Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 07-01-2022 , and ending 06-30-2023
BCheck if applicable:
CName of organization
H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
12902 MAGNOLIA DRIVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
TAMPA, FL33612
D Employer identification number

59-3238634
E Telephone number

G Gross receipts $ 2,024,798,496
F Name and address of principal officer:
SARABDEEP SINGH
12902 MAGNOLIA DRIVE
TAMPA,FL33612
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.MOFFITT.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1994
M State of legal domicile: FL
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO CONTRIBUTE TO THE PREVENTION AND CURE OF CANCER.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 16
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 16
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 5,471
6 Total number of volunteers (estimate if necessary) ............. 6 570
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 17,046,893 20,397,306
9 Program service revenue (Part VIII, line 2g) ......... 1,735,806,498 2,002,650,392
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -231,668 54,254
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,154,431 1,649,100
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,753,776,154 2,024,751,052
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 10,633,932 20,660,430
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 485,396,218 533,208,793
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 913,663,774 1,068,604,120
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,409,693,924 1,622,473,343
19 Revenue less expenses. Subtract line 18 from line 12....... 344,082,230 402,277,709
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 351,948,718 392,759,623
21 Total liabilities (Part X, line 26)............. 104,682,698 106,034,192
22 Net assets or fund balances. Subtract line 21 from line 20..... 247,266,020 286,725,431
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: THE PRIMARY PURPOSE OF THE H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC. ("HOSPITAL") IS TO CONTRIBUTE TO THE PREVENTION AND CURE OF CANCER.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,417,122,546 including grants of $ 20,660,430 ) (Revenue $ 2,002,852,631 )
H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE HOSPITAL, INC. (THE "HOSPITAL") IS LOCATED ON THE CAMPUS OF THE UNIVERSITY OF SOUTH FLORIDA IN TAMPA, FL. SINCE OPENING IN 1986, THE HOSPITAL HAS BEEN GUIDED BY ONE MISSION, "TO CONTRIBUTE TO THE PREVENTION AND CURE OF CANCER." MOFFITT IS A LEADING NATIONAL CANCER INSTITUTE (NCI) COMPREHENSIVE CANCER CENTER - ONE OF ONLY 49 IN THE NATION TO HOLD THIS DISTINCTION. MOFFITT IS A TOP 10 CANCER HOSPITAL AND HAS BEEN NATIONALLY RANKED BY U.S. NEWS & WORLD REPORT SINCE 1999. WITH MORE THAN 9,000 EMPLOYEES, MOFFITT HAS AN ECONOMIC IMPACT ON FLORIDA OF $2.4 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 AVAILIABLE IN THEIR COMMUNITY.IT IS THIS COMMITTMENT THAT GUIDES THE HOSPITAL TO:1) PROVIDE CARE FOR PATIENTS COVERED BY GOVERNMENTAL PROGRAMS BELOW COST2) PROVIDE FREE CHARITY CARE FOR THOSE WHO CANNOT PAY3) 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 PROFESSIONALS4) 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 218 BEDS AND DEVOTES MORE THAN 2 MILLION SQUARE FEET TO RESEARCH AND PATIENT CARE. ADDITIONALLY, MOFFITT PROVIDES A WIDE ARRAY OF OUTREACH AND EDUCATIONAL ACTIVITIES FOR THE GENERAL PUBLIC AND SELECT UNDERSERVED POPULATIONS. IN FISCAL YEAR 2023, THE HOSPITAL RECORDED 618,616 OUTPATIENT VISITS AND 10,961 ADMISSIONS.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet1,417,122,546
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment
List of Attached Documents:
// Content
.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment
List of Attached Documents:
// Content
.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment
List of Attached Documents:
// Content
..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment
List of Attached Documents:
// Content
.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment
List of Attached Documents:
// Content
..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment
List of Attached Documents:
// Content
.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment
List of Attached Documents:
// Content
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
List of Attached Documents:
// Content
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
List of Attached Documents:
// Content
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
List of Attached Documents:
// Content
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
List of Attached Documents:
// Content
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
List of Attached Documents:
// Content
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
List of Attached Documents:
// Content
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
145
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
5,471
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
16
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
16
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletYVETTE M LYONS TREMONTI12902 MAGNOLIA DRIVE   TAMPA,FL33612 (813) 745-7862
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) BETH A HOUGHTON......................................................................
DIRECTOR, CHAIR
1.00
.................
1.00
X   X       0 0 0
(2) THE HON MARK A PIZZO ESQ......................................................................
DIRECTOR, VICE CHAIR
1.00
.................
1.00
X   X       0 0 0
(3) JOSEPH CABALLERO......................................................................
DIRECTOR, SEC/TREAS
1.00
.................
2.00
X   X       0 0 0
(4) BETH SIMONETTI......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(5) HAL WALKER......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(6) JACQUELINE LEWIS......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(7) JENNIFER MOFFITT......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(8) KEVIN PLUMMER......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(9) LANSING SCRIVEN......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(10) MARY ANNE REILLY......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(11) MICHAEL BICE......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(12) NICOLAS PORTER......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(13) RENEE THOMPSON......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(14) ROBERT HORTON......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(15) ROLAND DANIELS......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(16) VALERIE GODDARD......................................................................
DIRECTOR
1.00
.................
1.00
X           0 0 0
(17) SARABDEEP SINGH......................................................................
HOSPITAL PRESIDENT
25.00
.................
32.00
    X       0 618,920 89,732
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) ROBERT KEENAN........................................................................
VP-QUALITY/CMO
55.00
.......................0.00
    X       750,701 0 -82,673
(19) G DOUGLAS LETSON........................................................................
EVP-PHYS IN CHIEF
15.00
.......................40.00
    X       838,552 0 -245,481
(20) JANE FUSILERO........................................................................
VP-PATIENT CARE SVS/CNO TO 2/5/23
55.00
.......................0.00
    X       496,976 0 353
(21) YVETTE M LYONS TREMONTI........................................................................
EVP-CFAO & ASST TREASURER
20.00
.......................39.00
    X       0 824,270 -345,650
(22) HENRY REYES........................................................................
VP-PARTNERSHIP DEVELOPMENT
10.00
.......................46.00
    X       0 340,850 45,443
(23) JOANNA WEISS........................................................................
SVP FINANCE
15.00
.......................40.00
    X       0 448,836 -91,001
(24) EVAN ZASLOW........................................................................
VP PAYER STRATEGIES AS OF 8/1/22
18.00
.......................37.00
    X       330,341 0 27,425
(25) MATTHEW BEDNAR........................................................................
VP-AMBULATORY/VIRTUAL CARE OPS
55.00
.......................0.00
    X       341,487 0 5,574
(26) L DAVID DE LA PARTE........................................................................
EVP-GENERAL COUNSEL; ASST SEC
20.00
.......................39.00
    X       0 674,699 -330,860
(27) TERRENCE WRIGHT........................................................................
VP-FAC & SUP SVCS
25.00
.......................30.00
    X       0 294,403 45,739
(28) KEN KOMORNY........................................................................
VP CHIEF PHARM OFF AS OF 9/4/22
25.00
.......................30.00
    X       271,110 0 38,704
(29) KELLY GONZALVO........................................................................
VP PATIENT CARE/CNO AS OF 2/5/23
55.00
.......................0.00
    X       216,304 0 16,144
(30) MARILYN COSTACHE........................................................................
CHIEF RISK OFFICER
55.00
.......................0.00
    X       78,014 111,530 16,565
(31) BRYAN MCIVER........................................................................
DEPUTY PHYSICIAN IN CHIEF
50.00
.......................0.00
        X   606,810 0 -30,302
(32) EDUARDO G MOROS........................................................................
SR MBR PHYSICIST-RAD ONC
50.00
.......................0.00
        X   382,910 0 -119,566
(33) KAREN WARTENBERG........................................................................
VP MOFFITT MEDICAL GROUP
30.00
.......................25.00
        X   369,715 0 -188,061
(34) STUART G WASSERMAN........................................................................
DIR CLINICAL PHYSICS
50.00
.......................0.00
        X   303,237 0 -163,795
(35) GEOFFREY G ZHANG........................................................................
SR MBR PHYSICIST-RAD ONC
50.00
.......................0.00
        X   307,110 0 -220,485
(36) PATRICK HWU........................................................................
FRM HOSPITAL PRESIDENT TO 10/31/21
10.00
.......................47.00
          X 0 1,161,591 102,275
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 5,293,267 4,475,099 -1,429,920
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet777
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
AYA HEALTHCARE INC

5930 CORNERSTONE CT W STE 300
SAN DIEGO,CA92121
HEALTHCARE STAFFING SERVICES 11,700,983
NATIONAL MARROW DONOR PROGRAM

3001 BROADWAY ST NE 500
MINNEAPOLIS,MN55413
DONOR SEARCH SERVICES 9,567,155
RN NETWORK

2000 NW CORPORATE BLVD STE 150
BOCA RATON,FL33431
RECRUITMENT SERVICES 7,395,183
UNIVERSITY DIAGNOSTIC INST

3301 ALUMNI DR
TAMPA,FL33612
MRI SERVICES 5,524,711
ASSOC REGIONAL & UNIV PATH

500 CHIPETA WAY
SALT LAKE CITY,UT84108
LABORATORY SERVICES 2,333,376
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet46
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 2,303,578
e Government grants (contributions)1e 68,641
f All other contributions, gifts, grants, and similar amounts not included above1f 18,025,087
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 20,397,306
 Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 900099 1,928,981,673 1,928,981,673    
b SPECIALTY PHARMACY 900099 72,454,793 72,454,793    
c CORE LAB REVENUE 900099 540,705 540,705    
d EDUCATION CONFERENCES 900099 309,248 309,248    
e BMT-NMDP PROGRAM 900099 225,280 225,280    
f All other program service revenue. 138,693 138,693    
g Total. Add lines 2a–2f .....MediumBullet 2,002,650,392
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet        
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   144,025 6a
b Less: rental expenses   0 6b
c Rental income or (loss)   144,025 6c
d Net rental income or (loss).......MediumBullet 144,025     144,025
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 101,698   7a
b Less: cost or other basis and sales expenses 47,444   7b
c Gain or (loss) 54,254   7c
d Net gain or (loss).........MediumBullet 54,254     54,254
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a REBATES 900099 639,333     639,333
b INTEREST FROM INS COMPANIES 524114 272,447     272,447
c MAGNOLIA'S HAIR SALON 900099 202,239     202,239
d All other revenue .... 391,056     391,056
e Total. Add lines 11a–11d ...... MediumBullet 1,505,075
12 Total revenue. See instructions.....MediumBullet 2,024,751,052 2,002,650,392 0 1,703,354
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 20,660,430 20,660,430
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 3,888,509 3,634,978 253,531  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........ 426,772,774 323,677,419 103,095,355  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 17,528,718 13,130,612 4,398,106  
9 Other employee benefits ....... 55,435,028 48,979,827 6,455,201  
10 Payroll taxes ........... 29,583,764 22,477,197 7,106,567  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 3,074,733   3,074,733  
c Accounting ........... 198,748   198,748  
d Lobbying ........... 428,983   428,983  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 66,126,605 46,518,594 19,608,011  
12 Advertising and promotion .... 12,153,823 30,933 12,122,890  
13 Office expenses ....... 82,796,361 60,523,189 22,273,172  
14 Information technology ...... 44,285,398 34,057 44,251,341  
15 Royalties ..        
16 Occupancy ........... 21,153,259 5,759,371 15,393,888  
17 Travel ............ 4,884,839 1,583,380 3,301,459  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 242,671 242,671    
20 Interest ........... 7,244,742   7,244,742  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 39,493,387 15,515,863 23,977,524  
23 Insurance ... 1,541,461   1,541,461  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 728,619,301 728,619,301 0  
b ALLOCATION OF INTERCOMP 0 77,777,479 -77,777,479  
c HCCB ASSESSMENT 20,399,214 20,399,214 0  
d BAD DEBT EXPENSES - PAT 16,758,134 16,758,134 0  
e All other expenses 19,202,461 10,799,897 8,402,564  
25 Total functional expenses. Add lines 1 through 24e 1,622,473,343 1,417,122,546 205,350,797 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 2,750 1 750
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ...... 20,489,551 3 19,277,608
4 Accounts receivable, net ............. 202,611,501 4 237,381,110
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............ 31,481,077 8 39,242,844
9 Prepaid expenses and deferred charges ...... 4,546,015 9 3,534,841
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 261,378,845
b Less: accumulated depreciation 10b 207,139,529 55,831,737 10c 54,239,316
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 ..... 11,848,182 12 11,848,182
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 25,137,905 15 27,234,972
16 Total assets. Add lines 1 through 15 (must equal line 33)... 351,948,718 16 392,759,623
Liabilities 17 Accounts payable and accrued expenses ..... 63,815,392 17 73,623,397
18 Grants payable ...   18  
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 40,867,306 25 32,410,795
26 Total liabilities. Add lines 17 through 25.. 104,682,698 26 106,034,192
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 227,311,927 27 264,924,844
28 Net assets with donor restrictions ........... 19,954,093 28 21,800,587
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 247,266,020 32 286,725,431
33 Total liabilities and net assets/fund balances ........ 351,948,718 33 392,759,623
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
2,024,751,052
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,622,473,343
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
402,277,709
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
247,266,020
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-362,818,298
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
286,725,431
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC
Employer identification number

59-3238634
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2022 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2022
(iii)
Distributable
Amount for 2022
1 Distributable amount for 2022 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2022:
a From 2017.......  
b From 2018.......  
c From 2019.......  
d From 2020.......  
e From 2021.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2022 distributable amount  
i Carryover from 2017 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2022 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2022 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2022, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2022. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2023. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2018.....  
b Excess from 2019.....  
c Excess from 2020.....  
d Excess from 2021.....  
e Excess from 2022.....  
Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2022


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Name of the organization
H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC
Employer identification number

59-3238634
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2022)
Schedule B (Form 990) (2022) Page 2
Name of organization
H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC
Employer identification number
59-3238634
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)
Schedule B (Form 990) (2022)
Page 3
Name of organization
H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC
Employer identification number

59-3238634
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
Schedule B (Form 990) (2022)
Schedule B (Form 990) (2022)
Page 4
Name of organization
H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC
Employer identification number

59-3238634
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2022)
Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC
Employer identification number

59-3238634
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e))
 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))
 
f Grassroots lobbying expenditures          
Schedule C (Form 990) 2021


Schedule C (Form 990) 2021
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
Yes
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
Yes
 
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
Yes
 
12,492
e
Publications, or published or broadcast statements? ...........................................................
Yes
 
17,165
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
628,381
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
Yes
 
25,645
i
Other activities? ...................................................................................................................
Yes
 
43,058
j
Total. Add lines 1c through 1i ....................................................................................................
726,741
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: THE H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE, INC. AND ITS FIVE NON-PROFIT SUBSIDIARY CORPORATIONS ("CORPORATION") WERE CREATED TO GOVERN AND OPERATE THE H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE ("INSTITUTE") PURSUANT TO SECTION 1004.43, FLORIDA STATUTES. AMONG OTHER THINGS, SECTION 1004.43 FLORIDA STATUTES PROVIDES: (1) THAT THE CORPORATION SHALL ENTER INTO AN AGREEMENT WITH THE STATE BOARD OF EDUCATION FOR THE UTILIZATION OF FACILITIES ON THE CAMPUS OF THE UNIVERSITY OF SOUTH FLORIDA; (2) THAT THE CORPORATION SUBMIT ANNUAL POST AUDITS OF ITS FINANCIAL ACCOUNTS TO THE AUDITOR GENERAL OF THE STATE OF FLORIDA AND THE BOARD OF GOVERNORS FOR THEIR REVIEW; AND (3) THAT THE CORPORATION'S CEO REPORT TO THE BOARD OF GOVERNORS OR ITS DESIGNEE AND PROVIDE COPIES OF THE INSTITUTE'S ANNUAL REPORT TO THE GOVERNOR OF THE STATE OF FLORIDA, THE CABINET, THE PRESIDENT OF THE SENATE, THE SPEAKER OF THE HOUSE AND THE CHAIR OF THE BOARD OF GOVERNORS. ALTHOUGH THE CORPORATION IS A PRIVATE ENTITY, IT IS NONETHELESS SUBJECT TO THE STATE OF FLORIDA'S PUBLIC RECORDS AND THE PUBLIC MEETINGS LAWS. THE CORPORATION ALSO RELIES ON ANNUAL APPROPRIATIONS BY THE LEGISLATURE OF THE STATE OF FLORIDA AND GRANTS FROM VARIOUS LOCAL, STATE AND FEDERAL AGENCIES FOR OPERATION AND MAINTENANCE OF ITS FACILITIES AND FOR SPECIFIC RESEARCH AND CLINICAL PROGRAMS. FOR THESE REASONS, THE CORPORATION FROM TIME TO TIME ENGAGES LOBBYISTS AND OTHER CONSULTANTS: (1) TO ASSIST IT IN COMPLYING WITH ITS REPORTING REQUIREMENTS TO THE STATE OF FLORIDA UNDER SECTION 1004.43, FLORIDA STATUTES; (2) TO MONITOR LEGISLATIVE AND EXECUTIVE BRANCH ACTION AT LOCAL, STATE AND FEDERAL LEVELS OF GOVERNMENT WHICH IMPACT ITS OPERATION AND THE FULFILLMENT OF ITS MISSION; AND (3) TO INFLUENCE LEGISLATION IN FURTHERANCE OF ITS MISSION IN THE AREAS OF CANCER RESEARCH AND TREATMENT, THE TEACHING AND TRAINING OF HEALTH CARE PROFESSIONALS AND COMMUNITY EDUCATION AND OUTREACH ACTIVITIES. THE CORPORATION DOES NOT ENGAGE IN ANY ACTIVITIES TO SUPPORT OR OPPOSE ANY CANDIDATE FOR PUBLIC OFFICE.
PART II-B, LINE 1I, OTHER ACTIVITIES THE OTHER ACTIVITIES AMOUNT LISTED ON LINE 1I IS COMPRISED OF EXPENSES RELATED TO ORCHESTRATING CONTACT BETWEEN GRASSROOTS SUPPORTERS (WHO ARE VOLUNTEERS) AND ELECTED OFFICIALS TO PROMOTE THE INSTITUTION'S LEGISLATIVE OBJECTIVES.
Schedule C (Form 990) 2021


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC
Employer identification number

59-3238634
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....      
b Buildings ....   1,188   1,188
c Leasehold improvements   281,110 281,110 0
d Equipment ....   255,892,718 206,858,419 49,034,299
e Other .....   5,203,829   5,203,829
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 54,239,316
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)RECEIVABLE-OTHER 2,167,296
(2)RIGHT OF USE ASSET-OPERATING LEASES 3,267,089
(3)INTEREST IN NET ASSETS OF FOUNDATION 21,800,587
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 27,234,972
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 32,410,795
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART X, LINE 2: H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC. DID NOT HAVE ANY UNCERTAIN POSITIONS IN ITS AUDITED FINANCIAL STATEMENTS. THE ASC-740 FOOTNOTE READS AS FOLLOWS: SIGNIFICANT JUDGMENT IS REQUIRED TO EVALUATE UNCERTAIN TAX POSITIONS. THE CANCER CENTER EVALUATES ITS UNCERTAIN TAX POSITIONS ON A REGULAR BASIS. ITS EVALUATIONS ARE BASED ON A NUMBER OF FACTORS, INCLUDING CHANGES IN FACTS AND CIRCUMSTANCES, CHANGES IN TAX LAW, AND CORRESPONDENCE WITH TAX AUTHORITIES. THE CANCER CENTER ACCOUNTS FOR UNCERTAIN TAX POSITIONS BY RECOGNIZING A TAX BENEFIT OR LIABILITY AT THE LARGEST AMOUNT THAT, IN ITS JUDGMENT, IS MORE THAN 50% LIKELY TO BE REALIZED OR PAID BASED UPON TECHNICAL MERITS OF THE POSITION. THE CANCER CENTER CURRENTLY HAS NO TAX BENEFITS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS.
Schedule D (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC
Employer identification number

59-3238634
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region
(f) Total expenditures
for and investments
in the region
SOUTH ASIA 0 1 MAINTAINING OFFICES, EMPLOYEES, OR AGENTS   194,313
EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES SEMINARS 1,733
EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES SEMINARS 3,962
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 1 200,008
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 1 200,008
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount
of noncash
assistance
(h) Description
of noncash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
noncash
assistance
(g) Description
of noncash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
PART I, LINE 3: ACCRUAL METHOD OF ACCOUNTING WAS USED TO ACCOUNT FOR EXPENDITURES ON SCHEDULE F CONSISTENT WITH THE AUDITED FINANCIAL STATEMENTS.
PART III ACCOUNTING METHOD:  
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2022
Additional Data


Software ID:  
Software Version:  



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC
Employer identification number

59-3238634
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    26,674,853   26,674,853 1.660 %
b Medicaid (from Worksheet 3, column a) . . . . .     32,856,607 5,849 32,850,758 2.050 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     59,531,460 5,849 59,525,611 3.710 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     2,015,455   2,015,455 0.130 %
f Health professions education (from Worksheet 5) . . .     4,367,630   4,367,630 0.270 %
g Subsidized health services (from Worksheet 6) . . . .     253,015   253,015 0.020 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     13,028   13,028 0 %
j Total. Other Benefits . .     6,649,128   6,649,128 0.420 %
k Total. Add lines 7d and 7j .     66,180,588 5,849 66,174,739 4.130 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support 1   2,304   2,304 0 %
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy 1   1,166   1,166 0 %
8 Workforce development 1   25,026   25,026 0 %
9 Other            
10 Total 3   28,496   28,496 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
3,710,474
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
384,998,054
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
442,363,477
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-57,365,423
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 H LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE HOSPITAL
12902 MAGNOLIA DRIVE
TAMPA,FL33612
WWW.MOFFITT.ORG
4334
X                  
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
H LEE MOFFITT CANCER CENTER & RESEARCH
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.MOFFITT.ORG/PUBLICATIONS/COMMUNITY-BENEFIT
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
H LEE MOFFITT CANCER CENTER & RESEARCH
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
PART V, SECTION B, LINE 16C
b
PART V, SECTION B, LINE 16C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
H LEE MOFFITT CANCER CENTER & RESEARCH
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
H LEE MOFFITT CANCER CENTER & RESEARCH
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE PART V, SECTION B, LINE 5: MOFFITT CONTRACTED WITH CARNAHAN GROUP ON AUGUST 31, 2021 TO CONDUCT THE CURRENT CHNA. THE INFORMATION COLLECTED WAS OBTAINED FROM THREE DIFFERENT SOURCES: 1) PUBLICALLY-AVAILABLE DATA RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY PUBLISHED BY FEDERAL, REGIONAL, STATE, AND LOCAL HEALTH DEPARTMENTS OR AGENCIES. 2) INTERVIEWS WITH PERSONS LOCATED WITHIN MOFFITT'S COMMUNITY INCLUDING HEALTH COMMUNITY ADVOCATES, OTHER NONPROFIT ORGANIZATIONS, LOCAL GOVERNMENT OFFICIALS, COMMUNITY BASED ORGANIZATIONS, AND HEALTHCARE PROVIDERS FOCUSING ON MEDICALLY UNDERSERVED POPULATIONS, LOW-INCOME PERSONS, MINORITY GROUPS, AND THOSE WITH CHRONIC DISEASE NEEDS.3) ONLINE COMMUNITY HEALTH SURVEY IN ENGLISH AND SPANISH MADE AVAILABLE TO PERSONS REPRESENTING THE BROAD INTERESTS OF THE SURROUNDING COMMUNITY, WHICH INCLUDED THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; SURVEY OUTREACH FOCUSED ON ORGANIZATIONS SERVING ETHNIC AND GENDER MINORITIES.WE WOULD LIKE TO ACKNOWLEDGE EACH OF THE FOLLOWING ORGANIZATIONS AND MOFFITT DEPARTMENTS WHO PARTICIPATED IN AN INTERVIEW FOR THIS ASSESSMENT. THEY CONTRIBUTED IMMEASURABLE VALUE IN THE FORMATION OF THIS REPORT, PROVIDING PROFESSIONAL KNOWLEDGE, EXPERT INFORMATION, AND INFORMED PUBLIC POLICY DIRECTION. WE THANK ALL PARTICIPANTS, WHETHER THEY PARTCIPATED VIA INTERVIEW OR SURVEY, FOR THEIR GENEROUS TIME AND CONTRIBUTIONS TO THIS ASSESSMENT.COMMUNITY STAKEHOLDER ORGANIZATIONS:ADVENTHEALTH, AMERICAN CANCER SOCIETY, BAYCARE, CANCER CONTROL COLLABORATIVE - EAST CENTRAL REGION, CAN COMMUNITY - NORTH PORT, COMMUNITY HEATLH CENTERS, INC., FACES OF COURAGE FOUNDATION, INC., FEEDING TAMPA BAY, FLORIDA DEPARTMENT OF HEALTH (BREVARD, CHARLOTTE AND GLADES, CITRUS, COLLIER, DESOTO, HENDRY, HERNANDO, HIGHLANDS, HILLSBOROUGH, LAKE, LEE, MANATEE, MARION, ORANGE, OSCEOLA, PASCO, PINELLAS, POLK, HARDEE, SARASOTA, SEMINOLE, & SUMTER COUNTIES), FRONT PORCH COMMUNITY DEVELOPMENT ASSOCIATION, INC., GOOD SAMARITAN HEALTH CLINIC, GULF COAST SOUTH AHEC, INC., HAITIAN AMERICAN FOUNDATION OF TAMPA BAY, HEALTH CHOICE NETWORK, INTERCULTURAL ADVOCACY INSTITUTE, LATIN COMMUNITY HEALTH ADVISORS, INC., LATINAS UNIDAS POR UN NUEVO AMANECER, LEE DAVIS COMMUNITY RESOURCE CENTER, LEUKEMIA & LYMPHOMA SOCIETY - NORTH FLORIDA, METROPOLITAN MINISTRIES, MID FLORIDA COMMUNITY SERVICES, ORLANDOHEALTH, PREMIER COMMUNITY HEALTHCARE GROUP, POLK COUNTRY INDIGENT HEALTHCARE DIVISION, SALVATION ARMY REHAB CENTER, SUNCOAST COMMUNITY HEALTH CENTERS, TAMPA FAMILY HEALTH CENTERS, TAMPA GENERAL HOSPITAL, UNITED WAY (CHARLOTTE, COLLIER & THE KEYS, LEE, HENDRY, & GLADES COUNTIES), AND UNITED WAY SUNCOAST.MOFFITT DEPARTMENTS & PROGRAMS:SOCIAL WORK & PATIENT FAMILY SERVICE, PATIENT FAMILY ADVISORY COUNCIL, CLINICAL TRIALS OFFICE, TAMPA BAY COMMUNITY CANCER NETWORK (TBCCN), MOFFITT PONCE U54 PARTNERSHIP, MOFFITT DIVERSITY, AND STRATEGIC COMMUNICATIONS.
H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE PART V, SECTION B, LINE 6A: IN OCTOBER 2015, MOFFITT COLLABORATED WITH THE FLORIDA DEPARTMENT OF HEALTH, HILLSBOROUGH COUNTY, TO ESTABLISH HEALTHY HILLSBOROUGH. HEALTHY HILLSBOROUGH IS A COMMITTEE OF LOCAL HOSPITALS, THE COUNTY HEALTH DEPARTMENT, AND FEDERALLY QUALIFIED HEALTH CENTERS. THE PURPOSE OF HEALTHY HILLSBOROUGH IS TO COMPLETE A COMPREHENSIVE CHNA AND TO IDENTIFY OPPORTUNITIES FOR COLLABORATION TO COLLECTIVELY IMPACT AND IMPROVE THE HEALTH OF HILLSBOROUGH COUNTY. THE ORGANIZATIONS INVOLVED ARE:FLORIDA DEPARTMENT OF HEALTH - HILLSBOROUGH COUNTYADVENTHEALTH WEST FLORIDA DIVISIONMOFFITT CANCER CENTERBAYCARE HEALTH SYSTEMSUNCOAST COMMUNITY HEALTH CENTERSTAMPA FAMILY HEALTH CENTERSTAMPA GENERAL HOSPITALIN 2019, THE HEALTHY HILLSBOROUGH COMMITTEE EXTENDED THE PARTNERSHIP TO THE COUNTY HEALTH DEPARTMENTS IN PINELLAS, PASCO, AND POLK TO COLLABORATE ON THE CHNA. THE FOUR COUNTY COLLABORATION IS CALLED ALL4HEALTHFL. THE ALL4HEALTHFL COLLABORATIVE COMPLETED A GENERAL COMMUNITY CHNA AND CHILD-FOCUSED CHNA, BOTH OF WHICH WERE COMPLETED IN 2022. MOFFITT CANCER CENTER COMPLETED ITS OWN CHNA AND IMPLEMENTATION STRATEGY SEPARATE FROM THE ALL4HEALTHFL COLLABORATIVE, BUT MOFFITT'S COMMUNITY BENEFIT COORDINATOR ASSISTED WITH ALL STAGES OF THE ALL4HEALTHFL CHNA AND IMPLEMENTATION STRATEGY. ASSISTANCE INCLUDED SURVEY DEVELOPMENT, FOCUS GROUP QUESTION DEVELOPMENT, SERVING AS FOCUS GROUP MEDIATOR AND NOTE TAKER FOR THE COUNTY SPECIFIC PRIORITIZATION SESSIONS FOR THE ADULT AND CHILD-FOCUSED CHNAS, AND PROVIDING GUIDANCE ON THE ALIGNMENT OF THE IMPLEMENTATION STRATEGIES OF BOTH MOFFITT AND ALL4HEALTHFL TO FACILICATE INCREASED COLLABORATION AMONG THE MEMBER ORGANIZATIONS.
H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE PART V, SECTION B, LINE 6B: INCLUDED WITH THE HOSPITALS LISTED ABOVE, ARE OTHER HEALTH ORGANIZATIONS MOFFITT COLLABORATED WITH IN ORDER TO DETERMINE THE NEEDS OF THE COMMUNITY. THOSE ORGANIZATIONS ARE AS FOLLOWS:-FLORIDA DEPARTMENT OF HEALTH (HILLSBOROUGH, PINELLAS, PASCO, AND POLK COUNTIES)-SUNCOAST COMMUNITY HEALTH CENTERS-TAMPA FAMILY HEALTH CENTERS
H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE PART V, SECTION B, LINE 11: BASED ON THE RESULTS OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, AFTER CAREFUL CONSIDERATION OF THE DATA OBTAINED, THE FOLLOWING LIST OF SIGNIFICANT HEALTH NEED TOPICS WAS ESTABLISHED:-ACCESS TO CARE-BEHAVIORAL HEALTH-CANCER-FINANCIAL BARRIERS AND POVERTY-HEALTH EQUITY-HEALTH PROMOTION, EDUCATION & OUTREACH-HEALTHY WEIGHT-PREVENTATIVE CARE-SOCIAL DETERMINANTS OF HEALTH-SMOKING/TOBACCO-TRANSPORTATIONON APRIL 20, 2022 AND APRIL 21, 2022, 1.5-HOUR VIRTUAL MEETINGS WERE HELDWITH MOFFITT STAFF AND A VARIETY OF INTERNAL AND EXTERNAL STAKEHOLDERSWITHIN THE PATIENT AND FAMILY ADVISORY COUNCIL AND THE TAMPA BAY COMMUNITYCANCER NETWORK IN ORDER TO REFINE THIS LIST OF SIGNIFICANT HEALTH NEEDS.EACH VIRTUAL PRIORITIZATION SESSION INCLUDED AN INTRODUCTION TO THECOMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND BRIEF OVERVIEW OF EACH OFTHE SIGNIFICANT HEALTH TOPICS THE GROUPS WOULD RATE FOR PRIORITIZATION.THE SIMPLEX METHOD WAS UTILIZED TO QUANTIFY FEEDBACK FROM THE TWOPRIORITIZATION SESSIONS. THIS INCLUDED A SHARED QUESTIONNAIRE WITH POLLQUESTIONS ASKING PARTICIPANTS ABOUT THE PERCEIVED IMPORTANCE OF A GIVENNEED, THEN ASKING HOW FEASIBLE IT WOULD BE TO ADDRESS THIS NEED.PARTICIPANTS COULD RANK THE NEED IN TERMS OF THE BURDEN, SCOPE, SEVERITY,OR URGENCY FROM 1 (NOT IMPORTANT) TO 5 (VERY IMPORTANT) AND THEFEASIBILITY IN TERMS OF HOW POSSIBLE IT WOULD BE TO ADDRESS FROM 1 (VERYDIFFICULT) TO 3 (VERY EASY). FOLLOWING THE COMPLETION OF THE MEETINGS, THEPOLL DATA WAS COMPILED INTO A QUADRANT CHART WITH THE AVERAGE IMPORTANCERANKING QUANTIFIED ON THE X-AXIS AND THE AVERAGE FEASIBILITY RANKINGQUANTIFIED ON THE Y-AXIS.MOFFITT LEADERSHIP AND KEY INTERNAL STAKEHOLDERS REVIEWED THE DATA WITHCONSIDERATION OF THE EXISTING PROGRAMMING, CAPACITY, RESOURCES, ANDMOFFITT'S STRATEGIC PLAN, LEVERAGING OPPORTUNITIES FOR COMBINING MULTIPLENEEDS INTO ONE PRIORITY AREA. THE FOLLOWING THREE AREAS WERE SELECTED ASTHE TOP PRIORITIZED HEALTH NEEDS FOR THE COMMUNITY:-PREVENTION, EDUCATION, AND OUTREACH-ACCESS TO SCREENING AND EARLY DETECTION-HEALTH EQUITYLEADERSHIP DECIDED TO ADD A FOURTH DOMAIN AS A RESULT OF THE COMMUNITYBENEFIT INVENTORY: COMMUNITY HEALTH IMPROVEMENT; WHERE LEADERSHIP SAW THENEED TO FURTHER STRENGTHEN THE FUNCTION OF COMMUNITY BENEFIT PROGRAMS.MOFFITT IS NOT ABLE TO ADDRESS ALL OF THE HEALTH NEEDS IDENTIFIED,ALTHOUGH MANY WERE ABLE TO BE COMBINED WITH OTHER NEEDS TO BE ADEQUATELYPRIORITIZED. THE REMAINING IDENTIFIED NEEDS FROM THE ORIGINAL LIST WILLNOT BE A STRATEGIC FOCUS IN THE EXECUTION OF THE 2023-2025 IMPLEMENTATIONPLAN DUE TO FACTORS AFFECTING FEASIBILITY INCLUDING CAPACITY, RESOURCES,AND THE PRIORITIZATION OF NEEDS WITH HIGHER URGENCY. THE FOLLOWING HEALTHNEEDS DO NOT ALIGN WITH THOSE CRITERIA AND ARE NOT BEING DIRECTLYADDRESSED BY MOFFITT:-BEHAVIORAL HEALTH-FINANCIAL BARRIERS AND POVERTY-SOCIAL DETERMINANTS OF HEALTHPART OF THE IMPLEMENTATION STRATEGY DEVELOPMENT INCLUDED A COMPREHENSIVECOMMUNITY BENEFIT INVENTORY OF ALL COMMUNITY BENEIFT PROGRAMS THAT AREACTIVE AT MOFFITT CANCER CENTER. RATIONALE FOR THIS PROCESS CAME FROM ANEED TO STREAMLINE THE REPORTING OF COMMUNITY BENEFIT ACTIVITY ANDFACILITATE ALIGNMENT OF THOSE INITIATIVES WITH THE NEW IMPLEMENTATIONSTRATEGY. THE INVENTORY IDENTIFIED 33 ACTIVE COMMUNITY BENEFIT PROGRAMS ATMOFFITT. THE COMMUNITY BENEFIT SPECIALIST MET WITH THE REPORTERS ANDLEADERSHIP FOR EACH COMMUNITY BENEFIT PROGRAM TO GET UPDATED INFORMATIONABOUT THE PROGRAM, INFORM THEM ABOUT NEW REPORTING REQUIREMENTS (MORE DATAGRANULARITY), AND DISCUSS ANY PLANNED INITIATIVES THEY HAVE FOR THE NEXT 3YEARS THAT WE CAN INCLUDE IN THE NEXT IMPLEMENTATION STRATEGY. THEINVENTORY WAS WELL RECEIVED AND RESULTED IN THE MOST COMPREHENSIVEIMPLEMENTATION STRATEGY THAT THE CANCER CENTER HAS PRODUCED SO FAR.PREVENTION, EDUCATION, AND OUTREACH: MOFFITT'S OFFICE OF COMMUNITY OUTREACH, ENGEMENT, & EQUITY, ALSO KNOWN AS "COEE", HOSTED 149 HEALTH EDUCATION EVENTS AND HEALTHS FAIRS, SERVING 5,047 PEOPLE IN FY23. ACCESS TO SCREENING AND EARLY DETECTION: GOVERNMENT RELATIONS PARTICIPATED OR HOSTED IN 17 COALITION BUILDING OR ADVOCACY GROUPS, THIS INCLUDES A TRIP TO WASHINGTON DC TO ADVOCATE FOR INCREASED FUNDING FOR CANCER PREVENTION AND SCREENING. THERE WAS 16 MOFFITT FACULTY/STAFF PARTICIATED IN THE STATE CANCER DATA WORKGROUP, WHICH ALSO INCLUDED REPRESENTIVIES FROM FLORIDA DEPARTMENT OF HEALTH (DOH), FLORIDA HOSPITAL ASSOCIATION, UNIVERISTY OF MIAMI, UNIVERISTY OF FLORIDA, FLORIDA CANCER DATA SYSTEM (FCDS), FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION (AHCA). IN FY23 MOLE PATROL PARTICIPATED IN 14 SCREENING EVENTS, SERVING 1,137 PEOPLE. IN FY23 20 PEOPLE RECEIVED LOW-COST/NO-COST LUNG CANCER SCREENINGS. HEALTH EQUITY: -16 MOFFITT FACULTY AND STAFF SIT ON 4 WORKGROUPS FOCUSED ON INCREASINGACCESS TO, PROTECTING THE PRIVACY OF, AND ENHANCING THE RICHNESS OF THEFLORIDA CANCER REGISTRY DATA. WORKGROUPS INCLUDE: OBJECTIVE 2.2: CANCERBIOLOGY DATA; OBJECTIVE 2.3 SOCIAL DETERMINANTS AND PATIENT DEMOGRPAHICS;OBJECTIVE 2.4 COLLECING CANCER SCREENING DATA; AND OBJECTIVE 2.6 ACCESSAND UTILIZATION OF CANCER DATA. THESE GROUPS MEET MONTHLY TO DISCUSSOPPORTUNTIES FOR IMPROVING FCDS DATA INTEGRITY AND ACCESS.LANGUAGE SERVICES USED VENDORS IN 36 DIFFERENT LANGUAGES, INCLUDING LANGUAGES THAT LESS THAN 1,000 RESIDENTS IN THE CATCHMENT AREA SPEAK. HEALTH EQUITY TRAIN THE TRAINER PROGRAM IS A COLLABORATION OF ORLANDO HEALTH, MOFFITT CANCER CENTER AND UNITED WAY OF BROWARD COUNTY. THE PROGRAM PROVIDES HEALTH CARE PROFESSIONALS WITH THE KNOWLEDGE NECESSARY TO SUPPORT HEALTH EQUITY WITHIN THEIR PRACTICES. THE PROGRAM PRODUCED 141 GRADUATES, INCLUDING 13 COHORT GRADUATES. IN TOTAL, THE PROGRAM ENGAGED 39 ORGANIZATIONS INCLUDING 15 COHORTS, 55 MOFFITT DEPARTMENTS, 98 MOFFITT TEAM MEMBERS, AND 66 GRADUATE MOFFITT TEAM MEMBERS. COMMUNITY HEALTH IMPROVEMENT:IN MAY 2023 COEE HIRED A NEW COMMUNITY BENEFIT SPECIALIST. THE TEAM MEMBER COMPLETED THE COMMUNITY BENEFIT 101 TRAINING PROVIDED BY CATHOLIC HEALTH SERVICES.
H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE PART V, SECTION B, LINE 13B: PATIENTS WHO ARE MEDICALLY NEEDY MAY STILL APPLY FOR FINANCIAL ASSISTANCE, BUT WILL PRESUMPTIVELY QUALIFY FOR FINANCIAL ASSISTANCE IF THEY CANNOT MEET THEIR SHARE OF COST AS DETERMINED BY THE FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES. THE LEVEL OF ASSISTANCE WILL BE DETERMINED BY WHICH INCOME LEVEL THE PATIENT'S SHARE OF COST FALLS ON THE FEDERAL POVERTY GUIDELINES. IN ADDITION, PATIENTS WHO QUALIFY UNDER THE POLICY AS MEDICALLY INDIGENT ARE ENTITLED TO 100% ADJUSTMENT UNDER THE POLICY.
H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE PART V, SECTION B, LINE 13H: CRITERIA USED TO DETERMINE ELIGIBILITY NOT ONLY INCLUDES INCOME LEVEL, ASSET LEVEL, INSURANCE OR UNDERINSURANCE STATUS AND RESIDENCY, BUT MAY ALSO INCLUDE INFORMATION RELATED TO EMPLOYMENT STATUS, NUMBER OF DEPENDENTS IN HOUSEHOLD AND FINANCIAL SUPPORT BY ANY OTHER PERSON OR PROGRAM.
H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE PART V, SECTION B, LINE 15E: METHOD BY WHICH PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE:A. PATIENTS THAT REQUEST FINANCIAL ASSISTANCE OR WHO HAVE BEEN IDENTIFIED AS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE WILL BE REFERRED TO THE CENTER'S FINANCIAL COUNSELORS.B. PATIENTS MAY CONTACT THE MOFFITT CANCER CENTER BUSINESS OFFICE AT 12902 MAGNOLIA DRIVE, MCB-BO, TAMPA, FLORIDA 33612, OR CALL 1-800-456-3434 EXT. 8422 OR THE DIRECT NUMBER AT 813-745-8422 FOR INFORMATION AND ASSISTANCE REGARDING THE FINANCIAL ASSISTANCE APPLICATION.C. PATIENTS WILL BE INFORMED OF THE PROCESS AND PROCEDURES INVOLVED FOR A FINANCIAL ASSISTANCE APPLICATION EITHER BEFORE RECEIVING SERVICES OR DURING THE BILLING AND COLLECTION PROCESS.D. THE PATIENT AND/OR THE PATIENT'S FAMILY WILL BE ADVISED OF ALL DOCUMENTATION REQUIRED TO MAKE A DETERMINATION AS TO ELIGIBILITY FOR FINANCIAL ASSISTANCE.E. A FINANCIAL COUNSELOR WILL INTERVIEW THE PATIENT OR THE PATIENT'S RELATIVES WHO ARE LEGALLY RESPONSIBLE FOR THE PATIENT'S SUPPORT IN COMPLIANCE WITH HIPAA GUIDELINES. DURING THE INTERVIEW, THE FINANCIAL COUNSELOR WILL GATHER INFORMATION ABOUT THE PATIENT'S CIRCUMSTANCES AND ABILITY TO PAY AND, IF REQUESTED, MAY ASSIST THE PATIENT OR PATIENT'S FAMILY IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION.F. A PATIENT AND/OR A PATIENT'S FAMILY MAY ALSO MEET WITH THE CENTER'S PHARMACY REPRESENTATIVE TO APPLY FOR AVAILABLE ASSISTANCE PROGRAMS FOR PHARMACEUTICAL CARE.G. A REQUEST FOR FINANCIAL ASSISTANCE AND A DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE SHOULD OCCUR PRIOR TO RENDERING NON-EMERGENT MEDICALLY NECESSARY SERVICES. HOWEVER, THE DETERMINATION MAY BE DONE AT ANY POINT IN THE COLLECTION PROCESS.H. IF THE MARITAL STATUS OF A MINOR CANNOT BE DETERMINED, OR WHERE THERE IS NOT SUFFICIENT DOCUMENTATION TO CONFIRM A MINOR'S EMANCIPATION, ELIGIBILITY OF FINANCIAL ASSISTANCE WILL BE BASED ON THE INCOME AND ASSETS OF THE PARENT/PARENTS OR LEGAL GUARDIAN OF THE MINOR. DOCUMENTATION PROVIDED FOR THE FINANCIAL ASSISTANCE APPLICATION MUST BE CONSISTENT WITH ALL OTHER DOCUMENTATION PRESENTED FOR REVIEW.I. THERE ARE INSTANCES WHEN A PATIENT MAY APPEAR ELIGIBLE FOR FINANCIAL ASSISTANCE, BUT THERE IS NO FINANCIAL ASSISTANCE FORM ON FILE. OFTEN THERE IS ADEQUATE INFORMATION PROVIDED BY THE PATIENT, THROUGH CONTRACTUAL AGREEMENTS WITH OTHER PROVIDERS, OR THROUGH OTHER SOURCES, WHICH COULD PROVIDE SUFFICIENT EVIDENCE TO PROVIDE THE PATIENT WITH FINANCIAL ASSISTANCE. IN THE EVENT THERE IS NO FORMAL WRITTEN APPLICATION TO SUPPORT A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE, OR THE PATIENT DOES NOT HAVE A FINANCIAL ASSISTANCE FORM ON RECORD, THE CENTER MAY USE EXTERNALLY AVAILABLE INFORMATION IN DETERMINING ESTIMATE INCOME AMOUNTS FOR THE BASIS OF DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY. THE CENTER MAY APPLY FOR FINANCIAL ASSISTANCE ON BEHALF OF THE PATIENT. THE SAME ELIGIBILITY CRITERIA SET FORTH IN THE FINANCIAL ASSISTANCE POLICY WILL BE USED TO DETERMINE ELIGIBILITY BASED ON ALL AVAILABLE INFORMATION OBTAINED. IN ORDER TO FACILITATE THE APPLICATION, THE INSTITUTION WILL USE THE INFORMATION RETURNED FROM AN EXTERNAL CREDIT REPORTING AGENCY AS SUPPORT FOR APPROVAL OR DENIAL OF FINANCIAL ASSISTANCE.
H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE PART V, SECTION B, LINE 16J: REFERENCE TO THE POLICY IS ADDED TO THE BILLING INVOICE STATING THAT A MOFFITT REPRESENTATIVE CAN HELP EVALUATE ELIGIBILITY FOR FINANCIAL ASSISTANCE IF THE PATIENT IS UNABLE TO PAY. HOSPITAL'S BILLING AND COLLECTIONS AREA OF ITS WEBSITE ALSO STATES THAT IF A PATIENT IS UNDERINSURED OR UNABLE TO PAY, A PATIENT ACCOUNT REPRESENTATIVE OR A SOCIAL WORKER WILL HELP IDENTIFY ASSISTANCE PROGRAMS THAT OFFER HELP IN MEETING FINANCIAL OBLIGATIONS. IN ADDITION, NOTIFICATION IS PLACED CONSPICUOUSLY AT PATIENT ACCESS LOCATIONS IN THE HOSPITAL FACILITY.
H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE PART V, SECTION B, LINE 20E: MOFFITT HOSPITAL DID NOT INITIATE ANY OF THE ACTIONS DESCRIBED IN SCHEDULE H, PART V, SECTION B, LINE 19. HOWEVER, IF THE HOSPITAL HAD UNDERTAKEN ANY OF THE LISTED ACTIONS, IT WOULD HAVE FIRST NOTIFIED PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY ON ADMISSION, PRIOR TO DISCHARGE, AND IN COMMUNICATIONS WITH THE PATIENTS REGARDING THEIR BILLS. MOFFITT HOSPITAL DOCUMENTS ITS DETERMINATION OF WHETHER PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE POLICY. CONTINUOUS EFFORT IS MADE TO QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE, SUCH AS ASSISTING WITH THE APPLICATION PROCESS TO DETERMINE ELIGIBILITY AS WELL AS IDENTIFYING OTHER PROGRAMS THAT MAY PROVIDE ASSISTANCE.
H. LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE PART V, SECTION B, LINE 21D: THE CANCER CENTER IS A SPECIALTY HOSPITAL AND THEREFORE, DOES NOT PROVIDE EMERGENCY MEDICAL TREATMENT WITHIN THE MEANING OF SECTION 1867 OF THE SOCIAL SECURITY ACT (42 USC 1395DD). IF, HOWEVER, AN INDIVIDUAL SEEKING SUCH CARE ENTERS THE CANCER CENTER'S FACILITY, THE CANCER CENTER WITHOUT DISCRIMINATION WILL STABILIZE THE PATIENT AND ASSIST THE PATIENT AND/OR THE PATIENT'S FAMILY IN OBTAINING TRANSPORTATION FOR THE PATIENT TO A LOCAL HOSPITAL EQUIPPED FOR EMERGENCY MEDICAL CARE.
PART V, SECTION B, LINE 16C WEBSITE ADDRESS FULL URL: HTTPS://MOFFITT.ORG/PATIENT-FAMILY/INSURANCE-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE/
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?3
Name and address Type of Facility (describe)
1 1 - MOFFITT CANCER CTR MCKINLEY OUTPATIENT
10920 MCKINLEY DRIVE
TAMPA,FL33612
OUTPATIENT
2 2 - MOFFITT CANCER CTR AT WESLEY CHAPEL
2590 HEALING WAY
WESLEY CHAPEL,FL33544
OUTPATIENT
3 3 - MOFFITT CANCER CTR AT INT'L PLAZA
4101 JIM WALTER BLVD
TAMPA,FL33607
OUTPATIENT
4
5
6
7
8
9
10
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
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 THEFEDERAL POVERTY GUIDELINES FOR THE PATIENT'S FAMILY SIZE SHALL BEENTITLED TO 100% FINANCIAL ASSISTANCE ON QUALIFYING BALANCES.B. PATIENTS WHO HAVE FAMILY INCOME AND ASSETS BETWEEN 201%-400% OF THEFEDERAL POVERTY GUIDELINE FOR THE PATIENT'S FAMILY SIZE SHALL BECLASSIFIED AS "SELF PAY TIER 1" STATUS AND ARE ENTITLED TO FINANCIALASSISTANCE OF 65% ON QUALIFYING BALANCES.C. PATIENTS WHO ARE MEDICALLY NEEDY MAY STILL APPLY FOR FINANCIALASSISTANCE, BUT WILL PRESUMPTIVELY QUALIFY FOR FINANCIAL ASSISTANCE IFTHEY CANNOT MEET THEIR SHARE OF COST AS DETERMINED BY THE FLORIDADEPARTMENT OF CHILDREN AND FAMILIES. THE LEVEL OF ASSISTANCE WILL BEDETERMINED BY WHICH INCOME LEVEL THE PATIENT'S SHARE OF COST FALLS ON THEFEDERAL POVERTY GUIDELINES.
PART I, LINE 7: THE 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): TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN A FOR THE HOSPITAL IS $1,622,473,343. THE TOTAL BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS $16,758,134. 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 $1,605,715,209.
PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING - ADVOCACYIN FY23 MOFFITT PARTICIPATED IN A CONGRESSIONAL MEETING (WASHIGNTON D.C.): ALICE HASTINGS PROGRAM FOR ADVANCE CANCER SCREENING. THE MEETING DISCUSS ACCESS TO SCREENING AND EARLY DETECTION. THE MEETING COMPRISED OF CONGRESSIONAL STAFF AND MOFFITT LEADERSHIP. IN FY23 MOFFITT PARTICIPATED IN A VIRTUAL EVENT DISCUSSING MEDICARE/MEDICAID COVERAGE FOR MOLECULAR TESTING. THIS EVENT WAS TO PROMOTE LEGISLATION TO MANDATE MEDICARE AND MEDICAID TO COVER MOLECULAR TESTING FOR ALL CANCER PATIENTS. THE MEETING WAS COMPRISED OF CONGRESSIONAL STAFF, HEALTHCARE PROFESSIONALS AND COMMUNITY ORGANIZATIONS. COMMUNITY BUILDING - PARTNERSHIPS THE TAMPA BAY COMMUNITY CANCER NETWORK (TBCCN), ONE OF MOFFITT'S TWOCOMMUNITY ADVISORY BOARDS, HAD A RETREAT AND FOUR QUARTERLY MEETINGS WITH MEMBERS TO CONTINUE STRENTHENING PARTNERSHIP AMONG MEMBERS ORGANIZATIONS. THE REGIONAL CANCER CONTROL COLLABORATIVE HAS MONTHLY MEETINGS WITH ALL 6 REGION COLLABORTIVES, MOFFITT CANCER CENTER AND UNIVERISTY OF MIAMI SYLVESTER COMPREHENSIVE CANCER CENTER. THE PURPOSE OF THE COLLABORATIVE IS TO MEET ON A MONTHLY BASIS AND IMPLEMENT CANCER CONTROL EFFORTS AMONG PUBLIC AND PRIVATE PARTNERS. THIS IS RUN BY FLORIDA DEPARTMENT OF HEALTH. MOFFITT IS REPRESENTED AS A CONSULTANT. THE REGIONAL COLLABORATIVES INCLUDE: NORTHWEST REGION (UNIVERSITY OF WEST FLORIDA), NORTHEAST REGION (NORTHEAST FLORIDA AHEC), EAST CENTRAL REGION (HEALTH COUNCIL OF EAST CENTRAL FLORIDA, INC), NORTH CENTRAL REGION (WELLFLORIDA COUNCIL, INC), SOUTHWEST REGION (UNIVERISTY OF SOUTH FLORIDA COLLEGE OF NURSING), SOUTHEAST REGION (HEALTH COUNCIL OF SOUTH FLORIDA, INC). COMMUNITY BUILDING - COMMUNITY SUPPORTMOFFITT PARTICIPATED IN THE BIG BROTHERS BIG SISTERS SCHOOL TO WORKPROGRAM THAT PROVIDES ONE-ON-ONE MENTORING IN THE WORKPLACE FOR HIGHSCHOOL JUNIORS AND SENIORS TO HELP IMPROVE GRADUATION RATES. IN FY23,MOFFITT TEAM MEMBERS IN 12 DEPARTMENTS MENTORED 12 STUDENTS, TOTALING 106HOURS.COMMUNITY BUILDING - WORKFORCE DEVELOPMENTMOFFITT DEVELOPED A MENTORING PROGRAM CALLED "VOLUNTEEN" WHERE HIGH SCHOOLSTUDENTS CAN VOLUNTEER AT MOFFITT. THE PROGRAM IS DESIGNED TO EXPOSE TEENSTO HEALTHCARE CAREERS, EDUCATE THEM ON THE IMPORTANCE OF PROVIDINGHEALTHCARE TO THE COMMUNITY, AND HOW MOFFITT AND OTHER HEALTHCAREORGANIZATIONS PLAY A ROLE IN MEETING THE NEEDS OF THE COMMUNITY. THEVOLUNTEERS ARE GUIDED THROUGH VARIOUS DEPARTMENTS THROUGHOUT THEORGANIZATION AND RECEIVE HANDS ON EXPERIENCE IN THE AREAS ASSIGNED. INFY23, 34 MOFFITT DEPARTMENTS RECEIVED ASSISTANCE FROM STUDENTS WHOVOLUNTEERED FOR 3,088 HOURS.
PART III, LINE 2: THE METHODOLOGY USED TO CALCULATE BAD DEBT EXPENSE WAS CALCULATING THE COST TO CHARGE RATIO, USING PATIENT EXPENSES TO GROSS CHARGES, AND APPLYING IT TO THE BAD DEBT PROVISION IN PART III, LINE 4.
PART III, LINE 4: ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ARE MADE BY MEANSOF THE PROVISION FOR BAD DEBTS. ACCOUNTS ARE WRITTEN OFF WHEN DEEMED TOBE UNCOLLECTIBLE AND ARE DEDUCTED FROM THE PATIENT'S ACCOUNTS RECEIVABLE BALANCE.THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'SASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS ANDECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENT HEALTHCARECOVERAGE AND OTHER COLLECTION INDICATORS. ONE TOOL USED IN MANAGEMENT'SASSESSMENT IS A DETAILED REVIEW OF HISTORICAL COLLECTIONS AND WRITE-OFFSAT THE CANCER CENTER THAT REPRESENT A MAJORITY OF THE CANCER CENTER'SREVENUES AND ACCOUNTS RECEIVABLE. THE RESULTS OF THE DETAILED REVIEW OFHISTORICAL COLLECTIONS AND WRITE-OFFS EXPERIENCE, ADJUSTED FOR CHANGES INTRENDS AND CONDITIONS, ARE USED TO EVALUATE THE ALLOWANCE AMOUNT FOR THECURRENT PERIOD.
PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT OF MEDICAREALLOWABLE COSTS IS THE STEP-DOWN METHOD WHICH DISALLOWS CERTAIN COSTS TOBE CONSIDERED AS COSTS RELATED TO PATIENT CARE. MEDICARE SHORTFALLS WHICHARE 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 NEEDFOR FINANCIAL ASSISTANCE. HOWEVER, IF AT ANY POINT IN THE COLLECTIONPROCESS IT IS DETERMINED THAT THE PATIENT MAY BE UNABLE TO MEET HIS ORHER OBLIGATION, THE PATIENT WILL BE SENT AN APPLICATION FOR FINANCIALASSISTANCE OR CHARITY ADJUSTMENT. IF PATIENT DOES NOT EXPRESS THEINABILITY TO PAY PRIOR TO BILLING, AN INVOICE IS SENT TO THE PATIENTWHICH INCLUDES CONTACT INFORMATION FOR A PATIENT SERVICE REPRESENTATIVEIF THE PATIENT NEEDS FINANCIAL ASSISTANCE. A HOSPITAL REPRESENTATIVE WILLMAKE EVERY EFFORT TO WORK WITH THE PATIENT TO DETERMINE WHETHER FINANCIALASSISTANCE IS NEEDED. IF THE PATIENT DOES NOT STATE THE NEED OR DOES NOTQUALIFY FOR FINANCIAL ASSISTANCE THEREAFTER, AND PAYMENTS ARE NOT MADE ASAGREED, THE HOSPITAL REPRESENTATIVE MAY OFFER REASONABLE PAYMENT PLANS TOHELP PATIENTS MEET THEIR FINANCIAL OBLIGATIONS.
PART VI, LINE 2: MOFFITT CANCER CENTER IS HEAVILY INVOLVED IN THE COMMUNITY WITH OUTREACH/EDUCATION EFFORTS (E.G., COEE, LUNG AND THORACIC TUMOR EDUCATION PROGRAM (LATTE), HEAD AND NECK CANCER EDUCATION PROGRAM, TBCCN), COMMUNITY-BASED PARTICIPATORY RESEARCH, PARTICIPATION IN COMMUNITY COMMITTEES OR COALITIONS (E.G., HEALTHY HILLSBOROUGH, ALL4HEALTHFL COLLABORATIVE, FLORIDA CANCER CONTROL & RESEARCH ADVISORY COUNCIL (CCRAB)) AND PARTNERSHIPS WITH FEDERALLY-QUALIFIED HEALTH CENTERS AND FREE CLINICS. THESE EFFORTS ENSURE THE ORGANIZATION IS CONTINUOUSLY ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITY. MOFFITT'S CHNA REPORT EXPLAINS THE PROCESS OF ASSESSING THE NEEDS OF THE COMMUNITY. WE ENGAGED COMMUNITY MEMBERS THROUGH EXTENSIVE ANALYSIS OF SECONDARY DATA, AN ONLINE SURVEY IN ENGLISH AND SPANISH, AS WELL AS INTERVIEWS WITH KEY COMMUNITY AND PUBLIC HEALTH STAKEHOLDERS DURING THE COMPLETION OF THE NEEDS ASSESSMENT. THE REPORT CAN BE FOUND ON OUR WEBSITE. TO ENHANCE MOFFITT'S ABILITY TO ADDRESS COMMUNITY HEALTH NEEDS, THE CENTER WENT THROUGH A COMPREHENSIVE COMMUNITY BENEFIT INVENTORY TO GET A COMPLETE VIEW OF THE COMMUNITY BENEFIT PROGRAMS THE HOSPTIAL CURERNTLY PROVIDES, AND TO INDENTIFY AREAS TO IMPROVE. THE COMMUNITY BENEFIT INVENTORY RESULTED IN THE MOST COMPREHESIVE LINKAGE OF MOFFITT'S COMMUNITY BENEFIT PROGRAMS TO OUR MOST RECENT IMPLEMENTATION STRATEGY. WE TRACK PROGRESS MADE IN EACH OF THE PRIORITIZED HEALTH AREAS, GOALS, AND ACTIVITES BY THE QUARTER AND FISCAL YEAR. MOFFITT'S COMMUNITY OUTREACH, ENGAGEMENT, AND EQUITY (COEE) TEAM DEVELOPED OUR SECOND VERSION OF MOFFITT CANCER CENTER'S CATCHMENT AREA PROFILE THAT HIGHLIGHTS CANCER RELEVANT DATA INCLUDING INCIDENCE, RISK FACTORS, AND PREVENTION BEHAVIORS TO HELP STAKEHOLDERS MAKE INFORMED DECISIONS ABOUT THEIR RESEARCH, EDUCATION, AND OUTREACH PRIORITIES RELATED TO MOFFITT'S 23-COUNTY CATCHMENT AREA. THE CATCHMENT AREA PROFILE SERVES AS A SYNTHESIS OF HEALTH-RELATED PRIORITIES MOFFITT CANCER CENTER WORKS ON, AND PROVIDES THE OPPORTUNITY FOR FACULTY AND COMMUNITY MEMBERS TO REQUEST ANY DATA (DE-IDENTIFIED WHERE APPLICABLE) LISTED IN THE CATCHMENT AREA PROFILE FOR THEIR OWN USE. THE OFFICE OF COEE FACILITATES DATA REQUESTS FOR THE CANCER AND NON-CANCER RELATED DATA WITHIN THE CATCHMENT AREA PROFILE, AVAILAIBLE TO THE COMMUNITY.
PART VI, LINE 3: PUBLICATION OF THE POLICY: A. THE CENTER HAS PLACED SIGNAGE IN THE ADMISSION AREAS OF THE HOSPITALINFORMING PATIENTS OF FINANCIAL ASSISTANCE AND MAKES ITS POLICY, THEFINANCIAL ASSISTANCE APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THEPOLICY WIDELY AVAILABLE ON ITS WEBSITE. INDIVIDUALS WITH ACCESS TO THEINTERNET CAN ACCESS, DOWNLOAD, VIEW, AND PRINT A HARD COPY OF THISPOLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND THE PLAIN LANGUAGESUMMARY OF THIS POLICY FROM THE WEBSITE: I. WITHOUT REQUIRING SPECIAL COMPUTER HARDWARE OR SOFTWARE (OTHER THANSOFTWARE THAT IS READILY AVAILABLE TO MEMBERS OF THE PUBLIC WITHOUTPAYMENT OF ANY FEE); II. WITHOUT PAYING A FEE TO THE CENTER; AND III. WITHOUT CREATING AN ACCOUNT OR BEING OTHERWISE REQUIRED TO PROVIDEPERSONALLY-IDENTIFIABLE INFORMATION. B. THE CENTER PROVIDES INDIVIDUALS WHO ASK HOW TO ACCESS A COPY OF THEPOLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND THE PLAIN LANGUAGESUMMARY OF THE POLICY ONLINE WITH THE DIRECT WEBSITE ADDRESS, OR URL, OFTHE WEB PAGE WHERE THE POLICY, THE FINANCIAL ASSISTANCE APPLICATION, ANDTHE PLAIN LANGUAGE SUMMARY OF THE POLICY ARE POSTED. C. THE CENTER WILL MAKE PAPER COPIES OF THIS POLICY, THE FINANCIALASSISTANCE APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THIS POLICYAVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH BY MAIL AND IN PUBLICLOCATIONS AT THE CENTER, INCLUDING ANY ADMISSIONS AREAS. D. THE CENTER WILL NOTIFY AND INFORM PATIENTS WHO RECEIVE CARE AT THECENTER ABOUT THIS POLICY NOT ONLY BY SIGNAGE IN THE ADMISSION AREAS BUTALSO BY OFFERING A PAPER COPY OF THE PLAIN LANGUAGE SUMMARY OF THEFINANCIAL ASSISTANCE POLICY AS PART OF THE INTAKE OR DISCHARGE PROCESS.IN ADDITION, THE CANCER CENTER REPRESENTATIVE WILL ALSO GUIDE A PATIENTTO THE WEBSITE OR URL WHERE COPIES OF THIS POLICY, THE FINANCIALASSISTANCE APPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THIS POLICY MAYBE OBTAINED. THE CENTER ALSO INCLUDES A CONSPICUOUS WRITTEN NOTICE ONBILLING STATEMENTS THAT NOTIFIES AND INFORMS RECIPIENTS ABOUT THEAVAILABILITY OF FINANCIAL ASSISTANCE UNDER THIS POLICY ALONG WITH THETELEPHONE NUMBER OF THE OFFICE OR DEPARTMENT THAT CAN PROVIDE INFORMATIONRELATED TO THE POLICY AND THE FINANCIAL ASSISTANCE APPLICATION PROCESS. E. AT ANY TIME DURING THE PATIENT'S TREATMENT THE PATIENT MAY REQUEST ACOPY OF THIS POLICY, THE FINANCIAL ASSISTANCE APPLICATION, OR THE PLAINLANGUAGE SUMMARY OF THIS POLICY. F. IF A MEMBER OF THE WORKFORCE BECOMES AWARE OF THE PATIENT'S NEED FORFINANCIAL ASSISTANCE DURING THE ADMISSION PROCESS, THE PATIENT SERVICEREPRESENTATIVE WILL PROVIDE THE PATIENT WITH THE NECESSARY INFORMATIONNEEDED TO APPLY FOR FINANCIAL ASSISTANCE. G. THE CENTER WILL ALSO TRANSLATE THIS POLICY, THE FINANCIAL ASSISTANCEAPPLICATION, AND THE PLAIN LANGUAGE SUMMARY OF THIS POLICY INTO THEPRIMARY LANGUAGES SPOKEN BY ALL SIGNIFICANT POPULATIONS SERVED BY THECENTER.
PART VI, LINE 4: MOFFITT'S PRIMARY SERVICE AREA, BASED ON THE PATIENT NUMBERS, IS COMPRISED OF 4 COUNTIES IN WEST CENTRAL FLORIDA: HILLSBOROUGH, PASCO, PINELLAS, AND POLK. BASED ON AMERICAN COMMUNITY SURVEY 2021 5-YEAR ESTIMATES, THIS PRIMARY SERVICE AREA HAS OVER 3.7 MILLION RESIDENTS: 75.63% WHITE RESIDENTS, 15.81% BLACK RESIDENTS, AND 21.66% HISPANIC RESIDENTS. THE AVERAGE HOUSEHOLD INCOME IS $60,408, AND 12.79% OF INDIVIDUALS IN THE PRIMARY SERVICE AREA ARE BELOW THE POVERTY LEVEL. THE RURAL POPULATION MAKES UP 4.27% OF THE TOTAL POPULATION. SENIORS (AGE 65+) MAKE UP 19.28% OF THE POPULATION.IN JANUARY 2022, MOFFITT LEADERSHIP SAW A NEED AND OPPORTUNITY TO EXPAND MOFFITT'S CATCHMENT AREA FROM 15 COUNTIES TO 23 COUNTIES, WHICH NOW COVERS 100% OF 2 OF FLORIDA'S CANCER CONTROL COLLABORATIVE REGIONS: SOUTHWEST REGION, EAST CENTRAL REGION. COUNTIES INCLUDE BREVARD, CHARLOTTE, CITRUS, COLLIER, DESOTO, GLADES, HARDEE, HENDRY, HERNANDO, HIGHLANDS, HILLSBOROUGH, LAKE, LEE, MANATEE, MARION, ORANGE, OSCEOLA, PASCO, PINELLAS, POLK, SARASOTA, SEMINOLE, AND SUMTER. THIS EXPANDED CATCHMENT AREA HAS OVER 10 MILLION RESIDENTS: 78.18% WHITE RESIDENTS, 14.49% BLACK RESIDENTS, AND 21.82% HISPANICS. AVERAGE HOUSEHOLD INCOME IS $81,857, AND A LITTLE OVER 13.3% OF INDIVIDUALS IN THE PRIMARY SERVICE AREA ARE BELOW THE POVERTY LEVEL. THE RURAL POPULATION MAKES UP 8.31% OF THE TOTAL POPULATION. SENIORS (AGE 65+) MAKE UP 23.96% OF THE POPULATION. WHEN DETERMINING THE PRIORITY HEALTH NEEDS IN THE 2022 CHNA, ALL THREE DATA SOURCES (SECONDARY DATA ANALYSIS, KEY INFORMANT INTERVIEWS WITH PUBLIC HEALTH AND COMMUNITY STAKEHOLDERS, AND AN ONLINE SURVEY IN ENGLISH AND SPANISH) INCLUDE THE EXPANDED 23 COUNTY CATCHMENT AREA AS THE SERVICE AREA. MOFFITT LEADERSHIP DECIDED THIS BASED ON THE NEED TO UNDERSTAND THE NEEDS, CHANGES TO THE DEMOGRAPHIC MAKE-UP, CANCER INCIDENCE, AND MORTALITY BURDEN, AND IDENTIFY OPPORTUNITIES FOR EXPANDING COMMUNITY PARTNERSHIP WITHIN THE NEW CATCHMENT AREA. THE 2023-2025 IMPLEMENTATION STRATEGY INCLUDES ACTIVITIES TO INCREASE PARTNER REPRESENTATION IN THE EXPANDED CATCHMENT AREA, MEASURED OVER A 3 YEAR PERIOD.
PART VI, LINE 5: MOFFITT'S CHNA IMPLEMENTATION PLAN OUTLINES THE ORGANIZATIONAL EFFORTS INPROMOTING THE HEALTH OF OUR COMMUNITY AND ADDRESSING CANCER PREVENTION ANDEARLY DETECTION. THE M-POWER OUTREACH TEAM IS DEDICATED TO ADDRESS THECANCER NEEDS OF UNDERSERVED POPULATIONS THROUGH EDUCATION, COMMUNITYCOLLABORATIONS, AND NAVIGATION OF SERVICES. BELOW ARE ACCOMPLISHMENTS ANDACTIVITES IN FISCAL YEAR 2023:COMMUNITY INVOLVEMENTMOFFITT HAS 2 COMMUNITY ADVISORY BOARDS AND BOTH HAVE COMMUNITY REPRESENTATION. THE TAMPA BAY COMMUNITY CANCER NETWORK (TBCCN) HAS 29 PARTNERS COVERING 11 OF 23 COUNTIES IN OUR CATCHMENT AREA, BUT PROVIDING SERVICES TO RESIDENTS IN MORE THAN THOSE 11 COUNTIES. WITHIN TBCCN THERE ARE WORKGROUPS THAT REPRESENT DIFFERENT INTERESTS AMONG THE MEMBERS AND INITIATIVES THAT MOFFITT IS FOCUSING ON, BACKED BY DATA. WORKGROUPS INCLUDE: CANCER SURVIVORSHIP; SCREENING, BIOBANKING AND VACCINATION; YOUTH IN ACTION; AND PEOPLE WITH HIV (PWH). MEMBERS INCLUDE: AMERICAN CANCER SOCIETY, ADVENT HEALTH, BEST: BRAIN EXPANSIONS SCHOLASTIC TRAINING, CONCORDE CAREER INSTITUTE, FACES OF COURAGE FOUNATION, INC., FARMER'S SELF-HEALTH, INC., HAITIAN ASSOCIATION OF TAMPA BAY, INC., FLORIDA VOICES FOR HEALTH, INC., FLORIDA DEPARTMENT OF HEALTH (HILLSBOROUGH, PINELLAS, PASCO), HILLSBOROUGH ORGANIZATION FOR PROGRESS AND EQUITY (HOPE), INC., JAMES B. SANDERLIN NEIGHBORHOOD FAMILY CENTER, LATINAS UNIDAS POR UN NUEVO AMANECER, INC (LUNA INC), THE LEUKEMIA & LYMPHOMA SOCIETY, BAY CARE MORTON PLANT HOSPITAL - CANCER PATIENT SUPPORT SERVICES (CAPSS), PREMIER COMMUNITY HEALTHCARE GROUP, INC., SISTAHS SURVIVING BREAST CANCER, SUNCOAST COMMUNITY HEALTH CENTERS, SUNCOAST HOSPICE/EMPATH HEALTH, TAMPA FAMILY HEALTH CENTERS, UNIVERISTY AREA DEVELOPMENT CORPORATION, FRONT PORCH COMMUNITY DEVELOPMENT ASSOCIATION, INC., TAMPA BAY HEALTH CARE COLLABORATIVE, CENTRAL FLORIDA HEALTHCARE, INC., WORKGROUP ENHANCING COMMUNITY ADVOCACY & RESEARCH ENGAGEMENT (WE-CARE), YMCA OF THE SUNCOAST, UNITED WAY SUNCOAST, HEALTH CHOICE NETWORKS, INC., USF INFECTIOUS DISEASE FELLOWSHIP PROGRAM, USF MORSANI COLLEGE OF MEDICINE, USF COLLEGE OF PUBLIC HEALTH, AND YBOR YOUTH CLINIC. THE PATIENT AND FAMILY ADVISORY COUNCIL (PFAC) IS COMPOSED OF 29 MEMBERS SPANNING VARIOUS MOFFITT DEPARTMENTS, BUT IMPORTANTLY 55% REPRESENT PATIENTS AND FAMILIES OF PATIENTS, WITH 12 PATIENT ADVISORS AND 4 FAMILTY ADVISORS (FAMILTY MEMBERS OF PATIENTS) TO GUIDE THE DEVELOPMENT OF PATIENT-FOCUSED INIATIVES AT MOFFITT CANCER CENTER. MOFFITT'S 2022 CHNA INCLUDED 64 INTERVIEWS WITH KEY PUBLIC HEALTH AND COMMUNITY STAKEHODLERS. COMMUNITY PARTNERS REPRESENTED 86% OF THE KEY STAKEHOLDER INTERVIEWS, INCLUDING MEMBERS OF TBCCN AND PFAC AS ALL 23 OF THE COUNTY HEALTH DEPARTMENTS IN MOFFITT'S 23 COUNTY CATCHMENT AREA. ALTHOUGH MOFFITT CANCER CENTER CONDUCTED ITS OWN INDEPENDENT CHNA, MOFFITT'S COMMUNITY BENEFIT SPECIALIST PROVIDED SUPPORT AND EXPERTISE TO THE ALL4HEALTHFL COLLABORATIVE'S JOINT 2022 CHNA, PROVIDING OVER 480 HOURS OF SUPPORT (25% OF TOTAL TIME) SPECIFICALLY TO ALL4HEALTHFL AND THE HEALTHY HILLSBOROUGH STEERING COMMITTEE IN FY22.ECONOMIC IMPACTIN FY23, SUPPORT FOR COMMUNITY ORGANIZATION RESEARCH ENGAGEMENT (SCORE) PARTNERED WITH YMCA OF THE SUNCOAST TO CREATE THE YMCA SURVIVORSHIP & WELLNESS PROGRAM POWERED BY MOFFITT. THIS PROGRAM IS A RESEARCH-BASED PHYSICAL ACTIVITY AND WELL-BEING PROGRAM THAT IS DESIGNED TO HELP ADULT CANCER SURVIVORS. THE PROGRAM HELPS REDUCE THE SEVERITY OF THERAPY SIDE EFFECTS, PREVENT UNWANTED WEIGHT CHANGES, AND IMPROVE ENERGY LEVELS. THE YMCA OF THE SUNCOAST WILL BE OFFERING THIS PROGRAM TO RESIDENTS OF PINELLAS, PASCO, HERNANDO, AND CITRUS COUNTIES (CITRUS MEMORIAL HEALTH FOUNDATION, CLEARWATER YMCA, GREATER PALM HARBOR, GREATER RIDGECREST, HERNANDO COUNTY, JAMES P. GILLS, JOHN GEIGLE YMCA IN NORTH PINELLAS). GOOD NEIGHBORSFREEDOM DAY JUNETEENTH: FOR THE THIRD YEAR IN A ROW MOFFITT CANCER CENTER HAS RECOGNIZED JUNETEENTH, WHICH RECOGNIZED THE END OF SLAVERY IN THE UNITED STATES. MOFFITT RAISED THE JUNETEENTH FLAG AT THE MCKINLEY CAMPUS ON JUNE 19TH. HTTPS://ENDEAVOR.MOFFITT.ORG/ARCHIVE/JUNETEENTH-FLAG-TO-FLY-OVER-MOFFITTS-MCKINLEY-CAMPUSRECOGNITIONFDA APPROVES HEPZATO KIT TO TREAT METASTATIC OCULAR MELANOMA: MOFFITT LED THE INTERNATIONAL TRIAL, WHICH BEGAN IN 2016 AND INCLUDED 40 OTHER INSTITUTIONS IN THE UNITED STATES AND EUROPE. PERCUTANEOUS HEPATIC PERFUSION STANDS APART FROM CONVENTIONAL CHEMOTHERAPY BY EMPLOYING SPECIALIZED CATHETERS AND BALLOONS TO ISOLATE THE LIVER FROM THE BODY'S GENERAL CIRCULATION. THIS METHOD FACILITATES THE DIRECT ADMINISTRATION OF HIGH-DOSE CHEMOTHERAPY EXCLUSIVELY TO THE LIVER, WITHOUT AFFECTING OTHER ORGANS. AFTER EXITING THE LIVER, BLOOD IS COLLECTED AND FILTERED EXTERNALLY THROUGH A BYPASS CIRCUIT TO ELIMINATE ANY RESIDUAL CHEMOTHERAPY. PATIENTS TYPICALLY UNDERGO UP TO SIX SESSIONS OF PERCUTANEOUS HEPATIC PERFUSION, SPACED APPROXIMATELY SIX TO EIGHT WEEKS APART.HTTPS://WWW.MOFFITT.ORG/NEWSROOM/NEWS-RELEASES/FDA-APPROVES-HEPZATO-KIT-TO-TREAT-METASTATIC-OCULAR-MELANOMA/ARTS IN MEDICINE CELEBRATES 25 YEARS: THE PROGRAM STARTED IN 1998 WITH ONE ARTIST MEETING WITH PATIENTS AT THEIR BEDSIDE. THE MISSION WAS TO USE ART TO PROMOTE HEALING AND SELF-DISCOVERY. BY OFFERING INSPIRATION, COMFORT AND EMPOWERMENT DURING CHALLENGING TIMES. HTTPS://ENDEAVOR.MOFFITT.ORG/ARCHIVE/ARTS-IN-MEDICINE-CELEBRATES-25-YEARS/RESPONDING TO NEEDSIN FY23, COEE RESOURCE SPECIALIST AND COMMUNITY NAVIGATOR FACILIATED THE USE OF 451 BREAST CANCER SCREENING VOUCHERS FOR COMMUNITY MEMBERS TO ACCESS FREE BREAST CANCER SCREENING. THE MAJORITY OF RECIPIENTS WERE HISPANIC (95.1%) WITH AN AVERAGE AGE OF 45 YEARS. THE PARTICIPATING COMMUNITY CLINICS WERE SUNCOAST COMMUNITY HEALTH CENTERS, USF BRIDGE CLINIC, CATHOLIC CHARITIES, AND TAMPA FAMILY HEALTH CLINIC. THE CRITERIA FOR THE BREAST CANCER VOUCHER PROGRAM IS EXPANDING TO INCLUDE RESIDENTS IN HILLSBOROUGH AND PINELLAS COUNTIES. THE THORACIC ONCOLOGY PROGRAM WAS ABLE TO PROVIDE 20 LUNG CANCER SCREENING VOUCHERS TO RECEIVE FREE CT LUNG SCREENING.MOFFITT CANCER CENTER IN FY23 PARTICIPATED IN 234 HEALTH EDUCATION EVENTS (HEALTH EDUCATION WORKSHOPS, SUPPORT GROUPS, MEET THE EXPERT, HEALTH FAIRS) WITH 141 EVENTS IN ENGLISH AND 93 IN SPANISH WITHIN THE TAMPA BAY AREA, SERVING 8,062 PEOPLE. MOFFITT'S MOLE PATROL SKIN CANCER SCREENING MOBILE UNIT AND THE HEAD AND NECK DEPARTMENT PARTICIPATED IN 20 SCREENING EVENTS, BY PROVIDING FREE CANCER SCREEING TO 1,513 PEOPLE WITHIN THE TAMPA BAY AREA. SOCIAL IMPACTENGAGING WITH THE MOONSHOT INITIATIVE: MOFFITT CANCER CENTER AND UNIVERSITY OF GHANA ARE WORKING TOGETHER TO STRENGTHEN AND EXPAND CAPACITY TO CONDUCT CANCER RESEARCH IN GHANA. WITH A TOTAL OF OVER $1.3 MILLION INVESTED OVER THE NEXT FIVE YEARS, APPROXIMATELY 125-150 FELLOWS AND JUNIOR FACULTY WILL BE TRAINED, AND A SUSTAINABLE CANCER RESEARCH TRAINING PROGRAM EMBEDDED AT THE SCHOOL. BY ENGAGING EXPERTS FROM MULTIPLE DISCIPLINES, THE PROGRAM WILL STRENGTHEN GHANA'S EXISTING NATIONAL AND MULTIDISCIPLINARY CANCER-SPECIFIC RESEARCH TEAMS BY FOCUSING ON TWO HORMONE-RELATED CANCERS (BREAST AND PROSTATE) AND TWO HPV-RELATED CANCERS (CERVICAL AND HEAD AND NECK), ALL OF WHICH WERE IDENTIFIED AS PRIORITIES IN THE GHANA NATIONAL CANCER CONTROL PLAN. HTTPS://WWW.WHITEHOUSE.GOV/OSTP/NEWS-UPDATES/2022/12/14/FACT-SHEET-CANCER-MOONSHOT-ANNOUNCES-NEW-ACTIONS-AIMED-TO-REDUCE-THE-CANCER-BURDEN-IN-AFRICA-AS-PART-OF-THE-U-S-AFRICA-LEADERS-SUMMIT/ VOLUNTEER ACTIVITIESIN FY23, 313 MOFFITT FACULTY AND STAFF DONATED BLOOD, TOTALING 327 HOURS OF DONATED TIME. THERE WERE 48 MOFFITT FACULTY AND STAFF THAT DONATED 219.5 HOURS OF VOLUNTEER TIME OFF (VTO).
PART VI, LINE 6: TO FURTHER THE MISSION OF CONTRIBUTING TO THE PREVENTION AND CURE OF CANCER, MOFFITT CANCER CENTER COLLABORATES WITH RESPECTED ACADEMIC, HOSPITAL SYSTEMS, REGIONAL CARE CENTERS, AND PHYSICIANS' GROUPS KNOWN AS THE "MOFFITT ONCOLOGY NETWORK." WHOLLY COMMITTED TO MOFFITT'S MODEL OF PATIENT-CENTERED, INTEGRATED CANCER CARE, THE MOFFITT ONCOLOGY NETWORK IS HELPING MOFFITT DEVELOP A PREMIER CANCER CARE DELIVERY SYSTEM, FOCUSED SOLELY ON PROVIDING PATIENTS THE BEST PERSONALIZED CANCER CARE. THE MOFFITT ONCOLOGY NETWORK IMPLEMENTS MOFFITT'S CLINICAL CARE MODEL, INCLUDING MULTIDISCIPLINARY CANCER CARE, PEER REVIEW, CLINICAL PATHWAYS AND QUALITY ASSURANCE.THE COMMUNITY HEALTH NEEDS ASSESSMENT DETERMINED OPPORTUNITIES THAT CAN BE ADDRESSED BY THE CANCER CENTER AS A WHOLE. THE CANCER CENTER'S NON-HOSPITAL FACILITIES DEDICATED TO SERVING INDIVIDUALS WHO ARE IN NEED OF FINANCIAL ASSISTANCE, HELPING TO DEVELOP AND FUND COMMUNITY PROGRAMS AND PERFORM TRANSLATIONAL RESEARCH TO BENEFIT THE COMMUNITY, INCLUDE MOFFITT FOUNDATION, MOFFITT MEDICAL GROUP, AND MOFFITT RESEARCH. MOFFITT FOUNDATION SOLICITS FUNDS TO SUPPORT THE WORK OF THE CANCER CENTER. DONATIONS MAINTAINED BY THE FOUNDATION MAY BE USED FOR A SPECIFIC PROGRAM OR MAY BE USED TO FURTHER THE OVERALL NEEDS OF THE COMMUNITY. MOFFITT MEDICAL GROUP EMPLOYS PHYSICIANS THAT STAFF THE HOSPITAL AND PROVIDE CLINICAL RESEARCH TO THE CANCER CENTER HEALTH CARE SYSTEM. THESE PHYSICIANS PROVIDE MEDICAL SERVICES TO THOSE PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. IN ADDITION, PHYSICIANS PARTICIPATE IN COMMUNITY RELATED PROGRAMS PROVIDING EDUCATION AND TRAINING. MOFFITT'S CANCER RESEARCH FACILITY PERFORMS STUDIES AND INVESTIGATIONS TO GENERATE GENERALIZABLE KNOWLEDGE AVAILABLE TO THE PUBLIC. THE RESEARCH FACILITY IS ALSO THE PARENT COMPANY OF THE CANCER CENTER HEALTH CARE SYSTEM THAT PLANS, DEVELOPS, AND IMPLEMENTS COMMUNITY BENEFIT PROGRAMS TO ADDRESS COMMUNITY NEEDS SEPARATELY FROM, AS WELL AS IN COLLABORATION WITH, THE HOSPITAL. COMMUNITY BENEFIT EXPENSES PERFORMED BY RELATED ENTITIES:MOFFITT MEDICAL GROUP:FINANCIAL ASSISTANCEMOFFITT MEDICAL GROUP OFFERS ADDITIONAL CHARITY CARE IN THE FORM OF FINANCIAL ASSISTANCE TO PATIENTS BILLED BY THE MEDICAL GROUP.FINANCIAL ASSISTANCE AT COST WAS $1,941,045PERCENT OF TOTAL MMG ENTITY EXPENSE: .66%PERCENT OF COMBINED EXPENSE: .088%MOFFITT MEDICAL GROUP'S BAD DEBT EXPENSE AT COST: $418,492HEALTH PROFESSIONAL'S EDUCATIONMOFFITT MEDICAL GROUP FACULTY CONTINUE TO DEVOTE THEMSELVES TO THE DEVELOPMENT OF GRADUATE MEDICAL STUDENTS.HEALTH PROFESSIONALS EDUCATION COSTS TOTALED $7,817,548PERCENT OF TOTAL MMG ENTITY EXPENSE: 2.65%PERCENT OF COMBINED EXPENSE: .36%MOFFITT RESEARCH:MOFFITT RESEARCH PERFORMS ONGOING STUDIES THAT BENEFIT THE SURROUNDING COMMUNITIES NOW AND INTO THE FUTURE.DIRECT AND INDIRECT RESEARCH COSTS TOTALED $106,636,876PERCENT OF TOTAL RESEARCH ENTITY EXPENSE: 35.34%PERCENT OF COMBINED EXPENSE: 4.84%HEALTH PROFESSIONAL'S EDUCATION:CERTAIN MOFFITT RESEARCH FACULTY ALSO DEVOTE THEMSELVES TO THE DEVELOPMENT OF GRADUATE MEDICAL STUDENTS.HEALTH PROFESSIONAL'S EDUCATION COSTS TOTALED $154,766PERCENT OF TOTAL MMG ENTITY EXPENSE: .05%PERCENT OF COMBINED EXPENSE: .01%CARING FOR PATIENTS WHO CANNOT AFFORD TO PAY FOR QUALITY CANCER CARE IS AN IMPORTANT PART OF MOFFITT'S COMMITMENT TO FLORIDA'S CITIZENS AND IT IS THE INTENTION OF MOFFITT TO OFFER FINANCIAL ASSISTANCE TO ITS MOST MEDICALLY AND FINANCIALLY NEEDY PATIENTS. AS SUCH, MOFFITT PRIDES ITSELF IN OFFERING TREATMENT TO PATIENTS WITH A DIVERSE RANGE OF FINANCIAL CONDITIONS. WITH THE RISING COST OF LABOR DUE TO INFLATION AND THE NEED TO COMPETE TO MAINTAIN CLINICAL STAFF, TOTAL EXPENSES HAVE INCREASED IN EXCESS OF 31% FROM THE PRIOR YEAR, DILUTING MOFFITT'S COMMUNITY BENEFIT PERCENTAGE IN COMPARISON TO THE PRIOR YEAR. IN ADDITION, MOFFITT'S SEGMENTED STRUCTURE CAUSES COMMUNITY BENEFIT COSTS SUCH AS RESEARCH AND HEALTH PROFESSIONAL EDUCATION TO BE GROSSLY UNDERSTATED ON SCHEDULE H, AS THE MAJORITY OF THESE ACTIVITIES ARE PERFORMED BY OTHER NON-HOSPITAL NONPROFIT ENTITIES WITHIN OUR ORGANIZATIONAL STRUCTURE. FOR THE CURRENT TAX YEAR, IF COMMUNITY BENEFIT FIGURES WERE RESTATED TO BE INCLUSIVE OF OUR AFFILIATE ENTITIES MOFFITT MEDICAL GROUP AND MOFFITT RESEARCH, THE TOTAL COMMUNITY BENEFIT EXPENSE PERCENTAGE IS PROJECTED TO EXCEED 8%.
PART I, LINE 7 TOTAL COMMUNITY BENEFIT PERCENTAGE SEE ADDITIONAL INFORMATION IN PART VI, LINE 6 TO LEARN HOW THE MOFFITT AFFLIATED HEALTH SYSTEM AS A WHOLE PROVIDES COMMUNITY BENEFIT IN EXCESS OF 8%.
PART VI, LINE 7 THE HOSPITAL DOES NOT FILE A COMMUNITY BENEFIT REPORT WITH ANY U.S. STATE.
Schedule H (Form 990) 2022
Additional Data


Software ID:  
Software Version:  

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC
Employer identification number
59-3238634
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) H LEE MOFFITT CC&RI INC
12902 MAGNOLIA DRIVE
TAMPA,FL33612
59-2451713 501(C)(3) 20,576,930 0     INTERCOMPANY SUPPORT
(2) USF FOUNDATION INC
4202 E FOWLER AVE ALC 1000
TAMPA,FL33620
59-0879015 501(C)(3) 82,000 0     SPONSORSHIP
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
2
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2022

Schedule I (Form 990) 2022
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: THE GRANT LISTED AS INTERCOMPANY SUPPORT IN SCHEDULE I, PART II, IS ONLY MADE TO A RELATED ORGANIZATION TO SUPPORT ITS OPERATIONS. THE ORGANIZATION MAY ALSO, FROM TIME TO TIME, GIVE DONATIONS OR SPONSORSHIPS TO OTHER ORGANIZATIONS THAT ALIGN WITH OUR MISSION. THE ORGANIZATIONS ARE VETTED AND APPROVED BEFORE THE GRANT OR SPONSORSHIP IS GIVEN AND UNLESS OTHERWISE NOTED, THESE AMOUNTS ARE GRANTED FOR GENERAL PURPOSES AND DO NOT REQUIRE SPECIFIC MONITORING AS TO USE.
Schedule I (Form 990) 2022



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC
Employer identification number

59-3238634
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
No
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
Yes
 
b
Any related organization? ......................
6b
Yes
 
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1PATRICK HWU
FRM HOSPITAL PRESIDENT TO 10/31/21
(i)

(ii)
0
-------------
1,142,684
0
-------------
610
0
-------------
18,297
0
-------------
101,682
0
-------------
3,941
0
-------------
1,267,214
0
-------------
0
2SARABDEEP SINGH
HOSPITAL PRESIDENT
(i)

(ii)
0
-------------
614,018
0
-------------
0
0
-------------
4,902
0
-------------
57,658
0
-------------
36,171
0
-------------
712,749
0
-------------
0
3ROBERT KEENAN
VP-QUALITY/CMO
(i)

(ii)
632,141
-------------
0
57,150
-------------
0
61,410
-------------
0
-105,080
-------------
0
25,553
-------------
0
671,174
-------------
0
0
-------------
0
4G DOUGLAS LETSON
EVP-PHYS IN CHIEF
(i)

(ii)
757,687
-------------
0
4,510
-------------
0
76,355
-------------
0
-266,587
-------------
0
26,089
-------------
0
598,054
-------------
0
0
-------------
0
5BRYAN MCIVER
DEPUTY PHYSICIAN IN CHIEF
(i)

(ii)
574,704
-------------
0
24,582
-------------
0
7,524
-------------
0
-51,409
-------------
0
26,089
-------------
0
581,490
-------------
0
0
-------------
0
6JANE FUSILERO
VP-PATIENT CARE SVS/CNO TO 2/5/23
(i)

(ii)
413,925
-------------
0
37,595
-------------
0
45,456
-------------
0
-20,753
-------------
0
24,192
-------------
0
500,415
-------------
0
0
-------------
0
7YVETTE M LYONS TREMONTI
EVP-CFAO & ASST TREASURER
(i)

(ii)
0
-------------
740,894
0
-------------
0
0
-------------
83,376
0
-------------
-379,274
0
-------------
36,971
0
-------------
481,967
0
-------------
0
8HENRY REYES
VP-PARTNERSHIP DEVELOPMENT
(i)

(ii)
0
-------------
307,896
0
-------------
28,353
0
-------------
4,601
0
-------------
24,337
0
-------------
26,497
0
-------------
391,684
0
-------------
0
9JOANNA WEISS
SVP FINANCE
(i)

(ii)
0
-------------
385,948
0
-------------
35,662
0
-------------
27,226
0
-------------
-123,119
0
-------------
36,156
0
-------------
361,873
0
-------------
0
10EVAN ZASLOW
VP PAYER STRATEGIES AS OF 8/1/22
(i)

(ii)
241,023
-------------
0
38,791
-------------
0
50,527
-------------
0
-423
-------------
0
30,219
-------------
0
360,137
-------------
0
0
-------------
0
11MATTHEW BEDNAR
VP-AMBULATORY/VIRTUAL CARE OPS
(i)

(ii)
311,602
-------------
0
28,821
-------------
0
1,064
-------------
0
-21,273
-------------
0
30,358
-------------
0
350,572
-------------
0
0
-------------
0
12L DAVID DE LA PARTE
EVP-GENERAL COUNSEL; ASST SEC
(i)

(ii)
0
-------------
617,340
0
-------------
595
0
-------------
56,764
0
-------------
-356,164
0
-------------
28,652
0
-------------
347,187
0
-------------
0
13TERRENCE WRIGHT
VP-FAC & SUP SVCS
(i)

(ii)
0
-------------
266,214
0
-------------
24,300
0
-------------
3,889
0
-------------
27,153
0
-------------
24,534
0
-------------
346,090
0
-------------
0
14KEN KOMORNY
VP CHIEF PHARM OFF AS OF 9/4/22
(i)

(ii)
240,075
-------------
0
11,163
-------------
0
19,872
-------------
0
6,586
-------------
0
33,754
-------------
0
311,450
-------------
0
0
-------------
0
15EDUARDO G MOROS
SR MBR PHYSICIST-RAD ONC
(i)

(ii)
372,134
-------------
0
3,605
-------------
0
7,171
-------------
0
-150,440
-------------
0
34,087
-------------
0
266,557
-------------
0
0
-------------
0
16KELLY GONZALVO
VP PATIENT CARE/CNO AS OF 2/5/23
(i)

(ii)
205,867
-------------
0
8,698
-------------
0
1,739
-------------
0
15,550
-------------
0
3,654
-------------
0
235,508
-------------
0
0
-------------
0
17MARILYN COSTACHE
CHIEF RISK OFFICER
(i)

(ii)
69,838
-------------
111,171
7,986
-------------
0
190
-------------
359
5,245
-------------
-15,148
9,386
-------------
18,341
92,645
-------------
114,723
0
-------------
0
18KAREN WARTENBERG
VP MOFFITT MEDICAL GROUP
(i)

(ii)
320,059
-------------
0
28,441
-------------
0
21,215
-------------
0
-189,545
-------------
0
4,316
-------------
0
184,486
-------------
0
0
-------------
0
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 1A HOSPITAL PAYS MEMBERSHIP DUES TO A SOCIAL CLUB FOR G.D. LETSON. THE AMOUNT PAID IS INCLUDED IN G.D. LETSON'S TAXABLE WAGES. PART I, LINE 1B: PAYMENTS MADE FOR SOCIAL CLUB DUES ARE INITIALLY APPROVED BY EXECUTIVE LEADERSHIP AND HUMAN RESOURCES AND REVIEWED/APPROVED BY THE JOINT EXECUTIVE COMPENSATION AND BENEFITS COMMITTEE (JE&BC), APPOINTED BY THE BOARD TO APPROVE SUCH PAYMENTS AND ASSOCIATED AMOUNTS.
PART I, LINE 3 FOR TAX YEAR 2022 SARABDEEP SINGH, HOSPITAL'S PRESIDENT, WAS PAID BY A RELATED ORGANIZATION. THE COMPENSATION IS ESTABLISHED BY RELYING ON AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS OR STUDIES, AN EXECUTIVE COMPENSATION COMMITTEE, AND THE APPROVAL BY THE BOARD OR THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD.
PART I, LINE 4B TO BE ELIGIBLE TO PARTICIPATE IN THE 457(F) NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), PARTICIPANTS MUST ELECT TO CONTRIBUTE AT LEAST 10% ACROSS THE 403(B) AND 457(B) PLANS, AND ARE VESTED AFTER 10 YEARS OF SERVICE. LUMP SUM DISTRIBUTIONS FROM THE ACCOUNT ARE MADE UPON NORMAL RETIREMENT OR TERMINATION. BELOW ARE INDIVIDUALS LISTED ON HOSPITAL'S 2022 FORM 990 PART VII, SECTION A, THAT PARTICIPATED IN THE 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AND THEIR RESPECTIVE AMOUNTS OF COMPENSATION CONSTRUCTIVELY RECEIVED IN TAX YEAR 2022 FROM THE PLAN: MATTHEW P. BEDNAR-$0 LOUIS D. DE LA PARTE-$47,390 JANE FUSILERO-$33,244 PATRICK HWU-$0 ROBERT KEENAN-$52,266 KEN KOMORNY-$0 G. DOUGLAS LETSON-$61,034 YVETTE M. LYONS TREMONTI-$78,474 EDUARDO G. MOROS-$1,500 HENRY REYES-$0 SARADEEP SINGH-$0 KAREN WARTENBERG-$13,993 STUART G. WASSERMAN-$1,354 JOANNA WEISS-$25,889 TERRANCE WRIGHT-$0 GEOFFREY ZHANG-$1,500
PART I, LINE 6 IN GENERAL, INCENTIVE COMPENSATION IS BASED ON MOFFITT'S ACHIEVEMENT AGAINST SPECIFIC ORGANIZATIONAL GOALS RELATED TO NET OPERATING INCOME AND ON DIVISION OR INDIVIDUAL GOALS. NET OPERATING INCOME MUST MEET OR EXCEED A CERTAIN THRESHOLD IN ORDER TO TRIGGER A PAYOUT FOR THE ORGANIZATIONAL GOAL COMPONENTS.
SCHEDULE J COLUMN C THE AMOUNT OF RETIREMENT AND DEFERRED COMPENSATION FOR CERTAIN EXECUTIVES IN SCHEDULE J, COLUMN (C) INCLUDES A DECREASE IN ACTUARIAL VALUE OF THE DEFINED BENEFIT PLAN THAT OCCURRED DURING THE YEAR.
Schedule J (Form 990) 2022

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC
Employer identification number

59-3238634
Return Reference Explanation
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 TECHNOLOGIES CORPORATION (MTC): LOUIS D. DE LA PARTE, HOSPITAL OFFICER & MTC OFFICER YVETTE LYONS TREMONTI, HOSPITAL OFFICER & MTC OFFICER HOSPITAL & ONCOBAY INC.: LOUIS D. DE LA PARTE HOSPITAL OFFICER & ONCOBAY DIRECTOR YVETTE LYONS TREMONTI HOSPITAL OFFICER & ONCOBAY DIRECTOR
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; H. APPROVE OR DISAPPROVE CAPITAL EXPENDITURES BY THE CORPORATION IN EXCESS OF ONE MILLION DOLLARS ($1,000,000.00) PER EXPENDITURE OR ONE MILLION DOLLARS ($1,000,000.00) IN THE AGGREGATE ANNUALLY; AND I. APPROVE, DISAPPROVE OR REMOVE ANY MEMBER OF THE BOARD OR OFFICER OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO ELECTRONICALLY FILING FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX), A COPY OF THE RETURN IS PROVIDED 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. THE HOSPITAL'S FORM 990 IS ALSO PROVIDED TO THE CHIEF FINANCIAL OFFICER FOR REVIEW. BASED ON THE REVIEW ANY SUGGESTED COMMENTS OR CHANGES ARE DISCUSSED PRIOR TO SIGNING.
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 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 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 INDEPENDENT, OUTSIDE ADVISORS INCLUDING, BUT NOT LIMITED TO ATTORNEYS AND COMPENSATION CONSULTANTS. ON AN ANNUAL BASIS THE JEC&BC ENGAGES A NATIONALLY KNOWN, THIRD PARTY CONSULTING FIRM TO PROVIDE A DETAILED STUDY OF THE CASH COMPENSATION FOR EACH EXECUTIVE, DISQUALIFIED PERSON AND INDIVIDUAL IN KEY POSITIONS. THE CONSULTANT USES A VARIETY OF PUBLISHED SURVEYS COMPILED BY INDEPENDENT FIRMS TO PROVIDE THE SOURCE DATA FOR THE STUDY. USING FUNCTIONALLY COMPARABLE POSITIONS IN OTHER SIMILARLY SIZED, NOT-FOR-PROFIT AND FOR-PROFIT HEALTHCARE, ACADEMIC AND RESEARCH ORGANIZATIONS, THE CONSULTING FIRM PRODUCES A STUDY THAT COMPARES EACH DESIGNATED POSITION TO ITS APPROPRIATE MARKET EQUIVALENT. THE RESULTING DATA IS PROVIDED TO THE DIRECTOR OF COMPENSATION, WHO IS NOT INCLUDED IN THE EXECUTIVE OR DISQUALIFIED PERSON CATEGORIES, FOR USE IN THE FORMULATION OF RECOMMENDATIONS FOR COMPENSATION CHANGES TO MAINTAIN MARKET COMPETITIVENESS OR TO REWARD PERFORMANCE. THESE RECOMMENDATIONS ALONG WITH THE CONSULTANT'S COMPARABILITY DATA ARE PRESENTED TO THE JEC&BC FOR IT TO CONFIRM ITS REASONABLENESS, MAKE MODIFICATIONS AS IT DEEMS NECESSARY AND PROVIDE FINAL APPROVAL. EVERY THIRD YEAR THE INDEPENDENT CONSULTANT ANALYZES THE TOTAL EXECUTIVE COMPENSATION PROGRAM, USING THE SAME METHODOLOGY AS DESCRIBED ABOVE, THAT INCLUDES THE VALUE OF ALL BENEFITS AND PERQUISITES (CASH AND NON-CASH) PROVIDED AS COMPENSATION TO THE EXECUTIVES AND DISQUALIFIED PERSONS. THE PURPOSE OF THE ANALYSIS IS TO PROVIDE AN OPINION ON THE REASONABLENESS OF EACH OF THE INDIVIDUAL COMPENSATION COMPONENTS AND THE AGGREGATE COMPENSATION TOTAL. THIS MORE COMPREHENSIVE ANALYSIS IS PROVIDED TO THE JEC&BC FOR THEIR USE IN THE ANNUAL REVIEW PROCESS. MINUTES ARE KEPT AT EACH OF THESE ANNUAL MEETINGS DETAILING THE RECOMMENDATIONS PRESENTED AND THE DECISIONS MADE BY THE COMMITTEE. THESE MINUTES ARE PUBLISHED TO THE COMMITTEE AT THE NEXT MEETING AND REPORTED BACK TO THE FULL BOARD.
FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL MAKES AVAILABLE ITS CONSOLIDATED AUDITED FINANCIAL STATEMENTS TO THE PUBLIC THROUGH DAC BOND, A THIRD PARTY VENDORS' WEBSITE AND MOFFITT'S WEBSITE. IN ADDITION, FORM 990 IS MADE AVAILABLE ON GUIDESTAR AS WELL AS MOFFITT'S WEBSITE. 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 ALSO MADE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 1A: EMPLOYEES WHO ARE LISTED ON MOFFITT HOSPITAL'S FORM 990 ARE EMPLOYEES WHOSE W-2'S WERE ISSUED BY MOFFITT INSTITUTE, THE COMMON PAYMASTER AND RELATED 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 IX, COLUMN D: THERE ARE NO FUNDRAISING EXPENSES BECAUSE 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 IX, LINE 24B CERTAIN MOFFITT CANCER CENTER INTERCOMPANY OVERHEAD HAS BEEN ALLOCATED FROM THE PARENT ENTITY TO THE HOSPITAL AND THOSE AMOUNTS ARE INCLUDED IN COLUMN (C) AND THEN REALLOCATED ON LINE 24B TO THE PROPER FUNCTIONAL CATEGORIES.
FORM 990, PART XI, LINE 9: CHANGES IN NET ASSETS PREDOMINANTLY RELATES TO THE CLOSE OUT OF INTERCOMPANY ACCOUNTS PAYABLE AND RECEIVABLES (DUE TO/DUE FROM) IN THE AMOUNT OF -$362,818,298 TO NET ASSETS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
H LEE MOFFITT CANCER CENTER AND
RESEARCH INSTITUTE HOSPITAL INC
Employer identification number

59-3238634
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)H LEE MOFFITT CANCER CTR & RESEARCH INSTITUTE FOUNDATION INC
12902 MAGNOLIA DRIVE

TAMPA,FL33612
59-3238636
FUNDRAISING FL 501(C)(3) LINE 7 H LEE MOFFITT CC&RI INC
 
 
No
(2)H LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE INC
12902 MAGNOLIA DRIVE

TAMPA,FL33612
59-2451713
PARENT-RESEARCH FL 501(C)(3) LINE 7 N/A
 
No
(3)H LEE MOFFITT CC& RI LIFETIME CANCER SCREENING CENTER INC
12902 MAGNOLIA DRIVE

TAMPA,FL33612
59-3238640
PRACTICE MANAGEMENT FL 501(C)(3) LINE 10 H LEE MOFFITT CC&RI INC
 
 
No
(4)MOFFITT REAL ESTATE HOLDING CORP (EFF 010123)
12902 MAGNOLIA DRIVE

TAMPA,FL33612
92-3387708
HOLDING TITLE FL 501(C)(2)   H LEE MOFFITT CC&RI INC
 
 
No
(5)MOFFITT LIFESCIENCES CAMPUS MANAGEMENT CORPORATION (EFF 010123)
12902 MAGNOLIA DRIVE

TAMPA,FL33612
92-3388291
REAL ESTATE PROPERTY MANAGEMENT FL 501(C)(3) LINE 12A, I H LEE MOFFITT CC&RI INC
 
 
No




For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) MOFFITT TECHNOLOGIES CORPORATION

12902 MAGNOLIA DRIVE
TAMPA,FL33612
30-0332914
TECHNOLOGY MANAGEMENT FL N/A
C         No
(2) ONCOBAY CLINICAL INC (UNTIL 012023)

10902 N MCKINLEY DRIVE
TAMPA,FL33612
84-3412796
RESEARCH & PRODUCT DEVELOPMENT FL N/A
C         No










Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved





Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2021

Additional Data


Software ID:  
Software Version: