The Tampa Bay Health & Medical Preparedness Coalition (TBHMPC) conducted its annual Hazard Vulnerability Assessment and Gap Analysis (HVA) to identify the healthcare coalition’s most significant risks and gaps. Data collection took place in November and December 2024, and included review of assessment documents from regional public health and emergency management communities, review of after action reports from recent events and exercises, and obtaining input from a wide variety of coalition members and partners via survey. The information was analyzed to form this report, which will inform TBHMPC preparedness priorities in planning, training, exercises, and future projects.