FURP.ORG / PUBLIC DATA EXPLORER

EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC (EIN 04-2513817)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-16
IRS object ID
202221369349312002
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)
Return2022-05-16T15:01:04-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

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 Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042513817EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EDWARD M KENNEDY COMMUNITY HEALTHBusinessNameLine1Txt
Business Name Line2CENTER INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlEDWABusinessNameControlTxt
Phone5088521805PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 NORTHEAST CUTOFF BLDG 2 NO 2AddressLine1Txt
CityWORCESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01606ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHEN J KERRIGANPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Phone5088542122PhoneNum
Signature2022-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSTEPHENPersonFirstNm
Person LastKERRIGANPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHARLES J WEBB CPAPreparerPersonNm
PTINP01584539PTIN
Phone5083669100PhoneNum
Preparation2022-05-10PreparationDt

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)
Address ChangeYes (X)AddressChangeInd
Principal OfficerSTEPHEN J KERRIGANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 NORTHEAST CUTOFF BLDG 2 SUITEAddressLine1Txt
Address Line2200AddressLine2Txt
CityWORCESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01606ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$40,095,877GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressKENNEDYCHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionOUR VISION IS TO BE A CONSTANTLY GROWING, FINANCIALLY SOUND COMMUNITY HEALTH CENTER. WE HELP PEOPLE TO LIVE HEALTHIER LIVES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee467TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,204,274PYContributionsGrantsAmt
CY Contributions Grants$11,307,673CYContributionsGrantsAmt
PY Program Service Revenue$23,492,767PYProgramServiceRevenueAmt
CY Program Service Revenue$28,020,819CYProgramServiceRevenueAmt
PY Investment Income$25,613PYInvestmentIncomeAmt
CY Investment Income$2,176CYInvestmentIncomeAmt
PY Other Revenue$475,556PYOtherRevenueAmt
CY Other Revenue$633,535CYOtherRevenueAmt
PY Total Revenue$34,198,210PYTotalRevenueAmt
CY Total Revenue$39,964,203CYTotalRevenueAmt
PY Grants And Similar Paid$6,300PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,823CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$22,701,437PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$24,626,184CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,407,352PYOtherExpensesAmt
CY Other Expenses$13,036,011CYOtherExpensesAmt
PY Total Expenses$34,115,089PYTotalExpensesAmt
CY Total Expenses$37,669,018CYTotalExpensesAmt
PY Revenues Less Expenses$83,121PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,295,185CYRevenuesLessExpensesAmt
Total Assets BOY$39,785,704TotalAssetsBOYAmt
Total Assets EOY$41,035,086TotalAssetsEOYAmt
Total Liabilities BOY$18,687,152TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,641,349TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,098,552NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$23,393,737NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR VISION IS TO BE A CONSTANTLY GROWING, FINANCIALLY SOUND COMMUNITY HEALTH CENTER.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$16,723,008ExpenseAmt
Revenue$14,108,609RevenueAmt
DescMEDICAL- EDWARD M. KENNEDY COMMUNITY HEALTH CENTER UTILIZES A FAMILY PRACTICE MODEL OF CARE TO PROVIDE PRIMARY MEDICAL CARE TO OUR PATIENTS. A DEDICATED INTERDISCIPLINARY TEAM, COMPRISED OF THE MEDICAL PROVIDER, NURSE, NUTRITIONIST AND OTHER SPECIALISTS, WORKS TOGETHER WITH PATIENTS TO MANAGE THEIR HEALTH, INJURIES, ILLNESSES, AND CHRONIC DISEASES. THE SELF MANAGEMENT MODEL ALLOWS PATIENTS TO BE IN CHARGE OF SETTING THEIR GOALS WITH THE SUPPORT OF A PROFESSIONAL HEALTH CARE TEAM. PRIMARY CARE SERVICES INCLUDE PREVENTIVE CARE, ROUTINE CHECKUPS, IMMUNIZATIONS, AND MANAGEMENT OF ACUTE AND CHRONIC ILLNESSES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,458,229ExpenseAmt
Revenue$2,807,823RevenueAmt
DescDENTAL- THE MULTILINGUAL STAFF AND INTERPRETERS FACILITATE ALL APPOINTMENTS AND PROGRAMS. PEDIATRIC AND ADULT DENTISTRY; DENTAL EXAMS AND CLEANINGS (PROPHYLAXIS); DENTAL X-RAYS; ORAL HEALTH EDUCATION; URGENT DENTAL CARE; FLUORIDE TREATMENTS; FILLINGS; ROOT CANALS; EXTRACTIONS; CROWNS; BRIDGES; MOUTH GUARDS; PARTIAL AND FULL DENTURES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$5,097,923ExpenseAmt
Revenue$6,503,437RevenueAmt
DescPHARMACY - THE KENNEDY CHC PHARMACY PROGRAM PROVIDES BOTH AN ON-SITE PHARMACY AT THEIR HEALTH CENTER IN WORCESTER AND CONTRACTED PHARMACY, CVS, IN THE FRAMINGHAM COMMUNITY. EDWARD M KENNEDY UTILIZES 340B + RETAIL IN FRAMINGHAM WITH CVS. THEIR PHARMACY PROGRAM FILLS OVER 175,000 PRESCRIPTIONS ANNUALLY FOR OVER 28,000 PATIENTS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$4,349,172ExpenseAmt
Grant$6,823GrantAmt
Revenue$4,600,950RevenueAmt
DescBEHAVIORAL HEALTH- SERVICES PROVIDED FOR ADULTS, ADOLESCENTS, ANDCHILDREN INCLUDE: OUTPATIENT COUNSELING FOR INDIVIDUALS, COUPLES, ANDFAMILIES; PSYCHIATRIC EVALUATION AND ONGOING MEDICATION MANAGEMENT; ANDCULTURALLY COMPETENT BEHAVIORAL HEALTH TREATMENT FOR NON-ENGLISHSPEAKING PATIENTS, INCLUDING REFUGEES AND IMMIGRANTS. SOCIAL SERVICES -SERVICES FOR PATIENTS INCLUDE PSYCHO-SOCIAL ASSESSMENT, CRISISINTERVENTION, DOMESTIC VIOLENCE SCREENING AND INTERVENTION, ADVOCACY,AND TRANSPORTATION. CASEWORKERS CONNECT PATIENTS TO APPROPRIATECOMMUNITY RESOURCES AND ASSIST PATIENTS IN NAVIGATING THE HEALTH CAREAND INSURANCE SYSTEMS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$4,349,172TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$6,823TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$4,600,950TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$30,628,332TotalProgramServiceExpensesAmt
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 AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document38IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee467EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
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 Line1STEPHEN J KERRIGANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5088542122PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 NORTHEAST CUTOFF BLDG 2 SUITEAddressLine1Txt
CityWORCESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01606ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
VALERIE ZOLEZZI-WYNDHAM
BOARD CHAIR1.00Yes (X)Yes (X)$0$0$0
RAUL PORRAS
CLERK1.00Yes (X)Yes (X)$0$0$0
G WARREN MANIGAULT III
TREASURER1.00Yes (X)Yes (X)$0$0$0
JENNIFER EHRLICH
ASSISTANT CLERK1.00Yes (X)Yes (X)$0$0$0
AIVI NGUYEN
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
SUSAN SEPPA
BOARD MEMBER1.00Yes (X)$0$0$0
AJAYI HARRIS
BOARD MEMBER1.00Yes (X)$0$0$0
JONNA GIFFORD
BOARD MEMBER1.00Yes (X)$0$0$0
STUART PYNN JR
BOARD MEMBER1.00Yes (X)$0$0$0
GAIL HORMATS
BOARD MEMBER1.00Yes (X)$0$0$0
EMMANUEL LARBI
BOARD MEMBER1.00Yes (X)$0$0$0
PABLO HERNANDEZ
CMO40.00Yes (X)$266,109$0$12,260
LEAH GALLIVAN
COO40.00Yes (X)$182,781$0$8,140
STEPHEN KERRIGAN
CEO40.00Yes (X)$277,904$0$0
CHRISTOPHER WILBUR
CFO40.00Yes (X)$153,359$0$3,736
CYNTHIA NORTON
MEDICAL DIRECTOR40.00$198,169$0$10,455Yes (X)
DEVAL SHAH-CANNING
MEDICAL DIRECTOR40.00$197,398$0$4,892Yes (X)
ANNA ZHENG
MD - FAMILY MEDICINE40.00$177,866$0$4,166Yes (X)
ELIZABETH DOBLES
MD - FAMILY MEDICINE40.00$177,973$0$4,050Yes (X)
ANNA MCMAHAN
MEDICAL DIRECTOR40.00$178,739$0$3,766Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,810,298TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$51,465TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K46IndivRcvdGreaterThan100KCnt
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
AKUITY TECHNOLOGIES
1 WESTEC DRIVEAUBURNMA01501IT SUPPORT AND SUPPLIES$574,409
PACIFIC INTERPRETERS
PO BOX 699183QUINCYMA02269PATIENTS INTERPRETER SERVICES$538,594
NEXTGEN HEALTHCARE INFORMATION SYSTEMS I
18111 VON KARMAN AVE SUITE 700IRVINECA92612NEXTGEN EMR/EHR$471,862
HUMAN RESOURCE CONCEPTS LLC
111 CHARLES STREETMANCHESTERNH03101HR SOLUTIONS$312,067
PC CONNECTION
1 WESTEC DRIVEAUBURNMA01501IT SUPPORT AND SUPPLIES$312,010
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Federated Campaigns$206FederatedCampaignsAmt
Fundraising$35,672FundraisingAmt
Government Grants$7,061,186GovernmentGrantsAmt
All Other Contributions$4,210,609AllOtherContributionsAmt
Noncash Contributions$780,641NoncashContributionsAmt
Total Contributions$11,307,673TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business621400BusinessCd
Total Revenue Column$28,020,819TotalRevenueColumnAmt
Related Or Exempt Func Income$28,020,819RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$28,020,819TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,210TotalRevenueColumnAmt
Exclusion$10,210ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$209,466RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$114,503RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$94,963RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$94,963TotalRevenueColumnAmt
Exclusion$94,963ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$8,034OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$8,034OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$8,034TotalRevenueColumnAmt
Exclusion-$8,034ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$35,672ContriRptFundraisingEventAmt
Fundraising Direct Expenses$9,137FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$9,137TotalRevenueColumnAmt
Exclusion-$9,137ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS900099$463,648$463,648
MANAGEMENT FEES900099$84,061$84,061
FieldValueIRS element (for citing)
Other Revenue Total$547,709OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,964,203TotalRevenueColumnAmt
Related Or Exempt Func Income$28,020,819RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$635,711ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,823TotalAmt
Program Services$6,823ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$919,782TotalAmt
Program Services$622,434ProgramServicesAmt
Management And General$297,348ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,851,517TotalAmt
Program Services$16,607,365ProgramServicesAmt
Management And General$3,244,152ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$275,873TotalAmt
Program Services$224,788ProgramServicesAmt
Management And General$51,085ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,222,325TotalAmt
Program Services$1,828,759ProgramServicesAmt
Management And General$393,566ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,356,687TotalAmt
Program Services$1,217,131ProgramServicesAmt
Management And General$139,556ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$177,262TotalAmt
Management And General$177,262ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$89,083TotalAmt
Management And General$89,083ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,252,380TotalAmt
Program Services$1,750,685ProgramServicesAmt
Management And General$501,695ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,249,778TotalAmt
Program Services$332,742ProgramServicesAmt
Management And General$917,036ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,361,549TotalAmt
Program Services$1,355,943ProgramServicesAmt
Management And General$5,606ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$14,623TotalAmt
Program Services$14,252ProgramServicesAmt
Management And General$371ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$134,180TotalAmt
Management And General$134,180ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,295,314TotalAmt
Program Services$1,068,385ProgramServicesAmt
Management And General$226,929ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$168,906TotalAmt
Program Services$36,602ProgramServicesAmt
Management And General$132,304ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$5,693,419$5,146,809$546,610
COMMUNICATIONS$380,410$293,288$87,122
LEASED EQUIPMENT$99,963$3,182$96,781
EQUIPMENT REPAIRS AND M$72,616$72,616

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$46,528TotalAmt
Program Services$46,528ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$37,669,018TotalAmt
Program Services$30,628,332ProgramServicesAmt
Management And General$7,040,686ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,625BOYAmt
EOY$1,624EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$15,595,228BOYAmt
EOY$13,900,351EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,215,469BOYAmt
EOY$2,876,814EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,373,542BOYAmt
EOY$2,848,587EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$163,915BOYAmt
EOY$140,349EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$327,441BOYAmt
EOY$387,396EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$34,289,112LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$17,152,861LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,366,936BOYAmt
EOY$17,136,251EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,741,548BOYAmt
EOY$3,743,714EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$39,785,704BOYAmt
EOY$41,035,086EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,763,737BOYAmt
EOY$4,983,814EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,950,399BOYAmt
EOY$8,689,905EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,530,843BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$3,967,630BOYAmt
EOY$3,967,630EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$474,543BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,687,152BOYAmt
EOY$17,641,349EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,471,204BOYAmt
EOY$22,570,405EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$627,348BOYAmt
EOY$823,332EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,098,552BOYAmt
EOY$23,393,737EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$39,785,704BOYAmt
EOY$41,035,086EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,295,185ReconcilationRevenueExpnssAmt
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)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,086,195CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,826,952CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,048,825CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,204,274CurrentTaxYearMinus1YearAmt
Current Tax Year$11,307,673CurrentTaxYearAmt
Total$53,473,919TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,086,195CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,826,952CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,048,825CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,204,274CurrentTaxYearMinus1YearAmt
Current Tax Year$11,307,673CurrentTaxYearAmt
Total$53,473,919TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$400,954SubstantialContributorsTotAmt
Public Support Total170$53,072,965PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$184,768CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$203,708CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$245,671CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$316,179CurrentTaxYearMinus1YearAmt
Current Tax Year$219,676CurrentTaxYearAmt
Total$1,170,002TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$176,432CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$365,456CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$311,368CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$302,250CurrentTaxYearMinus1YearAmt
Current Tax Year$547,709CurrentTaxYearAmt
Total$1,703,215TotalAmt
FieldValueIRS element (for citing)
Total Support$56,347,136TotalSupportAmt
Gross Receipts Rltd Activities$118,246,863GrossReceiptsRltdActivitiesAmt
Public Support CY1700.94190PublicSupportCY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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$1,182,826OtherCostOrOtherBasisAmt
Book Value$1,182,826BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,264,961OtherCostOrOtherBasisAmt
Depreciation$10,247,304DepreciationAmt
Book Value$14,017,657BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,037,039OtherCostOrOtherBasisAmt
Depreciation$670,813DepreciationAmt
Book Value$366,226BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,804,286OtherCostOrOtherBasisAmt
Depreciation$6,234,744DepreciationAmt
Book Value$1,569,542BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,136,251TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DEPOSITS AND OTHER$71,475
CONSTRUCTION IN PROGRESS$992,590
PROPERTY HELD FOR SALE$2,679,649
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,743,714TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$40,356,731TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$268,888DonatedServicesAndUseFcltsAmt
Other Revenue$114,503OtherRevenueAmt
Revenue Not Reported$383,391RevenueNotReportedAmt
Revenue Subtotal$39,973,340RevenueSubtotalAmt
Other Revenues Not Included-$9,137OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$9,137RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$39,964,203TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$38,061,546TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$268,888DonatedServicesUseFcltsAmt
Other Expenses Included$114,503OtherExpensesIncludedAmt
Expenses Not Reported$383,391ExpensesNotReportedAmt
Expenses Subtotal$37,678,155ExpensesSubtotalAmt
Other Expenses Not Included-$9,137OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$9,137ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$37,669,018TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2: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 FINANCIAL STATEMENTS 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 FINANCIAL STATEMENTS AT JUNE 30, 2021. THE HEALTH CENTER'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICATIONS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES NETTED WITH INCOME 114,503.
PART XI, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES -9,137.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES NETTED WITH INCOME 114,503.
PART XII, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES -9,137.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1COSTUME EVENTEvent1Nm
Gross Receipts Event1$35,672GrossReceiptsEvent1Amt
Charitable Contri Event1$35,672CharitableContriEvent1Amt
Non Cash Prizes Event1$5,895NonCashPrizesEvent1Amt
Entertainment Event1$2,300EntertainmentEvent1Amt
Other Direct Expenses Event1$942OtherDirectExpensesEvent1Amt
Gross Receipts Total$35,672GrossReceiptsTotalAmt
Charitable Contributions Tot$35,672CharitableContributionsTotAmt
Non Cash Prizes Total Events$5,895NonCashPrizesTotalEventsAmt
Entertainment Total Events$2,300EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$942OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$9,137DirectExpenseSummaryEventsAmt
Net Income Summary-$9,137NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1AFRICAN COMMUNITY EDUCATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1484 MAIN ST SUITE 355AddressLine1Txt
CityWORCESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01608ZIPCd
FieldValueIRS element (for citing)
Recipient EIN141970474RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$6,823CashGrantAmt
Purpose Of GrantREFUGEE AND ENTRANT ASSISTANCE - DISCRETIONARY GRANTSPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANTS ARE MONITORED BY OFFICE BASED MONITORING AND ON-SITE MONITORING. OFFICE BASED MONITORING ENTAILS A REVIEW OF THE RECIPIENT'S FILES TO ENSURE THAT ALL DOCUMENTATION IS COMPLETE AND UP-TO-DATE. GRANTS ARE REVIEWED MONTHLY FOR APPROPRIATE BILLING.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
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 (9 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
PABLO HERNANDEZ
CMO$266,109$0$0$0$0$0$6,610$0$5,650$0$278,369$0$0$0
STEPHEN KERRIGAN
CEO$277,904$0$0$0$0$0$0$0$0$0$277,904$0$0$0
CYNTHIA NORTON
MEDICAL DIRECTOR$198,169$0$0$0$0$0$4,805$0$5,650$0$208,624$0$0$0
DEVAL SHAH-CANNING
MEDICAL DIRECTOR$197,398$0$0$0$0$0$4,892$0$0$0$202,290$0$0$0
LEAH GALLIVAN
COO$182,781$0$0$0$0$0$4,545$0$3,595$0$190,921$0$0$0
ANNA MCMAHAN
MEDICAL DIRECTOR$178,739$0$0$0$0$0$3,766$0$0$0$182,505$0$0$0
ANNA ZHENG
MD - FAMILY MEDICINE$177,866$0$0$0$0$0$1,178$0$2,988$0$182,032$0$0$0
ELIZABETH DOBLES
MD - FAMILY MEDICINE$177,973$0$0$0$0$0$4,050$0$0$0$182,023$0$0$0
CHRISTOPHER WILBUR
CFO$153,359$0$0$0$0$0$3,736$0$0$0$157,095$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS DEVELOPMENT FINANCE AGENCYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN043431814BondIssuerEIN
Bond Issued2016-12-28BondIssuedDt
Issue Price$9,955,000IssuePriceAmt
PurposePMT OF EXISTING INDEBTEDNESS RELATING TO CONSTRUCTION OF MAIN FACILITYPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,130,247RetiredAmt
Total Proceeds$9,955,000TotalProceedsAmt
Issuance Costs From Proceeds$161,448IssuanceCostsFromProceedsAmt
Other Spent Proceeds$9,793,552OtherSpentProceedsAmt
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution189ContributionCnt
Noncash Contributions Rpt F990$756,711NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (5 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)PPE2$7,160FAIR MARKET VALUE
Yes (X)FUNDRAISING AUCTION ITEMS15$5,675FAIR MARKET VALUE
Yes (X)MEDICAL EQUIPMENT1$4,595FAIR MARKET VALUE
Yes (X)DENTAL INSTRUMENTS1$4,000FAIR MARKET VALUE
Yes (X)COMPUTERS1$2,500FAIR MARKET VALUE
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BMANAGEMENT WORKS WITH THE ORGANIZATION'S EXTERNAL AUDITORS TO PREPARE THE FINANCIAL INFORMATION AND COMPILE THE DISCLOSURES REQUIRED FOR THE FORM 990. UPON ITS COMPLETION, THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS REVIEW THE FORM 990 PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CALL STAFF AND KEY EMPLOYEES ARE EDUCATED ANNUALLY AND ARE REQUIRED TO SIGN AN ACKNOWLEGMENT INDICATING THAT THE EDUCATION WAS PROVIDED.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD COMPLETES A PERFORMANCE REVIEW OF THE CEO. PART OF THE REVIEW IS TO COMPLETE A COMPENSATION SURVEY. THE CEO'S SALARY IS SET TO MARKET BY THE BOARD BASED ON PERFORMANCE AND SIZE OF THE HEALTH CENTER. THE SENIOR MANAGERS AND OTHER STAFF ARE PLACED IN THE WAGE AND SALARY SCALE BASED ON MARKET TRENDS DETERMINED BY THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND APPROVED BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND CAN BE FOUND AT THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.
FORM 990, PART XII, LINE 2C:THE OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.