2018-05-15T12:56:25-05:00 2017-06-30 366055558 GRANT THORNTON LLP 200 S ORANGE AVENUE SUITE 2050 ORLANDO FL 32801 990 2016-07-01 593238634 H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL INC HLEE 8137454673 12902 MAGNOLIA DRIVE TAMPA FL 33612 YVETTE TREMONTI EVP/CFO 8137457862 2018-05-14 1 MICHELE N MELCHIOR P00488037 4074815100 2016 2022-09-23 18:48:47Z JOHN A KOLOSKY 12902 MAGNOLIA DRIVE TAMPA FL 33612 925589630 0 X WWW.MOFFITT.ORG X 1994 FL TO CONTRIBUTE TO THE PREVENTION AND CURE OF CANCER. 14 14 3802 837 95968 94968 10663909 14143313 804486683 910107573 -47718 -439416 2359775 1229314 817462649 925040784 3000 3725500 0 0 281506279 305393332 0 0 0 418618359 472097361 700127638 781216193 117335011 143824591 162071983 185909533 51185320 66566124 110886663 119343409 X THE PRIMARY PURPOSE OF THE H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC. IS TO CONTRIBUTE TO THE PREVENTION AND CURE OF CANCER. 0 0 661864357 3725500 909337368 H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE HOSPITAL, INC. (THE "HOSPITAL") IS LOCATED ON THE CAMPUS OF THE UNIVERSITY OF SOUTH FLORIDA IN TAMPA, FL. SINCE OPENING IN 1986, THE HOSPITAL HAS BEEN GUIDED BY ONE MISSION, "TO CONTRIBUTE TO THE PREVENTION AND CURE OF CANCER." MOFFITT IS A LEADING NATIONAL CANCER INSTITUTE (NCI) COMPREHENSIVE CANCER CENTER - ONE OF ONLY 49 IN THE NATION TO HOLD THIS DISTINCTION. MOFFITT IS THE TOP-RANKED CANCER HOSPITAL IN FLORIDA, THE NUMBER 6 CANCER HOSPITAL IN THE NATION, AND HAS BEEN LISTED IN U.S. NEWS & WORLD REPORT AS ONE OF THE "BEST HOSPITALS" FOR CANCER CARE SINCE 1999. WITH MORE THAN 5,200 EMPLOYEES BETWEEN THE HOSPITAL AND RELATED ORGANIZATIONS, MOFFITT HAS AN ECONOMIC IMPACT ON FLORIDA OF NEARLY $2.1 BILLION. RESEARCH IS CRITICAL TO MOFFITT'S MISSION. MUCH OF OUR CLINICAL TRIALS AND STUDIES ARE DONE THROUGH COLLABORATION BETWEEN MOFFITT RESEARCHERS AND PHYSICIANS WHO FOCUS ON COMPREHENSIVE CANCER TREATMENT. THE CLINICAL TRIALS AND STUDIES EXPLORE NEW MEDICAL DISCOVERIES OR NEW WAYS TO USE EXISTING TREATMENTS TO IMPROVE PATIENT CARE. EVERY PARTICIPANT HELPS TAKE US ONE STEP CLOSER TO THAT NEXT BIG BREAKTHROUGH IN CANCER TREATMENT.REIMBURSEMENT IS ALSO CRITICAL TO THE HOSPITAL'S OPERATIONS; HOWEVER, MOFFITT RECOGNIZES ITS RESPONSIBILITY TO PROVIDE SERVICES AND EDUCATION TO THOSE NEEDING SPECIALIZED RESEARCH CAPABILITIES. PATIENTS WHO MEET MOFFITT'S MEDICAL AND SURGICAL PROTOCOLS AND DO NOT HAVE THE ABILITY TO PAY WILL BE TREATED, IF SUCH PROTOCOLS ARE NOT AVAILABLE IN THEIR COMMUNITY.IT IS THIS COMMITMENT THAT GUIDES THE HOSPITAL TO:(1) PROVIDE CARE FOR PATIENTS COVERED BY GOVERNMENTAL PROGRAMS BELOW COST(2) PROVIDE FREE CHARITY CARE FOR THOSE WHO CANNOT PAY(3) PROVIDE ONCOLOGY SPECIALIZATION TO THE STATE OF FLORIDA THROUGH INVOLVEMENT IN INVESTIGATIONAL PROTOCOLS, EDUCATION OF FUTURE PHYSICIANS AND CONTINUING PROFESSIONAL EDUCATION FOR PHYSICIANS AND OTHER ALLIED HEALTH CARE PROFESSIONALS(4) TAKE A LEADERSHIP ROLE IN CANCER PREVENTION AND SCREENING ACTIVITIES THE HOSPITAL IS A CRITICAL RESOURCE FOR THE STATE OF FLORIDA, WHICH RANKS SECOND IN THE NATION IN BOTH CANCER INCIDENCE AND MORTALITY. MOFFITT IS LICENSED FOR 206 BEDS AND DEVOTES MORE THAN 2 MILLION SQUARE FEET TO RESEARCH AND PATIENT CARE. ADDITIONALLY, MOFFITT PROVIDES A WIDE ARRAY OF OUTREACH AND EDUCATIONAL ACTIVITIES FOR THE GENERAL PUBLIC AND SELECT UNDERSERVED POPULATIONS. IN FISCAL YEAR 2017, THE HOSPITAL RECORDED 384,857 OUTPATIENT VISITS AND 9,210 INPATIENT ADMISSIONS. 661864357 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 110 0 1 3802 1 1 1 0 0 0 0 0 0 0 0 0 X 14 14 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X YVETTE M LYONS TREMONTI 8137457862 12902 MAGNOLIA DRIVE TAMPA FL 33612 BETH A HOUGHTON DIRECTOR, CHAIR 1.00 1.00 X X 0 0 0 THE HONORABLE MARK A PIZZO DIRECTOR, VICE CHAIR 1.00 1.00 X X 0 0 0 JOSEPH CABALLERO DIRECTOR, SEC/TREAS 10/2016 1.00 1.00 X X 0 0 0 THE HONORABLE H LEE MOFFITT DIRECTOR, SEC/TREAS THRU 9/2016 1.00 4.00 X X 0 0 0 MICHAEL BICE DIRECTOR 1.00 X 0 0 0 ROLAND DANIELS DIRECTOR 1.00 X 0 0 0 VALERIE GODDARD DIRECTOR 1.00 X 0 0 0 JACQUELINE LEWIS DIRECTOR 1.00 X 0 0 0 JO MANION DIRECTOR 1.00 X 0 0 0 JENNIFER MOFFITT DIRECTOR 1.00 X 0 0 0 ORLANDO NIEVES DIRECTOR 1.00 X 0 0 0 KEVIN PLUMMER DIRECTOR 1.00 X 0 0 0 NICOLAS PORTER DIRECTOR 1.00 X 0 0 0 MARY ANNE REILLY DIRECTOR 1.00 X 0 0 0 SUPRIYA TANEJA DIRECTOR 1.00 X 0 0 0 HAL WALKER DIRECTOR 1.00 X 0 0 0 JOHN A KOLOSKY HOSPITAL PRESIDENT 25.00 30.00 X 0 910725 213791 LOUIS D DE LA PARTE EVP-GEN COUNSEL, ASST SEC 20.00 35.00 X 0 583407 119002 G DOUGLAS LETSON EVP-PHYS IN CHIEF 22.00 33.00 X 795737 0 97407 YVETTE LYONS TREMONTI EVP-CFO & ASST TREASURER 20.00 35.00 X 0 661436 73682 BRAULIO VICENTE SVP-MMG, HOSP OPERATIONS 35.00 20.00 X 438418 0 123649 JANE FUSILERO VP-PATIENT CARE SVS/CNO 55.00 X 427769 0 50399 ROBERT KEENAN VP-QUALITY/CMO 55.00 X 604552 0 53160 CYNTHIA TERRANO VP-PAYER STRATEGIES 35.00 20.00 X 404279 0 42718 JOANNA WEISS VP REV CYCLE MGMT 35.00 20.00 X 0 307181 64945 VIET HO MANAGER PHARM-CLINIC 5/2017-6/2017 50.00 X 178207 0 55427 GENE WETZSTEIN CHIEF PHARMACY OFFICER THRU 4/2017 50.00 X 228439 0 57867 SACHIN APTE ASSOCIATE CHIEF MEDICAL OFFICER 50.00 X 290807 0 555 VLADIMIR FEYGELMAN ASSOC MBR PHYSICIST 50.00 X 248683 0 63196 EDUARDO G MOROS SR MBR PHYSICIST 50.00 X 378242 0 62310 AMARJIT S SAINI COORD BRACHYTHERAPY PHYSIC 50.00 X 255572 0 86825 STUART G WASSERMAN DIR CLINICAL PHYSICS 50.00 X 312828 0 77346 W MICHAEL ALBERTS FORMER DIRECTOR, MED DIR MCKINLEY 50.00 0.00 X 400469 0 115123 JULIE DJEU FORMER DIRECTOR, ACD RSCH 0.00 50.00 X 0 408245 65625 ALAN F LIST FORMER EVP-PHYS IN CHIEF 0.00 55.00 X 0 1393747 143654 4964002 4264741 1566681 206 1 1 0 NATIONAL MARROW DONOR PROGRAM 3001 BROADWAY ST NE 500 MINNEAPOLIS MN 55413 DONOR SEARCH SERVICES 6604933 ASSOC REGIONAL & UNIV PATH 500 CHIPETA WAY SALT LAKE CITY UT 84108 LABORATORY SERVICES 1952091 LEIDOS HEALTH LLC PO BOX 223866 PITTSBURGH PA 15251 CONSULTING SERVICES 1842299 HARMONY HEALTHCARE 2909 W BAY TO BAY BLVD STE 500 TAMPA FL 33629 TEMPORARY LABOR 1654900 HURON CONSULTING SERVICES LLC 3005 MOMENTUM PLACE CHICAGO IL 60689 CONSULTING SERVICES 1313135 25 7722091 5434 6415788 6579620 14143313 NET PATIENT SERVICE REVENUE 900099 889386697 889386697 SPECIALTY PHARMACY 900099 18506502 18506502 OUTPATIENT PHARMACY 900099 800000 800000 EDUCATION CONFERENCES 611710 541118 541118 RESEARCH COLLABORATION 900099 522404 426436 95968 350852 350852 910107573 109430 548846 -439416 -439416 -439416 COMMISSIONS 900099 319448 319448 REBATES 900099 298018 298018 INTEREST FROM INS COMPANIES 524114 263936 263936 347912 347912 1229314 925040784 909211605 95968 1589898 X 3725500 3725500 4289153 4014432 274721 491602 455349 36253 235891306 181264411 54626895 11772946 9303057 2469889 36312003 32321628 3990375 16636322 12907415 3728907 2245598 2245598 147198 147198 507506 507506 48043043 31931895 16111148 6511458 16413 6495045 54926731 37728369 17198362 21872003 21872003 15621861 4424316 11197545 842820 441715 401105 489099 489099 8419185 8419185 32289365 14053562 18235803 666897 666897 MEDICAL SUPPLIES 257252917 257248841 4076 ALLOC OF INTERCO EXP 0 52432733 -52432733 HCCB ASSESSMENT 9624504 9624504 BAD DEBT EXPENSE 7283872 7283872 5353304 2197246 3156058 781216193 661864357 119351836 0 4175 2675 2859855 2447447 90615228 99945395 11975543 13154729 1210898 1227234 208884980 150871494 46804668 58013486 4681746 6994939 3919870 4123629 162071983 185909533 22792320 39141355 97525 56725 28295475 27368044 51185320 66566124 X 107062975 115572343 3823688 3771066 110886663 119343409 162071983 185909533 X 143824591 -135367845 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 25874 1 11832 0 1 713825 1 27927 1 20500 799958 0 PART II-B, LINE 1: THE H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. AND ITS THREE NON-PROFIT SUBSIDIARY CORPORATIONS ("CORPORATION") WERE CREATED TO GOVERN AND OPERATE THE H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE ("INSTITUTE") PURSUANT TO SECTION 1004.43, FLORIDA STATUTES. AMONG OTHER THINGS, SECTION 1004.43 FLORIDA STATUTES PROVIDES: (1) THAT THE CORPORATION SHALL ENTER INTO AN AGREEMENT WITH THE STATE BOARD OF EDUCATION FOR THE UTILIZATION OF FACILITIES ON THE CAMPUS OF THE UNIVERSITY OF SOUTH FLORIDA; (2) THAT THE CORPORATION SUBMIT ANNUAL POST AUDITS OF ITS FINANCIAL ACCOUNTS TO THE AUDITOR GENERAL OF THE STATE OF FLORIDA AND THE BOARD OF GOVERNORS FOR THEIR REVIEW; AND (3) THAT THE CORPORATION'S CEO REPORT TO THE BOARD OF GOVERNORS OR ITS DESIGNEE AND PROVIDE COPIES OF THE INSTITUTE'S ANNUAL REPORT TO THE GOVERNOR OF THE STATE OF FLORIDA, THE CABINET, THE PRESIDENT OF THE SENATE, THE SPEAKER OF THE HOUSE AND THE CHAIR OF THE BOARD OF GOVERNORS. ALTHOUGH THE CORPORATION IS A PRIVATE ENTITY, IT IS NONETHELESS SUBJECT TO THE STATE OF FLORIDA'S PUBLIC RECORDS AND THE PUBLIC MEETINGS LAWS. THE CORPORATION ALSO RELIES ON ANNUAL APPROPRIATIONS BY THE LEGISLATURE OF THE STATE OF FLORIDA AND GRANTS FROM VARIOUS LOCAL, STATE AND FEDERAL AGENCIES FOR OPERATION AND MAINTENANCE OF ITS FACILITIES AND FOR SPECIFIC RESEARCH AND CLINICAL PROGRAMS. FOR THESE REASONS, THE CORPORATION FROM TIME TO TIME ENGAGES LOBBYISTS AND OTHER CONSULTANTS: (1) TO ASSIST IT IN COMPLYING WITH ITS REPORTING REQUIREMENTS TO THE STATE OF FLORIDA UNDER SECTION 1004.43, FLORIDA STATUTES; (2) TO MONITOR LEGISLATIVE AND EXECUTIVE BRANCH ACTION AT LOCAL, STATE AND FEDERAL LEVELS OF GOVERNMENT WHICH IMPACT ITS OPERATION AND THE FULFILLMENT OF ITS MISSION; AND (3) TO INFLUENCE LEGISLATION IN FURTHERANCE OF ITS MISSION IN THE AREAS OF CANCER RESEARCH AND TREATMENT, THE TEACHING AND TRAINING OF HEALTH CARE PROFESSIONALS AND COMMUNITY EDUCATION AND OUTREACH ACTIVITIES. THE CORPORATION DOES NOT ENGAGE IN ANY ACTIVITIES TO SUPPORT OR OPPOSE ANY CANDIDATE FOR PUBLIC OFFICE. PART II-B, LINE 1I, OTHER ACTIVITIES THE OTHER ACTIVITIES AMOUNT LISTED ON LINE 1I IS COMPRISED OF EXPENSES RELATED TO ORCHESTRATING CONTACT BETWEEN GRASSROOTS SUPPORTERS (WHO ARE VOLUNTEERS) AND ELECTED OFFICIALS TO PROMOTE THE INSTITUTION'S LEGISLATIVE OBJECTIVES. 281110 281110 0 205948864 150590384 55358480 2655006 2655006 58013486 HCCB ASSESSMENT 11684223 ESTIMATED THIRD-PARTY SETTLEMENTS 15683821 27368044 X PART X, LINE 2: H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC. DID NOT HAVE ANY UNCERTAIN POSITIONS IN ITS AUDITED FINANCIAL STATEMENTS. THE ASC-740 FOOTNOTE READS AS FOLLOWS: THE CANCER CENTER RECOGNIZES A TAX POSITION AFTER DETERMINING THAT A RELEVANT TAX AUTHORITY WOULD MORE LIKELY THAN NOT (GREATER THAN 50% LIKELIHOOD) SUSTAIN THE POSITION FOLLOWING AN AUDIT AND RECORDS THESE BENEFITS AT THE AMOUNT MOST LIKELY TO BE REALIZED, ASSUMING A REVIEW BY TAX AUTHORITIES HAVING ALL RELEVANT INFORMATION AND APPLYING CURRENT CONVENTIONS. 1 1 X 1 X 1 X 1 1 1 0 1 1 22439208 22439208 0.02900 28492212 7993333 20498879 0.02650 50931420 7993333 42938087 0.05550 847775 847775 0.00110 3819275 3819275 0.00490 35322 35322 0.00000 4702372 4702372 0.00600 55633792 7993333 47640459 0.06150 1450 1450 0.00000 4913 4913 0.00000 6363 6363 0.00000 1 2129697 218308448 235945847 -17637399 X 1 1 1 1 H LEE MOFFITT CANCER CENTER & RESEARCH 12902 MAGNOLIA DRIVE TAMPA FL 33612 WWW.MOFFITT.ORG 4334 X H LEE MOFFITT CANCER CENTER & RESEARCH 1 0 0 1 X X X X X X X X X 15 1 1 1 1 X WWW.MOFFITT.ORG/PUBLICATIONS/COMMUNITY-BENEFIT X 1 16 1 WWW.MOFFITT.ORG/PUBLICATIONS/COMMUNITY-BENEFIT 0 1 X 200.000000000000 400.000000000000 X X X X X X X 1 1 X X X X 1 X SEE PART V, SECTION B, LINE 16C X SEE PART V, SECTION B, LINE 16C X HTTPS://MOFFITT.ORG/PATIENT-FAMILY/INSURANCE-FINANCIAL-INFORMATION X X X X X X X 1 X 0 X X X X X 0 X X X 0 0 H LEE MOFFITT CANCER CENTER & RESEARCH PART V, SECTION B, LINE 5: INDIVIDUALS, INCLUDING ORGANIZATIONAL LEADERS FROM MULTIPLE SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS, PARTICIPATED IN FOCUS GROUPS AND INTERVIEWS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. ADDITIONALLY, AN ADVISORY COMMITTEE COMPRISED OF BOTH INTERNAL MOFFITT STAFF AND COMMUNITY LEADERS PROVIDED FEEDBACK AND GUIDANCE THROUGHOUT THE ASSESSMENT PROCESS.THE FOLLOWING INDIVIDUALS WERE INTERVIEWED AS PART OF THIS HEALTH ASSESSMENT, EITHER BY PHONE OR IN PERSON. THEY CONTRIBUTED IMMEASURABLE VALUE IN THE FORMATION OF THIS REPORT, PROVIDING PROFESSIONAL KNOWLEDGE, EXPERT INFORMATION, AND INFORMED PUBLIC POLICY DIRECTION BY PARTICIPATING IN THE ASSESSMENT PROCESS AS KEY INFORMANTS. WE WOULD LIKE TO ACKNOWLEDGE EACH OF THESE INDIVIDUALS AND THANK THEM FOR THEIR GENEROUS TIME AND CONTRIBUTIONS TO THIS ASSESSMENT.CHRISTINE ABARCA, FLORIDA DEPT. OF HEALTH PASCO COUNTY; KIM AMTMANN-BUETTNER, PATIENT & FAMILY ADVISORY PROGRAM, MOFFITT CANCER CENTER; DEBORAH AUSTIN, PHD, DIRECTOR OF COMMUNITY ENGAGEMENT, REACHUP, INC.; PASTOR DAN CAMPBELL, DIRECTOR OF DEVELOPMENT FOR PASCO COUNTY METROPOLITAN MINISTRIES; ERMELINDA CENTENO, DIRECTOR OF ENABLING SERVICES, CENTRAL FLORIDA HEALTH CARE, INC.; KRISTIN CHESNUTT, HEALTH SYSTEMS MANAGER, AMERICAN CANCER SOCIETY, FLORIDA DIVISION; VENESSA RIVERA COL N, MANAGER OF MOFFITT PROGRAM FOR OUTREACH WELLNESS EDUCATION & RESOURCES, MOFFITT CANCER CENTER; ERNEST CONEY, CEO, CDC OF TAMPA; KATHY DAIN, EXECUTIVE DIRECTOR, BETH-EL FARMWORKER MINISTRY; LOLITA DASH-PITTS, EXECUTIVE DIRECTOR, FRONT PORCH CDA, INC.; MARTINE DORVIL, DIRECTOR OF PROGRAMS, UNIVERSITY AREA COMMUNITY DEVELOPMENT CORPORATION; KATHERINE EAGAN, CEO, HILLSBOROUGH AREA REGIONAL TRANSIT (HART); SUSAN EASTER, DIRECTOR OF HEALTH CENTER, ST. PETERSBURG FREE CLINIC; MARIA NIEVES EDMONDS, CHAIRPERSON, HISPANIC LEADERSHIP COUNCIL; SHEILA FERRALL, SENIOR DIR., NURSING PRACTICE, EDUC. & CLINIC EFFICIENCY, MOFFITT CANCER CENTER; KHALIAH FLEMING, COMMUNITY HEALTH EDUCATOR, MOFFITT CANCER CENTER; MIGUEL FUENTES, REDLANDS CHRISTIAN MIGRANT ASSOCIATION (RCMA); GEORGE GARCIA, BRANCH EXECUTIVE, HIGHPOINT BRANCH, YMCA OF THE SUNCOAST; LYNDA GOWING, REGIONAL COORDINATOR, FLORIDA DEPT. OF HEALTH PASCO COUNTY; LUCY GUERRA, MD, ASSOCIATE PROFESSOR OF MEDICINE, UNIVERSITY OF SOUTH FLORIDA SCHOOL OF MEDICINE; ERIC HAAS, MD, SENIOR MEDICAL DIRECTOR FOR MEDICARE ADVANTAGE, FLORIDA BLUE; CARRIE HEPBURN, EXECUTIVE DIRECTOR, TAMPA BAY HEALTHCARE COLLABORATIVE; SHERRY HOBACK, CHIEF CLINICAL SERVICES OFFICER, TAMPA FAMILY HEALTH CENTERS; DOUGLAS HOLT, MD, DIRECTOR, FLORIDA DEPT. OF HEALTH HILLSBOROUGH COUNTY; JOY JACKSON, MD, DIRECTOR, FLORIDA DEPT. OF HEALTH POLK COUNTY; DENESE METEYE JAMES, COMMUNITY VOLUNTEER; CYNTHIA JOHNSON, ED.D, EDFP, SENIOR MANAGER BUSINESS ASSISTANCE, PINELLAS COUNTY ECONOMIC DEVELOPMENT; CHERI WRIGHT-JONES, REGIONAL VICE PRESIDENT, ALLEGHANY FRANCISCAN MINISTRIES; ROBERT KEENAN, MD, CHIEF MEDICAL OFFICER, VP QUALITY, MOFFITT CANCER CENTER; JACK KOLOSKY, CHIEF OPERATING OFFICER, MOFFITT CANCER CENTER; GINA KRAVITZ, EXECUTIVE DIRECTOR, SUSAN G KOMEN SUNCOAST; VALARIE LEE, PUBLIC HEALTH SERVICES MANAGER, FLORIDA DEPT. OF HEALTH PINELLAS COUNTY; DOUGLAS LETSON, MD, EXECUTIVE VICE PRESIDENT, PHYSICIAN-IN-CHIEF, MOFFITT CANCER CENTER; KARENNE LEVY, DIRECTOR OF PATIENT EXPERIENCE (FORMERLY), MOFFITT CANCER CENTER; NATASHA MARTIN, HUMAN SERVICES MANAGER, PASCO COUNTY HUMAN SERVICES; CHRISTINA MATHIS, CEO, GULFCOAST NORTH AREA HEALTH EDUCATION CENTER; MICHELE MCCOY, SEMINOLE INDIAN TRIBE; KATE MCDONALD, HEALTH SERVICES COORDINATOR, LAKE WALES CARE CENTER; SETH MCKEEL, SOUTHERN STRATEGY GROUP, FORMER REPRESENTATIVE OF POLK COUNTY DISTRICT 40; KYLE MOBLEY, SENIOR MANAGER FOR HOSPITAL SYSTEMS, AMERICAN CANCER SOCIETY, FLORIDA DIVISION; MIKE NAPIER, ADMINISTRATOR, FLORIDA DEPT. OF HEALTH PASCO COUNTY; SHALEWA NOEL-THOMAS, PHD, MANAGER, SOCIAL SERVICES DEPT. (FORMERLY), HILLSBOROUGH COUNTY BOARD OF COMMISSIONERS; DONNA PETERSEN, PHD, DEAN, USF COLLEGE OF PUBLIC HEALTH; MARIA PINZ N, EXECUTIVE DIRECTOR, HISPANIC SERVICES COUNCIL; CHERYL POLLOCK, DIRECTOR, BUSINESS DEVELOPMENT & COMMUNITY SERVICES, PREMIER COMMUNITY HEALTHCARE GROUP; LARRY POWELL, PRESIDENT, ANGELS CARE CENTER OF ELOISE; SISTER SARA PROCTOR, PROGRAM COORDINATOR, CATHOLIC MOBILE MEDICAL SERVICES; FRANK RIDDICK, CHAIRMAN, TAMPA CITY COUNCIL; CLARA REYNOLDS, PRESIDENT/CEO, CRISIS CENTER OF TAMPA BAY; ASHLEY RIVERA, CHIEF EXECUTIVE OFFICER, WE CARE OF POLK COUNTY; MARGARITA ROMO, EXECUTIVE DIRECTOR, FARMWORKERS SELF-HELP, INC.; JOLENE ROWE, SOCIAL WORK SUPERVISOR, MOFFITT CANCER CENTER; LEISA STANLEY, PHD, ASSOCIATE EXECUTIVE DIRECTOR, HEALTHY START COALITION OF HILLSBOROUGH COUNTY, INC.; DONNA THOMAS, ASSISTANT DIRECTOR, GOOD SAMARITAN HEALTH CLINIC OF PASCO; JOSSETTE TOULME, TREASURER, HAITIAN ASSOCIATION FOUNDATION OF TAMPA BAY, INC.; MARY LYNN ULREY, CEO, DRUG ABUSE COMP. COORDINATING OFFICE (DACCO); BRIAN WINFIELD, CHIEF FINANCIAL OFFICER (FORMERLY), EQUALITY FLORIDA INSTITUTE, INC.; AND CARRIE ZEISSE, CHIEF OPERATING OFFICER, UNITED WAY SUNCOAST H LEE MOFFITT CANCER CENTER & RESEARCH PART V, SECTION B, LINE 6B: IN OCTOBER 2015, MOFFITT COLLABORATED WITH THE FLORIDA DEPARTMENT OF HEALTH, HILLSBOROUGH COUNTY, TO COMPLETE THE CHNA AND LATER ESTABLISH HEALTHY HILLSBOROUGH. HEALTHY HILLSBOROUGH IS A COMMITTEE OF LOCAL HOSPITALS, THE COUNTY HEALTH DEPARTMENT, AND FEDERALLY QUALIFIED HEALTH CENTERS. THE PURPOSE OF HEALTHY HILLSBOROUGH WAS TO MEET THE FEDERAL CHNA REQUIREMENTS FOR ALL ENTITIES AND TO WORK COLLABORATIVELY IN THE PROCESS. THE ORGANIZATIONS INVOLVED ARE:FLORIDA DEPARTMENT OF HEALTH HILLSBOROUGH COUNTYFLORIDA HOSPITAL CARROLLWOODFLORIDA HOSPITAL TAMPASOUTH FLORIDA BAPTIST HOSPITALST. JOSEPH'S HOSPITALSUNCOAST COMMUNITY HEALTH CENTERSTAMPA FAMILY HEALTH CENTERSTAMPA GENERAL HOSPITAL H LEE MOFFITT CANCER CENTER & RESEARCH PART V, SECTION B, LINE 11: BASED ON THE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, LEGACY CONSULTING GROUP IDENTIFIED TWELVE SIGNIFICANT HEALTH NEEDS WITHIN THE COMMUNITY. THESE TWELVE NEEDS CAN BE GROUPED INTO FOUR BASIC CATEGORIES: -ACCESS TO CARE (TRANSPORTATION FOR DISADVANTAGED, AVAILABILITY OF PRIMARY CARE PHYSICIANS, HEALTH CARE NAVIGATION); -SCREENING AND PREVENTION, GENERAL (LUNG CANCER, BREAST CANCER, PROSTATE CANCER, COLORECTAL CANCER, SMOKING CESSATION);-CANCER EDUCATION AND AWARENESS; AND -OBESITY (ACCESS TO HEALTHY FOODS, DIET/NUTRITION, EXERCISE).IN ORDER TO EVALUATE AND PRIORITIZE THESE NEEDS, A MEETING OF THE MOFFITT CANCER CENTER COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE WAS HELD ON MARCH 24, 2016, AT THE MOFFITT BUSINESS CENTER IN TAMPA. TEN COMMITTEE MEMBERS ATTENDED IN PERSON AND THREE PARTICIPATED BY PHONE. THE PRIORITIZING CRITERIA WERE BASED ON ALIGNMENT TO MOFFITT'S MISSION, THE ABILITY AND FEASIBILITY TO ADDRESS A PARTICULAR HEALTH NEED, AND THE RESULTING IMPACT AND BENEFIT TO THE COMMUNITY. THE STEERING COMMITTEE DECIDED THAT MOFFITT WOULD NOT ADDRESS "AVAILABILITY OF PRIMARY CARE PHYSICIANS AND "OBESITY" SINCE THESE ISSUES EITHER DO NOT ALIGN WITH MOFFITT'S MISSION AND VISION OR THAT OTHER ENTITIES WERE BETTER EQUIPPED TO ADDRESS THEM. IN ADDITION, "GENERAL CANCER EDUCATION AND AWARENESS" CONTINUES TO BE A CORNERSTONE OF MOFFITT'S STRATEGIC PLAN. IT HAS INCORPORATED SEVERAL EDUCATION AND AWARENESS PROGRAMS IN THE IMPLEMENTATION WHICH FOLLOWS.TO DATE SOME OF THE HIGHLIGHTS IN EXCUTING THIS PLAN HAS BEEN: 1) A WEB-BASED SEARCHABLE COMMUNITY RESOURCE DIRECTORY DESIGNED FOR MOFFITT TEAM MEMBERS TO HAVE A CENTRALLY LOCATED SOURCE OF INFORMATION WHEN NAVIGATING PATIENTS AND COMMUNITY MEMBERS IN NEED OF SERVICES;2) PUBLIC SERVICE ANNOUNCEMENTS (PSA) WERE DEVELOPED TO PROMOTE CANCER SCREENINGS. PSA'S WERE AIRED ON TELEVISION DURING THE RESPECTIVE CANCER AWARENESS MONTH. IN ADDITION FACEBOOK LIVE HAS BEEN UTILIZED TO EDUCATE ON THE IMPORTANCE OF CANCER PREVENTION AND SCREENING.3) HIRED COMMUNITY NAVIGATORS TO ASSIST PATIENTS WITH SCHEDULING APPOINTMENTS, LANGUAGE SERVICES, AND COORDINATING TRANSPORTATION. H LEE MOFFITT CANCER CENTER & RESEARCH PART V, SECTION B, LINE 13B: PATIENTS WHO ARE MEDICALLY NEEDY MAY STILL APPLY FOR FINANCIAL ASSISTANCE, BUT WILL PRESUMPTIVELY QUALIFY FOR FINANCIAL ASSISTANCE IF THEY CANNOT MEET THEIR SHARE OF COST AS DETERMINED BY THE FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES. THE LEVEL OF ASSISTANCE WILL BE DETERMINED BY WHICH INCOME LEVEL THE PATIENT'S SHARE OF COST FALLS ON THE FEDERAL POVERTY GUIDELINES. H LEE MOFFITT CANCER CENTER & RESEARCH PART V, SECTION B, LINE 13H: CRITERIA USED TO DETERMINE ELIGIBILITY NOT ONLY INCLUDES INCOME LEVEL, ASSET LEVEL, INSURANCE OR UNDERINSURANCE STATUS AND RESIDENCEY, BUT MAY ALSO INCLUDE INFORMATION RELATED TO EMPLOYMENT STATUS, NUMBER OF DEPENDENTS IN HOUSEHOLD AND FINANCIAL SUPPORT BY ANY OTHER PERSON OR PROGRAM. H LEE MOFFITT CANCER CENTER & RESEARCH PART V, SECTION B, LINE 15E: METHOD BY WHICH PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE:A. PATIENTS THAT REQUEST FINANCIAL ASSISTANCE OR WHO HAVE BEEN IDENTIFIED AS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE WILL BE REFERRED TO THE CENTER'S FINANCIAL COUNSELORS.B. PATIENTS MAY CONTACT THE MOFFITT CANCER CENTER BUSINESS OFFICE AT 12902 MAGNOLIA DRIVE, MCB-BO, TAMPA, FLORIDA 33612, OR CALL 1-800-456-3434 EXT. 8422 OR THE DIRECT NUMBER AT 813-745-8422 FOR INFORMATION AND ASSISTANCE REGARDING THE FINANCIAL ASSISTANCE APPLICATION.C. PATIENTS WILL BE INFORMED OF THE PROCESS AND PROCEDURES INVOLVED FOR A FINANCIAL ASSISTANCE APPLICATION EITHER BEFORE RECEIVING SERVICES OR DURING THE BILLING AND COLLECTION PROCESS.D. THE PATIENT AND/OR THE PATIENT'S FAMILY WILL BE ADVISED OF ALL DOCUMENTATION REQUIRED TO MAKE A DETERMINATION AS TO ELIGIBILITY FOR FINANCIAL ASSISTANCE.E. A FINANCIAL COUNSELOR WILL INTERVIEW THE PATIENT OR THE PATIENT'S RELATIVES WHO ARE LEGALLY RESPONSIBLE FOR THE PATIENT'S SUPPORT IN COMPLIANCE WITH HIPAA GUIDELINES. DURING THE INTERVIEW, THE FINANCIAL COUNSELOR WILL GATHER INFORMATION ABOUT THE PATIENT'S CIRCUMSTANCES AND ABILITY TO PAY AND, IF REQUESTED, MAY ASSIST THE PATIENT OR PATIENT'S FAMILY IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. F. A PATIENT AND/OR A PATIENT'S FAMILY MAY ALSO MEET WITH THE CENTER'S PHARMACY REPRESENTATIVE TO APPLY FOR AVAILABLE ASSISTANCE PROGRAMS FOR PHARMACEUTICAL CARE.G. A REQUEST FOR FINANCIAL ASSISTANCE AND A DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE SHOULD OCCUR PRIOR TO RENDERING NON-EMERGENT MEDICALLY NECESSARY SERVICES. HOWEVER, THE DETERMINATION MAY BE DONE AT ANY POINT IN THE COLLECTION PROCESS.H. IF THE MARITAL STATUS OF A MINOR CANNOT BE DETERMINED, OR WHERE THERE IS NOT SUFFICIENT DOCUMENTATION TO CONFIRM A MINOR'S EMANCIPATION, ELIGIBILITY OF FINANCIAL ASSISTANCE WILL BE BASED ON THE INCOME AND ASSETS OF THE PARENT/PARENTS OR LEGAL GUARDIAN OF THE MINOR. DOCUMENTATION PROVIDED FOR THE FINANCIAL ASSISTANCE APPLICATION MUST BE CONSISTENT WITH ALL OTHER DOCUMENTATION PRESENTED FOR REVIEW. H LEE MOFFITT CANCER CENTER & RESEARCH PART V, SECTION B, LINE 16J: REFERENCE TO THE POLICY IS ADDED TO THE BILLING INVOICE STATING THAT A MOFFITT REPRESENTATIVE CAN HELP EVALUATE ELIGIBILITY FOR FINANCIAL ASSISTANCE IF THE PATIENT IS UNABLE TO PAY. HOSPITAL'S BILLING AND COLLECTIONS AREA OF ITS WEBSITE ALSO STATES THAT IF A PATIENT IS UNDERINSURED OR UNABLE TO PAY, A PATIENT ACCOUNT REPRESENTATIVE OR A SOCIAL WORKER WILL HELP IDENTIFY ASSISTANCE PROGRAMS THAT OFFER HELP IN MEETING FINANCIAL OBLIGATIONS. H LEE MOFFITT CANCER CENTER & RESEARCH PART V, SECTION B, LINE 20E: MOFFITT HOSPITAL DID NOT INITIATE ANY OF THE ACTIONS DESCRIBED IN SCHEDULE H, PART V, SECTION B, LINE 19. HOWEVER, IF THE HOSPITAL HAD UNDERTAKEN ANY OF THE LISTED ACTIONS, IT WOULD HAVE FIRST NOTIFIED PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY ON ADMISSION, PRIOR TO DISCHARGE, AND IN COMMUNICATIONS WITH THE PATIENTS REGARDING THEIR BILLS. MOFFITT HOSPITAL DOCUMENTS ITS DETERMINATION OF WHETHER PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE POLICY. CONTINUOUS EFFORT IS MADE TO QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE, SUCH AS ASSISTING WITH THE APPLICATION PROCESS TO DETERMINE ELIGIBILITY AS WELL AS INDENTIFYING OTHER PROGRAMS THAT MAY PROVIDE ASSISTANCE. H LEE MOFFITT CANCER CENTER & RESEARCH PART V, SECTION B, LINE 21D: THE CANCER CENTER IS A SPECIALTY HOSPITAL AND THEREFORE, DOES NOT PROVIDE EMERGENCY MEDICAL TREATMENT WITHIN THE MEANING OF SECTION 1867 OF THE SOCIAL SECURITY ACT (42 USC 1395DD). IF, HOWEVER, AN INDIVIDUAL SEEKING SUCH CARE ENTERS THE CANCER CENTER'S FACILITY, THE CANCER CENTER WITHOUT DISCRIMINATION WILL STABILIZE THE PATIENT AND ASSIST THE PATIENT AND/OR THE PATIENT'S FAMILY IN OBTAINING TRANSPORTATION FOR THE PATIENT TO A LOCAL HOSPITAL EQUIPPED FOR EMERGENCY MEDICAL CARE. PART I, LINE 3C: CHARITY ADJUSTMENTS ARE PROVIDED BY THE CANCER CENTER AS FOLLOWS:A. PATIENTS WHO HAVE FAMILY INCOME AND ASSETS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES FOR THE PATIENT'S FAMILY SIZE SHALL BE ENTITLED TO 100% FINANCIAL ASSISTANCE ON QUALIFYING BALANCES.B. PATIENTS WHO HAVE FAMILY INCOME AND ASSETS BETWEEN 201%-400% OF THE FEDERAL POVERTY GUIDELINE FOR THE PATIENT'S FAMILY SIZE SHALL BE CLASSIFIED AS "SELF PAY TIER 1" STATUS AND ARE ENTITLED TO FINANCIAL ASSISTANCE OF 65% ON QUALIFYING BALANCES.C. PATIENTS WHO ARE MEDICALLY NEEDY MAY STILL APPLY FOR FINANCIAL ASSISTANCE, BUT WILL PRESUMPTIVELY QUALIFY FOR FINANCIAL ASSISTANCE IF THEY CANNOT MEET THEIR SHARE OF COST AS DETERMINED BY THE FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES. THE LEVEL OF ASSISTANCE WILL BE DETERMINED BY WHICH INCOME LEVEL THE PATIENT'S SHARE OF COST FALLS ON THE FEDERAL POVERTY GUIDELINES. PART I, LINE 7: METHODOLOGY USED TO CALCULATE CHARITY CARE, MEDICAID, AND OTHER MEANS-TESTED EXPENSES IS COST TO CHARGE RATIO, USING PATIENT EXPENSES TO GROSS CHARGES, WHILE THE DIRECT COST METHOD IS USED TO DETERMINE OTHER COMMUNITY BENEFITS/PROGRAMS EXPENSES. PART I, LN 7 COL(F): OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN A FOR HOSPITAL IS $781,216,193. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $7,283,872. AFTER BAD DEBT WAS DEDUCTED FROM THE TOTAL EXPENSES THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT IN LINE 7, COLUMN F WAS $773,932,321. PART III, LINE 2: THE METHODOLOGY USED TO CALCULATE BAD DEBT EXPENSE WAS CALCULATING THE COST TO CHARGE RATIO, USING PATIENT EXPENSES TO GROSS CHARGES, AND APPLYING IT TO THE BAD DEBT PROVISION IN PART III, LINE 4. PART III, LINE 4: ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR BAD DEBTS. ACCOUNTS ARE WRITTEN OFF WHEN DEEMED TO BE UNCOLLECTIBLE AND ARE DEDUCTED FROM THE PATIENT'S ACCOUNTS RECEIVABLE BALANCE.THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENT HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. ONE TOOL USED IN MANAGEMENT'S ASSESSMENT IS A DETAILED REVIEW OF HISTORICAL COLLECTIONS AND WRITE-OFFS AT THE CANCER CENTER THAT REPRESENT A MAJORITY OF THE CANCER CENTER'S REVENUES AND ACCOUNTS RECEIVABLE. THE RESULTS OF THE DETAILED REVIEW OF HISTORICAL COLLECTIONS AND WRITE-OFFS EXPERIENCE, ADJUSTED FOR CHANGES IN TRENDS AND CONDITIONS, ARE USED TO EVALUATE THE ALLOWANCE AMOUNT FOR THE CURRENT PERIOD. PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS IS THE STEP DOWN METHOD WHICH DISALLOWS CERTAIN COSTS TO BE CONSIDERED AS COSTS RELATED TO PATIENT CARE. MEDICARE SHORTFALLS WHICH ARE COSTS INCURRED BY THE HOSPITAL TO PROVIDE QUALITY CARE AND TREATMENT OF ITS PATIENTS SHOULD BE TREATED AS COMMUNITY BENEFIT. TO NOT INCUR THESE COST WOULD POTENTIALLY LIMIT OR EVEN COMPROMISE THE QUALITY OF SERVICE PROVIDED TO THE ELDERLY OR DISABLED. PART III, LINE 9B: PATIENTS ARE SCREENED DURING THE ADMISSIONS PROCESS TO ASSESS THE NEED FOR FINANCIAL ASSISTANCE. HOWEVER, IF AT ANY POINT IN THE COLLECTION PROCESS IT IS DETERMINED THAT THE PATIENT MAY BE UNABLE TO MEET HIS OR HER OBLIGATION, THE PATIENT WILL BE SENT AN APPLICATION FOR FINANCIAL ASSISTANCE OR CHARITY ADJUSTMENT. IF PATIENT DOES NOT EXPRESS THE INABILITY TO PAY PRIOR TO BILLING, AN INVOICE IS SENT TO THE PATIENT WHICH INCLUDES CONTACT INFORMATION FOR A PATIENT SERVICE REPRESENTATIVE IF THE PATIENT NEEDS FINANCIAL ASSISTANCE. A HOSPITAL REPRESENTATIVE WILL MAKE EVERY EFFORT TO WORK WITH THE PATIENT TO DETERMINE WHETHER FINANCIAL ASSISTANCE IS NEEDED. IF THE PATIENT DOES NOT STATE THE NEED OR DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE THEREAFTER, AND PAYMENTS ARE NOT MADE AS AGREED, THE HOSPITAL REPRESENTATIVE MAY OFFER REASONABLE PAYMENT PLANS TO HELP PATIENTS MEET THEIR FINANCIAL OBLIGATIONS. PART VI, LINE 2: MOFFITT CANCER CENTER IS HEAVILY INVOLVED IN THE COMMUNITY WITH OUTREACH/EDUCATION EFFORTS (E.G., M-POWER OUTREACH TEAM), COMMUNITY-BASED PARTICIPATORY RESEARCH, PARTICIPATION IN COMMUNITY COMMITTEES OR COALITIONS (E.G., HEALTHY HILLSBOROUGH) AND PARTNERSHIPS WITH FEDERALLY-QUALIFIED HEALTH CENTERS AND FREE CLINICS. THESE EFFORTS ENSURE THE ORGANIZATION IS CONTINUOUSLY ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITY. MOFFITT'S CHNA REPORT EXPLAINS THE PROCESS OF ASSESSING THE NEEDS OF THE COMMUNITY. WE ENGAGED COMMUNITY MEMBERS THROUGH FOCUS GROUPS AND AN ONLINE SURVEY, AS WELL AS, PUBLIC HEALTH PROFESSIONALS VIA IN-PERSON AND TELEPHONE INTERVIEWS DURING THE COMPLETION OF THE NEEDS ASSESSMENT. THE REPORT CAN BE FOUND ON OUR WEBSITE. PART VI, LINE 3: PUBLICATION OF THE POLICY:A. THE CENTER HAS PLACED SIGNAGE IN THE ADMISSION AREAS OF THE HOSPITAL INFORMING PATIENTS OF FINANCIAL ASSISTANCE AND WILL MAKES ITS POLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THE POLICY WIDELY AVAILABLE ON ITS WEBSITE. INDIVIDUALS WITH ACCESS TO THE INTERNET CAN ACCESS, DOWNLOAD, VIEW, AND PRINT A HARD COPY OF THIS POLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THIS POLICY FROM THE WEBSITE:I. WITHOUT REQUIRING SPECIAL COMPUTER HARDWARE OR SOFTWARE (OTHER THAN SOFTWARE THAT IS READILY AVAILABLE TO MEMBERS OF THE PUBLIC WITHOUT PAYMENT OF ANY FEE);II. WITHOUT PAYING A FEE TO THE CENTER; ANDIII. WITHOUT CREATING AN ACCOUNT OR BEING OTHERWISE REQUIRED TO PROVIDE PERSONALLY IDENTIFIABLE INFORMATION.B. THE CENTER PROVIDES INDIVIDUALS WHO ASK HOW TO ACCESS A COPY OF THE POLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THE POLICY ONLINE WITH THE DIRECT WEBSITE ADDRESS, OR URL, OF THE WEB PAGE WHERE THE POLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THE POLICY ARE POSTED.C. THE CENTER WILL MAKE PAPER COPIES OF THIS POLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THIS POLICY AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH BY MAIL AND IN PUBLIC LOCATIONS AT THE CENTER, INCLUDING ANY ADMISSIONS AREAS.D. THE CENTER WILL NOTIFY AND INFORM PATIENTS WHO RECEIVE CARE AT THE CENTER ABOUT THIS POLICY NOT ONLY BY SIGNAGE IN THE ADMISSION AREAS BUT ALSO BY OFFERING A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AS PART OF THE INTAKE OR DISCHARGE PROCESS; AND INCLUDING A CONSPICUOUS WRITTEN NOTICE ON BILLING STATEMENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER THIS POLICY AND INCLUDES THE TELEPHONE NUMBER OF THE CENTER OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATION ABOUT THIS POLICY AND THE FINANCIAL ASSISTANCE APPLICATION PROCESS ALONG WITH THE DIRECT WEBSITE ADDRESS (OR URL) WHERE COPIES OF THIS POLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THIS POLICY MAY BE OBTAINED.E. AT ANY TIME DURING THE PATIENT'S TREATMENT THE PATIENT MAY REQUEST A COPY OF THIS POLICY, THE FINANCIAL ASSISTANCE APPLICATION, OR THE PLAIN LANGUAGE SUMMARY OF THIS POLICY.F. IF A MEMBER OF THE WORKFORCE BECOMES AWARE OF THE PATIENT'S NEED FOR FINANCIAL ASSISTANCE DURING THE ADMISSION PROCESS, THE PSS WILL PROVIDE THE PATIENT WITH THE NECESSARY INFORMATION NEEDED TO APPLY FOR FINANCIAL ASSISTANCE.G. THE CENTER WILL ALSO TRANSLATE THIS POLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THIS POLICY INTO THE PRIMARY LANGUAGES SPOKEN BY ALL SIGNIFICANT POPULATIONS SERVED BY THE CENTER. PART VI, LINE 4: MOFFITT PRIMARILY SERVES THE TAMPA BAY AREA, WHICH COMPRISES OF HILLSBOROUGH, PINELLAS, PASCO, AND POLK COUNTIES IN WEST CENTRAL FLORIDA. FIFTY-EIGHT PERCENT OF MOFFITT'S 2017 PATIENT POPULATION IS FROM THIS PRIMARY SERVICE AREA. THIS AREA HAS OVER 3 MILLION RESIDENTS: 64% WHITE RESIDENTS, 13% BLACK RESIDENTS, AND 19% HISPANICS. THE MAJORITY (53%) OF THE PRIMARY SERVICE AREA'S HOUSEHOLD INCOME DISTRIBUTION IS UNDER $50,000. ABOUT 16% OF INDIVIDUALS IN THE PRIMARY SERVICE AREA ARE BELOW THE POVERTY LEVEL. NEARLY IDENTICAL PERCENTAGES OF PRIMARY SERVICE AREA RESIDENTS (12.9%) AND THE STATE (13.5%) DO NOT HAVE A HIGH SCHOOL DEGREE. PART VI, LINE 5: MOFFITT'S CHNA IMPLEMENTATION PLAN OUTLINES THE ORGANIZATIONAL EFFORTS IN PROMOTING THE HEALTH OF OUR COMMUNITY AND ADDRESSING CANCER PREVENTION AND EARLY DETECTION. THE M-POWER OUTREACH TEAM IS DEDICATED TO ADDRESS THE CANCER NEEDS OF UNDERSERVED POPULATIONS THROUGH EDUCATION, COMMUNITY COLLABORATIONS, AND NAVIGATION OF SERVICES. ADDITIONALLY, FUNDS ARE USED TO PROVIDE SCREENING VOUCHERS FOR UNINSURED INDIVIDUALS TO RECEIVE A BREAST, LUNG, COLORECTAL, OR PROSTATE SCREENING AT NO COST TO THE PATIENT. PART VI, LINE 6: TO FURTHER THE MISSION OF CONTRIBUTING TO THE PREVENTION AND CURE OF CANCER, MOFFITT CANCER CENTER COLLABORATES WITH RESPECTED ACADEMIC, HOSPITAL SYSTEMS, REGIONAL CARE CENTERS AND PHYSICIANS GROUPS KNOWN AS THE MOFFITT ONCOLOGY NETWORK.WHOLLY COMMITTED TO MOFFITT'S MODEL OF PATIENT-CENTERED, INTEGRATED CANCER CARE, THE MOFFITT ONCOLOGY NETWORK IS HELPING MOFFITT DEVELOP A PREMIER CANCER CARE DELIVERY SYSTEM, FOCUSED SOLELY ON PROVIDING PATIENTS THE BEST PERSONALIZED CANCER CARE. THE MOFFITT ONCOLOGY NETWORK IMPLEMENTS MOFFITT'S CLINICAL CARE MODEL, INCLUDING MULTIDISCIPLINARY CANCER CARE, PEER REVIEW, CLINICAL PATHWAYS AND QUALITY ASSURANCE.THE COMMUNITY HEALTH NEEDS ASSESSMENT DETERMINED OPPORTUNITIES THAT CAN BE ADDRESSED BY THE CANCER CENTER AS A WHOLE. THE CANCER CENTER'S NON-HOSPITAL FACILITIES DEDICATED TO SERVING INDIVIDUALS WHO ARE IN NEED OF FINANCIAL ASSISTANCE, HELPING TO DEVELOP AND FUND COMMUNITY PROGRAMS AND PERFORM TRANSLATIONAL RESEARCH TO BENEFIT THE COMMUNITY, INCLUDE MOFFITT FOUNDATION, MOFFITT MEDICAL GROUP, AND MOFFITT RESEARCH. MOFFITT FOUNDATION SOLICITS FUNDS TO SUPPORT THE WORK OF THE CANCER CENTER. DONATIONS MAINTAINED BY THE FOUNDATION MAY BE USED FOR A SPECIFIC PROGRAM OR MAY BE USED TO FURTHER THE OVERALL NEEDS OF THE COMMUNITY. MOFFITT MEDICAL GROUP EMPLOYS PHYSICIANS THAT STAFF THE HOSPITAL AND PROVIDE CLINICAL RESEARCH TO THE CANCER CENTER HEALTH CARE SYSTEM. THESE PHYSICIANS PROVIDE MEDICAL SERVICES TO THOSE PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. IN ADDITION, PHYSICIANS PARTICIPATE IN COMMUNITY RELATED PROGRAMS PROVIDING EDUCATION AND TRAINING. MOFFITT'S CANCER RESEARCH FACILITY PERFORMS STUDIES AND INVESTIGATIONS TO GENERATE GENERALIZABLE KNOWLEDGE AVAILABLE TO THE PUBLIC. THE RESEARCH FACILITY IS ALSO THE PARENT COMPANY OF THE CANCER CENTER HEALTH CARE SYSTEM THAT PLANS, DEVELOPS, AND IMPLEMENTS COMMUNITY BENEFIT PROGRAMS TO ADDRESS COMMUNITY NEEDS SEPARATELY FROM, AS WELL AS IN COLLABORATION WITH, THE HOSPITAL. COMMUNITY BENEFIT EXPENSES PERFORMED BY RELATED ENTITIES:MOFFITT MEDICAL GROUPFINANCIAL ASSISTANCE AT COST WAS $2,061,639PERCENT OF TOTAL MMG ENTITY EXPENSE: 1.45%PERCENT OF COMBINED EXPENSE: .189%MOFFITT MEDICAL GROUPHEALTH PROFESSIONS EDUCATION WAS $5,862,869PERCENT OF TOTAL MMG ENTITY EXPENSE: 4.13%PERCENT OF COMBINED EXPENSE: .54%MOFFITT MEDICAL GROUP'S BAD DEBT EXPENSE AT COST: $574,987MOFFITT RESEARCHRESEARCH NET COMMUNITY BENEFIT EXPENSE WAS $30,935,042PERCENT OF TOTAL PARENT/RESEARCH EXPENSE: 17.66%PERCENT OF COMBINED EXPENSE: 2.84% 1 H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE INC 12902 MAGNOLIA DRIVE TAMPA FL 33612 592451713 501(C)(3) 3720000 INTERCOMPANY SUPPORT 1 0 PART I, LINE 2: THE SCHEDULE I, PART II GRANT AMOUNTS REPRESENT INTERCOMPANY SUPPORT AND ARE ONLY MADE TO RELATED ORGANIZATIONS TO SUPPORT THEIR OPERATIONS. 0 1 0 0 0 1 1 0 0 JOHN A KOLOSKY HOSPITAL PRESIDENT 0 609598 0 200933 0 100194 0 190965 0 24975 0 1126665 0 56709 LOUIS D DE LA PARTE EVP-GEN COUNSEL, ASST SEC 0 412753 0 136072 0 34582 0 95939 0 31938 0 711284 0 30320 G DOUGLAS LETSON EVP-PHYS IN CHIEF 559553 0 183891 0 52293 0 74446 0 28962 0 899145 0 49047 0 YVETTE LYONS TREMONTI EVP-CFO & ASST TREASURER 0 466721 0 150262 0 44453 0 57828 0 22693 0 741957 0 34297 BRAULIO VICENTE SVP-MMG, HOSP OPERATIONS 322176 0 88953 0 27289 0 95875 0 35240 0 569533 0 12427 0 JANE FUSILERO VP-PATIENT CARE SVS/CNO 327383 0 88779 0 11607 0 34480 0 24417 0 486666 0 0 0 ROBERT KEENAN VP-QUALITY/CMO 470192 0 127222 0 7138 0 26618 0 28412 0 659582 0 0 0 CYNTHIA TERRANO VP-PAYER STRATEGIES 307679 0 83644 0 12956 0 20356 0 23922 0 448557 0 0 0 JOANNA WEISS VP REV CYCLE MGMT 0 234025 0 65572 0 7584 0 34041 0 37692 0 378914 0 1808 VIET HO MANAGER PHARM-CLINIC 5/2017-6/2017 167668 0 3682 0 6857 0 45790 0 10571 0 234568 0 0 0 GENE WETZSTEIN CHIEF PHARMACY OFFICER THRU 4/2017 195892 0 25353 0 7194 0 31309 0 28658 0 288406 0 0 0 SACHIN APTE ASSOCIATE CHIEF MEDICAL OFFICER 223663 0 66576 0 568 0 -11660 0 12215 0 291362 0 0 0 VLADIMIR FEYGELMAN ASSOC MBR PHYSICIST 243522 0 500 0 4661 0 47428 0 16938 0 313049 0 2692 0 EDUARDO G MOROS SR MBR PHYSICIST 366267 0 500 0 11475 0 38026 0 26857 0 443125 0 7122 0 AMARJIT S SAINI COORD BRACHYTHERAPY PHYSIC 246029 0 500 0 9043 0 71773 0 15622 0 342967 0 8800 0 STUART G WASSERMAN DIR CLINICAL PHYSICS 259446 0 40638 0 12744 0 46790 0 33291 0 392909 0 8121 0 W MICHAEL ALBERTS FORMER DIRECTOR, MED DIR MCKINLEY 311669 0 66150 0 22650 0 96889 0 23195 0 520553 0 12448 0 JULIE DJEU FORMER DIRECTOR, ACD RSCH 0 303128 0 91525 0 13592 0 49706 0 16915 0 474866 0 7136 ALAN F LIST FORMER EVP-PHYS IN CHIEF 0 817983 0 357679 0 218085 0 111924 0 39115 0 1544786 0 91783 PART I, LINE 3 HOSPITAL'S PRESIDENT IS PAID BY A RELATED ORGANIZATION WHICH ESTABLISHES COMPENSATION BY RELYING ON AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS OR STUDIES, AN EXECUTIVE COMPENSATION COMMITTEE, AND THE APPROVAL BY THE BOARD OR THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. PART I, LINE 4B TO BE ELIGIBLE TO PARTICIPATE IN THE 457(F) NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), PARTICIPANTS MUST ELECT TO CONTRIBUTE AT LEAST 10% ACROSS THE 403(B) AND 457(B) PLANS, AND ARE VESTED AFTER 10 YEARS OF SERVICE. LUMP SUM DISTRIBUTIONS FROM THE ACCOUNT ARE MADE UPON NORMAL RETIREMENT OR TERMINATION. BELOW ARE INDIVIDUALS LISTED ON LCS'S 2016 FORM 990 PART VII, SECTION A, THAT PARTICIPATED IN THE 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AND THEIR RESPECTIVE AMOUNTS OF COMPENSATION CONSTRUCTIVELY RECEIVED IN TAX YEAR 2016 FROM THE PLAN: WILLIAM M. ALBERTS-$12,448 YVETTE M. LYONS TREMONTI-$34,297 JOHN A. KOLOSKY-$56,709 BRAULIO VICENTE-$12,427 LOUIS D. DE LA PARTE-$30,320 G. DOUGLAS LETSON-$49,047 ALAN F. LIST-$91,783 JOANNA WEISS-$1,808 JULIE Y. DJEU-$7,136 JANE FUSILERO-$0 VLADIMIR FEYGELMAN-$2,692 EDUARDO G. MOROS-$7,122 AMARJIT S. SAINI-$8,800 STUART G. WASSERMAN-$8,121 SACHIN APTE-$0 ROBERT KEENAN-$0 CYNTHIA TERRANO-$0 PART I, LINE 6 IN GENERAL, INCENTIVE COMPENSATION IS BASED ON MOFFITT'S ACHIEVEMENT AGAINST SPECIFIC ORGANIZATIONAL GOALS RELATED TO NET OPERATING INCOME AND ON DIVISION OR INDIVIDUAL GOALS. NET OPERATING INCOME MUST MEET OR EXCEED A CERTAIN THRESHOLD IN ORDER TO TRIGGER A PAYOUT FOR THE ORGANIZATIONAL GOAL COMPONENTS. X EQUIPMENT 7 6579620 PURCHASE PRICE 0 0 0 0 PART I, COLUMN (B): THE NUMBER ON LINE 25(B) REPRESENTS THE NUMBER OF CONTRIBUTIONS, NOT THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART VI, SECTION A, LINE 2 THE HONORABLE H. LEE MOFFITT AND JENNIFER MOFFITT THAT SERVE ON THE HOSPITAL BOARD ARE FATHER AND DAUGHTER. THE FOLLOWING DIRECTORS AND OFFICERS, THAT JOINTLY SERVE ON THE HOSPITAL AND A FOR-PROFIT RELATED ENTITY, QUALIFY AS HAVING A BUSINESS RELATIONSHIP. HOSPITAL & M2GEN, CORP.: H. LEE MOFFITT - DIRECTOR JOHN A. KOLOSKY - OFFICER LOUIS D. DE LA PARTE - OFFICER YVETTE LYONS TREMONTI - OFFICER HOSPITAL & MOFFITT TECHNOLOGIES CORPORATION: JOHN A. KOLOSKY - OFFICER LOUIS D. DE LA PARTE - OFFICER YVETTE LYONS TREMONTI - OFFICER FORM 990, PART VI, SECTION A, LINE 6 H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. IS THE SOLE MEMBER OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER OF THE HOSPITAL, H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. SHALL HAVE THE POWER TO APPROVE, DISAPPROVE OR REMOVE ANY MEMBER OF THE BOARD OF DIRECTORS OR OFFICER OF THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. AS THE SOLE MEMBER OF THE CORPORATION SHALL ALSO HAVE THE FOLLOWING POWERS: A. APPROVE, DISAPPROVE OR RECOMMEND THE ADOPTION, CHANGE, AMENDMENT OR REPEAL OF THE ARTICLES OF INCORPORATION OF THE CORPORATION; B. APPROVE, DISAPPROVE OR RECOMMEND THE ADOPTION, CHANGE, AMENDMENT OR REPEAL OF THE BYLAWS OF THE CORPORATION; C. APPROVE, DISAPPROVE OR RECOMMEND THE SELECTION OF A QUALIFIED AUDIT FIRM AND THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; D. APPROVE OR DISAPPROVE THE TRANSFER, SALE, LEASE OR DISPOSITION OF ANY ASSET OF THE CORPORATION IN EXCESS OF TWO HUNDRED THOUSAND DOLLARS ($200,000.00); E. APPROVE OR DISAPPROVE THE CONFERRING OF ANY LIEN OR SECURITY INTEREST IN ASSETS OF THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000.00), WHETHER SAME SHALL BE IN CONNECTION WITH EITHER PUBLIC OR PRIVATE FINANCING, OR OTHERWISE; F. APPROVE OR DISAPPROVE ALL DONATIONS OR CHARITABLE CONTRIBUTIONS BY THE CORPORATION IN EXCESS OF TWENTY THOUSAND DOLLARS ($20,000.00) PER CONTRIBUTION OR ANNUAL CONTRIBUTION EXCEEDING FIFTY THOUSAND DOLLARS ($50,000.00) IN THE AGGREGATE; G. APPROVE, DISAPPROVE OR RECOMMEND THE ADOPTION OF THE CORPORATION'S MISSION AND PHILOSOPHY STATEMENT; AND H. APPROVE OR DISAPPROVE CAPITAL EXPENDITURES BY THE CORPORATION IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000.00) PER EXPENDITURE OR FIVE HUNDRED THOUSAND DOLLARS ($500,000.00) IN THE AGGREGATE ANNUALLY. I. APPROVE, DISAPPROVE OR REMOVE ANY MEMBER OF THE BOARD OR OFFICER OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B LINE 11B, PRIOR TO PROVIDING FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, TO THE HOSPITAL BOARD OF DIRECTORS FOR REVIEW, THE CHIEF FINANCIAL OFFICER REVIEWS THE RETURN. SUGGESTED COMMENTS OR CHANGES ARE DISCUSSED AND ANY NECESSARY CORRECTIONS ARE MADE. PRIOR TO ELECTRONICALLY FILING FORM 990, MOFFITT HOSPITAL PROVIDES A COPY OF THE RETURN TO THE GOVERNING BODY, GIVING EACH BOARD MEMBER TIME TO REVIEW THE RETURN. BOARD MEMBERS HAVE THE OPPORTUNITY TO ASK QUESTIONS RELATED TO THE INFORMATION PROVIDED ON THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS A PRESENTATION IS MADE TO HOSPITAL BOARD MEMBERS TO REVIEW THE CONFLICT OF INTEREST POLICY AND PROCEDURES FOR DISCLOSING ANY POTENTIAL CONFLICTS. EACH DIRECTOR, OFFICER, COMMITTEE MEMBER, AND KEY EMPLOYEE SHALL COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ATTACHED TO THE POLICY. ANY DIRECTOR, OFFICER, COMMITTEE MEMBER, OR KEY EMPLOYEE WHO REASONABLY BELIEVES THAT HE OR SHE MAY HAVE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST MUST DISCLOSE THE EXISTENCE OF AND THE MATERIAL FACTS OF THE NATURE OF HIS/HER INTEREST ON THE FORM. THE FORM IS SUBMITTED TO THE CORPORATE COMPLIANCE OFFICE, WHICH REVIEWS THE FORMS, GATHERS ADDITIONAL RELEVANT INFORMATION WHERE NECESSARY, AND PREPARES A SUMMARY OF THE DISCLOSURES TO BE REVIEWED BY THE CONFLICT OF INTEREST WORK GROUP. IF A DIRECTOR OR COMMITTEE MEMBER DISCLOSES THAT HE/SHE HAS A POTENTIAL CONFLICT OF INTEREST AT A BOARD OR COMMITTEE MEETING, SUCH DIRECTOR OR COMMITTEE MEMBER MUST DISCLOSE THE NATURE OF THE INTEREST AND ANY RELATED INFORMATION AND RESPOND TO QUESTIONS AS MAY BE REQUIRED BY THE REMAINING MEMBERS. BASED ON THE INFORMATION DISCLOSED, THE REMAINING BOARD MEMBERS WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. IF A CONFLICT EXISTS THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER AN ALTERNATIVE TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT IS EQUALLY ADVANTAGEOUS. IF AN ALTERNATIVE TRANSACTION IS NOT EQUALLY ADVANTAGEOUS THE DIRECTOR OR COMMITTEE MEMBER WHO IS THE SUBJECT OF THE CONFLICT SHALL NOT VOTE ON, NOR USE HIS/HER PERSONAL INFLUENCE ON, NOR PARTICIPATE IN DISCUSSIONS OR DELIBERATIONS WITH RESPECT TO THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A & 15B, THE BOARD OF DIRECTORS OF H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. ("MOFFITT"), A RELATED ENTITY, HAS AN ESTABLISHED SUB-COMMITTEE, THE JOINT EXECUTIVE COMPENSATION & BENEFITS COMMITTEE (JEC&BC) THAT IS MADE UP ENTIRELY OF INDEPENDENT, OUTSIDE DIRECTORS. THIS COMMITTEE IS CHARGED WITH THE OVERSIGHT OF THE PERFORMANCE AND COMPENSATION OF MOFFITT AND ITS SUBSIDIARIES' EXECUTIVES AND DISQUALIFIED PERSONS. THESE POSITIONS INCLUDE THE CEO, EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, VICE PRESIDENTS AND DEPARTMENT CHAIRPERSONS. TO ACCOMPLISH ITS MISSION, THE COMMITTEE CAN AS NEEDED AND DOES AT ITS DISCRETION, ENGAGE OUTSIDE INDEPENDENT, OUTSIDE ADVISORS INCLUDING, BUT NOT LIMITED TO ATTORNEYS AND COMPENSATION CONSULTANTS. ON AN ANNUAL BASIS THE JEC&BC ENGAGES A NATIONALLY KNOWN, THIRD PARTY CONSULTING FIRM TO PROVIDE A DETAILED STUDY OF THE CASH COMPENSATION FOR EACH EXECUTIVE, DISQUALIFIED PERSON AND INDIVIDUAL IN KEY POSITIONS. THE CONSULTANT USES A VARIETY OF PUBLISHED SURVEYS COMPILED BY INDEPENDENT FIRMS TO PROVIDE THE SOURCE DATA FOR THE STUDY. USING FUNCTIONALLY COMPARABLE POSITIONS IN OTHER SIMILARLY SIZED, NOT-FOR-PROFIT AND FOR-PROFIT HEALTHCARE, ACADEMIC AND RESEARCH ORGANIZATIONS, THE CONSULTING FIRM PRODUCES A STUDY THAT COMPARES EACH DESIGNATED POSITION TO ITS APPROPRIATE MARKET EQUIVALENT. THE RESULTING DATA IS PROVIDED TO THE DIRECTOR OF COMPENSATION, WHO IS NOT INCLUDED IN THE EXECUTIVE OR DISQUALIFIED PERSON CATEGORIES, FOR USE IN THE FORMULATION OF RECOMMENDATIONS FOR COMPENSATION CHANGES TO MAINTAIN MARKET COMPETITIVENESS OR TO REWARD PERFORMANCE. THESE RECOMMENDATIONS ALONG WITH THE CONSULTANT'S COMPARABILITY DATA ARE PRESENTED TO THE JEC&BC FOR IT TO CONFIRM ITS REASONABLENESS, MAKE MODIFICATIONS AS IT DEEMS NECESSARY AND PROVIDE FINAL APPROVAL. EVERY THIRD YEAR THE INDEPENDENT CONSULTANT ANALYZES THE TOTAL EXECUTIVE COMPENSATION PROGRAM, USING THE SAME METHODOLOGY AS DESCRIBED ABOVE, THAT INCLUDES THE VALUE OF ALL BENEFITS AND PERQUISITES (CASH AND NON-CASH) PROVIDED AS COMPENSATION TO THE EXECUTIVES AND DISQUALIFIED PERSONS. THE PURPOSE OF THE ANALYSIS IS TO PROVIDE AN OPINION ON THE REASONABLENESS OF EACH OF THE INDIVIDUAL COMPENSATION COMPONENTS AND THE AGGREGATE COMPENSATION TOTAL. THIS MORE COMPREHENSIVE ANALYSIS IS PROVIDED TO THE JEC&BC FOR THEIR USE IN THE ANNUAL REVIEW PROCESS. MINUTES ARE KEPT AT EACH OF THESE ANNUAL MEETINGS DETAILING THE RECOMMENDATIONS PRESENTED AND THE DECISIONS MADE BY THE COMMITTEE. THESE MINUTES ARE PUBLISHED TO THE COMMITTEE AT THE NEXT MEETING AND REPORTED BACK TO THE FULL BOARD. FORM 990, PART VI, SECTION C, LINE 19 MOFFITT HOSPITAL MAKES AVAILABLE TO THE PUBLIC THROUGH THIRD PARTY VENDORS' WEBSITES, ITS FORM 990 AND AUDITED FINANCIAL STATEMENTS. FORM 990 IS MADE AVAILABLE ON GUIDESTAR WHILE THE AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE ON DACBOND. ALL ORGANIZING AND GOVERNING DOCUMENTS SUCH AS FORM 1023, CONFLICTS OF INTEREST POLICY, AND BYLAWS AS WELL AS FORM 990 AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, COLUMN (D): THERE ARE NO FUNDRAISING EXPENSES BECAUSE THE CONTRIBUTIONS ARE FROM RELATED AND NON-RELATED ORGANIZATIONS. H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE FOUNDATION, INC. HANDLES ALL FUNDRAISING ACTIVITIES FOR H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. AND ITS SUBSIDIARIES. FORM 990, PART XI, LINE 9: TRANSFER TO TAX EXEMPT AFFILIATES -135,315,223. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -52,622. 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