2015-04-07T13:11:49-05:00 2014-06-30 593070669 MOORE STEPHENS LOVELACE PA 311 PARK PLACE BLVD SUITE 100 CLEARWATER FL 33759 990 2013-07-01 010554709 FLORIDA PROTON THERAPY INSTITUTE INC FLOR 9045881800 2015 NORTH JEFFERSON STREET JACKSONVILLE FL 32206 STUART KLEIN EXECUTIVE DIRECTOR 9045881800 2015-04-07 1 MELANIE A MCPEAK P01346034 7275314477 2013 2016-02-25 16:41:14Z STUART KLEIN 2015 NORTH JEFFERSON STREET JACKSONVILLE FL 32206 49465045 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 11 146 61 0 0 1304810 149720 46077595 48046641 148943 131396 1105647 1054040 48636995 49381797 11600 26400 0 0 9228232 9720499 0 0 9103 32655834 33401722 41895666 43148621 6741329 6233176 129959086 136078209 93475156 93110370 36483930 42967839 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 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 STUDENT AND ALL OTHER HEALTH CARE PROFESSIONALS. 1 0 41138200 26400 48996959 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 OVER 5,600 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 A PART-TIME ART THERAPIST.A CORNERSTONE OF OUR MISSION INCLUDES CLINICAL RESEARCH. WE HAVE A TOTAL OF 129 CLINICAL TRIALS 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. 41138200 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 41 0 1 146 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 WILLIAM BILL ROBINSON TRUSTEE 0.30 X 0 0 0 RUSSELL B NEWTON JR 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 KATHRYN PEARSON PEYTON 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 131467 0 7212 STUART KLIEN EXECUTIVE DIRECTOR 40.00 X 359376 0 64320 TREVOR FLEMING DIR. OF TECHNICAL SERVICES 40.00 X 118991 0 13325 DEBBIE LOUIS CHIEF DOSIMETRIST 40.00 X 123626 0 9600 KATHY MCINTYRE DIR. OF BILLING SERVICES 40.00 X 128452 0 6575 CRAIG MCKENZIE LEAD DOSIMETRIST 40.00 X 103810 0 5853 JUDY HOLLAND DIR. OF PATIENT INTAKE SERVICES 40.00 X 100528 0 6235 1066250 0 113120 6 0 1 1 UNIVERSITY OF FLORIDA DEPT OF RADIATION PO BOX 100385 GAINESVILLE FL 32610 STAFFING PROVIDER 9174571 SHEPHERD 1301 RIVERPLACE BLVD SUITE 1100 JACKSONVILLE FL 32207 ADVERTISING/MEDIA 1472357 HEALTHCARE ADMINISTRATIVE PARTNERS LLC PO BOX 1511 MEDIA PA 32231 BILLING SERVICE 1253224 IBA PROTON THERAPY INC 151 HEARTLAND BLVD EDGEWOOD NY 11717 EQUIPMENT MAINTENANCE 1145539 UNIVERSITY OF FLORIDA COLLEGE OF MEDICI PO BOX 100205 GAINESVILLE FL 32610 STAFFING SERVICES 555826 8 149720 149720 PATIENT CARE REVENUE 621500 46357019 46357019 SHARED SERVICE REVENUE 621500 1689622 1689622 48046641 155596 155596 24200 -24200 -24200 -24200 162770 59048 103722 103722 OPERATION & MAINTENANCE REIMBURSE 900099 845172 845172 OTHER INCOME 900099 105146 105146 950318 49381797 48996959 0 235118 X 26400 26400 141950 141950 7899870 7899870 34474 34474 1644205 1626032 18173 87931 87931 80354 80354 42340 42340 11748406 11748406 1345242 1345242 478484 57932 420552 269058 12852 256206 7475537 7128734 346803 79180 79180 110174 110174 4467842 4260571 207271 3956763 3773202 183561 578184 551361 26823 PATIENT EXPENSES 2673124 2673124 FUNDRAISING 9103 9103 43148621 41138200 2001318 9103 236972 280903 3831101 6524871 7128055 7663647 1486238 1441921 80536760 27148937 56587790 53387823 27612955 34631434 12828657 12810407 20247318 19337203 129959086 136078209 5142881 8462343 84480275 81027027 3852000 3621000 93475156 93110370 X 36483930 42967839 36483930 42967839 129959086 136078209 X 6233176 19733 231000 X X 0 1 X 1 0 X 307662 259558 387591 1304810 149720 2409341 45512243 47910037 50423687 46077595 48046641 237970203 111228 122494 154696 173614 162770 724802 45931133 48292089 50965974 47556019 48359131 241104346 0 0 0 241104346 24968 95554 258844 160686 155596 695648 24968 95554 258844 160686 155596 695648 923825 1025445 1039090 995463 950318 4934141 46879926 49413088 52263908 48712168 49465045 246734135 0.97720 0.97540 0.00280 0.00340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1468246 494946 973300 69618334 23468336 46149998 9450180 3185655 6264525 53387823 DEBT SERVICE RESERVE FUND 7849000 F BOND PROCEEDS FUND 4140153 F MONEY MARKET 821254 F 12810407 BOND ISSUANCE COSTS, NET 1741429 DEPOSITS 126222 INTEREST IN LEASEHOLD 15542736 OTHER RECEIVABLES 1926816 19337203 FV OF INTEREST RATE SWAP AGREEMENT 3621000 3621000 49623427 19733 231000 250733 49372694 9103 9103 49381797 43139518 0 43139518 9103 9103 43148621 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF SWAP AGREEMENT 231,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 9,103. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 9,103. GOLF TOURNAMENT 162770 162770 59048 162770 162770 59048 59048 103722 0 0 0 0 0 0 0 0 0 STUART KLIEN EXECUTIVE DIRECTOR 359376 0 0 0 0 0 0 0 64320 0 423696 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 2007-08-29 25580000 SEE SUPPLEMENTAL INFORMATION - PART V 1 0 0 C JACKSONVILLE ECONOMIC DEVELOPMENT COMMISSION 596000344 2007-08-29 7000000 SEE SUPPLEMENTAL INFORMATION - PART V 1 0 0 A 10430000 59695055 5349000 450000 37711630 3258686 2495739 2009 1 0 1 1 B 1025000 25580000 2000000 22555000 2009 1 0 1 1 C 391000 7000000 500000 6109000 2009 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/B/C, 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. 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 COMPANY'S PATIENT SERVICE DEPARTMENT BEGAN A MUSIC THERAPY PROGRAM TO PROMOTE HEALING AND WELL-BEING IN OUR OUTPATIENT ENVIRONMENT. THE PROGRAM'S GOAL IS TO FACILITATE RELAXATION, DECREASE ANXIETY AND STRESS, ENHANCE WELLNESS, IMPROVE PAIN MANAGEMENT AND PROVIDE COMFORT AND SUPPORT FOR CANCER PATIENTS AND THEIR CAREGIVERS. MUSIC THERAPY IS PROVEN TO REDUCE STRESS AND PAIN LEVELS ASSOCIATED WITH ILLNESS AND HOSPITALIZATION. A MAJORITY OF THE YEAR HAS TO BE INVOLVED IN AN ENHANCED EFFORTS IN THE RESEARCH AREA, DEVELOPING AND REFINING PROTOCOLS AND OTHER RESEARCH PROGRAMS. THE COMPANY HAS SPENT APPROXIMATELY $1,875,000 IN THIS EFFORT. 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 AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 9,974. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,974. MARKETING: PROGRAM SERVICE EXPENSES 96,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,000. BILLING/COLLECTIONS: PROGRAM SERVICE EXPENSES 1,236,204. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,236,204. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 125,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,000. PHYSICIANS: PROGRAM SERVICE EXPENSES 7,832,943. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,832,943. PHYSICS: PROGRAM SERVICE EXPENSES 1,552,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,552,000. TEMP AGENCIES: PROGRAM SERVICE EXPENSES 78,998. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,998. TRANSCRIPTIONS: PROGRAM SERVICE EXPENSES 36,398. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,398. TRANSLATION: PROGRAM SERVICE EXPENSES 13,744. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,744. CRT SERVICES: PROGRAM SERVICE EXPENSES 711,156. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 711,156. RADIATION SAFETY: PROGRAM SERVICE EXPENSES 28,244. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,244. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 27,745. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,745. FORM 990, PART XI, LINE 9: CHANGE ON FAIR VALUE OF SWAP AGREEMENT 231,000. 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, 2014 AND 2013, THE INSTITUTE RECOGNIZED WRITE-OFFS FROM CHARITY CARE OF APPROXIMATELY $848,000 AND $1,286,000, RESPECTIVELY. THE DIRECT AND INDIRECT COSTS OF THESE SERVICES WERE APPROXIMATELY $1,152,000 AND $1,712,000 FOR THE YEARS ENDED JUNE 30, 2014 AND 2013, RESPECTIVELY.