NORTHERN ILLINOIS CANCER TREATMENT CENTER: Form 990, tax year 2010
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- Organization
- NORTHERN ILLINOIS CANCER TREATMENT CENTER (EIN 36-3572331)
- Tax period
- 2010-05-01 to 2011-04-30
- Filed
- 2011-10-31
- IRS object ID
- 201103049349300330
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-10-31T13:08:28-05:00 | Timestamp |
| Tax Period End Date | 2011-04-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTON GUNDERSON LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 114 E EVERETT | AddressLine1 |
| City | DIXON | City |
| State | IL | State |
| ZIP Code | 61021 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-05-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363572331 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHERN ILLINOIS CANCER TREATMENT CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 8152841111 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 327 ROUTE 2 | AddressLine1 |
| City | DIXON | City |
| State | IL | State |
| ZIP Code | 61021 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JIM SARVER | Name |
| Title | CHAIRMAN | Title |
| Phone | 8152841111 | Phone |
| Date Signed | 2011-10-24 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TODD M ETHERIDGE | Name |
| Phone | 8152842285 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JAMES SARVER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 327 ROUTE 2 | AddressLine1 |
| City | DIXON | City |
| State | IL | State |
| ZIP Code | 61021 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4306646 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NICANCER.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1988 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | THE CENTER USES HIGHLY SOPHISTICATED EQUIPMENT FOR DIAGNOSIS AND TREATMENT OF CANCER | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 1 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2853592 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4281334 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 73019 | InvestmentIncomePriorYear |
| Investment Income Current Year | 20648 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1065 | OtherRevenuePriorYear |
| Other Revenue Current Year | 386 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2927676 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4302368 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 15700 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 9520 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 811079 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2621522 | OtherExpensePriorYear |
| Other Expenses Current Year | 2151132 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2637222 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2971731 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 290454 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1330637 | RevenuesLessExpensesCY |
| Total Assets BOY | 8341051 | TotalAssetsBOY |
| Total Assets EOY | 12824151 | TotalAssetsEOY |
| Total Liabilities BOY | 778947 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3931410 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 7562104 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 8892741 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE COMPASSIONATE CARE TO OUR CANCER PATIENTS UTILIZING THE HIGHEST QUALITY STANDARDS, EQUIPMENT AND TECHNIQUES AVAILABLE FOR RADIATION ONCOLOGY. IN ADDITION, COORDINATE EFFORTS WITH MEDICAL ONCOLOGY, SURGERY, PAIN MANAGEMENT AND OTHER MEDICAL SPECIALITIES SUCH AS PHYSICAL THERAPY, REHABILITATION, SOCIAL AND DIETARY SERVICES FOR THE BETTERMENT OF OUR PATIENTS. THE GOAL IS TO CURE THE CANCER AND IF NOT POSSIBLE, MAXIMIZE LIFE SPAN AND QUALITY OF LIFE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2682052 | Expense |
| Grants | 9520 | Grants |
| Revenue | 4281720 | Revenue |
| Description | PROVIDED HIGH QUALITY CANCER TREATMENT WITH THE LATEST COMPREHENSIVE CANCER TREATMENT TECHNOLOGY IN A WELCOMING, COMFORTABLE AND FRIENDLY ENVIRONMENT. PERFORMED 13,867 PROCEDURES DURING THE YEAR. | Description |
| Total Program Service Expense | 2682052 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 7 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 1 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicy |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTON GUNDERSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8152842285 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 114 EAST EVERETT | AddressLine1 |
| City | DIXON | City |
| State | IL | State |
| ZIP Code | 61021 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (9 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| DR MICHAEL IMLER | ||||||
| DIRECTOR | 1.00 | X | 0 | 301447 | 45576 | |
| THOMAS P MCGLONE MD FACS | ||||||
| DIRECTOR | 1.00 | X | 0 | 420700 | 31065 | |
| JAMES SAY | ||||||
| PRESIDENT | 1.00 | X | 0 | 0 | 0 | |
| JIM SARVER | ||||||
| CHAIRMAN | 1.00 | 0 | 0 | 0 | X | |
| RAY SHARP | ||||||
| VICE PRESIDENT | 1.00 | 0 | 167999 | 42257 | X | |
| VERNON FARRELL | ||||||
| TREASURER | 1.00 | 0 | 14949 | 8132 | X | |
| DONNA HOYLE | ||||||
| SECRETARY | 1.00 | 0 | 0 | 0 | X | |
| JON BERENS | ||||||
| ADMINISTRATIVE DIRECTOR | 40.00 | 0 | 184091 | 53803 | X | |
| THERESA FRIEL-DRAPER | ||||||
| FORMER VICE-PRESIDENT | 1.00 | 0 | 157933 | 47325 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1247119 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 228158 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SAUK VALLEY CANCER PHYSICIANS | |||||
| 17059 TIMBER DRIVE | STERLING | IL | 61081 | PHYSICIAN SERVICES | 851720 |
| CGH MEDICAL CENTER | |||||
| 100 E LEFEVRE | STERLING | IL | 61081 | LEASED EMPLOYEES | 811079 |
| VARIAN MEDICAL SYSTEMS INC | |||||
| 3100 HANSEN WAY | PALO ALTO | CA | 943041038 | EQUIPMENT MAINTENANCE | 178756 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CANCER TREATMENT NET O | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 4281334 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4281334 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4281334 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 24926 | TotalRevenueColumn |
| Exclusion | $24,926 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 4278 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -4278 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -4278 | TotalRevenueColumn |
| Exclusion | -$4,278 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 386 | TotalRevenueColumn |
| Related Or Exempt Function Income | 386 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 386 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4302368 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4281720 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $20,648 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9520 | Total |
| Program Services | 9520 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 811079 | Total |
| Program Services | 565665 | ProgramServices |
| Management And General | 245414 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30221 | Total |
| Management And General | 30221 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62374 | Total |
| Program Services | 62374 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74514 | Total |
| Program Services | 74514 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18577 | Total |
| Program Services | 18577 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70219 | Total |
| Program Services | 56175 | ProgramServices |
| Management And General | 14044 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3201 | Total |
| Program Services | 3201 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20862 | Total |
| Program Services | 20862 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 597466 | Total |
| Program Services | 597466 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107968 | Total |
| Program Services | 107968 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| PHYSICIAN FEES | 851720 | 851720 |
| EQUIPMENT MAINTENANCE | 225752 | 225752 |
| BAD DEBTS | 28829 | 28829 |
| DUES AND SUBSCRIPTIONS | 10655 | 10655 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48774 | Total |
| Program Services | 48774 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2971731 | Total |
| Program Services | 2682052 | ProgramServices |
| Management And General | 289679 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 513135 | BOY |
| EOY | 100279 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3620248 | BOY |
| EOY | 3052165 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 329912 | BOY |
| EOY | 385741 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29070 | BOY |
| EOY | 110107 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 12542373 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3366514 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3848686 | BOY |
| EOY | 9175859 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8341051 | BOY |
| EOY | 12824151 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36843 | BOY |
| EOY | 56794 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 3710000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 742104 | BOY |
| EOY | 164616 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 778947 | BOY |
| EOY | 3931410 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7562104 | BOY |
| EOY | 8892741 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7562104 | BOY |
| EOY | 8892741 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8341051 | BOY |
| EOY | 12824151 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 1330637 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (2 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| CGH MEDICAL CENTER | |||||
| 363479824 | 6 | 1 | 1 | 1 | $0 |
| KATHERINE SHAW BETHEA HOSPITAL | |||||
| 361000540 | 3 | 1 | 1 | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 2 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11637 | OtherCostOrOtherBasis |
| Book Value | 11637 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6579306 | OtherCostOrOtherBasis |
| Depreciation | 659342 | Depreciation |
| Book Value | 5919964 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5637030 | OtherCostOrOtherBasis |
| Depreciation | 2566780 | Depreciation |
| Book Value | 3070250 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 314400 | OtherCostOrOtherBasis |
| Depreciation | 140392 | Depreciation |
| Book Value | 174008 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9175859 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CONSTRUCTION CONTRACT PAYABLE | $59,977 |
| DUE TO CGH | $104,639 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 164616 | TotalOfAmounts |
| Total Revenue | 4302368 | TotalRevenue |
| Total Expenses | 2971731 | TotalExpenses |
| Excess Or Deficit For Year | 1330637 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 1330637 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4306646 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 4306646 | RevenueSubtotal |
| Other Revenues Not Included | -4278 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -4278 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4302368 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2976009 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2976009 | ExpensesSubtotal |
| Other Expenses Not Included | -4278 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | -4278 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 2971731 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | LOSS ON SALE OF ASSETS -4,278. |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | LOSS ON SALE OF ASSETS -4,278. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOME OF HOPE OF THE ROCK RIVER VALLEY INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1637 PLOCK RD | AddressLine1 |
| City | DIXON | City |
| State | IL | State |
| ZIP Code | 61021 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 363572331 | EINOfRecipient |
| IRC Section | 501(C)3 | IRCSection |
| Amount Of Cash Grant | 7500 | AmountOfCashGrant |
| Purpose Of Grant | DONATION TO SUPPORT THE NOT-FOR-PROFIT ORGANIZATION WHO PROVIDE SUPPORT SERVICES TO CANCER PATIENTS. | PurposeOfGrant |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR MICHAEL IMLER | |||||||||||||
| 0 | 222927 | 0 | 78520 | 0 | 0 | 0 | 28750 | 0 | 16826 | 0 | 347023 | 0 | 0 |
| THOMAS P MCGLONE MD FACS | |||||||||||||
| 0 | 420700 | 0 | 0 | 0 | 0 | 0 | 7350 | 0 | 23715 | 0 | 451765 | 0 | 0 |
| RAY SHARP | |||||||||||||
| 0 | 167999 | 0 | 0 | 0 | 0 | 0 | 33230 | 0 | 9027 | 0 | 210256 | 0 | 0 |
| JON BERENS | |||||||||||||
| 0 | 184091 | 0 | 0 | 0 | 0 | 0 | 30088 | 0 | 23715 | 0 | 237894 | 0 | 0 |
| THERESA FRIEL-DRAPER | |||||||||||||
| 0 | 151309 | 0 | 6624 | 0 | 0 | 0 | 38298 | 0 | 9027 | 0 | 205258 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 6 | ReturnReference |
| Explanation | DR. MICHAEL IMLER AS A DOCTOR FOR KSB HOSPITAL RECEIVED A BONUS BASED ON THE THE NET CASH COLLECTIONS OF HIS INDIVIDUAL PRACTICE. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CGH MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | 50% EQUITY INTEREST | Relationship |
| Amount Of Transaction | 811079 | AmountOfTransaction |
| Description Of Transaction | CGH MEDICAL CENTER LEASES EMPLOYEES TO ITS RELATED ORGANIZATIONS, ALL OF WHICH ARE IN HEALTHCARE RELATED ACTIVITIES. FEES PAID TO CGH MEDICAL CENTER ARE FOR THE CENTER'S SHARE OF COMPENSATION AND OTHER BENEFITS OF EMPLOYEES WHO WORK AT THE CENTER. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THE BOARD OF DIRECTORS OF NORTHERN ILLINOIS CANCER TREATMENT CENTER HAVE BOARD MEMBERS WHO ARE EMPLOYEES OF CGH MEDICAL CENTER AND KATHERINE SHAW BETHEA HOSPITAL, BOTH OF WHICH HAVE A 50% EQUITY INTEREST IN THE CENTER, THUS CREATING A BUSINESS RELATIONSHIP. THERESA FRIEL-DRAPER SERVED ON THE BOARD OF NORTHERN ILLINOIS CANCER TREATMENT CENTER UNTIL MARCH OF 2011. SHE IS ALSO AN OFFICER AND EMPLOYEE OF CGH MEDICAL CENTER VERNON FARRELL AND DR. MICHAEL IMLER SERVE ON THE BOARD OF NORTHERN ILLINOIS CANCER TREATMENT CENTER AND WERE ALSO EMPLOYEES OF KATHERINE SHAW BETHEA HOSPITAL. DONNA HOYLE SERVES ON THE BOARD OF NORTHERN ILLINOIS CANCER TREATMENT CENTER AND IS ALSO A BOARD MEMBER OF KATHERINE SHAW BETHEA HOSPITAL. JAMES SAY SERVES ON THE BOARD OF NORTHERN ILLINOIS CANCER TREATMENT CENTER AND IS ALSO ON THE BOARD OF CGH MEDICAL CENTER. RAY SHARP SERVES ON THE BOARD OF NORTHERN ILLINOIS CANCER TREATMENT CENTER AND IS ALSO AN EMPLOYEE OF CGH MEDICAL CENTER. DR. THOMAS MCGLONE SERVES ON THE BOARD OF NORTHERN ILLINOIS CANCER TREATMENT CENTER AND IS ALSO AN EMPLOYEE OF STERLING ROCK FALLS CLINIC A RELATED ENTITY OF CGH MEDICAL CENTER. | |
| FORM 990, PART VI, SECTION A, LINE 6 | PER THE ORGANIZATION'S BY LAWS, THERE SHALL BE TWO MEMBERS: CGH MEDICAL CENTER AND KATHERINE SHAW BETHEA HOSPITAL. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE GOVERNING BODY CONSISTS OF 8 DIRECTORS, 3 OF WHICH ARE CHOSEN BY THE BOARD OF DIRECTORS OF CGH MEDICAL CENTER AND 3 OF WHICH ARE CHOSEN BY THE KATHERINE SHAW BETHEA HOSPITAL. | |
| FORM 990, PART VI, SECTION B, LINE 11 | A DRAFT COPY OF FORM 990 IS PROVIDED TO THE DIRECTOR AND THE TREASURER OF THE BOARD TO REVIEW THE RETURN. IF THEY AGREE, THEY MAKE COPIES AVAILABLE TO ALL MEMBERS OF THE BOARD FOR REVIEW. THEY THEN LET THE RETURN PREPARER KNOW THAT THE RETURN IS READY TO BE PROCESSED. | |
| ALL WAGE/SALARY RANGES ARE RESEARCHED AND COMPARED TO SELECTED COMPENSATION SURVEY DATA TO DETERMINE REQUIRED MARKET ADJUSTMENTS. POSITION DESCRIPTIONS MUST BE MAINTAINED ON A CURRENT BASIS AND WILL BE USED AS A BASIS OF COMPARISON TO MARKET DATA. THIS PROCESS WILL TAKE PLACE AT LEAST TWICE PER YEAR. ADDITIONAL COMPARISONS WILL BE CONDUCTED ANY TIME THE MARKETPLACE INDICATES PRESSURE ON KEY POSITIONS. OVERALL MARKET ADJUSTMENTS ARE EFFECTIVE THE FIRST FULL PAY OF JULY OF EACH YEAR, WITH ADDITIONAL ADJUSTMENTS MADE AS CONDITIONS SO WARRANT. COMPENSATION FOR THE CORPORATION'S DIRECTOR IS APPROVED BY THE BOARD. | FORM 990, PART VI, SECTION B, LINE 15A | |
| THESE DOCUMENTS CAN BE OBTAINED UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| HOURS DEVOTED TO RELATED ORGANIZATION | DR. MICHAEL IMLER IS A PHYSICIAN WORKING FOR KSB HOSPITAL, AND WORKS 40 HOURS PER WEEK AVERAGE. THOMAS P. MCGLONE IS A PHYSICIAN WORKING FOR CGH MEDICAL CENTER, AND WORKS AN AVERAGE OF 40 HOURS PER WEEK IN THIS CAPACITY. RAY SHARP IS AN EMPLOYEE OF CGH MEDICAL CENTER AND WORKS AN AVERAGE OF 40 HOURS PER WEEK IN THIS CAPACITY. VERNON FARRELL IS AN EMPLOYEE OF KSB HOSPITAL AND WORKS AN AVERAGE OF 20 HOURS PER WEEK IN THIS CAPACITY. THERESA FRIEL-DRAPER IS AN EMPLOYEE OF CGH MEDICAL CENTER AND WORKS AN AVERAGE OF 40 HOURS PER WEEK IN THIS CAPACITY. | FORM 990, PART VII, COLUMN B |
| THE ORGANIZATIONS BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND CHOOSES THE INDEPENDENT ACCOUNTANT. | FORM 990, PART XII, LINE 2C |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| CGH MEDICAL CENTER | ||||||||||
| 100 E LEFEVRE RD | STERLING | IL | 61081 | 363479824 | HOSPITAL | IL | GOVT UNIT - SEC 115 | N/A | N/A | 0 |
| KSB HOSPITAL | ||||||||||
| 403 E 1ST ST | DIXON | IL | 61021 | 361000540 | HOSPITAL | IL | 501(C)(3) | LINE 3 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CGH MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | N | TransactionType |
| Amount Involved | 811079 | AmountInvolved |
| Method Of Amt Determination | CASH | MethodOfAmtDetermination |