Civic Intelligence

The Proton Therapy Center LLC

990 • Fiscal year 2020 • EIN 27-3064209

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 15, 2021

6450 Provision Cares WayKnoxville, TN 37909

(865) 862-1600

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

98th percentile

1.45x

Higher debt load relative to assets than 98% of similar nonprofits.

2020 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2020

Liabilities / Revenue

94th percentile

5.76x

Higher debt load relative to revenue than 94% of similar nonprofits.

2020 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2020

Net Margin

7th percentile

-35%

Higher net margin than 7% of similar nonprofits.

2020 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2020

Top Officer Pay

17th percentile

$175,121

Higher top officer pay than 17% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

2020 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2020

Asset Growth

10th percentile

-5.2%

Faster asset growth than 10% of similar nonprofits.

2020 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2019 to 2020

Revenue Growth

16th percentile

-20%

Faster revenue growth than 16% of similar nonprofits.

2020 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2019 to 2020

Assets

Down

$90,724,481

Down $4,988,790 (-5.2%) from 2019

Net Assets

Down

-$40,752,547

Down $8,070,001 (-25%) from 2019

Liabilities

Up

$131,477,028

Up $3,081,211 (+2.4%) from 2019

Revenue

Down

$22,840,271

Down $5,719,106 (-20%) from 2019

Expenses

Down

$30,910,272

Down $235,428 (-0.8%) from 2019

Net Income

Down

-$8,070,001

Down $5,483,678 (-212%) from 2019

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$200M$100M$0-$100MAssets 2012: $65,887,371Liabilities 2012: $69,784,859Net Assets 2012: -$3,897,4882012Assets 2013: $94,726,673Liabilities 2013: $104,743,904Net Assets 2013: -$10,017,2312013Assets 2014: $110,848,624Liabilities 2014: $133,580,282Net Assets 2014: -$22,731,6582014Assets 2015: $111,743,470Liabilities 2015: $135,717,876Net Assets 2015: -$23,974,4062015Assets 2016: $106,522,373Liabilities 2016: $132,116,317Net Assets 2016: -$25,593,9442016Assets 2017: $103,951,258Liabilities 2017: $131,154,652Net Assets 2017: -$27,203,3942017Assets 2018: $99,282,153Liabilities 2018: $129,378,376Net Assets 2018: -$30,096,2232018Assets 2019: $95,713,271Liabilities 2019: $128,395,817Net Assets 2019: -$32,682,5462019Assets 2020: $90,724,481Liabilities 2020: $131,477,028Net Assets 2020: -$40,752,5472020Assets 2021: $87,350,051Liabilities 2021: $138,554,350Net Assets 2021: -$51,204,2992021Assets 2022: $23,729,500Liabilities 2022: $114,428,178Net Assets 2022: -$90,698,6782022Assets 2023: $22,103,901Liabilities 2023: $120,347,663Net Assets 2023: -$98,243,7622023Assets 2024: $19,033Liabilities 2024: $0Net Assets 2024: $19,0332024

Highlighted filing

2020

Assets$90,724,481
Liabilities$131,477,028
Net Assets-$40,752,547

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$100M$50M$0-$50MExpenses 2012: $1,531,6142012Revenue 2013: $445,843Expenses 2013: $6,586,993Net Income 2013: -$6,141,1502013Revenue 2014: $15,407,290Expenses 2014: $28,121,717Net Income 2014: -$12,714,4272014Revenue 2015: $28,663,962Expenses 2015: $29,906,710Net Income 2015: -$1,242,7482015Revenue 2016: $28,473,127Expenses 2016: $30,092,665Net Income 2016: -$1,619,5382016Revenue 2017: $28,419,914Expenses 2017: $30,029,364Net Income 2017: -$1,609,4502017Revenue 2018: $27,541,772Expenses 2018: $30,434,601Net Income 2018: -$2,892,8292018Revenue 2019: $28,559,377Expenses 2019: $31,145,700Net Income 2019: -$2,586,3232019Revenue 2020: $22,840,271Expenses 2020: $30,910,272Net Income 2020: -$8,070,0012020Revenue 2021: $20,990,797Expenses 2021: $31,442,549Net Income 2021: -$10,451,7522021Revenue 2022: -$17,887,682Expenses 2022: $21,606,697Net Income 2022: -$39,494,3792022Revenue 2023: $0Expenses 2023: $7,545,084Net Income 2023: -$7,545,0842023Revenue 2024: $98,273,389Expenses 2024: $10,594Net Income 2024: $98,262,7952024

Highlighted filing

2020

Revenue$22,840,271
Expenses$30,910,272
Net Income-$8,070,001
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 15, 2021
Return Version
2020v4.1
Gross Receipts
$22,840,271
Mission and Program Overview

Mission

The organization operates a proton therapy cancer treatment center in knoxville, tennessee and services a multistate area in the southeastern united states. Proton therapy is the cutting edge of radiation cancer treatment. It is an advanced form of radiation that allows for precision treatment that leaves surrounding tissue unharmed and reduces side effects.

The organization operates a proton therapy center in knoxville, tennessee, and services a multi-state area in the southeastern united states.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$71,784,796$67,666,684▼ $4,118,112
Accounts Receivable$4,779,537$7,465,581▲ $2,686,044
Cash and Non-Interest-Bearing Accounts$2,773,762$4,219,032▲ $1,445,270
Intangible Assets$153,607--
Pd in Cap Srpls Land Bldg Eqp Fund$25,000$25,000→ $0
Prepaid Expenses and Deferred Charges$221,079$13,666▼ $207,413
Cap Stk Tr Prin Current Funds$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$-32,707,546$-40,777,547▼ $8,070,001
Total Assets$95,713,271$90,724,481▼ $4,988,790
Other Assets Total$16,000,490$11,359,518▼ $4,640,972
Liabilities
Tax Exempt Bond Liabilities$106,291,662$106,613,349▲ $321,687
Accounts Payable and Accrued Expenses$16,299,439$14,809,276▼ $1,490,163
Other Liabilities$2,000,331$6,250,018▲ $4,249,687
Mortgage Notes Payable Secured by Investment Property$3,804,385$3,804,385→ $0
Total Liabilities$128,395,817$131,477,028▲ $3,081,211
Net Assets / Fund Balance
Total Net Assets Fund Balance$-32,682,546$-40,752,547▼ $8,070,001
Total Liabilities and Net Assets / Fund Balance$95,713,271$90,724,481▼ $4,988,790

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$26,223,894$29,682,109$55,906,003
Buildings$38,900,982-$38,900,982
Land$2,536,742-$2,536,742
Other Land Buildings$5,066-$5,066
Other Assets Org$153,607--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Mary Lou DuboisPresidentFT$166,883$8,238$175,121

Board Members and Trustees

NameTitle
Terry DouglassDirector/chairman
James BlankemeyerDirector
Scott HamiltonDirector
Charles AikenSecretary
Robert VincillTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Platinum Oncology PllcPhysician Professional Fees1400 DOWELL SPRINGS BLVD STE 350, Knoxville, TN 37909$1,114,978
Particle Therapy Medical GroupMedical Director/physician Professional1400 DOWELL SPRINGS BLVD STE 350, Knoxville, TN 37909$411,479
Foley & Lardner LLPLegal Services111 HUNTINGTON AVENUE 26TH FLOOR, Boston, MA 02199$182,251
Excelsior Physicians PCPhysician Professional Fees/ Medical Dir300 MONTVUE ROAD, Knoxville, TN 37919$165,924
Niek SchreuderSupport/outside Services12611 LOVELACE ROAD, Knoxville, TN 37932$113,437
Revenue and Support

Revenue Composition

Contributions and Grants
$3,045
Program Service Revenue
$21,374,283
Investment Income
$30,745
Other Revenue
$1,432,198
All Other Contributions
$3,045
Change in Net Assets
$-8,070,001
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$24,889,075
Salaries, Compensation, and Employee Benefits$6,021,197
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Interest$6,783,749--$6,783,749
Other Salaries and Wages$4,874,133--$4,874,133
Depreciation Depletion$4,132,738--$4,132,738
Fees for Services Other$2,455,450$132,774-$2,588,224
Fees for Services Management-$2,065,342-$2,065,342
Advertising$1,226,758--$1,226,758
Occupancy$888,533--$888,533
Fees for Services Legal-$659,990-$659,990
Other Employee Benefits$476,848--$476,848
Payroll Taxes$336,682--$336,682
Insurance-$204,666-$204,666
Fees for Services Accounting-$193,205-$193,205
Current Officers, Directors, Trustees, and Key Employees$175,121--$175,121
Pension Plan Contributions$158,413--$158,413
All Other Expenses$149,622--$149,622
Information Technology-$138,638-$138,638
Other Expenses$693,289$48,837-$48,837
Travel$26,733--$26,733
Office Expenses-$22,092-$22,092
Conferences and Meetings$3,543--$3,543
Total Functional Expenses$27,444,728$3,465,544$0$30,910,272
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued Interest$5,261,885
Sba Ppp Loan$964,095
Leases Payable$23,985
Reimbursable Expenses$53

Bond Issues

BondIssuerIssuedIssue PricePurpose
AThe Health Educational and Housing Facility Board of the County of Knox2014-08-20$127,003,100Refunding of 2013 bond series

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$127,003,100-$16,220,000$1,941,866

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

The organization has entered into a development and project management agreement with provision health partners, llc. The duties include oversight of the construction and development of the new property which will provide services to proton therapy patients. The organization has also entered into a management agreement with provision health partners, llc. The duties include services related to legal, financial, and accounting and administrative services in connection with the operations at the facility.

Form 990, Part VI, Section A, Line 6

The company is organized as a limited liability company and the members have voting rights under the operating agreement. A member may only be a qualified organization which qualifies for an exemption under 501(c)(3) of the internal revenue code.

Form 990, Part VI, Section A, Line 7A

The members of the limited liability company have rights under the operating agreement to appoint members of the governing body and must approve the disposition of substantially all of the company's assets as well as any mergers or consolidations.

Form 990, Part VI, Section A, Line 8B

The organization does not have any committees.

Form 990, Part VI, Section B, Line 11B

A draft copy of the form 990 is provided to all members of the governing body for review and comments before filing the return.

Form 990, Part VI, Section B, Line 12C

All directors and officers are required to disclose any conflicts of interest on an annual basis. All directors and officers of the company or any other person exercising governing powers over the company are considered to be an interested person with respect to the company. Each interested person is required to disclose any conflicts of interest on an annual basis. After each disclosure, the interested person removes himself or herself from the meeting and the remaining board members discuss and vote on the conflict of interest determination, which is decided by a majority vote. If it is determined that a conflict of interest exists, the interested person may make a presentation to the board regarding the transaction or arrangement then shall remove himself or herself from the meeting to allow the board members to vote, with a majority vote deciding if a conflict exists. If the board has reasonable cause to believe that a potential interested person has failed to disclose actual or possible financial interests, the board shall inform such person and allow such person an opportunity to explain the alleged failure to disclose. After hearing such person's explanation and after making any further investigation warranted by the circumstances, if the board determines by majority vote, excluding the interested person, that such person has failed to disclose a financial interest, the board shall take appropriate disciplinary and corrective actions, which may include such person's removal from his or her position as a director or officer of the company.

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 upon request.

Filing and Contact Details

Filer

Filer Name
The Proton Therapy Center LLC
EIN
27-3064209
Phone
8658621600
Address
6450 PROVISION CARES WAY, KNOXVILLE, TN 37909

Signing Officer

Name
Robby Vincill
Title
Treasurer
Phone
8658621600
Signed
2021-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mary Lou Dubois
Formed
2010
Legal Domicile
Tn
Voting Board Members
3
Independent Board Members
3
Employees
86
Volunteers
0

Preparer

Firm
Pya P C
Address
2220 SUTHERLAND AVE, KNOXVILLE, TN 37919
Preparer
Terry Haefner
Phone
8656730844
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IRS990/Form990PartVIISectionAGrp/TitleTxt5SECRETARY
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IRS990/FormationYr02010
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IRS990/MissionDesc0THE ORGANIZATION OPERATES A PROTON THERAPY CANCER TREATMENT CENTER IN KNOXVILLE, TENNESSEE, AND SERVICES A MULTI-STATE AREA IN THE SOUTHEASTERN UNITED STATES. PROTON THERAPY IS THE CUTTING EDGE OF RADIATION CANCER TREATMENT. IT IS AN ADVANCED FORM OF RADIATION THAT ALLOWS FOR PRECISION TREATMENT THAT LEAVES SURROUNDING TISSUE UNHARMED AND REDUCES SIDE EFFECTS.PROTON THERAPY CENTER'S GOAL IS TO HELP MAKE PROTON TREATMENT OPTIONS AVAILABLE FOR AS MANY PATIENTS AS POSSIBLE. OUR 90,000 SQ. FOOT FACILITY AND THE SURROUNDING DOWELL SPRINGS CAMPUS PROVIDE A NURTURING OASIS FOR PATIENTS AS THEY RECEIVE TREATMENT.WITH A WEALTH OF RESOURCES, COMPREHENSIVE CARE AND KNOWLEDGEABLE SPECIALISTS WITH YEARS OF EXPERIENCE, PROTON THERAPY CENTER SERVES AS AN IDEAL OPTION FOR PATIENTS IN NEED OF CANCER TREATMENT.
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IRS990ScheduleD/EquipmentGrp/BookValueAmt026223894
IRS990ScheduleD/EquipmentGrp/DepreciationAmt029682109
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt055906003
IRS990ScheduleD/LandGrp/BookValueAmt02536742
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IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt040700
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt111165211
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0ACCRUED INTEREST
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1LEASES PAYABLE
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2SBA PPP LOAN
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0MARY LOU DUBOIS
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IRS990ScheduleK/SupplementalInformationDetail/ExplanationTxt0THE CUSIP NUMBERS FOR THE BOND ISSUE ARE 49952MCG9 AND 49952MCF1.
IRS990ScheduleK/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION HAS DETERMINED THAT THE MANAGEMENT CONTRACT MEETS THE SAFE HARBOR REQUIREMENTS.
IRS990ScheduleK/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE K, PART I, COLUMN (C) - CUSIP NUMBERS
IRS990ScheduleK/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE K, PART III, LINE 3A
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IRS990ScheduleK/TaxExemptBondsIssuesGrp/IssuerName/BusinessNameLine1Txt0THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX
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IRS990ScheduleK/TaxExemptBondsIssuesGrp/PoolFinancingInd00
IRS990ScheduleK/TaxExemptBondsIssuesGrp/PurposeDesc0REFUNDING OF 2013 BOND SERIES
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