COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INCORPORATED: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INCORPORATED (EIN 04-3312968)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-09
IRS object ID: 202201299349300645
Schema version: 2020v4.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-09T10:15:06-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	221478099	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	COHNREZNICK LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	350 CHURCH STREET 12TH FLOOR	AddressLine1Txt
City	HARTFORD	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	043312968	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY HEALTH CENTER OF FRANKLIN	BusinessNameLine1Txt
Business Name Line2	COUNTY INCORPORATED	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	COMM	BusinessNameControlTxt
Phone	4133258500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	102 MAIN STREET	AddressLine1Txt
City	GREENFIELD	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01301	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ALLISON VAN DER VELDEN	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	4133258500	PhoneNum
Signature	2022-05-06	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	ALLISON	PersonFirstNm
Person Last	VAN DER VELDEN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LORI ROTHE YOKOBOSKY CPA	PreparerPersonNm
PTIN	P01273422	PTIN
Phone	9592007000	PhoneNum
Preparation	2022-05-02	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ALLISON VAN DER VELDEN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	102 MAIN STREET	AddressLine1Txt
City	GREENFIELD	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01301	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$12,352,098	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHCFC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	TO CARE FOR THE HEALTH OF OUR COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	121	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	-$57,529	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,581,185	PYContributionsGrantsAmt
CY Contributions Grants	$6,452,548	CYContributionsGrantsAmt
PY Program Service Revenue	$5,020,875	PYProgramServiceRevenueAmt
CY Program Service Revenue	$5,812,420	CYProgramServiceRevenueAmt
PY Investment Income	$22,736	PYInvestmentIncomeAmt
CY Investment Income	$10,094	CYInvestmentIncomeAmt
PY Other Revenue	$60,440	PYOtherRevenueAmt
CY Other Revenue	-$28,281	CYOtherRevenueAmt
PY Total Revenue	$8,685,236	PYTotalRevenueAmt
CY Total Revenue	$12,246,781	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$6,185,826	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$6,787,536	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,320,480	PYOtherExpensesAmt
CY Other Expenses	$2,795,160	CYOtherExpensesAmt
PY Total Expenses	$8,506,306	PYTotalExpensesAmt
CY Total Expenses	$9,582,696	CYTotalExpensesAmt
PY Revenues Less Expenses	$178,930	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,664,085	CYRevenuesLessExpensesAmt
Total Assets BOY	$7,121,524	TotalAssetsBOYAmt
Total Assets EOY	$11,724,719	TotalAssetsEOYAmt
Total Liabilities BOY	$2,084,085	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,023,195	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,037,439	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$7,701,524	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE FULL MISSION OF THE COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY, INC IS TO MAINTAIN A COMMUNITY OWNED, RESPONSIVE HEALTH CENTER WHICH PROMOTES PUBLIC HEALTH AND WELL-BEING, AND PROVIDES COMPREHENSIVE PREVENTATIVE AND PRIMARY CARE SERVICES TO ALL WHO NEED OR DESIRE SUCH SERVICES, WITHOUT REGARD TO INCOME, INSURANCE STATUS, ABILITY TO PAY, OR PAST MEDICAL HISTORY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$4,932,974	ExpenseAmt
Revenue	$5,841,668	RevenueAmt
Desc	THE HEALTH CENTER OFFERS HIGH QUALITY PRIMARY CARE, WITH AN EMPHASIS ON PREVENTIVE CARE AND EDUCATION. OUR PATIENTS ARE OFFERED A FULL RANGE OF PRIMARY CARE SERVICES, INCLUDING PHYSICAL EXAMS, GYNECOLOGICAL EXAMS, URGENT CARE, DISEASE MANAGEMENT, DIAGNOSTIC SCREENINGS, AND LABORATORY SERVICES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$2,498,369	ExpenseAmt
Revenue	$1,331,351	RevenueAmt
Desc	THE HEALTH CENTER PROVIDES PREVENTIVE, RESTORATIVE, AND EMERGENCY DENTAL CARE FOR CHILDREN AND ADULTS. SERVICES INCLUDE EXAMS, CLEANINGS, SEALANTS, FILLINGS, EXTRACTIONS, INCLUDING "WISDOM TEETH", IMPLANTS, ROOT CANAL TREATMENT AND CROWNS, DENTURES, AND OTHER GENERAL DENTAL PROCEDURES. PARTICULAR EMPHASIS IS PLACED ON PREVENTIVE SERVICES FOR CHILDREN.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$4,642	ExpenseAmt
Desc	INDIVIDUAL NUTRITIONAL COUNSELING IS PROVIDED BY A REGISTERED DIETICIAN TO HELP OUR PATIENTS MANAGE THE DIETARY FACTORS THAT AFFECT THEIR HEALTH.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$7,435,985	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	13	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	121	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ARLEY HOYNOSKI	PersonNm
Phone	4133258500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	102 MAIN STREET	AddressLine1Txt
City	GREENFIELD	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01301	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CASSAUNDRA GONZALEZ
DIRECTOR	1.00	Yes (X)	$0	$0	$0
EDMOND HAYES
DIRECTOR	1.00	Yes (X)	$0	$0	$0
GAIL SAWOSIK
DIRECTOR	1.00	Yes (X)	$0	$0	$0
GARTH SHANEYFELT
VICE PRESIDENT	1.00	Yes (X)	$0	$0	$0	Yes (X)
JERRY LUND
DIRECTOR	1.00	Yes (X)	$0	$0	$0
JULIE DAVIS
DIRECTOR	1.00	Yes (X)	$0	$0	$0
K LEV BEN-EZRA
TREASURER	1.00	Yes (X)	$0	$0	$0	Yes (X)
PHOEBE WALKER
CLERK	1.00	Yes (X)	$0	$0	$0
SHAWNA FISHER
MEMBER AT LARGE	1.00	Yes (X)	$0	$0	$0
TERRANCE BLANCHARD
PRESIDENT	1.00	Yes (X)	$0	$0	$0	Yes (X)
VICKIE ROWE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
ALLISON VAN DER VELDEN
CEO - FROM AUG 2020	40.00		$137,332	$0	$16,386	Yes (X)
ARLEY HOYNOSKI
CFO	37.50		$120,222	$0	$22,428	Yes (X)
EDWARD SAYER
CEO - THRU JULY 2020	37.50		$130,350	$0	$2,053	Yes (X)
CARL GIMBRONE
DENTIST	40.00		$118,667	$0	$6,922		Yes (X)
HEMANT BHASKAR
DENTIST	40.00		$116,773	$0	$6,794		Yes (X)
RICHARD SZAL
ORAL SURGEON	40.00		$233,404	$0	$3,933		Yes (X)
STEPHEN SEGATORE
NURSE PRACTITIONER	40.00		$125,838	$0	$7,116		Yes (X)
YIN PING LIEW
PHYSICIAN/ASST. CMO	40.00		$161,719	$0	$11,270		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,144,305	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$76,902	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	14	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HUTTER CONSTRUCTION CORPORATION	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	810 TURNPIKE ROAD PO BOX 257	AddressLine1Txt
City	NEW IPSWICH	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03071	ZIPCd

Field	Value	IRS element (for citing)
Services	CONSTRUCTION	ServicesDesc
Compensation	$567,878	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Government Grants	$6,227,036	GovernmentGrantsAmt
All Other Contributions	$225,512	AllOtherContributionsAmt
Noncash Contributions	$30,713	NoncashContributionsAmt
Total Contributions	$6,452,548	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID	621400	$2,292,383	$2,292,383
THIRD-PARTY PAYORS AND OTHER	621400	$1,328,067	$1,328,067
PHARMACY REVENUE 304B	621400	$936,275	$936,275
HEALTH SAFETY NET AND SELF-PAY PA	621400	$667,284	$667,284
MEDICARE	621400	$588,411	$588,411

Field	Value	IRS element (for citing)
Total Program Service Revenue	$5,812,420	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,094	TotalRevenueColumnAmt
Exclusion	$10,094	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$47,788	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$105,317	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$57,529	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$57,529	TotalRevenueColumnAmt
Unrelated Business Revenue	-$57,529	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
BAYCARE DISTRIBUTIONS	900099	$22,794	$22,794
MISCELLANEOUS REVENUE	900099	$6,454	$6,454

Field	Value	IRS element (for citing)
Other Revenue Total	$29,248	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,246,781	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,841,668	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$57,529	UnrelatedBusinessRevenueAmt
Exclusion	$10,094	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$376,498	TotalAmt
Program Services	$292,431	ProgramServicesAmt
Management And General	$84,067	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$5,342,026	TotalAmt
Program Services	$4,191,677	ProgramServicesAmt
Management And General	$1,150,349	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$52,259	TotalAmt
Program Services	$36,470	ProgramServicesAmt
Management And General	$15,789	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$611,088	TotalAmt
Program Services	$426,456	ProgramServicesAmt
Management And General	$184,632	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$405,665	TotalAmt
Program Services	$283,099	ProgramServicesAmt
Management And General	$122,566	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$20,778	TotalAmt
Management And General	$20,778	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$40,233	TotalAmt
Management And General	$40,233	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$346,103	TotalAmt
Program Services	$325,009	ProgramServicesAmt
Management And General	$21,094	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$25,519	TotalAmt
Program Services	$194	ProgramServicesAmt
Management And General	$25,325	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$139,035	TotalAmt
Program Services	$36,470	ProgramServicesAmt
Management And General	$102,565	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$236,944	TotalAmt
Program Services	$87,636	ProgramServicesAmt
Management And General	$149,308	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$457,048	TotalAmt
Program Services	$411,693	ProgramServicesAmt
Management And General	$45,355	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$7,281	TotalAmt
Program Services	$2,102	ProgramServicesAmt
Management And General	$5,179	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$41,968	TotalAmt
Program Services	$41,968	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,089	TotalAmt
Program Services	$3	ProgramServicesAmt
Management And General	$10,086	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$296,546	TotalAmt
Program Services	$263,343	ProgramServicesAmt
Management And General	$33,203	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$61,066	TotalAmt
Management And General	$61,066	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES AND DR	$769,848	$769,848
BILLINGS	$131,684	$121,026	$10,658
BAD DEBTS	$58,020	$58,020
REPAIRS & MAINTENANCE	$55,887	$30,153	$25,734

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$97,111	TotalAmt
Program Services	$58,387	ProgramServicesAmt
Management And General	$38,724	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,582,696	TotalAmt
Program Services	$7,435,985	ProgramServicesAmt
Management And General	$2,146,711	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$482	BOYAmt
EOY	$852,600	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,573,154	BOYAmt
EOY	$4,341,082	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$97,634	BOYAmt
EOY	$260,012	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$289,114	BOYAmt
EOY	$721,908	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$118,033	BOYAmt
EOY	$110,694	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,819,957	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,381,534	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,036,857	BOYAmt
EOY	$5,438,423	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,250	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,121,524	BOYAmt
EOY	$11,724,719	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$610,908	BOYAmt
EOY	$740,588	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$533,177	BOYAmt
EOY	$102,607	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
EOY	$3,180,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$940,000	BOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,084,085	BOYAmt
EOY	$4,023,195	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,037,439	BOYAmt
EOY	$7,701,524	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,037,439	BOYAmt
EOY	$7,701,524	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,121,524	BOYAmt
EOY	$11,724,719	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$2,664,085	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,500,000	OtherCostOrOtherBasisAmt
Depreciation	$52,500	DepreciationAmt
Book Value	$1,447,500	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,663,064	OtherCostOrOtherBasisAmt
Depreciation	$19,211	DepreciationAmt
Book Value	$2,643,853	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,522,789	OtherCostOrOtherBasisAmt
Depreciation	$1,236,649	DepreciationAmt
Book Value	$1,286,140	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$134,104	OtherCostOrOtherBasisAmt
Depreciation	$73,174	DepreciationAmt
Book Value	$60,930	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$5,438,423	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$12,352,098	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$12,352,098	RevenueSubtotalAmt
Other Revenues Not Included	-$105,317	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$105,317	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$12,246,781	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$9,688,013	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$105,317	OtherExpensesIncludedAmt
Expenses Not Reported	$105,317	ExpensesNotReportedAmt
Expenses Subtotal	$9,582,696	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$9,582,696	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2021 AND 2020. THE CENTER'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2018 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE CENTER RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE STATEMENTS OF FINANCIAL POSITION.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES -105,317.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 105,317.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RICHARD SZAL
ORAL SURGEON	$232,993	$0	$0	$0	$411	$0	$2,763	$0	$1,170	$0	$237,337	$0	$0	$0
YIN PING LIEW
PHYSICIAN/ASST. CMO	$161,019	$0	$435	$0	$265	$0	$3,358	$0	$7,912	$0	$172,989	$0	$0	$0
ALLISON VAN DER VELDEN
CEO - FROM AUG 2020	$137,130	$0	$0	$0	$202	$0	$2,804	$0	$13,582	$0	$153,718	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 7	FormAndLineReferenceDesc
Explanation	CERTAIN HIGHLY COMPENSATED EMPLOYEES RECEIVED A 2020 CALENDAR YEAR BONUS BASED UPON THEIR CONTRACTS.	ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$30,713	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PROCEDURES WILL INCLUDE A THOROUGH REVIEW, WITH THE BOARD, OF THE FORM 990 DETAILED QUESTIONS AND THE RESPONSES TO EACH PRIOR TO SUBMITTING THE RETURN. BOARD MEMBERS WILL BE ADVISED THAT THEY ARE EXPECTED TO UNDERSTAND AND AGREE WITH THE INFORMATION BEING REPORTED AND THE RESPONSES TO GOVERNANCE, MANAGEMENT, AND DISCLOSURE QUESTIONS.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY, OR UPON APPOINTMENT, BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO RE-CERTIFY THEIR UNDERSTANDING OF AND DISCLOSE ALL EXISTING CONFLICTS. IF THE BOARD OF DIRECTORS DETERMINES THAT A CONFLICT OF INTEREST EXISTS, THE BOARD MEMBER WITH THE CONFLICT OF INTEREST MUST ABSTAIN FROM PARTICIPATING IN THE DISCUSSION OF AND FROM VOTING ON THE ISSUE OF WHICH HE OR SHE HAS A CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR THE CEO AND OTHER KEY POSITIONS IS BASED ON QUALIFICATIONS/CREDENTIALS AND EXPERIENCE, IN ADDITION TO ANNUAL BENCHMARKING OF WAGES AND BENEFITS TO REMAIN COMPETITIVE WITH THE MARKET. KEY MANAGEMENT WAGES AND BENEFITS ARE BENCHMARKED AGAINST: (1) OTHER SMALL, RURAL HEALTH CENTERS NATIONWIDE USING THE ANNUAL NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS COMPENSATION STUDY, (2) OTHER MASSACHUSETTS COMMUNITY HEALTH CENTERS USING THE ANNUAL MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS COMPENSATION STUDY, AND (3) LOCAL COMPENSATION DATA (ALL SECTORS). THE BOARD OF DIRECTORS APPROVES THE ORGANIZATION'S WAGE SCALE FOR ALL POSITIONS.
FORM 990, PART VI, SECTION C, LINE 19	ALL REPORTS AND INFORMATION IN THE PUBLIC DOMAIN, INCLUDING THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AND TAX RETURNS, ARE AVAILABLE UPON WRITTEN REQUEST AT NO CHARGE.
FORM 990, PART XII, LINE 2C:	THERE HAVE BEEN NO CHANGES TO THE ORGANIZATION'S OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR
FORM 990, PART IV, LINE 20A:	THE ORGANIZATION IS NOT REQUIRED TO FILE A SCHEDULE H AND IS LICENSED IN THE STATE OF MASSACHUSETTS AS A CLINIC. SINCE IT DOES NOT MEET THE DEFINITION OF A HOSPITAL UNDER THE REQUIREMENTS OF SCHEDULE H, THE ORGANIZATION IS NOT REQUIRED TO FILE SUCH SCHEDULE.