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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-24T16:55:32-05:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN042571780PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1AAFCPAS INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line150 WASHINGTON STREETAddressLine1Txt
CityWESTBOROUGHCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01581ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237125970EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELLE NADOWPersonNm
Person TitleCEOPersonTitleTxt
Phone6177402249PhoneNum
Signature2020-07-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCOURTNEY MCFARLAND CPAPreparerPersonNm
PTINP01645518PTIN
Phone5083669100PhoneNum
Preparation2020-07-22PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address40.70.31.102IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-22IPDt
IP Tm07:59:14IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdCD23422F4DE0791B79B5D518482C2F7364FE87ECAtSubmissionCreationDeviceId
At Submission Filing Device Id247284B58625830FD7AA80C2F29CE40271A21289AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-22 18:59:49ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHELLE NADOWPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11353 DORCHESTER AVENUEAddressLine1Txt
CityDORCHESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02122ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$34,983,948GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DOTHOUSEHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO PROVIDE AFFORDABLE, ACCESSIBLE, AND EXCEPTIONAL HEALTH CARE AND OTHER ESSENTIAL SERVICES IN AN ENVIRONMENT THAT RESPECTS OUR CONSUMERS, STAFF AND DIVERSE COMMUNITY; BE A LEADING FORCE FOR CHANGE IN THE HEALTH, ECONOMIC, AND SOCIAL STATUS OF OUR COMMUNITY; AND BE AN ESSENTIAL RESOURCE FOR OUR COMMUNITY IN ITS EFFORTS TO ACHIEVE THE HIGHEST LEVELS OF HEALTH, WELL BEING AND QUALITY OF LIFE FOR ITS RESIDENTS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee336TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$270,675TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$87,289NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,779,695PYContributionsGrantsAmt
CY Contributions Grants$6,111,524CYContributionsGrantsAmt
PY Program Service Revenue$23,131,373PYProgramServiceRevenueAmt
CY Program Service Revenue$22,853,995CYProgramServiceRevenueAmt
PY Investment Income$801,297PYInvestmentIncomeAmt
CY Investment Income$660,024CYInvestmentIncomeAmt
PY Other Revenue-$7,703,769PYOtherRevenueAmt
CY Other Revenue$521,682CYOtherRevenueAmt
PY Total Revenue$23,008,596PYTotalRevenueAmt
CY Total Revenue$30,147,225CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$17,466,806PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$18,719,406CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$12,349,355PYOtherExpensesAmt
CY Other Expenses$10,967,669CYOtherExpensesAmt
PY Total Expenses$29,816,161PYTotalExpensesAmt
CY Total Expenses$29,687,075CYTotalExpensesAmt
PY Revenues Less Expenses-$6,807,565PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$460,150CYRevenuesLessExpensesAmt
Total Assets BOY$19,276,833TotalAssetsBOYAmt
Total Assets EOY$21,194,250TotalAssetsEOYAmt
Total Liabilities BOY$6,208,549TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,629,919TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,068,284NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$13,564,331NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE AFFORDABLE, ACCESSIBLE, AND EXCEPTIONAL HEALTH CARE AND OTHER ESSENTIAL SERVICES IN AN ENVIRONMENT THAT RESPECTS OUR CONSUMERS, STAFF AND DIVERSE COMMUNITY; BE A LEADING FORCE FOR CHANGE IN THE HEALTH, ECONOMIC, AND SOCIAL STATUS OF OUR COMMUNITY; AND BE AN ESSENTIAL RESOURCE FOR OUR COMMUNITY IN ITS EFFORTS TO ACHIEVE THE HIGHEST LEVELS OF HEALTH, WELL BEING AND QUALITY OF LIFE FOR ITS RESIDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$9,991,768ExpenseAmt
Revenue$8,562,338RevenueAmt
DescPRIMARY 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

FieldValueIRS element (for citing)
Expense$7,637,842ExpenseAmt
Revenue$7,189,203RevenueAmt
DescOTHER 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

FieldValueIRS element (for citing)
Expense$4,197,604ExpenseAmt
Revenue$1,592,799RevenueAmt
DescOTHER 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

FieldValueIRS element (for citing)
Expense$2,426,530ExpenseAmt
Revenue$5,420,572RevenueAmt
DescPHARMACY: DOTHOUSE OFFERS FULL PHARMACY SERVICES DURING NORMAL OPERATIONS TO OUR PATIENTS. THE PHARMACY FILLED 160,434 PRESCRIPTIONS IN FISCAL YEAR 2019.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$2,426,530TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$5,420,572TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$24,253,744TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document27IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee336EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JEFFREY LOPES
BOARD MEMBER1.00Yes (X)$0$0$0
MARYSSA MCLEAN SCHNEIDER
BOARD MEMBER1.00Yes (X)$0$0$0
PAULO A DE BARROS
BOARD MEMBER1.00Yes (X)$0$0$0
ANNISSA ESSAIBI GEORGE
BOARD MEMBER1.00Yes (X)$0$0$0
DOMINIQUE SYE
BOARD MEMBER1.00Yes (X)$0$0$0
CHRISTOPHER MCCOY
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
JOEL WOOL
BOARD MEMBER1.00Yes (X)$0$0$0
MEGAN SONDEREGGER
CHAIR2.00Yes (X)$0$0$0Yes (X)1.00
PHI TRAN
SECRETARY1.00Yes (X)$0$0$0Yes (X)
JACK WU
TREASURER1.00Yes (X)$0$0$0Yes (X)
ROSA BERIGUETE
BOARD MEMBER1.00Yes (X)$0$0$0
MICHELLE NADOW
PRESIDENT & CEO40.00$227,040$0$19,443Yes (X)1.00
DR HUY NGUYEN
CMO40.00$235,954$0$19,322Yes (X)
JOHN COONEY
CFO40.00$142,118$0$19,358Yes (X)1.00
DR NSA HENSHAW
PHYSICIAN40.00$243,466$0$419Yes (X)
DR DANA RUBIN
PEDIATRICIAN40.00$200,744$0$1,103Yes (X)
DR JULIE M CROSSON
PHYSICIAN40.00$195,188$0$19,520Yes (X)
DR CAROLINE PAHK
PHYSICIAN40.00$214,992$0$19,253Yes (X)
DR IVY BRACKUP
PHYSICIAN40.00$195,078$0$6,977Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,654,580TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$105,395TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K32IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EATON APOTHECARY
13 WATER STREETHOLLISTONMA01746PHARMACY MANAGEMENT$1,386,079
CPA MEDICAL BILLING
333 RICHMOND STRAYNHAMMA027673RD PARTY BILLING MANAGEMENT$1,046,919
LEADERS FOR TODAY
5 OBERY STREET SUITE 4PLYMOUTHMA02360PROGRAM CONSULTING$296,672
BU FAMILY MEDICINE ASSOC
ONE BOSTON MEDICAL CTR PLBOSTONMA02118PHYSICIAN TIME$194,185
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Fundraising$5,478FundraisingAmt
Government Grants$2,657,819GovernmentGrantsAmt
All Other Contributions$3,448,227AllOtherContributionsAmt
Noncash Contributions$137,148NoncashContributionsAmt
Total Contributions$6,111,524TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621498BusinessCd
Total Revenue Column$22,853,995TotalRevenueColumnAmt
Related Or Exempt Func Income$22,583,320RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$270,675UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$22,853,995TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$257,872TotalRevenueColumnAmt
Exclusion$257,872ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$45,375RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$45,375RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,375TotalRevenueColumnAmt
Exclusion$45,375ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,163,383SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,761,231SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$402,152SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$402,152TotalRevenueColumnAmt
Exclusion$402,152ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$76,292FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$5,478ContriRptFundraisingEventAmt
Fundraising Direct Expenses$75,492FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$800TotalRevenueColumnAmt
Exclusion$800ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FORGIVENESS OF CONDITIONAL NOTES900099$293,915$293,915
OTHER REVENUE621110$181,592$181,592
FieldValueIRS element (for citing)
Other Revenue Total$475,507OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,147,225TotalRevenueColumnAmt
Related Or Exempt Func Income$22,764,912RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$270,675UnrelatedBusinessRevenueAmt
Exclusion$1,000,114ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$721,699TotalAmt
Program Services$237,035ProgramServicesAmt
Management And General$484,664ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,818,673TotalAmt
Program Services$13,900,123ProgramServicesAmt
Management And General$918,550ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$237,830TotalAmt
Program Services$225,336ProgramServicesAmt
Management And General$12,494ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,684,743TotalAmt
Program Services$2,395,408ProgramServicesAmt
Management And General$289,335ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$256,461TotalAmt
Program Services$226,471ProgramServicesAmt
Management And General$29,990ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$73,475TotalAmt
Program Services$731ProgramServicesAmt
Management And General$72,744ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$105,842TotalAmt
Management And General$105,842ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,295,191TotalAmt
Program Services$1,192,645ProgramServicesAmt
Management And General$1,102,546ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$32,144TotalAmt
Management And General$32,144ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$165,625TotalAmt
Program Services$101,724ProgramServicesAmt
Management And General$63,901ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$709,102TotalAmt
Management And General$709,102ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,292,359TotalAmt
Program Services$1,910,875ProgramServicesAmt
Management And General$381,484ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$150,793TotalAmt
Program Services$49,634ProgramServicesAmt
Management And General$101,159ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$487,914TotalAmt
Program Services$137,496ProgramServicesAmt
Management And General$350,418ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$169,609TotalAmt
Program Services$2,534ProgramServicesAmt
Management And General$167,075ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement 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

FieldValueIRS element (for citing)
Total$377,233TotalAmt
Program Services$103,401ProgramServicesAmt
Management And General$273,832ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$29,687,075TotalAmt
Program Services$24,253,744ProgramServicesAmt
Management And General$5,433,331ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$3,901,306EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,347,190BOYAmt
EOY$352,605EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$671,597BOYAmt
EOY$380,182EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,841,272BOYAmt
EOY$1,242,687EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$580,587BOYAmt
EOY$669,429EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,519,001LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,405,508LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,508,919BOYAmt
EOY$3,113,493EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$9,776,297BOYAmt
EOY$10,906,258EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$550,971BOYAmt
EOY$628,290EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,276,833BOYAmt
EOY$21,194,250EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,166,491BOYAmt
EOY$3,390,282EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$121,882BOYAmt
EOY$161,428EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$475,733BOYAmt
EOY$360,946EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$1,445,485BOYAmt
EOY$1,252,754EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,998,958BOYAmt
EOY$2,464,509EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,208,549BOYAmt
EOY$7,629,919EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,981,906BOYAmt
EOY$13,017,437EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$86,378BOYAmt
EOY$546,894EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,068,284BOYAmt
EOY$13,564,331EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,276,833BOYAmt
EOY$21,194,250EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$460,150ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$35,897NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,641,458CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,904,477CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,023,547CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,779,695CurrentTaxYearMinus1YearAmt
Current Tax Year$6,111,524CurrentTaxYearAmt
Total$24,460,701TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,515,364CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,165,744CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,955,152CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,921,646CurrentTaxYearMinus1YearAmt
Current Tax Year$22,583,320CurrentTaxYearAmt
Total$116,141,226TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,156,822CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,070,221CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,978,699CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,701,341CurrentTaxYearMinus1YearAmt
Current Tax Year$28,694,844CurrentTaxYearAmt
Total$140,601,927TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$140,601,927PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$405,659CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$387,531CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$409,220CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$399,890CurrentTaxYearMinus1YearAmt
Current Tax Year$257,872CurrentTaxYearAmt
Total$1,860,172TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$405,659CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$387,531CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$409,220CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$399,890CurrentTaxYearMinus1YearAmt
Current Tax Year$257,872CurrentTaxYearAmt
Total$1,860,172TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$209,727CurrentTaxYearMinus1YearAmt
Current Tax Year$270,675CurrentTaxYearAmt
Total$480,402TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$487,246CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$626,701CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$608,664CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$396,239CurrentTaxYearMinus1YearAmt
Current Tax Year$475,507CurrentTaxYearAmt
Total$2,594,357TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,049,727CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,084,453CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,996,583CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,707,197CurrentTaxYearMinus1YearAmt
Current Tax Year$29,698,898CurrentTaxYearAmt
Total$145,536,858TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96610PublicSupportCY509Pct
Public Support PY5090.96830PublicSupportPY509Pct
Investment Income CY0.01280InvestmentIncomeCYPct
Investment Income PY0.01390InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$151,896OtherCostOrOtherBasisAmt
Book Value$151,896BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,566,904OtherCostOrOtherBasisAmt
Depreciation$1,283,528DepreciationAmt
Book Value$1,283,376BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,800,201OtherCostOrOtherBasisAmt
Depreciation$5,121,980DepreciationAmt
Book Value$1,678,221BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,113,493TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DEFERRED RENT PAYABLE$1,771,302
DUE FROM RELATED PARTIES$693,207
FieldValueIRS element (for citing)
Total Liability$2,464,509TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

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

FieldValueIRS element (for citing)
Event1DOTFEST 2019Event1Nm
Gross Receipts Event1$81,770GrossReceiptsEvent1Amt
Charitable Contri Event1$5,478CharitableContriEvent1Amt
Gross Revenue Event1$76,292GrossRevenueEvent1Amt
Non Cash Prizes Event1$5,478NonCashPrizesEvent1Amt
Rent Facility Costs Event1$22,085RentFacilityCostsEvent1Amt
Food And Beverage Event1$14,103FoodAndBeverageEvent1Amt
Entertainment Event1$3,996EntertainmentEvent1Amt
Other Direct Expenses Event1$29,830OtherDirectExpensesEvent1Amt
Gross Receipts Total$81,770GrossReceiptsTotalAmt
Charitable Contributions Tot$5,478CharitableContributionsTotAmt
Gross Revenue Total Events$76,292GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$5,478NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$22,085RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$14,103FoodAndBeverageTotalEventsAmt
Entertainment Total Events$3,996EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$29,830OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$75,492DirectExpenseSummaryEventsAmt
Net Income Summary$800NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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
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

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$137,148NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4BYLAWS UPDATED TO FURTHER DEFINE BOARD GOVERNANCE, ROLES AND DUTIES.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CTHE ORGANIZATION REQUIRES THAT ALL MEMBERS OF THE GOVERNING BOARD AND SENIOR MANAGEMENT READ THE POLICY AND ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY CONFLICTS. THE STATEMENTS ARE REVIEWED BY THE COMPLIANCE COMMITTEE AND ENFORCED BY THE BOARD CHAIR AND CEO. IF A CONFLICT OCCURS THAT PERSON IS EXCUSED FROM THE DISCUSSION AND CAN NOT ADVOCATE ON BEHALF OF THE CONFLICTING ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS DETERMINES THE CEO'S SALARY BASED ON AN ANNUAL EVALUATION. OTHER 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 19ALL 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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxt
DHMSC REALTY INC
1353 DORCHESTER AVENUEDORCHESTERMA02122455435131REAL ESTATE HOLDINGMA501(C)2N/AYes (1)
HEALTH SERVICES PARTNERSHIP OF DORCHESTER INC
1353 DORCHESTER AVENUEDORCHESTERMA02122000627627HEALTH CENTER RESOURCESMA501(C)3N/A0LINE 10
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1DHMSC REALTY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeKTransactionTypeTxt
Involved$459,732InvolvedAmt
Method Of Amount DeterminationFAIR MARKET VALUEMethodOfAmountDeterminationTxt

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