2017-08-01T08:57:07-05:00 2016-06-30 593070669 MOORE STEPHENS LOVELACE PA 201 E KENNEDY BLVD SUITE 650 TAMPA FL 33602 990 2015-07-01 010554709 FLORIDA PROTON THERAPY INSTITUTE INC FLOR 9045881800 2015 NORTH JEFFERSON STREET JACKSONVILLE FL 32206 STUART KLEIN EXECUTIVE DIRECTOR 9045881800 2017-08-01 1 HARRY E HARP CPA P00176471 8133142600 2015 2021-01-29 14:40:06Z X STUART KLEIN 2015 NORTH JEFFERSON STREET JACKSONVILLE FL 32206 59432029 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 11 173 10 0 0 423784 347633 48889161 52021447 147040 86785 1088213 6832289 50548198 59288154 40566 34190 0 0 10298180 11966706 0 0 0 34912643 35420303 45251389 47421199 5296809 11866955 139339889 149814211 90940908 90061786 48398981 59752425 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 45135824 34190 58756661 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 6,170 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 127 CLINICAL TRIALS AND 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. 45135824 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 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 56 0 1 173 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 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 X 0 0 0 C CRAIG TISHER MD 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 J EDWARD ED POPPELL TRUSTEE 0.30 X 0 0 0 YVES JONGEN PHD TRUSTEE 0.30 X 0 0 0 KAREN MITCHELL-CURRAN TRUSTEE 0.30 X 0 0 0 TOMMIE ALLEN CHIEF FINANCIAL OFFICER 40.00 X 138050 0 9647 STUART KLEIN EXECUTIVE DIRECTOR 40.00 X 390329 0 35624 TREVOR FLEMING DIR. OF TECHNICAL SERVICES 40.00 X 154767 0 18110 DEBBIE LOUIS CHIEF DOSIMETRIST 40.00 X 163888 0 13723 KATHY MCINTYRE DIR. OF BILLING SERVICES 40.00 X 141186 0 7056 MATTHEW CARPENTER LEAD RADIATION THERAPIST 40.00 X 100946 0 5014 ERNEST ST JOHN CHIEF RADIATION THERAPIST 40.00 X 117937 0 16649 NATALIYA GETMAN LEAD DOSIMETRIST 40.00 X 125513 0 17208 WILLIAM GLIDDEN LEAD DOSIMETRIST 40.00 X 118220 0 12347 DANIEL SPRING CERTIFIED MEDICAL DOSIMETRIST (CMD) 40.00 X 113164 0 5191 ADAM WILLIS CERTIFIED MEDICAL DOSIMETRIST (CMD) 40.00 X 113164 0 7429 1677164 0 147998 11 0 1 0 IBA PROTON THERAPY INC 151 HEARTLAND BLVD EDGEWOOD NY 11717 EQUIPMENT MAINTENANCE 13941050 UNIVERSITY OF FLORIDA DEPT OF RADIATION PO BOX 100385 GAINESVILLE FL 32610 STAFFING PROVIDER 10107175 SHEPHERD 1301 RIVERPLACE BLVD SUITE 1100 JACKSONVILLE FL 32207 ADVERTISING/MEDIA 2287200 HEALTHCARE ADMINISTRATIVE PARTNERS LLC PO BOX 1511 MEDIA PA 32231 BILLING SERVICE 1469473 UFJP - COMMERCIAL (UNIVERSITY OF FLORIDA PO BOX 743651 ATLANTA GA 30374 STAFFING PROVIDER 400833 12 8710 338923 347633 PATIENT CARE REVENUE 621500 50293938 50293938 SHARED SERVICE REVENUE 621500 1727509 1727509 52021447 156964 156964 70179 -70179 -70179 -70179 170771 8710 73696 97075 97075 OTHER INCOME 900099 5890040 5890040 OPERATION & MAINTENANCE REIMBURSE 900099 845174 845174 6735214 59288154 58756661 0 183860 X 34190 34190 137697 137697 9467174 9467174 198861 198861 2162974 2154364 8610 190913 190913 68372 68372 45882 45882 13323517 13323517 1811068 1811068 617448 86315 531133 333784 21020 312764 7240830 6922958 317872 102413 102413 185872 185872 4102301 3922210 180091 3513306 3359072 154234 459174 439016 20158 PATIENT EXPENSES 3396059 3396059 FUNDRAISING 29364 29364 47421199 45135824 2285375 0 1147842 118662 8064752 17252892 9299698 8345503 1334830 2436195 95542527 32968618 52129715 62573909 35182214 26188875 12991542 13090367 19189296 19807808 139339889 149814211 10086129 11467255 77391779 73558531 3463000 5036000 90940908 90061786 X 48249962 59602906 149019 149519 48398981 59752425 139339889 149814211 X 11866955 60129 -640 -573000 X X 0 1 X 1 0 X 387591 1304810 149720 423784 338925 2604830 50423687 46077595 48046641 48889161 52021447 245458531 154696 173614 162770 3732 170771 665583 50965974 47556019 48359131 49316677 52531143 248728944 0 0 0 248728944 258844 160686 155596 152652 156964 884742 258844 160686 155596 152652 156964 884742 1039090 995463 950318 1092187 6735214 10812272 52263908 48712168 49465045 50561516 59423321 260425958 0.95510 0.97630 0.00340 0.00330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1491272 514589 976683 73758038 25451500 48306538 20293217 7002529 13290688 62573909 DEBT SERVICE RESERVE FUND 7248915 F BOND PROCEEDS FUND 5020198 F MONEY MARKET 821254 F 13090367 BOND ISSUANCE COSTS, NET 1732404 DEPOSITS 126466 INTEREST IN LEASEHOLD 15531988 OTHER RECEIVABLES 2416950 19807808 FV OF INTEREST RATE SWAP AGREEMENT 4036000 LOANS PAYABLE 1000000 5036000 58745919 60129 -573000 -512871 59258790 29364 29364 59288154 47391835 0 47391835 29364 29364 47421199 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF SWAP AGREEMENT -573,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 29,364. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 29,364. GOLF TOURNAMENT 179481 8710 170771 73696 179481 8710 170771 73696 73696 97075 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 154767 0 0 0 0 0 4643 0 13467 0 172877 0 0 0 DEBBIE LOUIS CHIEF DOSIMETRIST 163888 0 0 0 0 0 4917 0 8806 0 177611 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 14835000 59695055 4747074 450000 3258686 36404295 2009 1 0 1 1 B 3234000 25580000 2001473 20344527 2012 1 0 1 1 C 1201000 7000000 500368 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 THROUGH ITS PATIENT SERVICES DEPARTMENT. THE DEPARTMENT CONTINUED TO IMPROVE ITS ART-IN-MEDICINE PROGRAM, YOGA CLASSES, EDUCATIONAL ACTIVITIES, AND SURVIVORSHIP PROGRAM. ALL OF 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. DURING THE YEAR, THE INSTITUTE APPROVED A $39 MILLION EXPANSION THAT WILL INCREASE THE CAPACITY FOR THE NUMBER OF PATIENTS THAT CAN BE TREATED AT THE JACKSONVILLE FACILITY AND THE TYPES OF CANCERS IT IS ABLE TO TREAT. THE PROJECT WILL INCLUDE THE ADDITION OF A NEW SYSTEM, BUILDING ADDITION, SYSTEM UPGRADES TO ITS PRESENT SYSTEM AND IMPROVEMENTS TO ITS TREATMENT AND PLANNING TECHNOLOGY. FORM 990, PART VI, SECTION B, LINE 11 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 ORGANIZATION'S INDEPENDENT BOARD APPROVES COMPENSATION OF THE CHIEF EXECUTIVE OFFICER, EXECUTIVE DIRECTOR OR OTHER TOP MANAGEMENT OFFICIALS. 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 CONSULTING: PROGRAM SERVICE EXPENSES 88,716. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88,716. MARKETING: PROGRAM SERVICE EXPENSES 96,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,000. BILLING/COLLECTIONS: PROGRAM SERVICE EXPENSES 1,442,620. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,442,620. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 125,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,000. PHYSICIANS: PROGRAM SERVICE EXPENSES 8,300,912. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,300,912. PHYSICS CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 1,752,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,752,000. TEMP AGENCIES: PROGRAM SERVICE EXPENSES 98,844. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 98,844. TRANSCRIPTIONS: PROGRAM SERVICE EXPENSES 31,116. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,116. TRANSLATION: PROGRAM SERVICE EXPENSES 45,432. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,432. CRT SERVICES: PROGRAM SERVICE EXPENSES 1,278,205. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,278,205. RADIATION SAFETY: PROGRAM SERVICE EXPENSES 24,838. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,838. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,221. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,221. OTHER EXPENSE: PROGRAM SERVICE EXPENSES 37,613. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,613. FORM 990, PART XI, LINE 9: CHANGE ON FAIR VALUE OF SWAP AGREEMENT -573,000. 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 YEARS ENDED JUNE 30, 2016 AND 2015, THE INSTITUTE RECOGNIZED WRITE-OFFS FROM CHARITY CARE OF APPROXIMATELY $1,404,000 AND $529,000, RESPECTIVELY. THE DIRECT AND INDIRECT COSTS OF THESE SERVICES WERE APPROXIMATELY $1,959,000 AND $737,000 FOR THE YEARS ENDED JUNE 30, 2016 AND 2015, RESPECTIVELY. 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 GUEST RELATED TO CARE DURING AND AFTER TREATMENT.