2019-11-04T10:50:09-06:00 2018-12-31 205711238 ADELSON & COMPANY PC 100 NORTH STREET PITTSFIELD MA 01201 990 2018-01-01 042161484 HILLTOWN COMMUNITY HEALTH CENTERS INC HILL 4132385511 58 OLD NORTH ROAD WORTHINGTON MA 01098 JOHN FOLLET PRESIDENT 4132385511 2019-10-28 1 CAROL J LEIBINGER-HEALEY CPA P00849882 4134436408 2019-10-28 208.125.165.90 2019-10-28 15:44:35 ED P 5CC19E0D79D568FE872AC71FADACD1153F988494 A3CECDFF04C55D79E5630AE70BEA306034EF1C6C 2018 2020-01-14 16:20:31Z JOHN FOLLET 58 OLD NORTH ROAD WORTHINGTON MA 01098 8586158 0 X WWW.HCHCWEB.ORG X 1950 MA TO PROVIDE MEDICAL, DENTAL, OPTOMETRY AND BEHAVIORAL HEALTH CARE, AND RELATED SERVICES TO PEOPLE IN THE WESTERN MASSACHUSETTS HILLTOWNS AND SURROUNDING AREAS. 10 10 147 10 0 0 1195890 575487 7185020 7606721 11198 112619 122927 79782 8515035 8374609 0 0 0 0 6283016 6583991 3333 0 68880 1499987 1642390 7786336 8226381 728699 148228 5524853 5691567 1248053 1398611 4276800 4292956 X HILLTOWN COMMUNITY HEALTH CENTER'S MISSION IS TO PROVIDE HIGH QUALITY, ACCESSIBLE MEDICAL, DENTAL, OPTOMETRY AND BEHAVIORAL HEALTH CARE, AND RELATED SERVICES TO PEOPLE IN THE WESTERN MASSACHUSETTS HILLTOWNS AND SURROUNDING AREAS. WE SEEK TO UNDERSTAND AND RESPOND TO THE NEEDS OF OUR COMMUNITY. ALL SERVICES WILL BE DELIVERED IN A CARING AND PROFESSIONAL MANNER WITHIN A CONTEXT OF A PARTNERSHIP BETWEEN PERSONS SERVED AND STAFF. TO ACHIEVE OUR MISSION WE PROMOTE EMPLOYEE GROWTH AND JOB SATISFACTION AND WE OFFER CONTINUITY OF CARE THROUGH OUR RELATIONSHIPS WITH OTHER ORGANIZATIONS. 0 0 6580891 6951944 MEDICAL, DENTAL, BEHAVIORAL HEALTH AND OPTOMETRY SERVICESHILLTOWN COMMUNITY HEALTH CENTERS, INC. (HCHC) PROVIDES COMPREHENSIVE MEDICAL SERVICES TO RESIDENTS OF THE 11 WESTERN MASSACHUSETTS COMMUNITIES AND THE SURROUNDING AREAS. OUR TEAM OF BOARD-CERTIFIED PHYSICIANS, NURSE PRACTITIONERS, REGISTERED NURSES, AND MEDICAL ASSISTANTS PROVIDE PREVENTATIVE, ACUTE AND CHRONIC CARE TREATMENT FOR INFANTS, CHILDREN, ADULTS AND ELDERS AT ONE OF OUR THREE HEALTH CENTER SITES. THIS INCLUDES PHYSICAL EXAMS, WELL-CHILD EXAMS, CAMP AND SPORTS PHYSICALS, IMMUNIZATIONS, GYNECOLOGICAL EXAMS INCLUDING COLPOSCOPY WHEN INDICATED, LABORATORY TESTS, LIMITED PHARMACY SERVICES AND LIMITED PODIATRY SERVICES. THE MEDICAL DEPARTMENT SERVED 5,392 PATIENTS IN 2018.HCHC'S DENTAL DEPARTMENT, STAFFED BY A TEAM OF BOARD-CERTIFIED DENTISTS, DENTAL HYGIENISTS AND DENTAL ASSISTANTS, PROVIDES PREVENTATIVE AND ACUTE CARE INCLUDING CLEANINGS AND FILLINGS, ROOT CANALS, DENTAL IMPLANTS, DENTURES, BRIDGES, PERIODONTAL WORK, EMERGENCY AND ORAL SURGERY. THE DENTAL DEPARTMENT SERVED 5,014 PATIENTS IN 2018.HCHC'S BEHAVIORAL HEALTH AND SUBSTANCE ABUSE DEPARTMENT, STAFFED BY LICENSED PRACTITIONERS, PROVIDES INDIVIDUAL, COUPLE, FAMILY AND GROUP TREATMENT FOR CHILDREN, ADOLESCENTS, ADULTS AND THE ELDERLY. THE BEHAVORIAL HEALTH AND SUBSTANCE ABUSE DEPARTMENT SERVED 472 PATIENTS IN 2018.HCHC'S OPTOMETRY DEPARTMENT, STAFFED BY TWO LICENSED OPTOMETRISTS, BEGAN SEEING PATIENTS IN OCTOBER 2010. SERVICES PROVIDED BY THE DEPARTMENT INCLUDE: VISION TESTING, VISUAL FIELD TESTS, OPTICAL SCANS AND OFFERS A VARIETY OF FRAMES AND CONTACT LENSES. THE OPTOMETRISTS WORK CLOSELY WITH THE MEDICAL PROVIDERS TO INSURE DIABETIC PATIENTS RECEIVE THE NECESSARY VISUAL SCREENINGS. THE OPTOMETRY DEPARTMENT SERVED 1,808 PATIENTS IN 2018. 557399 690183 OUTREACH AND EDUCATION PROGRAMSHCHC PROVIDES A WIDE VARIETY OF OUTREACH AND EDUCATION PROGRAMS. WORKING CLOSELY WITH OUR MEDICAL DEPARTMENT WE OFFER WELLNESS PROGRAMS INCLUDING NUTRITION COUNSELING (BOTH INDIVIDUAL AND GROUP), SMOKING CESSATION SERVICES, STRESS REDUCTION AND PHYSICAL ACTIVITY PROGRAMS.OUR FAMILY PROGRAMS INCLUDE WORKSHOPS FOR PARENTS OF INFANTS AND TODDLERS COVERING TOPICS SUCH AS CHILD-DEVELOPMENT, COMMUNICATION, HEALTH AND SAFETY ISSUES (SUCH AS FAMILY CPR AND FIRST AID), INFANT MASSAGE, BABY SIGN LANGUAGE, SETTING LIMITS AND POSITIVE DISCIPLINE, AND COPING WITH TOUGH MOMENTS. INDIVIDUAL CONSULTATION WITH PARENTS STRUGGLING WITH CHILD REARING ISSUES IS ALSO PROVIDED. HCHC ALSO PROVIDES CHILDBIRTH EDUCATION PROGRAMS AND BREASTFEEDING EDUCATION AND SUPPORT. HCHC ALSO HAS A FAMILY CENTER WHICH PROVIDES PLAYGROUPS FOR YOUNG CHILDREN, FAMILY-ORIENTED ACTIVITIES AND PARENTING EDUCATION SUPPORT AS WELL AS A PRE-SCHOOL SCHOOL READINESS PROGRAM.HCHC ALSO PROVIDES ASSISTANCE WITH HEALTH ACCESS (HELPING PEOPLE DETERMINE ELIGIBILITY FOR AND ENROLLING IN PUBLICALLY FUNDED HEALTH INSURANCE PROGRAMS) AND ASSISTANCE IN ACCESSING FUEL ASSISTANCE, HEALTH CARE, HOUSING REFERRALS, ADULT EDUCATION PROGRAMS, JOB READINESS PROGRAMS AND MUCH MORE.THE HOPE (HEALTH OUTREACH PROGRAM FOR ELDERS) PROGRAM PROVIDES PREVENTATIVE AND HEALTH MAINTENANCE CARE TO SENIORS IN THEIR HOMES. THE HOPE NURSE CAN DO VITAL SIGN AND BLOOD PRESSURE CHECKS; HOME SAFETY ASSESSMENTS; MEDICATION MANAGEMENT; FLU SHOTS; ASSISTANCE IN COMPLETING HEALTH CARE PROXY FORMS; ARRANGING APPOINTMENTS WITH PHYSICIANS AND SPECIALISTS; REFERRALS FOR HOMEMAKER HELP AND MUCH MORE. THE PROGRAM ALSO PROVIDES OUTREACH VISITS BY PHYSICIANS WHEN CALLED FOR AND IN-HOME PODIATRY SERVICES TO ELDERS. 7138290 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 15 0 1 147 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MA X X FRANK MERTES 4132385511 58 OLD NORTH ROAD WORTHINGTON MA 01098 JOHN FOLLET CHAIR 1.00 X X 0 0 0 NANCY BRENNER VICE CHAIR 1.00 X X 0 0 0 TIM WALTER TREASURER 1.00 X X 0 0 0 KATHRYN JENSEN CLERK 1.00 X X 0 0 0 M LEE MANCHESTER DIRECTOR 0.50 X 0 0 0 ALAN GAITENBY DIRECTOR 0.50 X 0 0 0 WENDY LONG DIRECTOR 0.50 X 0 0 0 MATTHEW BANNISTER DIRECTOR 0.50 X 0 0 0 MAYA D BACHMAN DIRECTOR 0.50 X 0 0 0 SETH GEMME DIRECTOR 0.50 X 0 0 0 ELIZA LAKE CHIEF EXECUTIVE OFFICER 37.50 X 121216 0 20281 FRANK MERTES CHIEF FINANCIAL OFFICER 37.50 X 102800 0 656 LORA GRIMES PHYSICIAN 37.50 X 154281 0 25355 SHERI CHEUNG PHYSICIAN 40.00 X 153627 0 1980 MIRANDA BALKIN PHYSICIAN 37.50 X 136862 0 20442 MICHAEL PURDY OPTOMETRIST & CHIEF CLINIC 37.50 X 131873 0 1102 ANDREW ADAMS DENTAL DIRECTOR 40.00 X 120952 0 6650 921611 0 76466 9 0 1 0 WRIGHT BUILDERS INC 48 BATES STREET NORHTHAMPTION MA 01060 CONSTRUCTION 591277 1 404993 170494 575487 PATIENT FEES 621110 4586735 4586735 GOVERNMENT DIRECT AND 621110 2164199 2164199 STATE FREE CARE 621110 397855 397855 PROGRAM REVENUE 624100 306121 306121 PHARMACY INCOME 446110 151811 151811 7606721 8706 8706 267077 163164 103913 103913 103913 83791 48385 35406 35406 MISCELLANEOUS 900099 44376 44376 44376 8374609 7642127 0 156995 238471 238471 5472962 5009679 412414 50869 446484 402257 40553 3674 426074 375678 46652 3744 5364 5364 26600 26600 4688 3029 1191 468 484559 414249 67856 2454 84529 53148 25288 6093 337016 293601 43415 24080 17776 6304 29287 26639 2630 18 17857 14661 3196 244859 199601 45258 23557 14940 8617 MEDICAL AND DENTAL SUPP 170655 170655 BAD DEBT 58488 57155 1333 CONTRACTS/CONSULTING 34149 23432 10717 96702 61790 34685 227 8226381 7138290 1019211 68880 101307 90155 287554 116494 241562 130016 448884 518231 13089 11811 4907 14866 6952099 2430368 3852453 4521731 521384 234550 53713 53713 5524853 5691567 766049 633577 107507 420297 374497 344737 1248053 1398611 X 4003070 4230503 237150 26328 36580 36125 4276800 4292956 5524853 5691567 148228 -132072 0 X 0 1 X 1 1 1 X 335587 400685 819633 1195890 575487 3327282 5906631 6448505 7007289 7212319 7690512 34265256 6242218 6849190 7826922 8408209 8265999 37592538 0 0 0 37592538 8932 8878 9133 11198 8706 46847 8932 8878 9133 11198 8706 46847 32503 132252 46637 95628 44376 351396 6283653 6990320 7882692 8515035 8319081 37990781 0.98950 0.98860 0.00120 0.00130 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2014 AMOUNT: $ 32,503. 2015 AMOUNT: $ 132,252. 2016 AMOUNT: $ 46,637. 2017 AMOUNT: $ 95,628. 2018 AMOUNT: $ 44,376. 36580 -317 138 36125 35388 1192 36580 35184 204 35388 35218 -34 35184 34729 489 35218 1.00000 0 0 204506 204506 3525762 1475670 2050092 1933674 64456 1869218 1288157 890242 397915 4521731 X 7691467 -132072 -132072 7823539 551070 551070 8374609 8226381 0 8226381 0 8226381 PART X, LINE 2: MANAGEMENT HAS EVALUATED SIGNIFICANT TAX POSITIONS AGAINST THE CRITERIA ESTABLISHED BY PROFESSIONAL STANDARDS AND BELIEVES THERE ARE NO SUCH TAX POSITIONS REQUIRING ACCOUNTING RECOGNITION. THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR ALL YEARS ENDING ON OR AFTER DECEMBER 31, 2015. PART XI, LINE 4B - OTHER ADJUSTMENTS: NON-OPERATING CAMPAIGN GRANTS AND CONTRIBUTIONS 551,070. X X X 0 0 0 0 0 0 0 0 0 LORA GRIMES PHYSICIAN 154281 0 0 0 0 0 0 0 25355 0 179636 0 0 0 SHERI CHEUNG PHYSICIAN 153627 0 0 0 0 0 0 0 1980 0 155607 0 0 0 MIRANDA BALKIN PHYSICIAN 136862 0 0 0 0 0 0 0 20442 0 157304 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE FINANCE COMMMITTEE AND PRESENTED TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C A QUESTIONNAIRE MUST BE COMPLETED ANNUALLY BY OFFICERS, DIRECTORS AND KEY EMPLOYEES DISCLOSING ANY RELATIONSHIPS PRESENTING POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE MEETS ANNUALLY TO REVIEW THE EXECUTIVE DIRECTOR'S COMPENSATION AND COMPARE IT TO FOUR SIMILARLY-SIZED MASSACHUSETTS HEALTH CARE ORGANIZATIONS. THE EXECUTIVE COMMITTEE'S RECOMMENDATION IS BROUGHT TO THE BOARD OF DIRECTORS FOR FURTHER DISCUSSION AND FINAL APRROVAL. FORM 990, PART VI, SECTION C, LINE 18 FORM 990 IS AVAILABLE AT GUIDE STAR WEBSITE AND PROVIDED UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.