2015-02-21T13:47:43-06:00 2014-04-30 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2013-05-01 363572331 NORTHERN ILINOIS CANCER TREATMENT CENTER NORT 8152841111 327 IL ROUTE 2 DIXON IL 61021 CYNTHIA ZANDER TREASURER 8152841111 2015-02-21 1 JAY ADKISSON CPA P01360892 4144319300 2015-02-13 2013 2016-02-25 16:41:14Z JAMES SARVER 327 IL ROUTE 2 DIXON IL 61021 3813989 0 X WWW.NICANCER.COM X 1988 IL TO PROVIDE RADIATION TREATMENT SERVICES TO RESIDENTS IN THE SURROUNDING COMMUNITIES. 7 7 0 7 0 0 1276 100 3440538 3804531 16853 8944 8543 414 3467210 3813989 19500 18750 0 0 0 0 0 0 0 3940534 3570211 3960034 3588961 -492824 225028 10492537 10353581 1746955 1382971 8745582 8970610 TO OPERATE A CANCER CENTER WHICH WILL ENCOMPASS HIGHLY SOPHISTICATED & EXPENSIVE DIAGNOSTIC & TREATMENT PROCEDURES IN ORDER TO CARRY OUT CANCER TREATMENT & RESEARCH. 0 0 3287243 18750 3804531 PROVIDED HIGH QUALITY CANCER TREATMENT WITH THE LATEST COMPREHENSNE CANCER TREATMENT TECHNOLOGY IN A WELCOMING, COMFORTABLE AND FRIENDLY ENVIRONMENT. 12,200 PROCEDURES WERE PERFORMED DURING THE YEAR. THE CENTER ALSO PROVIDED $142,007 OF CHARITY CARE DURING THE YEAR TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. 3287243 1 0 0 0 0 0 0 0 0 0 1 0 0 1 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 0 0 0 0 1 7 0 1 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 0 1 1 0 0 1 1 0 1 0 1 0 0 0 IL X CYNTHIA ZANDER 8152841111 327 IL ROUTE 2 DIXON IL 61021 MARK SCHMELZEL MD BOARD MEMBER 2.00 X 0 0 0 THOMAS MCGLONE MD BOARD MEMBER 2.00 X 0 0 0 OSMANN KHAWAJA MD BOARD MEMBER 2.00 X 0 0 0 JAMES SARVER CHAIRMAN 5.00 X X 0 0 0 JULIE MANN PRESIDENT 5.00 X X 0 0 0 DONNA HOYLE SECRETARY 2.00 X X 0 0 0 CYNTHIA ZANDER TREASURER 5.00 X X 0 0 0 JON BERENS ADMINISTRATIVE DIRECTOR 40.00 X 190300 0 53342 190300 0 53342 1 0 1 1 CGH MEDICAL CENTER 100 EAST LEFEVRE RD STERLING IL 61081 LEASED EMPLOYEES 976679 SAUK VALLEY CANCER PHYSICIANS 17059 TIMBER DRIVE STERLING IL 61081 PHYSICIAN SERVICES 687330 GE HEALTHCARE 9900 W INNOVATION DR WAUWATOSA WI 53226 MEDICAL SERVICE 362997 VARIAN MEDICAL SYSTEMS 70140 NETWORK PLACE CHICAGO IL 60673 SOFTWARE SUPPORT SERVICES 267450 4 100 100 PATIENT TREATMENT REVENUE 621110 3804531 3804531 0 3804531 8944 8944 414 414 414 3813989 3804531 0 9358 X 18750 18750 43441 43441 1652817 1405133 247684 49177 49177 16064 16064 754740 744147 10593 1587 1587 53026 53026 780329 780329 117622 117622 MEDICAL SUPPLIES 67224 67224 DUES AND SUBSCRIPTIONS 12571 12571 BAD DEBTS 8952 8952 12661 12661 3588961 3287243 301718 0 75480 37611 1963095 1873673 407941 302143 144725 144956 12731412 5808214 7633296 6923198 268000 1072000 10492537 10353581 65425 22679 1440313 1210135 241217 150157 1746955 1382971 X 8745582 8970610 8745582 8970610 10492537 10353581 225028 0 X 0 1 X 1 0 X 10311 1276 100 11687 2853592 4281334 4349354 3440538 3804531 18729349 2853592 4281334 4359665 3441814 3804631 18741036 0 0 0 18741036 73019 24926 29790 16853 8944 153532 73019 24926 29790 16853 8944 153532 1065 386 588 8543 414 10996 2927676 4306646 4390043 3467210 3813989 18905564 0.99130 0.98970 0.00810 0.00960 X 25115 25115 6663853 1260810 5403043 5843149 4392248 1450901 199295 155156 44139 6923198 ASSETS LIMITED AS TO USE - DEBT SERVICE RESERVE 1072000 1072000 DUE TO CGH MEDICAL CENTER 150157 150157 X 3813989 0 3813989 0 3813989 3588961 0 3588961 0 3588961 PART X, LINE 2: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE CENTER DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE CENTER RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS IN 2014 AND 2013. FEDERAL TAX RETURNS FOR TAX YEARS 2010 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. 0 HOME OF HOPE CANCER WELLNESS CENTERS 1637 PLOCK RD DIXON IL 61021 010743626 501(C)(3) 18750 DONATION TO SUPPORT THE NOT-FOR-PROFIT ORGANIZATION WHO PROVIDE SUPPORT SERVICES TO CANCER PATIENTS. 1 0 0 0 0 0 0 0 0 0 0 JON BERENS ADMINISTRATIVE DIRECTOR 188140 0 2160 0 0 0 39140 0 14202 0 243642 0 0 0 FORM 990, PART VII, LINE 5 JON 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 $234,992 IN TOTAL FOR 2013. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION HAS TWO MEMBERS: CGH MEDICAL CENTER AND KATHERINE SHAW BETHEA HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A THE 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 MEMBER IS ELECTED BY A MAJORITY VOTE OF THE TOTAL COMBINED MEMBERSHIP. FORM 990, PART VI, SECTION B, LINE 11 A DRAFT COPY OF FORM 990 IS PROVIDED TO THE DIRECTOR AND THE TREASURER OF THE BOARD TO REVIEW THE RETURN. IF THEY AGREE, THEY MAKE COPIES AVAILABLE TO ALL MEMBERS 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 12C 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 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 754,427. MANAGEMENT AND GENERAL EXPENSES 247,684. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,002,111. PHYSICIAN CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 650,706. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 650,706.