2022-08-15T12:30:26-05:00 2021-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2020-10-01 261694368 ONSLOW RADIATION ONCOLOGY LLC ONSL 9105774703 241 NEW RIVER DRIVE JACKSONVILLE NC 28540 CARL BIBER CHIEF FINANCIAL OFFICER 9105774703 2022-08-12 1 CARL BIBER XXX-XX-XXXX JOHN NORMAN P01506766 7049985200 2022-08-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z CARL BIBER 241 NEW RIVER DRIVE JACKSONVILLE NC 28540 2263264 0 X WWW.ONSLOW.ORG X LLC 2006 NC TO PROVIDE QUALITY AND CONVENIENT CANCER TREATMENT TO THE SURROUNDING COMMUNITY WHILE PROVIDING THE AFOREMENTIONED CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY PURSUANT TO THE ORGANIZATION'S CHARITY CARE POLICY. 1 1 0 0 0 0 431998 0 1788073 2261772 163 1492 0 0 2220234 2263264 0 0 0 0 508199 0 0 0 0 1722951 2492362 2231150 2492362 -10916 -229098 4392121 4773702 2051435 2031496 2340686 2742206 X SEE SCHEDULE OTHE PRIMARY MISSION OF ONSLOW RADIATION ONCOLOGY, LLC IS TWO-FOLD. THE FIRST MISSION IS TO ESTABLISH AN ONCOLOGY CENTER IN ONSLOW COUNTY TO ALLEVIATE THE BURDEN OF CANCER PATIENTS IN THE SURROUNDING COMMUNITY TO RECEIVE THEIR CURRENT CANCER TREATMENTS. THE SECOND PURPOSE AND FOCUS IS TO PROVIDE CANCER TREATMENT TO MEMBERS OF THE SURROUNDING AREA WITH THE LEAST AMOUNT OF NEGATIVE IMPACT ON THE PATIENTS AND THEIR FAMILIES. THIS INCLUDES PROVIDING CARE TO PATIENTS IN NEED, REGARDLESS OF THEIR ABILITY TO PAY PURSUANT TO ONSLOW RADIATION ONCOLOGY, LLC'S CHARITY CARE POLICY WITH THE CONSISTENT GOAL OF IMPROVING THE HEALTH IN THE COMMUNITY WE SERVE. 0 0 2492362 2261772 THE ONCOLOGY CENTER ACCOMPLISHED BOTH GOALS OF 1) PROVIDING CONVENIENT LOCAL CANCER TREATMENT SO THAT PATIENTS DO NOT HAVE TO TRAVEL LONG DISTANCES AND 2) PROVIDING CANCER TREATMENT TO MEMBERS OF THE SURROUNDING AREA WITH THE LEAST AMOUNT OF NEGATIVE IMPACT ON THE PATIENTS AND THEIR FAMILIES. IN DOING SO, THE CENTER PROVIDED CARE TO PATIENTS IN NEED, REGARDLESS OF THEIR ABILITY TO PAY, PURSUANT TO ONSLOW RADIATION ONCOLOGY, LLC'S CHARITY CARE POLICY, AND WITH THE CONSISTENT GOAL OF IMPROVING THE HEALTH IN THE COMMUNITY THE ONCOLOGY CENTER SERVES. 2492362 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 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 1 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 0 1 1 0 0 0 X DANIEL WALLER 9105772734 241 NEW RIVER DRIVE JACKSONVILLE NC 28540 ONSLOW MEMORIAL HOSPITAL INSTITUTIONAL TRUSTEE 1.00 X 0 0 0 PITT COUNTY MEMORIAL HOSPITAL INSTITUTIONAL TRUSTEE THRO 1.00 X 0 0 0 STEPHEN SPENCER STARTED MID 2021 MANAGER (OMH) 1.00 X 0 0 0 THOMAS JENKINS STARTED MID 2021 MANAGER (OMH) 1.00 X 0 0 0 CARL BIBER MANAGER (OMH) 1.00 X 0 253990 13484 DANIEL THOMAS WALLER MANAGER (OMH) 1.00 X 0 196825 19835 PENNEY BURLINGAME DEAL MID 2021 MEMBER 1.00 X 0 0 0 0 450815 33319 0 0 1 0 WEATHERBY LOCUMS PO BOX 972633 DALLAS TX 753972633 PROVIDER REIMBURSEMENT WAGES/MILEAGE 749074 VIDANT MEDICAL GROUP PO BOX 6028 GREENVILLE NC 27835 PHYSICIAN SERVICES 203663 UNLIMITED TECHNOLOGY SYSTEMS 5905 EAST GALBRAITH RD STE 8000 CINCINNATI OH 45236 G4/ VECTOR STUDIO SUBSCRIPTION 102203 3 NET OUTPATIENT REVENUE 621400 2261772 2261772 2261772 1492 1492 2263264 2261772 0 1492 X 2068242 2068242 233354 233354 52892 52892 83229 83229 28935 28935 SUPPLIES 25710 25710 2492362 2492362 0 0 330334 512537 140879 270009 964 107957 6618298 2735099 3919622 3883199 322 0 4392121 4773702 171928 1879507 2031496 2051435 2031496 X 2340686 2742206 2340686 2742206 4392121 4773702 X -229098 630618 X 0 1 X 0 0 X 5045729 1384134 3661595 1493755 1350965 142790 78814 78814 3883199 0 0 0 0 0 0 0 0 0 CARL BIBER MANAGER (OMH) 0 253605 0 385 0 0 0 2031 0 11453 0 267474 0 0 DANIEL THOMAS WALLER MANAGER (OMH) 0 196440 0 385 0 0 0 5689 0 14146 0 216660 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS AN LLC AND HAS ONLY ONE MEMBER, ONSLOW MEMORIAL HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES ARE APPOINTED FROM THE MEMBER HOSPITAL. A TOTAL OF THREE BOARD MEMBERS ARE APPOINTED THAT REPRESENTS THE MEMBER/HOSPITAL IN ALL MATTERS AND TO VOTE THE HOSPITAL'S INTEREST. THE BOARD OF TRUSTEES MAY ALSO SELECT AN ALTERNATE TO SERVE IN THE REPRESENTATIVE'S PLACE IF FOR ANY REASON IS UNABLE TO ATTEND A MEETING OR OTHERWISE FULFILL THEIR DUTIES. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN ACTIONS REQUIRE MEMBER APPROVAL AS LISTED IN THE ARTICLES OF ORGANIZATION. EXAMPLES OF SUCH ACTIONS ARE: 1) AMENDING THE ARTICLES OF ORGANIZATION, 2) MERGING OR CONSOLIDATING THE "COMPANY" INTO ANOTHER ENTITY, 3) SELLING, ASSIGNING OR TRANSFERRING THE "COMPANY'S" ASSETS, 4) DISSOLVING, LIQUIDATING OR REORGANIZING THE "COMPANY", 5) ADMITTING OTHER MEMBERS TO THE "COMPANY", 6) APPROVING THE ANNUAL BUDGET OR A CALL FOR ADDITIONAL CAPITAL TO BE CONTRIBUTED, 7) APPROVING PURCHASES, CONTRACTS OR ANY BUSINESS DECISIONS REQUIRING EXPENDITURES OF $100,000 OR MORE, OR 8) APPROVING ANY LOAN OR CAPITAL LEASE WHOSE TERM IS OVER 3 YEARS OR WHOSE AMOUNT IS GREATER THAN $50,000. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION HAS ONE MEMBER/OWNER. THE MEMBER/OWNER APPOINTS 3 INDIVIDUALS (MANAGERS) TO MANAGER THE ORGANIZATIONS DAY-TO-DAY OPERATIONS. THE MANAGERS IN TURN ELECT A CHAIRMAN. THE CHAIRMAN REVIEWS THE FORM 990. AFTER THE CHAIRMAN COMPLETES THE REVIEW, A COPY IS SUBMITTED TO THE ORGANIZATION'S APPOINTED REPRESENTATIVES. THE FORM 990 IS FILED AFTER THE REPRESENTATIVES HAVE REVIEWED THE FORM AND ALL QUESTIONS OR CORRECTIONS HAVE BEEN ADDRESSED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D). FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,042,292. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,042,292. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,025,950. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,025,950. FORM 990, PART XI, LINE 9: TRANSFER OF EQUITY TO AFFILIATE 630,618. ONSLOW MEMORIAL HOSPITAL 241 NEW RIVER DRIVE JACKSONVILLE NC 28540 562014989 HOSPITAL NC 501(C)(3) LINE 3 N/A 0 ONSLOW AMBULATORY SERVICES 241 NEW RIVER DRIVE JACKSONVILLE NC 28540 561880357 OUTPATIENT MEDICAL SERVICES NC 501(C)(3) LINE 12C, III-FI ONSLOW MEMORIAL HOSPITAL 0 ONSLOW MEMORIAL HOSPITAL FOUNDATION INC 241 NEW RIVER DRIVE JACKSONVILLE NC 28540 581943240 PROMOTE AND SUPPORT ONSLOW MEMORIAL HOSPITAL NC 501(C)(3) LINE 12A, I ONSLOW MEMORIAL HOSPITAL 0 0 0 0 0 1 0 0 0 0 1 0 0 1 1 1 0 0 0 0