2013-05-03T07:28:56-05:00 2012-12-31 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 15th Floor Manchester NH 03101 990 2012-01-01 020444860 Nashua Regional Cancer Center Inc NASH 6038801590 11 North Southwood Park Drive Nashua NH 03063 Thomas Wilhelmsen 6038801590 2013-04-30 1 Rachel Williamson CPA P00186614 6036697337 2013-04-30 2012 2016-02-25 16:41:14Z Radiation Center of Greater Nashua Thomas Wilhelmsen 11 North Southwood Park Drive Nashua NH 03063 4990084 0 X www.radiationcenternashua.org X 1991 NH The organization provides radiation therapy services 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. 4 4 21 0 0 0 200 655 4329286 4981344 9980 4795 0 0 4339466 4986794 0 10000 0 0 1699085 1729189 0 0 0 1928583 1911697 3627668 3650886 711798 1335908 10430396 9504988 3213379 2452063 7217017 7052925 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. 0 0 3220419 10000 4981344 The Nashua Regional Cancer Center provided services to 396 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 $4,950 for Community Health Education, $39,018 for Health Professions Education, $5,033 to provide nutritional services, $4,664 to provide RN assessments and $8,360 to provide medical interpretation. NRCC also provided $148,884 of free and discounted health care services. Unreimbursed Medicare and Medicaid Costs totaled $22,214. Total Community Benefits Expenses were $245,352. 3220419 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 6 0 1 21 1 0 0 0 0 0 0 0 0 0 0 X 4 4 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 1.00 X X 0 0 0 Michael Rose 1.00 X 0 0 0 Richard Plamondon 1.00 X 0 0 0 Jeffrey O'Brien 1.00 X 0 0 0 Michael Ward 1.00 X 0 0 0 David Ross 1.00 X 0 0 0 Barbara Kimball 40.00 X 131846 0 19776 James Harrington 32.00 X 173688 0 21031 Scott Cail 40.00 X 112255 0 4949 Kathleen Barsczewski 40.00 X 112291 0 18988 530080 0 64744 4 0 1 0 Elektra 400 Perimeter Center Terrace Atlanta GA 30346 Equipment & IS Service Contract 202351 1 655 655 Net Patient Service Re 621400 4981052 4981052 Other Income 621400 292 292 4981344 8085 8085 3290 -3290 -3290 -3290 4986794 4981344 0 4795 10000 10000 151622 151622 1277401 1189360 88041 35437 30405 5032 167040 140730 26310 97689 82416 15273 315 315 40976 40976 46095 46095 91552 70652 20900 205389 171010 34379 2665 2132 533 102807 102807 851976 846673 5303 81581 55426 26155 Equipment Rental & Main 407670 392042 15628 Bad Debt 30663 30663 Consulting 29971 29971 Linen Service 18679 18679 1358 1358 3650886 3220419 430467 0 400 400 3514722 3247264 299388 393182 117705 147104 13721573 8010519 6487599 5711054 10582 5984 10430396 9504988 192995 222441 3020384 2229622 3213379 2452063 X 300 300 494700 494700 6722017 6557925 7217017 7052925 10430396 9504988 X 1335908 -1500000 X X 0 1 X 1 0 X 288798 288798 6023790 2620431 3403359 60905 26735 34170 7235470 5297287 1938183 112610 66066 46544 5711054 4956131 0 4956131 30663 30663 4986794 3620223 0 3620223 30663 30663 3650886 Part XI, Line 4b - Other Adjustments: Bad Debt 30,663. Part XII, Line 4b - Other Adjustments: Bad Debt 30,663. 0 New Hampshire Technical Institute 31 College Drive Concord NH 03301 10000 Cash To subsidize the continued operations of the radiation therapy program. 1 X X X 0 0 0 0 0 0 0 0 0 Barbara Kimball 131732 0 0 0 114 0 4050 0 15726 0 151622 0 0 0 James Harrington 173574 0 0 0 114 0 5305 0 15726 0 194719 0 0 0 A New Hampshire Health & Education Facilities Authority 020279866 2008-11-05 5100000 Linear Accelerator Machine & Vault 0 0 0 A 2870379 5100000 32244 5067756 2009 0 0 1 1 A 0 0 0 0 0.00000 0.00000 1 0 0 A 0 0 1 0 0 0 0 0 0 A 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 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Distributions -1,500,000. Form 990, Part XII, Line 2c The organization has not changed it oversight or selection process during the tax year. 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 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 3 N/A 0 St Joseph Hospital 172 Kinsley St Nashua NH 03061 020222215 Medical, Surgical and Mental Health Services NH 501(c)3 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Mary Hitchcock Memorial Hospital R 500000 Cash Southern New Hampshire Medical Center R 500000 Cash St Joseph Hospital R 500000 Cash