H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL INC (EIN 59-3238634)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-13
- IRS object ID
- 201621349349307962
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-13T18:52:56-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 NORTH FRANKLIN STREET SUITE | AddressLine1Txt |
| Address Line2 | 2400 | AddressLine2Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593238634 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | H LEE MOFFITT CANCER CENTER AND | BusinessNameLine1Txt |
| Business Name Line2 | RESEARCH INSTITUTE HOSPITAL INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HLEE | BusinessNameControlTxt |
| Phone | 8137454673 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12902 MAGNOLIA DRIVE | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33612 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Yvette Tremonti | PersonNm |
| Person Title | EVP/CFO | PersonTitleTxt |
| Phone | 8137457862 | PhoneNum |
| Signature | 2016-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MELANIE A MCPEAK | PreparerPersonNm |
| PTIN | P01346034 | PTIN |
| Phone | 8132254800 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN A KOLOSKY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12902 MAGNOLIA DRIVE | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $765,056,793 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MOFFITT.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | TO CONTRIBUTE TO THE PREVENTION AND CURE OF CANCER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 3221 | TotalEmployeeCnt |
| Total Volunteers | 476 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,687,447 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,224,360 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $702,928,667 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $754,476,547 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,126,327 | PYInvestmentIncomeAmt |
| CY Investment Income | -$9,709 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,012,807 | PYOtherRevenueAmt |
| CY Other Revenue | $3,265,748 | CYOtherRevenueAmt |
| PY Total Revenue | $715,755,248 | PYTotalRevenueAmt |
| CY Total Revenue | $764,956,946 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $10,629,829 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $12,583,712 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $237,883,430 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $260,232,114 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $357,837,966 | PYOtherExpensesAmt |
| CY Other Expenses | $378,615,602 | CYOtherExpensesAmt |
| PY Total Expenses | $606,351,225 | PYTotalExpensesAmt |
| CY Total Expenses | $651,431,428 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $109,404,023 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $113,525,518 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $135,008,983 | TotalAssetsBOYAmt |
| Total Assets EOY | $141,481,633 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $48,959,973 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $55,082,488 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $86,049,010 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $86,399,145 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $550,872,860 | ExpenseAmt |
| Grant | $12,583,712 | GrantAmt |
| Revenue | $754,487,424 | RevenueAmt |
| Desc | 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 45 IN THE NATION TO HOLD THIS DISTINCTION. MOFFITT IS THE TOP-RANKED CANCER HOSPITAL IN FLORIDA AND HAS BEEN LISTED IN U.S. NEWS & WORLD REPORT AS ONE OF THE "BEST HOSPITALS" FOR CANCER SINCE 1999. WITH MORE THAN 5,000 EMPLOYEES BETWEEN THE HOSPITAL AND RELATED ORGANIZATIONS, MOFFITT HAS AN ECONOMIC IMPACT ON FLORIDA OF NEARLY $1.9 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 INCLUDES THE MOFFITT MEDICAL CLINIC, A FREESTANDING OUTPATIENT TREATMENT CENTER LOCATED IN SOUTH TAMPA, AND A FREESTANDING CANCER SCREENING AND PREVENTION CENTER PROVIDING A WIDE ARRAY OF OUTREACH AND EDUCATIONAL ACTIVITIES FOR THE GENERAL PUBLIC AND SELECT UNDERSERVED POPULATIONS. IN FISCAL YEAR 2015, THE HOSPITAL RECORDED 346,471 OUTPATIENT VISITS AND 9,319 INPATIENT ADMISSIONS.TO HELP FURTHER ITS MISSION, MOFFITT COLLABORATES WITH RESPECTED ACADEMIC HOSPITAL SYSTEMS, REGIONAL CARE CENTERS AND PHYSICIANS GROUPS KNOWN AS THE MOFFITT ONCOLOGY NETWORK. THE NETWORK MEMBERS ARE HELPING MOFFITT DEVELOP A PREMIER CANCER CARE DELIVERY SYSTEM, FOCUSED SOLELY ON PROVIDING PATIENTS THE BEST PERSONALIZED CANCER CARE. | Desc |
| Total Program Service Expenses | $550,872,860 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 130 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3221 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YVETTE M LYONS TREMONTI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8137457862 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12902 MAGNOLIA DRIVE | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BETH A HOUGHTON | ||||||||||
| DIRECTOR, CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| THE HONORABLE MARK A PIZZO | ||||||||||
| DIRECTOR, VICE CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| THE HONORABLE H LEE MOFFITT | ||||||||||
| DIRECTOR, SECRETARY/TREAS | 1.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| W MICHAEL ALBERTS | ||||||||||
| DIRECTOR, VP-MED AFFAIRS & CMO TO 12/31/14 | 55.00 | 0.00 | Yes (X) | Yes (X) | $447,467 | $0 | $78,117 | |||
| MICHAEL BICE | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH CABALLERO | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROLAND DANIELS | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JULIE DJEU | ||||||||||
| DIRECTOR, ACD RSCH EDUC | 1.00 | 49.00 | Yes (X) | $0 | $306,721 | $63,263 | ||||
| VALERIE GODDARD | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| G DOUGLAS LETSON | ||||||||||
| DIRECTOR, EVP-PHYS IN CHIEF | 22.00 | 33.00 | Yes (X) | Yes (X) | $773,665 | $0 | $60,961 | |||
| JO MANION | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JENNIFER MOFFITT | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ORLANDO NIEVES | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHARLES PAIDAS | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| NICOLAS PORTER | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARY ANNE REILLY | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN A KOLOSKY | ||||||||||
| HOSPITAL PRESIDENT | 25.00 | 30.00 | Yes (X) | $0 | $891,899 | $214,456 | ||||
| LOUIS D DE LA PARTE | ||||||||||
| EVP-GEN COUNSEL, ASST SEC | 20.00 | 35.00 | Yes (X) | $0 | $572,125 | $77,116 | ||||
| YVETTE LYONS TREMONTI | ||||||||||
| EVP-CFO & ASST TREASURER | 20.00 | 35.00 | Yes (X) | $0 | $586,825 | $95,657 | ||||
| BRAULIO VICENTE | ||||||||||
| SVP-HOSP OPERATIONS | 35.00 | 20.00 | Yes (X) | $425,189 | $0 | $116,696 | ||||
| WILLIAM FRANQUET | ||||||||||
| VP REV CYCLE MGMT TO 11/10/14 | 35.00 | 20.00 | Yes (X) | $0 | $213,239 | $360 | ||||
| JANE FUSILERO | ||||||||||
| VP-PATIENT CARE SVS/CNO | 55.00 | 0.00 | Yes (X) | $382,909 | $0 | $35,868 | ||||
| ROBERT KEENAN | ||||||||||
| VP-QUAL & MED AFFAIRS/CMO 1/5/2015 | 55.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOANNA WEISS | ||||||||||
| VP REV CYCLE MGMT 11/23/2014 | 35.00 | 20.00 | Yes (X) | $0 | $171,780 | $32,676 | ||||
| GENE WETZSTEIN | ||||||||||
| CHIEF PHARMACY OFFICER | 50.00 | 0.00 | $204,357 | $0 | $72,709 | Yes (X) | ||||
| VLADIMIR FEYGELMAN | ||||||||||
| ASSOC MBR PHYSICIST | 50.00 | 0.00 | $225,225 | $0 | $35,398 | Yes (X) | ||||
| EDUARDO G MOROS | ||||||||||
| SR MBR PHYSICIST | 50.00 | 0.00 | $359,739 | $0 | $44,166 | Yes (X) | ||||
| AMARJIT S SAINI | ||||||||||
| COORD BRACHYTHERAPY PHYSIC | 50.00 | 0.00 | $232,776 | $0 | $11,606 | Yes (X) | ||||
| SIRIPORN SARANGKASIRI | ||||||||||
| CLINICAL PHYSICIST II | 50.00 | 0.00 | $214,065 | $0 | $22,124 | Yes (X) | ||||
| STUART G WASSERMAN | ||||||||||
| DIR CLINICAL PHYSICS | 50.00 | 0.00 | $258,944 | $0 | $39,680 | Yes (X) | ||||
| JANENE CULUMBER | ||||||||||
| FORMER SVP-CFO&ASST TREAS | 0.00 | 0.00 | $0 | $452,283 | $49,237 | Yes (X) | ||||
| WILLIAM S DALTON | ||||||||||
| FORMER PRES/CEO | 0.00 | 55.00 | $0 | $710,012 | $82,332 | Yes (X) | ||||
| BRENDA S GORDON | ||||||||||
| FORMER VP-ANCILLARY SVCS | 0.00 | 0.00 | $126,452 | $0 | $1,897 | Yes (X) | ||||
| DEAN R HEAD | ||||||||||
| FORMER HOSPITAL VP-FAC MGMT | 0.00 | 0.00 | $0 | $167,424 | $6,774 | Yes (X) | ||||
| MARK F HULSE | ||||||||||
| FORMER HOSPITAL VP-CIO | 0.00 | 55.00 | $0 | $457,538 | $64,778 | Yes (X) | ||||
| ALAN F LIST | ||||||||||
| FORMER EVP-PHYS IN CHIEF | 0.00 | 55.00 | $0 | $1,236,229 | $157,192 | Yes (X) | ||||
| W J WILSON | ||||||||||
| FORMER HOSPITAL VP-GOVT RELATIONS | 0.00 | 55.00 | $0 | $325,181 | $64,150 | Yes (X) | ||||
| SCOTT D ELDREDGE | ||||||||||
| FORMER KEY EMP, DEPT ADMIN | 50.00 | 0.00 | $200,404 | $0 | $30,425 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,851,192 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,091,256 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,457,638 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 194 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LEIDOS HEALTH LLC | |||||
| PO BOX 223866 | PITTSBURGH | PA | 15251 | PROFESSIONAL SERVICES | $1,099,819 |
| LAB CORP OF AMERICA | |||||
| PO BOX 12140 | BURLINGTON | NC | 27216 | LAB SERVICES | $1,055,056 |
| HARMONY HEALTHCARE | |||||
| 2909 W BAY TO BAY BLVD STE 500 | TAMPA | FL | 33629 | PROFESSIONAL SERVICES | $892,711 |
| LOCUMTENENSCOM | |||||
| PO BOX 405547 | ATLANTA | GA | 30384 | PROFESSIONAL SERVICES | $845,056 |
| MEDCYCLE MANAGEMENT | |||||
| 1718 GENERAL GEORGE PATTON DR | BRENTWOOD | TN | 37027 | COLLECTIONS | $730,852 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,044,229 | RelatedOrganizationsAmt |
| Government Grants | $324,341 | GovernmentGrantsAmt |
| All Other Contributions | $4,855,790 | AllOtherContributionsAmt |
| Noncash Contributions | $1,085,435 | NoncashContributionsAmt |
| Total Contributions | $7,224,360 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERV REV | 900099 | $734,689,417 | $734,689,417 |
| SPECIALTY PHARMACY | 900099 | $17,609,493 | $17,609,493 |
| OUTPATIENT PHARMACY | 900099 | $802,000 | $802,000 |
| EDUCATION CONFERENCES | 611710 | $562,524 | $562,524 |
| AFFILIATE SERVICES | 900099 | $515,963 | $515,963 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $297,150 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $297,150 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $754,476,547 | TotalProgramServiceRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $90,138 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $99,847 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$9,709 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$9,709 | TotalRevenueColumnAmt |
| Exclusion | -$9,709 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA | 722210 | $2,526,046 | $2,526,046 |
| INT FROM INS CO | 524114 | $244,611 | $244,611 |
| REBATES | 900099 | $212,853 | $212,853 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $282,238 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,877 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $271,361 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,265,748 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $764,956,946 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $754,487,424 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,245,162 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,583,712 | TotalAmt |
| Program Services | $12,583,712 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,015,935 | TotalAmt |
| Program Services | $2,836,290 | ProgramServicesAmt |
| Management And General | $179,645 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,224 | TotalAmt |
| Program Services | $220,205 | ProgramServicesAmt |
| Management And General | $53,019 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,764,750 | TotalAmt |
| Program Services | $160,111,060 | ProgramServicesAmt |
| Management And General | $43,653,690 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,870,491 | TotalAmt |
| Program Services | $7,969,771 | ProgramServicesAmt |
| Management And General | $1,900,720 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,831,326 | TotalAmt |
| Program Services | $25,673,498 | ProgramServicesAmt |
| Management And General | $3,157,828 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,476,388 | TotalAmt |
| Program Services | $11,513,303 | ProgramServicesAmt |
| Management And General | $2,963,085 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,832,753 | TotalAmt |
| Management And General | $1,832,753 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $343,096 | TotalAmt |
| Management And General | $343,096 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $465,795 | TotalAmt |
| Management And General | $465,795 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,416,821 | TotalAmt |
| Program Services | $12,985,511 | ProgramServicesAmt |
| Management And General | $5,431,310 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,595,233 | TotalAmt |
| Program Services | $19,524 | ProgramServicesAmt |
| Management And General | $2,575,709 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,210,168 | TotalAmt |
| Program Services | $29,976,559 | ProgramServicesAmt |
| Management And General | $14,233,609 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,640,704 | TotalAmt |
| Management And General | $10,640,704 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,937,595 | TotalAmt |
| Program Services | $3,399,217 | ProgramServicesAmt |
| Management And General | $9,538,378 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $741,203 | TotalAmt |
| Program Services | $355,354 | ProgramServicesAmt |
| Management And General | $385,849 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $536,832 | TotalAmt |
| Program Services | $536,832 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,916,184 | TotalAmt |
| Management And General | $6,916,184 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,519,918 | TotalAmt |
| Program Services | $9,985,943 | ProgramServicesAmt |
| Management And General | $16,533,975 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $797,010 | TotalAmt |
| Management And General | $797,010 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $198,363,812 | $198,363,812 | |
| ALLOC OF INTERCO EXP | $0 | $48,077,903 | -$48,077,903 |
| PURCHASED SERVICES | $33,867,071 | $12,827,400 | $21,039,671 |
| HCCB ASSESSMENT | $8,087,540 | $8,087,540 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,343,867 | TotalAmt |
| Program Services | $5,349,426 | ProgramServicesAmt |
| Management And General | $5,994,441 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $651,431,428 | TotalAmt |
| Program Services | $550,872,860 | ProgramServicesAmt |
| Management And General | $100,558,568 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,025 | BOYAmt |
| EOY | $7,525 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,469,265 | BOYAmt |
| EOY | $2,592,814 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,460,800 | BOYAmt |
| EOY | $81,102,636 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,335,007 | BOYAmt |
| EOY | $10,963,297 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,236,204 | BOYAmt |
| EOY | $1,063,242 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $182,483,493 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $143,930,466 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,286,083 | BOYAmt |
| EOY | $38,553,027 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,211,599 | BOYAmt |
| EOY | $7,199,092 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,008,983 | BOYAmt |
| EOY | $141,481,633 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,872,604 | BOYAmt |
| EOY | $25,375,908 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,021 | BOYAmt |
| EOY | $167,354 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,913,348 | BOYAmt |
| EOY | $29,539,226 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,959,973 | BOYAmt |
| EOY | $55,082,488 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,164,579 | BOYAmt |
| EOY | $82,974,466 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,884,431 | BOYAmt |
| EOY | $3,424,679 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,049,010 | BOYAmt |
| EOY | $86,399,145 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,008,983 | BOYAmt |
| EOY | $141,481,633 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $113,525,518 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$113,175,383 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | Yes (1) | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | Yes (1) | MailingsMembersInd |
| Mailings Members | $27,308 | MailingsMembersAmt |
| Publications Or Broadcast | Yes (1) | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $7,737 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $5 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $641,744 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | Yes (1) | RalliesDemonstrationsInd |
| Rallies Demonstrations | $25,302 | RalliesDemonstrationsAmt |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $21,139 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $723,235 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 AND ELECTED OFFICIALS TO PROMOTE THE INSTITUTION'S LEGISLATIVE INITIATIVES. |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $281,110 | OtherCostOrOtherBasisAmt |
| Depreciation | $281,110 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $180,366,868 | OtherCostOrOtherBasisAmt |
| Depreciation | $143,649,356 | DepreciationAmt |
| Book Value | $36,717,512 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,835,515 | OtherCostOrOtherBasisAmt |
| Book Value | $1,835,515 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $38,553,027 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INVESTMENT IN PREMIER | $3,526,255 |
| INTEREST IN NET ASSETS OF FOUNDATION | $3,424,679 |
| RECEIVABLE - OTHER | $248,158 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,199,092 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| HCCB ASSESSMENT | $10,340,589 |
| ESTIMATED THIRD-PARTY SETTLEMENTS | $19,198,637 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $29,539,226 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | THE CANCER CENTER RECOGNIZES UNCERTAIN TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT (I.E., GREATER THAN 50% LIKELIHOOD OF RECEIVING BENEFIT) 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. THE CANCER CENTER HAS NO SIGNIFICANT UNRECOGNIZED TAX BENEFITS AND DOES NOT BELIEVE THAT THERE WILL BE ANY MATERIAL CHANGES IN THE CANCER CENTER'S UNRECOGNIZED TAX POSITION OVER THE NEXT 12 MONTHS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,971,649 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,971,649 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02150 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,926,761 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,626,859 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,299,902 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01600 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,898,410 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,626,859 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,271,551 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03750 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $511,572 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $511,572 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,898,071 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,898,071 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,528 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $31,528 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,441,171 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,441,171 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00370 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,339,581 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,626,859 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,712,722 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04120 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $358,664 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $177,980,519 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $192,884,695 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$14,904,176 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | H LEE MOFFITT CANCER CENTER & RESEARCH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12902 MAGNOLIA DRIVE | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.moffitt.org | WebsiteAddressTxt |
| State License | 4334 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | H LEE MOFFITT CANCER CENTER & RESEARCH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C FOR WEBSITE | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | 0 | ImplementationStrategyAdoptInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | 0 | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Other Reason | Yes (X) | OtherReasonInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| H LEE MOFFITT CANCER CENTER & RESEARCH | Part V, Section B, Line 3j: HOSPITAL CONDUCTED ITS FIRST COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN TAX YEAR 2012. |
| H LEE MOFFITT CANCER CENTER & RESEARCH | Part V, Section B, Line 5: OVER 150 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 INTERNAL KEY INFORMANTS WHICH PARTICIPATED IN INTERVIEWS WERE:SENIOR DIRECTOR OF NURSING PRACTICE, EDUCATION & CLINICAL EFFECTIVENESS, NURSING PROFESSIONAL DEVELOPMENT;CHIEF OPERATING OFFICER, ADMINISTRATION;MANAGER, COMMUNITY OUTREACH MPOWER;SUPERVISOR OF SOCIAL WORK, PATIENT AND FAMILY SERVICES;TBCCN OUTREACH CORE CO-DIRECTOR/COMMUNITY HEALTH EDUCATOR, HEALTH OUTCOMES AND BEHAVIOR;CMO VP QUALITY AND MEDICAL AFFAIRS, ADMINISTRATION HOSPITAL;EXECUTIVE VP QUALITY AND MEDICAL AFFAIRS, ADMINSTRATION HOSPITAL; DIRECTOR OF PATIENT EXPERIENCE, INTERNATIONAL & EXECUTIVE REFERRAL SERVICES; AND,MANAGER OF PATIENT ADVISORY AND LODGING, PATIENT LIBRARY A LIST OF REPRESENTATIVE ORGANIZATIONS DEEMED EXTERNAL KEY PARTICIPANTS INCLUDES, BUT NOT LIMITED TO:AMERICAN CANCER SOCIETY;BETH-EL FARMWORKER MINISTRY;BOARD OF COUNTY COMMISSIONERS;CDC OF TAMPA;CENTRAL FLORIDA HEALTHCARE;CRISIS CENTER;FLORIDA DEPARTMENT OF HEALTH FOR HILLSBOROUGH, PINELLAS, PASCO, & POLK; GOOD SAMARITAN HEALTH CLINIC;GULF COAST NORTH AREA HEALTH EDUCATION CENTER;HAITIAN ASSOCIATION;HEALTHY START;HILLSBOROUGH AREA REGIONAL TRANSIT (HART) HERNANDO COUNTY HEALTH DEPARTMENT; HISPANIC SERVICES COUNCIL;REACHUP;SEMINOLE TRIBE OF FLORIDA; AND,TAMPA BAY UNITED WAY; |
| H LEE MOFFITT CANCER CENTER & RESEARCH | Part V, Section B, Line 7d: THE CHNA IS AVAILABLE ON MOFFITT'S WEBSITE AT, HTTP://MOFFITT.ORG/THE-MOFFITT-EXPERIENCE/COMMUNITY-BENEFIT. |
| H LEE MOFFITT CANCER CENTER & RESEARCH | Part V, Section B, Line 11: THE 2013 IMPLEMENTATION PLAN REMAINS POSTED ON MOFFITT'S WEBSITE UNTIL SUCH TIME THAT THE 2015-2016 IMPLEMENTATION STRATEGY PLAN IS DETERMINED AND POSTED. CURRENTLY THE HOSPITAL IS DEVELOPING ITS IMPLEMENTATION STRATEGY BASED ON THE 2015-2016 CHNA. THE ADVISORY COMMITTEE HAS MET TO REVEIW THE FINDINGS OF THE CHNA AND HAS DETERMINED TO FOCUS PREDOMINANTLY ON THREE KEY AREAS: SCREENING AND PREVENTION, TRANSPORTATION FOR THE DISADVANTAGED AND HEALTHCARE NAVIGATION. |
| H LEE MOFFITT CANCER CENTER & RESEARCH | Part V, Section B, Line 15e: PATIENTS WHO REQUEST FINANCIAL ASSISTANCE OR WHO HAVE BEEN IDENTIFIED AS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE WILL BE INFORMED OF THE APPLICATION PROCESS EITHER BEFORE RECEIVING SERVICES OR DURING THE BILLING AND COLLECTION PROCESS. A FINANCIAL COUNSELOR OR PSR 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 OR PSR 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 AN APPLICATION FOR FINANCIAL ASSISTANCE. |
| H LEE MOFFITT CANCER CENTER & RESEARCH | Part V, Section B, Line 16i: 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 17. 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. |
| 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. |
| H LEE MOFFITT CANCER CENTER & RESEARCH | Part V, Section B, Line 22d: HOSPITAL PROVIDES A GENERAL DISCOUNT OF 50% TO ALL UNINSURED PATIENTS. THE HOSPITAL WILL WORK WITH THE PATIENT TO APPLY FOR AVAILABLE ASSISTANCE PROGRAMS TO COVER A PORTION OF OR THE ENTIRE FINANCIAL OBLIGATION. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 GUIDELINE FOR THE PATIENT'S FAMILY SIZE SHALL BE ENTITLED TO CHARITY ADJUSTMENTS OF 100% ON QUALIFYING BALANCES.B. PATIENTS, WHO HAVE FAMILY INCOME AND ASSETS BETWEEN 201%-300% OF THE FEDERAL POVERTY GUIDELINE FOR THE PATIENT'S FAMILY SIZE, SHALL BE ENTITLED TO CHARITY ADJUSTMENTS OF 70% ON QUALIFYING BALANCES.C. PATIENTS, WHO HAVE FAMILY INCOME AND ASSETS BETWEEN 301%-400% OF THE FEDERAL POVERTY GUIDELINE FOR THE PATIENT'S FAMILY SIZE, SHALL BE ENTITLED TO CHARITY ADJUSTMENTS OF 60% ON QUALIFYING BALANCES. |
| 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 $651,431,428. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $1,166,387. 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 $650,265,041. |
| 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 DISCUSSED 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 ITS 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: | THE H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE (MOFFITT) IS A NATIONALLY RECOGNIZED COMPREHENSIVE CANCER CENTER WHOSE MISSION IS "TO CONTRIBUTE TO THE PREVENTION AND CURE OF CANCER." LOCATED IN TAMPA, FLORIDA, MOFFITT PRIMARILY SERVES A FOUR COUNTY CATCHMENT AREA (HILLSBOROUGH, PASCO, PINELLAS, AND POLK) AND AN ELEVEN COUNTY SECONDARY AREA (CHARLOTTE, CITRUS, DESOTO, HARDEE, HERNANDO, HIGHLANDS, LAKE, LEE, MANATEE, SARASOTA, AND SUMTER).ITS COMMUNITY BENEFIT MISSION IS TO PROVIDE PATIENT-CENTERED AND CULTURALLY COMPETENT OUTREACH, EDUCATION, TRAINING, AND RESOURCES THROUGHOUT THE GREATER TAMPA BAY COMMUNITY AND THE STATE OF FLORIDA TO SUPPORT PATIENTS, FAMILIES AND CLINICIANS IN ADVANCING CANCER PREVENTION, EARLY DETECTION, CLINICAL CARE, AND RESEARCH SPECIFICALLY FOR THOSE AT-RISK POPULATIONS DISPROPORTIONATELY IMPACTED BY THE DISEASE.IN 2015 MOFFITT CONTRACTED WITH LEGACY CONSULTING GROUP, A HEALTHCARE CONSULTING ORGANIZATION WITH A LOCAL OFFICE TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA)IN AN EFFORT TO ASSIST IN TARGETING ITS STRATEGIC GOALS, SPECIFICALLY:DEMONSTRATE AND PROMOTE SUPERIOR PERFORMANCE EMBODYING HIGH-QUALITY, COST EFFECTIVE CARE;DEVELOP A NETWORK THAT BROADENS MOFFITT'S REACH, PROVIDES ACCESS TO ITS EXPERTISE AND DELIVERS SUPERIOR VALUE;DEMONSTRATE STRONG FINANCIAL STEWARDSHIP THAT EMBODIES A FRESH REVIEW, REPRIORITIZATION AND REENGINEERING OF MOFFITT'S HISTORICAL BUSINESS MODELS;ENHANCE AND STRENGTHEN MOFFITT'S PROVISION OF PRECISION MEDICINE; AND, MAXIMIZE MOFFITT'S AWARENESS AND REPUTATION IN THE STATE AND NATION, REFLECTING ITS SUPERIOR VALUE AND PIONEERING STRENGTHS.THE CHNA DEFINES HEALTH IN THE BROADEST SENSE AND RECOGNIZES NUMEROUS FACTORS AT MULITPLE LEVELS, FROM LIFESTYLE BEHAVIORS (E.G., DIET AND EXERCISE) TO CLINICAL CARE (E.G., ACCESS TO MEDICAL SERVICES) TO SOCIAL AND ECONOMIC FACTORS (E.G., EMPLOYMENT OPPORTUNITIES) TO THE PHYSICAL ENVIRONMENT (E.G., AIR QUALITY), ALL HAVE AN IMPACT ON THE COMMUNITY'S HEALTH. EXISTING SOCIAL, ECONOMIC, AND HEALTH DATA WERE DRAWN FROM SUCH SOURCES AS U.S. CENSUS BUREAU, FLORIDA DEPARTMENT OF HEALTH, NIELSEN/CLARITAS, AND THE CDC. |
| Part VI, Line 3: | IN BILLING SECTION OF HOSPITAL'S WEBSITE, IT NOTIFIES PATIENTS THAT A PATIENT ACCOUNT REPRESENTATIVE OR A SOCIAL WORKER WILL HELP YOU TO IDENTIFY ASSISTANCE PROGRAMS THAT MIGHT OFFER HELP IN MEETING YOUR FINANCIAL OBLIGATIONS.ALSO DURING THE PATIENT ADMISSION/REGISTRATION PROCESS, PATIENTS WILL MEET WITH A HOSPITAL PATIENT SERVICE REPRESENTATIVE WHO OBTAINS FINANCIAL INFORMATION SUCH AS, INSURANCE AND INCOME. WHEN THE PATIENT SERVICE REPRESENTATIVE DETERMINES A PATIENT DOES NOT HAVE ADEQUATE INSURANCE COVERAGE AND WILL NOT LIKELY BE ABLE TO PAY FOR ANTICIPATED SERVICES, THE PATIENT SERVICE REPRESENTATIVE WILL DETERMINE THE PATIENT'S ELIGIBLITY FOR RELEVANT STATE, COUNTY, AND FEDERAL PROGRAMS. IF THE PATIENT DOES NOT QUALIFY FOR ELIGIBLE FUNDING, THE PATIENT SERVICE REPRESENTATIVE WILL WORK WITH THE PATIENT TO COMPLETE A FINANCIAL STATEMENT FOR DETERMINATION OF CHARITY CARE OR PARTIAL CARE ELIGIBILITY. THE HOSPITAL RECOGNIZES THAT IT MAY NOT BE INITIALY EVIDENT THAT A PATIENT HAS AN INABILITY TO PAY FOR SERVICES. THEREFORE, HOSPITAL ALSO PROVIDES INFORMATION ON ITS BILLING STATEMENT THAT NOTIFIES THE PATIENT TO CONTACT A FINANCIAL COUNSELOR OR PATIENT SERVICE REPRESENTATIVE IN THE EVENT THE PATIENT NEEDS FINANCIAL ASSISTANCE. HOSPITAL ALSO OFFERS PAYMENT PLAN OPTIONS. |
| Part VI, Line 4: | DEMOGRAPHICS OF MOFFITT'S SERVICE AREA:THE HEALTH OF A COMMUNITY IS ASSOCIATED WITH NUMEROUS FACTORS INCLUDING WHAT RESOURCES AND SERVICES ARE AVAILABLE (E.G., SAFE GREEN SPACE, ACCESS TO HEALTHY FOODS) AS WELL AS WHO LIVES IN THE COMMUNITY. THE SECTION BELOW PROVIDES AN OVERVIEW OF THE POPULATION OF MOFFITT'S SERVICE AREA. THE DEMOGRAPHICS OF A COMMUNITY ARE SIGNIFICANTLY RELATED TO THE RATES OF HEALTH OUTCOMES AND BEHAVIORS OF THAT AREA. WHILE AGE, GENDER, RACE, AND ETHNICITY ARE IMPORTANT CHARACTERISTICS THAT HAVE AN IMPACT ON AN INDIVIDUAL'S HEALTH, THE DISTRIBUTION OF THESE CHARACTERISTICS IN A COMMUNITY MAY AFFECT THE NUMBER AND TYPE OF SERVICES AND RESOURCES AVAILABLE. MOST PARTICIPANTS DESCRIBED THEIR COMMUNITIES AS VERY DIVERSE, MENTIONING THE WIDE VARIETY IN AGE, SOCIAL CLASS, AND RACE AND ETHNICITY. THEY ALSO NOTED A FLUCTUATING POPULATION THAT INCLUDES HISPANICMIGRANT WORKERS, NEW IMMIGRANTS, AND THE MORE SEASONAL AND ELDERLY "SNOW BIRDS" WHO MAKE THEIR WAY TO THE AREA EACH WINTER. SOME REPORTED THAT, AT TIMES, THERE IS TENSION BETWEEN NEWCOMER POPULATIONS AND LONG-TIME RESIDENTS THAT CREATES CHALLENGES FOR COMMUNITIES.POPULATION:IN 2015, THE FOUR COUNTY PRIMARY SERVICE AREA (PSA)HAD A POPULATION OF 3,375,615, RANGING FROM 483,779 IN PASCO COUNTY TO 1,317,131 IN HILLSBOROUGH COUNTY. HILLSBOROUGH COUNTY COMPRISED THE LARGEST PROPORTION OF THE REGION'S POPULATION, FOLLOWED BY PINELLAS COUNTY. FURTHERMORE, THE PSA'S OVERALL POPULATION IS EXPECTED TO INCREASE BY 5.5% OVER THE NEXT FIVE YEARS, WHICH IS SIMILAR TO GROWTH OF FLORIDA POPULATION AT 5.9%. IN MOFFITT'S SECONDARY SERVICE AREA (SSA) THE POPULATION IS EXPECTED TO INCREASE BY 6.2% OVER THE NEXT FIVE YEARS. AGE DISTRIBUTION:IN COMPARING THE AGE DISTRIBUTION IN BOTH THE PSA AND SSA, THE DATA SHOWED THE PSA'S LARGEST POPULATION WAS IN THE 18-44 AGE GROUP WHILE THE SSA'S POPULATION IS HIGHEST IN THE 65 AND OVER RANGE. HOWEVER, BASED ON THE AGE TRENDING DATA, THE GROWTH RATE OVER THE NEXT FIVE YEARS WILL BE THE LARGEST IN THE 65 AND ABOVE AGE GROUP FOR BOTH PSA AND SSA. RACIAL AND ETHNIC DIVERSITY:CULTURAL, RACIAL, AND ETHNIC DIVERSITY WAS THE MOST FREQUENTLY-CITED CHARACTERISTIC OF MANY COMMUNITIES. EXCEPTIONS WERE THE COMMUNITIES OF SARASOTA AND THE RETIREMENT AREA OF HERNANDO WHICH WERE DESCRIBED BY RESPONDENTS AS PREDOMINANTLY WHITE.THE MAJORITY OF THE POPULATION IN BOTH THE PSA AND THE SSA IS WHITE, WITH A SMALLER PROPORTION OF BLACKS, HISPANICS OR ANY OTHER RACE. THE PSA IS EXPECTED TO SEE A SIGNIFICANT INCREASE OVER THE NEXT FIVE YEARS IN THE HISPANIC AND OTHER ETHNICITY WHILE THE SSA WILL SEE A SIGNIFICANT INCREASE IN ALL RACES EXCEPT WHITE. OTHER KEY COMMUNITY FACTS ARE AS FOLLOWS: HILLSBOROUGH COUNTY HAS THE HIGHEST PERCENTAGE (27.2%) OF INDIVIDUALS THAT SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. WITHIN THE PSA HILLSBOROUGH HAS THE HIGHEST MEDIAN INCOME AND THE HIGHEST PERCENTAGE OF HOUSEHOLD INCOME GREATER THAN $100,000, WHILE POLK COUNTY HAS THE LOWEST MEDIAN HOUSEHOLD INCOME AND LOWEST PERCENTAGE OF HOUSEHOLD INCOME GREATER THAN $100,000. THE PERCENTAGE OF HOUSEHOLDS RECEIVING FOOD STAMPS IS THE SAME IN HILLSBOROUGH COUNTY AS IT IS IN POLK AT 15.7%. POLK COUNTY HAS THE LARGEST PERCENTAGE OF PEOPLE LIVING BELOW POVERTY LEVEL (18.5%), FOLLOWED BY HILLSBOROUGH (17.2%). HILLSBOROUGH COUNTY HAS THE LARGEST POPULATION OF COLLEGE DEGREED INDIVIDUALS (29.7%). SOCIAL AND PHYSICAL ENVIRONMENT:WITHIN THE SEVEN COUNTIES THERE ARE ROUGHLY 76 HOSPITALS EVENLY SPLIT BETWEEN FOR-PROFIT AND NON-PROFIT PROVIDERS, BASED ON THE 2015 FLORIDA HOSPITAL ASSOCIATION LISTING. MOFFITT'S HOSPITAL IS THE ONLY CANCER SPECIALTY HOSPITAL IN THE REGION AND IS THE ONLY CANCER CENTER IN FLORIDA WITH THE NATIONAL CANCER INSTITUTE (NCI)DESIGNATION. |
| Part VI, Line 5: | THE HOSPITAL IS INTERNATIONALLY RECOGNIZED FOR ITS FOCUS ON TOTAL CANCER CARE AND TRANSLATIONAL RESEARCH AND HAS GROWN TO BE THE THIRD-LARGEST CANCER CENTER IN THE U.S. BASED ON OUTPATIENT VISITS. THE MAJORITY OF THE HOSPITAL'S BOARD MEMBERS RESIDE AND ARE CONSIDERED COMMUNITY LEADERS IN THE SERVICE AREA.HOSPITAL'S COMMUNITY BENEFIT MISSION OF PROVIDING PATIENT-CENTERED AND CULTURALLY COMPETENT OUTREACH, EDUCATION, TRAINING, AND RESOURCES THAT AFFECT THE HEALTH OF THE COMMUNITY AND TO PROMOTE HEALTHLY LIFESTYLES AND ASSIST IN THE PREVENTION OF CANCER IS ENHANCED BY THE FOLLOWING ACTIVITIES OR PROGRAMS HIGHLIGHTED BELOW:MORE THAN 850 UNITS OF BLOOD AND PLATELETS WERE DONATED BY MOFFITT EMPLOYEES DURING BLOOD DRIVES HELD ON CAMPUS;MORE THAN 5,000 COMMUNITY MEMBERS ATTENDED WORKSHOPS AND RECEIVED INFORMATION ON CANCER PREVENTION AND HEALTHY LIFESTYLES;1500 CHILDREN WERE EDUCATED ABOUT THE IMPORTANCE AND BENEFITS OF HEALTHY BEHAVIORS THROUGH THE MOFFITT HEALTHY KIDZ PROGRAM;MORE THAN 400 HOURS WERE SPENT PROVIDING COMMUNITY BASED SKIN CANCER SCREENINGS BY THE MOLE PATROL;EACH YEAR, MEDICAL RESIDENTS AND FELLOWS, AS WELL AS, MEDICAL STUDENTS FROM THE USF COLLEGE OF MEDICINE AND OTHER SITES RECEIVE MEDICAL EDUCATION AND TRAINING THROUGH MOFFITT CANCER CENTER'S GRADUATE MEDICAL EDUCATION (GME) PROGRAM. TRAINEES LEARN PHYSICAL EXAMINATION SKILLS; ASSIST CANCER RESEARCHERS, STUDY STRATEGIES FOR PREVENTING CANCER AND COMPLETE ELECTIVES IN MANY ASPECTS OF ONCOLOGY, INCLUDING CANCER SCREENING;CANCER ANSWERS IS A TOLL-FREE NATIONWIDE CANCER INFORMATION SERVICE STAFFED BY REGISTERED NURSES WHO PROVIDE ANSWERS TO CANCER-RELATED QUESTIONS CONCERNING DIAGNOSIS, TREATMENT, NEW DISCOVERIES, DRUG THERAPIES, THE AVAILABILITY OF RESEARCH STUDIES AND CLINICAL TRIALS;TRANSLATION SERVICES OVERSEES THE TRANSLATION OF ALL WRITTEN DOCUMENTS THAT ARE USED IN THE DELIVERY OF HEALTH CARE SERVICES TO MOFFITT'S PATIENTS AND FAMILIES WITH LIMITED ENGLISH PROFICIENCY. TRANSLATION SERVICES PROFESSIONALS ACT AS INTERNAL CONSULTANTS REGARDING LANGUAGE ACCESS, LANGUAGE BARRIERS, AND TRAINING ON WORKING WITH PROFESSIONAL LINGUISTS. THERE WERE OVER 4,000 PAGES OF PATIENT DOCUMENTS TRANSLATED FROM ENGLISH TO SPANISH AND OVER 200 HOURS SPENT PROVIDING AMERICAN SIGN LANGUAGE MEDICAL INTERPRETING; HOSTED EVENTS AT MOFFITT AND IN THE COMMUNITY ON THE IMPACT OF LANGUAGE AND COMMUNICATION SERVICES ON PATIENT SAFETY, QUALITY OF CARE AND HEALTHCARE OUTCOMES; THE MOFFITT PROGRAM FOR OUTREACH WELLNESS EDUCATION AND RESOURCES (M-POWER), AN OUTREACH PROGRAM FOR UNDERSERVED POPULATIONS, IS DEDICATED TO BUILDING COMMUNITY PARTNERSHIPS WITH OVER 200 COMMUNITY PARTNERS TO DATE THAT PARTICIPATE IN COMMUNITY BASED HEALTH FAIRS, HIGH PROFILE COMMUNITY EVENTS AND CELEBRATIONS, HEALTH EDUCATION ON CANCER RELATED TOPICS, HEALTH ADVISOR TRAINING PROGRAMS, ACCESS TO NO COST CANCER SCREENINGS AND A VARIETY OF EDUCATIONAL PROGRAMS AND MATERIALS; AND,HOSPITAL PROVIDES PATIENT & FAMILY ORIENTATION. THIS COMPREHENSIVE INTRODUCTION TO MOFFITT CANCER CENTER PROVIDES PATIENTS AND FAMILY MEMBERS WITH AN OVERVIEW OF WAY FINDING, SELF-ADVOCACY, PATIENT SAFETY AND THE FULL RANGE OF SUPPORT SERVICES AVAILABLE. ATTENDEES RECEIVE TOOLKITS, EQUIPPED WITH RESOURCES AND FILE FOLDERS TO HELP ORGANIZE MEDICAL INFORMATION. |
| 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 ADDITON, 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 $1,652,328PERCENT OF TOTAL MMG ENTITY EXPENSE: 1.40%PERCENT OF COMBINED EXPENSE: .18%MOFFITT MEDICAL GROUPHEALTH PROFESSIONS EDUCATION WAS $7,901,150PERCENT OF TOTAL MMG ENTITY EXPENSE: 6.69%PERCENT OF COMBINED EXPENSE: .87%MOFFITT MEDICAL GROUP'S BAD DEBT EXPENSE AT COST: $839,366MOFFITT RESEARCHRESEARCH NET COMMUNITY BENEFIT EXPENSE WAS $24,375,951PERCENT OF TOTAL AFFILIATE EXPENSE: 17.02%PERCENT OF COMBINED EXPENSE: 2.67% |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | H LEE MOFFITT CC&RI INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12902 MAGNOLIA DRIVE | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 592451713 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $12,576,930 | CashGrantAmt |
| Purpose Of Grant | INTERCOMPANY SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | THE SCHEDULE I, PART II GRANT AMOUNTS REPRESENT INTERCOMPANY SUPPORT AND ARE ONLY MADE TO RELATED ORGANIZATIONS TO SUPPORT THEIR OPERATIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| W MICHAEL ALBERTS | ||||||||||||||
| DIRECTOR, VP-MED AFFAIRS & CMO TO 12 | $313,117 | $0 | $100,822 | $0 | $33,528 | $0 | $61,915 | $0 | $21,737 | $0 | $531,119 | $0 | $0 | $0 |
| JULIE DJEU | ||||||||||||||
| DIRECTOR, ACD RSCH EDUC | $0 | $273,720 | $0 | $19,587 | $0 | $13,414 | $0 | $49,330 | $0 | $14,913 | $0 | $370,964 | $0 | $0 |
| G DOUGLAS LETSON | ||||||||||||||
| DIRECTOR, EVP-PHYS IN CHIEF | $525,842 | $0 | $199,113 | $0 | $48,710 | $0 | $39,909 | $0 | $26,529 | $0 | $840,103 | $0 | $0 | $0 |
| JOHN A KOLOSKY | ||||||||||||||
| HOSPITAL PRESIDENT | $0 | $594,853 | $0 | $220,764 | $0 | $76,282 | $0 | $192,972 | $0 | $23,367 | $0 | $1,108,238 | $0 | $0 |
| LOUIS D DE LA PARTE | ||||||||||||||
| EVP-GEN COUNSEL, ASST SEC | $0 | $398,178 | $0 | $149,502 | $0 | $24,445 | $0 | $56,634 | $0 | $22,877 | $0 | $651,636 | $0 | $0 |
| YVETTE LYONS TREMONTI | ||||||||||||||
| EVP-CFO & ASST TREASURER | $0 | $413,335 | $0 | $154,970 | $0 | $18,520 | $0 | $53,864 | $0 | $43,139 | $0 | $683,828 | $0 | $0 |
| BRAULIO VICENTE | ||||||||||||||
| SVP-HOSP OPERATIONS | $316,739 | $0 | $90,446 | $0 | $18,004 | $0 | $89,449 | $0 | $34,206 | $0 | $548,844 | $0 | $0 | $0 |
| WILLIAM FRANQUET | ||||||||||||||
| VP REV CYCLE MGMT TO 11/10/14 | $0 | $180,193 | $0 | $18,271 | $0 | $14,775 | $0 | $132 | $0 | $261 | $0 | $213,632 | $0 | $0 |
| JANE FUSILERO | ||||||||||||||
| VP-PATIENT CARE SVS/CNO | $296,572 | $0 | $81,959 | $0 | $4,378 | $0 | $21,935 | $0 | $21,972 | $0 | $426,816 | $0 | $0 | $0 |
| JOANNA WEISS | ||||||||||||||
| VP REV CYCLE MGMT 11/23/2014 | $0 | $143,341 | $0 | $21,771 | $0 | $6,668 | $0 | $10,321 | $0 | $23,673 | $0 | $205,774 | $0 | $0 |
| GENE WETZSTEIN | ||||||||||||||
| CHIEF PHARMACY OFFICER | $177,356 | $0 | $22,514 | $0 | $4,487 | $0 | $48,962 | $0 | $25,073 | $0 | $278,392 | $0 | $0 | $0 |
| VLADIMIR FEYGELMAN | ||||||||||||||
| ASSOC MBR PHYSICIST | $223,244 | $0 | $500 | $0 | $1,481 | $0 | $21,602 | $0 | $14,829 | $0 | $261,656 | $0 | $0 | $0 |
| EDUARDO G MOROS | ||||||||||||||
| SR MBR PHYSICIST | $348,005 | $0 | $9,001 | $0 | $2,733 | $0 | $22,920 | $0 | $23,570 | $0 | $406,229 | $0 | $0 | $0 |
| AMARJIT S SAINI | ||||||||||||||
| COORD BRACHYTHERAPY PHYSIC | $232,276 | $0 | $500 | $0 | $0 | $0 | $11,455 | $0 | $152 | $0 | $244,383 | $0 | $0 | $0 |
| SIRIPORN SARANGKASIRI | ||||||||||||||
| CLINICAL PHYSICIST II | $211,595 | $0 | $500 | $0 | $1,970 | $0 | $12,650 | $0 | $10,400 | $0 | $237,115 | $0 | $0 | $0 |
| STUART G WASSERMAN | ||||||||||||||
| DIR CLINICAL PHYSICS | $223,022 | $0 | $31,194 | $0 | $4,728 | $0 | $11,883 | $0 | $30,063 | $0 | $300,890 | $0 | $0 | $0 |
| JANENE CULUMBER | ||||||||||||||
| FORMER SVP-CFO&ASST TREAS | $0 | $146,187 | $0 | $0 | $0 | $306,096 | $0 | $36,222 | $0 | $17,996 | $0 | $506,501 | $0 | $0 |
| WILLIAM S DALTON | ||||||||||||||
| FORMER PRES/CEO | $0 | $643,473 | $0 | $0 | $0 | $66,539 | $0 | $65,899 | $0 | $18,346 | $0 | $794,257 | $0 | $0 |
| BRENDA S GORDON | ||||||||||||||
| FORMER VP-ANCILLARY SVCS | $0 | $0 | $0 | $0 | $126,452 | $0 | $1,897 | $0 | $3,296 | $0 | $131,645 | $0 | $0 | $0 |
| DEAN R HEAD | ||||||||||||||
| FORMER HOSPITAL VP-FAC MGMT | $0 | $55,753 | $0 | $0 | $0 | $111,671 | $0 | $4,620 | $0 | $3,168 | $0 | $175,212 | $0 | $0 |
| MARK F HULSE | ||||||||||||||
| FORMER HOSPITAL VP-CIO | $0 | $329,775 | $0 | $118,016 | $0 | $9,747 | $0 | $43,099 | $0 | $22,877 | $0 | $523,514 | $0 | $0 |
| ALAN F LIST | ||||||||||||||
| FORMER EVP-PHYS IN CHIEF | $0 | $747,090 | $0 | $371,296 | $0 | $117,843 | $0 | $100,958 | $0 | $57,732 | $0 | $1,394,919 | $0 | $0 |
| W J WILSON | ||||||||||||||
| FORMER HOSPITAL VP-GOVT RELATIONS | $0 | $234,276 | $0 | $80,605 | $0 | $10,300 | $0 | $50,217 | $0 | $14,954 | $0 | $390,352 | $0 | $0 |
| SCOTT D ELDREDGE | ||||||||||||||
| FORMER KEY EMP, DEPT ADMIN | $168,071 | $0 | $28,050 | $0 | $4,283 | $0 | $19,339 | $0 | $14,819 | $0 | $234,562 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, Lines 4a-b | BRENDA S. GORDON LEFT MOFFITT HOSPITAL ON JULY 7, 2013 AND RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $123,835. TWO OFFICERS LEFT MOFFITT INSTITUTE, A RELATED ORGANIZATION, AND RECEIVED SEVERANCE PAYMENTS. JANENE J. CULUMBER LEFT ON MAY 25, 2014 AND RECEIVED SEVERANCE PAYMETS OF $226,948.80 AND DEAN HEAD LEFT ON APRIL 8, 2014 AND RECEIVED SEVERANCE PAYMENTS OF $83,431.68. THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AND AMOUNTS LISTED ARE INCLUDED IN THEIR TOTAL COMPENSATION LISTED IN SCH J, PART II, COLUMN B, RESPECTIVELY: WILLIAM M. ALBERTS-$12,251 YVETTE M. LYONS TREMONTI-$16,365 JANENE J. CULUMBER-$22,882 JOHN A. KOLOSKY-$47,819 BRAULIO VICENTE-$9,073 LOUIS D. DE LA PARTE-$21,700 G. DOUGLAS LETSON-$33,763 BRENDA S. GORDON-$0 WILLIAM S. DALTON-$0 ALAN F. LIST-$55,652 W. J. WILSON-$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. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CAITLAN MILLER | |||
| SEE PART V | $24,379 | SEE PART V | 0 |
| NICHOLAS ELDREDGE | |||
| SEE PART V | $14,693 | SEE PART V | 0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE L, PART IV (LINE 1): | INTERESTED PERSON: CAITLAN MILLERRELATIONSHIP: FAMILY MEMBER OF BRAULIO VICENTE, OFFICERTRANSACTION: COMPENSATION AS AN EMPLOYEE OF THE ORGANIZATION |
| SCHEDULE L, PART IV (LINE 2): | INTERESTED PERSON: NICHOLAS ELDREDGERELATIONSHIP: FAMILY MEMBER OF SCOTT ELDREDGE, FORMER KEY EMPLOYEETRANSACTION: COMPENSATION AS AN EMPLOYEE OF THE ORGANIZATION |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | EQUIPMENT | Desc |
| Contribution | 4 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,085,435 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | PURCHASE PRICE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Column (b): | FormAndLineReferenceDesc |
| Explanation | THE NUMBER ON LINE 25(B) REPRESENTS THE NUMBER OF CONTRIBUTIONS, NOT THE NUMBER OF ITEMS CONTRIBUTED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 1 | TWO HOSPITAL BOARD MEMBERS, CHARLES PAIDAS AND JULIE DJEU, LEFT THE BOARD PRIOR TO THE ORGANIZATION'S TAX YEAR END. |
| Form 990, Part VI, Section A, line 2 | THE FOLLOWING DIRECTORS AND OFFICERS, THAT JOINTLY SERVE ON THE HOSPITAL AND A FOR-PROFIT RELATED ENTITY, QUALIFY AS HAVING A BUSINESS RELATIONSHIP. HOSPITAL & MOFFITT GENETICS CORPORATION: 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 4 | CHANGES WERE MADE TO HOSPITAL SOLE MEMBER'S POWERS TO APPROVE OR DISAPPROVE IN EXCESS OF A STATED DOLLAR AMOUNT WHERE INDICATED IN THE ARTICLES AND BYLAWS. |
| 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 11 | 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 PREREQUISITES (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 VII, Section A: | ROBERT KEENAN DID NOT RECEIVE REPORTABLE COMPENSATION IN CALENDAR YEAR 2014 GIVEN HIS HIRE DATE WAS JANUARY 5, 2015. AVERAGE WEEKLY HOURS REFLECTED IN PART VII ARE BASED ON HIS HIRE DATE WITHIN THE ORGANIZATION'S TAX YEAR. |
| 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 -XXX-XX-XXXX. INTEREST IN NET ASSETS OF FOUNDATION 540248. |
| FORM 990, PART VI, LINE 4: | CHANGES TO BOTH THE ARTICLES AND BYLAWS WERE MADE TO INCREASE THE DOLLAR LIMITS THE CORPORATION HAS AUTHORITY TO APPROVE OR DISAPPROVE FOR STATED TRANSACTIONS. |
| Form 990, Part VI, Line 4: | CHANGES TO BOTH THE ARTICLES AND BYLAWS WERE MADE TO INCREASE THE DOLLAR LIMITS THE CORPORATION HAS AUTHORITY TO APPROVE OR DISAPPROVE FOR STATED TRANSACTIONS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| H LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE INC | |||||||||||
| 12902 MAGNOLIA DRIVE | TAMPA | FL | 33612 | 592451713 | PARENT-RESEARCH | FL | 501(c)(3) | Line 7 | N/A | 0 | |
| H LEE MOFFITT CANCER CTR & RESEARCH INSTITUTE FOUNDATION INC | |||||||||||
| 12902 MAGNOLIA DRIVE | TAMPA | FL | 33612 | 593238636 | FUNDRAISING | FL | 501(c)(3) | Line 7 | 0 | H LEE MOFFITT CANCER CTR & RES INST INC | |
| H LEE MOFFITT CC&RI LIFETIME CANCER SCREENING CENTER INC | |||||||||||
| 12902 MAGNOLIA DRIVE | TAMPA | FL | 33612 | 593238640 | PRACTICE MANAGEMENT | FL | 501(c)(3) | Line 9 | 0 | H LEE MOFFITT CANCER CTR & RES INST INC | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| MOFFITT TECHNOLOGIES CORPORATION | |||||||||
| 12902 MAGNOLIA DRIVE | TAMPA | FL | 33612 | 300332914 | TECHNOLOGY MANAGEMENT | FL | N/A | C | 0 |
| MOFFITT GENETICS CORPORATION | |||||||||
| 10902 N MCKINLEY DRIVE | TAMPA | FL | 33612 | 208486180 | DATABASE MANAGEMENT | FL | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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