Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic 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
Page 2

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
Page 3

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

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