2018-11-12T16:01:05-06:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2017-01-01 364425147 COMMUNITY CANCER CENTER FOUNDATION COMM 3094518500 407 E VERNON AVE NORMAL IL 61761 MARY BENNETT-HENRICHS PRESIDENT 3094518500 2018-11-05 1 JEFF PARKER P00970069 3149254300 67.137.57.251 2018-11-05 10:20:30 CS P 7F79EBEF70B52A6617C4AF05089A677303FDB297 54D8D927FE1959EFDE9C130AEE0794B2E6AD1686 2017 2019-02-21 02:37:17Z MARY BENNETT-HENRICHS 407 E VERNON AVE NORMAL IL 61761 403890 0 X WWW.CANCERCENTER.ORG X 2000 IL TO CONDUCT, SPONSOR, SUPPORT, PROMOTE, DEVELOP, OWN AND OPERATE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PROGRAMS AND ACTIVITIES AND OTHER ACTIVITIES AND PROGRAMS RELATED TO AND CONNECTED WITH CANCER FOR THE EDUCATION OF CANCER PATIENTS. 12 11 2 25 0 0 331270 396947 0 0 4229 6943 -7462 -10921 328037 392969 723215 435000 0 0 46073 83032 0 0 14221 115553 105657 884841 623689 -556804 -230720 1001307 769271 26074 14174 975233 755097 TO CONDUCT, SPONSOR, SUPPORT, PROMOTE, DEVELOP, OWN AND OPERATE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PROGRAMS AND ACTIVITIES AND OTHER ACTIVITIES AND PROGRAMS RELATED TO AND CONNECTED WITH CANCER FOR THE EDUCATION OF CANCER PATIENTS. 0 0 592449 435000 TO CONDUCT, SPONSOR, SUPPORT, PROMOTE, DEVELOP, OWN, AND OPERATE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PROGRAMS AND ACTIVITIES AND OTHER ACTIVITIES AND PROGRAMS RELATED TO AND CONNECTED WITH CANCER FOR THE EDUCATION OF CANCER PATIENTS. 592449 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 2 1 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 IL X JOSEPH PROSSER 3094518500 407 E VERNON AVE NORMAL IL 61761 TIM LEIGHTON PRESIDENT 2.50 X X 0 0 0 MARY BENNETT-HENRICHS VICE PRESIDENT 1.00 X X 0 0 0 JOSEPH PROSSER EXECUTIVE DIRECTOR 8.00 40.00 X X 0 179542 15123 KEVIN BIRLINGMAIR DIRECTOR 1.00 X 0 0 0 BARB HAAB DIRECTOR 1.00 X 0 0 0 MEGAN HAILE DIRECTOR 1.00 X 0 0 0 ROGER HUNT DIRECTOR 1.00 1.00 X 0 0 0 UMA KAILASAM DIRECTOR 1.00 X 0 0 0 TINA KOHN DIRECTOR 1.00 X 0 0 0 NANCY SNYDER DIRECTOR 1.00 X 0 0 0 DAVID STOKES DIRECTOR 1.00 X 0 0 0 JOE TALKINGTON DIRECTOR 1.00 X 0 0 0 0 179542 15123 0 0 1 0 0 43746 353201 396947 6943 6943 0 43746 10921 -10921 -10921 392969 0 0 -3978 435000 435000 83032 83032 19815 14267 5548 152 152 125 125 7043 2113 4930 217 217 90 90 ADMINISTRATIVE EXPENSES 25887 25887 SUPPORT PROGRAM EXPENSE 24124 24124 MAMMOGRAMS/CANCER SCREE 23616 23616 BANK SERVICE CHARGES 2705 271 271 2163 1883 519 151 1213 623689 592449 17019 14221 223329 94659 218970 261913 417770 247819 13370 6229 6853 8465 8465 90 0 112401 122986 22518 21671 1001307 769271 4620 1421 21454 12753 26074 14174 X 257976 165431 600589 420439 116668 169227 975233 755097 1001307 769271 -230720 10584 0 X X 0 1 X 1 0 X 2123158 972388 578045 331270 396947 4401808 2123158 972388 578045 331270 396947 4401808 748362 3653446 19145 9669 5664 4229 6943 45650 4447458 0.82150 0.90580 X 116668 36000 16559 169227 1229912 10885 1124129 116668 1959254 228033 -1900 955475 1229912 4324088 776709 3141543 1959254 3445871 1954444 1076227 4324088 0.00000 1.00000 0.00000 1 0 8465 8465 0 0 DUE TO COMMUNITY CANCER CENTER LLC 12753 12753 X 414474 10584 10921 21505 392969 0 392969 634610 10921 10921 623689 0 623689 PART V, LINE 4: THE PERMANENTLY RESTRICTED NET ASSETS ARE THE RESULT OF CONTRIBUTIONS RECEIVED FOR AN ENDOWMENT FUND WHICH WILL ACT AS A PERPETUAL RESOURCE TO BE USED TO MAINTAIN THE QUALITY OF THE NEWLY REMODELED COMMUNITY CANCER CENTER. PART X, LINE 2: THE FOUNDATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES UNDER THE AUTHORITATIVE GUIDANCE ISSUED BY FINANCIAL ACCOUNTING STANDARDS BOARD (FASB). THE FOUNDATION USES A THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION TO ACCOUNT FOR UNCERTAINTY INCOME TAXES. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS NOT BEEN MET. THIS GUIDANCE ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. THE FOUNDATION CONDUCTS BUSINESS SOLELY IN THE U.S. AND, AS A RESULT, FILES FEDERAL AND ILLINOIS TAX RETURNS. IN THE NORMAL COURSE OF BUSINESS, THE FOUNDATION IS SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. AT PRESENT, THERE ARE NO ONGOING INCOME TAX AUDITS OR UNRESOLVED DISPUTES WITH THE TAX AUTHORITIES THAT THE FOUNDATION CURRENTLY FILES OR HAS FILED WITH. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED WITH REVENUE 10,921. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED WITH REVENUE 10,921. BUTTERFLY RELEASE 13250 13250 3596 CANCER BITES 21225 21225 1980 2613 1 9271 9271 699 203 1830 43746 43746 699 2183 8039 10921 -10921 1 COMMUNITY CANCER CENTER LLC 407 E VERNON NORMAL IL 61761 371363717 501(C)(3) 230000 SUPPORT CANCER TREATMENT, PREVENTION, AND EDUCATION COMMUNITY CANCER CENTER JOINT VENTURE 407 E VERNON NORMAL IL 61761 362169147 205000 BUILDING EXPANSION 1 1 PART I, LINE 2: THE FOUNDATION BOARD REVIEWS ALL GRANT APPLICATION AND APPROVES ALL GRANTS. SCHEDULE I PART II THE ORGANIZATION IS AFFILIATED WITH THE COMMUNITY CANCER CENTER JOINT VENTURE (CCCJV) WHICH WAS CREATED BETWEEN ADVOCATE BROMENN MEDICAL CENTER AND OSF HEALTHCARE SYSTEM FOR THE PURPOSE OF PROVIDING AN OPERATING FACILITY AND RELATED EQUIPMENT TO BE UTILIZED FOR CANCER TREATMENTS. ADVOCATE BROMENN MEDICAL CENTER AND OSF HEALTHCARE SYSTEM ARE BOTH 501(C)(3) ENTITIES AND THE MEMBERS OF THE RELATED ENTITY, COMMUNITY CANCER CENTER LLC. CCCJV QUALIFIES AS A LAND TRUST AND DOES NOT HAVE TO FILE A RETURN. THE ENTITY USES BROMENN'S ID NUMBER FOR BANK ACCOUNT AND 1099 FILINGS. 0 0 0 0 0 0 0 0 0 JOSEPH PROSSER EXECUTIVE DIRECTOR 0 166094 0 13448 0 0 0 9006 0 6117 0 194665 0 0 PART I, LINE 3 COMPENSATION IS DETERMINED BY THE COMMUNITY CANCER CENTER LLC'S COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE REVIEWS AND ANALYZES MARKET SURVEYS TO EVALUATE KEY EMPLOYEE COMPENSATION. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE FOUNDATION IS THE COMMUNITY CANCER CENTER, LLC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER, COMMUNITY CANCER CENTER, LLC., HAS THE VOTING RIGHTS TO SELECT THE BOARD OF DIRECTORS OF THE FOUNDATION. 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 GOVERNING BOARD FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS ARE BROUGHT TO THE GOVERNING BOARD AND RESOLVED BY THIS BOARD. 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. ANY CONFLICT OF INTEREST BROUGHT TO THE BOARD'S ATTENTION WILL BE DISCUSSED AT THE GOVERNING MEETINGS AND ANY RESOLUTION WILL BE TO THE BOARD'S DISCRETION. FORM 990, PART VI, SECTION C, LINE 19 REQUESTS FOR THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS CAN BE MADE AT THE ORGANIZATION'S OFFICES. FORM 990, PART VI, SECTION B LINE 16A & 16B THE ORGANIZATION IS AFFILIATED WITH THE COMMUNITY CANCER CENTER JOINT VENTURE (CCCJV), BUT DOES NOT HAVE ANY OWNERSHIP IN THE ENTITY. THE JOINT VENTURE WAS CREATED BETWEEN ADVOCATE BROMENN MEDICAL CENTER AND OSF HEALTHCARE SYSTEM FOR THE PURPOSE OF PROVIDING AN OPERATING FACILITY AND RELATED EQUIPMENT TO BE UTILIZED FOR CANCER TREATMENTS. ADVOCATE BROMENN MEDICAL CENTER AND OSF HEALTHCARE SYSTEM ARE BOTH 501(C)(3) ENTITIES AND ARE THE MEMBERS OF THE RELATED ENTITY, COMMUNITY CANCER CENTER LLC. CCCJV QUALIFIES AS A LAND TRUST AND DOES NOT HAVE TO FILE A RETURN AS THEY ARE NOT CONSIDERED TO BE A TAXABLE ENTITY. THE ENTITY USES BROMENN'S ID NUMBER FOR BANK ACCOUNT AND 1099 FILINGS. FORM 990, PART XII, LINE 2C: PROCESS HAS NOT CHANGED FROM PRIOR YEAR. 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