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Name and title: Steven L. Kroll, vice president, general counsel and secretary Age: 44 “We fight cancer”: Cancer Treatment Centers of America (CTCA) is a network of facilities, with three major locations, including hospitals and oncology clinics, that treat cancer patients in a holistic manner, combining traditional and cutting-edge therapies with complementary and alternative medicine. Its “total immersion treatment” also includes the healing art of naturopathy; nutritional, spiritual and psychological support; chiropractic therapy; acupuncture; and Chinese medicine. The medical establishment has historically resisted such unorthodox approaches, but Kroll said that now “all mainstream, high-end national hospitals and medical centers have complementary and alternative medicine departments.” CTCA also pioneered today’s health care marketing by directly targeting the consumer, although increasingly its patients come from physician referrals. It is privately held, and as such does not report revenues. It employs 1,500. CTCA is based in Arlington Heights, Ill., and was established in 1988 in response to the cancer death of its founder’s mother. Jack of all trades: Kroll is “involved at some point in every decision that shapes how the company moves forward.” He participates in all financings and negotiates real estate and equipment leases. He works with the marketing and development departments daily and purchases the technology for such state-of-the-art equipment as the Tomotherapy machine, a diagnostic/radiation device available in only five hospitals. Kroll initiates every vendor contract and produces or negotiates agreements with CTCA physicians. He also inks contracts with various Blue Cross entities. Employment issues start with him, although if such matters require a court appearance, he consults Chicago’s Vedder, Price, Kaufman & Kammholz for guidance. Kroll is involved in due diligence on a closed hospital facility in Philadelphia to be converted into a cancer hospital. He is negotiating on land in Seattle to use in transforming a clinic into a hospital and is participating in a deal to build from scratch a new facility in Tulsa, Okla. Kroll prides himself on his responsiveness in fielding as many as 25 internal queries a day. “I like to treat every inquiry as if it is a potentially serious matter. A decision, which . . . at the time does not seem that important, [can be] the one that is going to save you or cost you a couple of million dollars down the road.” Trade law education: Prior to his arrival at CTCA, the company was the focus of several Federal Trade Commission (FTC) investigations concerning effectiveness claims in its television, radio and print advertising, although its health care was not challenged. The cases were settled, with the CTCA not admitting guilt, but agreeing to use disclaimers in its testimonial ads. Kroll said that, as a result, he has become an expert in trade law issues. To avoid unsubstantiated claims, he carefully vets all disclaimers now used. They must be in the right form, with the proper tone, and all claims must be fully substantiated. He reviews all CTCA advertising, analyzing 100 to 150 pieces of “creative” every year from outside agencies or internal marketing sources. The FTC has periodic reviews of CTCA and, Kroll said, “it has received a clean bill of health from them.” He makes periodic trips to Washington to meet with FTC regulators. ‘Cancer is a category’: Kroll describes cancer not as a disease, but as a “category of 200 some-odd diagnoses,” with a common element of cell irregularity and across-the-board causes. CTCA says it’s on the leading edge of cancer treatment, using every weapon in its arsenal to prolong, and enhance the quality of, patients’ lives, but even its GC admitted, “Unfortunately, this is a business that is going to be around for a long time.” Legal team: Kroll is a legal department of one, assisted by paralegal Angela Minshall. She is a seven-year veteran of the company whom Kroll calls “our most important employee.” Each hospital facility has an on-site risk manager who reports to Kroll, and CTCA’s physician practices also have practice managers serving as risk managers for him. He, in turn, reports to Chief Executive Officer Steve Bonner. An estimated 70% of the legal work is attended to in-house. Katten Muchin Zavis Rosenman is used for tax issues, and McDermott, Will & Emery provides tax and Employee Retirement Income Security Act counsel. Kroll also calls upon Tulsa’s Crowe & Dunleavy. He hires local counsel if CTCA is involved in litigation, most of which is of the commercial, rather than tort, variety. In tort cases, Kroll said, insurance companies typically provide defense counsel. In matters of real estate or state law, the GC seeks the advice of local attorneys. Route to the top: Kroll was born in Ft. Belvoir, Va. (his father was with the Judge Advocate General’s Corps at the Pentagon). He graduated from Dartmouth College in 1981 and received his law degree in 1984 from the University of Michigan Law School. Upon graduation, he specialized in hospital bonds at Chicago’s Chapman and Cutler. In 1986, Kroll moved on to McDermott, Will & Emery, where he focused on corporate and finance matters. During his tenure, he was on the lender side of a financing transaction with Cancer Treatment Centers and started his professional relationship with Richard J. Stephenson, its founder and chairman. Kroll spent the following six years as a solo practitioner in Chicago, representing small and mid-sized businesses as a “corporate one-man shop, where I got the skill set of handling everything all the time for everybody.” In 1997, he started with CTCA as a part-time fill-in, and by late 2000 had been named its general counsel. Personal: Kroll and his wife Jane Patterson, a chief investment officer for a Chicago foundation, are the parents of Harry, 9, and Annie, 7. Last book and movie: Alexander Hamilton, by Ron Chernow, and This Old Cub.

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