2020-03-20T10:56:29-05:00 2019-06-30 593070669 MOORE STEPHENS LOVELACE PA 201 E KENNEDY BLVD SUITE 650 TAMPA FL 33602 990 2018-07-01 010554709 FLORIDA PROTON THERAPY INSTITUTE INC FLOR 9045881800 2015 NORTH JEFFERSON STREET JACKSONVILLE FL 32206 STUART KLEIN EXECUTIVE DIRECTOR 9045881800 2020-03-20 1 KURT A ALTER CPA P00059492 8133142600 104.178.77.115 2020-03-20 10:50:05 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 419A255C130E70E2F42600AF3D165664F3124156 2018 2020-09-22 18:59:49Z STUART KLEIN 2015 NORTH JEFFERSON STREET JACKSONVILLE FL 32206 48956744 0 X WWW.FLORIDAPROTON.ORG X 2001 FL THE ORGANIZATION PROVIDES CANCER TREATMENT SERVICES, EDUCATIONAL PROGRAMS, AND TRAINING OPPORTUNITIES TO PROMOTE BASIC AND CLINICAL RESEARCH RELATED TO CANCER TREATMENTS AND TREATMENT PROGRAMS WITHIN THE STATE OF FLORIDA. THE INSTITUTE WILL PRIMARILY PROVIDE PROTON THERAPY TO CANCER PATIENTS AT A PROTON THERAPY CENTER IN JACKSONVILLE, FL, AND THEY ALSO INTEND TO CONDUCT, SUPPORT AND PROMOTE PUBLIC EDUCATIONAL PROGRAMS RELATED TO CANCER FOR THE GENERAL PUBLIC, CANCER PATIENTS, MEDICAL STUDENTS AND ALL OTHER HEALTH CARE PROFESSIONALS. 11 11 179 11 0 0 327489 492975 52646136 46315688 498381 998749 1094722 1085465 54566728 48892877 31165 16240 0 0 12570823 12645068 0 0 0 34433359 32107221 47035347 44768529 7531381 4124348 161258622 160347827 86801955 82981385 74456667 77366442 X THE ORGANIZATION PROVIDES CANCER TREATMENT SERVICES, EDUCATIONAL PROGRAMS, AND TRAINING OPPORTUNITIES TO PROMOTE BASIC AND CLINICAL RESEARCH RELATED TO CANCER TREATMENTS AND TREATMENT PROGRAMS WITHIN THE STATE OF FLORIDA. THE INSTITUTE WILL PRIMARILY PROVIDE PROTON THERAPY TO CANCER PATIENTS AT A PROTON THERAPY CENTER IN JACKSONVILLE, FL, AND THEY ALSO INTEND TO CONDUCT, SUPPORT AND PROMOTE PUBLIC EDUCATIONAL PROGRAMS RELATED TO CANCER FOR THE GENERAL PUBLIC, CANCER PATIENTS, MEDICAL STUDENTS AND ALL OTHER HEALTH CARE PROFESSIONALS. 1 0 43044567 16240 47282504 THE PRIMARY ACTIVITY OF THE INSTITUTE IS TO PROVIDE PROTON AND CONVENTIONAL RADIATION THERAPY CANCER TREATMENT IN FACILITIES LOCATED IN JACKSONVILLE, FLORIDA.SEE SCHEDULE O FOR ADDITIONAL INFORMATION. SINCE COMMENCING CLINICAL OPERATIONS IN AUGUST OF 2006, FLORIDA PROTON THERAPY INSTITUTE ("THE INSTITUTE") HAS CONTINUED TO FOCUS IT'S RESOURCES ON FULFILLING ITS TRIPARTITE MISSION OF CLINICAL SERVICE, RESEARCH AND EDUCATION. TO DATE, THE INSTITUTE HAS PROVIDED CANCER TREATMENT SERVICES TO OVER 8,700 PATIENTS. THE CLINICAL PROGRAMS FOCUS ON MULTIPLE DISEASE SITES INCLUDING, BUT NOT LIMITED TO: CANCERS OF THE BRAIN AND CENTRAL NERVOUS SYSTEM, PROSTATE, SOFT TISSUES, EYE, BREAST, LUNG AND PANCREAS. THE INSTITUTE CURRENTLY OPERATES THE WORLD'S LARGEST PEDIATRIC PROGRAM UTILIZING PROTON THERAPY. SUPPLEMENTAL RESOURCES DEDICATED TO THE PEDIATRIC POPULATION INCLUDE: A FULL-TIME PLAY THERAPIST, A PEDIATRIC SOCIAL WORKER AND ART THERAPY STAFF. ALSO, PEDIATRIC PATIENTS ARE PROVIDED VARIOUS EDUCATIONAL AND "FUN" EVENTS SUPPORTED BY: THE LOCAL ZOO, SCIENCE LADY, FIRE DEPARTMENT, ETC.A CORNERSTONE OF THE INSTITUTE'S MISSION INCLUDES CLINICAL RESEARCH. CURRENTLY, THE INSTITUTE HAS A TOTAL OF 22 CLINICAL TRIAL STUDIES THAT HAVE BEEN COMPLETED OR ARE CURRENTLY OPEN FOR PATIENT ACCRUAL. APPROXIMATELY 98% OF THE INSTITUTE'S PATIENTS PARTICIPATE IN ONE OF THE CLINICAL TRIAL PROGRAMS OR OUTCOME STUDIES. LIKEWISE, THE INSTITUTE HAS DEVELOPED MULTIPLE EDUCATIONAL OPPORTUNITIES INCLUDING POST GRADUATE FELLOWSHIP TRAINING PROGRAMS IN PROTON RADIATION, PEDIATRICS AND IN MEDICAL PHYSICS. ALSO, THE INSTITUTE PROVIDES ONSITE TRAINING FOR SEVERAL RADIATION THERAPIST TRAINING PROGRAMS AND CHILD LIFE SPECIALIST SOCIAL WORKER PROGRAMS. 43044567 1 1 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 79 0 1 179 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X TOMMIE ALLEN 9045881800 2015 NORTH JEFFERSON STREET JACKSONVILLE FL 32206 MICHAEL GOOD MD CHAIRMAN/PRESIDENT 0.30 X X 0 0 0 NANCY P MENDENHALL MD TRUSTEE/MEDICAL DIRECTOR 30.00 X X 0 0 0 PAUL OKUNIEFF PHD TRUSTEE 0.30 X 0 0 0 YVES JONGEN PHD TRUSTEE 0.30 X 0 0 0 ROBERT LUFRANO MD TRUSTEE 0.30 X 0 0 0 KATHERINE PEARSON-PEYTON TRUSTEE 0.30 X 0 0 0 KAREN MITCHELL-CURRAN TRUSTEE 0.30 X 0 0 0 LEON HALEY JR MD TRUSTEE 0.30 X 0 0 0 CHARLES LANE TRUSTEE 0.30 X 0 0 0 C CRAIG TISHER MD TRUSTEE 0.30 X 0 0 0 KENNETH R HAMILTON TRUSTEE 0.30 X 0 0 0 ADRIAN TYNDALL MD CHAIRMAN/PRESIDENT 0.30 X X 0 0 0 TOMMIE ALLEN CHIEF FINANCIAL OFFICER 40.00 X 155915 0 10663 STUART KLEIN EXECUTIVE DIRECTOR 40.00 X 416594 0 30639 TREVOR FLEMING DIR. OF TECHNICAL SERVICES 40.00 X 182053 0 10548 DEBBIE LOUIS DIR. OF DOSIMETRIST RESEARCH 40.00 X 184519 0 8564 KEVIN KIRBY DOSIMETRIST 40.00 X 176402 0 13882 KATHY MCINTYRE DIR. OF BILLING SERVICES 40.00 X 163873 0 7800 WILLIAM GLIDDEN LEAD DOSIMETRIST 40.00 X 147485 0 7833 EMMA VIVIERS TREATMENT PLANNING PHYSICIST 40.00 X 144633 0 18917 NATALIYA GETMAN LEAD DOSIMETRIST 40.00 X 141369 0 15525 ERNEST ST JOHN CHIEF RADIATION THERAPIST 40.00 X 128581 0 18436 BRIDGETTE CARTER CERTIFIED MEDICAL DOSIMETRIST (CMD) 40.00 X 124638 0 6623 1966062 0 149430 24 0 1 0 UF DEPARTMENT OF RADIATION ONCOLOGY PO BOX 100385 GAINESVILLE FL 32610 STAFFING PROVIDER 10390490 GILBANE BUILDING COMPANY 7 JACKSON WALKWAY PROVIDENCE RI 02903 CONSTRUCTION 6903305 IBA PROTON THERAPY INC 151 HEARTLAND BLVD EDGEWOOD NY 11717 EQUIPMENT MAINTENANCE 5170303 SHEPHERD 1301 RIVERPLACE BLVD SUITE 1100 JACKSONVILLE FL 32207 ADVERTISING/MEDIA 2527225 RC BILLING PO BOX 659831-MSC 224 SAN ANTONIO TX 78265 BILLING SERVICE 1422760 18 14295 478680 492975 PATIENT CARE REVENUE 621500 45135875 45135875 SHARED SERVICE REVENUE 621500 1179813 1179813 46315688 970589 970589 60224 16539 15525 43685 -15525 28160 28160 150452 14295 31803 118649 118649 OPERATION & MAINTENANCE REIMBURSE 900099 845174 845174 OTHER INCOME 900099 121642 121642 966816 48892877 47282504 0 1117398 X 16240 16240 1101646 1017647 83999 9294906 8968583 326323 94995 89673 5322 2153521 2032869 120652 134985 134985 50213 50213 12005295 11653898 351397 2229026 2006123 222903 230897 42036 188861 310742 288877 21865 8146397 8064933 81464 38979 38979 172315 172315 1708007 1667773 40234 4046908 4043170 3738 402217 398195 4022 SUPPLIES 2306310 2260004 46306 PATIENT EXPENSES 164181 164181 RECRUITING 48176 45477 2699 FUNDRAISING EXPENSE 47641 47641 64932 64932 44768529 43044567 1723962 0 10079071 2685288 5915773 4437028 1587008 2792833 112603262 43009320 69472331 69593942 30571399 36344927 18744202 15454823 24888838 29038986 161258622 160347827 5939955 4921385 79413000 75318000 1449000 2742000 86801955 82981385 X 73727533 76627308 114152 114152 614982 624982 74456667 77366442 161258622 160347827 X 4124348 78427 -1293000 X X 0 1 X 1 0 X 423784 338925 764665 327489 492975 2347838 48889161 52021447 49847768 52646136 46315688 249720200 3732 170771 280666 145428 150452 751049 49316677 52531143 50893099 53119053 46959115 252819087 0 0 0 252819087 152652 156964 236030 485130 970589 2001365 152652 156964 236030 485130 970589 2001365 1092187 6735214 945201 985690 966816 10725108 50561516 59423321 52074330 54589873 48896520 265545560 0.95210 0.95530 0.00750 0.00450 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 614982 10000 624982 604832 10150 614982 149519 455313 604832 149019 500 149519 0 149019 149019 1.00000 0 0 1816333 693757 1122576 89411287 34151041 55260246 21375642 8164522 13211120 69593942 DEBT SERVICE RESERVE FUND 2545134 F BOND PROCEEDS FUND 1907961 F MONEY MARKET 851511 F EXPANSION FUND 10150217 F 15454823 BOND ISSUANCE COSTS, NET 1429042 DEPOSITS 123764 INTEREST IN LEASEHOLD 24982281 OTHER RECEIVABLES 2503899 29038986 FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 2742000 2742000 48923663 78427 78427 48845236 47641 47641 48892877 46013888 1293000 1293000 44720888 47641 47641 44768529 PART V, LINE 4: THE INSTITUTE'S SPENDING POLICY OBJECTIVE IS TO ALLOW ITS PRESERVE PRINCIPAL ON THE ENDOWMENTS AND TO GROW EARNINGS AS A MEANS TO PROVIDE FUTURE CASH FLOWS FOR OPERATIONS AND OTHER PURPOSES DESIGNATED BY THE INSTITUTE'S DONORS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 47,641. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF SWAP AGREEMENT 1,293,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 47,641. GOLF TOURNAMENT 164747 14295 150452 9183 1711 20909 164747 14295 150452 9183 1711 20909 31803 118649 0 RONALD MCDONALD HOUSE CHARITIES OF NORTH CENTRAL FLORIDA INC 824 CHILDRENS WAY JACKSONVILLE FL 32207 591887896 5500 FUNDRAISER PARTICIPATION SOUTHEASTERN HEALTHCARE FOUNDATION PO BOX 100303 GAINESVILLE FL 32608 592357609 5000 VARIOUS DONATIONS 2 0 0 0 0 0 0 0 0 0 TOMMIE ALLEN CHIEF FINANCIAL OFFICER 155915 0 0 0 0 0 4677 0 5986 0 166578 0 0 0 STUART KLEIN EXECUTIVE DIRECTOR 416594 0 0 0 0 0 14906 0 15733 0 447233 0 0 0 TREVOR FLEMING DIR. OF TECHNICAL SERVICES 182053 0 0 0 0 0 5462 0 5086 0 192601 0 0 0 DEBBIE LOUIS DIR. OF DOSIMETRIST RESEARCH 184519 0 0 0 0 0 5536 0 3028 0 193083 0 0 0 KEVIN KIRBY DOSIMETRIST 176402 0 0 0 0 0 5292 0 8590 0 190284 0 0 0 KATHY MCINTYRE DIR. OF BILLING SERVICES 163873 0 0 0 0 0 4990 0 2810 0 171673 0 0 0 WILLIAM GLIDDEN LEAD DOSIMETRIST 147485 0 0 0 0 0 4424 0 3409 0 155318 0 0 0 EMMA VIVIERS TREATMENT PLANNING PHYSICIST 144633 0 0 0 0 0 4339 0 14578 0 163550 0 0 0 NATALIYA GETMAN LEAD DOSIMETRIST 141369 0 0 0 0 0 4241 0 11284 0 156894 0 0 0 SCHEDULE J, PART III SUPPLEMENTAL INFORMATION STUART KLEIN IS PAID BY UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE FOR THE SERVICES PROVIDED AT FLORIDA PROTON THERAPY INSTITUTE. THE COMPENSATION LISTED ON SCHEDULE J IS THE AMOUNT AND TYPE RECEIVED. A JACKSONVILLE ECONOMIC DEVELOPMENT COMMISSION 596000344 2012-08-01 25580000 SEE SUPPLEMENTAL INFORMATION - PART V 1 0 0 B JACKSONVILLE ECONOMIC DEVELOPMENT COMMISSION 596000344 2012-08-01 7000000 SEE SUPPLEMENTAL INFORMATION - PART V 1 0 0 C JACKSONVILLE ECONOMIC DEVELOPMENT COMMISSION 596000344 2017-08-18 27250000 SEE SUPPLEMENTAL INFORMATION - PART V 0 0 0 D JACKSONVILLE ECONOMIC DEVELOPMENT COMMISSION 596000344 2017-08-18 27250000 SEE SUPPLEMENTAL INFORMATION - PART V 0 0 0 A 7167000 25580000 2006036 20344527 2012 1 0 1 1 B 2495000 7000000 501509 5298632 2012 1 0 1 1 C 500000 27240000 283371 7839900 19116729 2017 1 0 1 1 D 1600000 27225000 283371 7824900 19116729 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 0 1 0 0 0 0 D 0 0 0 0 1 0 0 0 0 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: JACKSONVILLE ECONOMIC DEVELOPMENT COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 08/30/2014 ISSUER NAME: JACKSONVILLE ECONOMIC DEVELOPMENT COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 08/30/2014 FORM 990, SCHEDULE K, PART I, COLUMN F, LINES A & B THE SERIES 2007B BONDS AND SERIES 2017 BONDS WERE ISSUED PURSUANT TO THE INDENTURE, WHICH PROVIDES, AMONG OTHER THINGS, THAT THE INSTITUTE MAINTAIN CERTAIN MINIMUM FINANCIAL RATIOS. MANAGEMENT IS NOT AWARE OF ANY VIOLATIONS OF THE COVENANTS AT JUNE 30, 2019 AND 2018. THE SERIES 2007B BONDS AND SERIES 2017 BONDS ARE COLLATERALIZED BY EQUIPMENT, MACHINERY, AND OTHER PERSONAL PROPERTY, INCLUDING THE INSTITUTE'S GROSS REVENUES, AS DEFINED IN THE INDENTURE. ON AUGUST 1, 2012, AS PART OF A MODIFICATION OF THE SERIES 2007B BONDS, THE INSTITUTE REPAID $12,110,000 OF THE SERIES 2007B BONDS TO REDUCE THE REMAINING UNPAID PRINCIPAL BALANCE TO $32,580,000. THE SERIES 2007B BONDS WERE THEN REPLACED WITH (A) $25,580,000 OF SERIES 2007B-1 BONDS AND (B) $7,000,000 OF SERIES 2007B-2 BONDS. FORM 990, SCHEDULE K, PART I, COLUMN F, LINES C & D ON AUGUST 18, 2017, THE INSTITUTE ISSUED SERIES 2017A BONDS AND SERIES 2017B BONDS PURSUANT TO AN INDENTURE (COLLECTIVELY, THE "SERIES 2017 BONDS") AS PART OF A REFINANCING OF THE 2007A BONDS. THE PROCEEDS OF THE SERIES 2017 BONDS, ALONG WITH THE REMAINING AVAILABLE BALANCE OF THE SERIES 2007A BOND FUND AND DEBT SERVICE RESERVE FUND, WERE USED TO (A) REFUND THE REMAINING AMOUNTS DUE ON AND EXTINGUISH THE SERIES 2007A BONDS ON SEPTEMBER 1, 2017, (B) PAY THE COSTS OF ISSUANCE, AND (C) PROVIDE FUNDING FOR THE INSTITUTE'S PLANNED EXPANSION. FORM 990, PART III, LINE 2 AS A CANCER CENTER OF EXCELLENCE AND ACCREDITED RADIATION ONCOLOGY CENTER THROUGH THE AMERICAN COLLEGE OF RADIOLOGY (ACR), THE INSTITUTE CONTINUED TO PROVIDE OPTIMAL PATIENT CARE AND SERVICES. ALSO, THE INSTITUTE CONTINUES TO IMPROVE ITS ART-IN-MEDICINE PROGRAM, YOGA CLASSES, EDUCATIONAL ACTIVITIES, AND SURVIVORSHIP PROGRAM. THESE PROGRAMS ARE AIMED TO INCREASE THE HEALING ENVIRONMENT AND CULTURE CREATED AT THE INSTITUTE. PRIMARILY, THESE PROGRAMS ENHANCE WELLNESS, RELAXATION, PAIN MANAGEMENT, AND DECREASE ANXIETY AND STRESS IN PATIENTS AND CAREGIVERS UNDERGOING CANCER CARE AT THE INSTITUTE. THE PROGRAM HAS BEEN SO SUCCESSFUL THAT 99% OF PATIENTS WOULD DEFINITELY RECOMMEND THE INSTITUTE'S TREATMENT AND SERVICES. THE INSTITUTE IS RECOGNIZED AS THE WORLD LEADER IN PEDIATRIC PROTON RADIATION THERAPY AND CONTINUALLY PROVIDES TREATMENT TO PATIENTS FROM MANY COUNTRIES AROUND THE WORLD AS WELL AS MANY STATES WITHIN THE USA. THE ADULT PROGRAMS ARE EQUALLY RECOGNIZED FOR THE TREATMENT OPTIONS AND CONTINUED CANCER RESEARCH. CURRENTLY, THE INSTITUTE IS COLLECTING DATA ON RESEARCH STUDIES, EITHER FOR ITS OWN MISSION OR PARTICIPATING WITH OTHER NOTED MEDICAL INSTITUTIONS, SUCH AS ST. JUDE'S CHILDREN'S HOSPITAL, MASSACHUSETTS GENERAL HOSPITAL, ETC. IN FISCAL YEAR 2019 THE INSTITUTE'S PROFESSIONAL STAFF PUBLISHED 44 STUDIES IN MAJOR MEDICAL PUBLICATIONS. DURING THE YEAR, THE INSTITUTE CONTINUED ITS $44 MILLION EXPANSION PROGRAM THAT WILL INCREASE THE CAPACITY FOR THE NUMBER OF PATIENTS TREATED AT THE JACKSONVILLE FACILITY AND THE TYPES OF CANCERS IT IS ABLE TO TREAT. THE PROJECT INCLUDES THE ADDITION OF A NEW PROTON SYSTEM, BUILDING ADDITION, SYSTEM UPGRADES TO ITS PRESENT SYSTEM AND IMPROVEMENTS TO ITS TREATMENT AND PLANNING TECHNOLOGY. THE NEW PROTON SYSTEM IS SCHEDULED TO START SERVICE IN DECEMBER 2019. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WILL FIRST BE REVIEWED AND APPROVED BY THE CHIEF FINANCIAL OFFICER. SUBSEQUENT TO THE CFO'S APPROVAL, FORM 990 WILL BE PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING IT WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S GOVERNING BODY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ANNUALLY. THE GOVERNING BODY REVIEWS ACTUAL CONFLICTS, IF ANY, THAT ARE IDENTIFIED BY THE ANNUAL DISCLOSURE PROCESS AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS OF INTEREST EXIST. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE DIRECTOR AND MEDICAL DIRECTOR'S COMPENSATION IS CONTROLLED AND APPROVED BY THE UNIVERSITY OF FLORIDA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AND ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 11,532,730. MANAGEMENT AND GENERAL EXPENSES 306,262. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,838,992. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 121,168. MANAGEMENT AND GENERAL EXPENSES 3,832. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,000. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 41,303. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,303. FORM 990, PART XI, LINE 9: CHANGE ON FAIR VALUE OF SWAP AGREEMENT -1,293,000. FORM 990, PART XII, LINE 2C OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT: THE GOVERNING BODY IS RESPONSIBLE FOR THE SELECTION, MONITORING AND EVALUATION OF AN INDEPENDENT AUDIT FIRM AND OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. GENERAL DISCLOSURE CHARITY CARE: THE INSTITUTE PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE INSTITUTE DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. DURING THE YEAR ENDED JUNE 30, 2019, THE INSTITUTE RECOGNIZED WRITE-OFFS FROM CHARITY CARE OF APPROXIMATELY $632,000. THE DIRECT AND INDIRECT COSTS OF THESE SERVICES WERE APPROXIMATELY $211,000. THE INSTITUTE PARTICIPATES IN SEVERAL LOCAL/NATIONAL CANCER AND CHILDREN WELLNESS FUND RAISING EVENTS AS SPONSORS AND PARTICIPANTS. THE INSTITUTE ALSO PROVIDES SEVERAL EDUCATIONAL SEMINARS TO COMMUNITIES WITHIN THE SOUTHEAST RELATED TO CANCER PREVENTION AND TREATMENT OPTIONS. IN ADDITION, WEEKLY EDUCATIONAL OPPORTUNITIES ARE AVAILABLE TO PATIENTS, CAREGIVERS AND INVITED GUESTS RELATED TO CARE DURING AND AFTER TREATMENT.