2014-03-12T14:28:26-05:00 2013-06-30 593070669 MOORE STEPHENS LOVELACE PA 311 PARK PLACE BLVD SUITE 100 CLEARWATER FL 33759 990 2012-07-01 010554709 FLORIDA PROTON THERAPY INSTITUTE INC FLOR 9045881800 2015 NORTH JEFFERSON STREET JACKSONVILLE FL 32206 STUART KLEIN 9045881800 2014-03-12 1 MELANIE A MCPEAK P01346034 7275314477 2012 2015-11-30 17:44:51Z STUART KLEIN 2015 NORTH JEFFERSON STREET JACKSONVILLE FL 32206 48712168 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. 9 9 143 54 0 0 387591 1304810 50423687 46077595 238843 148943 1139740 1105647 52189861 48636995 12396 11600 0 0 8995980 9228232 0 0 39703 34027191 32655834 43035567 41895666 9154294 6741329 140754422 129959086 112685025 93475156 28069397 36483930 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 40028132 11600 47073058 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 4,600 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 119 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. 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. 40028132 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 47 0 1 143 1 0 0 0 0 0 0 0 0 0 0 X 9 9 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 0.30 X X 0 0 0 PAUL OKUNIEFF PHD 0.30 X X 0 0 0 NANCY P MENDENHALL MD 30.00 X X 0 0 0 C CRAIG TISHER MD 0.30 X 0 0 0 ROBERT LUFRANO MD 0.30 X 0 0 0 WILLIAM BILL ROBINSON 0.30 X 0 0 0 RUSSELL B NEWTON JR 0.30 X 0 0 0 J EDWARD ED POPPELL 0.30 X 0 0 0 YVES JONGEN PHD 0.30 X 0 0 0 TOMMIE ALLEN 40.00 X 110691 0 8903 STUART KLIEN 40.00 X 341404 0 70608 GARY BARLOW 40.00 X 126335 0 9593 DEBBIE LOUIS 40.00 X 123244 0 12768 KATHY MCINTYRE 40.00 X 110725 0 8225 CRAIG MCKENZIE 40.00 X 102188 0 14299 PAULA LAWLOR 40.00 X 100967 0 11705 1015554 0 136101 6 0 1 1 UNIVERSITY OF FLORIDA DEPT OF RADIATION PO BOX 100385 GAINESVILLE FL 32610 STAFFING PROVIDER 7694646 IBA PROTON THERAPY INC 151 HEARTLAND BLVD EDGEWOOD NY 11717 EQUIPMENT MAINTENANCE 4448804 SHEPHERD 1301 RIVERPLACE BLVD SUITE 1100 JACKSONVILLE FL 32207 ADVERTISING/MEDIA 1226575 HEALTHCARE ADMINISTRATIVE PARTNERS LLC PO BOX 1511 MEDIA PA 32231 BILLING SERVICE 1030197 UNIVERSITY OF FLORIDA COLLEGE OF MEDICI PO BOX 100205 GAINESVILLE FL 32610 STAFFING SERVICES 419677 10 108000 1196810 1304810 PATIENT CARE REVENUE 621500 44367224 44367224 SHARED SERVICE REVENUE 621500 1710371 1710371 46077595 160686 160686 11743 -11743 -11743 -11743 173614 63430 110184 110184 OPERATION & MAINTENANCE REIMBURSE 900099 845172 845172 OTHER INCOME 900099 150291 150291 995463 48636995 47073058 0 259127 X 11600 11600 137168 137168 7473602 7473602 52997 52997 1564465 1547993 16472 77920 77920 59037 59037 51886 51886 10577323 10577323 990719 990719 522514 80934 441580 202806 40516 162290 7252373 6935665 316708 42258 42258 115842 115842 4673480 4469391 204089 4103624 3924421 179203 535344 511966 23378 PATIENT EXPENSES 2822867 2822867 LOSS ON EXTINGUISHMENT 588138 588138 FUNDRAISING 39703 39703 41895666 40028132 1827831 39703 280749 236972 4600397 3831101 4188261 7128055 1476582 1486238 79889847 23302057 57623947 56587790 36536052 27612955 15125049 12828657 20923385 20247318 140754422 129959086 4936502 5142881 30000 0 102152523 84480275 5566000 3852000 112685025 93475156 X 28069397 36483930 28069397 36483930 140754422 129959086 X 6741329 -40796 1714000 X X 0 1 X 1 0 X 9985 307662 259558 387591 1304810 2269606 43023757 45512243 47910037 50423687 46077595 232947319 97144 111228 122494 154696 173614 659176 43130886 45931133 48292089 50965974 47556019 235876101 0 0 0 235876101 271124 24968 95554 258844 160686 811176 271124 24968 95554 258844 160686 811176 1151003 923825 1025445 1039090 995463 5134826 44553013 46879926 49413088 52263908 48712168 241822103 0.97540 0.97120 0.00340 0.00560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1468246 428254 1039992 69211791 20187510 49024281 9209810 2686293 6523517 56587790 DEBT SERVICE RESERVE FUND 7849000 F BOND PROCEEDS FUND 4158403 F MONEY MARKET 821254 F 12828657 BOND ISSUANCE COSTS, NET 1873561 DEPOSITS 126222 INTEREST IN LEASEHOLD 16011360 OTHER RECEIVABLES 2236175 20247318 FV OF INTEREST RATE SWAP AGREEMENT 3852000 3852000 50270496 -40796 1714000 1673204 48597292 39703 39703 48636995 41855963 0 41855963 39703 39703 41895666 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF SWAP AGREEMENT 1,714,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 39,703. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 39,703. GOLF TOURNAMENT 173614 173614 63430 173614 173614 63430 63430 110184 0 AMERICAN CANCER SOCIETY 250 WILLIAMS STREET NW ATLANTA GA 30303 131788491 501 (C)(3) 5000 SPONSORSHIP OF COWFORD BALL 2013 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION DOES NOT HAVE PROCEDURES IMPLEMENTED FOR MONITORING THE USE OF GRANT FUNDS. 0 0 0 0 0 0 0 0 0 STUART KLIEN 341404 0 0 0 0 0 0 0 70608 0 412012 0 0 0 SUPPLEMENTAL INFORMATION PART III 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 8415000 59695055 5528500 450000 7772043 3258686 2316239 2009 1 0 1 1 B 25580000 2000000 23580000 2009 1 0 1 1 C 7000000 500000 6500000 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 0 0 0 0 0 0 B 0 0 0 0 1 0 0 0 0 C 0 0 0 0 1 0 0 0 0 A 1 B 1 C 1 FORM 990, SCHEDULE K, PART I, LINE A/B/C, COLUMN F DESCRIPTION OF PURPOSE OF BOND ISSUANCE 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 ADDITIONAL INFORMATION RELATED TO BOND ISSUANCE: 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. NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 STARTING IN OCTOBER 2012, FLORIDA PROTON THERAPY INSTITUTE STARTED TREATING PATIENTS WITH METASTATIC CANCERS OR OLIGOMETASTASES WHICH ARE SMALL CANCEROUS LESIONS THAT HAVE SPREAD FROM THE PRIMARY TUMOR SITE TO ANOTHER ORGAN. STARTING IN FISCAL YEAR 2013, FLORIDA PROTON THERAPY INSTITUTE STARTED THEIR PROTON FIXED BEAM ROOM DESIGNED TO TREAT CANCERS OF THE EYE. 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. OTHER FEES FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 73,440. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,440. MARKETING: PROGRAM SERVICE EXPENSES 96,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,000. BILLING/COLLECTIONS: PROGRAM SERVICE EXPENSES 1,165,966. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,165,966. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 125,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,000. PHYSICIANS: PROGRAM SERVICE EXPENSES 6,726,445. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,726,445. PHYSICS: PROGRAM SERVICE EXPENSES 1,562,454. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,562,454. TEMP AGENCIES: PROGRAM SERVICE EXPENSES 12,418. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,418. TRANSCRIPTIONS: PROGRAM SERVICE EXPENSES 33,188. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,188. TRANSLATION: PROGRAM SERVICE EXPENSES 5,430. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,430. CRT SERVICES: PROGRAM SERVICE EXPENSES 705,274. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 705,274. RADIATION SAFETY: PROGRAM SERVICE EXPENSES 29,373. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,373. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 42,335. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,335. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE ON FAIR VALUE OF SWAP AGREEMENT 1,714,000. OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT FORM 990, PART XII, LINE 2C 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. CHARITY CARE GENERAL DISCLOSURE 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, 2013 AND 2012, THE INSTITUTE RECOGNIZED WRITE-OFFS FROM CHARITY CARE OF APPROXIMATELY $1,286,000 AND $1,090,000, RESPECTIVELY. THE DIRECT AND INDIRECT COSTS OF THESE SERVICES WERE APPROXIMATELY $1,712,000 AND $1,435,000 FOR THE YEARS ENDED JUNE 30, 2013 AND 2012, RESPECTIVELY.