2016-05-13T18:52:56-05:00 2015-06-30 346565596 ERNST & YOUNG US LLP 201 NORTH FRANKLIN STREET SUITE 2400 TAMPA FL 33602 990 2014-07-01 593238634 H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL INC HLEE 8137454673 12902 MAGNOLIA DRIVE TAMPA FL 33612 Yvette Tremonti EVP/CFO 8137457862 2016-05-13 1 MELANIE A MCPEAK P01346034 8132254800 2014 2016-08-17 19:52:53Z JOHN A KOLOSKY 12902 MAGNOLIA DRIVE TAMPA FL 33612 765056793 0 X WWW.MOFFITT.ORG X 1994 FL TO CONTRIBUTE TO THE PREVENTION AND CURE OF CANCER. 14 12 3221 476 0 0 8687447 7224360 702928667 754476547 1126327 -9709 3012807 3265748 715755248 764956946 10629829 12583712 0 0 237883430 260232114 0 0 0 357837966 378615602 606351225 651431428 109404023 113525518 135008983 141481633 48959973 55082488 86049010 86399145 X THE PRIMARY PURPOSE OF THE H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC. IS TO CONTRIBUTE TO THE PREVENTION AND CURE OF CANCER. 0 0 550872860 12583712 754487424 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. 550872860 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0 1 130 0 1 3221 1 0 0 0 0 0 0 0 0 0 0 X 14 12 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X YVETTE M LYONS TREMONTI 8137457862 12902 MAGNOLIA DRIVE TAMPA FL 33612 X BETH A HOUGHTON DIRECTOR, CHAIR 1.00 1.00 X X 0 0 0 THE HONORABLE MARK A PIZZO DIRECTOR, VICE CHAIR 1.00 1.00 X X 0 0 0 THE HONORABLE H LEE MOFFITT DIRECTOR, SECRETARY/TREAS 1.00 4.00 X X 0 0 0 W MICHAEL ALBERTS DIRECTOR, VP-MED AFFAIRS & CMO TO 12/31/14 55.00 0.00 X X 447467 0 78117 MICHAEL BICE DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH CABALLERO DIRECTOR 1.00 1.00 X 0 0 0 ROLAND DANIELS DIRECTOR 1.00 0.00 X 0 0 0 JULIE DJEU DIRECTOR, ACD RSCH EDUC 1.00 49.00 X 0 306721 63263 VALERIE GODDARD DIRECTOR 1.00 0.00 X 0 0 0 G DOUGLAS LETSON DIRECTOR, EVP-PHYS IN CHIEF 22.00 33.00 X X 773665 0 60961 JO MANION DIRECTOR 1.00 0.00 X 0 0 0 JENNIFER MOFFITT DIRECTOR 1.00 1.00 X 0 0 0 ORLANDO NIEVES DIRECTOR 1.00 0.00 X 0 0 0 CHARLES PAIDAS DIRECTOR 1.00 0.00 X 0 0 0 NICOLAS PORTER DIRECTOR 1.00 0.00 X 0 0 0 MARY ANNE REILLY DIRECTOR 1.00 0.00 X 0 0 0 JOHN A KOLOSKY HOSPITAL PRESIDENT 25.00 30.00 X 0 891899 214456 LOUIS D DE LA PARTE EVP-GEN COUNSEL, ASST SEC 20.00 35.00 X 0 572125 77116 YVETTE LYONS TREMONTI EVP-CFO & ASST TREASURER 20.00 35.00 X 0 586825 95657 BRAULIO VICENTE SVP-HOSP OPERATIONS 35.00 20.00 X 425189 0 116696 WILLIAM FRANQUET VP REV CYCLE MGMT TO 11/10/14 35.00 20.00 X 0 213239 360 JANE FUSILERO VP-PATIENT CARE SVS/CNO 55.00 0.00 X 382909 0 35868 ROBERT KEENAN VP-QUAL & MED AFFAIRS/CMO 1/5/2015 55.00 0.00 X 0 0 0 JOANNA WEISS VP REV CYCLE MGMT 11/23/2014 35.00 20.00 X 0 171780 32676 GENE WETZSTEIN CHIEF PHARMACY OFFICER 50.00 0.00 X 204357 0 72709 VLADIMIR FEYGELMAN ASSOC MBR PHYSICIST 50.00 0.00 X 225225 0 35398 EDUARDO G MOROS SR MBR PHYSICIST 50.00 0.00 X 359739 0 44166 AMARJIT S SAINI COORD BRACHYTHERAPY PHYSIC 50.00 0.00 X 232776 0 11606 SIRIPORN SARANGKASIRI CLINICAL PHYSICIST II 50.00 0.00 X 214065 0 22124 STUART G WASSERMAN DIR CLINICAL PHYSICS 50.00 0.00 X 258944 0 39680 JANENE CULUMBER FORMER SVP-CFO&ASST TREAS 0.00 0.00 X 0 452283 49237 WILLIAM S DALTON FORMER PRES/CEO 0.00 55.00 X 0 710012 82332 BRENDA S GORDON FORMER VP-ANCILLARY SVCS 0.00 0.00 X 126452 0 1897 DEAN R HEAD FORMER HOSPITAL VP-FAC MGMT 0.00 0.00 X 0 167424 6774 MARK F HULSE FORMER HOSPITAL VP-CIO 0.00 55.00 X 0 457538 64778 ALAN F LIST FORMER EVP-PHYS IN CHIEF 0.00 55.00 X 0 1236229 157192 W J WILSON FORMER HOSPITAL VP-GOVT RELATIONS 0.00 55.00 X 0 325181 64150 SCOTT D ELDREDGE FORMER KEY EMP, DEPT ADMIN 50.00 0.00 X 200404 0 30425 3851192 6091256 1457638 194 1 1 0 LEIDOS HEALTH LLC PO BOX 223866 PITTSBURGH PA 15251 PROFESSIONAL SERVICES 1099819 LAB CORP OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LAB SERVICES 1055056 HARMONY HEALTHCARE 2909 W BAY TO BAY BLVD STE 500 TAMPA FL 33629 PROFESSIONAL SERVICES 892711 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 30384 PROFESSIONAL SERVICES 845056 MEDCYCLE MANAGEMENT 1718 GENERAL GEORGE PATTON DR BRENTWOOD TN 37027 COLLECTIONS 730852 21 2044229 324341 4855790 1085435 7224360 NET PATIENT SERV REV 900099 734689417 734689417 SPECIALTY PHARMACY 900099 17609493 17609493 OUTPATIENT PHARMACY 900099 802000 802000 EDUCATION CONFERENCES 611710 562524 562524 AFFILIATE SERVICES 900099 515963 515963 297150 297150 754476547 90138 99847 -9709 -9709 -9709 CAFETERIA 722210 2526046 2526046 INT FROM INS CO 524114 244611 244611 REBATES 900099 212853 212853 282238 10877 271361 3265748 764956946 754487424 0 3245162 X 12583712 12583712 3015935 2836290 179645 273224 220205 53019 203764750 160111060 43653690 9870491 7969771 1900720 28831326 25673498 3157828 14476388 11513303 2963085 1832753 1832753 343096 343096 465795 465795 18416821 12985511 5431310 2595233 19524 2575709 44210168 29976559 14233609 10640704 10640704 12937595 3399217 9538378 741203 355354 385849 536832 536832 6916184 6916184 26519918 9985943 16533975 797010 797010 MEDICAL SUPPLIES 198363812 198363812 ALLOC OF INTERCO EXP 0 48077903 -48077903 PURCHASED SERVICES 33867071 12827400 21039671 HCCB ASSESSMENT 8087540 8087540 11343867 5349426 5994441 651431428 550872860 100558568 0 10025 7525 2469265 2592814 85460800 81102636 9335007 10963297 1236204 1063242 182483493 143930466 32286083 38553027 4211599 7199092 135008983 141481633 23872604 25375908 174021 167354 24913348 29539226 48959973 55082488 X 83164579 82974466 2884431 3424679 86049010 86399145 135008983 141481633 X 113525518 -113175383 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 27308 1 7737 1 5 1 641744 1 25302 1 21139 723235 0 Part II-B, Line 1: THE H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. AND ITS THREE NON-PROFIT SUBSIDIARY CORPORATIONS ("CORPORATION") WERE CREATED TO GOVERN AND OPERATE THE H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE ("INSTITUTE") PURSUANT TO SECTION 1004.43, FLORIDA STATUTES. AMONG OTHER THINGS, SECTION 1004.43 FLORIDA STATUTES PROVIDES: (1) THAT THE CORPORATION SHALL ENTER INTO AN AGREEMENT WITH THE STATE BOARD OF EDUCATION FOR THE UTILIZATION OF FACILITIES ON THE CAMPUS OF THE UNIVERSITY OF SOUTH FLORIDA; (2) THAT THE CORPORATION SUBMIT ANNUAL POST AUDITS OF ITS FINANCIAL ACCOUNTS TO THE AUDITOR GENERAL OF THE STATE OF FLORIDA AND THE BOARD OF GOVERNORS FOR THEIR REVIEW; AND (3) THAT THE CORPORATION'S CEO REPORT TO THE BOARD OF GOVERNORS OR ITS DESIGNEE AND PROVIDE COPIES OF THE INSTITUTE'S ANNUAL REPORT TO THE GOVERNOR OF THE STATE OF FLORIDA, THE CABINET, THE PRESIDENT OF THE SENATE, THE SPEAKER OF THE HOUSE AND THE CHAIR OF THE BOARD OF GOVERNORS. ALTHOUGH THE CORPORATION IS A PRIVATE ENTITY, IT IS NONETHELESS SUBJECT TO THE STATE OF FLORIDA'S PUBLIC RECORDS AND THE PUBLIC MEETINGS LAWS. THE CORPORATION ALSO RELIES ON ANNUAL APPROPRIATIONS BY THE LEGISLATURE OF THE STATE OF FLORIDA AND GRANTS FROM VARIOUS LOCAL, STATE AND FEDERAL AGENCIES FOR OPERATION AND MAINTENANCE OF ITS FACILITIES AND FOR SPECIFIC RESEARCH AND CLINICAL PROGRAMS. FOR THESE REASONS, THE CORPORATION FROM TIME TO TIME ENGAGES LOBBYISTS AND OTHER CONSULTANTS: (1) TO ASSIST IT IN COMPLYING WITH ITS REPORTING REQUIREMENTS TO THE STATE OF FLORIDA UNDER SECTION 1004.43, FLORIDA STATUTES; (2) TO MONITOR LEGISLATIVE AND EXECUTIVE BRANCH ACTION AT LOCAL, STATE AND FEDERAL LEVELS OF GOVERNMENT WHICH IMPACT ITS OPERATION AND THE FULFILLMENT OF ITS MISSION; AND (3) TO INFLUENCE LEGISLATION IN FURTHERANCE OF ITS MISSION IN THE AREAS OF CANCER RESEARCH AND TREATMENT, THE TEACHING AND TRAINING OF HEALTH CARE PROFESSIONALS AND COMMUNITY EDUCATION AND OUTREACH ACTIVITIES. THE CORPORATION DOES NOT ENGAGE IN ANY ACTIVITIES TO SUPPORT OR OPPOSE ANY CANDIDATE FOR PUBLIC OFFICE. PART II-B, LINE 1i, OTHER ACTIVITIES THE OTHER ACTIVITIES AMOUNT LISTED ON LINE 1i IS COMPRISED OF EXPENSES RELATED TO ORCHESTRATING CONTACT BETWEEN GRASSROOTS SUPPORTERS AND ELECTED OFFICIALS TO PROMOTE THE INSTITUTION'S LEGISLATIVE INITIATIVES. 281110 281110 0 180366868 143649356 36717512 1835515 1835515 38553027 INVESTMENT IN PREMIER 3526255 INTEREST IN NET ASSETS OF FOUNDATION 3424679 RECEIVABLE - OTHER 248158 7199092 HCCB ASSESSMENT 10340589 ESTIMATED THIRD-PARTY SETTLEMENTS 19198637 29539226 X Part X, Line 2: 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 13971649 13971649 0.02150 23926761 13626859 10299902 0.01600 37898410 13626859 24271551 0.03750 511572 511572 0.00080 1898071 1898071 0.00290 31528 31528 0.00000 2441171 2441171 0.00370 40339581 13626859 26712722 0.04120 1 358664 177980519 192884695 -14904176 X 1 1 1 1 H LEE MOFFITT CANCER CENTER & RESEARCH 12902 MAGNOLIA DRIVE TAMPA FL 33612 www.moffitt.org 4334 X H LEE MOFFITT CANCER CENTER & RESEARCH 1 0 0 1 X X X X X X X X X 12 1 0 0 1 X SEE PART V, SECTION C FOR WEBSITE X 0 0 1 X 200.000000000000 300.000000000000 X X X X 1 1 X 1 X X X 1 X 0 X X X X X 0 X X X X 0 0 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. 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% 1 H LEE MOFFITT CC&RI INC 12902 MAGNOLIA DRIVE TAMPA FL 33612 592451713 501(C)(3) 12576930 INTERCOMPANY SUPPORT 1 0 Part I, Line 2: THE SCHEDULE I, PART II GRANT AMOUNTS REPRESENT INTERCOMPANY SUPPORT AND ARE ONLY MADE TO RELATED ORGANIZATIONS TO SUPPORT THEIR OPERATIONS. 1 1 0 0 0 1 1 0 0 W MICHAEL ALBERTS DIRECTOR, VP-MED AFFAIRS & CMO TO 12 313117 0 100822 0 33528 0 61915 0 21737 0 531119 0 0 0 JULIE DJEU DIRECTOR, ACD RSCH EDUC 0 273720 0 19587 0 13414 0 49330 0 14913 0 370964 0 0 G DOUGLAS LETSON DIRECTOR, EVP-PHYS IN CHIEF 525842 0 199113 0 48710 0 39909 0 26529 0 840103 0 0 0 JOHN A KOLOSKY HOSPITAL PRESIDENT 0 594853 0 220764 0 76282 0 192972 0 23367 0 1108238 0 0 LOUIS D DE LA PARTE EVP-GEN COUNSEL, ASST SEC 0 398178 0 149502 0 24445 0 56634 0 22877 0 651636 0 0 YVETTE LYONS TREMONTI EVP-CFO & ASST TREASURER 0 413335 0 154970 0 18520 0 53864 0 43139 0 683828 0 0 BRAULIO VICENTE SVP-HOSP OPERATIONS 316739 0 90446 0 18004 0 89449 0 34206 0 548844 0 0 0 WILLIAM FRANQUET VP REV CYCLE MGMT TO 11/10/14 0 180193 0 18271 0 14775 0 132 0 261 0 213632 0 0 JANE FUSILERO VP-PATIENT CARE SVS/CNO 296572 0 81959 0 4378 0 21935 0 21972 0 426816 0 0 0 JOANNA WEISS VP REV CYCLE MGMT 11/23/2014 0 143341 0 21771 0 6668 0 10321 0 23673 0 205774 0 0 GENE WETZSTEIN CHIEF PHARMACY OFFICER 177356 0 22514 0 4487 0 48962 0 25073 0 278392 0 0 0 VLADIMIR FEYGELMAN ASSOC MBR PHYSICIST 223244 0 500 0 1481 0 21602 0 14829 0 261656 0 0 0 EDUARDO G MOROS SR MBR PHYSICIST 348005 0 9001 0 2733 0 22920 0 23570 0 406229 0 0 0 AMARJIT S SAINI COORD BRACHYTHERAPY PHYSIC 232276 0 500 0 0 0 11455 0 152 0 244383 0 0 0 SIRIPORN SARANGKASIRI CLINICAL PHYSICIST II 211595 0 500 0 1970 0 12650 0 10400 0 237115 0 0 0 STUART G WASSERMAN DIR CLINICAL PHYSICS 223022 0 31194 0 4728 0 11883 0 30063 0 300890 0 0 0 JANENE CULUMBER FORMER SVP-CFO&ASST TREAS 0 146187 0 0 0 306096 0 36222 0 17996 0 506501 0 0 WILLIAM S DALTON FORMER PRES/CEO 0 643473 0 0 0 66539 0 65899 0 18346 0 794257 0 0 BRENDA S GORDON FORMER VP-ANCILLARY SVCS 0 0 0 0 126452 0 1897 0 3296 0 131645 0 0 0 DEAN R HEAD FORMER HOSPITAL VP-FAC MGMT 0 55753 0 0 0 111671 0 4620 0 3168 0 175212 0 0 MARK F HULSE FORMER HOSPITAL VP-CIO 0 329775 0 118016 0 9747 0 43099 0 22877 0 523514 0 0 ALAN F LIST FORMER EVP-PHYS IN CHIEF 0 747090 0 371296 0 117843 0 100958 0 57732 0 1394919 0 0 W J WILSON FORMER HOSPITAL VP-GOVT RELATIONS 0 234276 0 80605 0 10300 0 50217 0 14954 0 390352 0 0 SCOTT D ELDREDGE FORMER KEY EMP, DEPT ADMIN 168071 0 28050 0 4283 0 19339 0 14819 0 234562 0 0 0 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. CAITLAN MILLER SEE PART V 24379 SEE PART V 0 NICHOLAS ELDREDGE SEE PART V 14693 SEE PART V 0 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 X EQUIPMENT 4 1085435 PURCHASE PRICE 0 0 0 0 Part I, Column (b): THE NUMBER ON LINE 25(B) REPRESENTS THE NUMBER OF CONTRIBUTIONS, NOT THE NUMBER OF ITEMS CONTRIBUTED. Form 990, Part VI, Section A, line 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. 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 H LEE MOFFITT CANCER CTR & RES INST INC 0 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 H LEE MOFFITT CANCER CTR & RES INST INC 0 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 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0