2016-03-12T16:06:24-06:00 2015-04-30 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2014-05-01 363572331 NORTHERN ILLINOIS CANCER TREATMENT CENTER NORT 8152841111 327 IL ROUTE 2 DIXON IL 61021 CYNTHIA ZANDER TREASURER 8152841111 2016-03-08 1 STEPHANIE HAMILTON CPA P01233633 4144319300 2016-03-03 2014 2016-08-17 19:52:53Z JAMES SARVER 327 IL ROUTE 2 DIXON IL 61021 3578082 0 X WWW.NICANCER.COM X 1988 IL TO PROVIDE RADIATION TREATMENT SERVICES TO RESIDENTS IN THE SURROUNDING COMMUNITIES. 7 8 0 7 0 0 100 4027 3804531 3538009 8944 24011 414 12035 3813989 3578082 18750 13050 0 0 0 0 0 0 0 3570211 3482970 3588961 3496020 225028 82062 10353581 10184732 1382971 1132060 8970610 9052672 TO OPERATE A CANCER CENTER WHICH WILL ENCOMPASS HIGHLY SOPHISTICATED & EXPENSIVE DIAGNOSTIC & TREATMENT PROCEDURES IN ORDER TO CARRY OUT CANCER TREATMENT & RESEARCH. 0 0 3197831 13050 3538009 PROVIDED HIGH QUALITY CANCER TREATMENT WITH THE LATEST COMPREHENSIVE CANCER TREATMENT TECHNOLOGY IN A WELCOMING, COMFORTABLE AND FRIENDLY ENVIRONMENT. 16,000 PROCEDURES WERE PERFORMED DURING THE YEAR. THE CENTER ALSO PROVIDED $217,000 OF CHARITY CARE DURING THE YEAR TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. 3197831 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 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 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 8 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 KEVIN MARX BOARD MEMBER 2.00 X 0 0 0 JULIE MANN PRESIDENT (THRU SEPT) 5.00 X X 0 0 0 JAMES SARVER PRESIDENT/CHAIRMAN 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 188160 0 59966 188160 0 59966 1 0 1 1 CGH MEDICAL CENTER 100 EAST LEFEVRE RD STERLING IL 61081 LEASED EMPLOYEES 952725 SAUK VALLEY CANCER PHYSICIANS SC 17059 TIMBER DRIVE STERLING IL 61081 PHYSICIAN SERVICES 625000 VARIAN MEDICAL SYSTEMS 70140 NETWORK PLACE CHICAGO IL 60673 SOFTWARE SUPPORT SERVICES 274290 GE HEALTHCARE 9900 W INNOVATION DR WAUWATOSA WI 53226 MEDICAL SERVICE 204250 CARDINAL HEALTH 414 LLC PO BOX 641419 CHICAGO IL 70609 NUCLEAR PHARMACY SERVICES 119063 5 4027 4027 PATIENT TREATMENT REVENUE 621400 3523303 3523303 14706 14706 3538009 9779 9779 14232 0 14232 14232 14232 12035 12035 12035 3578082 3538009 0 36046 X 13050 13050 931990 679350 252640 2295 2295 31710 31710 667539 667539 60983 60983 16203 16203 60751 60751 662433 650889 11544 4233 4233 43715 43715 711883 711883 84210 84210 MEDICAL SUPPLIES 186104 186104 DUES AND SUBSCRIPTIONS 14823 14823 4098 4098 3496020 3197831 298189 0 37611 500 1873673 1147097 302143 391111 144956 144403 13107477 6481856 6923198 6625621 1072000 1876000 10353581 10184732 22679 69016 1210135 990913 150157 72131 1382971 1132060 X 8970610 9052672 8970610 9052672 10353581 10184732 82062 0 X 0 1 X 1 0 X 10311 1276 100 4027 15714 4281334 4349354 3440538 3804531 3538009 19413766 386 588 8543 414 12035 21966 4281720 4360253 3450357 3805045 3554071 19451446 0 0 0 19451446 24926 29790 16853 8944 9779 90292 24926 29790 16853 8944 9779 90292 4306646 4390043 3467210 3813989 3563850 19541738 0.99540 0.99130 0.00460 0.00810 X 25115 25115 6663853 1447333 5216520 5860228 4867250 992978 558281 167273 391008 6625621 ASSETS LIMITED AS TO USE - DEBT SERVICE RESERVE 1876000 1876000 DUE TO CGH MEDICAL CENTER 72131 72131 3563376 0 3563376 14706 14706 3578082 3481314 -14706 -14706 3496020 0 3496020 PART XI, LINE 4B - OTHER ADJUSTMENTS: RECOVERIES OF BAD DEBTS 14,706. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECOVERIES OF BAD DEBTS -14,706. 0 HOME OF HOPE CANCER WELLNESS CENTERS 1637 PLOCK RD DIXON IL 61021 010743626 501(C)(3) 13050 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 186905 0 1255 0 0 0 40990 0 18976 0 248126 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 $248,126 IN TOTAL FOR 2014. 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 DIRECTOR 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 EXECUTIVE DIRECTOR AND THE TREASURER OF THE BOARD TO REVIEW THE RETURN. IF THEY AGREE, THEY MAKE COPIES AVAILABLE TO ALL DIRECTORS 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. THE DIRECTOR MAY, HOWEVER, BRIEFLY STATE A POSITION ON THE MATTER, AND ANSWER PERTINENT QUESTIONS OF BOARD MEMBERS. THE MINUTES OF ALL ACTIONS TAKEN ON SUCH MATTERS SHALL CLEARLY REFLECT THAT THESE REQUIREMENTS HAVE BEEN MET.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 67,539. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,539. PHYSICIAN CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 600,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 600,000.