2016-11-10T10:45:30-06:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 114 E EVERETT DIXON IL 61021 990 2015-01-01 371363717 COMMUNITY CANCER CENTER LLC COMM 3094518500 407 E VERNON AVE NORMAL IL 61761 ELYSE WINGER CHAIR 3094518500 2016-09-16 1 TODD M ETHERIDGE P00233050 8152859300 2015 2017-02-10 21:41:12Z ELYSE WINGER 407 E VERNON AVE NORMAL IL 61761 8384209 0 X WWW.CANCERCENTER.ORG X 1996 IL TO BE THE DESTINATION OF CHOICE FOR CANCER CARE IN THE EASTERN REGION OF CENTRAL ILLINOIS. 12 12 55 93 0 0 120708 100000 8419874 8284209 0 0 0 0 8540582 8384209 0 0 0 0 4680215 5000603 0 0 0 3432115 3354739 8112330 8355342 428252 28867 8440459 8275270 5810785 5616729 2629674 2658541 TO BE THE DESTINATION OF CHOICE FOR CANCER CARE IN THE EASTERN REGION OF CENTRAL ILLINOIS. 0 0 5848739 8284209 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. 12,916 PATIENTS WERE TREATED IN 2015. 5848739 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 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 6 0 55 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 1 1 1 1 IL X JOSEPH PROSSER 3094518500 407 E VERNON AVE NORMAL IL 61761 ELYSE NELSON WINGER CHAIR 1.00 X X 0 0 0 ROGER HUNT 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 DARRELL HARTWEG IMMEDIATE PAST CHAIR 1.00 X 0 0 0 AXEL JIMENEZ MANAGER 1.00 X 0 0 0 COLLEEN KANNADAY MANAGER 1.00 X 0 0 0 JUDGE PAUL LAWRENCE MANAGER 1.00 X 0 0 0 KENNETH J NATZKE MANAGER 1.00 X 0 0 0 DR JAMES NEVIN MANAGER 1.00 X 0 0 0 DR WILLIAM J RAY MANAGER 1.00 X 0 0 0 CARL SNEED MANAGER 1.00 X 0 0 0 JOSEPH PROSSER EXECUTIVE DIRECTOR 40.00 8.00 X 153031 29300 13285 CATHY J WOODS DIRECTOR OF FINANCE 40.00 X 125378 0 16169 MOHAMED M ALI PHYSICIST 40.00 X 198339 0 9738 JUNAID PASHA PHYSICIAN 40.00 X 314093 0 20260 SHERMIAN WOODHOU PHYSICIAN 40.00 X 987489 0 28406 PATRICK FERNANDES RADIATION ONCOLOGIST 40.00 X 692610 0 38954 KEITH O SCHULTZ DOSIMETRIST 40.00 X 125893 0 13596 2596833 29300 140408 7 0 1 0 0 100000 100000 NET PATIENT SERVICE FE 621110 7634340 7634340 REIMBURSED SERVICES 621400 247602 247602 RENTAL INCOME 531120 205731 205731 PROPERTY MANAGEMENT FE 531310 144655 144655 51881 51881 8284209 8384209 8284209 0 0 166316 116421 49895 4196828 2937780 1259048 56382 39467 16915 351434 246004 105430 229643 160750 68893 814692 570284 244408 1613 1129 484 19710 13797 5913 208370 145859 62511 128341 89839 38502 295126 206588 88538 1603095 1122166 480929 67918 47543 20375 84143 58900 25243 ADMINISTRATIVE EXPENSE 74331 52032 22299 PROFESSIONAL DEVELOPMEN 44063 30844 13219 TELEPHONE 13337 9336 4001 8355342 5848739 2506603 0 1476909 1763249 1371126 805243 5000000 5000000 475748 555998 116676 150780 8440459 8275270 630838 308221 16796 75 5000000 5000000 163151 308433 5810785 5616729 X 2545291 2582827 84383 75714 2629674 2658541 8440459 8275270 28867 0 X 0 1 X 1 0 X X 2 ADVOCATE BROMENN HEALTHCARE 370662542 3 1 0 0 OSF HEALTHCARE SYSTEM 370662576 3 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 84383 8669 75714 84343 84343 1.00000 0 0 0 DUE TO CCC, JOINT VENTURE 157653 DEFERRED COMPENSATION PAYABLE 150780 308433 X 8384209 0 8384209 0 8384209 8355342 0 8355342 0 8355342 PART V, LINE 4: SPECIFIC STAFF EDUCATION AREAS AS WELL AS THE ANNUAL PHYSICIAN RECEPTION. PART X, LINE 2: THE ORGANIZATION IS A LIMITED LIABILITY COMPANY THAT HAS OBTAINED TAX-EXEMPT STATUS AS A 501(C)(3) ENTITY AND IS EXEMPT FROM FEDERAL INCOME TAXES. THE ORGANIZATION FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THIS RETURN IS FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF THE ENTITY AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING STATEMENTS OF FINANCIAL POSITION ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. PRESENTLY THERE ARE NO ONGOING INCOME TAX AUDITS OR UNRESOLVED DISPUTES WITH TAX AUTHORITIES THAT THE ORGANIZATION CURRENTLY FILES OR HAS FILED WITH. X X X 0 0 0 0 0 0 0 0 0 JOSEPH PROSSER EXECUTIVE DIRECTOR 153031 29300 0 0 0 0 9037 0 4248 0 166316 29300 0 0 MOHAMED M ALI PHYSICIST 198339 0 0 0 0 0 9738 0 0 0 208077 0 0 0 JUNAID PASHA PHYSICIAN 314093 0 0 0 0 0 7950 0 12310 0 334353 0 0 0 SHERMIAN WOODHOU PHYSICIAN 987489 0 0 0 0 0 13250 0 15156 0 1015895 0 0 0 PATRICK FERNANDES RADIATION ONCOLOGIST 692610 0 0 0 0 0 13250 0 25704 0 731564 0 0 0 COMMUNITY CANCER CENTER JOINT VENTURE AFFILIATE BUILDING EXPANSION PROJECT X 5000000 5000000 0 1 1 COMMUNITY CANCER CENTER JOINT VENTURE AFFILIATE BUILDING EXPANSION PROJECT X 5000000 5000000 0 1 1 10000000 SCHEDULE L PART II THE ORGANIZATION ENTERED INTO A $5,000,000 NOTE PAYABLE AGREEMENT FOR A BUILDING EXPANSION PROJECT. SINCE THE BUILDING, FOR WHICH THE EXPANSION PROJECT RELATED TO, IS OWNED BY AND RESIDES WITHIN THE ORGANIZATIONS AFFILIATE CCCJV, THE PROCEEDS FROM THE NOTE PAYABLE WERE RECEIVED BY CCCJV AND UTILIZED BY THE CCCJV FOR THE EXPANSION PROJECT. AS A RESULT, SINCE THE ORGANIZATION HAS THE PRIMARY OBLIGATION FOR REPAYMENT OF THE NOTE PAYABLE, THE NOTE IS REFLECTED ON THE STATEMENT OF FINANCIAL POSITION AS A LONG-TERM LIABILITY WITH A CORRESPONDING RECEIVABLE FROM CCCJV REFLECTED AS A LONG-TERM ASSET ON THE STATEMENT OF FINANCIAL POSITION. 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 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 11 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. 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. ADVOCATE BROMENN MEDICAL CENTER 1304 FRANKLIN AVE NORMAL IL 61761 362169147 HOSPITAL IL 501(C)(3) LINE 3 N/A 0 OSF HEALTHCARE SYSTEM 2200 E WASHINGTON ST BLOOMINGTON IL 61701 370662576 HOSPITAL IL 501(C)(3) LINE 3 N/A 0 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 COMMUNITY CANCER CENTER JOINT VENTURE 407 E VERNON AVE NORMAL IL 61761 LAND TRUST IL N/A T 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 COMMUNITY CANCER CENTER FOUNDATION C 100000 FMV COMMUNITY CANCER CENTER FOUNDATION Q 40254 FMV