DOTHOUSE HEALTH INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- DOTHOUSE HEALTH INC (EIN 23-7125970)
- Tax period
- 2018-10-01 to 2019-09-30
- Filed
- 2020-07-24
- IRS object ID
- 202032069349301008
- Schema version
- 2018v3.2
- 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 G
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-24T16:55:32-05:00 | ReturnTs |
| Tax Period End | 2019-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 042571780 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AAFCPAS INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 WASHINGTON STREET | AddressLine1Txt |
| City | WESTBOROUGH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01581 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237125970 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOTHOUSE HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DOTH | BusinessNameControlTxt |
| Phone | 6172883230 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1353 DORCHESTER AVENUE | AddressLine1Txt |
| City | DORCHESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02122 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELLE NADOW | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6177402249 | PhoneNum |
| Signature | 2020-07-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | COURTNEY MCFARLAND CPA | PreparerPersonNm |
| PTIN | P01645518 | PTIN |
| Phone | 5083669100 | PhoneNum |
| Preparation | 2020-07-22 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 40.70.31.102 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-07-22 | IPDt |
| IP Tm | 07:59:14 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | CD23422F4DE0791B79B5D518482C2F7364FE87EC | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 247284B58625830FD7AA80C2F29CE40271A21289 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-22 18:59:49Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHELLE NADOW | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1353 DORCHESTER AVENUE | AddressLine1Txt |
| City | DORCHESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $34,983,948 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DOTHOUSEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | TO 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 Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 336 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $270,675 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$87,289 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,779,695 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,111,524 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $23,131,373 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,853,995 | CYProgramServiceRevenueAmt |
| PY Investment Income | $801,297 | PYInvestmentIncomeAmt |
| CY Investment Income | $660,024 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$7,703,769 | PYOtherRevenueAmt |
| CY Other Revenue | $521,682 | CYOtherRevenueAmt |
| PY Total Revenue | $23,008,596 | PYTotalRevenueAmt |
| CY Total Revenue | $30,147,225 | 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 | $17,466,806 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,719,406 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,349,355 | PYOtherExpensesAmt |
| CY Other Expenses | $10,967,669 | CYOtherExpensesAmt |
| PY Total Expenses | $29,816,161 | PYTotalExpensesAmt |
| CY Total Expenses | $29,687,075 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$6,807,565 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $460,150 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $19,276,833 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,194,250 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,208,549 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,629,919 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,068,284 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,564,331 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,991,768 | ExpenseAmt |
| Revenue | $8,562,338 | RevenueAmt |
| Desc | PRIMARY CARE: DOTHOUSE SERVED OVER 20,732 PATIENTS IN DORCHESTER IN FISCAL YEAR 2019. PRIMARY CARE SERVICES REPRESENTED 58% OF TOTAL PATIENT VISITS DURING THE YEAR. PRIMARY CARE SERVICES INCLUDE ADULT MEDICINE, FAMILY MEDICINE, PEDIATRICS AND AN 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 BATTERY 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,637,842 | ExpenseAmt |
| Revenue | $7,189,203 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICES: MENTAL 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 AND CARE.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: EACH YEAR DHH LOGS OVER 11,000 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 |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,197,604 | ExpenseAmt |
| Revenue | $1,592,799 | RevenueAmt |
| Desc | OTHER MEDICAL SERVICES: DURING FISCAL YEAR 2019, DHH SERVED ALMOST 6,000 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,426,530 | ExpenseAmt |
| Revenue | $5,420,572 | RevenueAmt |
| Desc | PHARMACY: DOTHOUSE OFFERS FULL PHARMACY SERVICES DURING NORMAL OPERATIONS TO OUR PATIENTS. THE PHARMACY FILLED 160,434 PRESCRIPTIONS IN FISCAL YEAR 2019. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,426,530 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $5,420,572 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $24,253,744 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 336 | 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 | Yes (1) | 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 | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHELLE NADOW | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6172884420 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1353 DORCHESTER AVE | AddressLine1Txt |
| City | DORCHESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02122 | 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 | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JEFFREY LOPES | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARYSSA MCLEAN SCHNEIDER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PAULO A DE BARROS | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANNISSA ESSAIBI GEORGE | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DOMINIQUE SYE | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER MCCOY | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JOEL WOOL | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MEGAN SONDEREGGER | ||||||||
| CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | 1.00 | |
| PHI TRAN | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JACK WU | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ROSA BERIGUETE | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHELLE NADOW | ||||||||
| PRESIDENT & CEO | 40.00 | $227,040 | $0 | $19,443 | Yes (X) | 1.00 | ||
| DR HUY NGUYEN | ||||||||
| CMO | 40.00 | $235,954 | $0 | $19,322 | Yes (X) | |||
| JOHN COONEY | ||||||||
| CFO | 40.00 | $142,118 | $0 | $19,358 | Yes (X) | 1.00 | ||
| DR NSA HENSHAW | ||||||||
| PHYSICIAN | 40.00 | $243,466 | $0 | $419 | Yes (X) | |||
| DR DANA RUBIN | ||||||||
| PEDIATRICIAN | 40.00 | $200,744 | $0 | $1,103 | Yes (X) | |||
| DR JULIE M CROSSON | ||||||||
| PHYSICIAN | 40.00 | $195,188 | $0 | $19,520 | Yes (X) | |||
| DR CAROLINE PAHK | ||||||||
| PHYSICIAN | 40.00 | $214,992 | $0 | $19,253 | Yes (X) | |||
| DR IVY BRACKUP | ||||||||
| PHYSICIAN | 40.00 | $195,078 | $0 | $6,977 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,654,580 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $105,395 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 32 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EATON APOTHECARY | |||||
| 13 WATER STREET | HOLLISTON | MA | 01746 | PHARMACY MANAGEMENT | $1,386,079 |
| CPA MEDICAL BILLING | |||||
| 333 RICHMOND ST | RAYNHAM | MA | 02767 | 3RD PARTY BILLING MANAGEMENT | $1,046,919 |
| LEADERS FOR TODAY | |||||
| 5 OBERY STREET SUITE 4 | PLYMOUTH | MA | 02360 | PROGRAM CONSULTING | $296,672 |
| BU FAMILY MEDICINE ASSOC | |||||
| ONE BOSTON MEDICAL CTR PL | BOSTON | MA | 02118 | PHYSICIAN TIME | $194,185 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $5,478 | FundraisingAmt |
| Government Grants | $2,657,819 | GovernmentGrantsAmt |
| All Other Contributions | $3,448,227 | AllOtherContributionsAmt |
| Noncash Contributions | $137,148 | NoncashContributionsAmt |
| Total Contributions | $6,111,524 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621498 | BusinessCd |
| Total Revenue Column | $22,853,995 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,583,320 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $270,675 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,853,995 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $257,872 | TotalRevenueColumnAmt |
| Exclusion | $257,872 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $45,375 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $45,375 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,375 | TotalRevenueColumnAmt |
| Exclusion | $45,375 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,163,383 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,761,231 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $402,152 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $402,152 | TotalRevenueColumnAmt |
| Exclusion | $402,152 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $76,292 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $5,478 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $75,492 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $800 | TotalRevenueColumnAmt |
| Exclusion | $800 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| FORGIVENESS OF CONDITIONAL NOTES | 900099 | $293,915 | $293,915 | |
| OTHER REVENUE | 621110 | $181,592 | $181,592 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $475,507 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,147,225 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,764,912 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $270,675 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,000,114 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $721,699 | TotalAmt |
| Program Services | $237,035 | ProgramServicesAmt |
| Management And General | $484,664 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,818,673 | TotalAmt |
| Program Services | $13,900,123 | ProgramServicesAmt |
| Management And General | $918,550 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,830 | TotalAmt |
| Program Services | $225,336 | ProgramServicesAmt |
| Management And General | $12,494 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,684,743 | TotalAmt |
| Program Services | $2,395,408 | ProgramServicesAmt |
| Management And General | $289,335 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,461 | TotalAmt |
| Program Services | $226,471 | ProgramServicesAmt |
| Management And General | $29,990 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,475 | TotalAmt |
| Program Services | $731 | ProgramServicesAmt |
| Management And General | $72,744 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,842 | TotalAmt |
| Management And General | $105,842 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,295,191 | TotalAmt |
| Program Services | $1,192,645 | ProgramServicesAmt |
| Management And General | $1,102,546 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,144 | TotalAmt |
| Management And General | $32,144 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,625 | TotalAmt |
| Program Services | $101,724 | ProgramServicesAmt |
| Management And General | $63,901 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $709,102 | TotalAmt |
| Management And General | $709,102 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,292,359 | TotalAmt |
| Program Services | $1,910,875 | ProgramServicesAmt |
| Management And General | $381,484 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,793 | TotalAmt |
| Program Services | $49,634 | ProgramServicesAmt |
| Management And General | $101,159 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $487,914 | TotalAmt |
| Program Services | $137,496 | ProgramServicesAmt |
| Management And General | $350,418 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,609 | TotalAmt |
| Program Services | $2,534 | ProgramServicesAmt |
| Management And General | $167,075 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $3,318,601 | $3,318,601 | |
| DATA PROCESSING | $433,988 | $95,937 | $338,051 |
| BAD DEBTS | $218,645 | $218,645 | |
| DONATED FOOD | $137,148 | $137,148 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,233 | TotalAmt |
| Program Services | $103,401 | ProgramServicesAmt |
| Management And General | $273,832 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,687,075 | TotalAmt |
| Program Services | $24,253,744 | ProgramServicesAmt |
| Management And General | $5,433,331 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,901,306 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,347,190 | BOYAmt |
| EOY | $352,605 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $671,597 | BOYAmt |
| EOY | $380,182 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,841,272 | BOYAmt |
| EOY | $1,242,687 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $580,587 | BOYAmt |
| EOY | $669,429 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,519,001 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,405,508 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,508,919 | BOYAmt |
| EOY | $3,113,493 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,776,297 | BOYAmt |
| EOY | $10,906,258 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $550,971 | BOYAmt |
| EOY | $628,290 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,276,833 | BOYAmt |
| EOY | $21,194,250 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,166,491 | BOYAmt |
| EOY | $3,390,282 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,882 | BOYAmt |
| EOY | $161,428 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $475,733 | BOYAmt |
| EOY | $360,946 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,445,485 | BOYAmt |
| EOY | $1,252,754 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,998,958 | BOYAmt |
| EOY | $2,464,509 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,208,549 | BOYAmt |
| EOY | $7,629,919 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,981,906 | BOYAmt |
| EOY | $13,017,437 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,378 | BOYAmt |
| EOY | $546,894 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,068,284 | BOYAmt |
| EOY | $13,564,331 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,276,833 | BOYAmt |
| EOY | $21,194,250 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $460,150 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $35,897 | NetUnrlzdGainsLossesInvstAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,641,458 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,904,477 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,023,547 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,779,695 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,111,524 | CurrentTaxYearAmt |
| Total | $24,460,701 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,515,364 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,165,744 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,955,152 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,921,646 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,583,320 | CurrentTaxYearAmt |
| Total | $116,141,226 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,156,822 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,070,221 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,978,699 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,701,341 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,694,844 | CurrentTaxYearAmt |
| Total | $140,601,927 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $140,601,927 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $405,659 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $387,531 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $409,220 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $399,890 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $257,872 | CurrentTaxYearAmt |
| Total | $1,860,172 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $405,659 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $387,531 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $409,220 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $399,890 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $257,872 | CurrentTaxYearAmt |
| Total | $1,860,172 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $209,727 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $270,675 | CurrentTaxYearAmt |
| Total | $480,402 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $487,246 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $626,701 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $608,664 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $396,239 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $475,507 | CurrentTaxYearAmt |
| Total | $2,594,357 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,049,727 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $29,084,453 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,996,583 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,707,197 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,698,898 | CurrentTaxYearAmt |
| Total | $145,536,858 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96610 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96830 | PublicSupportPY509Pct |
| Investment Income CY | 0.01280 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01390 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III LINE 12 | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME INCLUDES FORGIVENESS OF CONDITIONAL NOTES PAYABLE AND OTHER REVENUE. | ExplanationTxt |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $151,896 | OtherCostOrOtherBasisAmt |
| Book Value | $151,896 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,566,904 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,283,528 | DepreciationAmt |
| Book Value | $1,283,376 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,800,201 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,121,980 | DepreciationAmt |
| Book Value | $1,678,221 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,113,493 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED RENT PAYABLE | $1,771,302 |
| DUE FROM RELATED PARTIES | $693,207 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,464,509 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ACCOUNTING 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, 2019. THE HEALTH CENTER'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | DOTFEST 2019 | Event1Nm |
| Gross Receipts Event1 | $81,770 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $5,478 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $76,292 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $5,478 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $22,085 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $14,103 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $3,996 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $29,830 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $81,770 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $5,478 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $76,292 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $5,478 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $22,085 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $14,103 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $3,996 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $29,830 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $75,492 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $800 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHELLE NADOW | ||||||||||||||
| PRESIDENT & CEO | $227,040 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,443 | $0 | $246,483 | $0 | $0 | $0 |
| DR HUY NGUYEN | ||||||||||||||
| CMO | $235,954 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,322 | $0 | $255,276 | $0 | $0 | $0 |
| JOHN COONEY | ||||||||||||||
| CFO | $142,118 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,358 | $0 | $161,476 | $0 | $0 | $0 |
| DR NSA HENSHAW | ||||||||||||||
| PHYSICIAN | $243,466 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $419 | $0 | $243,885 | $0 | $0 | $0 |
| DR DANA RUBIN | ||||||||||||||
| PEDIATRICIAN | $200,744 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,103 | $0 | $201,847 | $0 | $0 | $0 |
| DR JULIE M CROSSON | ||||||||||||||
| PHYSICIAN | $195,188 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,520 | $0 | $214,708 | $0 | $0 | $0 |
| DR CAROLINE PAHK | ||||||||||||||
| PHYSICIAN | $214,992 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,253 | $0 | $234,245 | $0 | $0 | $0 |
| DR IVY BRACKUP | ||||||||||||||
| PHYSICIAN | $195,078 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,977 | $0 | $202,055 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $137,148 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET 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 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | BYLAWS UPDATED TO FURTHER DEFINE BOARD GOVERNANCE, ROLES AND DUTIES. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY THE CFO AND THEN PRESENTED TO THE BOARD FOR REVIEW AND APPROVAL PRIOR TO THE FORM 990 FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE 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 15 | THE BOARD OF DIRECTORS DETERMINES THE CEO'S SALARY BASED ON AN ANNUAL EVALUATION. OTHER OFFICER'S SALARIES ARE DETERMINED BY THE COMPARISON TO THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS SALARY AND COMPENSATION SURVEY. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO REVIEW. |
| FORM 990, PART XII, LINE 2C: | THE 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| DHMSC REALTY INC | ||||||||||
| 1353 DORCHESTER AVENUE | DORCHESTER | MA | 02122 | 455435131 | REAL ESTATE HOLDING | MA | 501(C)2 | N/A | Yes (1) | |
| HEALTH SERVICES PARTNERSHIP OF DORCHESTER INC | ||||||||||
| 1353 DORCHESTER AVENUE | DORCHESTER | MA | 02122 | 000627627 | HEALTH CENTER RESOURCES | MA | 501(C)3 | N/A | 0 | LINE 10 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DHMSC REALTY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionTypeTxt |
| Involved | $459,732 | InvolvedAmt |
| Method Of Amount Determination | FAIR MARKET VALUE | MethodOfAmountDeterminationTxt |
Comments