2016-03-02T11:10:25-06:00 2015-06-30 593070669 MOORE STEPHENS LOVELACE PA 311 PARK PLACE BLVD SUITE 100 CLEARWATER FL 33759 990 2014-07-01 010554709 FLORIDA PROTON THERAPY INSTITUTE INC FLOR 9045881800 2015 NORTH JEFFERSON STREET JACKSONVILLE FL 32206 STUART KLEIN EXECUTIVE DIRECTOR 9045881800 2016-03-02 1 LAURIE PADYKULA CPA P00856069 7275314477 2014 2016-08-17 19:52:53Z STUART KLEIN 2015 NORTH JEFFERSON STREET JACKSONVILLE FL 32206 51078099 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 11 148 49 0 0 149720 423784 48046641 48889161 131396 147040 1054040 1088213 49381797 50548198 26400 40566 0 0 9720499 10298180 0 0 35344 33401722 34912643 43148621 45251389 6233176 5296809 136078209 139339889 93110370 90940908 42967839 48398981 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 43229208 40566 49981348 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. 43229208 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 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 39 0 1 148 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 133746 0 9112 STUART KLEIN EXECUTIVE DIRECTOR 40.00 X 433756 0 0 TREVOR FLEMING DIR. OF TECHNICAL SERVICES 40.00 X 127484 0 16197 DEBBIE LOUIS CHIEF DOSIMETRIST 40.00 X 140306 0 12306 KATHY MCINTYRE DIR. OF BILLING SERVICES 40.00 X 143998 0 7066 GAIL SARTO DIR. OF ADULT NURSING 40.00 X 102234 0 15421 ERNEST ST JOHN CHIEF RADIATION THERAPIST 40.00 X 109524 0 15319 1191048 0 75421 6 0 1 0 UNIVERSITY OF FLORIDA DEPT OF RADIATION PO BOX 100385 GAINESVILLE FL 32610 STAFFING PROVIDER 8983729 IBA PROTON THERAPY INC 151 HEARTLAND BLVD EDGEWOOD NY 11717 EQUIPMENT MAINTENANCE 4118501 SHEPHERD 1301 RIVERPLACE BLVD SUITE 1100 JACKSONVILLE FL 32207 ADVERTISING/MEDIA 3261534 HEALTHCARE ADMINISTRATIVE PARTNERS LLC PO BOX 1511 MEDIA PA 32231 BILLING SERVICE 1238529 HARDEN & ASSOCIATES 501 RIVERSIDE AVENUE SUITE 1000 JACKSONVILLE FL 32202 INSURANCE SERVICES 430512 9 423784 423784 PATIENT CARE REVENUE 621500 47074933 47074933 SHARED SERVICE REVENUE 621500 1814228 1814228 48889161 152652 152652 125 516458 0 522195 125 -5737 -5612 -5612 3732 7706 -3974 -3974 OPERATION & MAINTENANCE REIMBURSE 900099 845174 845174 OTHER INCOME 900099 247013 247013 1092187 50548198 49981348 0 143066 X 40080 40080 486 486 142858 142858 8286928 8286928 75971 75971 1792423 1783317 9106 102491 102491 56278 56278 46379 46379 11982967 11982967 3091777 3091777 583678 69193 514485 205345 16377 188968 7486344 7157387 328957 44488 44488 189086 189086 4279777 4091719 188058 3468173 3315778 152395 529991 506703 23288 PATIENT EXPENSES 2810525 2810525 FUNDRAISING 35344 35344 45251389 43229208 1986837 35344 280903 1147842 6524871 8064752 7663647 9299698 1441921 1334830 82120266 29990551 53387823 52129715 34631434 35182214 12810407 12991542 19337203 19189296 136078209 139339889 8462343 10086129 81027027 77391779 3621000 3463000 93110370 90940908 X 42967839 48249962 149019 42967839 48398981 136078209 139339889 X 5296809 -23667 158000 X X 0 1 X 1 0 X 259558 387591 1304810 149720 423784 2525463 47910037 50423687 46077595 48046641 48889161 241347121 122494 154696 173614 162770 3732 617306 48292089 50965974 47556019 48359131 49316677 244489890 0 0 0 244489890 95554 258844 160686 155596 152652 823332 95554 258844 160686 155596 152652 823332 1025445 1039090 995463 950318 1092187 5102503 49413088 52263908 48712168 49465045 50561516 250415725 0.97630 0.97720 0.00330 0.00280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1470961 427083 1043878 71427465 26966538 44460927 9221840 2596930 6624910 52129715 DEBT SERVICE RESERVE FUND 7849384 F BOND PROCEEDS FUND 4320904 F MONEY MARKET 821254 F 12991542 BOND ISSUANCE COSTS, NET 1609081 DEPOSITS 126466 INTEREST IN LEASEHOLD 15074112 OTHER RECEIVABLES 2379637 19189296 FV OF INTEREST RATE SWAP AGREEMENT 3463000 3463000 50647187 -23667 158000 134333 50512854 35344 35344 50548198 45216045 0 45216045 35344 35344 45251389 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF SWAP AGREEMENT 158,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 35,344. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 35,344. 0 0 0 0 0 0 0 0 0 STUART KLEIN EXECUTIVE DIRECTOR 370435 0 0 0 63321 0 0 0 0 0 433756 0 0 0 DEBBIE LOUIS CHIEF DOSIMETRIST 140306 0 0 0 0 0 4209 0 8097 0 152612 0 0 0 KATHY MCINTYRE DIR. OF BILLING SERVICES 143998 0 0 0 0 0 4320 0 2746 0 151064 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 12565000 59695055 5349261 450000 37711630 3258686 360478 2009 1 0 1 1 B 2103000 25580000 2000098 21476902 2012 1 0 1 1 C 791000 7000000 500025 5708975 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 DURING THE CURRENT YEAR, THE INSTITUTE RECEIVED ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THIS HONOR IS PRESENTED ONLY TO THOSE ORGANIZATIONS THAT HAVE DEMONSTRATED OUTSTANDING AND DISTINCTIVE QUALITY SERVICE TO CANCER PATIENTS, FAMILIES AND THE CONTINUING BATTLE AGAINST CANCER. ALSO, THE STATE OF FLORIDA PRESENTED THE INSTITUTE THE CENTER OF EXCELLENCE AWARD FOR IT'S CONTINUING SUPERIORITY IN PATIENT CARE SERVICES. 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 58,272. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,272. MARKETING: PROGRAM SERVICE EXPENSES 96,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,000. BILLING/COLLECTIONS: PROGRAM SERVICE EXPENSES 1,294,440. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,294,440. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 125,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,000. PHYSICIANS: PROGRAM SERVICE EXPENSES 7,690,376. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,690,376. PHYSICS: PROGRAM SERVICE EXPENSES 1,665,828. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,665,828. TEMP AGENCIES: PROGRAM SERVICE EXPENSES 59,526. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,526. TRANSCRIPTIONS: PROGRAM SERVICE EXPENSES 36,810. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,810. TRANSLATION: PROGRAM SERVICE EXPENSES 28,361. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,361. CRT SERVICES: PROGRAM SERVICE EXPENSES 851,139. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 851,139. RADIATION SAFETY: PROGRAM SERVICE EXPENSES 26,195. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,195. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 51,020. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,020. FORM 990, PART XI, LINE 9: CHANGE ON FAIR VALUE OF SWAP AGREEMENT 158,000. 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, 2015 AND 2014, THE INSTITUTE RECOGNIZED WRITE-OFFS FROM CHARITY CARE OF APPROXIMATELY $529,000 AND $848,000, RESPECTIVELY. THE DIRECT AND INDIRECT COSTS OF THESE SERVICES WERE APPROXIMATELY $737,000 AND $1,152,000 FOR THE YEARS ENDED JUNE 30, 2015 AND 2014, RESPECTIVELY.