HEALTHQUARTERS INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHQUARTERS INC (EIN 04-2475363)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-02-15
- IRS object ID
- 201740469349300614
- 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 | 2017-02-15T07:17:46-06:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 043077056 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOODY FAMIGLIETTI & ANDRONICO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 HIGHWOOD DRIVE | AddressLine1Txt |
| City | TEWKSBURY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01876 | 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 | 042475363 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHQUARTERS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 9789279827 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CUMMINGS CENTER NO 220B | AddressLine1Txt |
| City | BEVERLY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01915 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GABRIELLE ROSS | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 9789279827 | PhoneNum |
| Signature | 2017-02-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MATTHEW KALIL CPA | PreparerPersonNm |
| PTIN | P01517069 | PTIN |
| Phone | 9785575300 | 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 | GABRIELLE ROSS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CUMMINGS CENTER NO 220B | AddressLine1Txt |
| City | BEVERLY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01915 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,060,884 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HEALTHQ.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | FAMILY PLANNING REPRODUCTIVE HEALTHCARE | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 27 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,332,803 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,439,873 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,328,690 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,477,685 | CYProgramServiceRevenueAmt |
| PY Investment Income | $41,502 | PYInvestmentIncomeAmt |
| CY Investment Income | $42,436 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,913 | PYOtherRevenueAmt |
| CY Other Revenue | $10,776 | CYOtherRevenueAmt |
| PY Total Revenue | $2,713,908 | PYTotalRevenueAmt |
| CY Total Revenue | $2,970,770 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $436,539 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $602,268 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,199,393 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,130,880 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $11,757 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $809,690 | PYOtherExpensesAmt |
| CY Other Expenses | $1,074,112 | CYOtherExpensesAmt |
| PY Total Expenses | $2,445,622 | PYTotalExpensesAmt |
| CY Total Expenses | $2,807,260 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $268,286 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $163,510 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,743,949 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,912,901 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $247,076 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $302,111 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,496,873 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,610,790 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HEALTH QUARTERS IS AN INNOVATIVE LEADER AND PARTNER IN SUPPORTING, PROTECTING AND PROMOTING THE SEXUAL AND REPRODUCTIVE HEALTH AND WELL-BEING OF OUR CLIENTS AND COMMUNITIES. WE PROVIDE INTEGRATED CLINICAL, EDUCATION AND ADVOCACY SERVICES THAT ENCOMPASS THE PHYSICAL, EMOTIONAL, SOCIAL AND CULTURAL ASPECTS OF HEALTH AS WE WORK TO ERADICATE DISPARITIES AND INEQUITIES FOR ALL. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,168,496 | ExpenseAmt |
| Grant | $602,268 | GrantAmt |
| Revenue | $1,488,461 | RevenueAmt |
| Desc | SINCE 1971, HEALTHQUARTERS HAS PROVIDED FEDERAL (TITLE X) AND STATE-FUNDED FAMILY PLANNING SERVICES AND REPRODUCTIVE HEALTH CARE TO COMMUNITIES THAT ARE AMONG THE POOREST, MOST DISPROPORTIONATELY HIV-AFFECTED, MOST MINORITY- POPULATED, AND MOST UNDERSERVED FOR FAMILY PLANNING IN MASSACHUSETTS, THROUGH THREE OFFICES IN BEVERLY, HAVERHILL AND LAWRENCE, AND SUBCONTRACTS WITHIN LOWELL COMMUNITY HEALTH CENTER, LYNN COMMUNITY HEALTH CENTER, NORTH SHORE COMMUNITY HEALTH CENTER AND SALEM STATE UNIVERSITY HEALTH SERVICES. HEALTHQUARTERS' SERVICE AREA ENCOMPASSES THE NORTH SHORE AND MERRIMACK VALLEY, SPANNING 60 COMMUNITIES IN ESSEX AND MIDDLESEX COUNTIES SERVICES INCLUDE GYNECOLOGICAL EXAMS, REPRODUCTIVE HEALTH EDUCATION AND YOUNG DEVELOPMENT PROGRAMMING, AND PREVENTION SERVICES SUCH AS BIRTH CONTROL AND EMERGENCY CONTRACEPTION, CERVICAL AND BREAST CANCER SCREENING, STD TESTING AND TREATMENT, AND RAPID HIV AND PREGNANCY TESTING AND COUNSELING. | Desc |
| Total Program Service Expenses | $2,168,496 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 18 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 27 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GABRIELLE ROSS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9789279827 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CUMMINGS CENTER SUITE 220B | AddressLine1Txt |
| City | BEVERLY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01915 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| JAN PELLIGRINI | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| PATRICIA FAE HO | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| KATHLEEN FORD | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MARILYN SANTAGATI | ||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | |
| LINDA BRITT | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| NANCY SHERMAN | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CAROLYN P BRITTON | ||||||
| PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| KATHY ROSENFIELD | ||||||
| VICE PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| GABRIELLE ROSS | ||||||
| EXECUTIVE DIRECTOR | 37.50 | Yes (X) | $150,847 | $0 | $9,919 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $150,847 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $9,919 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOWELL COMMUNITY HEALTH CENTER | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 161 JACKSON STREET | AddressLine1Txt |
| City | LOWELL | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01852 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | HEALTH SERVICES | ServicesDesc |
| Compensation | $270,570 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,412,000 | GovernmentGrantsAmt |
| All Other Contributions | $27,873 | AllOtherContributionsAmt |
| Total Contributions | $1,439,873 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CONTRACT REVENUE | 624100 | $857,000 | $857,000 |
| NET PATIENT SERVICE REVENUE | 624100 | $620,685 | $620,685 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,477,685 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,717 | TotalRevenueColumnAmt |
| Exclusion | $21,717 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,110,833 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,090,114 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $20,719 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,719 | TotalRevenueColumnAmt |
| Exclusion | $20,719 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $10,776 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,776 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $10,776 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,970,770 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,488,461 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $42,436 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,268 | TotalAmt |
| Program Services | $602,268 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,066 | TotalAmt |
| Management And General | $167,066 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $812,279 | TotalAmt |
| Program Services | $778,428 | ProgramServicesAmt |
| Management And General | $33,851 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,303 | TotalAmt |
| Program Services | $15,303 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,809 | TotalAmt |
| Program Services | $30,850 | ProgramServicesAmt |
| Management And General | $12,959 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,423 | TotalAmt |
| Program Services | $70,436 | ProgramServicesAmt |
| Management And General | $21,987 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,129 | TotalAmt |
| Management And General | $18,129 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,584 | TotalAmt |
| Management And General | $4,584 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,323 | TotalAmt |
| Program Services | $65,642 | ProgramServicesAmt |
| Management And General | $220,681 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,839 | TotalAmt |
| Management And General | $5,839 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,637 | TotalAmt |
| Program Services | $68,914 | ProgramServicesAmt |
| Management And General | $1,897 | ManagementAndGeneralAmt |
| Fundraising | $10,826 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,248 | TotalAmt |
| Program Services | $2,994 | ProgramServicesAmt |
| Management And General | $27,133 | ManagementAndGeneralAmt |
| Fundraising | $121 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,226 | TotalAmt |
| Management And General | $15,416 | ManagementAndGeneralAmt |
| Fundraising | $810 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,338 | TotalAmt |
| Program Services | $143,334 | ProgramServicesAmt |
| Management And General | $81,004 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,406 | TotalAmt |
| Program Services | $6,406 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,632 | TotalAmt |
| Program Services | $6,431 | ProgramServicesAmt |
| Management And General | $7,201 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,760 | TotalAmt |
| Management And General | $8,760 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACEPTIVE SUPPLIES | $194,471 | $194,471 | |
| OTHER PROGRAM SUPPLIES | $80,451 | $79,951 | $500 |
| LAB FEES | $47,438 | $47,438 | |
| MEDICAL CONSUMABLES | $41,845 | $41,845 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,785 | TotalAmt |
| Program Services | $13,785 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,807,260 | TotalAmt |
| Program Services | $2,168,496 | ProgramServicesAmt |
| Management And General | $627,007 | ManagementAndGeneralAmt |
| Fundraising | $11,757 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $467,359 | BOYAmt |
| EOY | $272,619 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $294,813 | BOYAmt |
| EOY | $655,343 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,498 | BOYAmt |
| EOY | $51,061 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $28,332 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $24,317 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,775 | BOYAmt |
| EOY | $4,015 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $921,887 | BOYAmt |
| EOY | $908,846 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,617 | BOYAmt |
| EOY | $21,017 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,743,949 | BOYAmt |
| EOY | $1,912,901 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,076 | BOYAmt |
| EOY | $302,111 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,076 | BOYAmt |
| EOY | $302,111 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,496,873 | BOYAmt |
| EOY | $1,610,790 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,496,873 | BOYAmt |
| EOY | $1,610,790 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,743,949 | BOYAmt |
| EOY | $1,912,901 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $163,510 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$49,593 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 | $1,452,129 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,260,704 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,329,819 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,332,803 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,439,873 | CurrentTaxYearAmt |
| Total | $6,815,328 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,121,763 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,194,610 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,203,194 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,328,690 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,477,685 | CurrentTaxYearAmt |
| Total | $6,325,942 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,573,892 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,455,314 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,533,013 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,661,493 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,917,558 | CurrentTaxYearAmt |
| Total | $13,141,270 | 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 | $13,141,270 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,245 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38,632 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $29,826 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $41,502 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $49,576 | CurrentTaxYearAmt |
| Total | $166,781 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,245 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38,632 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $29,826 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $41,502 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $49,576 | CurrentTaxYearAmt |
| Total | $166,781 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,754 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $32,340 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,964 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,913 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,636 | CurrentTaxYearAmt |
| Total | $88,607 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,595,891 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,526,286 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,589,803 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,713,908 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,970,770 | CurrentTaxYearAmt |
| Total | $13,396,658 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98090 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98330 | PublicSupportPY509Pct |
| Investment Income CY | 0.01240 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00950 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $921,887 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$13,041 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $908,846 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $904,610 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $17,277 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $921,887 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $817,419 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $87,191 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $904,610 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $23,205 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $19,874 | DepreciationAmt |
| Book Value | $3,331 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $5,127 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $4,443 | DepreciationAmt |
| Book Value | $684 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,015 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,931,111 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$49,593 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $15,773 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | -$33,820 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,964,931 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $5,839 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $5,839 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,970,770 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,817,194 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $15,773 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $15,773 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,801,421 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $5,839 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $5,839 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,807,260 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE INVESTMENT PORTFOLIO CONSISTS OF UNRESTRICTED NET ASSETS, WHICH ARE DESIGNATED BY THE BOARD OF DIRECTORS AS AN ENDOWMENT TO OFFSET FUTURE OPERATING DEFICITS OR SUPPORT FUTURE PROGRAM DEVELOPMENT OF THE ORGANIZATION. |
| PART X, LINE 2: | THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON TRADE OR BUSINESS PROFITS GENERATED BY ACTIVITIES RELATED TO THE ORGANIZATION'S EXEMPT FUNCTION. THE ORGANIZATION MAY BE SUBJECT TO FEDERAL AND STATE INCOME TAXES FOR PROFITS GENERATED FROM TRADE OR BUSINESS ACTIVITIES UNRELATED TO THE ORGANIZATION'S EXEMPT FUNCTION. AS OF JUNE 30, 2016, MANAGEMENT BELIEVES THAT THE ORGANIZATION HAS NOT GENERATED ANY UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION ASSESSES THE RECORDING OF UNCERTAIN TAX POSITIONS BY EVALUATING THE MINIMUM RECOGNITION THRESHOLD AND MEASUREMENT REQUIREMENTS A TAX POSITION MUST MEET BEFORE BEING RECOGNIZED AS A BENEFIT IN THE FINANCIAL STATEMENTS. THE ORGANIZATION'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ACCRUED ON ANY UNCERTAIN TAX POSITIONS AS A COMPONENT OF INCOME TAX EXPENSE, IF ANY, IN ITS STATEMENTS OF ACTIVITIES. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|
| LOWELL COMMUNITY HEALTH CENTER | ||||||
| 161 JACKSON STREET | LOWELL | MA | 01852 | 042881348 | $364,033 | TO PROVIDE COMPREHENSIVE FAMILY PLANNING SERVICES ON A REGION-WIDE BASIS IN A COMMUNITY BASED HEALTH CARE ORGANIZATION |
| LYNN COMMUNITY HEALTH CENTER | ||||||
| 369 UNION STREET | LYNN | MA | 01901 | 042525006 | $78,920 | TO PROVIDE COMPREHENSIVE FAMILY PLANNING SERVICES ON A REGION-WIDE BASIS IN A COMMUNITY BASED HEALTH CARE ORGANIZATION |
| NORTH SHORE COMMUNITY HEALTH INC | ||||||
| 27 CONGRESS STREET SUITE 103 | SALEM | MA | 01970 | 042610447 | $155,000 | TO PROVIDE COMPREHENSIVE FAMILY PLANNING SERVICES ON A REGION-WIDE BASIS IN A COMMUNITY BASED HEALTH CARE ORGANIZATION |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | TO ENSURE PROGRAM QUALITY AND COMPLIANCE WITH TITLE X REQUIREMENTS, AND ADHERENCE TO STANDARD MEDICAL PRACTICE, HEALTHQUARTERS CONDUCTS ON-SITE PROGRAM REVIEWS AND FISCAL AND MEDICAL AUDIT REVIEWS AT ITS DELEGATE SITES, AT LEAST ONCE IN EACH THREE YEAR PERIOD. THE TITLE X REVIEW TEAM, LED BY THE DIRECTOR OF PROGRAMS, AND INCLUDING CLINICAL, ADMINISTRATIVE AND FINANCIAL CONSULTANTS, ASSESSES SITE ADMINISTRATION, FINANCIAL MANAGEMENT, CLINICAL SERVICES, COMMUNITY OUTREACH, PROTOCOL REVIEWS, STAFF TRAINING, INFORMATION MATERIALS, I&E COMMITTEE, CLIENT NEEDS, FEEDBACK AND SATISFACTION, AND COMPLIANCE WITH TITLE X REQUIREMENTS. THE TITLE X PROGRAM REVIEW TOOL GUIDES THE REVIEW THAT CONSISTS OF DISCUSSIONS WITH KEY PROGRAM STAFF, REVIEW OF THE FACILITY AND A CLINICAL CHART AUDIT. MEDICAL RECORDS ARE EXAMINED TO EVALUATE FEE ASSESSMENT, CHARGES, COLLECTIONS, AND PROPER BILLING. A PROGRAM REPORT IS COMPILED BY REVIEWERS AND SUBMITTED TO THE DELEGATE SITE PROGRAM MANAGER FOR REVIEW. A MEETING IS SCHEDULED TO DISCUSS FINDINGS AND DEVELOP CORRECTIVE ACTION PLANS WHERE NECESSARY. ADDITIONAL MEETINGS ARE MADE THROUGHOUT THE YEAR TO ASSURE PROGRESS ON CORRECTIVE ACTION INITIATIVES. DELEGATE AGENCIES ARE REQUIRED TO SUBMIT COPIES OF THEIR AUDITED FINANCIAL STATEMENTS TO HEALTHQUARTERS ANNUALLY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GABRIELLE ROSS | PersonNm |
| Title | EXECUTIVE DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $150,847 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $3,625 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $6,294 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $160,766 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE 990 IS PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD FOR REVIEW. THE FINANCE COMMITTEE WILL BRING IT TO THE FULL BOARD WITH A RECOMMENDATION TO ACCEPT. THE BOARD THEN VOTES TO ACCEPT OR DECLINE. THIS GENERALLY OCCURS AT THE ANNUAL MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | EMPLOYEES SIGNED THAT THEY HAVE RECEIVED AND READ THE MANUAL WHEN IT IS GIVEN TO THEM (AT THE TIME OF HIRE). DIRECTORS AND SENIOR STAFF ARE ASKED TO SIGN ANNUALLY THAT THEY ARE IN COMPLIANCE AND COMPLETE A RELATED PARTY QUESTIONNAIRE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE DIRECTOR IS EVALUATED AND HER SALARY IS REVIEWED ON AN ANNUAL BASIS BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS CONDUCTS A SURVEY OF SIMILAR ORGANIZATIONS WHEN DELIBERATING AND REVIEWING COMPENSATION PAID TO THE EXECUTIVE DIRECTOR. KEY EMPLOYEE SALARIES ARE REVIEWED ON AN ANNUAL BASIS BY THE EMPLOYEE'S SUPERVISOR, THE DEPARTMENT DIRECTOR, AND THEN THE EXECUTIVE DIRECTOR. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS ARE AVAILABLE AT EACH OF OUR LOCATIONS AND ARE ALSO PART OF THE INSTITUTIONAL FILE AT DHHS. THE CONFLICT OF INTEREST POLICY IS PUBLISHED IN AGENCY PERSONNEL POLICIES AND DISTRIBUTED TO ALL EMPLOYEES. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE THROUGH STATE AND FEDERAL FUNDERS, ON STATE WEBSITE OF ATTORNEY GENERAL AND OPERATIONAL SERVICES DIVISION, AND ARE PROVIDED TO POTENTIAL FUNDING SOURCES UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF ITS INDEPENDENT ACCOUNTANTS. THIS PROCESS HAS NOT CHANGED DURING THE CURRENT YEAR. |
Comments