2024-08-15T12:49:53-05:00 2023-09-30 135565207 KPMG LLP 500 W 5TH ST SUITE 800 WINSTONSALEM NC 27101 990 2022-10-01 861810505 TAMPA GENERAL PROVIDER NETWORK INC TAMP 8132294211 1 TAMPA GENERAL CIRCLE TAMPA FL 33606 MARK RUNYON TREASURER & DIRECTOR 8132294211 2024-08-15 1 0 WHITNEY B HEBRON P01226647 3362753394 2024-07-29 2022 2024-08-08 14:25:15Z ABRAHAM SCHWARZBERG MD 1 TAMPA GENERAL CIRCLE TAMPA FL 33606 64357432 0 X N/A X 2021 FL SEE SCHEDULE O 5 1 28 0 0 0 0 0 48124309 64357432 0 0 0 0 48124309 64357432 0 0 0 0 2023920 2657042 0 0 0 66557340 85870436 68581260 88527478 -20456951 -24170046 24118017 32555530 18886896 22798474 5231121 9757056 X SEE SCHEDULE O 0 0 87645927 64357432 PROVIDE A NETWORK OF COMPREHENSIVE PHYSICIAN SERVICES AND OTHER HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITY SERVED BY THE CORPORATION. N/A N/A 87645927 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 38 0 28 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 1 0 0 0 0 1 1 1 1 1 0 0 1 1 0 1 1 1 0 0 0 FL X LIJAH LOKENAUTH 8138447000 1 TAMPA GENERAL CIRCLE TAMPA FL 33606 JOHN COURIS DIRECTOR 1.00 49.00 X 0 2113230 41496 MARK RUNYON DIRECTOR 1.00 49.00 X 0 911936 35040 ADAM SMITH DIRECTOR 1.00 49.00 X 0 687361 40888 STACEY BRANDT VP & DIRECTOR 1.00 49.00 X X 0 762222 41496 ABRAHAM SCHWARZBERG MD PRESIDENT & DIRECTOR 1.00 0.00 X X 0 0 0 ALLIE GROPP CORPORATE SECRETARY 1.00 0.00 X 0 0 0 JENNIFER PUGH TREASURER 1.00 0.00 X 0 0 0 0 4474749 158920 0 0 1 0 FLORIDA UROLOGY PARTNERS LLP 5015 WEST NASSAU STREET TAMPA FL 33607 MEDICAL SERVICES 12650824 GASTRO GROUP OF THE PALM BEACHES LLP 2001 N FLAGLER DRIVE WEST PALM BEACH FL 33407 MEDICAL SERVICES 1867362 PULMONARY & SLEEP OF TAMPA BAY PLLC 4308 N HABANA AVE TAMPA FL 33607 MEDICAL SERVICES 1334126 ADVANCED KIDNEY CARE 4425 MILITARY TRAIL 212 JUPITER FL 33458 MEDICAL SERVICES 397151 ROBERT S SCOMA MD PA 1411 N FLAGLER DRIVE STE 8300 WEST PALM BEACH FL 33401 MEDICAL SERVICES 360709 7 PATIENT REVENUE 621110 50012583 50012583 RESEARCH 621990 14344849 14344849 64357432 64357432 64357432 0 0 2163646 2163646 41117 32935 8182 323011 258732 64279 129268 103544 25724 647290 647290 79786151 79786151 11647 5962 5685 4111843 3618422 493421 29863 29863 855986 855986 ADMINISTRATIVE EXPENSES 402001 133263 268738 PURCH SVC - MGMT AGREEM 20800 6895 13905 LICENSES 2259 749 1510 PROPERTY TAXES 1260 1260 0 1336 1229 107 88527478 87645927 881551 0 939327 3337674 8776515 12151370 60048 6 9978 184454 4329744 1248525 1438443 3081219 12893706 13800807 24118017 32555530 6328349 9206611 12558547 13591863 18886896 22798474 X 5231121 9757056 5231121 9757056 24118017 32555530 X -24170046 28695981 X 0 1 X 1 0 X 48124309 64357432 112481741 48124309 64357432 112481741 0 0 0 112481741 48124309 64357432 112481741 X 257340 47588 209752 3028113 1200937 1827176 1044291 1044291 3081219 OTHER ASSETS 13800807 13800807 X PART X, LINE 2: TGPN 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 AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF IT 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 AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2023 AND 2022, 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. 0 0 0 0 0 0 0 1 0 JOHN COURIS DIRECTOR 0 1231255 0 881975 0 0 0 15250 0 26246 0 2154726 0 0 MARK RUNYON DIRECTOR 0 650924 0 261012 0 0 0 13006 0 22034 0 946976 0 0 STACEY BRANDT VP & DIRECTOR 0 500136 0 261306 0 780 0 15250 0 26246 0 803718 0 0 ADAM SMITH DIRECTOR 0 395005 0 243498 0 48858 0 15250 0 25638 0 728249 0 0 PART I, LINE 7 NON-FIXED PAYMENTS PROVIDED BONUS AND INCENTIVE COMPENSATION IS BASED ON ACHIEVEMENT OF CERTAIN TARGETS, QUALITY INDICATORS, AND NON-FINANCIAL METRICS. FORM 990, PART I, LINE 1 THE ORGANIZATION'S PURPOSES AND ACTIVITES INCLUDE THE PROVISION OF COMPREHENSIVE PHYSICIAN SERVICES. FORM 990, PART III, LINE 1 THE ORGANIZATION'S PURPOSES AND ACTIVITES INCLUDE THE PROVISION OF COMPREHENSIVE PHYSICIAN SERVICES AND OTHER HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITY SERVED BY THE ORGANIZATION, AND THE ESTABLISHMENT, SPONSORSHIP AND CONDUCT OF EDUCATIONAL PROGRAMS FOR THE COMMUNITY SERVED BY THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER IS FLORIDA HEALTH SCIENCES CENTER INC (FHSC), A 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TGPN HAS TEN (5) DIRECTORS DIVIDED INTO THREE (3) CLASSES. CLASS 1 - SMT DIRECTORS: THREE DIRECTORS APPOINTED BY FLORIDA HEALTH SCIENCES CENTER INC (FHSC), COMPRISED OF MEMBERS OF THE SENIOR MANAGEMENT TEAM OF FHSC. CLASS 2 - COMMUNITY DIRECTORS: THREE DIRECTORS APPOINTED BY FHSC TO REPRESENT FHSC AND THE COMMUNITY. ONE OF THESE THREE DIRECTORS WILL ALSO BE A DIRECTOR OF FHSC. CLASS 3 - PHYSICIAN DIRECTORS: THREE DIRECTORS ELECTED BY THE PHYSICIANS OF TGPN. THE SMT AND COMMUNITY DIRECTORS SHALL BE APPOINTED BY FHSC AFTER RECEIVING THE RECOMMENDATIONS OF THE NOMINATING COMMITTEE. THE PHYSICIAN DIRECTORS SHALL BE ELECTED BY THE PHYSICIANS AFTER RECEIVING THE RECOMMENDATIONS OF THE NOMINATING COMMITTEE. ONLY PERSONS APPROVED BY THE NOMINATING COMMITTEE ARE ELIGIBLE TO SERVE AS DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL OF MEMBERS PER THE BYLAWS OF TGPN. FLORIDA HEALTH SCIENCES CENTER INC (FHSC) IS THE SOLE MEMBER OF THE CORPORATION. AS SUCH, FHSC IS ENTITLED TO ALL RIGHTS AND POWERS OF A MEMBER UNDER THE LAWS OF THE STATE OF FLORIDA, AND THE ARTICLES OF INCORPORATION AND BYLAWS OF TGPN. UNDER THE BYLAWS, CERTAIN POWERS ARE EXPRESSLY RESERVED TO FHSC: (A) ADOPT, AMEND, MODIFY OR RESTATE THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION, IN WHOLE OR IN PART; (B) APPROVE ANY AMENDMENT TO THE CORPORATION'S CHARITY OR DISCOUNTED CARE POLICIES; (C) INCUR ANY DEBT; (D) APPROVE THE CORPORATION ENTERING INTO ANY NEW SERVICE LINES; (E) APPOINT AND REMOVE THE COMMUNITY DIRECTORS AND SMT DIRECTORS, WITH OR WITHOUT CAUSE; (F) APPROVE THE ESTABLISHMENT OR DISSOLUTION OF ORGANIZATIONAL RELATIONSHIPS, INCLUDING SUBSIDIARY CORPORATIONS, PARTNERSHIPS, JOINT VENTURES, MERGERS AND CONSOLIDATIONS; (G) APPROVE THE MERGER, CONSOLIDATION, DISSOLUTION OR OTHER FUNDAMENTAL CORPORATE REORGANIZATION OF THE CORPORATION; AND (H) APPROVE THE ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT FORM 990 WAS REVIEWED AT THE REGULARLY SCHEDULED BOARD OF DIRECTOR MEETING IN AUGUST 2024. UPON APPROVAL BY THE BOARD, THE FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C TGPN ADHERES TO THE CONFLICT OF INTEREST POLICY OF ITS SOLE MEMBER ENFORCEMENT OF CONFLICTS POLICY 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 C, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: CAPITAL CONTRIBUTIONS 28,695,981. 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