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CANCER CARE CNTR OF YORK COUNTY: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CANCER CARE CNTR OF YORK COUNTY (EIN 20-1600381)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-13
IRS object ID
201402259349301510
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-13T10:19:09-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MAINEHEALTHBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1110 FREE STAddressLine1
CityPORTLANDCity
StateMEState
ZIP Code041013908ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201600381EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CANCER CARE CNTR OF YORK COUNTYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCANCNameControl
Phone2076623998Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line122 BRAMHALL STREETAddressLine1
CityPORTLANDCity
StateMEState
ZIP Code04102ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameALBERT G SWALLOW IIIName
TitleTREASURERTitle
Phone2076623998Phone
Date Signed2014-08-04DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Date Prepared2014-08-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonALBERT G SWALLOW IIINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line122 BRAMHALL STREETAddressLine1
CityPORTLANDCity
StateMEState
ZIP Code04102ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2375752GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CANCERCAREYORKCOUNTY.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionPROVIDING RADIATION THERAPY TREATMENTS TO CANCER PATIENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers6TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year6296ContributionsGrantsPriorYear
Contributions Grants Current Year4754ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3010205ProgramServiceRevenuePriorYear
Program Service Revenue CY2367129ProgramServiceRevenueCY
Investment Income Prior Year359InvestmentIncomePriorYear
Investment Income Current Year168InvestmentIncomeCurrentYear
Other Revenue Prior Year6800OtherRevenuePriorYear
Other Revenue Current Year3701OtherRevenueCurrentYear
Total Revenue Prior Year3023660TotalRevenuePriorYear
Total Revenue Current Year2375752TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year109516SalariesEtcPriorYear
Salaries Etc Current Year123154SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2173715OtherExpensePriorYear
Other Expenses Current Year2106970OtherExpensesCurrentYear
Total Expenses Prior Year2283231TotalExpensesPriorYear
Total Expenses Current Year2230124TotalExpensesCurrentYear
Revenues Less Expenses Prior Year740429RevenuesLessExpensesPriorYear
Revenues Less Expenses CY145628RevenuesLessExpensesCY
Total Assets BOY4737056TotalAssetsBOY
Total Assets EOY5650026TotalAssetsEOY
Total Liabilities BOY4076215TotalLiabilitiesBOY
Total Liabilities EOY4843557TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY660841NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY806469NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDING RADIATION THERAPY TREATMENTS TO CANCER PATIENTS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1946836Expense
Revenue2370830Revenue
DescriptionCANCER CARE CENTER OF YORK COUNTY (CCCYC) WAS ESTABLISHED TO PROVIDE SERVICES TO ONCOLOGY PATIENTS IN SOUTHERN MAINE, INCLUDING EDUCATION, TREATMENT AND SUPPORT. CCCYC WAS FORMED THROUGH A COLLABORATION OF THREE TAX-EXEMPT HOSPITALS: GOODALL HOSPITAL, SOUTHERN MAINE MEDICAL CENTER AND MAINE MEDICAL CENTER. SUBSEQUENTLY, GOODALL HOSPITAL AND SOUTHERN MAINE MEDICAL CENTER HAVE COMBINED TO FORM SOUTHERN MAINE HEALTHCARE. THE PRIMARY PURPOSE OF CCCYC IS THE DELIVERY OF RADIATION THERAPY TREATMENTS TO PATIENTS UNDERGOING CANCER TREATMENTS. CCCYC ALSO PROVIDES EDUCATION AND OUTREACH PROGRAMS REGARDING CANCER CARE AND OTHER IMPORTANT HEALTH ISSUES. THE ORGANIZATION SERVES APPROXIMATELY 400 PATIENTS EACH YEAR TOTALING APPROXIMATELY 10,000 VISITS. (CONTINUED ON SCHEDULE O) CCCYC ACCEPTS ALL PATIENTS INCLUDING THOSE WITH GOVERNMENT PAYOR COVERAGE, SUCH AS MEDICARE AND MEDICAID, COMMERCIAL INSURANCES AND SELF-PAYING PATIENTS. A CHARITY (OR FREE) CARE AND SLIDING SCALE POLICY HAS BEEN ADOPTED TO MEET THE NEEDS OF PATIENTS WITH LOWER INCOMES.Description
Total Program Service Expense1946836TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonALBERT G SWALLOW IIINamePerson
Telephone Number2076623998TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line122 BRAMHALL STREETAddressLine1
CityPORTLANDCity
StateMEState
ZIP Code04102ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
EDWARD J MCGEACHEY
VICE CHAIR1.0040.00XX051538725581
NATHAN WILSON MD
DIRECTOR1.0040.00X029877727702
ALBERT G SWALLOW
TREASURER1.0040.00XX023250261165
SUE HADIARIS
SECRETARY1.0040.00XX017941914429
BARABARA GRILLO
DIRECTOR1.0040.00X014763134799
KATHY FERNBERG
DIRECTOR1.0040.00X0919795405
ROBERT HARDISON
CHAIRMAN1.00XX000
ARLINE FORTIER
DIRECTORX000
PHILIP VILLIOTTE MD
DIRECTOR1.00X000
KAREN PIERCE-STEWART
EXECUTIVE DI40.00X8815601573
FieldValueIRS element (for citing)
Total Reportable Comp From Org88156TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1465695TotalReportableCompFrmRltdOrgs
Total Other Compensation170654TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MAINE MEDICAL CENTER
22 BRAMHALL STREETPORTLANDME04102PURCHASED STAFF657101
SPECTRUM MEDICAL GROUP
324 GANNETT DRIVESOUTH PORTLANDME04106CLINICAL/ADMIN497374
SIEMENS MEDICAL SOLUTIONS USA INC
51 VALLEY STREAM PARKWAYMALVERNPA19355EQUIP. MAINT.151630
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions4754AllOtherContributions
Total Contributions4754TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionOUTPATIENT SERVICE REVENUEDescription
Business Code621400BusinessCode
Total Revenue Column2367129TotalRevenueColumn
Related Or Exempt Function Income2367129RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2367129TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column168TotalRevenueColumn
Exclusion$168ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER OPERATING REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column3701TotalRevenueColumn
Related Or Exempt Function Income3701RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3701TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2375752TotalRevenueColumn
Related Or Exempt Function Income2370830RelatedOrExemptFunctionIncome
Exclusion$168ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total123154Total
Management And General123154ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total120Total
Management And General120ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total16679Total
Management And General16679ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1298109Total
Program Services1206520ProgramServices
Management And General91589ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total45868Total
Management And General45868ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total40448Total
Program Services40448ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total29936Total
Program Services29936ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total89187Total
Program Services89187ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total5522Total
Program Services5522ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total192882Total
Program Services192882ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total180138Total
Program Services180138ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total38821Total
Program Services32943ProgramServices
Management And General5878ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
RADIOLOGY EQUIP. MAINT.144337144337
MISCELLANEOUS1355813558
PATIENT SUPPLIES1136511365

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2230124Total
Program Services1946836ProgramServices
Management And General283288ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1573819BOY
EOY2908827EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY242918BOY
EOY90475EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY272418BOY
EOY215066EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY31153BOY
EOY43089EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5327250LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2946299LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2533965BOY
EOY2380951EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY82783BOY
EOY11618EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4737056BOY
EOY5650026EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY236777BOY
EOY250362EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3576643BOY
EOY3354929EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY262795BOY
EOY1238266EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4076215BOY
EOY4843557EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY655586BOY
EOY803113EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5255BOY
EOY3356EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY660841BOY
EOY806469EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4737056BOY
EOY5650026EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses145628ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis161114OtherCostOrOtherBasis
Book Value161114BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3107190OtherCostOrOtherBasis
Depreciation984345Depreciation
Book Value2122845BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2046568OtherCostOrOtherBasis
Depreciation1953654Depreciation
Book Value92914BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12378OtherCostOrOtherBasis
Depreciation8300Depreciation
Book Value4078BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2380951TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTIESDescription
Amount$1,238,266Amount
FieldValueIRS element (for citing)
Total Of Amounts1238266TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
EDWARD J MCGEACHEY
VICE CHAIR4196894031555383875016831540968
NATHAN WILSON MD
DIRECTOR2822501507214551000017702326479
ALBERT G SWALLOW
TREASURER2073002230029024515016015293667
SUE HADIARIS
SECRETARY1638328324726363048125193848
BARABARA GRILLO
DIRECTOR1451872444312131678182430

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSIdentifier
Return ReferenceSCHEDULE J, PAGE 1, PART I, LINE 4ReturnReference
ExplanationEDWARD J. MCGEACHEY 0 52,254 0 SUE HADIARIS 0 5,882 0Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIRST ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4ACCCYC ACCEPTS ALL PATIENTS INCLUDING THOSE WITH GOVERNMENT PAYOR COVERAGE, SUCH AS MEDICARE AND MEDICAID, COMMERCIAL INSURANCES AND SELF-PAYING PATIENTS. A CHARITY (OR FREE) CARE AND SLIDING SCALE POLICY HAS BEEN ADOPTED TO MEET THE NEEDS OF PATIENTS WITH LOWER INCOMES.
ADDITIONAL INFORMATIONFORM 990, PART VISECTION B, LINE 13 - WHISTLEBLOWER & DOC. RETENTION & DESTRUCTION POLICY CANCER CARE CENTER OF YORK COUNTY (CCCYC) FOLLOWED THE WHISTLEBLOWER POLICY POLICY AND DOCUMENT RETENTION & DESTRUCTION POLICY OF MAINE MEDICAL CENTER DURING THE YEAR ENDED 9/30/13.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6CCCYC IS A COLLABORATION OF THREE MEMBER HOSPITALS AS LISTED BELOW: MAINE MEDICAL CENTER (MMC) EIN 01-238552 HENRIETTA D. GOODALL HOSPITAL, INC. EIN 01-0078060 SOUTHERN MAINE MEDICAL CENTER (SMMC) EIN 01-0179500
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE 3 MEMBERS EACH ELECT 3 DIRECTORS DURING THE ANNUAL MEMBER MEETING. REMOVAL AND REPLACEMENT OF A DIRECTOR CAN ONLY BE BY THE MEMBER THAT ELECTED THE DIRECTOR BEING REMOVED, SO THAT AT ALL TIMES EACH MEMBER HAS ELECTED 3 DIRECTORS. MAINEHEALTH (EIN 01-0431680), AS SOLE MEMBER OF MMC & SOUTHERN MAINE HEALTHCARE (THE PARENT COMPANY OF HARIETTA D. GOODALL HOSPITAL AND SMMC), HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY OF THE ORGANIZATION.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BTHE MEMBERS ELECT THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE SOLE AUTHORITY TO APPROVE OF ANY SALE OR DISPOSITION OF CORPORATE ASSETS GREATER THAN 50,000, TO APPROVE OF ANY CORPORATE MERGER, ACQUISITION, DISSOLUTION OR LIQUIDATION, OR ANY OTHER ACTIONS REQUIRED OF MEMBERS BY LAW. NEW MEMBERS CAN ONLY BE AUTHORIZED BY EXISTING MEMBERS. THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR THE GOVERNANCE AND MANAGEMENT OF THE CORPORATION.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE FINAL FORM 990 IS PROVIDED TO EACH DIRECTOR AND OFFICER. THE TREASURER REVIEWS AND SIGNS THE RETURN PRIOR TO ITS FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CALL BOARD OF DIRECTORS AND OFFICERS COMPLETED A CONFLICT OF INTEREST FORM AND THE RESPONSES WERE REVIEWED BY THE BOARD CHAIR.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AWHILE THE CEO CONTRACT IS WITH HENRIETTA D. GOODALL HOSPITAL, THE EXECUTIVE COMMITTEE OF CANCER CARE CENTER OF YORK COUNTY (CCCYC) REVIEWS THE SALARY STRUCTURE. THE DIRECTORS OF CCCYC RECEIVE NO COMPENSATION FOR THEIR SERVICES PERFFORMED IN THEIR ROLES AS DIRECTORS OF CCCYC.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST.
OTHER FEES FOR SERVICESFORM 990, PART IX, LINE 11GPURCHASED STAFFING 722,971 0 0 PHYSICIAN SERVICES 424,141 0 0 COLLECTION SERVICES 0 91,589 0 OTHER 59,408 0 0

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
MAINE MEDICAL CENTER
22 BRAMHALL STREETPORTLANDME04102010238552HOSPITALME501C3MAINEHLTHfalse
THE WEBBER HOSPITAL ASSOCIATION
PO BOX 626BIDDEFORDME040050626010179500HOSPITALME501C3MAINEHLTHfalse
MAINEHEALTH
110 FREE STREETPORTLANDME04101010431680HEALTHCAREME501C11CNAfalse
HENRIETTA D GOODALL HOSPITAL INC
25 JUNE STREETSANFORDME04073010078060HOSPITALME501C33MAINEHLTHfalse

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1GSM REALTY LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line122 BRAMHALL STREETAddressLine1
CityPORTLANDCity
StateMEState
ZIP Code04102ZIPCode
FieldValueIRS element (for citing)
EIN204582952EIN
Primary ActivityRENTALPrimaryActivity
Legal Domicile StateMELegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg