DOTHOUSE HEALTH INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
DOTHOUSE HEALTH INC (EIN 23-7125970)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-10
IRS object ID
202202229349301315
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-08-10T14:07:16-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN042571780PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1AAFCPAS INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line150 WASHINGTON STREETAddressLine1Txt
CityWESTBOROUGHCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01581ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237125970EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DOTHOUSE HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDOTHBusinessNameControlTxt
Phone6172883230PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11353 DORCHESTER AVENUEAddressLine1Txt
CityDORCHESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02122ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELLE NADOWPersonNm
Person TitleCEOPersonTitleTxt
Phone6177402249PhoneNum
Signature2022-08-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHELLEPersonFirstNm
Person LastNADOWPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCOURTNEY MCFARLAND CPAPreparerPersonNm
PTINP01645518PTIN
Phone5083669100PhoneNum
Preparation2022-08-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHELLE NADOWPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11353 DORCHESTER AVENUEAddressLine1Txt
CityDORCHESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02122ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$45,149,431GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DOTHOUSEHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO PROVIDE AFFORDABLE, ACCESSIBLE, AND EXCEPTIONAL HEALTH CARE AND OTHER ESSENTIAL SERVICES IN AN ENVIRONMENT THAT RESPECTS OUR CONSUMERS, STAFF AND DIVERSE COMMUNITY; BE A LEADING FORCE FOR CHANGE IN THE HEALTH, ECONOMIC, AND SOCIAL STATUS OF OUR COMMUNITY; AND BE AN ESSENTIAL RESOURCE FOR OUR COMMUNITY IN ITS EFFORTS TO ACHIEVE THE HIGHEST LEVELS OF HEALTH, WELL BEING AND QUALITY OF LIFE FOR ITS RESIDENTS.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee302TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$380,004TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,247,490PYContributionsGrantsAmt
CY Contributions Grants$17,414,216CYContributionsGrantsAmt
PY Program Service Revenue$22,608,266PYProgramServiceRevenueAmt
CY Program Service Revenue$21,311,964CYProgramServiceRevenueAmt
PY Investment Income$186,269PYInvestmentIncomeAmt
CY Investment Income$953,769CYInvestmentIncomeAmt
PY Other Revenue$629,151PYOtherRevenueAmt
CY Other Revenue$133,833CYOtherRevenueAmt
PY Total Revenue$32,671,176PYTotalRevenueAmt
CY Total Revenue$39,813,782CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,474,689PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,925,035CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,264,238PYOtherExpensesAmt
CY Other Expenses$12,592,620CYOtherExpensesAmt
PY Total Expenses$29,738,927PYTotalExpensesAmt
CY Total Expenses$33,517,655CYTotalExpensesAmt
PY Revenues Less Expenses$2,932,249PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,296,127CYRevenuesLessExpensesAmt
Total Assets BOY$42,479,171TotalAssetsBOYAmt
Total Assets EOY$45,714,275TotalAssetsEOYAmt
Total Liabilities BOY$8,059,289TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,415,050TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$34,419,882NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$41,299,225NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE AFFORDABLE, ACCESSIBLE, AND EXCEPTIONAL HEALTH CARE AND OTHER ESSENTIAL SERVICES IN AN ENVIRONMENT THAT RESPECTS OUR CONSUMERS, STAFF AND DIVERSE COMMUNITY; BE A LEADING FORCE FOR CHANGE IN THE HEALTH, ECONOMIC, AND SOCIAL STATUS OF OUR COMMUNITY; AND BE AN ESSENTIAL RESOURCE FOR OUR COMMUNITY IN ITS EFFORTS TO ACHIEVE THE HIGHEST LEVELS OF HEALTH, WELL BEING AND QUALITY OF LIFE FOR ITS RESIDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$15,447,944ExpenseAmt
Revenue$4,619,021RevenueAmt
DescPRIMARY CARE: DOTHOUSE SERVED OVER 21,300 PATIENTS IN DORCHESTER IN FISCAL 2021. PRIMARY CARE SERVICES REPRESENTED 45.7% OF TOTAL PATIENT VISITS DURING THE YEAR. PRIMARY CARE SERVICES INCLUDE ADULT MEDICINE, FAMILY MEDICINE, PEDIATRICS AND THE URGENT CARE PROGRAM. FROM THESE SERVICES, PATIENTS CAN BE REFERRED FOR A WIDE VARIETY OF IN-HOUSE SPECIALTY CARE, SOCIAL SERVICE, CASE MANAGEMENT AND WELLNESS PROGRAMMING. OUR FULL COMPLEMENT OF SERVICES INCLUDE: ADULT MEDICINE, FAMILY MEDICINE, PEDIATRICS, URGENT CARE, WOMEN'S HEALTH, DENTAL CARE, EYE CARE, BEHAVIORAL HEALTH INCLUDING SUBSTANCE ABUSE DISORDER AND FULL SERVICES IN PHARMACY, LABORATORY INCLUDING TESTING AND PHLEBOTOMY, X-RAY, ULTRASOUND AND MAMMOGRAPHY. SPECIALTY CARE INCLUDES DERMATOLOGY, NUTRITION, CARDIOLOGY, HIV, CLINICAL CASE MANAGEMENT, ACCESS TO PUBLIC BENEFITS SUCH AS FOOD AND HOUSING ASSISTANCE, LEGAL ASSISTANCE, OUT-OF-SCHOOL TIME PROGRAMMING, ADULT EDUCATION, TAX AND CREDIT COUNSELING, FOOD PANTRY, SWIMMING POOL AND GYMNASIUM PROGRAMMING, ELDER SERVICES AND EXERCISE PROGRAMS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,557,518ExpenseAmt
Revenue$6,950,733RevenueAmt
DescPHARMACY: DOTHOUSE OFFERS FULL PHARMACY SERVICES DURING NORMAL OPERATIONS TO OUR PATIENTS. THE PHARMACY FILLED 166,564 PRESCRIPTIONS IN FISCAL YEAR 2021.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$4,240,577ExpenseAmt
Revenue$3,010,506RevenueAmt
DescOTHER MEDICAL SERVICES: DOTHOUSE SERVED IN EXCESS OF 4,800 PATIENTS IN THE PEDIATRICS DEPARTMENT OF PRIMARY CARE. SOME INNOVATIVE PROGRAMS WITHIN THE PEDIATRIC DEPARTMENT INCLUDE THE ENHANCED INTEGRATION OF BEHAVIORAL HEALTH SERVICES WITHIN THE PEDIATRIC CLINIC SPACE, WHICH INCLUDES TWO CLINCIANS AND 2 FAMILY PARTNERS. THIS PROGRAM IS UNDER THE SUPERVISION OF DHH'S DUAL-CERTIFIED PEDIATRICIAN AND PSYCHIATRIST AND AIMS TO IMPROVE EARLY IDENTIFICATION OF BEHAVIORAL HEALTH PROBLEMS AND PROVIDE A FULL COMPLEMENT OF PREVENTATIVE AND TREATMENT SERVICES TO CHILDREN AND THEIR FAMILIES. DHH HAS ALSO CONTINUED IN DEVELOPING AND IMPLEMENTING ASTHMA ACTION PLANS WITH CHILDREN WHO ARE DIAGNOSED WITH MODERATE AND SEVERE ASTHMA, WHICH INCLUDES WORKING WITH SCHOOL NURSES IN SUPPORTING THEIR ASTHMA ACTION PLAN WHEN THEY ARE IN SCHOOL.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$3,020,894ExpenseAmt
Revenue$6,464,078RevenueAmt
DescMENTAL HEALTH: CONTINUES TO PROVIDE SERVICES AS WELL AS ASSISTING PATIENTS WHO ARE MEDICALLY AND SOCIALLY VULNERABLE. PATIENTS ARE PROVIDED ASSISTANCE WITH LEGAL MATTERS, OBTAINING FOOD STAMPS, SOCIAL SECURITY, HEATING PROBLEMS, CHILD CARE ASSISTANCE AND EDUCATIONAL TESTING. DOMESTIC VIOLENCE SERVICES ARE ALSO PROVIDED.OPTOMETRY: OFFERS COMPLETE EYE CARE FOR THE WHOLE FAMILY AND SERVICES ARE AVAILABLE FOR PEOPLE OF ALL AGES. WE OFFER: COMPREHENSIVE EYE EXAMS, TREATMENT FOR EYE DISEASES, EVALUATION AND TREATMENT FOR CATARACTS AND GLAUCOMA, LOW VISION SERVICE, CONTACT LENS FITTING ANDCARE.PUBLIC HEALTH AND SOCIAL SERVICES: OFFERS A VARIETY OF SERVICES INCLUDING DIABETES SERVICES AND PROGRAMS, FOOD AND HUNGER ASSISTANCE,HIV RELATED COUNSELING, AND OTHER TYPE OF SUPPORT GROUPS.ORAL HEALTH: DHH SERVED OVER 3,000 PATIENT VISITS IN ITS ORAL HEALTH DEPARTMENT. DHH HAS EXPANDED ITS CAPACITY IN ORAL HEALTH TO INCLUDE PREVENTION, AND RESTORATIVE AND ORAL SURGERY. DHH HAS ADDED A DENTAL SUITE IN PEDIATRICS FOR PREVENTATIVE VISITS FOR CHILDREN. IT IS STAFFED FULL TIME.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$3,020,894TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$6,464,078TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$27,266,933TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee302EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHELLE NADOWBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6172884420PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11353 DORCHESTER AVEAddressLine1Txt
CityDORCHESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02122ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DR HUY NGUYEN
CMO40.00Yes (X)$256,034$0$28,036
MICHELLE NADOW
PRESIDENT & CEO40.00Yes (X)$254,701$0$28,0121.00
DR JULIE CROSSON
PHYSICIAN40.00$210,995$0$27,263Yes (X)
DR CAROLINE PAHK
PHYSICIAN40.00$209,051$0$26,864Yes (X)
DR DANA RUBIN
PEDIATRICIAN40.00$225,852$0$6,401Yes (X)
DR NSA HENSHAW
PHYSICIAN34.00$220,842$0$4,939Yes (X)
DR IVY BRACKUP
PHYSICIAN40.00$216,751$0$5,509Yes (X)
JOHN COONEY
CHIEF FINANCIAL OFFICER40.00Yes (X)$185,532$0$26,6621.00
BYRON BYFIELD
CHIEF INFORMATION OFFICER40.00$193,679$0$4,689Yes (X)
ZARANIQUE POPE
CHIEF HUMAN RESOURCES OFFICER40.00$151,447$0$10,828Yes (X)
MEGAN SONDEREGGER
CHAIR5.00Yes (X)$0$0$01.00Yes (X)
CHRISTOPHER MCCOY
VICE CHAIR5.00Yes (X)$0$0$0Yes (X)
JACK WU
TREASURER5.00Yes (X)$0$0$01.00Yes (X)
PHI TRAN
SECRETARY5.00Yes (X)$0$0$0Yes (X)
JEFFREY LOPES
BOARD MEMBER5.00$0$0$0Yes (X)
MARYSSA MCLEAN SCHNEIDER
BOARD MEMBER5.00$0$0$0Yes (X)
PAULO A DE BARROS
BOARD MEMBER5.00$0$0$0Yes (X)
ANNISSA ESSAIBI GEORGE
BOARD MEMBER5.00$0$0$0Yes (X)
DOMINIQUE SYE
BOARD MEMBER5.00$0$0$0Yes (X)
JOEL WOOL
BOARD MEMBER5.00$0$0$0Yes (X)
ROSA SHOUDER
BOARD MEMBER5.00$0$0$0Yes (X)
VIKRAM KAMBAMPATI
BOARD MEMBER5.00$0$0$0Yes (X)
ANGELINA HUA
BOARD MEMBER5.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,124,884TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$169,203TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K34IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CPA MEDICAL BILLING
100 SOUTH SHORE DRIVE SUITE 200EAST HAVENCT065123RD PARTY BILLING MANAGEMENT$903,108
BOSTON MEDICAL CENTER
720 HARRISON AVENUE 10TH FLOORBOSTONMA02118PHARMACY MANAGEMENT$618,317
WAVE TECHNOLOGIES
304 VICTORY ROADQUINCYMA02171IT CONSULTING SERVICES$610,778
CVSEATON APOTHECARY
13 WATER STREETHOLLISTONMA01746PHARMACY MANAGEMENT$511,516
BU FAMILY MEDICINE ASSOCIATES
ONE BOSTON MEDICAL CENTER PLACE DOBOSTONMA01746PHYSICIAN SERVICES$342,981
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$11,247,909GovernmentGrantsAmt
All Other Contributions$6,166,307AllOtherContributionsAmt
Noncash Contributions$124,562NoncashContributionsAmt
Total Contributions$17,414,216TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621498BusinessCd
Total Revenue Column$21,311,964TotalRevenueColumnAmt
Related Or Exempt Func Income$20,931,960RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$380,004UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$21,311,964TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$336,407TotalRevenueColumnAmt
Exclusion$336,407ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$21,455RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$21,455RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,455TotalRevenueColumnAmt
Exclusion$21,455ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,953,011SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,335,649SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$617,362SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$617,362TotalRevenueColumnAmt
Exclusion$617,362ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business621110BusinessCd
Total Revenue Column$112,378TotalRevenueColumnAmt
Related Or Exempt Func Income$112,378RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$112,378OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,813,782TotalRevenueColumnAmt
Related Or Exempt Func Income$21,044,338RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$380,004UnrelatedBusinessRevenueAmt
Exclusion$975,224ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,271,773TotalAmt
Program Services$318,855ProgramServicesAmt
Management And General$952,918ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,267,903TotalAmt
Program Services$15,824,549ProgramServicesAmt
Management And General$443,354ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$304,089TotalAmt
Program Services$297,580ProgramServicesAmt
Management And General$6,509ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,805,504TotalAmt
Program Services$2,336,157ProgramServicesAmt
Management And General$469,347ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$275,766TotalAmt
Program Services$228,294ProgramServicesAmt
Management And General$47,472ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$99,848TotalAmt
Management And General$99,848ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$81,601TotalAmt
Management And General$81,601ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,196,575TotalAmt
Program Services$1,828,367ProgramServicesAmt
Management And General$1,368,208ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$21,103TotalAmt
Management And General$21,103ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$156,199TotalAmt
Program Services$80,816ProgramServicesAmt
Management And General$75,383ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$693,666TotalAmt
Management And General$693,666ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,465,347TotalAmt
Program Services$1,198,553ProgramServicesAmt
Management And General$266,794ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$83,175TotalAmt
Program Services$4,435ProgramServicesAmt
Management And General$78,740ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$903,082TotalAmt
Program Services$524,791ProgramServicesAmt
Management And General$378,291ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$202,383TotalAmt
Management And General$202,383ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$4,062,040$4,062,040
DATA PROCESSING$689,218$135,981$553,237
DUES AND SUBSCRIPTIONS$271,057$201,006$70,051
MISCELLANEOUS$256,288$62,144$194,144

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$411,038TotalAmt
Program Services$163,365ProgramServicesAmt
Management And General$247,673ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$33,517,655TotalAmt
Program Services$27,266,933ProgramServicesAmt
Management And General$6,250,722ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,501,927BOYAmt
EOY$580,223EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,187,904BOYAmt
EOY$8,844,683EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$555,545BOYAmt
EOY$1,522,981EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,230,042BOYAmt
EOY$1,215,811EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,014,759BOYAmt
EOY$917,166EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$26,969,911LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,902,533LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$16,087,026BOYAmt
EOY$16,067,378EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$12,302,977BOYAmt
EOY$16,462,312EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$598,991BOYAmt
EOY$103,721EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$42,479,171BOYAmt
EOY$45,714,275EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,259,974BOYAmt
EOY$4,311,329EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$598,991BOYAmt
EOY$103,721EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$3,200,324BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,059,289BOYAmt
EOY$4,415,050EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,733,767BOYAmt
EOY$40,125,264EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$686,115BOYAmt
EOY$1,173,961EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$34,419,882BOYAmt
EOY$41,299,225EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$42,479,171BOYAmt
EOY$45,714,275EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$6,296,127ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$583,216NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,023,547CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,779,695CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,111,524CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,247,490CurrentTaxYearMinus1YearAmt
Current Tax Year$17,414,216CurrentTaxYearAmt
Total$43,576,472TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,943,079CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,073,315CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,764,912CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,706,745CurrentTaxYearMinus1YearAmt
Current Tax Year$20,931,960CurrentTaxYearAmt
Total$111,420,011TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,966,626CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,853,010CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,876,436CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31,954,235CurrentTaxYearMinus1YearAmt
Current Tax Year$38,346,176CurrentTaxYearAmt
Total$154,996,483TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$154,996,483PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$409,220CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$399,890CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$303,247CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$383,525CurrentTaxYearMinus1YearAmt
Current Tax Year$357,862CurrentTaxYearAmt
Total$1,853,744TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$409,220CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$399,890CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$303,247CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$383,525CurrentTaxYearMinus1YearAmt
Current Tax Year$357,862CurrentTaxYearAmt
Total$1,853,744TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$591,073CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$209,727CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$270,675CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$348,579CurrentTaxYearMinus1YearAmt
Current Tax Year$380,004CurrentTaxYearAmt
Total$1,800,058TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$608,664CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$293,915CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$293,915CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$146,958CurrentTaxYearMinus1YearAmt
Current Tax Year$112,378CurrentTaxYearAmt
Total$1,455,830TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,575,583CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,756,542CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,744,273CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,833,297CurrentTaxYearMinus1YearAmt
Current Tax Year$39,196,420CurrentTaxYearAmt
Total$160,106,115TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96810PublicSupportCY509Pct
Public Support PY5090.96430PublicSupportPY509Pct
Investment Income CY0.01160InvestmentIncomeCYPct
Investment Income PY0.01210InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III LINE 12:FormAndLineReferenceDesc
ExplanationOTHER INCOME INCLUDES FORGIVENESS OF CONDITIONAL NOTES PAYABLE AND OTHER REVENUE.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,265,469OtherCostOrOtherBasisAmt
Book Value$1,265,469BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,985,795OtherCostOrOtherBasisAmt
Depreciation$5,024,290DepreciationAmt
Book Value$12,961,505BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,718,647OtherCostOrOtherBasisAmt
Depreciation$5,878,243DepreciationAmt
Book Value$1,840,404BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,067,378TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING FOR UNCERTAINTY IN INCOME TAXES THE HEALTH CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE CONSOLIDATED FINANCIAL STATEMENT REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE HEALTH CENTER HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS AT SEPTEMBER 30, 2021. THE HEALTH CENTER'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR HUY NGUYEN
CMO$256,034$0$0$0$0$0$5,296$0$22,740$0$284,070$0$0$0
MICHELLE NADOW
PRESIDENT & CEO$254,701$0$0$0$0$0$5,272$0$22,740$0$282,713$0$0$0
DR JULIE CROSSON
PHYSICIAN$210,995$0$0$0$0$0$4,395$0$22,868$0$238,258$0$0$0
DR CAROLINE PAHK
PHYSICIAN$209,051$0$0$0$0$0$4,322$0$22,542$0$235,915$0$0$0
DR DANA RUBIN
PEDIATRICIAN$225,852$0$0$0$0$0$4,561$0$1,840$0$232,253$0$0$0
DR NSA HENSHAW
PHYSICIAN$220,842$0$0$0$0$0$4,417$0$522$0$225,781$0$0$0
DR IVY BRACKUP
PHYSICIAN$216,751$0$0$0$0$0$4,409$0$1,100$0$222,260$0$0$0
JOHN COONEY
CHIEF FINANCIAL OFFICER$185,532$0$0$0$0$0$3,852$0$22,810$0$212,194$0$0$0
BYRON BYFIELD
CHIEF INFORMATION OFFICER$193,679$0$0$0$0$0$3,938$0$751$0$198,368$0$0$0
ZARANIQUE POPE
CHIEF HUMAN RESOURCES OFFICER$151,447$0$0$0$0$0$3,077$0$7,751$0$162,275$0$0$0

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution66797ContributionCnt
Noncash Contributions Rpt F990$82,885NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescPPE INVENTORYDesc
Contribution85ContributionCnt
Noncash Contributions Rpt F990$24,026NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4IN FISCAL YEAR 2021 THE FOLLOWING CHAGES WERE MADE TO THE BY-LAWS, BOARD MEETINGS MAY TAKE PLACE IN-PERSON, BY PHONE AND/OR VIDEO. DIRECTORS MAY PARTICIPATE VIA IN-PERSON AND/OR BY VIDEO LINK.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE CFO THEN PRESENTED BY THE CFO AT A BOARD MEETING. THE BOARD RECEIVES THE FORM 990 PRIOR TO THE BOARD MEETING. THE FORM IS THEN REVIEWED AND APPROVED BY THE BOARD PRIOR TO BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REQUIRES THAT ALL MEMBERS OF THE GOVERNING BOARD AND SENIOR MANAGEMENT READ THE POLICY AND ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY CONFLICTS. THE STATEMENTS ARE REVIEWED BY THE COMPLIANCE COMMITTEE AND ENFORCED BY THE BOARD CHAIR AND CEO. IF A CONFLICT OCCURS THAT PERSON IS EXCUSED FROM THE DISCUSSION AND CAN NOT ADVOCATE ON BEHALF OF THE CONFLICTING ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS DETERMINES THE CEO'S SALARY BASED ON AN ANNUAL EVALUATION. OTHER OFFICERS SALARIES ARE DETERMINED BY THE COMPARISON TO THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS SALARIES AND COMPENSATION SURVEY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION REQUIRES THAT ALL MEMBERS OF THE GOVERNING BOARD AND SENIOR MANAGEMENT READ THE POLICY AND ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY CONFLICTS. THE STATEMENTS ARE REVIEWED BY THE COMPLIANCE COMMITTEE AND ENFORCED BY THE BOARD CHAIR AND CEO. IF A CONFLICT OCCURS, THAT PERSON IS EXCUSED FROM THE DISCUSSION AND CANNOT ADVOCATE ON BEHALF OF THE CONFLICTING ORGANIZATIONS.
SCHEDULE OTHE HEALTH CENTER HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxt
DHMSC REALTY INC
1353 DORCHESTER AVENUEDORCHESTERMA02122455435131REAL ESTATE HOLDINGMA501(C)2N/AYes (1)
HEALTH SERVICES PARTNERSHIP OF DORCHESTER INC
1353 DORCHESTER AVENUEDORCHESTERMA02122000627627HEALTH CENTER RESOURCESMA501(C)3N/A0LINE 10
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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