NORTHERN ILLINOIS CANCER TREATMENT CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
NORTHERN ILLINOIS CANCER TREATMENT CENTER (EIN 36-3572331)
Tax period
2016-05-01 to 2017-04-30
Filed
2018-03-15
IRS object ID
201820749349301452
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-03-15T11:47:33-05:00ReturnTs
Tax Period End2017-04-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Wipfli LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110000 Innovation Drive Suite 250AddressLine1Txt
CityMilwaukeeCityNm
State AbbreviationWIStateAbbreviationCd
ZIP532264837ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-05-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363572331EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Northern Illinois Cancer Treatment CenteBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone8152841111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1327 IL Route 2AddressLine1Txt
CityDixonCityNm
State AbbreviationILStateAbbreviationCd
ZIP61021ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCynthia ZanderPersonNm
Person TitleTreasurerPersonTitleTxt
Phone8152841111PhoneNum
Signature2018-03-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonStephanie Hamilton CPAPreparerPersonNm
PTINP01233633PTIN
Phone4144319300PhoneNum
Preparation2018-03-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address207.250.78.130IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-03-14IPDt
IP Tm13:14:43IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id112551657ADC8ECFF0A5B15769BADE1D3EFC5973AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDirk MemingerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1327 IL Route 2AddressLine1Txt
CityDixonCityNm
State AbbreviationILStateAbbreviationCd
ZIP61021ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,278,224GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.nicancer.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTo provide radiation treatment services to residents in the surrounding communities.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,565PYContributionsGrantsAmt
CY Contributions Grants$381CYContributionsGrantsAmt
PY Program Service Revenue$2,938,778PYProgramServiceRevenueAmt
CY Program Service Revenue$2,262,284CYProgramServiceRevenueAmt
PY Investment Income$8,842PYInvestmentIncomeAmt
CY Investment Income$7,480CYInvestmentIncomeAmt
PY Other Revenue$14,065PYOtherRevenueAmt
CY Other Revenue$8,079CYOtherRevenueAmt
PY Total Revenue$2,966,250PYTotalRevenueAmt
CY Total Revenue$2,278,224CYTotalRevenueAmt
PY Grants And Similar Paid$16,925PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$12,375CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,178,687PYOtherExpensesAmt
CY Other Expenses$2,899,396CYOtherExpensesAmt
PY Total Expenses$3,195,612PYTotalExpensesAmt
CY Total Expenses$2,911,771CYTotalExpensesAmt
PY Revenues Less Expenses-$229,362PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$633,547CYRevenuesLessExpensesAmt
Total Assets BOY$9,366,389TotalAssetsBOYAmt
Total Assets EOY$8,336,385TotalAssetsEOYAmt
Total Liabilities BOY$543,079TotalLiabilitiesBOYAmt
Total Liabilities EOY$146,622TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,823,310NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,189,763NetAssetsOrFundBalancesEOYAmt
MissionTo operate a cancer center which will encompass highly sophisticated & expensive diagnostic & treatment procedures in order to carry out cancer treatment & research.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,609,752ExpenseAmt
Grant$12,375GrantAmt
Revenue$2,262,284RevenueAmt
DescProvided high quality cancer treatment with the latest comprehensive cancer treatment technology in a welcoming, comfortable and friendly environment. 13,000 procedures were performed during the year. The center also provided $37,000 of charity care during the year to patients who meet certain criteria under its charity care policy.Desc
Total Program Service Expenses$2,609,752TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Cynthia ZanderBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8152841111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1327 IL Route 2AddressLine1Txt
CityDixonCityNm
State AbbreviationILStateAbbreviationCd
ZIP61021ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Tom Gehlbach MD
Board Member (Beg 8/16)2.00Yes (X)$0$0$0
Colleen Henkel
Board Member (Beg 4/17)2.00Yes (X)$0$0$0
Osmann Khawaja MD
board Member (Thru 2/17)2.00Yes (X)$0$0$0
Thomas McGlone MD
Board Member2.00Yes (X)$0$0$0
Andy Moore
Board Member (Beg 6/17)2.00Yes (X)$0$0$0
Mark Schmelzel MD
Board Member (Thru 6/17)2.00Yes (X)$0$0$0
James Sarver
Chairman (Thru 4/17)4.00Yes (X)$0$0$0Yes (X)
Dirk Meminger
Chairman (Beg 4/17)4.00Yes (X)$0$0$0Yes (X)
Kevin Marx
Secretary4.00Yes (X)$0$0$0Yes (X)
Cynthia Zander
Treasurer4.00Yes (X)$0$0$0Yes (X)
Jon Berens
Administrative Director40.00$190,417$0$72,331Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$190,417TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$72,331TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CGH Medical Center
100 East LeFevre RdSterlingIL61081Leased Employees$1,044,120
Weatherby Locums
72 Hawkins CirWheatonIL60189Temporary Physician Services$331,660
Varian Medical Systems
70140 Network PlaceChicagoIL60673Software Support Services$331,353
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$381AllOtherContributionsAmt
Total Contributions$381TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient Treatment RevenueDesc
Business621400BusinessCd
Total Revenue Column$2,262,284TotalRevenueColumnAmt
Related Or Exempt Func Income$2,262,284RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,262,284TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,480TotalRevenueColumnAmt
Exclusion$7,480ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,079TotalRevenueColumnAmt
Exclusion$8,079ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,079OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,278,224TotalRevenueColumnAmt
Related Or Exempt Func Income$2,262,284RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$15,559ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$12,375TotalAmt
Program Services$12,375ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$976,569TotalAmt
Program Services$713,821ProgramServicesAmt
Management And General$262,748ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,677TotalAmt
Management And General$1,677ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$28,198TotalAmt
Management And General$28,198ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$512,052TotalAmt
Program Services$512,052ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$91,804TotalAmt
Program Services$91,804ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,469TotalAmt
Program Services$9,469ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$60,924TotalAmt
Program Services$60,924ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$464,589TotalAmt
Program Services$455,193ProgramServicesAmt
Management And General$9,396ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,156TotalAmt
Program Services$3,156ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,853TotalAmt
Program Services$6,853ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$638,100TotalAmt
Program Services$638,100ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$81,850TotalAmt
Program Services$81,850ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Medical Supplies$8,838$8,838
Dues and Subscriptions$7,927$7,927
Bad Debt$5,933$5,933
Credit Card Fees$1,074$1,074

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$383TotalAmt
Program Services$383ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,911,771TotalAmt
Program Services$2,609,752ProgramServicesAmt
Management And General$302,019ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$500BOYAmt
EOY$500EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,435,896BOYAmt
EOY$1,799,638EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$235,485BOYAmt
EOY$393,647EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$185,576BOYAmt
EOY$151,983EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,115,721LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,525,104LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,108,932BOYAmt
EOY$5,590,617EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$400,000BOYAmt
EOY$400,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,366,389BOYAmt
EOY$8,336,385EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$37,136BOYAmt
EOY$44,200EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$299,477BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$206,466BOYAmt
EOY$102,422EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$543,079BOYAmt
EOY$146,622EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,823,310BOYAmt
EOY$8,189,763EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,823,310BOYAmt
EOY$8,189,763EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,366,389BOYAmt
EOY$8,336,385EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$633,547ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,276CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$100CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,027CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,565CurrentTaxYearMinus1YearAmt
Current Tax Year$381CurrentTaxYearAmt
Total$10,349TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,440,538CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,804,531CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,538,009CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,938,778CurrentTaxYearMinus1YearAmt
Current Tax Year$2,262,284CurrentTaxYearAmt
Total$15,984,140TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,543CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$414CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,035CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,065CurrentTaxYearMinus1YearAmt
Current Tax Year$8,079CurrentTaxYearAmt
Total$43,136TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,450,357CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,805,045CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,554,071CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,957,408CurrentTaxYearMinus1YearAmt
Current Tax Year$2,270,744CurrentTaxYearAmt
Total$16,037,625TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$16,037,625PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,853CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,944CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,779CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,842CurrentTaxYearMinus1YearAmt
Current Tax Year$7,480CurrentTaxYearAmt
Total$51,898TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,853CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,944CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,779CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,842CurrentTaxYearMinus1YearAmt
Current Tax Year$7,480CurrentTaxYearAmt
Total$51,898TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,467,210CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,813,989CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,563,850CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,966,250CurrentTaxYearMinus1YearAmt
Current Tax Year$2,278,224CurrentTaxYearAmt
Total$16,089,523TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99680PublicSupportCY509Pct
Public Support PY5090.99590PublicSupportPY509Pct
Investment Income CY0.00320InvestmentIncomeCYPct
Investment Income PY0.00410InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,115OtherCostOrOtherBasisAmt
Book Value$25,115BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,663,853OtherCostOrOtherBasisAmt
Depreciation$1,774,424DepreciationAmt
Book Value$4,889,429BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,318,863OtherCostOrOtherBasisAmt
Depreciation$3,650,579DepreciationAmt
Book Value$668,284BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$107,890OtherCostOrOtherBasisAmt
Depreciation$100,101DepreciationAmt
Book Value$7,789BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,590,617TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDue to CGH Medical CenterDesc
Amt$102,422Amt
FieldValueIRS element (for citing)
Total Liability$102,422TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$2,278,224TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$2,278,224RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,278,224TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,911,771TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,911,771ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,911,771TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Home of Hope Cancer Wellness CentersBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11637 PLOCK RdAddressLine1Txt
CityDixonCityNm
State AbbreviationILStateAbbreviationCd
ZIP61021ZIPCd
FieldValueIRS element (for citing)
Recipient EIN010743626RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$12,375CashGrantAmt
Purpose Of GrantDonation to support the not-for-profit organization who provide support services to cancer patients.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJon BerensPersonNm
TitleAdministrative DirectorTitleTxt
Base Compensation Filing Org$188,917BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$1,500BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$46,768DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$25,563NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$262,748TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Part VII, Line 5FormAndLineReferenceDesc
ExplanationJON BERENS RECEIVED COMPENSATION FROM CGH MEDICAL CENTER, AN UNRELATED ORGANIZATION, FOR SERVICES AS EXECUTIVE DIRECTOR FOR NORTHERN ILLINOIS CANCER TREATMENT CENTER. COMPENSATION AND OTHER BENEFITS AMOUNTED TO $262,748 IN TOTAL FOR 2016.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The corporation has TWO MEMBERS: CGH MEDICAL CENTER AND KATHERINE SHAW BETHEA HOSPITAL.
Form 990, Part VI, Section A, line 7aTHE GOVERNING BODY CONSISTS OF 7 DIRECTORS, 3 OF WHICH ARE CHOSEN BY THE BOARD OF DIRECTORS OF CGH MEDICAL CENTER AND 3 OF WHICH ARE CHOSEN BY THE board of directors of KATHERINE SHAW BETHEA HOSPITAL. The 7th director is elected by a majority vote of the total combined membership.
Form 990, Part VI, Section B, line 11bA DRAFT COPY OF FORM 990 IS PROVIDED TO THE Executive DIRECTOR AND THE TREASURER OF THE BOARD TO REVIEW THE RETURN. IF THEY AGREE, THEY MAKE COPIES AVAILABLE TO ALL directors OF THE BOARD FOR REVIEW. THEY THEN LET THE RETURN PREPARER KNOW THAT THE RETURN IS READY TO BE filed with the IRS.
Form 990, Part VI, Section B, line 12cAny possible conflict of interest on the part of a director shall be disclosed to the board. When any such interest becomes a matter of Board action, such Director shall not vote or use personal influence on the matter, and shall not be counted in the quorum for a meeting at which Board action is to be taken on the matter. The director may, however, briefly state a position on the matter, and answer pertinent questions of board members. The minutes of all actions taken on such matters shall clearly reflect that these requirements have been met.Any possible conflict of interest on the part of a director shall be disclosed to the board. When any such interest becomes a matter of Board action, such Director shall not vote or use personal influence on the matter, and shall not be counted in the quorum for a meeting at which Board action is to be taken on the matter.
Form 990, Part VI, Section C, line 19The organization's governing documents, conflict of interest policy, and audited financial statements are available upon request.
Form 990, Part IX, line 11gPurchased Services: Program service expenses 70,439. Management and general expenses 0. Fundraising expenses 0. Total expenses 70,439. Physician Contract Services: Program service expenses 441,613. Management and general expenses 0. Fundraising expenses 0. Total expenses 441,613.

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