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CANCER CARE CNTR OF YORK COUNTY: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CANCER CARE CNTR OF YORK COUNTY (EIN 20-1600381)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-07-28
IRS object ID
201142099349300119
Schema version
2009v1.7
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)
Timestamp2011-07-28T12:19:55-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Date2009-10-01TaxPeriodBeginDate

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 Signed2010-07-28DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Date Prepared2011-07-28DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts2375324GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.CANCERCAREYORKCOUNTY.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionPROVIDING RADIATION THERAPY TREATMENTS TO CANCER PATIENTSActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1127ContributionsGrantsPriorYear
Contributions Grants Current Year2076ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2705142ProgramServiceRevenuePriorYear
Program Service Revenue CY2366821ProgramServiceRevenueCY
Investment Income Prior Year4825InvestmentIncomePriorYear
Investment Income Current Year1627InvestmentIncomeCurrentYear
Other Revenue Prior Year4400OtherRevenuePriorYear
Other Revenue Current Year4800OtherRevenueCurrentYear
Total Revenue Prior Year2715494TotalRevenuePriorYear
Total Revenue Current Year2375324TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year83918SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2779668OtherExpensePriorYear
Other Expenses Current Year2428223OtherExpensesCurrentYear
Total Expenses Prior Year2779668TotalExpensesPriorYear
Total Expenses Current Year2512141TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-64174RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-136817RevenuesLessExpensesCY
Total Assets BOY4577778TotalAssetsBOY
Total Assets EOY4088369TotalAssetsEOY
Total Liabilities BOY4836660TotalLiabilitiesBOY
Total Liabilities EOY4484067TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-258882NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-395698NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDING RADIATION THERAPY TREATMENTS TO CANCER PATIENTSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2294343Expense
Revenue2366821Revenue
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. 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. (CONTINUED ON SCHEDULE O) THE ORGANIZATION SERVES APPROXIMATELY 400 PATIENTS EACH YEAR TOTALING APPROXIMATELY 10,000 VISITS. 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 Expense2294343TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
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
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
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 PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
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 WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
EDWARD J MCGEACHEY
VICE CHAIR1.00XX042929820056
NATHAN WILSON MD
DIRECTOR1.00X032219249091
MIRIAM A LEONARD
DIRECTOR1.00X024584129438
ALBERT G SWALLOW
TREASURER1.00XX021850931008
ROBERT HARDISON
CHAIRMAN1.00XX000
DONNA DESAULNIER
DIRECTOR1.00X000
CHARLES CARUSO
SECRETARY1.00XX000
ARLENE FORTIER
DIRECTOR1.00X000
JEFFREY YOUNG MD
DIRECTOR1.00X000
KAREN PIERCE-STEWART
DIRECTOR/CEO40.00X10668042
FieldValueIRS element (for citing)
Total Reportable Comp From Org10668TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1215840TotalReportableCompFrmRltdOrgs
Total Other Compensation129635TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MAINE MEDICAL CENTER
22 BRAMHALL STREETPORTLANDME04102PURCHASED STAFF702293
SPECTRUM MEDICAL GROUP
324 GANNETT DRIVESOUTH PORTLANDME04106CLINICAL/ADMIN448877
SIEMENS MEDICAL SOLUTIONS USA INC
51 VALLEY STREAM PARKWAYMALVERNPA19355EQUIP. MAINT.145918
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions2076AllOtherContributions
Total Contributions2076TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionOUTPATIENT SERVICE REVENUEDescription
Business Code621400BusinessCode
Total Revenue Column2366821TotalRevenueColumn
Related Or Exempt Function Income2366821RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2366821TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1627TotalRevenueColumn
Related Or Exempt Function Income1627RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER OPERATING REVENUEDescription
Total Revenue Column4800TotalRevenueColumn
Related Or Exempt Function Income4800RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4800TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2375324TotalRevenueColumn
Related Or Exempt Function Income2373248RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total83918Total
Management And General83918ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total170Total
Management And General170ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8565Total
Management And General8565ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1261760Total
Program Services1178078ProgramServices
Management And General83682ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total38855Total
Management And General38855ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total61747Total
Program Services61747ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total22756Total
Program Services22756ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total56665Total
Program Services56665ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total21013Total
Program Services21013ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total227011Total
Program Services227011ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total470249Total
Program Services470249ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total29007Total
Program Services26399ProgramServices
Management And General2608ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
RADIOLOGY EQUIP. MAINT.145918145918
BAD DEBTS5800358003
MISCELLANEOUS2650426504

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2512141Total
Program Services2294343ProgramServices
Management And General217798ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY267315BOY
EOY426184EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY389347BOY
EOY256095EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY235295BOY
EOY173319EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY23288BOY
EOY32751EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5300127LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2189481LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3580896BOY
EOY3110646EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY81637BOY
EOY89374EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4577778BOY
EOY4088369EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY212669BOY
EOY174620EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3890BOY
EOY1072EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4171847BOY
EOY3984271EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY448254BOY
EOY324104EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4836660BOY
EOY4484067EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-258882BOY
EOY-395698EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-258882BOY
EOY-395698EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4577778BOY
EOY4088369EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3107190OtherCostOrOtherBasis
Depreciation669186Depreciation
Book Value2438004BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2019445OtherCostOrOtherBasis
Depreciation1515715Depreciation
Book Value503730BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12378OtherCostOrOtherBasis
Depreciation4580Depreciation
Book Value7798BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3110646TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO MAINE MEDICAL CENTERDescription
Amount$324,104Amount
FieldValueIRS element (for citing)
Total Of Amounts324104TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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)

Comp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
EDWARD J MCGEACHEY
429298857511481449354
NATHAN WILSON MD
3221923723511856371283
MIRIAM A LEONARD
1813311965274732752793112033390
ALBERT G SWALLOW
19598430412796724951721825700
KAREN PIERCE-STEWART
106684210710

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4MIRIAM A. LEONARD 0 31,317 0
OTHER ADDITIONAL INFORMATIONSCHEDULE J, PART IIIHENRIETTA D. GOODALL HOSPITAL IS A ONE-THIRD MEMBER OF THIS ORGANIZATION, CANCER CARE CENTER OF YORK COUNTY (CCCYC). IT DOES NOT MEET THE DEFINITION OF BEING A RELATED ORGANIZATION DESCRIBED IN THE INSTRUCTIONS FOR FORM 990, SCHEDULE R. HENRIETTA D. GOODALL HOSPITAL EMPLOYED THE CEO OF CCCYC. THE CEO, KAREN PIERCE-STEWART DEVOTED 100% OF HER TIME AS THE CEO OF CCCYC, AND SHE WAS PAID 100% OF HER W-2 COMPENSATION AND NONTAXABLE BENEFITS BY HENRIETTA D. GOODALL HOSPITAL. CCCYC PAID HENRIETTA D. GOODALL HOSPITAL FOR THE SERVICES OF THE CEO AS PART OF A CONTRACT FOR PURCHASED SERVICES. THE AMOUNT PAID BY CCCYC FOR THESE SERVICES DURING THE FISCAL YEAR ENDED 9/30/10 APPEARS ON FORM 990, PART IX, LINE 11A AS MANAGEMENT SERVICES IN THE AMOUNT OF 83,918. (CONTINUED ON NEXT PAGE) ALL OF THE AMOUNTS SHOWN ON FORM 990, PART VII, SECTION A, AND FORM 990, SCHEDULE J, PART II, COLUMNS (B) THROUGH (F) REFLECT 100% OF THE COMPENSATION AMOUNTS PAID BY HENRIETTA D. GOODALL HOSPITAL TO KAREN PIERCE-STEWART DURING THE 2009 CALENDAR YEAR. CCCYC DOES NOT PAY ANY COMPENSATION DIRECTLY TO KAREN PIERCE-STEWART. HOWEVER, PER THE 990 INSTRUCTIONS, THE NATURE OF THESE SERVICES REQUIRES CCCYC TO REPORT THESE AMOUNST PAID AS THOUGH THEY WERE PAID BY CCCYC.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIRST ACHIEVEMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4ATHE ORGANIZATION SERVES APPROXIMATELY 400 PATIENTS EACH YEAR TOTALING APPROXIMATELY 10,000 VISITS. 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.
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 & 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 11THE FINAL FORM 990 IS PROVIDED TO EACH DIRECTOR AND OFFICER BEFORE THE RETURN IS SIGNED BY THE TREASURER AND FILED.
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.
ADDITIONAL INFORMATIONSCHEDULE OFORM 990, PART VI, SECTION B. POLICIES, LINE 13 - WHISTLEBLOWER POLICY CANCER CARE CENTER OF YORK COUNTY (CCCYC) WAS FOLLOWING THE WHISTLEBLOWER POLICY OF MAINE MEDICAL CENTER DURING THE FISCAL YEAR ENDED 9/30/10. FORM 990, PART VI, SECTION B. POLICIES, LINE 13 - DOCUMENT RETENTION & DESTRUCTION POLCIY CCCYC FOLLOWED THE DOCUMENT RETENTION & DESTRUCTION POLICY OF MAINE MEDICAL CENTER DURING THE FISCAL YEAR ENDED 9/30/10.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MAINE MEDICAL CENTER
22 BRAMHALL STREETPORTLANDME04102010238552HOSPITALME5013NA
SMMC - WEBBER HOSPITAL ASSOC
PO BOX 626BIDDEFORDME040050626010179500HOSPITALME5013NA
MAINEHEALTH
465 CONGRESS STREET SUITE 600PORTLANDME04101010431680HEALTHCAREME50111CNA

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 OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
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 OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg