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H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
H LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL INC (EIN 59-3238634)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201231359349305623
Schema version
2010v3.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-14T16:41:00-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line175 BEATTIE PLACE SUITE 800AddressLine1
CityGREENVILLECity
StateSCState
ZIP Code29601ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN593238634EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1H LEE MOFFITT CANCER CENTER ANDBusinessNameLine1
Business Name Line2RESEARCH INSTITUTE HOSPITAL INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlHLEENameControl
Phone8137454673Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line112902 MAGNOLIA DRIVEAddressLine1
CityTAMPACity
StateFLState
ZIP Code33612ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJanene CulumberName
TitleVP/CFOTitle
Phone8137451329Phone
Date Signed2012-05-14DateSigned
Authorize Third Party0AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameEMILY STANCILName
Phone8642425740Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN A KOLOSKYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line112902 MAGNOLIA DRIVEAddressLine1
CityTAMPACity
StateFLState
ZIP Code33612ZIPCode
FieldValueIRS element (for citing)
Gross Receipts566276475GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MOFFITT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO CONTRIBUTE TO THE PREVENTION AND CURE OF CANCER.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees2726TotalNbrEmployees
Total Nbr Volunteers735TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7551785ContributionsGrantsPriorYear
Contributions Grants Current Year3536511ContributionsGrantsCurrentYear
Program Service Revenue Prior Year514831626ProgramServiceRevenuePriorYear
Program Service Revenue CY559022885ProgramServiceRevenueCY
Investment Income Prior Year3009349InvestmentIncomePriorYear
Investment Income Current Year959849InvestmentIncomeCurrentYear
Other Revenue Prior Year3050462OtherRevenuePriorYear
Other Revenue Current Year2657769OtherRevenueCurrentYear
Total Revenue Prior Year528443222TotalRevenuePriorYear
Total Revenue Current Year566177014TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year141450GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year189234730SalariesEtcPriorYear
Salaries Etc Current Year173558237SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year270869961OtherExpensePriorYear
Other Expenses Current Year336105911OtherExpensesCurrentYear
Total Expenses Prior Year460246141TotalExpensesPriorYear
Total Expenses Current Year509664148TotalExpensesCurrentYear
Revenues Less Expenses Prior Year68197081RevenuesLessExpensesPriorYear
Revenues Less Expenses CY56512866RevenuesLessExpensesCY
Total Assets BOY325027437TotalAssetsBOY
Total Assets EOY129567820TotalAssetsEOY
Total Liabilities BOY44109244TotalLiabilitiesBOY
Total Liabilities EOY35515073TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY280918193NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY94052747NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE PRIMARY PURPOSE OF THE H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC. IS TO CONTRIBUTE TO THE PREVENTION AND CURE OF CANCER.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense436872599Expense
Revenue558846427Revenue
DescriptionH. 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 40 IN THE NATION TO HOLD THIS DISTINCTION. TO HELP FURTHER ITS MISSION, THE HOSPITAL HAS ESTABLISHED A NETWORK OF STRATEGIC PARTNERS COMPOSED OF 14 AFFILIATE HOSPITALS WITHIN THE STATE PLUS ONE IN GEORGIA AND ANOTHER IN PENNSYLVANIA. THE NETWORK ALSO INCLUDES MORE THAN 400 COMMUNITY ONCOLOGISTS.REIMBURSEMENT IS 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 AVAILIABLE IN THEIR COMMUNITY.IT IS THIS COMMITTMENT 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. THE MOFFITT ORGANIZATION HAS MORE THAN 4,600 EMPLOYEES. IT IS LICENSED FOR 206 BEDS AND INCLUDES THE MOFFITT MEDICAL CLINIC, A FREESTANDING OUTPATIENT TREATMENT CENTER LOCATED IN SOUTH TAMPA, AND A FREESTANDING LIFETIME 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 2011, THE HOSPITAL RECORDED 328,311 OUTPATIENT VISITS AND 8,921 INPATIENT ADMISSIONS.Description
Total Program Service Expense436872599TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096150NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2726NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JANENE CULUMBERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8137451329TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112902 MAGNOLIA DRIVEAddressLine1
CityTAMPACity
StateFLState
ZIP Code33612ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
BETH A HOUGHTON
CHAIR1.00XX000
THE HONORABLE MARK A PIZZO
VICE CHAIR1.00XX000
THE HONORABLE H LEE MOFFITT
SECRETARY/TREASURER1.00XX000
W MICHAEL ALBERTS
DIRECTOR, VP-MEDICAL AFFAIRS55.00XX20541421799344228
KAREN A ARNOLD
DIRECTOR1.00X000
JOSEPH CABALLERO
DIRECTOR1.00X000
MUNYA CHIURA PHD
DIRECTOR1.00X000
JULIE DJEU
DIRECTOR, SR MBR FAC RSCH1.00X028615525870
HARVEY M GREENBERG MD
DIRECTOR1.00X000
DWAYNE HAWKINS
DIRECTOR1.00X000
RONALD A HURST
DIRECTOR1.00X000
STEPHEN K KLASKO MD
DIRECTOR1.00X000
THE HONORABLE GWEN MILLER
DIRECTOR1.00X000
ORLANDO NIEVES
DIRECTOR1.00X000
MARY ANNE REILLY
DIRECTOR1.00X000
JOHN A KOLOSKY
HOSP PRES AS OF 2/11/1133.00X072511943330
WILLIAM S DALTON
PRES/CEO & CTR DIRECT-PARENT1.00X0131415167154
LOUIS D DE LA PARTE
EVP-GEN COUNSEL, ASST SEC22.00X046503539330
ALAN F LIST
EVP-PHYSICIAN IN CHIEF33.00X30946433612043267
NICOLAS C PORTER
EVP-INST ADV & CORP REL33.00X057435439695
YVETTE LYONS TREMONTI
EVP-STRATEGY & BUS DEVEL33.00X030280137774
BRAULIO VICENTE
SVP-HOSP OPERATIONS40.00X358349042361
JANENE CULUMBER
VP-CFO, ASST TREASURER22.00X039439634904
JANE FUSILERO
VP-PATIENT CARE SVS/CNO55.00X000
BRENDA S GORDON
VP-ANCILLARY SVCS55.00X249376022775
MARYBETH REARDON
VP-PATIENT CARE SVS/CNO55.00X272353026606
SCOTT D ELDREDGE
DEPARTMENT ADMINSTRATOR55.00186385023458X
GENE WETZSTEIN
DIR PHARMACY55.00185010034753X
VLADIMIR FEYGELMAN
ASSIST MBR PHYSICIST55.00223775030470X
KENNETH M FORSTER
ASSOC MBR PHYSICIST55.00252484039642X
BRIAN K NORIEGA
CLINICAL PHYSICIST II55.00209039031500X
SIRIPORN SARANGKASIRI
CLINICAL PHYSICIST II55.00212077021071X
STUART G WASSERMAN
DIR CLINICAL PHYSICS55.00241048033449X
DEAN R HEAD
FORMER HOSPITAL VP-FAC MGMT0.00020686226423X
MARK F HULSE
FORMER HOSPITAL VP-CIO0.00028557433600X
THOMAS A SELLERS
FORMER EVP-ACD CANCER0.00056187947650X
W J WILSON
FORMER HOSPITAL VP-GOVT REL22.0010899417727026240X
PHILIP E JOHNSON
FORMER DIR PHARMACY55.00199812024757X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3213580TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5847709TotalReportableCompFrmRltdOrgs
Total Other Compensation840307TotalOtherCompensation
Number Individuals GT100 K165NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LAB CORP OF AMERICA
PO BOX 12140BURLINGTONNC27216LAB SERVICES450161
ERNST & YOUNG US LLP
200 PLAZA DRIVESECAUCUSNJ07094AUDIT AND TAX SERVICES269738
CUMMINS POWER SOUTH LLC
5125 HWY 85ATLANTAGA30349CONSTRUCTION SERVICES232448
THERMACIRC LLC
425 MAPLEWOOD DRIVEOLDSMARFL34677EQUIPMENT SERVICES192940
LIBERTY PARTNERS GROUP LLP
1050 K ST NW STE 315WASHINGTONDC20001CONSULTING SERVICES150413
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Related Organizations1295659RelatedOrganizations
Government Grants14926GovernmentGrants
All Other Contributions2225926AllOtherContributions
Noncash Contributions141036NoncashContributions
Total Contributions3536511TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE RE900099542240459542240459
OUTPATIENT PHARMACY9000991533861515338615
LODGING PROGRAM721000457405457405
CONFERENCE PLANNING611710385679385679
MOFFITT SOUTH900099195402195402

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column405325TotalRevenueColumn
Related Or Exempt Function Income225879RelatedOrExemptFunctionIncome
Exclusion$179,446ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue559022885TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column983206TotalRevenueColumn
Exclusion$983,206ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other76104Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other99461Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-23357Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-23357TotalRevenueColumn
Exclusion-$23,357ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA7222102207557$2,207,557
GIFT SHOP453220240421$240,421
INT FROM INS CO524114140147$140,147

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column69644TotalRevenueColumn
Related Or Exempt Function Income2988RelatedOrExemptFunctionIncome
Exclusion$66,656ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2657769TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column566177014TotalRevenueColumn
Related Or Exempt Function Income558846427RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,794,076ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3056621Total
Program Services2906934ProgramServices
Management And General149687ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total230506Total
Program Services219218ProgramServices
Management And General11288ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total133995080Total
Program Services127433153ProgramServices
Management And General6561927ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8127873Total
Program Services7729840ProgramServices
Management And General398033ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total17892320Total
Program Services17016108ProgramServices
Management And General876212ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total10255837Total
Program Services9753594ProgramServices
Management And General502243ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total172575Total
Management And General172575ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total578518Total
Program Services578518ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9422431Total
Program Services8001294ProgramServices
Management And General1421137ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total97676Total
Program Services97676ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total172953377Total
Program Services171857727ProgramServices
Management And General1095650ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total10643253Total
Management And General10643253ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4530483Total
Program Services4416437ProgramServices
Management And General114046ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total322303Total
Program Services251893ProgramServices
Management And General70410ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total713527Total
Program Services713527ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11785762Total
Program Services11489079ProgramServices
Management And General296683ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
INTERCOMPANY SERVICES824643333325840349205930
PURCHASED SERVICES2198373521352707631028
BAD DEBT EXPENSE1135722311357223
HCCB ASSESSMENT52919785291978
CAFETERIA FOOD SERVICES17106941710694

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2078043Total
Program Services1436596ProgramServices
Management And General641447ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total509664148Total
Program Services436872599ProgramServices
Management And General72791549ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12625BOY
EOY11874EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1157383BOY
EOY817776EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY57914955BOY
EOY78688695EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY8433711BOY
EOY8871679EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7113030BOY
EOY1887878EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis142616444LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec107799938LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY230340629BOY
EOY34816506EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY20055104BOY
EOY4473412EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY325027437BOY
EOY129567820EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY41148192BOY
EOY31800791EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY833333EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2961052BOY
EOY2880949EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY44109244BOY
EOY35515073EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY278802193BOY
EOY91987172EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2116000BOY
EOY2065575EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY280918193BOY
EOY94052747EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY325027437BOY
EOY129567820EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses56512866ReconcilationRevenueExpenses
Reconcilation Other Changes-243378312ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers1Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Mailings Members$46,322MailingsMembersAmount
Publications Or Broadcast1PublicationsOrBroadcast
Publications Or Broadcast$1,779PublicationsOrBroadcastAmount
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$519,795DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$10,622OtherActivitiesAmount
Total Lobbying Expenditures IIB578518TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Explanation of Other Lobbying Activities:Part II-B, Line 1i: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 ENTITIY, 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 IV, Supplemental Information:OTHER ACTIVITIES, LINE 1i: THE OTHER ACTIVITIES AMOUNT LISTED ON LINE 1i IS COMPRISED OF EXPENSES RELATED TO ORGANIZING VOLUNTEERS TO VISIT LEGISLATORS.

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis281110OtherCostOrOtherBasis
Depreciation281110Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis141796085OtherCostOrOtherBasis
Depreciation107518828Depreciation
Book Value34277257BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis539249OtherCostOrOtherBasis
Book Value539249BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34816506TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionHCCB ASSESSMENTDescription
Amount$2,880,949Amount
FieldValueIRS element (for citing)
Total Of Amounts2880949TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X:ReturnReference
ExplanationThe 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.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served5027PersonsServed
Total Community Benefit Expense20508725TotalCommunityBenefitExpense
Net Community Benefit Expense20508725NetCommunityBenefitExpense
Percent Of Total Expense0.04120PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served3352PersonsServed
Total Community Benefit Expense40725452TotalCommunityBenefitExpense
Direct Offsetting Revenue18478842DirectOffsettingRevenue
Net Community Benefit Expense22246610NetCommunityBenefitExpense
Percent Of Total Expense0.04460PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served45PersonsServed
Total Community Benefit Expense271422TotalCommunityBenefitExpense
Direct Offsetting Revenue192620DirectOffsettingRevenue
Net Community Benefit Expense78802NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served8424PersonsServed
Total Community Benefit Expense61505599TotalCommunityBenefitExpense
Direct Offsetting Revenue18671462DirectOffsettingRevenue
Net Community Benefit Expense42834137NetCommunityBenefitExpense
Percent Of Total Expense0.08590PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense108741TotalCommunityBenefitExpense
Direct Offsetting Revenue4323DirectOffsettingRevenue
Net Community Benefit Expense104418NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served434PersonsServed
Total Community Benefit Expense1311900TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1311900NetCommunityBenefitExpense
Percent Of Total Expense0.00260PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served1483PersonsServed
Total Community Benefit Expense51096TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense51096NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served1917PersonsServed
Total Community Benefit Expense1471737TotalCommunityBenefitExpense
Direct Offsetting Revenue4323DirectOffsettingRevenue
Net Community Benefit Expense1467414NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served10341PersonsServed
Total Community Benefit Expense62977336TotalCommunityBenefitExpense
Direct Offsetting Revenue18675785DirectOffsettingRevenue
Net Community Benefit Expense44301551NetCommunityBenefitExpense
Percent Of Total Expense0.08880PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$3,746,027BadDebtExpenseAmount
Amount Reimbursed By Medicare116681166AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare131031128CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-14349962MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1H LEE MOFFITT CANCER CENTER & RESEARCHBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line112902 MAGNOLIA DRIVEAddressLine1
CityTAMPACity
StateFLState
ZIP Code33612ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1H LEE MOFFITT CANCER CENTER & RESEARCHBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Permit Other ActionsXPermitOtherActions
Collection Activities1CollectionActivities
Other ActionsXOtherActions
Notify Upon AdmissionXNotifyUponAdmission
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy0NondiscrimEmergencyCarePolicy
No Emergency CareXNoEmergencyCare
Other ReasonXOtherReason
Medicare RateXMedicareRate
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

ExplanationExplanationIdentifierIdentifier
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% FO 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 4: CHARITY CARE IS PROVIDED TO THOSE CLASSIFIED AS MEDICALLY INDIGENT IF A PATIENT'S MEDICAL BILLS/CHARGES EXCEED 25% OF PATIENT'S AND FAMILY'S GROSS ANNUAL INCOME AND ASSETS. OUTSTANDING MEDICAL BALANCES FROM FACILITIES OTHER THAN THE CANCER CENTER CAN AND WILL BE USED IN THIS DETERMINATION. MEDICALLY INDIGENT PATIENTS SHALL BE ENTITLED TO CHARITY ADJUSTMENTS OF 100% ON QUALIFYING BALANCES. PART I, LINE 5A & 5B: THE ANNUAL BUDGETED AMOUNT FOR CHARITY CARE IS AN ESTIMATE USED FOR FINANCIAL BUDGETING PURPOSES AND DOES NOT LIMIT THE CANCER CENTER FROM PROVIDING CARE TO QUALIFYING PATIENTS.
Part I, Line 6a: OUR ANNUAL COMMUNITY BENEFIT REPORT WAS MAILED TO SEVERAL COMMUNITY ORGANIZATIONS WITH WHOM WE ARE ASSOCIATED. THE REPORT IS ALSO MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Part I, Line 7: COST METHODOLOGY FOR CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS IS THE COST-TO-CHARGE RATIO USED FOR THE CHARITY CARE AND MEANS TESTED PROGRAMS AND DIRECT COST METHOD FOR THE OTHER BENEFITS/PROGRAMS.
Part I, Line 7g: CALCULATION OF SUBSIDIZED HEATH SERVICES RELATES TO HOSPITAL'S SKIN CANCER MOLE PATROL UNIT. PHYSICIAN CLINICS WERE NOT INCLUDED IN THE CALCULATION.
Part I, L7 Col(f): OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN A FOR HOSPITAL $509,664,148. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $11,357,223. 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 $498,306,925.
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 2: THE RATIO OF PATIENT COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS REPORTED ON LINE 2. DISCOUNTS ARE NOT NETTED AGAINST BAD DEBT EXPENSE BUT RATHER ARE CONSIDERED AJUSTMENTS TO REVENUE.PART III, LINE 3: AN AMOUNT OF BAD DEBT SHOULD BE INCLUDED IN COMMUNITY BENEFIT; HOWEVER, AT THIS TIME A THOROUGH ASSESSMENT/ANALYSIS HAS NOT BEEN MADE TO DETERMINE THE AMOUNT THAT SHOULD BE CONSIDERED CHARITY CARE.
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.
Part III, Line 9b: PATIENTS ARE SCREENED DURING THE ADMISSIONS PROCESS (PRIOR TO THE COLLECTION 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. BASED ON PATIENT'S ELIGIBILITY THE QUALIFYING AMOUNT WILL NO LONGER BE BILLED.
Part V, Section B, Line 13g: LANGUAGE 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.IF A PATIENT IS UNABLE TO MEET THE FINANCIAL OBLIGATION BECAUSE THEY ARE UNINSURED OR UNDERINSURED OR IF THE PATIENT EXPRESSES THE INABILITY TO PAY, MOFFITT'S REPRESENTATIVES OR AGENTS WORKS WITH THE PATIENT TO DETERMINE THE NEED FOR FINANCIAL ASSISTANCEH LEE MOFFITT CANCER CENTER & RESEARCH
Part V, Section B, Line 15e: A DETERMINATION OF WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE WILL BE MADE IF A PATIENT EXPRESSES THE INABILITY TO PAY THEIR OBLIGATION EITHER BEFORE, DURING OR AFTER TREATMENT. IF THE PATIENT DOES NOT EXPRESS THE INABILITY TO PAY PRIOR TO BILLING, AN INVOICE IS SENT TO THE PATIENT WHICH HAS LANGUAGE REGARDING THE NEED FOR 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 FOR FINANCIAL ASSISTANCE OR DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE THEREAFTER AND PAYMENTS ARE NOT MADE AS AGREED, THE ACCOUNT IS REFERRED TO A COLLECTION AGENCY.H LEE MOFFITT CANCER CENTER & RESEARCH
Part V, Section B, Line 16e: THE HOSPITAL REFERS PATIENT ACCOUNTS TO A COLLECTION AGENCY. COLLECTION AGENCY MAKES EVERY EFFORT TO CONTACT THE PATIENT BY MAIL OR TELEPHONE. THE COLLECTION AGENCY FOLLOWS HOSPITAL'S FINANCIAL ASSISTANCE POLICY, IN THE EVENT THE PATIENT EXPRESSES THE INABILITY TO PAY.H LEE MOFFITT CANCER CENTER & RESEARCH
Part V, Section B, Line 18c: THE HOSPITAL WAS NOT EQUIPPED FOR EMERGENCY MEDICAL CARE SERVICES. HOWEVER, IF HOSPITAL PERSONNEL IDENTIFIED A PATIENT NEEDING EMERGENCY MEDICAL TREATMENT, WITHOUT DISCRIMINATION THE HOSPITAL WOULD STABILIZE THE PATIENT UNTIL SUCH TIME THAT THE PAIENT COULD BE TRANSFERRED TO A FACILITY WITH EMERGENCY MEDICAL SERVICES.H LEE MOFFITT CANCER CENTER & RESEARCH
Part V, Section B, Line 19d: HOSPITAL USES A 50% DISCOUNTED RATE OF BILLED CHARGES.H LEE MOFFITT CANCER CENTER & RESEARCH
Part VI, Line 2: IN RESPONSE TO AN URGENT NEED TO CREATE SOLUTIONS FOR THE DEVELOPMENT OF EFFECTIVE CANCER INTERVENTIONS AND EFFECTIVE PENETRATION WITHIN THE COMMUNITY, THE CANCER CENTER IN COLLABORATION WITH LOCAL COMMUNITY-BASED HEALTH CENTERS, SOCIAL SERVICES AGENCIES, FAITH-BASED GROUPS, ADULT EDUCATION AND LITERACY GROUPS, AND LOCAL MEDIA FORMED A NETWORK. THIS NETWORK AIMS TO ADDRESS CRITICAL ACCESS, PREVENTION AND CANCER CONTROL ISSUES THAT IMPACT MEDICALLY UNDERSERVED, LOW-LITERACY AND LOW-INCOME POPULATIONS IN THE COMMUNITY.
Part VI, Line 3: DURING THE PATIENT ADMISSION/REGISTRATION PROCESS, PATIENTS WILL MEET WITH A HOSPITAL PATIENT SERVICE REPRESENTATIVE WHO OBTAINS DEMOGRAPHIC AND FINANCIAL, I.E. INSURANCE, INFORMATION. WHEN THE PATIENT SERVICE REPRESENTATIVE DETERMINES A PATIENT HAS NO 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.
Part VI, Line 4: THE HOSPITAL IS THE ONLY FLORIDA BASED NCI DESIGNATED CANCER CENTER, PRIMARILY SERVICING SEVEN COUNTIES, HILLSBOROUGH, PASCO, PINELLAS, POLK, HERNANDO, SARASOTA, AND MANATEE. IN HILLSBOROUGH COUNTY, MINORITIES, MAINLY COMPRISING OF AFRICAN-AMERICAN AND HISPANICS, MADE UP 40% OF THE POPULATION IN 2011 WITH MEDIAN HOUSEHOLD INCOME RANGING FROM $24k TO $38k. FOR ALL SEVEN COUNTIES HISPANIC AND AFRICAN-AMERICAN'S WERE 26% OF THE POPULATION FOR 2011 WITH A MEDIAN HOUSEHOLD INCOME RANGING BETWEEN $41k AND $52k. FOR THE MONTH OF JUNE 2011 UNEMPLOYMENT FOR ALL SEVEN COUNTIES RANGED FROM 10.6% TO 13.7%.
Part VI, Line 6: 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. IT HAS CREATED ALLIANCES WITH 14 STATEWIDE HEALTH CARE SYSTEMS TO FURTHER IMPROVE THE DELIVERY OF CANCER CARE AND ACCESS TO CLINICAL TRIALS. THE MAJORITY OF THE HOSPITAL'S BOARD MEMBERS RESIDE AND ARE CONSIDERED COMMUNITY LEADERS IN THE SERVICE AREA.
Part VI, Line 7: AFFILIATES OF THE HOSPITAL 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 OUR AFFILIATED ENTITIES:FINANCIAL ASSISTANCE AT COST WAS $2,147,738PERCENT OF TOTAL AFFILIATE EXPENSE: 2.564%PERCENT OF COMBINED EXPENSE: .29%COMMUNITY HEALTH IMPROVEMENT WAS $28,800PERCENT OF TOTAL AFFILIATE EXPENSE: .03%PERCENT OF COMBINED EXPENSE: <.01%HEALTH PROFESSIONS EDUCATION WAS $3,447,355PERCENT OF TOTAL AFFILIATE EXPENSE: 4.115%PERCENT OF COMBINED EXPENSE: .47%RESEARCH NET COMMUNITY BENEFIT EXPENSE WAS $24,004,727PERCENT OF TOTAL AFFILIATE EXPENSE: 17.62%PERCENT OF COMBINED EXPENSE: 3.27%

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Personal ServicesXPersonalServices
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (24 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
W MICHAEL ALBERTS
1225931890016218802063328992938016223117711284622656524706200
JULIE DJEU
02593790848201829402560201615031337200
JOHN A KOLOSKY
05429400128752053427025603023633077435500
WILLIAM S DALTON
0863378029750401532690256030493050138905900
LOUIS D DE LA PARTE
036970009355301782025603017862050850000
ALAN F LIST
18249929241612000014108696529596025602128601224432232437396600
NICOLAS C PORTER
04104830104026059845025603021393062135000
YVETTE LYONS TREMONTI
0240532049238013031024353023246035040000
BRAULIO VICENTE
2872240563510147740196000298840407833000
JANENE CULUMBER
0320465060000013931019600021275043527100
BRENDA S GORDON
2005730384840103190192060108290279411000
MARYBETH REARDON
2072470424360226700193530134090305115000
SCOTT D ELDREDGE
160900017090083950116290152490213263000
GENE WETZSTEIN
159074018946069900119920245240221526000
VLADIMIR FEYGELMAN
213946090320797023518087460256039000
KENNETH M FORSTER
24190607846027320256030169670295054000
BRIAN K NORIEGA
20353403605019000132780192810241598000
SIRIPORN SARANGKASIRI
2065720360501900013278088510234206000
STUART G WASSERMAN
211372022144075320149870204420276477000
DEAN R HEAD
016649103200308368016609016267023973800
MARK F HULSE
0228134046001011439015750024715032603900
THOMAS A SELLERS
04360970104972020810025602029757061723800
W J WILSON
104905126581046534408941558449110395374610612281719441500
PHILIP E JOHNSON
18388806347095770123640133290225505000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1bPAYMENTS MADE FOR HEALTH OR SOCIAL CLUB DUES, INITIATION FEES OR PERSONAL SERVICES ARE APPROVED BY THE JOINT EXECUTIVE COMPENSATION AND BENEFITS COMMITTEE (JEC&BC). PAYMENTS ARE A FIXED AMOUNT BASED ON JOB CLASSIFICATION AND IS DOCUMENTED IN MINUTES OF THE COMMITTEE AND REPORTED BACK TO THE BOARD.
Part I, Line 4bTHE FOLLOWING INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AND AMOUNTS LISTED ARE INCLUDED IN THEIR TOTAL COMPENSATION, RESPECTIVELY: YVETTE M. LYONS TREMONTI - $4,737.49 NICOLAS C. PORTER - $25,999.79 JOHN A. KOLOSKY - $41,138.42 WILLIAM S. DALTON - $87,104.55
Part IIISchedule J, Part I, Line 3: HOSPITAL'S PRESIDENT AND CEO ARE PAID BY A RELATED ORGANIZATION WHICH ESTABLISHES THEIR 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.Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
LISA WETZSTEIN
SEE PART V17978SEE PART V0
STORR OFFICE
SEE PART V694706SEE PART V0

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule L, Part IVIdentifier
ExplanationINTERESTED PERSON: LISA WETZSTEINRELATIONSHIP: FAMILY MEMBER OF GENE WETZSTEINTRANSACTION DESCRIPTION: COMPENSATIONINTERESTED PERSON: STORR OFFICE ENVIRONMENTS (STORR OFFICE)RELATIONSHIP: KAREN ARNOLD, DIRECTOR, IS KEY EMPLOYEE FOR STORR OFFICETRANSACTION DESCRIPTION: COMPENSATION FOR GOODS AND SERVICESExplanation

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XEQUIPMENT39071PURCHASE PRICE
XSOFTWARE2131965PURCHASE PRICE
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMethod for Determining Number of Contributors:Identifier
Return ReferencePart I, Column (b):ReturnReference
ExplanationTHE NUMBER OF CONTRIBUTORS REPORTED REFLECTS THE NUMBER OF ITEMS CONTRIBUTED.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 2THE 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 WILLIAM S. DALTON - OFFICER LOUIS D. DE LA PARTE - OFFICER JANENE J. CULUMBER - OFFICER HOSPITAL & MOFFITT TECHNOLOGIES CORPORATION: WILLIAM S. DALTON - OFFICER JOHN A. KOLOSKY - OFFICER LOUIS D. DE LA PARTE - OFFICER JANENE J. CULUMBER - OFFICER
Form 990, Part VI, Section A, line 6H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. IS THE SOLE MEMBER OF THE HOSPITAL.
Form 990, Part VI, Section A, line 7aAS 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 7bTHE SOLE MEMBER OF THE CORPORATION SHALL 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. EITHER APPROVE OR DISAPPROVE THE TRANSFER, SALE, LEASE OR DISPOSITION OF ANY ASSET OF THE CORPORATION IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS ($100,000.00); E. APPROVE OR DISAPPROVE THE CONFERRING OF ANY LIEN OR SECURITY INTEREST IN ASSETS OF THE CORPORATION IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000.00), 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 TEN THOUSAND DOLLARS ($10,000.00) PER CONTRIBUTION OR ANNUAL CONTRIBUTION EXCEEDING TWENTY FIVE THOUSAND DOLLARS ($25,000.00) 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 ONE HUNDRED THOUSAND DOLLARS ($100,000.00) PER EXPENDITURE OR TWO HUNDRED FIFTY THOUSAND DOLLARS ($250,000.00) IN THE AGGREGATE ANNUALLY.
Form 990, Part VI, Section B, line 11PRIOR 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.
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 12c
MOFFITT'S BOARD OF DIRECTORS 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 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 MOFFITT 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 INCLUDEDS 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 B, line 15
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 VI, Section C, line 19
Form 990, Part VI, Section B, Line 14: THE ORGANIZATION HAS A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY WITH WHICH IT COMPLIES; HOWEVER, THE POLICY WAS NOT APPROVED BY THE BOARD OR A COMMITTEE BY THE FISCAL YEAR END.
Form 990, Part VII, Section A, Line 1a: EMPLOYEES WHO ARE LISTED ON HOSPITAL'S 2010 FORM 990 ARE EMPLOYEES WHOSE 2010 W-2'S WERE ISSUED BY MOFFITT INSTITUTE, THE COMMON PAYMASTER RELATED ENTITY. AFTER SIGNIFICANT ANALYSIS A DETERMINATION WAS MADE TO REPORT EMPLOYEES BY ENTITY RATHER THAN BY THE ORGANIZATION WHICH ISSUED THE W-2, A MORE CONSERVATIVE APPROACH SINCE KEY EMPLOYEES HAVE THE POTENTIAL OF BEING EXCLUDED DUE TO THE FACT THAT THESE EMPLOYEES ARE NOT KEY EMPLOYEES OF THE ISSUING ENTITY. PROCEDURES TO REPORT COMPENSATION OF EMPLOYEES ON FORM 990 PART VII AND ON SCHEDULE J ARE IN ACCORDANCE WITH IRS INSTRUCTIONS FOR EACH RESPECTIVE SECTION. Form 990, Part VII, Section A, Line 1a: GENE WETZSTEIN WAS PROMOTED TO DIRECTOR OF PHARMACY SINCE PHILIP JOHNSON TRANSFERRED TO THE POSITION, HOSPITAL'S DIRECTOR OF ADVOCACY WHICH NO LONGER QUALIFIES HIM AS A KEY EMPLOYEE. JANE FUSILERO WAS HIRED AS VP-PATIENT CARE/CNO WHICH WAS PREVIOUSLY HELD BY MARYBETH REARDON WHO TRANSFERRED TO THE POSITION, HOSPITAL'S EXEC ADV NURSING EXCELLENCE. WILLIAM DALTON WHO WAS PRESIDENT OF HOPSITAL UNTIL FEBRUARY 10, 2011, REMAINS PRESIDENT/CEO AND CENTER DIRECTOR FOR THE PARENT. JOHN KOLOSKY WHO WAS EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER FOR HOSPITAL BECAME PRESIDENT FEBRUARY 11, 2011.
Form 990, Part VII, Section A, Line 1b: DIRECTORS ESTIMATE OF AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS JOSEPH CABALLERO H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE FOUNDATION, INC. 1HR BETH HOUGHTON: H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE INC. 1HR THE HONORABLE H. LEE MOFFITT: H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. 1HR H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, FOUNDATION, INC. 1HR H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE LIFETIME CANCER SCREENING, INC. 1HR MOFFITT GENETICS CORPORATION 1HR THE HONORABLE MARK A. PIZZO: H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE LIFETIME CANCER SCREENING, INC. 1HR
FORM 990, PART VII, SECTION A, LINE 1B: CURRENT & FORMER OFFICERS ESTIMATE OF AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS JANENE J. CULUMBER: H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. 17HRS H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, FOUNDATION, INC. 5HRS H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE LIFETIME CANCER SCREENING, INC. 5HRS MOFFITT TECHNOLOGIES CORPORATION 1HR MOFFITT GENETICS CORPORATION 5HRS WILLIAM S. DALTON: H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. 33HRS H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, FOUNDATION, INC. 10HRS MOFFITT TECHNOLOGIES CORPORATION 1HR MOFFITT GENETICS CORPORATION 11HRS LOUIS D. DE LA PARTE: H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. 17HRS H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, FOUNDATION, INC. 5HRS H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE LIFETIME CANCER SCREENING, INC. 5HRS MOFFITT TECHNOLOGIES CORPORATION 1HR MOFFITT GENETICS CORPORATION 5HRS JOHN A. KOLOSKY: H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. 17HRS H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, FOUNDATION, INC. 4HRS MOFFITT TECHNOLOGIES CORPORATION 1HR ALAN F. LIST: H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. 7HRS H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE LIFETIME CANCER SCREENING, INC. 15HRS NICOLAS C. PORTER: H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. 17HRS H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, FOUNDATION, INC. 5HRS YVETTE M. LYONS TREMONTI: H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. 22HRS BRAULIO VICENTE: H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE LIFETIME CANCER SCREENING, INC. 15HRS DEAN R. HEAD (FORMER): H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. 55HRS MARK F. HULSE (FORMER): H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. 55HRS THOMAS A. SELLERS (FORMER): H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. 55HRS W. J. WILSON (FORMER): H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. 33HRS
Changes in Net Assets or Fund Balances:TRANSFER TO TAX EXEMPT AFFILIATES -XXX-XX-XXXX. INTEREST IN NET ASSETS OF FOUNDATION -50425. Total to Form 990, Part XI, Line 5: -XXX-XX-XXXX.Form 990, Part XI, line 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
H LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE INC
12902 MAGNOLIA DRIVETAMPAFL33612592451713PARENT-RESEARCHFL501(c)(3)Line 7N/A0
H LEE MOFFITT CANCER CTR & RESEARCH INSTITUTE FOUNDATION INC
12902 MAGNOLIA DRIVETAMPAFL33612593238636FUNDRAISINGFL501(c)(3)Line 7N/A0
H LEE MOFFITT CC&RI LIFETIME CANCER SCREENING CENTER INC
12902 MAGNOLIA DRIVETAMPAFL33612593238640PRACTICE MANAGEMENTFL501(c)(3)Line 9N/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
MOFFITT TECHNOLOGIES CORPORATION
12902 MAGNOLIA DRIVETAMPAFL33612300332914TECHNOLOGY MANAGEMENTFLN/AC
MOFFITT GENETICS CORPORATION
12902 MAGNOLIA DRIVETAMPAFL33612208486180DATABASE MANAGEMENTFLN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg