2018-11-14T16:08:48-06:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2017-01-01 371363717 COMMUNITY CANCER CENTER LLC COMM 3094518500 407 E VERNON AVE NORMAL IL 61761 DR JAMES NEVIN CHAIR 3094518500 2018-11-05 1 JEFF PARKER P00970069 3149254300 67.137.57.251 2018-11-05 10:15:33 CS P 7F79EBEF70B52A6617C4AF05089A677303FDB297 54D8D927FE1959EFDE9C130AEE0794B2E6AD1686 2017 2019-02-21 02:37:17Z DR JAMES NEVIN 407 E VERNON AVE NORMAL IL 61761 9562322 0 X WWW.CANCERCENTER.ORG X 1996 IL TO BE THE DESTINATION OF CHOICE FOR CANCER CARE IN THE EASTERN REGION OF CENTRAL ILLINOIS. 11 11 55 129 0 0 135000 230000 9883616 9332322 0 0 0 0 10018616 9562322 0 280000 0 0 5164100 5468250 0 0 0 3619856 3611418 8783956 9359668 1234660 202654 6909751 6835442 2939134 2643808 3970617 4191634 TO BE THE DESTINATION OF CHOICE FOR CANCER CARE IN THE EASTERN REGION OF CENTRAL ILLINOIS. 0 0 6816081 280000 9332322 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. 13,592 PATIENTS WERE TREATED IN 2017. 6816081 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 8 0 55 1 0 0 0 0 0 0 0 0 0 0 X 11 11 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 CHAIR 1.00 1.00 X X 0 0 0 DR JAMES NEVIN VICE CHAIR 1.00 X X 0 0 0 JOHN R ZELL TREASURER 1.00 X X 0 0 0 STEVE WANNEMACHER SECRETARY 1.00 X X 0 0 0 CHAD BOORE MANAGER 1.00 X 0 0 0 DARRELL HARTWEG MANAGER 1.00 X 0 0 0 MICHELLE HOUCHIN MANAGER 1.00 X 0 0 0 AXEL JIMENEZ MANAGER 1.00 X 0 0 0 COLLEEN KANNADAY MANAGER 1.00 X 0 0 0 DR OMAR KHOKHAR MANAGER 1.00 X 0 0 0 JUDGE PAUL LAWRENCE MANAGER 1.00 X 0 0 0 KENNETH NATZKE MANAGER (TERM ENDED 6/17) 1.00 X 0 0 0 DR WILLIAM J RAY MANAGER (TERM ENDED 6/17) 1.00 X 0 0 0 CARL SNEED MANAGER (TERM ENDED 6/17) 1.00 X 0 0 0 ELYSE NELSON WINGER IMMEDIATE PAST CHAIR (TERM END 6/17) 1.00 X 0 0 0 JOSEPH PROSSER EXECUTIVE DIRECTOR 40.00 8.00 X 179542 0 15123 CATHY J WOODS CFO 40.00 X 127243 0 14194 MOHAMED M ALI PHYSICIAN 40.00 X 192043 0 10217 CANDACE CORREA PHYSICIAN 40.00 X 469169 0 15892 SHERMIAN WOODHOUSE PHYSICIAN 40.00 X 843697 0 35954 PATRICK FERNANDES RADIATION ONCOLOGIST 40.00 X 575657 0 36743 KEITH O SCHULTZ DOSIMETRIST 40.00 X 128432 0 10817 2515783 0 138940 7 0 1 0 OSF EQUIPMENT TECH 7314 N WILLOW LAKE CT SUITE C PEORIA IL 61614 MAINTENANCE 396144 VARIAN MEDICAL SYSTEMS 70140 NETWORK PLACE CHICAGO IL 60673 MAINTENANCE 153462 2 230000 230000 NET PATIENT SERVICE FE 621110 8595645 8595645 REIMBURSED SERVICES 621400 350362 350362 RENTAL INCOME 531120 205172 205172 PROPERTY MANAGEMENT FE 531310 154837 154837 OTHER 621400 26306 26306 9332322 9562322 9332322 0 0 280000 280000 336102 241946 94156 4404715 3170774 1233941 50586 36415 14171 421845 303669 118176 255002 183565 71437 567 408 159 20695 14897 5798 860483 619426 241057 113612 81785 31827 1189667 856392 333275 1249224 899265 349959 426 307 119 89423 64372 25051 MISCELLANEOUS 33913 24413 9500 PROFESSIONAL DEVELOPMEN 29781 21438 8343 LICENSES 14572 10490 4082 PROGRAM 8875 6389 2486 180 130 50 9359668 6816081 2543587 0 3192484 3774435 3137790 2388414 383199 395882 196278 276711 6909751 6835442 639850 711210 75 2102931 1655887 196278 276711 2939134 2643808 X 3897973 4121092 72644 70542 3970617 4191634 6909751 6835442 202654 18363 0 X X 0 1 X 1 0 X X 2 ADVOCATE BROMENN HEALTHCARE 370662542 3 1 0 4679834 OSF HEALTHCARE SYSTEM 370662576 3 1 0 4679834 2 0 9359668 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. 0 DEFERRED COMPENSATION PAYABLE 276711 276711 X 9616311 18363 35626 53989 9562322 0 9562322 9395294 35626 35626 9359668 0 9359668 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 COMMUNITY CANCER CENTER JOINT VENTURE 407 E VERNON NORMAL IL 61761 362169147 275000 CT SCANNER MAINTENANCE AGREEMENT 1 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 166094 0 13448 0 0 0 9006 0 6117 0 194665 0 0 0 MOHAMED M ALI PHYSICIAN 192043 0 0 0 0 0 9525 0 692 0 202260 0 0 0 CANDACE CORREA PHYSICIAN 444169 0 25000 0 0 0 1288 0 14604 0 485061 0 0 0 SHERMIAN WOODHOUSE PHYSICIAN 768697 0 75000 0 0 0 13400 0 22554 0 879651 0 0 0 PATRICK FERNANDES RADIATION ONCOLOGIST 540059 0 35598 0 0 0 13400 0 23343 0 612400 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 APPOINT THE NOMINEE AS A MEMBER OF THE GOVERNING BOARD. 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 XII, LINE 2C: PROCESS HAS NOT CHANGED FROM PRIOR YEARS. 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 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 COMMUNITY CANCER CENTER FOUNDATION C 230000 FMV