2019-05-24T13:31:56-05:00 2018-09-30 042571780 ALEXANDER ARONSON FINNING & CO PC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2017-10-01 237125970 DOTHOUSE HEALTH INC DOTH 6172883230 1353 DORCHESTER AVENUE DORCHESTER MA 02122 MICHELLE NADOW CEO 6177402249 2019-05-22 1 JOHN T FINNING CPA P01445870 5083669100 2019-05-22 64.238.141.162 2019-05-22 13:58:31 ED P F4247996A0DFD92197EA51AEF4558D040C319DAA CB2B07AFD6767982BCB28B09646F6ACBACA35001 2017 2019-02-21 02:37:17Z MICHELLE NADOW 1353 DORCHESTER AVENUE DORCHESTER MA 02122 25921205 0 X WWW.DOTHOUSEHEALTH.ORG X 1970 MA 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. 11 11 343 19 209727 0 4023547 6779695 21955152 23131373 579943 801297 1026571 -7703769 27585213 23008596 0 0 0 0 18545962 17466806 0 0 0 11007958 12349355 29553920 29816161 -1968707 -6807565 26430871 19276833 6570772 6208549 19860099 13068284 X 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. 0 0 12350641 10630336 ADULT MEDICINE: DHH SERVED OVER 21,390 PATIENTS IN DORCHESTER IN FISCAL YEAR 2018. THE VAST MAJORITY OF THOSE PATIENTS ARE SEEN IN THE ADULT MEDICINE DEPARTMENT FOR PRIMARY CARE. FROM THERE, 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 INCLUDES: PRIMARY CARE, ADULT MEDICINE, PEDIATRICS, FAMILY MEDICINE, & WOMEN'S HEALTH, DENTAL CARE, EYE CARE, FULL-SERVICE PHARMACY, BEHAVIORAL HEALTH, FULL LABORATORY AND TESTING, PHLEBOTOMY, LAB SERVICES, X-RAY, ULTRASOUND, MAMMOGRAPHY, SPECIALTY CARE, DERMATOLOGY, NUTRITION, CARDIOLOGY, OB/GYN, PHYSICAL THERAPY, CLINICAL CASE MANAGEMENT, DIABETES, OBESITY, HIV, ASTHMA, PRE-NATAL, SUBSTANCE ABUSE, DOMESTIC VIOLENCE, SUPPORT, EARLY INTERVENTION, ACCESS TO PUBLIC BENEFITS SUCH AS FOOD AND HOUSING ASSISTANCE, LEGAL ASSISTANCE, SCHOOL-BASED HEALTH SERVICES, OUT-OF-SCHOOL TIME PROGRAMMING, ADULT EDUCATION, TAX AND CREDIT COUNSELING, FOOD PANTRY, SWIMMING POOL & GYMNASIUM PROGRAMMING, ELDER SERVICES & EXERCISE PROGRAMS. 3526276 5700842 PHARMACY: OFFERS FULL PHARMACY SERVICES DURING NORMAL OPERATIONS TO OUR PATIENTS. THE PHARMACY FILLED OVER 156,525 PRESCRIPTIONS IN FISCAL YEAR 2018. 2667254 1837304 OTHER MEDICAL SERVICES: DURING FISCAL YEAR 2018, DHH SERVED OVER 6,000 PATIENTS IN THE PEDIATRICS DEPARTMENT OF PRIMARY CARE. SOME INNOVATIVE PROGRAMS WITHIN THE PEDIATRIC DEPARTMENT INCLUDE THE INTEGRATION OF ORAL HEALTH SERVICES WITHIN THE PEDIATRIC CLINIC SPACE, WHICH INCLUDES THE ADDITION OF A DENTAL HYGIENIST AND DENTAL SUITE FOR YOUTH AND ADOLESCENTS. IN ADDITION, DHH HAS A DUAL-CERTIFIED PEDIATRICIAN AND PSYCHIATRIST WHO ESTABLISHED AN INTERDISCIPLINARY TEAM TO BETTER SUPPORT THE FAMILIES OF CHILDREN STRUGGLING WITH SYMPTOMS OF INATTENTION AND HYPERACTIVITY. 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. 2398440 1511157 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. 1583373 1833502 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. 850462 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. 2052191 1560174 ORAL HEALTH: EACH YEAR DHH LOGS OVER 12,000 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. 6884466 4904833 25428637 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 1 0 0 1 21 0 1 343 1 1 1 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X MICHELLE NADOW 6172884420 1353 DORCHESTER AVE DORCHESTER MA 02122 JEFFREY LOPES BOARD MEMBER 1.00 X 0 0 0 GLORIA J COULTER PHD BOARD MEMBER 1.00 X 0 0 0 PAULO A DE BARROS BOARD MEMBER 1.00 X 0 0 0 ANNISSA ESSAIBI GEORGE BOARD MEMBER 1.00 X 0 0 0 DOMINIQUE SYE TREASURER 1.00 X X 0 0 0 CHRISTOPHER MCCOY VICE CHAIR 1.00 X X 0 0 0 JOEL WOOL BOARD MEMBER 1.00 X 0 0 0 MEGAN SONDEREGGER CHAIR 2.00 1.00 X 0 0 0 PHI TRAN SECRETARY 1.00 X X 0 0 0 ROSA BERIGUETE BOARD MEMBER 1.00 X 0 0 0 JACK WU BOARD MEMBER 1.00 X 0 0 0 MICHELLE NADOW PRESIDENT & CEO 40.00 1.00 X 221645 0 19275 JOHN CHAMBERS CFO UNTIL 11/17 40.00 1.00 X 161703 0 8628 DR HUY NGUYEN CMO 40.00 X 220924 0 19170 JOHN COONEY FIN DIR FROM 12/16 & CFO F 40.00 1.00 X 118372 0 17991 DR NSA HENSHAW PHYSICIAN 40.00 X 235416 0 1484 DR SEAN MARKER PSYCHIATRIST 40.00 X 178333 0 7235 DR DANA RUBIN PEDIATRICIAN 40.00 X 196452 0 2086 DR JULIE M CROSSON PHYSICIAN 40.00 X 175017 0 19087 CRAIG D USHKURNIS PHYSICIAN ASSISTANT 40.00 X 181915 0 18883 1689777 0 113839 33 0 1 0 EATON APOTHECARY 13 WATER STREET HOLLISTON MA 01746 PHARMACY MANAGEMENT 1143350 CPA MEDICAL BILLING 333 RICHMOND ST RAYNHAM MA 02767 3RD PARTY BILLING MANAGEMENT 334412 BU FAMILY MEDICINE ASSOC ONE BOSTON MEDICAL CTR PL BOSTON MA 02118 PHYSICIAN TIME 330136 3 6846 2795505 3977344 262014 6779695 PATIENT SERVICE REVENUE 621498 23131373 22921646 209727 23131373 399890 399890 49345 0 49345 49345 49345 3244478 2843071 401407 401407 401407 75256 6846 69538 5718 5718 FORGIVENESS OF CONDITIONAL NOTES 900099 293915 293915 OTHER REVENUE 621110 102324 102324 NET LOSS ON NMTC UNWIND 900099 -8155071 -8155071 -7758832 23008596 23073315 209727 -7054141 X 711998 76245 635753 14143673 13656114 487559 86831 86831 2313390 2257974 55416 210914 194171 16743 126316 126316 143925 143925 3656657 2860840 795817 20647 20647 159192 104785 54407 648911 648911 2068514 1750585 317929 126690 41849 84841 526577 150420 376157 159032 3372 155660 MEDICAL SUPPLIES 3171564 3171564 DATA PROCESSING 425761 421285 4476 BAD DEBTS 380125 380125 0 DONATED FOOD 262014 262014 473430 97294 376136 29816161 25428637 4387524 0 1354775 2347190 421357 671597 2749241 1841272 8031811 351558 580587 9479674 5970755 3699834 3508919 9154439 9776297 667856 550971 26430871 19276833 2435240 2166491 136093 121882 584527 475733 1638216 1445485 1776696 1998958 6570772 6208549 X 19813121 12981906 46978 86378 19860099 13068284 26430871 19276833 -6807565 15750 0 X X 0 1 X 1 1 1 X 3193933 3641458 3904477 4023547 6779695 21543110 23783659 24515364 24165744 21955152 23131373 117551292 32416 32416 27010008 28156822 28070221 25978699 29911068 139126818 0 0 0 139126818 401588 405659 387531 409220 399890 2003888 401588 405659 387531 409220 399890 2003888 438916 487246 626701 608664 396239 2557766 27850512 29049727 29084453 26996583 30707197 143688472 0.96830 0.96700 0.01390 0.01300 X SCHEDULE A, PART III LINE 12 OTHER INCOME INCLUDES FORGIVENESS OF CONDITIONAL NOTES PAYABLE AND OTHER REVENUE. 151896 151896 2614658 1176809 1437849 6713120 4793946 1919174 3508919 DEFERRED RENT PAYABLE 1800156 DUE TO RELATED PARTY 198802 1998958 X PART X, LINE 2: 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, 2018. THE HEALTH CENTER'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS. DOTFEST 2018 82102 6846 75256 21368 11333 3275 33562 82102 6846 75256 21368 11333 3275 33562 69538 5718 X X X X 0 0 0 0 0 0 0 0 0 MICHELLE NADOW PRESIDENT & CEO 221645 0 0 0 0 0 1096 0 18179 0 240920 0 0 0 JOHN CHAMBERS CFO UNTIL 11/17 161703 0 0 0 0 0 785 0 7843 0 170331 0 0 0 DR HUY NGUYEN CMO 220924 0 0 0 0 0 1087 0 18083 0 240094 0 0 0 DR NSA HENSHAW PHYSICIAN 235416 0 0 0 0 0 1130 0 354 0 236900 0 0 0 DR SEAN MARKER PSYCHIATRIST 178333 0 0 0 0 0 865 0 6370 0 185568 0 0 0 DR DANA RUBIN PEDIATRICIAN 196452 0 0 0 0 0 954 0 1132 0 198538 0 0 0 DR JULIE M CROSSON PHYSICIAN 175017 0 0 0 0 0 874 0 18213 0 194104 0 0 0 CRAIG D USHKURNIS PHYSICIAN ASSISTANT 181915 0 0 0 0 0 893 0 17990 0 200798 0 0 0 JACK WU BOARD MEMBER 4955 JACK OWNS A BAKERY WHICH OCCASSIONALLY PROVIDES CATERING SERVICES TO DOTHOUSE HEALTH. 0 X 1 262014 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CFO AND THEN PRESENTED AT A BOARD MEETING. THE FORM IS THEN REVIEWED AND APPROVED BY THE BOARD PRIOR TO BEING FILED. 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 ANNUALY 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 OFFICERS SALARIES ARE DETERMINED BY THE COMPARISON TO THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS SALARIES 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 IX, LINE 11G OTHER PROF. SERVICES: PROGRAM SERVICE EXPENSES 2,860,840. MANAGEMENT AND GENERAL EXPENSES 795,817. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,656,657. FORM 990, PART XII, LINE 2C: THE HEALTH CENTER HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT. DHMSC REALTY INC 1353 DORCHESTER AVENUE DORCHESTER MA 02122 455435131 REAL ESTATE HOLDING MA 501(C)2 N/A 1 HEALTH SERVICES PARTNERSHIP OF DORCHESTER INC 1353 DORCHESTER AVENUE DORCHESTER MA 02122 000627627 HEALTH CENTER RESOURCES MA 501(C)3 LINE 10 N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 DHMSC REALTY INC K 459729 FAIR MARKET VALUE