2018-11-01T09:31:02-05:00 2017-12-31 205711238 ADELSON & COMPANY PC 100 NORTH STREET PITTSFIELD MA 01201 990 2017-01-01 042161484 HILLTOWN COMMUNITY HEALTH CENTERS INC HILL 4132385511 58 OLD NORTH ROAD WORTHINGTON MA 01098 JOHN FOLLET PRESIDENT 4132385511 2018-09-20 1 CAROL J LEIBINGER-HEALEY CPA P00849882 4134436408 2018-09-14 208.125.165.90 2018-09-20 09:17:57 ED P 5A2396D270A1348226874D48F461CB8E5D142AA7 40CEF2E4B0A4AB8E6AA3BF58B0AC169F7B327B57 2017 2018-06-14 16:35:46Z JOHN FOLLET 58 OLD NORTH ROAD WORTHINGTON MA 01098 8565819 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. 12 12 133 12 0 0 819633 1195890 6948169 7185020 9133 11198 105757 122927 7882692 8515035 0 0 0 0 5910866 6283016 16334 3333 70643 1545129 1499987 7472329 7786336 410363 728699 4575530 5524853 1113020 1248053 3462510 4276800 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 5898740 6532676 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 5,200 PATIENTS IN 2017.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 4,610 PATIENTS IN 2017.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 465 PATIENTS IN 2017.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 2017. 658672 679643 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. 6557412 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 1 0 0 0 0 0 0 0 0 1 18 0 1 133 1 0 0 0 0 0 0 0 0 0 0 X 12 12 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 WENDY LANE WRIGHT 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 CHERYL HOPSON DIRECTOR 0.50 X 0 0 0 KATHRYN JENSEN 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 EXECUTIVE DIRECTOR 37.50 X 122720 0 18975 FRANK MERTES CHIEF FINANCIAL OFFICER 37.50 X 102538 0 641 SHERI CHEUNG PHYSICIAN 40.00 X 153656 0 1914 MIRANDA BALKIN PHYSICIAN 37.50 X 135941 0 19686 AMANPREET GILL DENTIST 40.00 X 120359 0 8056 MICHAEL PURDY OPTOMETRIST & CHIEF CLINIC 37.50 X 133186 0 1069 LORA GRIMES PHYSICIAN 37.50 X 158095 0 25897 926495 0 76238 11 0 1 0 WRIGHT BUILDERS INC 48 BATES STREET NORHTHAMPTION MA 01060 CONSTRUCTION 1079836 1 743526 452364 50261 1195890 PATIENT FEES 621110 4590446 4590446 GOVERNMENT DIRECT AND 621110 1993814 1993814 PROGRAM REVENUE 624100 284356 284356 STATE FREE CARE 621110 224987 224987 PHARMACY INCOME 446110 91417 91417 7185020 11198 11198 78083 50784 27299 27299 MISCELLANEOUS 900099 95628 95628 95628 8515035 7212319 0 106826 251263 251263 5183065 4676514 466211 40340 447382 409741 34219 3422 401306 338913 59473 2920 7944 195 7749 26100 26100 3333 3333 3306 1077 2229 399011 341505 57500 6 108575 70863 32121 5591 240171 212168 28003 46846 33850 12996 44321 25555 18766 18611 15819 2792 164337 119502 44835 14472 9660 4812 MEDICAL AND DENTAL SUPP 127573 127573 BAD DEBT 78253 78253 CONTRACTS/CONSULTING 55649 31201 24232 216 CAPITAL CAMPAIGN EXPENS 13751 13751 151067 65023 84980 1064 7786336 6557412 1158281 70643 163631 101307 508699 287554 255598 241562 438414 448884 18555 13089 25010 4907 6037962 2185509 2686142 3852453 425723 521384 53758 53713 4575530 5524853 615144 766049 93234 107507 404642 374497 1113020 1248053 X 2963008 4003070 464114 237150 35388 36580 3462510 4276800 4575530 5524853 728699 85591 0 X 0 1 X 1 1 1 X 373498 335587 400685 819633 1195890 3125293 5654939 5906631 6448505 7007289 7212319 32229683 6028437 6242218 6849190 7826922 8408209 35354976 0 0 0 35354976 8065 8932 8878 9133 11198 46206 8065 8932 8878 9133 11198 46206 52834 32503 132252 46637 95628 359854 6089336 6283653 6990320 7882692 8515035 35761036 0.98860 0.98990 0.00130 0.00130 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2013 AMOUNT: $ 52,834. 2014 AMOUNT: $ 32,503. 2015 AMOUNT: $ 132,252. 2016 AMOUNT: $ 46,637. 2017 AMOUNT: $ 95,628. 35388 1192 36580 35184 204 35388 35218 -34 35184 34729 489 35218 33453 1276 34729 1.00000 0 0 204506 204506 3486560 1389808 2096752 964233 795701 168532 1382663 1382663 3852453 X 7479855 85591 85591 7394264 1120771 1120771 8515035 7769252 0 7769252 17084 17084 7786336 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, 2014. PART XI, LINE 4B - OTHER ADJUSTMENTS: NON-OPERATING CAMPAIGN GRANTS AND CONTRIBUTIONS 1,120,771. PART XII, LINE 4B - OTHER ADJUSTMENTS: NON-OPERATING CAPITAL CAMPAIGN EXPENSES 17,084. X X X 0 0 0 0 0 0 0 0 0 SHERI CHEUNG PHYSICIAN 153656 0 0 0 0 0 0 0 1914 0 155570 0 0 0 MIRANDA BALKIN PHYSICIAN 135941 0 0 0 0 0 0 0 19686 0 155627 0 0 0 LORA GRIMES PHYSICIAN 158095 0 0 0 0 0 0 0 25897 0 183992 0 0 0 X 2 50261 FAIR MARKET VALUE 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.