2020-11-05T11:03:37-06:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2019-01-01 371363717 COMMUNITY CANCER CENTER LLC COMM 3094518500 407 E VERNON AVE NORMAL IL 61761 DR JAMES NEVIN CHAIR 3094518500 2020-11-04 1 AMBER ROGNAN-HAMILTON P01251012 3149254300 2020-11-04 67.137.57.251 2020-11-04 14:55:40 CS P DBE5E9100BD705C5801F05FB9419F1388E8E9FDA DCD359AA498EB8FF7732B52F3550031EBFCA9533 2019 2021-01-29 14:40:06Z DR JAMES NEVIN 407 E VERNON AVE NORMAL IL 61761 9031921 0 X WWW.CANCERCENTER.ORG X LLC 1996 IL TO BE THE DESTINATION OF CHOICE FOR CANCER CARE IN THE EASTERN REGION OF CENTRAL ILLINOIS. 12 12 52 77 0 0 154466 175000 8945639 8856921 0 0 0 0 9100105 9031921 1655887 600000 0 0 4799705 4361046 0 0 0 4103087 4504918 10558679 9465964 -1458574 -434043 3916038 3390605 1166552 1075162 2749486 2315443 TO BE THE DESTINATION OF CHOICE FOR CANCER SERVICES IN THE EASTERN REGION OF CENTRAL ILLINOIS THROUGH OUR EFFECTIVE PARTNERSHIPS COUPLED WITH PERSONALIZED CARE. 0 0 6982243 600000 8856921 PROMOTE, SUPPORT AND CARRY ON EDUCATIONAL PROGRAMS, SCIENTIFIC RESEARCH, HEALTH CARE FACILITIES, HUMAN SERVICES PROGRAMS AND OTHER CHARITABLE ACTIVITIES DEVOTED TO IMPROVING AND PROTECTING THE HEALTH AND WELFARE OF ALL PERSONS, INCLUDING PERSONS SUFFERING FROM CANCER AND THOSE WHO CARE FOR THEM. THE CENTER SHALL PROMOTE AND SUPPORT THE INTERESTS OF ITS TAX EXEMPT MEMBERS (OSF HEALTHCARE SYSTEM AND ADVOCATE BROMENN REGIONAL MEDICAL CENTER) AND OTHER ORGANIZATIONS FORMALLY AFFILIATED WITH ITS MEMBERS THAT ARE ALSO EXEMPT ORGANIZATIONS. 13,133 PATIENTS WERE TREATED IN 2019. 6982243 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 15 0 52 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 IL X JOSEPH PROSSER 3094518500 407 E VERNON AVE NORMAL IL 61761 ROGER HUNT BOARD MEMBER 1.00 1.00 X 0 0 0 DR JAMES NEVIN CHAIR 1.00 X X 0 0 0 JOHN R ZELL TREASURER 1.00 X X 0 0 0 STEVE WANNEMACHER BOARD MEMBER 1.00 X 0 0 0 MICHELLE HOUCHIN VICE CHAIR 1.00 X X 0 0 0 AXEL JIMENEZ BOARD MEMBER 1.00 X 0 0 0 COLLEEN KANNADAY BOARD MEMBER 1.00 X 0 0 0 DR OMAR KHOKHAR BOARD MEMBER 1.00 X 0 0 0 JUDGE PAUL LAWRENCE SECRETARY 1.00 X X 0 0 0 LYNN FULTON BOARD MEMBER 1.00 X 0 0 0 DIANA HAUMAN BOARD MEMBER 1.00 X 0 0 0 WILLIAM J PHILLIPS BOARD MEMBER 1.00 X 0 0 0 JOSEPH PROSSER EXECUTIVE DIRECTOR 40.00 8.00 X 191990 0 11075 SHERMIAN WOODHOUSE MEDICAL DIRECTOR 40.00 X 706716 0 37269 CATHY J WOODS CFO (LEFT 6/19) 40.00 X 76043 0 8489 SARAH BURNETT FINANCE DIRECTOR (STARTED 10/19) 40.00 X 22646 0 0 PATRICK FERNANDES RADIATION ONCOLOGIST 40.00 X 565265 0 37184 KEITH O SCHULTZ PHYSICIST 40.00 X 138756 0 15257 ANGIE THOMPSON CLINIC MANAGER 40.00 X 101742 0 13125 1803158 0 122399 5 0 1 0 CI PHYSICS LLC 2401 W ALTA RD 202 PEORIA IL 61615 RADIATION ONCOLOGY PHYSICS SERVICES 120000 CLIFTONLARSONALLEN PO BOX 775357 CHICAGO IL 606775357 ACCOUNTING SERVICES 117305 2 175000 175000 NET PATIENT SERVICE FE 621110 8178729 8178729 REIMBURSED SERVICES 621400 290937 290937 RENTAL INCOME 531120 220136 220136 PROPERTY MANAGEMENT FE 531310 154837 154837 IL AR INTEREST 621400 12282 12282 8856921 9031921 8856921 0 0 X 600000 600000 1054226 758894 295332 2692065 1937907 754158 19216 13833 5383 385804 277724 108080 209735 150980 58755 28044 20188 7856 115605 83219 32386 1672304 1203823 468481 85715 61703 24012 1199124 863199 335925 1249224 899265 349959 851 613 238 74695 53770 20925 EMPLOYEE RELATIONS 26899 19363 7536 LICENSES 23729 17082 6647 PROFESSIONAL DEVELOPMEN 20780 14959 5821 PROGRAM 7948 5721 2227 9465964 6982243 2483721 0 2559772 2206633 652464 608458 422268 173941 281510 399974 24 1599 3916038 3390605 867220 660162 17822 281510 415000 1166552 1075162 X 2678944 2245502 70542 69941 2749486 2315443 3916038 3390605 -434043 0 X X 0 1 X 1 0 X X 2 ADVOCATE HEALTH AND HOSPITALS CORP 362169147 3 1 300000 4432982 OSF HEALTHCARE SYSTEM 370813229 3 1 300000 4432982 2 600000 8865964 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SECTION B. TYPE 1 LINE 1 THE BOARD IS COMPOSED OF NOT FEWER THAN NINE AND NOT GREATER THAN 12 APPOINTEES. EACH MEMBER HAS THE POWER TO APPOINT ONE OFFICER AND ONE OTHER REPRESENTATIVE TO THE BOARD. EACH MEMBER MUST ALSO APPROVE THE OTHER ELECTED PERSONS TO THE BOARD. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DEFERRED COMPENSATION PAYABLE 399974 DUE TO RELATED PARTY 15026 415000 X 9031921 0 9031921 0 9031921 9465964 0 9465964 0 9465964 PART X, LINE 2: PRESENTLY THERE ARE NO ONGOING INCOME TAX AUDITS OR UNRESOLVED DISPUTES WITH TAX AUTHORITIES THAT THE ORGANIZATION CURRENTLY FILES OR HAS FILED WITH. 1 ADVOCATE HEALTH AND HOSPITALS CORP 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE IL 60515 362169147 501(C)(3) 300000 SERVE HEALTH NEEDS OF COMMUNITIES OSF HEALTHCARE SYSTEN 800 NE GLEN OAK AVE PEORIA IL 61603 370813229 501(C)(3) 300000 SERVE HEALTH NEEDS OF COMMUNITIES 2 PART I, LINE 2: THE BOARD REVIEWS AND APPROVES ALL GRANTS X X X 0 0 0 0 0 0 0 0 0 JOSEPH PROSSER EXECUTIVE DIRECTOR 178165 0 13825 0 0 0 9230 0 1845 0 203065 0 0 0 SHERMIAN WOODHOUSE MEDICAL DIRECTOR 641716 0 65000 0 0 0 14085 0 23184 0 743985 0 0 0 PATRICK FERNANDES RADIATION ONCOLOGIST 540265 0 25000 0 0 0 14000 0 23184 0 602449 0 0 0 KEITH O SCHULTZ PHYSICIST 136756 0 2000 0 0 0 7032 0 8225 0 154013 0 0 0 PART I, LINE 7 THE ORGANIZATION PROVIDED BONUSES TO INDIVIDUALS WHO MET CERTAIN CRITERIA. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OF THE LLC ARE OSF HEALTHCARE SYSTEM AND ADVOCATE BROMENN MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A NOMINATIONS FOR MEMBERS OF THE GOVERNING BODY COME FROM THE NOMINATING COMMITTEE. THE PERSON NOMINATED IS THEN INTERVIEWED AND THE BOARD VOTES ON WHETHER OR NOT TO APPROVE AS A MEMBER OF THE GOVERNING BOARD. FINAL APPROVAL FOR BOARD MEMBERS LIES WITH THE PARENT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS OF THE ORGANIZATION RESERVED TO MEMBERS INCLUDE A) ESTABLISHING THE PHILOSOPHY AND MISSION ACCORDING TO WHICH THE CENTER OPERATES B) TO AMEND THE CENTER'S ARTICLES OR ORGANIZATION OR OPERATING AGREEMENT C) TO MERGE OR DISSOLVE THE CENTER D) TO LEASE, SELL, ENCUMBER OR OTHERWISE ALIENATE REAL PROPERTY OF THE CENTER E) TO APPROVE ANY TRANSFER, LEASE, SALE OR ENCUMBRANCE OF PERSONAL PROPERTY OF THE CENTER HAVING AN AGGREGATE FAIR MARKET VALUE IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS F) TO APPROVE ANY BORROWING OR DEBT FINANCING IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS G) TO APPROVE THE STRATEGIC PLANS AND CAPITAL AND OPERATING BUDGETS OF THE CENTER H) TO APPROVE ANY UNBUDGETED PURCHASE OR OTHER ACQUISITION IN EXCESS OF ONE HUNDRED THOUSAND DOLLARS I) TO APPROVE THE APPOINTMENT OF THE BOARD OF MANAGERS J) TO APPROVE THE APPOINTMENT OF THE OFFICERS, INCLUDING THE EXECUTIVE DIRECTOR AND MEDICAL DIRECTOR K) TO APPROVE ANY ACTION REQURING MEMBER CONSENT UNDER THE ACT. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES THAT HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM. THE FORM 990 IS PRESENTED TO THE BOARD OF MANAGERS FOR THEIR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C A QUESTIONNAIRE IS REQUIRED TO BE COMPLETED ANNUALLY BY BOARD MEMBERS, THE CEO, ADMINISTRATIVE STAFF MEMBERS, MEDICAL STAFF MEMBERS, AND ANY INDIVIDUAL AFFILIATED WITH THE CENTER. A CONFLICT OF INTEREST CAN BE CONSIDERED TO EXIST WHEN THE RELATIONSHIPS, ACTIONS, OR ACTIVITIES OF THESE INDIVIDUALS MAY RESULT IN OR GIVE THE APPEARANCE OF AN IMPROPER GAIN OR ADVANTAGE OR OF AN ADVERSE EFFECT ON THE INTEREST OF THE CENTER. THE GOVERNING BOARD REVIEWS THESE QUESTIONNAIRES ANNUALLY AND IS RESPONSIBLE FOR MONITORING AND RESOLVING ANY CONFLICTS. THE RESOLUTION TO ANY CONFLICT OF INTEREST WILL BE TO THE BOARD DISCRETION. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE REVIEWS AND ANALYZES MARKET SURVEYS TO EVALUATE KEY EMPLOYEE COMPENSATION. THIS PROCESS IS PRESENTED TO THE BOARD FOR APPROVAL. MEMBERS OF THE COMPENSATION COMMITTEE ARE DEEMED INDEPENDENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS PUBLIC ACCESS DOCUMENTS AVAILABLE TO THE PUBLIC AT THEIR MAIN OFFICE. REQUESTS CAN BE MADE IN PERSON AT THE CENTER'S FACILITIES DURING NORMAL BUSINESS HOURS. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 547,144. MANAGEMENT AND GENERAL EXPENSES 212,927. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 760,071. CONTRACTED MAINTENANCE: PROGRAM SERVICE EXPENSES 636,654. MANAGEMENT AND GENERAL EXPENSES 247,761. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 884,415. PROFESSIONAL CONSULTING: PROGRAM SERVICE EXPENSES 20,025. MANAGEMENT AND GENERAL EXPENSES 7,793. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,818. FORM 990, PART XII, LINE 2C PROCESS HAS NOT CHANGED FROM PRIOR YEARS. FORM 990, PART V, LINE 1A THE ENTITY ISSUES BOTH ITS OWN 1099S AND THOSE OF A RELATED ORGANZATION, COMMUNITY CANCER CENTER FOUNDATION. OF THE 15 1099S LISTED ON PART V, LINE 1A OF THIS RETURN, 2 WERE SPECIFIC TO THE TRANSACTIONS OF COMMUNITY CANCER CENTER FOUNDATION. COMMUNITY CANCER CENTER FOUNDATION 407 E VERNON NORMAL IL 61761 364425147 TO SUPPORT PROGRAMS FOR CANCER EDUCATION AND CARE IL 501(C)(3) LINE 8 COMMUNITY CANCER CENTER LLC 1 0 0 1 1 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 COMMUNITY CANCER CENTER FOUNDATION C 175000 FMV