2017-05-15T13:42:15-05:00 2016-12-31 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2016-01-01 020444860 Nashua Regional Cancer Center Inc NASH 6038801590 11 North Southwood Park Drive Nashua NH 03063 Richard Boehler President 6038801590 2017-05-15 1 Barbara J McGuan CPA P00219457 2077752387 2017-05-15 69.49.157.66 2017-05-15 10:20:14 ED P A008E2FD9533E1BBB31C63A12AF0D0E643CE99E5 3C04E448DABE24E92640F190E4B6AF6321E92A4E 2016 2021-01-29 14:40:06Z Radiation Center of Greater Nashua Richard Boehler 11 North Southwood Park Drive Nashua NH 03063 5595762 0 X www.radiationcenternashua.org X 1991 NH Provide radiation therapy services in the greater Nashua area. 5 5 20 10 0 0 1269 291 4648298 5593142 3148 2329 0 0 4652715 5595762 0 0 0 0 2062590 2149101 0 0 0 2076347 2357567 4138937 4506668 513778 1089094 8417180 7706659 232253 232638 8184927 7474021 X The mission of NRCC is to improve the quality of life for individuals impacted by cancer, by providing state of the art comprehensive radiation therapy services for individuals residing in the greater Nashua area.A collaborative effort of Dartmouth-Hitchcock Medical Center, St. Joseph Hospital, and Southern New Hampshire Medical Center, NRCC represents a multi-hospital approach to the provision of radiation treatment. Established in 1992 as a free-standing outpatient facility, this American College of Radiology (ACR) accredited program, under the direction of Radiation Oncology Associates, PA, has served the community of greater Nashua in its mission to provide state of the art radiation therapy treatment. 0 0 3950566 5593142 The Nashua Regional Cancer Center provided services to 467 outpatients. NRCC defines its service area both geographically as well as diagnostically. NRCC was created as a vehicle to provide radiation treatment for the service areas of Southern NH Medical Center and St. Joseph Hospital, Nashua, New Hampshires's two hospitals. Their combined market share (NRCC's market share) encompasses a primary area of nine towns, (Amherst, Brookline, Hollis, Hudson, Litchfield, Merrimack, Milford, Nashua, Wilton) and a secondary area of nine towns as well (Dunstable, MA, Greenville, Mason, Londonderry, Lyndeborough, Mont Vernon, Pelham, Pepperell, MA, Windham). Services provided by NRCC are limited to support, education, information and treatment related to a cancer diagnosis. NRCC invested $7,263 for Community Health Education, $37,454 for Health Professions Education, $10,000 for scholarships/funding for Health Professions Education, $7,406 to provide nutritional services, and $5,358 to provide RN assessments. NRCC also provided $128,785 of free and discounted health care services. Unreimbursed Medicare and Medicaid Costs totaled $268,902. Total Community Benefits Expenses were $454,321. 3950566 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 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 7 0 1 20 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Elizabeth Gray Executive Director 6038801590 11 North Southwood Park Drive Nashua NH 03063 Richard Plamondon Board Member 1.00 X 0 0 0 Jeffrey O'Brien Board Member 1.00 X 0 0 0 Richard Boehler President 1.00 X X 0 0 0 Paul Trainor Treasurer 2.00 X X 0 0 0 Thomas Wilhelmsen Past President 1.00 X X 0 0 0 Susan DeSocio Board Member 1.00 X 0 0 0 Elizabeth Gray Executive Director 40.00 X 138997 0 14889 Scott Cail Medical Dosimetrist 40.00 X 122890 0 7469 Kathleen Barsczewski Chief Radiation Therapist 40.00 X 128651 0 24562 Luc Sirois Chief Medical Physicist 32.00 X 215825 0 8487 606363 0 55407 4 0 1 0 Elekta Inc 400 Perimeter Center Terrace Atlanta GA 30346 Linac/EMR Service Agreement 543621 1 291 291 Patient Service Revenu 621400 12242379 12242379 Provision for Bad Debt 621400 -81277 -81277 Other Contractual Allo 621400 -2548161 -2548161 Medicare & Medicaid Al 621400 -4019799 -4019799 5593142 2329 2329 5595762 5593142 0 2329 153885 153885 1641213 1464586 176627 47599 39893 7706 182565 148797 33768 123839 100909 22930 56541 56541 22826 22826 5899 5899 141068 120087 20981 193039 161784 31255 6006 4805 1201 1254854 1252398 2456 89027 60207 28820 Equipment Rental & Main 570360 550428 19932 Linen Service 17412 17412 Education & Training 535 535 4506668 3950566 556102 0 94398 49835 1166308 1532414 455249 419462 173443 313253 15332081 9940386 6527782 5391695 8417180 7706659 232253 232638 232253 232638 X 300 300 494700 494700 7689927 6979021 8184927 7474021 8417180 7706659 X 1089094 -1800000 X 0 1 X 1 0 X 288798 288798 6329677 3921151 2408526 8647638 5973880 2673758 65968 45355 20613 5391695 5595762 0 5595762 0 5595762 4506668 0 4506668 0 4506668 X X X 0 0 0 0 0 0 0 0 0 Elizabeth Gray Executive Director 138997 0 0 0 0 0 4210 0 10679 0 153886 0 0 0 Kathleen Barsczewski Chief Radiation Therapist 128651 0 0 0 0 0 3917 0 20645 0 153213 0 0 0 Luc Sirois Chief Medical Physicist 215825 0 0 0 0 0 6474 0 2013 0 224312 0 0 0 Form 990, Part VI, Section A, line 6 The Center's stockholders include three not-for-profit acute care hospitals: Mary Hitchcock Memorial Hospital, Southern New Hampshire Medical Center, and St. Joseph Hospital. Each stockholder made equal capital contributions to the Center and was issued 100 shares of the Center's common stock at a par value of $1 per share. Form 990, Part VI, Section A, line 7a The Center's stockholders each have a representative on the Board of Directors. Form 990, Part VI, Section A, line 7b The Center's Board of Directors has a representative from each of its shareholders who are each entitled to a vote. No single shareholder has a controlling vote. Form 990, Part VI, Section B, line 11b The organization's 990 is provided to the Audit Committee and the Board President for review. Form 990, Part VI, Section B, line 12c Members of the Governing Board and key employees are required to fill out a Declaration of Duality and Conflict of Interest statement each year. This statement is reviewed for potential conflicts of interest. Form 990, Part VI, Section B, line 15 The members of the governing body use external human resource experts to review the compensation for the Executive Director. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy and financial statements are available to the public upon request. Form 990, Part XI, line 9: Distributions to Stockholders -1,800,000. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Nashua Regional Cancer Center, Inc. 11 North Southwood Park Drive, Nashua, NH 03063 EIN 02-0444860 Nashua Regional Cancer Center, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Schedule A, Part I, Line 3 The Organization's tax exemption is based upon the classification of a hospital or cooperative hospital service organization described in section 170(b)(1)(A)(iii). Since the Organization is not licensed by the State of New Hampshire as a hospital, Schedule H is not required. Mary Hitchcock Memorial Hospital One Medical Center Drive Lebanon NH 03756 020222140 Acute Care Teaching Hospital NH 501(c)3 Line 3 N/A 0 Southern New Hampshire Medical Center 8 Prospect St PO Box 2014 Nashua NH 03061 020483054 Health Care Provider NH 501(c)3 Line 3 N/A 0 St Joseph Hospital 172 Kinsley St Nashua NH 03061 020222215 Medical, Surgical and Mental Health Services NH 501(c)3 Line 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0