2012-05-01T07:33:44-05:00 2011-12-31 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 15th Floor Manchester NH 03101 990 2011-01-01 020444860 Nashua Regional Cancer Center Inc NASH 6038801590 11 North Southwood Park Drive Nashua NH 03063 Thomas Wilhelmsen 6038801590 2012-04-18 1 Rachel Williamson CPA P00186614 6036697337 2012-04-18 2011 2016-02-24 21:20:13Z Radiation Center of Greater Nashua Thomas Wilhelmsen 11 North Southwood Park Drive Nashua NH 03063 4339466 0 X www.nrcc-inc.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. 5 5 19 0 0 0 1995 200 4148739 4329286 18940 9980 0 0 4169674 4339466 0 0 0 0 1626146 1699085 0 0 0 1991831 1928583 3617977 3627668 551697 711798 10325183 10430396 3819964 3213379 6505219 7217017 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 3184594 4329286 The Nashua Regional Cancer Center provided services to 349 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 $4,568 for Community Health Education, $38,692 for Health Professions Education, $4,590 to provide nutritional services, $3,990 to provide RN assessments and $1,210 to provide medical interpretation. NRCC also provided $88,603 of free and discounted health care services. Unreimbursed Medicare and Medicaid Costs totaled $46,144. Total Community Benefits Expenses were $198,766. 3184594 1 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 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 6 0 1 19 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 1.00 X X 0 0 0 David Ross 1.00 X X 0 0 0 Michael Rose 1.00 X 0 0 0 Richard Plamondon 1.00 X 0 0 0 Michael Ward 1.00 X 0 0 0 Barbara Kimball 40.00 X 127744 0 25715 James Harrington 32.00 X 168248 0 26931 Scott Cail 40.00 X 106800 0 9491 Kathleen Barsczewski 40.00 X 107544 0 23857 510336 0 85994 4 0 1 0 Elektra 4775 Peachtree Industrial Blvd Norcross GA 30092 Equipment & IS Service Contract 194510 1 200 200 Net Patient Service Re 621400 4329088 4329088 Other Income 621400 198 198 4329286 9980 9980 4339466 4329286 0 9980 153459 153459 1230564 1141006 89558 33768 29034 4734 188159 161651 26508 93135 78136 14999 46799 46799 15281 15281 123146 102210 20936 212235 176561 35674 7955 6364 1591 130104 130104 803848 795943 7905 83396 56642 26754 Equipment Rental & Main 410335 396178 14157 Bad Debt 67790 67790 Linen Service 15105 15105 Consulting 12055 12055 534 534 3627668 3184594 443074 0 400 400 3500345 3514722 180060 299388 147901 117705 13654358 7166759 6480077 6487599 16400 10582 10325183 10430396 155548 192995 3664416 3020384 3819964 3213379 X 300 300 494700 494700 6010219 6722017 6505219 7217017 10325183 10430396 711798 0 X X 0 1 1 X 0 X 288798 288798 6038017 2299354 3738663 47659 22320 25339 7167274 4783979 2383295 112610 61106 51504 6487599 4339466 3627668 711798 711798 4339466 0 4339466 0 4339466 3627668 0 3627668 0 3627668 X X X 0 0 0 0 0 0 0 0 0 Barbara Kimball 122744 0 5000 0 0 0 3938 0 21777 0 153459 0 0 0 James Harrington 168248 0 0 0 0 0 5154 0 21777 0 195179 0 0 0 New Hampshire Health & Education Facilities Authority 020279866 2008-11-05 5100000 Linear Accelerator Machine & Vault 0 0 0 5100000 32244 5067756 2009 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 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 XII, Line 2c The organization has not changed it oversight or selection process during the tax year. 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 1 0