2019-05-14T13:12:36-05:00 2018-06-30 042571780 ALEXANDER ARONSON FINNING & CO PC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2017-07-01 237221597 CHARLES RIVER COMMUNITY HEALTH INC CHAR 6178707285 495 WESTERN AVENUE BRIGHTON MA 02135 ELIZABETH BROWNE EXECUTIVE DIRECTOR 6175222766 2019-05-14 1 CHARLES J WEBB CPA P01584539 5083669100 64.238.141.162 2019-05-14 12:04:23 ED P F4247996A0DFD92197EA51AEF4558D040C319DAA CB2B07AFD6767982BCB28B09646F6ACBACA35001 2017 2019-02-21 02:37:17Z ELIZABETH BROWNE 495 WESTERN AVENUE BRIGHTON MA 02135 18490508 0 X WWW.CHARLESRIVERHEALTH.ORG X 1970 MA HIGH-QUALITY, COMPREHENSIVE, CULTURALLY COMPETENT, AND AFFORDABLE COMMUNITY-BASED HEALTH CARE SERVICES FOR ALL RESIDENTS OF ALLSTON/BRIGHTON, WALTHAM AND SURROUNDING COMMUNITIES, INCLUDING UNINSURED, UNDER-INSURED, LOW INCOME, AND UNDERSERVED POPULATIONS. 15 15 229 22 119878 -27049 4908902 6723779 10681314 11293591 220306 252460 8456 6552 15818978 18276382 20000 20000 0 0 11129746 11586145 0 0 182092 4489878 5283219 15639624 16889364 179354 1387018 26604008 30162864 11607245 13708833 14996763 16454031 HIGH-QUALITY, COMPREHENSIVE, CULTURALLY COMPETENT, AND AFFORDABLE COMMUNITY-BASED HEALTH CARE SERVICES FOR ALL RESIDENTS OF ALLSTON/BRIGHTON, WALTHAM, AND SURROUNDING COMMUNITIES, INCLUDING UNINSURED, UNDER-INSURED, LOW INCOME, AND UNDERSERVED POPULATIONS. 0 0 10399409 20000 8893639 PRIMARY CARE, SPECIALTY, AND ANCILLARY MEDICAL SERVICES FOR RESIDENTS OF ALLSTON-BRIGHTON, MA, WALTHAM, MA, AND SURROUNDING COMMUNITIES. SPECIALTY AND ANCILLARY SERVICES INCLUDE PRENATAL CARE, OB/GYN, CARE COORDINATION AND CASE MANAGEMENT, NUTRITION, HEALTH EDUCATION, HEALTH BENEFITS COUNSELING, CANCER SCREENING, FAMILY PLANNING, VISION, EYEWEAR, AND PHARMACY. 2952487 1821389 PREVENTIVE, RESTORATIVE AND REHABILITATIVE DENTAL SERVICES TO RESIDENTS OF ALLSTON-BRIGHTON, MA, WALTHAM, MA, AND SURROUNDING COMMUNITIES. 1531458 578563 BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER COUNSELING AND OUTREACH SERVICES FOR RESIDENTS OF ALLSTON-BRIGHTON, MA, WALTHAM, MA, AND SURROUNDING COMMUNITIES. 14883354 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 15 0 1 229 1 1 1 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X JAMES SOUZA CFO 6178707280 495 WESTERN AVENUE BRIGHTON MA 02135 TRACEY MANGHAM BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 PATRICE MCGREGOR VICE CLERK 1.00 X X 0 0 0 CAROLINE GROSSMAN BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 JULIE MORAN CHAIRPERSON 1.00 X X 0 0 0 SUSAN KEARNS CLERK 1.00 X X 0 0 0 AMIT SONI BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 VINAY GUPTA BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 ELIZABETH WHITTEMORE VICE CHAIR 1.00 X X 0 0 0 SAGRARIO ORTIZ BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 GABRIELA CANEPA BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 STEVEN KENT BOARD OF DIRECTORS MEMBER 1.00 1.00 X 0 0 0 LAMINE SAVADOGO BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 STEPHANIE SUNDERLAND-RAMSEY BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 TODD WOODWORTH TREASURER 1.00 X X 0 0 0 JULIA COLLINS BOARD OF DIRECTORS MEMBER 1.00 X 0 0 0 ANTHONY RUFO TREASURER (THROUGH JULY 2017) 1.00 1.00 X X 0 0 0 ANIBAL GUZMAN BOARD OF DIRECTORS MEMBER (FORMER) 1.00 X 0 0 0 ELIZABETH BROWNE EXECUTIVE DIRECTOR 24.00 16.00 X 189429 0 15987 JAMES SOUZA CHIEF FINANCIAL OFFICER 24.00 16.00 X 175411 0 16445 ELIZABETH MOLINA ORTIZ MEDICAL DIRECTOR 40.00 X 217399 0 18368 JIANI GUO PHYSICIAN 40.00 X 164050 0 3691 MARK DREWS PHYSICIAN 40.00 X 211762 0 26533 GREESHMA NAINI PHYSICIAN 40.00 X 184532 0 8639 HINAL PATEL PHARMACIST 40.00 X 121011 0 22643 KATHLEEN KEHOE DIRECTOR 40.00 X 123026 0 15239 1386620 0 127545 16 0 1 0 JM COULL INC 20 POWDER MILL RD MAYNARD MA 01754 CONSTRUCTION/CONTRACTORS 1039256 QUALITY SYSTEMS INC 18111 VON KARMAN AVE SUITE 700 IRVINE CA 92612 IS SUPPORT 265743 PARRIS & ASSOCIATES INC 333 RICHMOND STREET RAYNHAM MA 02767 CONSTRUCTION/CONTRACTORS 180573 DIGIORGIO ASSOCIATES INC 529 MAIN STREET SUITE 3303 BOSTON MA 02129 ARCHITECTURAL SERVICES 133294 NEW ENGLAND EYE INSTITUTE 930 COMMONWEALTH AVENUE SUITE 2A BOSTON MA 02215 OPTOMETRIST 118173 5 4909302 1814477 6723779 PATIENT SERVICE REVENUE 621498 7376151 7256273 119878 MEDICARE/MEDICAID 900099 3917440 3917440 11293591 205954 205954 260632 214126 46506 46506 46506 MISCELLANEOUS INCOME 900001 6552 6552 6552 18276382 11173713 119878 259012 20000 20000 412821 412821 9336349 8460181 734805 141363 147988 138218 8282 1488 976719 898484 59324 18911 712268 624252 77870 10146 52727 52727 70344 70344 911809 852522 57501 1786 2217819 2084496 128209 5114 1473094 1388116 84978 13262 7715 5342 205 223669 198942 24727 69417 27496 41921 BAD DEBT 173081 173081 NEW SITE EXPENSES 40854 40854 MISCELLANEOUS 37143 9851 24213 3079 16889364 14883354 1823918 182092 70863 567226 3411494 3317989 1185125 1119256 1749595 1983094 16893500 16893500 146859 223991 5433838 1815531 779306 3618307 1070318 1159033 63732 133988 1233216 1146480 26604008 30162864 1352088 1454240 10255157 10872452 0 1382141 11607245 13708833 X 13431762 14719726 1017025 1186329 547976 547976 14996763 16454031 26604008 30162864 1387018 70250 0 X X 0 1 X 1 1 1 X 6193736 8823147 5805250 4908902 6723779 32454814 6193736 8823147 5805250 4908902 6723779 32454814 32454814 37244 37438 30871 220306 252460 578319 112 786 123057 8456 6552 138963 33172096 50082750 0.97840 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2013 AMOUNT: $ 112. 2014 AMOUNT: $ 786. 2015 AMOUNT: $ 123,057. 2016 AMOUNT: $ 8,456. 2017 AMOUNT: $ 6,552. 0 1 0 1 106 0 0 1 1849 0 0 1955 0 PART II-B, LINE 1: INFLUENCING LEGISLATION RELATED TO COMMUNITY HEALTH CENTERS. 961583 93885 1055468 883016 78567 961583 852564 30452 883016 824182 28382 852564 749619 74563 824182 0.51920 0.48080 0 0 3156097 211457 2944640 1900087 1386059 514028 377654 218015 159639 3618307 DEFERRED RENT 1382141 1382141 X PART V, LINE 4: PERMANENTLY RESTRICTED NET ASSETS CONSIST OF FUNDS THAT ARE RESTRICTED BY DONORS AGAINST ANY EXPENDITURE OF PRINCIPAL. INCOME GENERATED BY THE PERMANENTLY RESTRICTED ASSETS IS AVAILABLE FOR USE IN OPERATIONS, BUT MAY ALSO BE SUBJECT TO TEMPORARY RESTRICTIONS. ALL INCOME IS RECORDED AS EITHER UNRESTRICTED OR TEMPORARILY RESTRICTED NET ASSETS BASED UPON THE EXISTENCE OR LACK OF DONOR RESTRICTIONS. PART X, LINE 2: THE AGENCY 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 COMBINING FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE AGENCY HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE COMBINING FINANCIAL STATEMENTS AT JUNE 30, 2018 AND 2017. 1 BOSTON PUBLIC SCHOOLS 26 COURT STREET BOSTON MA 02108 046001138 N/A 20000 SCHOOL BASED GRANT 1 PART I, LINE 2: GRANTS PROVIDED TO NON-PROFIT/CHARITABLE ORGANIZATIONS ARE DOCUMENTED AND GOVERNED BY WRITTEN CONTRACTUAL AGREEMENTS AND NOTICES OF GRANT AWARDS SUBJECT TO THE APPROVAL OF THE OFFICERS OF THE AGENCY. ALL GRANT PROCEEDS AND DISBURSEMENTS ARE RECORDED AND TRACKED WITHIN THE HEALTH CENTER'S ACCOUNTING SYSTEMS AND RECORDS IN ORDER TO ASSESS AND DOCUMENT COMPLIANCE WITH GRANTOR RESTRICTIONS, TERMS, AND CONDITIONS. X X X X 0 0 0 0 0 0 0 0 0 ELIZABETH BROWNE EXECUTIVE DIRECTOR 189429 0 0 0 0 0 0 0 15987 0 205416 0 0 0 JAMES SOUZA CHIEF FINANCIAL OFFICER 175411 0 0 0 0 0 0 0 16445 0 191856 0 0 0 ELIZABETH MOLINA ORTIZ MEDICAL DIRECTOR 217399 0 0 0 0 0 0 0 18368 0 235767 0 0 0 JIANI GUO PHYSICIAN 164050 0 0 0 0 0 0 0 3691 0 167741 0 0 0 MARK DREWS PHYSICIAN 211762 0 0 0 0 0 0 0 26533 0 238295 0 0 0 GREESHMA NAINI PHYSICIAN 184532 0 0 0 0 0 0 0 8639 0 193171 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE AGENCY CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY REQUIRING SENIOR MANAGEMENT AND BOARD MEMBERS TO SIGN ANNUALLY A CONFLICT OF INTEREST FORM ACKNOWLEDGING THAT THEY HAVE RECEIVED AND UNDERSTAND THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR THE HEALTH CENTERS TOP MANAGEMENT OFFICIALS AND KEY EMPLOYEES IS BASED ON A DOCUMENTED EVALUATION PROCESS AND THE REVIEW OF AN INDEPENDENT COMPENSATION SURVEY OF OTHER MASSACHUSETTS COMMUNITY HEALTH CENTERS. FORM 990, PART VI, SECTION C, LINE 19 THE HEALTH CENTER'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE AGENCY UTILIZES ITS FINANCE COMMITTEE TO OVERSEE THE AUDIT AND SELECT THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. ALLSTON-BRIGHTON JMS CORPORATION 495 WESTERN AVENUE BRIGHTON MA 02135 463189602 DEVELOPMENT OF NEW HEALTH CENTER FACILITY MA 501(C)(3) 170(B)(1)(A)(III) N/A 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 ALLSTON-BRIGHTON JMS CORPORATION D 1146480 AMOUNT DUE FROM AB JMS CORP. ALLSTON-BRIGHTON JMS CORPORATION K 320000 RENT EXPENSE