DOTHOUSE HEALTH INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
DOTHOUSE HEALTH INC (EIN 23-7125970)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-14
IRS object ID
201712269349301941
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

FieldValueIRS element (for citing)
Return2017-08-14T13:56:11-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN042571780PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ALEXANDER ARONSON FINNING & CO PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line121 EAST MAIN STREETAddressLine1Txt
CityWESTBOROUGHCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01581ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237125970EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DOTHOUSE HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDOTHBusinessNameControlTxt
Phone6172883230PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11353 DORCHESTER AVENUEAddressLine1Txt
CityDORCHESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02122ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELLE NADOWPersonNm
Person TitleCEOPersonTitleTxt
Phone6177402249PhoneNum
Signature2017-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN T FINNING CPAPreparerPersonNm
PTINP01445870PTIN
Phone5083669100PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHELLE NADOWPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11353 DORCHESTER AVENUEAddressLine1Txt
CityDORCHESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02122ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$34,501,945GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DORCHESTERHOUSE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO 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.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee363TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$730,376TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$31,782NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,641,458PYContributionsGrantsAmt
CY Contributions Grants$3,904,477CYContributionsGrantsAmt
PY Program Service Revenue$24,515,364PYProgramServiceRevenueAmt
CY Program Service Revenue$24,165,744CYProgramServiceRevenueAmt
PY Investment Income$665,522PYInvestmentIncomeAmt
CY Investment Income$730,930CYInvestmentIncomeAmt
PY Other Revenue$227,383PYOtherRevenueAmt
CY Other Revenue$1,013,678CYOtherRevenueAmt
PY Total Revenue$29,049,727PYTotalRevenueAmt
CY Total Revenue$29,814,829CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$17,795,702PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$18,155,210CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$11,261,724PYOtherExpensesAmt
CY Other Expenses$12,268,072CYOtherExpensesAmt
PY Total Expenses$29,057,426PYTotalExpensesAmt
CY Total Expenses$30,423,282CYTotalExpensesAmt
PY Revenues Less Expenses-$7,699PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$608,453CYRevenuesLessExpensesAmt
Total Assets BOY$27,629,708TotalAssetsBOYAmt
Total Assets EOY$28,317,392TotalAssetsEOYAmt
Total Liabilities BOY$5,773,097TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,897,810TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,856,611NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,419,582NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$12,496,331ExpenseAmt
Revenue$14,582,704RevenueAmt
DescADULT MEDICINE: EACH YEAR DHMSC SERVES OVER 23,600 PATIENTS IN DORCHESTER. 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,848,981ExpenseAmt
Revenue$4,902,622RevenueAmt
DescPHARMACY: OFFERS FULL PHARMACY SERVICES DURING NORMAL OPERATIONS TO OUR PATIENTS. THE PHARMACY FILLS OVER 146,800 PRESCRIPTIONS A YEAR.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,520,793ExpenseAmt
Revenue$1,824,754RevenueAmt
DescOTHER MEDICAL SERVICES: EACH YEAR DHMSC SEES OVER 6,000 PATIENTS IN THE PEDIATRIC DEPARTMENT FOR PRIMARY CARE. SOME INNOVATIVE PROGRAMS WITHIN THE PEDIATRIC DEPARMENT INCLUDE: HEALTHY TEETH FOR TOTS - INTEGRATION OF ORAL HEALTH PREVENTION MEASURES INTO A CHILD'S PRIMARY CARE VISIT STARTING AT INFANCY, ASTHMA CARE - ENHANCED CARE FOR ASTHMA THROUGH THE USE OF SPIROMETRY IN THE PRIMARY CARE PRACTICE, ASTHMA ACTION PLANS FOR ALL ASTHMA PATIENTS, AND HOME-VISITS TO DETERMINE TRIGGERS IN THE HOME. BEHAVIORAL HEALTH - AN IN-HOUSE PSYCHIATRIST WHO IS UNIQUELY TRAINED IN PEDIATRICS PLUS ACCESS TO SPEECH-THERAPY WITHIN THE HEALTH CENTER. THE PROGRAM ALSO OFFERS CHRONIC DISEASE MANAGEMENT INCLUDING HIV/AIDS, ASTHMA AND DIABETES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)

ExpenseExpenseAmtRevenueRevenueAmtDescDesc
$2,244,548$692,984MENTAL 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.
$1,530,968$1,487,382OPTOMETRY: 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.
$2,200,225$675,298ORAL HEALTH: EACH YEAR DHMSC LOGS OVER 12,000 PATIENT VISITS IN ITS ORAL HEALTH DEPARTMENT. DHMSC HAS EXPANDED ITS CAPACITY IN ORAL HEALTH TO INCLUDE PREVENTION, AND RESTORATIVE AND ORAL SURGERY. DHMSC HAS ADDED A DENTAL SUITE IN PEDIATRICS FOR PREVENTATIVE VISITS FOR CHILDREN. IT IS STAFFED FULL TIME. WE PREDICT THAT WE WILL SEE 3,000 MORE PREVENTIVE VISITS BECAUSE OF THIS NEW POSITION.
$1,053,331$0PUBLIC 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.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$7,029,072TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$2,855,664TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$25,895,177TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document19IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee363EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHELLE NADOWBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6172884420PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11353 DORCHESTER AVEAddressLine1Txt
CityDORCHESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02122ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
KEVIN MCDERMOTT
CHAIR1.001.00Yes (X)Yes (X)$0$0$0
TONY DANG
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
JUDI SMITH
TREASURER1.00Yes (X)Yes (X)$0$0$0
ROSEMARY GALLAGHER
SECRETARY1.00Yes (X)Yes (X)$0$0$0
GLORIA J COULTER
BOARD MEMBER1.00Yes (X)$0$0$0
PAULO A DE BARROS
BOARD MEMBER1.00Yes (X)$0$0$0
ANNISSA ESSAIBI GEORGE
BOARD MEMBER1.00Yes (X)$0$0$0
RUTHIE GOMEZ
BOARD MEMBER1.00Yes (X)$0$0$0
CHRISTOPHER MCCOY
BOARD MEMBER1.00Yes (X)$0$0$0
RACHAEL NYEPON
BOARD MEMBER1.00Yes (X)$0$0$0
MEGAN SONDEREGGER
BOARD MEMBER1.00Yes (X)$0$0$0
KIM THAI
BOARD MEMBER1.00Yes (X)$0$0$0
PHI TRAN
BOARD MEMBER1.00Yes (X)$0$0$0
MICHELLE NADOW
PRESIDENT & CEO40.001.00Yes (X)$172,647$0$21,312
JOHN CHAMBERS
CFO40.001.00Yes (X)$146,264$0$8,766
DR NSA HENSHAW
PHYSICIAN40.00$268,041$0$5,369Yes (X)
DR JULITA MIR
PHYSICIAN40.00$200,570$0$3,402Yes (X)
DR HUY NGUYEN
PEDIATRICIAN40.00$179,504$0$20,145Yes (X)
DR DANA RUBIN
PEDIATRICIAN40.00$175,555$0$4,997Yes (X)
DR JULIE CROSSON
PHYSICIAN40.00$172,592$0$20,310Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,315,173TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$84,301TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K25IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EATON APOTHECARY
13 WATER STREETHOLLISTONMA01746PROFESSIONAL PHARMACY SERVICES$1,275,632
BU FAMILY MEDICINE ASSOCIATES
ONE BOSTON MEDICAL CTR PLBOSTONMA02118PHYSICIAN TIME$420,566
CODMAN SQAURE HEALTH CENTER
673 WASHINGTON STREETBOSTONMA02124COUNSELLOR TIME$209,750
CHILD FOUNDATION
ONE BOSTON MEDICAL CTR PLBOSTONMA02118PHYSICIAN TIME$139,391
OFFICE TEAM
12400 COLLECTION CTR DRIVECHICAGOIL60693TEMP STAFFING$105,646
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$1,605,972GovernmentGrantsAmt
All Other Contributions$2,298,505AllOtherContributionsAmt
Noncash Contributions$274,736NoncashContributionsAmt
Total Contributions$3,904,477TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621498BusinessCd
Total Revenue Column$24,165,744TotalRevenueColumnAmt
Related Or Exempt Func Income$24,165,744RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$24,165,744TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$387,531TotalRevenueColumnAmt
Exclusion$387,531ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,030,515SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,687,116SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$343,399SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$343,399TotalRevenueColumnAmt
Exclusion$343,399ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
INFORMATION SYSTEMS900099$730,376$730,376
OTHER REVENUE900099$143,571$143,571
FORGIVENESS OF CONDITIONAL NOTES900099$139,731$139,731
FieldValueIRS element (for citing)
Other Revenue Total$1,013,678OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,814,829TotalRevenueColumnAmt
Related Or Exempt Func Income$24,165,744RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$730,376UnrelatedBusinessRevenueAmt
Exclusion$1,014,232ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$413,198TotalAmt
Program Services$25,680ProgramServicesAmt
Management And General$387,518ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,941,892TotalAmt
Program Services$14,212,938ProgramServicesAmt
Management And General$728,954ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$236,894TotalAmt
Program Services$221,345ProgramServicesAmt
Management And General$15,549ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,339,631TotalAmt
Program Services$2,163,511ProgramServicesAmt
Management And General$176,120ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$223,595TotalAmt
Program Services$204,747ProgramServicesAmt
Management And General$18,848ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$108,541TotalAmt
Program Services$8,835ProgramServicesAmt
Management And General$99,706ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$98,661TotalAmt
Management And General$98,661ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,558,535TotalAmt
Program Services$2,365,188ProgramServicesAmt
Management And General$193,347ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$39,718TotalAmt
Management And General$39,718ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$197,683TotalAmt
Program Services$124,368ProgramServicesAmt
Management And General$73,315ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,524,316TotalAmt
Management And General$1,524,316ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,944,879TotalAmt
Program Services$1,617,538ProgramServicesAmt
Management And General$327,341ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$127,566TotalAmt
Program Services$49,709ProgramServicesAmt
Management And General$77,857ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$605,511TotalAmt
Program Services$301,046ProgramServicesAmt
Management And General$304,465ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$137,739TotalAmt
Program Services$2,235ProgramServicesAmt
Management And General$135,504ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$3,754,922$3,754,922
DATA PROCESSING$429,601$307,217$122,384
DONATED FOOD$274,736$274,736$0
BAD DEBTS$132,939$132,939$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$332,725TotalAmt
Program Services$128,223ProgramServicesAmt
Management And General$204,502ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$30,423,282TotalAmt
Program Services$25,895,177ProgramServicesAmt
Management And General$4,528,105ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,762,720BOYAmt
EOY$1,896,042EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,493,646BOYAmt
EOY$1,429,527EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$317,462BOYAmt
EOY$618,021EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,994,519BOYAmt
EOY$3,549,330EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$7,773,348BOYAmt
EOY$7,900,920EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$365,989BOYAmt
EOY$333,061EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,447,055LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,826,520LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,149,326BOYAmt
EOY$3,620,535EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,826,912BOYAmt
EOY$8,453,484EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY-$54,214BOYAmt
EOY$516,472EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$27,629,708BOYAmt
EOY$28,317,392EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,958,711BOYAmt
EOY$3,076,306EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$846,742BOYAmt
EOY$740,484EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$1,830,947EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$967,644BOYAmt
EOY$1,250,073EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,773,097BOYAmt
EOY$6,897,810EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,826,241BOYAmt
EOY$21,372,604EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$30,370BOYAmt
EOY$46,978EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,856,611BOYAmt
EOY$21,419,582EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,629,708BOYAmt
EOY$28,317,392EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$608,453ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$171,424NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,781,822CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,920,175CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,193,933CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,641,458CurrentTaxYearMinus1YearAmt
Current Tax Year$3,904,477CurrentTaxYearAmt
Total$16,441,865TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,776,609CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,569,122CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,783,659CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,515,364CurrentTaxYearMinus1YearAmt
Current Tax Year$24,165,744CurrentTaxYearAmt
Total$115,810,498TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,143CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$63,618CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,416CurrentTaxYearMinus2YearsAmt
Total$120,177TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,582,574CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,552,915CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,010,008CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,156,822CurrentTaxYearMinus1YearAmt
Current Tax Year$28,070,221CurrentTaxYearAmt
Total$132,372,540TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$132,372,540PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$227,126CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$210,338CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$401,588CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$405,659CurrentTaxYearMinus1YearAmt
Current Tax Year$387,531CurrentTaxYearAmt
Total$1,632,242TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$227,126CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$210,338CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$401,588CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$405,659CurrentTaxYearMinus1YearAmt
Current Tax Year$387,531CurrentTaxYearAmt
Total$1,632,242TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$366,167CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$623,524CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$438,916CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$487,246CurrentTaxYearMinus1YearAmt
Current Tax Year$626,701CurrentTaxYearAmt
Total$2,542,554TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,175,867CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,386,777CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,850,512CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,049,727CurrentTaxYearMinus1YearAmt
Current Tax Year$29,084,453CurrentTaxYearAmt
Total$136,547,336TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96940PublicSupportCY509Pct
Public Support PY5090.97400PublicSupportPY509Pct
Investment Income CY0.01200InvestmentIncomeCYPct
Investment Income PY0.01070InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III LINE 12FormAndLineReferenceDesc
ExplanationOTHER INCOME INCLUDES REALIZED AND UNREALIZED GAINS ON SALE OF ASSETS, FORGIVENESS OF UNCONDITIONAL NOTES PAYABLE AND MISCELLANEOUS REVENUE.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$151,896OtherCostOrOtherBasisAmt
Book Value$151,896BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,122,809OtherCostOrOtherBasisAmt
Depreciation$894,410DepreciationAmt
Book Value$1,228,399BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,172,350OtherCostOrOtherBasisAmt
Depreciation$3,932,110DepreciationAmt
Book Value$2,240,240BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,620,535TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED RENT PAYABLEDesc
Amt$1,250,073Amt
FieldValueIRS element (for citing)
Total Liability$1,250,073TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING 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, 2016. THE HEALTH CENTER'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHELLE NADOW
PRESIDENT & CEO$172,647$0$0$0$0$0$0$0$21,312$0$193,959$0$0$0
JOHN CHAMBERS
CFO$146,264$0$0$0$0$0$0$0$8,766$0$155,030$0$0$0
DR NSA HENSHAW
PHYSICIAN$268,041$0$0$0$0$0$0$0$5,369$0$273,410$0$0$0
DR JULITA MIR
PHYSICIAN$200,570$0$0$0$0$0$0$0$3,402$0$203,972$0$0$0
DR HUY NGUYEN
PEDIATRICIAN$179,504$0$0$0$0$0$0$0$20,145$0$199,649$0$0$0
DR DANA RUBIN
PEDIATRICIAN$175,555$0$0$0$0$0$0$0$4,997$0$180,552$0$0$0
DR JULIE CROSSON
PHYSICIAN$172,592$0$0$0$0$0$0$0$20,310$0$192,902$0$0$0

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$274,736NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CTHE 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 15THE 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 19ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO REVIEW.
FORM 990, PART XII, LINE 2C:THE HEALTH CENTER HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
HEALTH SERVICES PARTNERSHIP OF DORCHESTER INC (DBA DOTWELL)
1452 DORCHESTER AVENUEDORCHESTERMA02122000627627HEALTH CENTER RESOURCESMA501(C)3LINE 9N/A0
DHMSC REALTY INC
1452 DORCHESTER AVENUEDORCHESTERMA02122455435131REAL ESTATE HOLDINGMA501(C)2LINE 9N/AYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1DHMSC REALTY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeKTransactionTypeTxt
Involved$459,729InvolvedAmt
Method Of Amount DeterminationFAIR MARKET VALUEMethodOfAmountDeterminationTxt

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