

4c	(Code: ) (Expenses $ 5,354,483 including grants of $ ) (Revenue $ 2,379,413 )
	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.

	(Code: ) (Expenses $ 57,992,200 including grants of $ 633,044 ) (Revenue $ 68,284,667 )
	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.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 57,992,200 including grants of $ 633,044 ) (Revenue $ 68,284,667 )
4e	Total program service expenses1,101,940,807

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	14,069,716	0	511,212

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	555,706
e	Government grants (contributions)		1e	3,784,505

f	All other contributions, gifts, grants, and similar amounts not included above		1f	404,944

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		4,745,155

		Business Code
2a	PATIENT SERVICE REVENUE	622110	1,317,637,558	1,317,637,558
b	OUTPATIENT PHARMACY SALES - EMPLO	446110	60,867,570	60,867,570
c	RESEARCH, MEANINGFUL USE AND OTHE	621990	9,796,510	9,629,710	166,800
d	DISPROPORTIONATE SHARE REVENUE	622110	6,199,803	6,199,803
e	COMMERCIAL LAB	621500	545,738		545,738
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		1,395,047,179

3 Investment income (including dividends, interest, and othersimilar amounts) ......			21,790,778			21,790,778
4 Income from investment of tax-exempt bond proceeds			128			128
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		254,146,959
b	Less: cost or other basis and sales expenses		253,109,849
c	Gain or (loss)		1,037,110
d	Net gain or (loss).....			1,037,110			1,037,110
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See Instructions......			1,422,620,350	1,394,334,641	712,538	22,828,016

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	633,044	633,044
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	9,185,772	1,993,312	7,192,460
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	475,902,875	396,062,566	79,840,309
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	19,370,088	15,594,143	3,775,945
9	Other employee benefits .......	80,429,588	64,531,413	15,898,175
10	Payroll taxes ...........	34,991,378	28,028,094	6,963,284
11	Fees for services (non-employees):
a	Management ......	5,919,768	837,285	5,082,483
b	Legal .........	5,661,435		5,661,435
c	Accounting ...........	391,840		391,840
d	Lobbying ...........	187,090		187,090
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	102,048,667	95,638,635	6,410,032
12	Advertising and promotion ....	9,574,542	609,398	8,965,144
13	Office expenses .......	439,688,143	409,586,031	30,102,112
14	Information technology ......	31,809,183	16,283,121	15,526,062
15	Royalties ..
16	Occupancy ...........	17,554,770	15,448,198	2,106,572
17	Travel ............	1,775,151	684,177	1,090,974
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	583,861	102,198	481,663
20	Interest ...........	12,687,966	11,165,410	1,522,556
21	Payments to affiliates .......	38,235		38,235
22	Depreciation, depletion, and amortization ..	62,744,579	24,940,398	37,804,181
23	Insurance ...	29,647,230		29,647,230
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	ASSESSMENTS	17,103,808	17,103,808
b	DUES AND MEMBERSHIPS	2,478,010	569,999	1,908,011
c	RECRUITMENT COSTS	1,502,749	134,342	1,368,407
d	PROPERTY AND OTHER TAXE	719,698	627,683	92,015
e	All other expenses	5,310,811	1,367,552	3,943,259
25	Total functional expenses. Add lines 1 through 24e	1,367,940,281	1,101,940,807	265,999,474	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			21,125	1	17,775
2	Savings and temporary cash investments .........			119,418,435	2	52,893,949
3	Pledges and grants receivable, net ......			627,752	3	713,868
4	Accounts receivable, net .............			317,559,038	4	348,607,756
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			25,726,652	8	27,740,932
9	Prepaid expenses and deferred charges ......			72,840,093	9	77,713,446
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,177,717,640
b	Less: accumulated depreciation	10b	637,710,805	521,700,857	10c	540,006,835
11	Investments—publicly traded securities .			714,109,806	11	789,611,825
12	Investments—other securities. See Part IV, line 11 .....			1,546,050	12	1,546,050
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			2,565,794	14	1,812,312
15	Other assets. See Part IV, line 11 ...........			66,250,304	15	52,459,618
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,842,365,906	16	1,893,124,366

17	Accounts payable and accrued expenses .....	350,834,002	17	340,618,990
18	Grants payable ...		18
19	Deferred revenue .........	598,832	19	272,197
20	Tax-exempt bond liabilities .........	365,663,480	20	357,723,835
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	20,563,395	23	21,333,298
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	73,325,483	25	66,483,959
26	Total liabilities. Add lines 17 through 25..	810,985,192	26	786,432,279

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	1,024,966,111	27	1,100,960,166
28	Temporarily restricted net assets ...........	6,414,603	28	5,731,921
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	1,031,380,714	33	1,106,692,087
34	Total liabilities and net assets/fund balances ........	1,842,365,906	34	1,893,124,366

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No