2015-05-11T14:30:15-05:00 2014-12-31 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2014-01-01 020444860 Nashua Regional Cancer Center Inc NASH 6038801590 11 North Southwood Park Drive Nashua NH 03063 Thomas Wilhemsen President 6038801590 2015-05-06 1 Barbara J McGuan CPA P00219457 2077752387 2015-05-06 2014 2016-02-25 16:41:14Z Radiation Center of Greater Nashua Thomas Wilhemsen 11 North Southwood Park Drive Nashua NH 03063 5429222 0 X www.radiationcenternashua.org X 1991 NH Provide radiation therapy services in the greater Nashua area. 5 5 23 5 0 0 213 732 4733428 5423818 7650 3378 0 0 4741291 5427928 10000 10000 0 0 1826202 1951175 0 0 0 1940010 2013608 3776212 3974783 965079 1453145 8206193 9664821 188189 193672 8018004 9471149 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 3537767 10000 5423818 The Nashua Regional Cancer Center provided services to 402 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 $5,022 for Community Health Education, $45,350 for Health Professions Education, $3,990 to provide nutritional services, $4,416 to provide RN assessments and $7,890 to provide medical interpretation. NRCC also provided $96,555 of free and discounted health care services. Unreimbursed Medicare and Medicaid Costs totaled $86,434. Total Community Benefits Expenses were $267,523. 3537767 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 23 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 Barbara Kimball Executive Director 6038801590 11 North Southwood Park Drive Nashua NH 03063 Thomas Wilhelmsen President 1.00 X X 0 0 0 Michael Rose Past Board Member 1.00 X 0 0 0 Richard Plamondon Board Member 1.00 X 0 0 0 Jeffrey O'Brien Board Member 1.00 X 0 0 0 Richard Boehler Vice President 1.00 X X 0 0 0 Paul Trainor Board Member 2.00 X 0 0 0 Barbara Kimball Executive Director 40.00 X 147371 0 23235 Scott Cail Medical Dosimetrist 40.00 X 120315 0 8729 Kathleen Barsczewski Chief Radiation Therapist 40.00 X 123103 0 22674 Luc Sirois Chief Medical Physicist 32.00 X 206404 0 31213 597193 0 85851 4 0 1 0 Elekta Inc 400 Perimeter Center Terrace Atlanta GA 30346 Linac/EMR Service Agreement 199982 1 732 732 Patient Service Revenu 621400 11562160 11562160 Other Income 621400 211 211 Provision for Bad Debt 621400 -77012 -77012 Other Contractual Allo 621400 -2076416 -2076416 Medicare & Medicaid Al 621400 -3985125 -3985125 5423818 4672 4672 1294 -1294 -1294 -1294 5427928 5423818 0 3378 10000 10000 170606 170606 1452913 1393541 59372 39072 33385 5687 175322 149589 25733 113262 98178 15084 52879 52879 21748 21748 3868 3868 126628 98295 28333 208427 173771 34656 6641 5313 1328 1003766 1001206 2560 82434 55716 26718 Equipment Rental & Main 486605 472545 14060 Linen Service 19624 19624 Education & Training 988 988 3974783 3537767 437016 0 400 3718468 1735715 0 702009 621763 135044 149147 14983547 9808104 5633025 5175443 8206193 9664821 188189 193672 188189 193672 X 300 300 494700 494700 7523004 8976149 8018004 9471149 8206193 9664821 1453145 0 X 0 1 X 1 0 X 288798 288798 6023790 3262584 2761206 8229054 6509686 1719368 441905 35834 406071 5175443 5427928 0 5427928 0 5427928 3974783 0 3974783 0 3974783 1 New Hampshire Technical Institute 31 College Drive Concord NH 03301 900531902 Government Entity 10000 To subsidize the continued operations of the radiation therapy program. 1 Part I, Line 2: The Organization participates in New Hampshire Technical Institute's (NHTI) Advisory Committee meetings to ensure that NHTI is following the proper steps for continued implementation, maintenance and improvements of the Radition Therapy Associate Degree and disploma programs as described in the Memorandum of Understanding between the organizations. X X X 0 0 0 0 0 0 0 1 0 Barbara Kimball Executive Director 139371 0 8000 0 0 0 4285 0 18950 0 170606 0 0 0 Luc Sirois Chief Medical Physicist 206404 0 0 0 0 0 6219 0 24994 0 237617 0 0 0 Part I, Line 7 Barbara Kimball, Exectutive Director, received a bonus which was based on performance and meeting organization objectives for 2014. It was bestowed in conjunction with the annual merit raise. 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 11 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 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 0 0 0 0 0 0 0