HOLYOKE HEALTH CENTER INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- HOLYOKE HEALTH CENTER INC (EIN 04-2492730)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-04-03
- IRS object ID
- 201700939349301210
- Schema version
- 2015v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-04-03T16:29:41-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042492730 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLYOKE HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JAY BREINES | InCareOfNm |
| Business Name Control | HOLY | BusinessNameControlTxt |
| Phone | 4134202200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 MAPLE STREET | AddressLine1Txt |
| City | HOLYOKE | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01040 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAY BREINES | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4134202200 | PhoneNum |
| Signature | 2017-02-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brian D Todd | PreparerPersonNm |
| PTIN | P00422601 | PTIN |
| Phone | 4178658701 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAY BREINES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 MAPLE STREET | AddressLine1Txt |
| City | HOLYOKE | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01040 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $39,681,693 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HHCINC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | HOLYOKE HEALTH CENTER INC. PROVIDES CLINICAL MEDICAL, DENTAL, AND RELATED SERVICES TO INDIVIDUALS IN THE SURROUNDING COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 386 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,301,188 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,791,146 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $28,566,022 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $31,558,046 | CYProgramServiceRevenueAmt |
| PY Investment Income | $43,582 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,088 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$7,754,144 | PYOtherRevenueAmt |
| CY Other Revenue | $330,413 | CYOtherRevenueAmt |
| PY Total Revenue | $28,156,648 | PYTotalRevenueAmt |
| CY Total Revenue | $39,681,693 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $502,836 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $497,215 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,417,434 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,883,976 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,146,171 | PYOtherExpensesAmt |
| CY Other Expenses | $18,106,452 | CYOtherExpensesAmt |
| PY Total Expenses | $36,066,441 | PYTotalExpensesAmt |
| CY Total Expenses | $39,487,643 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$7,909,793 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $194,050 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $26,260,193 | TotalAssetsBOYAmt |
| Total Assets EOY | $25,847,426 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,717,374 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $18,206,148 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,542,819 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,641,278 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF THE HOLYOKE HEALTH CENTER IS TO IMPROVE THE HEALTH OF OUR PATIENTS BY PROVIDING QUALITY HEALTH CARE AND SUPPORTING COMPREHENSIVE COMMUNITY BASED PROGRAMS TO CREATE A HEALTHY COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $13,389,030 | ExpenseAmt |
| Revenue | $15,726,542 | RevenueAmt |
| Desc | HOLYOKE HEALTH CENTER INC., HAS AN ONSITE FULL SERVICE PHARMACY AND ARE COMMITTED TO HELPING ITS PATIENTS GET THE MEDICATIONS THEY NEED. THE ORGANIZATION IS ABLE TO PURCHASE PRESCRIPTION MEDICATIONS AT A DISCOUNT THROUGH SPECIAL FUNDING FROM THE FEDERAL GOVERNMENT AND USE THESE SAVINGS TO SUPPORT A VARIETY OF PATIENT AND PRESCRIPTION PROGRAMS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,321,801 | ExpenseAmt |
| Grant | $497,215 | GrantAmt |
| Revenue | $9,393,031 | RevenueAmt |
| Desc | HOLYOKE HEALTH CENTER INC. PROVIDES PRIMARY AND PREVENTIVE MEDICAL CARE FOR ADULTS AND CHILDREN. NON-EMERGENCY, SAME DAY MEDICAL CARE IS AVAILABLE, AND PATIENTS HAVE ON-SITE ACCESS TO PHARMACY ASSISTANCE, MENTAL HEALTH SERVICES, AND A FULL-SERVICE LABORATORY. SPECIALIZED PROGRAMS FOR PATIENTS WITH ASTHMA, DIABETES, HIV/AIDS, AND OTHER CHRONIC ILLNESSES ARE ALSO AVAILABLE. THE ORGANIZATION WORKS CLOSELY WITH AREA SPECIALISTS TO ADDRESS ALL PATIENTS' MEDICAL NEEDS AND MAKES REFERRALS TO AREA HOSPITALS WHEN NECESSARY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,910,533 | ExpenseAmt |
| Revenue | $5,809,479 | RevenueAmt |
| Desc | HOLYOKE HEALTH CENTER INC. PROVIDES DENTAL CARE SERVICES TO PATIENTS OF ALL AGES, REGARDLESS OF INSURANCE STATUS. SERVICES AVAILABLE INCLUDE CLEANINGS, FLUORIDE, SEALANTS, EXTRACTIONS, FILLINGS, ROOT CANALS, AND ORAL SURGERY. THE ORGANIZATION ALSO OFFERS PATIENT EDUCATION SERVICES AND MAKES REFERRALS FOR ADDITIONAL SERVICES WHEN NECESSARY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $678,700 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $628,994 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $33,300,064 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 53 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 386 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAY BREINES | PersonNm |
| Phone | 4134202200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 MAPLE STREET | AddressLine1Txt |
| City | HOLYOKE | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01040 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| BENJAMIN CARTAGENA | |||||||||
| PRESIDENT | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CARRIE BUCKNER | |||||||||
| CLERK | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMIE COTTO | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| KATHLEEN BOWLER | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| KATIE LIPTAK | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| NECTOR GARCIA | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| GLORIA URBINA | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| TRACY MCGRATH | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM ROSARIO | |||||||||
| TREASURER | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID SILVA | |||||||||
| BOARD MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JAY BREINES | |||||||||
| CEO | 37.5 | 0.0 | Yes (X) | $231,409 | $0 | $7,026 | |||
| MICHAEL GERMANI | |||||||||
| CFO | 37.5 | 0.0 | Yes (X) | $127,183 | $0 | $12,201 | |||
| STANLEY ALEXANDER | |||||||||
| CHIEF DENTAL OFFICE | 37.5 | 0.0 | $201,182 | $0 | $1,188 | Yes (X) | |||
| LORI LEWICKI | |||||||||
| CHIEF PHARMACIST | 40.0 | 0.0 | $157,003 | $0 | $13,176 | Yes (X) | |||
| ALEJANDRO ESPARZA-PEREZ | |||||||||
| CHIEF MEDICAL OFFICER | 37.5 | 0.0 | $213,660 | $0 | $10,095 | Yes (X) | |||
| MARJAN ASKARI | |||||||||
| DENTIST | 37.5 | 0.0 | $233,475 | $0 | $180 | Yes (X) | |||
| STEVEN WOLMAN | |||||||||
| DENTIST | 30.0 | 0.0 | $186,460 | $0 | $0 | Yes (X) | |||
| LINDSEY GROSSMAN | |||||||||
| DOCTOR | 37.5 | 0.0 | $181,968 | $0 | $1,188 | Yes (X) | |||
| GITANJALI PAI | |||||||||
| DOCTOR | 37.5 | 0.0 | $167,883 | $0 | $4,884 | Yes (X) | |||
| SONIA IGNATIUS | |||||||||
| DOCTOR | 37.5 | 0.0 | $167,085 | $0 | $162 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,867,308 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $50,100 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 45 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MCCORMICK-ALLUM-CO | |||||
| INC | SPRINGFIELD | MA | 011014890 | CONSTRUCTION SERVICE | $474,075 |
| OHIO SHARED | |||||
| INFORMATION SYSTEM | CINCINNATI | OH | 45249 | SOFTWARE MAINTENANCE | $467,132 |
| BEHAVIORAL HEALTH | |||||
| NETWORK | SPRINGFIELD | MA | 01101 | BEHAVIORAL HLTH SERV | $189,952 |
| BKD | |||||
| LLP | SPRINGFIELD | MO | 658011190 | AUDIT/TAX/CONSULTING | $145,586 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $7,481,400 | GovernmentGrantsAmt |
| All Other Contributions | $309,746 | AllOtherContributionsAmt |
| Total Contributions | $7,791,146 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PHARMACY REVENUE | 446110 | $15,736,286 | $15,736,286 |
| NET PATIENT SERVICE REVENUE | 624100 | $15,281,362 | $15,281,362 |
| EHR INCENTIVE REVENUE | 624100 | $340,000 | $340,000 |
| OTHER REVENUE | 624100 | $180,518 | $180,518 |
| COST POOL SAVINGS | 900099 | $19,880 | $19,880 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $31,558,046 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,088 | TotalRevenueColumnAmt |
| Exclusion | $2,088 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $330,413 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $330,413 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $330,413 | TotalRevenueColumnAmt |
| Exclusion | $330,413 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,681,693 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $31,558,046 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $332,501 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $497,215 | TotalAmt |
| Program Services | $497,215 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $571,759 | TotalAmt |
| Program Services | $193,940 | ProgramServicesAmt |
| Management And General | $377,819 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,454,747 | TotalAmt |
| Program Services | $15,443,894 | ProgramServicesAmt |
| Management And General | $2,010,853 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,023 | TotalAmt |
| Program Services | $105,191 | ProgramServicesAmt |
| Management And General | $19,832 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,324,372 | TotalAmt |
| Program Services | $1,126,586 | ProgramServicesAmt |
| Management And General | $197,786 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,408,075 | TotalAmt |
| Program Services | $1,218,609 | ProgramServicesAmt |
| Management And General | $189,466 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,113 | TotalAmt |
| Program Services | $22,458 | ProgramServicesAmt |
| Management And General | $23,655 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,978 | TotalAmt |
| Program Services | $48,692 | ProgramServicesAmt |
| Management And General | $51,286 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,989,650 | TotalAmt |
| Program Services | $1,479,670 | ProgramServicesAmt |
| Management And General | $1,509,980 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,132 | TotalAmt |
| Program Services | $29,286 | ProgramServicesAmt |
| Management And General | $30,846 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $991,968 | TotalAmt |
| Program Services | $306,270 | ProgramServicesAmt |
| Management And General | $685,698 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,632 | TotalAmt |
| Program Services | $8,587 | ProgramServicesAmt |
| Management And General | $9,045 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,945 | TotalAmt |
| Program Services | $126,994 | ProgramServicesAmt |
| Management And General | $169,951 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,872 | TotalAmt |
| Program Services | $43,863 | ProgramServicesAmt |
| Management And General | $23,009 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,028 | TotalAmt |
| Program Services | $101,158 | ProgramServicesAmt |
| Management And General | $38,870 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $415,394 | TotalAmt |
| Management And General | $415,394 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,280,828 | TotalAmt |
| Program Services | $1,039,114 | ProgramServicesAmt |
| Management And General | $241,714 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,444 | TotalAmt |
| Program Services | $905 | ProgramServicesAmt |
| Management And General | $123,539 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $10,967,661 | $10,967,661 | |
| BAD DEBT | $353,765 | $353,765 | |
| LICENSES, DUES, SUBSCRIPTIONS | $152,671 | $107,833 | $44,838 |
| RECRUITING | $102,371 | $78,373 | $23,998 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,487,643 | TotalAmt |
| Program Services | $33,300,064 | ProgramServicesAmt |
| Management And General | $6,187,579 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,792,707 | BOYAmt |
| EOY | $4,216,904 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $322,100 | BOYAmt |
| EOY | $324,028 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,127,320 | BOYAmt |
| EOY | $1,071,031 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,257,224 | BOYAmt |
| EOY | $2,596,544 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $395,865 | BOYAmt |
| EOY | $492,097 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,575 | BOYAmt |
| EOY | $129,854 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,118,201 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,303,183 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,255,055 | BOYAmt |
| EOY | $14,815,018 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,959,920 | BOYAmt |
| EOY | $1,959,920 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,000 | BOYAmt |
| EOY | $120,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $866,427 | BOYAmt |
| EOY | $122,030 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,260,193 | BOYAmt |
| EOY | $25,847,426 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,574,661 | BOYAmt |
| EOY | $3,973,796 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $434,727 | BOYAmt |
| EOY | $465,394 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,284,180 | BOYAmt |
| EOY | $11,768,016 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,423,806 | BOYAmt |
| EOY | $1,998,942 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,717,374 | BOYAmt |
| EOY | $18,206,148 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,196,994 | BOYAmt |
| EOY | $7,453,809 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $345,825 | BOYAmt |
| EOY | $187,469 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,542,819 | BOYAmt |
| EOY | $7,641,278 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,260,193 | BOYAmt |
| EOY | $25,847,426 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $194,050 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$95,591 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,074,140 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,933,964 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,019,385 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,301,188 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,791,146 | CurrentTaxYearAmt |
| Total | $37,119,823 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,694,402 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,067,825 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,423,864 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,566,022 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,558,046 | CurrentTaxYearAmt |
| Total | $128,310,159 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,768,542 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,001,789 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $35,443,249 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35,867,210 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,349,192 | CurrentTaxYearAmt |
| Total | $165,429,982 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $165,429,982 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $97,988 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $118,767 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,218,377 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $241,643 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $332,501 | CurrentTaxYearAmt |
| Total | $2,009,276 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $97,988 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $118,767 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,218,377 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $241,643 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $332,501 | CurrentTaxYearAmt |
| Total | $2,009,276 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,866,530 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,120,556 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $36,661,626 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,108,853 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,681,693 | CurrentTaxYearAmt |
| Total | $167,439,258 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98800 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98800 | PublicSupportPY509Pct |
| Investment Income CY | 0.01200 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01200 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $187,660 | OtherCostOrOtherBasisAmt |
| Book Value | $187,660 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,449,991 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,859,937 | DepreciationAmt |
| Book Value | $12,590,054 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $241,193 | OtherCostOrOtherBasisAmt |
| Depreciation | $87,161 | DepreciationAmt |
| Book Value | $154,032 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,888,828 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,356,085 | DepreciationAmt |
| Book Value | $1,532,743 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $350,529 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $350,529 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,815,018 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN CHCCF-HHC DEVLPM | Desc |
| Book Value | $1,959,920 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $1,959,920 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED DEVELOPER FEE | $1,993,550 |
| DUE FROM HHC DEVELOPER | $5,392 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,998,942 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $39,486,284 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$116,680 | OtherRevenueAmt |
| Revenue Not Reported | -$116,680 | RevenueNotReportedAmt |
| Revenue Subtotal | $39,602,964 | RevenueSubtotalAmt |
| Other Revenues Not Included | $78,729 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $78,729 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $39,681,693 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $39,135,155 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,277 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,277 | ExpensesNotReportedAmt |
| Expenses Subtotal | $39,133,878 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $353,765 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $353,765 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $39,487,643 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, LINE 2 | UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 2D | AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ (353,765) BAD DEBT EXPENSE 237,085 NET ASSETS RELEASED FROM RESTRICTION ----------- $ (116,680) |
| SCHEDULE D, PART XI, LINE 4B | AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1: $ 78,729 TEMPORARILY RESTRICTED CONTRIBUTIONS |
| SCHEDULE D, PART XII, LINE 2D | AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 1,277 HHC & HOLYOKE DEVELOPER EXPENSES |
| SCHEDULE D, PART XII, LINE 4B | AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25 BUT NOT ON LINE 1: $ 353,765 BAD DEBT EXPENSE |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| CARING HEALTH CENTER | |||||||
| 1145 MAIN ST STE 301 | SPRINGFIELD | MA | 01103 | 042620040 | 501(C)(3) | $96,668 | OUTPATIENT SERVICES |
| BAYSTATE HEALTH INC | |||||||
| 759 CHESTNUT | SPRINGFIELD | MA | 01199 | 042105941 | 501(C)(3) | $395,547 | OUTPATIENT SERVICES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: HOLYOKE HEALTH CENTER, INC MONITORS THE GRANT EXPENDITURES BY REQUIRING THE SUBRECIPIENT OF ANY GRANT TO PROVIDE A BUDGET OF ITS EXPENDITURES AND TO SUBSTANTIATE ANY DEVIATION FROM ITS BUDGET. IN ADDITION, AT THE END OF ITS FISCAL YEAR, THE SUBRECIPIENT MUST PROVIDE ITS AUDITED FINANCIAL STATEMENTS TO HOLYOKE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAY BREINES | ||||||||||||||
| CEO | $231,409 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,026 | $0 | $238,435 | $0 | $0 | $0 |
| MARJAN ASKARI | ||||||||||||||
| DENTIST | $233,475 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $180 | $0 | $233,655 | $0 | $0 | $0 |
| STANLEY ALEXANDER | ||||||||||||||
| CHIEF DENTAL OFFICE | $201,182 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,188 | $0 | $202,370 | $0 | $0 | $0 |
| STEVEN WOLMAN | ||||||||||||||
| DENTIST | $186,460 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $186,460 | $0 | $0 | $0 |
| LINDSEY GROSSMAN | ||||||||||||||
| DOCTOR | $181,968 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,188 | $0 | $183,156 | $0 | $0 | $0 |
| LORI LEWICKI | ||||||||||||||
| CHIEF PHARMACIST | $157,003 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $13,176 | $0 | $170,179 | $0 | $0 | $0 |
| ALEJANDRO ESPARZA-PEREZ | ||||||||||||||
| CHIEF MEDICAL OFFICER | $213,660 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,095 | $0 | $223,755 | $0 | $0 | $0 |
| GITANJALI PAI | ||||||||||||||
| DOCTOR | $167,883 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,884 | $0 | $172,767 | $0 | $0 | $0 |
| SONIA IGNATIUS | ||||||||||||||
| DOCTOR | $167,085 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $162 | $0 | $167,247 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | PHARMACEUTICAL SERVICES: THE ON-SITE, STATE OF THE ART, COMMUNITY PHARMACY, FILLS APPROXIMATELY 4,000 PRESCRIPTIONS PER WEEK, IS OWNED AND OPERATED BY HOLYOKE HEALTH CENTER AND IS AN INTEGRAL PART OF ALL SERVICES OFFERED IN THE HOLYOKE HEALTH CENTER MEDICAL HOME. BOTH CLINICAL AND DISPENSING PHARMACY STAFF ARE ACTIVE IN HEALTH CENTER COMMITTEES THAT WORK TO CONTINUOUSLY IMPROVE HOLYOKE HEALTH CENTER'S QUALITY, PATIENT CENTERED PROGRAMMING. |
| FORM 990, PART III, LINE 4D | OTHER PROGRAM SERVICES: TO FURTHER ITS MISSION TO IMPROVE THE HEALTH OF ITS PATIENTS, HOLYOKE HEALTH CENTER OFFERS THE FOLLOWING OUTREACH AND NUTRITIONAL PROGRAMS: - FARM WORKERS' PROGRAM THE FARM WORKER'S PROGRAM IS A PROGRAM THAT PAYS FOR SOME PRIMARY HEALTH CARE SERVICES TO QUALIFIED MIGRANT AND SEASONAL FARM WORKERS AND THEIR DEPENDENTS. HOLYOKE HEALTH IS ONE OF THE PARTICIPATING COMMUNITY HEALTH CENTERS THAT PROVIDE PRIMARY CARE AND OUTREACH AND EDUCATION TO SEASONAL FARM WORKERS IN THE CONNECTICUT RIVER VALLEY. ITS PROGRAM FOCUSES ON FARM WORKERS IN HAMPSHIRE AND HAMPDEN COUNTIES. - FRUIT AND VEGETABLE PRESCRIPTION PROGRAM HOLYOKE HEALTH IS ONE OF A HANDFUL OF ORGANIZATIONS ACROSS THE COUNTRY THAT HAS BEEN AWARDED FUNDING TO PROVIDE THE FRUIT AND VEGETABLE PRESCRIPTION PROGRAM. THIS PROGRAM IS DEDICATED TO INCREASING A FAMILY MEMBER'S DIET BY ONE FRUIT AND ONE VEGETABLE EACH DAY. EACH YEAR HOLYOKE HEALTH ENROLLS THIRTY FAMILIES TO PARTICIPATE IN THIS PROGRAM AND THE PARTICIPATING PEDIATRICIAN GIVES A WRITTEN PRESCRIPTION FOR FRUITS AND VEGETABLES THAT WILL SUPPLY THE FAMILY FOR ONE MONTH. THE FAMILY THEN REDEEMS THE PRESCRIPTION AT THE LOCAL FARMER'S MARKET AND THE FAMILY RECEIVES TOKENS FOR LOCALLY GROWN FRESH FRUITS AND VEGETABLES. THE PROGRAM LASTS THROUGHOUT THE MARKET SEASON ($28 WORTH OF PRODUCE EACH WEEK FOR A FAMILY OF FOUR). - HIV SUPPORT SERVICES AND CASE MANAGEMENT HOLYOKE HEALTH CENTER HAS A COMPREHENSIVE PROGRAM TO SUPPORT PATIENTS LIVING WITH HIV, INCLUDING PRIMARY MEDICAL CARE, INFECTIOUS DISEASE SPECIALISTS WITH EXPERIENCE IN HIV, AND CASE MANAGEMENT SUPPORT TO MEET THE NON-MEDICAL NEEDS OF ITS PATIENTS. THE PHARMACY PROVIDES CONSULTATION WITH A PHARMACIST EXPERIENCED IN HIV MEDICATIONS AND ASSISTANCE WITH ENROLLING IN THE HIV DRUG ASSISTANCE PROGRAM. ALSO AVAILABLE FOR PATIENTS WITH HIV ARE NUTRITION AND EYE CARE SERVICES. - LA LINDA MANITA LA LINDA MANITA OFFERS FREE GROUPS THAT PROVIDE PEER SUPPORT, BRINGS TOGETHER PARENTS, AND EDUCATES ABOUT CHILD DEVELOPMENT, PARENTING SKILLS, AND RESOURCES. THESE GROUPS ARE CONDUCTED IN ENGLISH AND SPANISH AND ARE SCHEDULED FOR AFTERNOON AND EARLY EVENING TIMES TO INCREASE ACCESS. LA LINDA MANITA'S GOAL IS TO PROVIDE CRUCIAL PARENTING INFORMATION AND TO REDUCE THE LEARNING DELAYS AND BEHAVIORAL/DEVELOPMENTAL DISORDERS IN YOUNG CHILDREN THAT CAN OCCUR FREQUENTLY IN OUR COMMUNITY. THIS PROGRAM IS MEETING AN OVERALL NEED FOR SUPPORT AND EDUCATION FOR FAMILIES WITH YOUNG CHILDREN AND IS DOING SO AS A PART OF A CITY-WIDE EFFORT TO IMPROVE SCHOOL READINESS AS WELL AS PREVENTING LEARNING AND BEHAVIORAL ISSUES IN YOUNG CHILDREN. - LET'S MOVE HOLYOKE 5-2-1-0 THE LET'S MOVE HOLYOKE 5-2-1-0 IS A COLLABORATIVE INITIATIVE THAT FOCUSES ON THE PROMOTION OF HEALTHY LIVING BY INTEGRATING THE 5-2-1-0 MESSAGE INTO THE COMMUNITY BY USING THE HEALTHY LIVING PLAN FOR CHILDREN AND FAMILY MEMBERS, AS A WAY TO SET GOALS FOR LIFESTYLE CHANGES. - 5 OR MORE FRUITS AND VEGETABLES EACH DAY - 2 HOURS OR LESS OF SCREEN TIME (TV, PHONE, COMPUTER) EACH DAY - 1 HOUR OF PHYSICAL ACTIVITY EACH DAY - 0 SUGAR SWEETENED DRINKS - PEER HEALTH ADVISORY THE PEER HEALTH ADVISORY BOARD IS A CO-ED PEER LEADERSHIP GROUP FOR 13-20 YEAR OLDS. THE GOAL OF THE BOARD IS TO CULTIVATE PEER LEADERS WHO ARE TRAINED IN EVIDENCE BASED CURRICULUM TO PREPARE THEM TO FOCUS ON COMMUNITY PROJECTS THAT BRING AWARENESS TO VIOLENCE PREVENTION PROGRAMS, DRUGS AND ALCOHOL PREVENTION, AND PREGNANCY PREVENTION. THE TEENS ATTEND AN INITIAL 8 SESSIONS OF CURRICULUM THAT FOCUS ON HIV/AIDS AND SEXUALLY TRANSMITTED INFECTION PREVENTION. THE FIRST SET OF TRAININGS HELP TO PREPARE THE TEENS TO BECOME MEMBERS OF THE ADVISORY BOARD. AFTER BECOMING MEMBERS, THE TEENS CONTINUE A RIGOROUS SCHEDULE OF TRAINING SESSIONS. THESE SESSIONS NOT ONLY TEACH THE TEENS ABOUT PREGNANCY AND INFECTION PREVENTION, BUT THEY EQUIP THEM WITH THE SKILLS TO COMMUNICATE WITHOUT VIOLENCE AND TO BECOME EDUCATIONAL PEER LEADERS IN THE COMMUNITY. - WOMEN'S HEALTH PROGRAM HOLYOKE HEALTH HAS A WOMEN'S HEALTH PROGRAM THAT FOCUSES ON CERVICAL CANCER AND BREAST CANCER SCREENING, DIAGNOSTICS, AND CASE MANAGEMENT. THE ORGANIZATION HAS ESTABLISHED A TEAM OF PROVIDERS, NURSE CASE MANAGERS, AND MEDICAL ASSISTANTS WHO USE THE LATEST TECHNOLOGY TO TRACK THE PATIENTS TO MAKE SURE THAT THEY HAVE GOTTEN A PAP TEST OR SCREENING MAMMOGRAM. THE STAFF COMMUNICATES ALL RESULTS AND SCHEDULED APPOINTMENTS WITH THE PATIENTS' PRIMARY CARE PROVIDER AND WILL WORK CLOSELY WITH ANY PATIENTS WHO RECEIVE ABNORMAL CERVICAL OR BREAST SCREENING RESULTS. THE CASE MANAGER AND MEDICAL ASSISTANT WORK DIRECTLY WITH THE PATIENTS TO SCHEDULE ANY FOLLOW UP APPOINTMENTS, SECURE PAYMENT FOR THE PROCEDURES, AND PROVIDE SUPPORTIVE REFERRALS. |
| FORM 990, PART VI, SECTION A, LINE 2 | BUSINESS RELATIONSHIPS: JAY BREINES, MICHAEL GERMANI AND BENJAMIN CARTAGENA ALL HAVE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 4 | SIGNIFICANT CHANGES TO ORGANIZATION'S BYLAWS: THE ORGANIZATION AMENDED ITS BYLAWS TO CHANGE THE NUMBER OF BOARD MEMBERS TO BE AT LEAST NINE BUT NO MORE THAN FIFTEEN. |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS TO REVIEW THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE BOARD OF DIRECTORS DIRECTED THE CFO TO PRESENT THE 990 FILING (IN DRAFT FORM) TO THE EXECUTIVE/FINANCE COMMITTEE FOR REVIEW. ONCE THE REVIEW HAS BEEN COMPLETED, THE COMMITTEE RECOMMENDS TO THE BOARD OF DIRECTORS THAT THE 990 FILING BE APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE HOLYOKE HEALTH CENTER INC. REQUIRES NEW EMPLOYEES AND NEWLY APPOINTED MEMBERS OF THE BOARD OF DIRECTORS TO REVIEW AND SIGN THE HOLYOKE HEALTH CENTER INC. CONFLICT OF INTEREST POLICY. THEREAFTER, THE POLICY IS REVIEWED AND SIGNED ANNUALLY BY THE EMPLOYEES AND APPOINTED MEMBERS OF THE BOARD OF DIRECTORS. THE ORGANIZATION'S LEADERS AND BOARD OF DIRECTORS WILL REVIEW ANY RELATIONSHIPS CAREFULLY TO ENSURE THE HEALTH CENTERS' MISSION AND COMMUNITY SERVED IS NOT HARMED BY ANY CONTRACTUAL RELATIONSHIP. DISCIPLINARY ACTIONS CAN RESULT FOR THOSE FAILING TO COMPLY TO THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15A | REVIEW OF CEO COMPENSATION: THE BOARD OF DIRECTORS ESTABLISHED A SPECIAL COMPENSATION COMMITTEE COMPOSED OF THREE BOARD OF DIRECTOR MEMBERS TO CONDUCT A REVIEW OF THE COMPENSATION PACKAGE FOR THE CEO. DURING THE REVIEW, THIS COMMITTEE CONTACTED THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS FOR COMPENSATION INFORMATION REGARDING COMPARABLE POSITIONS AND COMPARABLE RESPONSIBILITIES. BASED UPON THAT REVIEW, THE COMMITTEE MADE ITS RECOMMENDATION TO THE BOARD OF DIRECTORS, WHICH WAS ACCEPTED BY THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: THE HOLYOKE HEALTH CENTER INC.'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND ANNUAL INFORMATION RETURNS (FORM 990 SERIES) ARE AVAILABLE TO THE PUBLIC DURING REGULAR BUSINESS HOURS AT THE CENTER'S ADMINISTRATIVE OFFICES AT 230 MAPLE STREET, HOLYOKE, MA 01040-6260. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCES: $(95,591) NET LIABILITIES ASSUMED FROM PURCHASE OF RELATED ENTITY |
Schedule R IRS990ScheduleR
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHCCFHHC DEVELOPMENT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 MAPLE ST | AddressLine1Txt |
| City | HOLYOKE | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01040 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 522452609 | EIN |
| Primary Activities | REAL ESTATE DEVEL | PrimaryActivitiesTxt |
| Legal Domicile State | MA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HHC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $0 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,942,535 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Ownership | 0.98000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HHC DEVELOPER INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 MAPLE ST | AddressLine1Txt |
| City | HOLYOKE | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01040 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 542165256 | EIN |
| Primary Activities | MNG REAL ESTATE | PrimaryActivitiesTxt |
| Legal Domicile State | MA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HHC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Share Of Total Income | -$598 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,586 | ShareOfEOYAssetsAmt |
| Ownership | 0.79000 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHCCFHHC LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | E | TransactionTypeTxt |
| Involved | $1,993,550 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |