2018-03-28T11:51:11-05:00 2017-06-30 593070669 MOORE STEPHENS LOVELACE PA 201 E KENNEDY BLVD SUITE 650 TAMPA FL 33602 990 2016-07-01 010554709 FLORIDA PROTON THERAPY INSTITUTE INC FLOR 9045881800 2015 NORTH JEFFERSON STREET JACKSONVILLE FL 32206 STUART KLEIN EXECUTIVE DIRECTOR 9045881800 2018-03-28 1 KURT A ALTER CPA P00059492 8133142600 64.132.121.122 2018-03-28 12:50:35 ED P A6970DBB2853E0D2E5FB43C562937A4824D79D77 A6970DBB2853E0D2E5FB43C562937A4824D79D77 2016 2021-01-29 14:40:06Z STUART KLEIN 2015 NORTH JEFFERSON STREET JACKSONVILLE FL 32206 52270217 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 11 165 15 0 0 347633 764665 52021447 49847768 86785 431917 6832289 1172635 59288154 52216985 34190 78099 0 0 11966706 11905183 0 0 0 35420303 34953759 47421199 46937041 11866955 5279944 149814211 145798625 90061786 79392533 59752425 66406092 X PROVIDE 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 PROVIDES PROTON THERAPY TO CANCER PATIENTS AT A PROTON THERAPY CENTER IN JACKSONVILLE, FL, AND CONDUCT, SUPPORT AND PROMOTE PUBLIC EDUCATIONAL PROGRAMS RELATED TO CANCER FOR THE GENERAL PUBLIC, CANCER PATIENTS, MEDICAL STUDENT AND ALL OTHER HEALTH CARE PROFESSIONALS. 1 0 44464591 78099 50792969 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, THE UNIVERSITY OF FLORIDA PROTON THERAPY INSTITUTE HAS CONTINUED TO FOCUS ITS RESOURCES ON FULFILLING ITS TRIPARTITE MISSION OF CLINICAL SERVICE, RESEARCH AND EDUCATION. TO DATE WE HAVE PROVIDED CANCER TREATMENT SERVICES TO 7,200 PATIENTS. OUR CLINICAL PROGRAMS FOCUS ON MULTIPLE DISEASE SITES INCLUDING, BUT NOT LIMITED TO, CANCERS OF THE BRAIN AND CENTRAL NERVOUS SYSTEM, PROSTATE, SOFT TISSUES, EYE, LUNG AND PANCREAS. WE CURRENTLY OPERATE THE WORLD'S LARGEST PEDIATRIC PROGRAM UTILIZING PROTON THERAPY. SUPPLEMENTAL RESOURCES DEDICATED TO OUR PEDIATRIC POPULATION INCLUDE A FULL-TIME PLAY THERAPIST AND PEDIATRIC SOCIAL WORKER, AND ART THERAPY STAFF.A CORNERSTONE OF OUR MISSION INCLUDES CLINICAL RESEARCH. WE HAVE A TOTAL OF 22 CLINICAL TRIALS STUDIES THAT HAVE BEEN COMPLETED OR ARE CURRENTLY OPEN FOR PATIENT ACCRUAL. APPROXIMATELY 98% OF OUR PATIENTS PARTICIPATE IN ONE OF OUR CLINICAL TRIALS OR OUTCOME STUDIES. WE HAVE LIKEWISE DEVELOPED MULTIPLE EDUCATIONAL OPPORTUNITIES INCLUDING POST GRADUATE FELLOWSHIP TRAINING PROGRAMS IN PEDIATRICS AND IN MEDICAL PHYSICS. WE LIKEWISE PROVIDE ONSITE TRAINING FOR SEVERAL RADIATION THERAPIST TRAINING PROGRAMS. 44464591 1 1 0 0 0 0 0 0 0 0 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 58 0 1 165 1 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 1 0 X TOMMIE ALLEN 9045881800 2015 NORTH JEFFERSON STREET JACKSONVILLE FL 32206 X MICHAEL GOOD MD CHAIRMAN/PRESIDENT 0.30 X X 0 0 0 PAUL OKUNIEFF PHD TRUSTEE/SECRETARY/TREASURE 0.30 X X 0 0 0 NANCY P MENDENHALL MD TRUSTEE/MEDICAL DIRECTOR 30.00 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 RUSSELL E ARMISTEAD 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 TOMMIE ALLEN CHIEF FINANCIAL OFFICER 40.00 X 136336 0 9808 STUART KLEIN EXECUTIVE DIRECTOR 40.00 X 390329 0 35624 TREVOR FLEMING DIR. OF TECHNICAL SERVICES 40.00 X 168568 0 18956 DEBBIE LOUIS CHIEF DOSIMETRIST 40.00 X 160821 0 13927 EMMA VIVIERS TREATMENT PLANNING PHYSICIST 40.00 X 140493 0 14552 KATHY MCINTYRE DIR. OF BILLING SERVICES 40.00 X 125614 0 7296 WILLIAM GLIDDEN LEAD DOSIMETRIST 40.00 X 120138 0 12706 NATALIYA GETMAN LEAD DOSIMETRIST 40.00 X 119932 0 14356 ERNEST ST JOHN CHIEF RADIATION THERAPIST 40.00 X 118087 0 17082 1480318 0 144307 14 0 1 0 IBA PROTON THERAPY INC 151 HEARTLAND BLVD EDGEWOOD NY 11717 EQUIPMENT MAINTENANCE 12948054 UNIVERSITY OF FLORIDA DEPT OF RADIATION PO BOX 100385 GAINESVILLE FL 32610 STAFFING PROVIDER 9777484 SHEPHERD 1301 RIVERPLACE BLVD SUITE 1100 JACKSONVILLE FL 32207 ADVERTISING/MEDIA 2322967 HEALTHCARE ADMINISTRATIVE PARTNERS LLC PO BOX 1511 MEDIA PA 32231 BILLING SERVICE 959116 RAYSEARCH AMERICAS INC 150 N MICHIGAN AVE SUITE 1950 CHICAGO IL 60601 EQUIPMENT MAINTENACE 776788 5 5800 758865 764665 PATIENT CARE REVENUE 621500 48359041 48359041 SHARED SERVICE REVENUE 621500 1488727 1488727 49847768 236030 236030 195887 0 195887 195887 195887 280666 5800 53232 227434 227434 OPERATION & MAINTENANCE REIMBURSE 900099 845174 845174 OTHER INCOME 900099 100027 100027 945201 52216985 50792969 0 659351 X 78099 78099 465725 465725 9321298 9321298 31994 31994 2086166 2076963 9203 135563 135563 51614 51614 41862 41862 13013901 13013901 2238110 2238110 628753 77349 551404 308690 26637 282053 7395599 7070932 324667 41732 41732 146108 146108 3381424 3232979 148445 3716731 3553567 163164 384684 367796 16888 PATIENT EXPENSES 3374966 3374966 FUNDRAISING 94022 94022 46937041 44464591 2472450 0 118662 120057 17252892 9765966 8345503 8579510 2436195 1431929 103075505 36157088 62573909 66918417 26188875 26296861 13090367 12567358 19807808 20118527 149814211 145798625 11467255 6241250 73558531 69520283 5036000 3631000 90061786 79392533 X 59602906 65687108 0 114152 149519 604832 59752425 66406092 149814211 145798625 X 5279944 -31277 1405000 X X 0 1 X 1 0 X 1304810 149720 423784 338925 764665 2981904 46077595 48046641 48889161 52021447 49847768 244882612 173614 162770 3732 170771 280666 791553 47556019 48359131 49316677 52531143 50893099 248656069 0 0 0 248656069 160686 155596 152652 156964 236030 861928 160686 155596 152652 156964 236030 861928 995463 950318 1092187 6735214 945201 10718383 48712168 49465045 50561516 59423321 52074330 260236380 0.95550 0.95510 0.00330 0.00340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1756945 616306 1140639 73603874 25818954 47784920 27714686 9721828 17992858 66918417 DEBT SERVICE RESERVE FUND 7037693 F BOND PROCEEDS FUND 4708411 F MONEY MARKET 821254 F 12567358 BOND ISSUANCE COSTS, NET 1595973 DEPOSITS 124137 INTEREST IN LEASEHOLD 15131513 OTHER RECEIVABLES 3266904 20118527 FV OF INTEREST RATE SWAP AGREEMENT 2631000 LOANS PAYABLE 1000000 3631000 53496686 -31277 1405000 1373723 52122963 94022 94022 52216985 46843019 0 46843019 94022 94022 46937041 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF SWAP AGREEMENT 1,405,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 94,022. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 94,022. GOLF TOURNAMENT 286466 5800 280666 53232 286466 5800 280666 53232 53232 227434 0 RONALD MCDONALD HOUSE CHARITIES OF JACKSONVILLE 824 CHILDRENS WAY JACKSONVILLE FL 32207 592625008 501(C)(3) 6000 FMV ANNUAL 2017 MCGALA SPONSORSHIP X 0 0 0 0 0 0 0 0 0 STUART KLEIN EXECUTIVE DIRECTOR 380481 0 5000 0 4848 0 14387 0 21237 0 425953 0 0 0 TREVOR FLEMING DIR. OF TECHNICAL SERVICES 168568 0 0 0 0 0 5057 0 13899 0 187524 0 0 0 DEBBIE LOUIS CHIEF DOSIMETRIST 160821 0 0 0 0 0 4825 0 9102 0 174748 0 0 0 EMMA VIVIERS TREATMENT PLANNING PHYSICIST 140493 0 0 0 0 0 653 0 13899 0 155045 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 46936FAN8 2007-08-29 60000000 SEE SUPPLEMENTAL INFORMATION - PART V 1 0 0 B JACKSONVILLE ECONOMIC DEVELOPMENT COMMISSION 596000344 2012-08-01 25580000 SEE SUPPLEMENTAL INFORMATION - PART V 1 0 0 C JACKSONVILLE ECONOMIC DEVELOPMENT COMMISSION 596000344 2012-08-01 7000000 SEE SUPPLEMENTAL INFORMATION - PART V 1 0 0 A 17235000 59695055 4530148 450000 3258686 36404295 2009 1 0 1 1 B 4429000 25580000 2006036 20344527 2012 1 0 1 1 C 1622000 7000000 501509 5298632 2012 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 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 1 0 0 0 1 A 1 B 1 C 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 ISSUER NAME: JACKSONVILLE ECONOMIC DEVELOPMENT COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 08/30/2014 FORM 990, SCHEDULE K, PART I, LINE A, COLUMN F THE 2007 FIXED RATE BONDS WERE ISSUED TO RETIRE IN FULL, IN A CURRENT REFUNDING TRANSACTION, THE ISSUER'S SERIES 2003A, SERIES 2003B, AND SERIES 2006 BONDS, TO RETIRE OTHER OUTSTANDING DEBT OF THE ORGANIZATION, ESTABLISH A DEBT SERVICE RESERVE FUND, PAY ISSUANCE COSTS, AND OTHER AUTHORIZED ORGANIZATIONAL CORPORATE PURPOSES. FORM 990, SCHEDULE K, PART I, COLUMN F, LINES B AND C THE SERIES 2007B-1 AND 2007B-2 BONDS WERE ISSUED TO REFINANCE THE SERIES 2007B BONDS TO OBTAIN A MORE FAVORABLE INTEREST RATE. SCHEDULE K, PART II, LINE 3, COLUMN A THE TOTAL PROCEEDS FOR SERIES 2007A BOND ISSUE ARE NOT IDENTICAL TO THE ISSUE PRICE LISTED IN PART I, COLUMN (E), THE DIFFERENCE IS A PREMIUM OF $445,055 AND A UNDERWRITERS DISCOUNT OF $750,000. 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. 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. ITS ADULT PROGRAMS ARE EQUALLY RECOGNIZED FOR ITS TREATMENT OPTIONS AND CONTINUED CANCER RESEARCH. CURRENTLY, THE INSTITUTE IS COLLECTING DATA ON RESEARCH STUDIES, EITHER FOR IT'S OWN MISSION OR PARTICIPATING WITH OTHER NOTED MEDICAL INSTITUTIONS, SUCH AS ST. JUDES CHILDREN'S HOSPITAL, MASSACHUSETTS GENERAL HOSPITAL, ETC. IN FISCAL YEAR 2017, THE INSTITUTE'S PROFESSIONAL STAFF PUBLISHED 19 STUDIES IN MAJOR MEDICAL PUBLICATIONS. DURING THE YEAR, THE INSTITUTE BEGAN 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 WILL INCLUDE THE ADDITION OF A NEW PROTON SYSTEM, BUILDING ADDITION, SYSTEM UPGRADES TO ITS PRESENT SYSTEM AND IMPROVEMENTS TO ITS TREATMENT AND PLANNING TECHNOLOGY. IN FISCAL YEAR 2017, THE INSTITUTE DEVELOPED A CHILD LIFE SPECIALIST INTERNSHIP PROGRAM AND RECRUITED ITS FIRST CANDIDATE. THE PROGRAM IS AIMED TO PROVIDE EDUCATION AND HANDS-ON DEVELOPMENT FOR THIS NEWLY RECOGNIZED SOCIAL SERVICES POSITION. THE INSTITUTE HAS EXPERIENCED SEVERAL YEARS OF SUCCESS WITH IT'S PROGRAM BY HELPING CHILDREN UNDERSTAND THEIR TREATMENT ACTIVITY, DECREASING ANXIETY AND IMPROVING WELLNESS. 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 15 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. PART VII, SECTION A: EXECUTIVE DIRECTOR'S COMPENSATION THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF THE UNIVERSITY OF FLORIDA. HIS COMPENSATION REPORTED ON PART VII, SECTION A, WAS PAID BY THE UNIVERSITY OF FLORIDA. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 34,982. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,982. MARKETING: PROGRAM SERVICE EXPENSES 96,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,000. BILLING/COLLECTIONS: PROGRAM SERVICE EXPENSES 1,422,223. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,422,223. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 125,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,000. PHYSICIANS: PROGRAM SERVICE EXPENSES 7,986,180. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,986,180. PHYSICS CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 2,112,678. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,112,678. TEMP AGENCIES: PROGRAM SERVICE EXPENSES 174,088. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 174,088. TRANSCRIPTIONS: PROGRAM SERVICE EXPENSES 29,495. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,495. TRANSLATION: PROGRAM SERVICE EXPENSES 39,550. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,550. CRT SERVICES: PROGRAM SERVICE EXPENSES 917,103. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 917,103. RADIATION SAFETY: PROGRAM SERVICE EXPENSES 28,109. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,109. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 46,904. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,904. OTHER EXPENSE: PROGRAM SERVICE EXPENSES 1,589. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,589. FORM 990, PART XI, LINE 9: CHANGE ON FAIR VALUE OF SWAP AGREEMENT 1,405,000. 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. FOR THE FISCAL YEAR ENDING JUNE 30, 2017, THE DIRECT AND INDIRECT COST OF THESE CHARITY CARE SERVICES WERE APPROXIMATELY $698,000. 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 TO RELATED TO CARE DURING AND AFTER TREATMENT.