Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 1,212,825 | 759,773 | 757,648 | 622,691 | 1,141,081 | 4,494,018 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 1,212,825 | 759,773 | 757,648 | 622,691 | 1,141,081 | 4,494,018 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 863,722 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 3,630,296 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 1,212,825 | 759,773 | 757,648 | 622,691 | 1,141,081 | 4,494,018 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 282 | 113 | 30 | 48 | 77 | 550 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 0 | |||||
| 11 | Total support Add lines 7 through 10. | 4,494,568 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| PART III, LINE 4A - PROGRAM SERVICE ACCOMPLISHMENTS | FISCAL YEAR END 2015 COMMUNITY CANCER RESEARCH FOUNDATION, INC. (CCRF) ACTIVITIES (JULY 1, 2014 THROUGH JUNE 30, 2015) - THE CANCER RESEARCH FOUNDATION RELIES ON PUBLIC CONTRIBUTIONS TO HELP OFFSET THE COSTS OF CONDUCTING CLINICAL TRIALS AND OFFERING SUPPORT SERVICES. THROUGH FINANCIAL AND RESOURCE DONATIONS OF MANY INDIVIDUALS AND ORGANIZATIONS, THESE SERVICES HAVE BEEN POSSIBLE. IN ADDITION, THE COMMUNITY HEALTHCARE SYSTEM HOSPITALS PROVIDE FINANCIAl AND PERSONNEL SUPPORT FOR MANY OF THE ACTIVITIES OF THE FOUNDATION. FOUNDATION ACTIVITIES: THE FOUNDATION CONTINUOUSLY SEEKS OPPORTUNITIES TO EDUCATE THE PUBLIC AND PROFESSIONALS ABOUT THE LATEST IN CANCER CARE AND SUPPORTS CLINICAL TRIALS IN THE COMMUNITY SO INDIVIDUALS DIAGNOSED WITH CANCER DO NOT ALWAYS HAVE TO TRAVEL TO DISTANT HOSPITALS TO RECEIVE THIS TYPE OF TREATMENT. PROGRAMS HELD THIS YEAR INCLUDED: ANNUAL SPRING SYMPOSIUM-CANCER UPDATE 2015 HELD ON MARCH 07, 2015 FOR HEALTHCARE PROFESSIONALS: EXPERT SPEAKERS EDUCATED PROFESSIONALS ON BREAST CANCER INCLUDING SURGICAL APPROACHES, RECONSTRUCTIVE SURGERY, AND TREATING LYMPHEDEMA IN WOMEN WHO HAVE RECEIVED TREATMENT FOR BREAST CANCER. THIS WAS MADE POSSIBLE THROUGH GRANTS FROM THE JOHN W. ANDERSON. VARIOUS MEMBERS OF THE FOUNDATION PARTICIPATED IN THE CANCER COMMITTEE FOR BOTH COMMUNITY HOSPITAL AND ST. MARY MEDICAL CENTER. THE COMMITTEE WORKED TO PLAN THE ACTIVITIES OF THE CANCER PROGRAM AND HELPED TO MAINTAIN AND IMPROVE PRACTICE STANDARDS TO MEET THE CRITERIA OUTLINED BY THE AMERICAN COLLEGE OF SURGEONS. A MAJOR PROJECT OF THE COMMITTEE THIS YEAR WAS TO INITIATE THE NEW STANDARDS FOR THE AMERICAN COLLEGE OF SURGEONS AND THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS. AN OUTCOME OF THESE STANDARDS WAS A CANCER NAVIGATION AND SURVIVORSHIP PROGRAM. THE FOUNDATION WORKED TO SUPPORT SOME OF THE ACTIVITIES OF THIS PROGRAM THROUGH THE PURCHASE OF SUPPLIES FOR PATIENTS AND THE PRESENCE OF THE NAVIGATOR AT THE CANCER RESOURCE CENTRE TO MEET WITH ALL NEWLY DIAGNOSED BREAST CANCER PATIENTS. CANCER RESEARCH DEPARTMENT ACTIVITIES - THE CANCER RESEARCH DEPARTMENT STAFF PARTICIPATED IN THE FOLLOWING PROGRAMS DURING THIS PAST FISCAL YEAR: THE CANCER RESEARCH DEPARTMENT OFFERED A NUMBER OF CLINICAL TRIALS LOCALLY THROUGH THE NATIONAL CANCER INSTITUTE COOPERATIVE GROUPS. THE TRANSITION TO AN NRG ONCOLOGY MAIN GROUP MEMBER OFFERED A NUMBER OF NEW OPPORTUNITIES FOR PARTNERSHIPS IN NEW CLINICAL TRIALS. THE OPPORTUNITY TO PROVIDE NEW RESEARCH FOR TRIPLE-NEGATIVE BREAST CANCER, A VERY AGGRESSIVE TYPE OF CANCER IN MANY INDIVIDUALS, WAS PRESENTED AND THREE NEW STUDIES FOR THIS TYPE OF BREAST CANCER WERE INITIATED DR. NEEL SHAH AND DR. NEERU BOSE WERE ADDED AS NEW INVESTIGATORS TO THE PROGRAMS. ALL STAFF PARTICIPATED IN LOCAL HEALTH FAIRS, CANCER SCREENINGS AND LECTURES. FUNDRAISING EVENTS: ANNUAL PERENNIAL BALL HELD IN APRIL 2015: MAJOR FUNDRAISER FOR THE FOUNDATION HELD IN THE SPRING. THIS YEAR'S EVENT WAS HELD AGAIN AT THE HILTON IN CHICAGO, ILLINOIS WITH 604 IN ATTENDANCE. THE EVENT RAISED OVER $270,000 WITH OVER $9,000 GOING DIRECTLY TOWARDS THE CANCER RESOURCE CENTRE. IT WAS THE MOST SUCCESSFUL EVENT TO DATE. TREE LIGHTING CEREMONY: THIS YEAR'S EVENT RAISED OVER $11,000 FOR CANCER RESEARCH. OUR HONORED GUEST TO LIGHT THE HOLIDAY TREE WAS DR. THOMAS HOESS. DR HOESS IS A LONGSTANDING MEMBER OF THE FOUNDATION BOARD OF DIRECTORS AND REGULARLY VOLUNTEERS HIS TIME TO READING RADIOLOGY REPORTS OF THOSE INDIVIDUALS PARTICIPATING IN RESEARCH. CANCER RESOURCE CENTRE UNITE AND FIGHT: THE CANCER RESOURCE CENTRE'S MAIN FUNDRAISING EVENT WAS WELL ATTENDED WITH OVER 1,000 INDIVIDUALS PRESENT. THIS YEAR'S EVENT RAISED IN EXCESS OF $85,000. FRIENDS OF THE CANCER RESOURCE CENTRE: THIS AUXILIARY GROUP CONTINUED TO SUPPORT THE CANCER RESOURCE CENTRE WITH VARIOUS FUNDRAISERS. THE SECOND ANNUAL "HOLIDAY 101" FUNDRAISER WAS HELD IN NOVEMBER. IN TOTAL, THE FRIENDS GROUP RAISED OVER $26,000 FOR THE CENTRE. COMMUNITY SUPPORT: IF NOT FOR COMMUNITY SUPPORT, IT WOULD BE DIFFICULT TO CONTINUE TO FULFILL OUR MISSION. WE ARE THANKFUL FOR THE MANY COMMUNITY GROUPS AND BUSINESSES WHO CONTINUE TO SUPPORT OUR ORGANIZATION AND ACCOUNT FOR A LARGE PART OF OUR INCOME. WE HAVE HAD NUMEROUS INDIVIDUALS AND ORGANIZATIONS HOLD FUNDRAISERS FOR OUR BENEFIT AND WE TRULY APPRECIATE THEIR SELFLESS EFFORTS. IN ADDITION, THE COMMUNITY HEALTHCARE FOUNDATION AND A NUMBER OF ITS ENTITIES CONTRIBUTE NOT ONLY MONETARILY, BUT THROUGH THE TIME AND TALENTS OF MANY EMPLOYEES. CANCER RESOURCE CENTRE ACTIVITIES: DURING THE PAST FISCAL YEAR THE CANCER RESOURCE CENTRE SAW 550 NEW VISITORS MAKING UP 3,566 VISITS. IN TOTAL, THE FREE SERVICES OF THE CANCER RESOURCE CENTRE HAVE BEEN UTILIZED BY 5,236 INDIVIDUALS MAKING A TOTAL OF 37,459 VISITS SINCE IT OPENED ITS DOORS IN 2003. THE CANCER RESOURCE CENTRE, WHICH WAS OPENED JUNE 1, 2003 CONTINUES TO GROW AND EXPAND SERVICES. NEW PROGRAMS IMPLEMENTED THIS FISCAL YEAR INCLUDED THE FOLLOWING: MIND OVER MOOD SUPPORT GROUP CARING FOR THE CAREGIVER SUPPORT GROUP CHAKRA CRYSTAL BOWL SOUND HEALING CANCER RESOURCE CENTRE PICNIC NUTRITION AND EXERCISE FOR ONCOLOGY PATIENTS MEDICARE/AFFORDABLE CARE ACT PROGRAM SURVIVORSHIP PROGRAM LIVING WILLS/ADVANCED DIRECTIVES/ESTATE PLANNING PROGRAM MANAGING STRESS AND FATIGUE PROGRAM WALKERS CLUB 101 ORAL CARE PROGRAM HEALTHY EATING PROGRAM GUIDED IMAGERY LECTURE PROGRAM FUTURE DIRECTIONS: COMMUNITY CANCER RESEARCH FOUNDATION, INC. WILL FOCUS ON THE FOLLOWING GOALS FOR THE UPCOMING YEAR: CONTINUE TO WORK WITH NEW IVESTIGATORS INCREASE PATIENT ACCRUAL ON CLINICAL TRIALS TO MEET AMERICAN COLLEGE OF SURGEONS CRITERIA OF 3% AT COMMUNITY HOSPITAL AND 2% AT ST. MARY MEDICAL CENTER PROVIDE NAVIGATION AND SURVIVORSHIP VISITS OF ALL NEWLY DIAGNOSED BREAST CANCER PATIENTS MEET WITH ALL NEW BREAST CANCER PATIENTS AT THE CANCER RESOURCE CENTRE CONDUCT DISTRESS SCREENING ON ALL NEW PATIENTS OF THE CANCER RESOURCE CENTRE INCREASE NAVIGATION AND SURVIVORSHIP VISITS TO 25% OF NEWLY DIAGNOSED CANCER PATIENTS TREATED FOR A CURATIVE INTENT (SECOND HALF OF 2016) |
| PART VI, LINE 2 - FAMILY OR BUSINESS RELATIONSHIPS | FRANKIE FESKO IS A FAMILY MEMBER OF DONALD S. POWERS AND DONALD P. FESKO. |
| PART VI, LINE 6 - MEMBERS OR STOCKHOLDERS | MUNSTER MEDICAL RESEARCH FOUNDATION, INC. (MMRF) IS THE SOLE MEMBER OR STOCKHOLDER. |
| PART VI, LINE 7A - WHO HAS THE POWER TO ELECT MEMBERS OF GOVERNING BODY | MUNSTER MEDICAL RESEARCH FOUNDATION,INC. (MMRF) IS THE PARENT COMPANY OF COMMUNITY CANCER RESEARCH FOUNDATION, INC. AND HAS CONTROL TO ELECT MEMBERS TO THEIR GOVERNING BODY. |
| PART VI, LINE 7B - GOVERNANCE DECISIONS RESERVED OTHER THAN GOVERNING BODY | MUNSTER MEDICAL RESEARCH FOUNDATION, INC. IS THE PARENT COMPANY OF COMMUNITY CANCER RESEARCH FOUNDATION, INC. AND HAS RIGHTS TO APPROVE DECISIONS MADE BY COMMUNITY CANCER RESEARCH FOUNDATION, INC. |
| PART VI, LINE 11B - GOVERNING BODY 990 REVIEW PROCESS | THE 990 IS SUBMITTED TO THE SR VP AND SYSTEM CFO FOR REVIEW, ONCE THIS REVIEW IS COMPLETE THE RETURNS ARE THEN PRESENTED TO SENIOR LEADERSHIP FOR REVIEW. THE 990 IS THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM AND THEN POSTED TO A SECURE WEBSITE TO ALLOW THE BOARD OF DIRECTORS TO REVIEW PRIOR TO FILING. |
| PART VI, LINE 12C - PROCESS TO MONITOR CONFLICT OF INTEREST | AS PART OF THE ORGANIZATION'S ANNUAL MONITORING & ENFORCEMENT PROCEDURE RELATING TO ITS CONFLICT OF INTEREST POLICY, ALL CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE VP OF CORPORATE COMPLIANCE AND THOSE OFFICERS, DIRECTORS, OR KEY EMPLOYEES WHO DO NOT RETURN OR FULLY COMPLETE THE QUESTIONNAIRE ARE CONTACTED TO RECONCILE THE OMISSION. RESTRICTIONS ON MEMBERS WITH A CONFLICT - MEMBERS WITH A CONFLICT ARE REQUIRED TO RECUSE THEMSELVES FROM ANY DELIBERATION AND MUST ABSTAIN FROM THE VOTE. |
| PART VI, LINE 19 - PUBLIC AVAILABILITY OF FS, COI POLICY, & GOVERNING DOCS | COMMUNITY CANCER RESEARCH FOUNDATION, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. IN ACCORDANCE WITH BOND COVENANTS, COMMUNITY CANCER RESEARCH FOUNDATION, INC. THROUGH COMMUNITY FOUNDATION OF NORTHWEST INDIANA MAKES ITS FINANICAL STATEMENTS AND DISCLOSURES AVAILABLE TO THE PUBLIC THROUGH THE EMMA DATABASE. |
| PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS | EQUITY TRANSFERS FROM COMMUNITY FOUNDATION OF NORTHWEST IN 226,572 EQUITY TRANSFERS FROM MUNSTER MEDICAL RESEARCH FOUNDATION 53,432 EQUITY TRANSFERS FROM COMMUNITY CARE NETWORK 3,060 EQUITY TRANSFER TO ST. CATHERINE HOSPITAL (1,525) EQUITY TRANSFER TO ST. MARY MEDICAL CENTER (805) EQUITY TRANSFER TO COMMUNITY VILLAGE (500) OTHER CHANGE IN NET ASSETS 280,234 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:71448 |
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| Software Version: |