2024-11-13T12:55:45-06:00 2023-12-31 621517792 PYA P C 2220 SUTHERLAND AVE KNOXVILLE TN 37919 990 2023-01-01 371665132 EAST TENNESSEE RADIATION THERAPY SERVICES LLC EAST 8656842616 6450 PROVISION CARES WAY KNOXVILLE TN 37909 MARY LOU DUBOIS PRESIDENT 8656842604 2024-11-07 1 1 THOMAS E BOOKER CPA P00804672 8656730844 2023 2024-10-15 13:58:12Z MARY LOU DUBOIS 6450 PROVISION CARES WAY KNOXVILLE TN 37909 279044 0 X WWW.PROVISIONRT.COM X LLC 2012 TN THE ORGANIZATION PROVIDES RADIATION THERAPY AND ONCOLOGY PATIENT SERVICES AND TREATMENT IN KNOXVILLE, TENNESSEE, AND SERVICES A MULTI-STATE AREA IN THE SOUTHEASTERN UNITED STATES. 3 3 0 0 0 0 0 0 0 279044 0 0 0 0 0 279044 0 0 0 0 0 0 0 0 0 1743675 1480010 1743675 1480010 -1743675 -1200966 2570663 2459210 18225810 19315323 -15655147 -16856113 X THE ORGANIZATION PROVIDES COMPREHENSIVE CANCER CARE THROUGH INNOVATIVE CANCER TREATMENTS, PATIENT FOCUSED CARE, AND MOST OF ALL, HOPE FOR A BETTER TOMORROW. THE ORGANIZATION'S MISSION IS TO TREAT NOT JUST THE CANCER BUT THE MIND, BODY, AND SOUL. THE ORGANIZATION PROVIDES RADIATION THERAPY AND ONCOLOGY PATIENT SERVICES AND TREATMENT IN KNOXVILLE, TENNESSEE, AND SERVICES A MULTI-STATE AREA IN THE SOUTHEASTERN UNITED STATES. 0 0 1389586 279044 THE ORGANIZATION PROVIDES RADIATION THERAPY AND ONCOLOGY PATIENT SERVICES AND TREATMENT IN KNOXVILLE, TENNESSEE, AND SERVICES A MULTI-STATE AREA IN THE SOUTHEASTERN UNITED STATES. 1389586 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 1 1 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X MARY LOU DUBOIS 8656842604 6450 PROVISION CARES WAY KNOXVILLE TN 37909 TERRY DOUGLASS DIRECTOR/CHAIRMAN 1.00 3.00 X 0 0 0 TRACY DOBBS DIRECTOR 1.00 2.00 X 0 0 0 SCOTT HAMILTON DIRECTOR 1.00 1.00 X 0 0 0 MARY LOU DUBOIS PRESIDENT 1.00 2.00 X 0 122622 3078 0 122622 3078 0 0 0 0 0 OTHER MISCELLANEOUS INCOME 900099 279044 279044 279044 279044 0 0 279044 768 768 3020 3020 4064 4064 1 1 9496 4273 5223 509192 432813 76379 696120 696120 65 65 EQUIPMENT MAINTENANCE 255437 255437 LICENSES, PERMITS, & FE 1747 943 804 TAXES 100 100 1480010 1389586 90424 0 1051 101 509 449 110443 0 478764 478764 0 0 2458660 2458660 2570663 2459210 6863382 7256775 11362428 12058548 18225810 19315323 X 0 0 25000 25000 -15680147 -16881113 -15655147 -16856113 2570663 2459210 -1200966 0 X 0 0 0 X 478764 478764 0 0 CERTIFICATE OF NEED 2458660 2458660 NOTE PAYABLE TO PROVISION TRUST, INC. 12058548 12058548 FORM 990, PART VI, SECTION A, LINE 2 TERRY DOUGLASS, TRACY DOBBS AND MARY LOU DUBOIS - BUSINESS RELATIONSHIP 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 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. PROVISION TRUST INC 2095 LAKESIDE CENTRE WAY SUITE 101 KNOXVILLE TN 37922 272029644 FOUNDATION TN 501(C)(3) PF N/A 0 THE PROTON THERAPY CENTER LLC 6450 PROVISION CARES WAY KNOXVILLE TN 37909 273064209 HOSPITAL TN 501(C)(3) LINE 3 N/A 0 MTPC LLC 2095 LAKESIDE CENTRE WAY SUITE 101 KNOXVILLE TN 37922 472775340 HOSPITAL TN 501(C)(3) LINE 3 N/A 0 PCPT LENEXA LLC 2095 LAKESIDE CENTRE WAY SUITE 101 KNOXVILLE TN 37922 384129677 THERAPY CENTER TN 501(C)(3) LINE 3 N/A 0 PCPT HAMLIN LLC 2095 LAKESIDE CENTRE WAY SUITE 101 KNOXVILLE TN 37922 364903848 THERAPY CENTER TN 501(C)(3) LINE 3 N/A 0 PCPT DURHAM LLC 2095 LAKESIDE CENTRE WAY SUITE 101 KNOXVILLE TN 37922 384101505 THERAPY CENTER TN 501(C)(3) LINE 3 N/A 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0