2012-08-13T10:55:20-05:00 2011-09-30 JH COHN LLP 180 GLASTONBURY BOULEVARD GLASTONBURY CT 06033 990 2010-10-01 061548409 THE HAROLD LEEVER REGIONAL CANCER CENTER INC HARO 2035755555 1075 CHASE PARKWAY WATERBURY CT 06708 KEVIN KNIERY 2035755555 2012-08-06 1 8606333000 2010 2016-02-24 21:20:13Z 1075 CHASE PARKWAY WATERBURY CT 06708 8537955 0 X WWW.LEEVERCANCERCENTER.ORG X 2000 CT TO OPERATE & MAINTAIN A COMPREHENSIVE CANCER CENTER (AND PROGRAMS INCIDENTAL THERETO) OFFERING THE MOST ADVANCED RADIATION ONCOLOGY TECHNOLOGY FOR CANCER TREATMENTS. THE CENTER IS ALSO A CENTRAL RESOURCE FOR PROVIDING EDUCATION, INFORMATION AND SUPPORT SERVICES TO THE COMMUNITY. 15 15 27 3 0 0 155377 279716 8002571 8004095 7273 5894 248250 248250 8413471 8537955 0 0 0 0 2697452 2752477 0 0 0 4743550 4353274 7441002 7105751 972469 1432204 20566977 20729838 3589940 2320597 16977037 18409241 X THE CENTER SHALL PROVIDE ACCESS TO THE MOST ADVANCED THERAPIES FOR THE PERSON WITH CANCER INCLUDING ACCESS TO CLINICAL TRIALS. THE BOARD AND STAFF SHALL ACTIVELY SEEK INFORMATION ABOUT INNOVATIONS IN PREVENTION, DIAGNOSIS, TREATMENT, EDUCATION, AND SUPPORT IN PLANNING FUTURE SERVICES FOR THE CENTER. THE CENTER SHALL ALSO BE A SOURCE OF CANCER-RELATED INFORMATION AND SERVICES FOR THE RESIDENTS OF GREATER WATERBURY AND THE SURROUNDING COMMUNITIES. 0 0 5835716 8004095 TO ENGAGE IN ANY ACTIVITIES THAT EDUCATE THE PUBLIC, OR SUPPORT OR PROMOTE EDUCATION, ABOUT CANCER, CANCER TREATMENT, SCREENING, PREVENTION AND EARLY DETECTION,AND TO MAKE RELATED PROGRAMS AVAILABLE TO THE COMMUNITY. THE ORGANIZATION PROVIDES APPROXIMATELY 3600 IMRT VISITS AND 1300 TREATMENTS DURING THE FISCAL YEAR. 5835716 1 1 0 0 0 0 0 1 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 7 0 1 27 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X THOMAS BELZEK FINANCE DIRECTOR 2035755563 1075 CHASE PARKWAY WATERBURY CT 06708 LINDA T WIHBEY 1.00 X X 0 0 0 JOHN MICHAELS 1.00 X X 0 0 0 BURTON ALBERT 1.00 X X 0 0 0 CHARLES THORNE 1.00 X X 0 0 0 CHAD WABLE 1.00 X 0 0 0 CURTIS TITUS 1.00 X 0 0 0 ELLEN POLOKOFF MD 1.00 X 0 0 0 JOSEPH BOWEN MD 1.00 X 0 0 0 KERT SABBATH MD 1.00 X 0 0 0 STEPHEN GRIFFIN 1.00 X 0 0 0 DR STEVEN HOLLAND 1.00 X 0 0 0 SCOTT KURTZMAN MD 1.00 X 0 0 0 DR JEFFREY BITTERMAN 1.00 X 0 0 0 DR DAVID HILL 1.00 X 0 0 0 DARLENE STROMSTAD 1.00 X 0 0 0 KEVIN KNIERY 40.00 X 181346 0 27897 THOMAS BELZEK 40.00 X 125571 0 20440 CYNTHIA AUDET 40.00 X 107546 0 12978 DEBORAH PARKINSON 40.00 X 105578 0 20741 IAN CROOKS 40.00 X 229258 0 13637 PETER SANCHEZ 40.00 X 112455 0 15172 APRIL NUNN 40.00 X 118370 0 12635 980124 0 123500 7 0 1 0 MBR MEDICAL BILLING 1020 AE BOAL AVENUE BOALSBURG PA 16827 BILLING SERVICE 322432 INSIGHT HEALTH SERVICES CORP PO BOX 847689 DALLAS TX 75284 STAFFING FOR PET/CT 232700 ST MARY'S HOSPITAL 56 FRANKLIN STREET WATERBURY CT 06708 HOSPITAL 130291 ARO STRATEGIC MARKETING PO BOX 926 MIDDLEBURY CT 06762 MARKETING 105896 4 279716 279716 PATIENT FEES 621400 8004095 8004095 8004095 5894 5894 248250 248250 248250 248250 8537955 8004095 0 254144 405337 202669 202668 1836563 1792149 44414 101041 98916 2125 256196 241274 14922 153340 137757 15583 22214 22214 17550 17550 30846 30846 215099 43020 172079 77090 46398 30692 542646 379851 162795 78920 67327 11593 85747 85747 1185065 829546 355519 76079 45647 30432 CONTRACT LABOR 900277 852685 47592 MAINTENANCE EQUIPMENT 765786 759069 6717 MEDICAL SUPPLIES 173098 173098 BAD DEBT EXPENSE 90594 90594 MEETING AND TRAVEL 60621 40404 20217 31642 4466 27176 7105751 5835716 1270035 0 2976700 4251634 874445 822690 270728 212314 23162131 7941134 16390135 15220997 54969 222203 20566977 20729838 823708 656877 2750335 1647823 15897 15897 3589940 2320597 X 15846326 17576115 1130711 833126 16977037 18409241 20566977 20729838 1432204 0 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 31216 X 0 2572220 2572220 11586007 2468586 9117421 8718369 5213239 3505130 285535 259309 26226 15220997 DEPOSITS 15897 15897 8537955 7105751 1432204 0 1432204 8537955 0 8537955 0 8537955 7105751 0 7105751 0 7105751 PART III, LINE 4: THE CENTER HAS A COLLECTION OF ARTWORK, APPRAISED AT $31,216, THAT IS ON PUBLIC DISPLAY. ARTWORK IS RECORDED AT COST IF PURCHASED AND AT APPRAISED OR FAIR VALUE AT DATE OF ACCESSION IF DONATED. GAINS AND LOSSES FROM DEACCESSIONS ARE REPORTED AS CHANGES IN NET ASSETS BASED ON THE ABSENCE OR EXISTENCE AND NATURE OF DONOR-IMPOSED RESTRICTIONS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT SEPTEMBER 30, 2011 AND 2010. THE CENTER'S U.S. FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2008 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. IF THE CENTER HAD UNRELATED BUSINESS INCOME TAXES, IT WOULD RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH ANY TAX MATTERS AS PART OF THE INCOME TAX PROVISION AND INCLUDE ACCRUED INTEREST AND PENALTIES WITH THE RELATED TAX LIABILITY IN THE STATEMENTS OF FINANCIAL POSITION. X X X X 0 0 0 0 0 0 0 0 0 KEVIN KNIERY 181346 0 0 0 0 0 11000 0 16897 0 209243 0 0 0 IAN CROOKS 229258 0 0 0 0 0 8250 0 5387 0 242895 0 0 0 KAREN SABBATH SPOUSE OF BOARD MEMBER DR. KERT SABBATH 54150 NUTRITION SERVICES FOR PATIENTS. 0 FORM 990, PART VI, SECTION A, LINE 6 THERE ARE TWO CLASSES OF MEMBERS CONSISTING OF THE WATERBURY HOSPITAL AND ST. MARY'S HOSPITAL OR A TRANSFEREE OF EITHER THAT IS EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(C)(3) OF THE CODE AND PERMITTED IN THE BY-LAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER, ACTING AS A CLASS, SHALL HAVE THE RIGHT TO ELECT ONE CLASS OF DIRECTORS ANNUALLY TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B EACH MEMBER, ACTING AS A CLASS, SHALL HAVE THE RIGHT TO VOTE ON MATTERS PRESENTED TO THE MEMBERS FOR ACTION BY THE BOARD OF DIRECTORS AND THE FOLLOWING MATTERS: (1)SALE, PLEDGE OR OTHER TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION AS PART OF A SINGLE TRANSACTION OR PLAN; (2)MERGER OR CONSOLIDATION OF THE ORGANIZATION WITH ANOTHER ENTITY OR ENTITIES OR ANY OTHER CHANGE OF CONTROL TRANSACTION; (3)AMENDMENT OF THE CERTIFICATE OF INCORPORATION OF THESE BYLAWS; OR (4)DISSOLUTION OR TERMINATION OF THE ORGANIZATION OR ITS BUSINESS. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED WITH THE FINANCE COMMITTEE AND THEN FORWARDED TO THE BOARD OF DIRECTORS FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A RELATIVELY SMALL NUMBER OF CONTRACTS. THE EXECUTIVE DIRECTOR REVIEWS ALL CONTRACTS FOR CONFLICTS. BEFORE A FORMAL VOTE, DIRECTORS WITH A CONFLICT RECUES THEMSELVES. THE ORGANIZATION REQUIRES REGULAR WRITTEN STATEMENTS FROM OFFICERS, DIRECTORS AND KEY EMPLOYEES AS A CONDITION OF FURTHER PARTICIPATION OR EMPLOYMENT, AS THE CASE MAY BE. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S FROM WATERBURY AND ST. MARY'S HOSPITALS WITH THE BOARD CHAIRMAN REVIEW INDEPENDENT DATA AND ARRIVE AT THE APPROPRIATE SALARY. MARKET DATA IS GATHERED AND A COMPARISON IS MADE. THE BOARD'S DECISION IS INDEPENDENT OF THE EXECUTIVE DIRECTOR AND OTHER EMPLOYEES. THIS IS PRESENTED TO THE INDIVIDUALS WITH THEIR ANNUAL EVALUATIONS. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION IS AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. THE WATERBURY HOSPITAL 64 ROBBINS STREET WATERBURY CT 06708 060665979 SUPPORTING MEMBER CT 501(C)(3) 170(B)(1)(A)(III) N/A 0 ST MARY'S HOSPITAL 56 FRANKLIN STREET WATERBURY CT 06708 060646844 SUPPORTING MEMBER CT 501(C)(3) 170(B)(1)(A)(III) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0