PARTNERS FOR A HEALTHIER COMMUNITY INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- PARTNERS FOR A HEALTHIER COMMUNITY INC (EIN 04-3342182)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2016-11-15
- IRS object ID
- 201613209349307676
- Schema version
- 2015v2.1
- 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 | 2016-11-15T12:32:16-06:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 042713795 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEYERS BROTHERS KALICKA PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 WHITNEY AVE SUITE 800 | AddressLine1Txt |
| City | HOLYOKE | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01040 | 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 | 043342182 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARTNERS FOR A HEALTHIER COMMUNITY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PART | BusinessNameControlTxt |
| Phone | 4137947739 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 STATE STREET - 4TH FLOOR | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01103 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JESSICA COLLINS | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 4137942520 | PhoneNum |
| Signature | 2016-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RUDY M D'AGOSTINO | PreparerPersonNm |
| PTIN | P00962620 | PTIN |
| Phone | 4135368510 | PhoneNum |
| Preparation | 2016-11-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JESSICA COLLINS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 STATE STREET - 4TH FLOOR | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,242,954 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PARTNERSFORAHEALTHIERCOMMUNITY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | BUILDING A HEALTHIER COMMUNITIES THROUGH CIVIC LEADERSHIP, COLLABORATIVE PARTNERSHIPS, AND ADVOCACY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,350,289 | PYContributionsGrantsAmt |
| CY Contributions Grants | $932,552 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $23,516 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $305,193 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,980 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,425 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,135 | PYOtherRevenueAmt |
| CY Other Revenue | $1,784 | CYOtherRevenueAmt |
| PY Total Revenue | $1,381,920 | PYTotalRevenueAmt |
| CY Total Revenue | $1,242,954 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $47,023 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,338,621 | PYOtherExpensesAmt |
| CY Other Expenses | $1,297,778 | CYOtherExpensesAmt |
| PY Total Expenses | $1,338,621 | PYTotalExpensesAmt |
| CY Total Expenses | $1,297,778 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $43,299 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$54,824 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,136,066 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,049,186 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $258,551 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $226,495 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $877,515 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $822,691 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PARTNERS FOR A HEALTHIER COMMUNITY (PHC), INC. IS A 501(C)(3) NON-PROFIT ORGANIZATION WHOSE MISSION IS TO BUILD MEASURABLY HEALTHY COMMUNITIES WITH EQUITABLE OPPORTUNITIES AND RESOURCES FOR ALL THROUGH CIVIC LEADERSHIP, COLLABORATIVE PARTNERSHIPS, AND POLICY ADVOCACY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $250,894 | ExpenseAmt |
| Revenue | $268,543 | RevenueAmt |
| Desc | RESEARCH & EVALUATION IS A SERVICE THAT HELPS PROVIDERS, POLICY MAKERS AND COMMUNITIES TARGET AND MEASURE THE IMPACT OF THEIR PROGRAMS/INITIATIVES SUCH AS IDENTIFICATION OF BEST PRACTICES THROUGH REVIEW OF THE SCIENTIFIC LITERATURE AND UNPUBLISHED EVIDENCE SOURCES; CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS AND ENVIRONMENTAL SCANS TO UNDERSTAND CURRENT COMMUNITY NEEDS, SERVICES OFFERED, AND GAPS; AND PLANNING AND CONDUCTING EVALUATIONS TO ASSESS A PROGRAM'S IMPLEMENTATION PROCESS AND IMPACT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $347,174 | ExpenseAmt |
| Desc | YOUTH EDUCATION AND ADOLESCENT HEALTH (YEAH) NETWORK IS A COLLABORATIVE EFFORT TO IMPROVE THE REPRODUCTIVE HEALTH OF YOUTH IN HAMPDEN COUNTY. YEAH IS ENGAGED IN AN EFFORT TO INFLUENCE POLICIES THAT IMPACT YOUTH REPRODUCTIVE HEALTH AND EDUCATION IN FIVE AREAS: (1) ADVOCACY-CREATING A UNIFIED VOICE FOR THOSE WORKING ON ADOLESCENT REPRODUCTIVE HEALTH; (2) DATA COLLECTION- COLLECTION AND DISSEMINATION OF LOCAL REPRODUCTIVE HEALTH INDICATORS FOR YOUTH; (3) COMMUNITY AWARENESS-AN ACTIVE GRASSROOTS CAMPAIGN TO GIVE PARENTS THE TOOLS THEY NEED TO HELP THEIR YOUTH AVOID TEEN PREGNANCY; (4) PUBLIC POLICY-ELIMINATE DISPARITIES IN ADOLESCENT REPRODUCTIVE HEALTH OUTCOMES THAT DISPROPORTIONATELY IMPACT VULNERABLE POPULATIONS AND (5) NETWORKING-CREATE A NETWORK FOR COMMUNITY AGENCIES WORKING ON YOUTH HEALTH AND EDUCATION. YEAH NETWORK REACHED OVER 100 TEENS AND YOUNG ADULTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $245,755 | ExpenseAmt |
| Revenue | $17,350 | RevenueAmt |
| Desc | THE LIVE WELL SPRINGFIELD COALITION IS A COLLABORATIVE EFFORT TO ADVANCE AND SUSTAIN A COMPREHENSIVE, COLLABORATIVE, FUNCTIONING COALITION THAT RECOGNIZES AND SUPPORTS GRASSROOTS, ORGANIZATIONAL AND INDIVIDUAL INITIATIVES WHILE BEING "PROUD PARTICIPANTS" OF A BROADER CITYWIDE EFFORT TO CREATE A HEALTHY SUSTAINABLE SPRINGFIELD WITH REGARDS TO PHYSICAL ACTIVITY AND HEALTHY EATING. LIVE WELL SPRINGFIELD STRATEGIES THAT ARE CONVENED BY PARTNERS FOR A HEALTHIER COMMUNITY INCLUDE - FARM TO PRESCHOOL & FAMILIES, MASON SQUARE FOOD JUSTICE INITIATIVE, GO FRESH MOBILE MARKET, BUILT ENVIRONMENT - PEDESTRIAN AND BICYCLE PATHS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $76,135 | ExpenseAmt |
| Revenue | $19,300 | RevenueAmt |
| Desc | THE PVAC IS A COLLABORATIVE EFFORT TO BRING ABOUT AN ALIGNMENT OF LOCAL INTERESTS AND INITIATIVES TO ADDRESS ASTHMA. THE FOLLOWING IS A TYPICAL PARTNERSHIP FASHIONED BY THE COALITION: PVAC, BMC HEALTHNET PLAN AND BAYCARE HEALTH PARTNERS ARE WORKING TOGETHER USING HEALTHY HOMES PRINCIPLES AND COMMUNITY HEALTH WORKERS ("CHWS") AND NURSES TO IDENTIFY, REMEDIATE AND PREVENT OF ENVIRONMENTAL EXPOSURES IN THE HOME THAT TRIGGER ASTHMA. THESE CHWS CONDUCT HOME VISITS WITH 100'S OF FAMILIES OF PEDIATRIC ASTHMA PATIENTS TO EDUCATE THEM ABOUT HOME ENVIRONMENTAL EXPOSURES AND METHODS OF REMEDIATION AND PROVIDE THEM WITH TOOLS AND SERVICES TO AID IN REMEDIATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $76,135 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $19,300 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $919,958 | 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 | 0 | 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 | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | 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 | Yes (1) | 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 | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| 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 | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | 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 | ROSE WESTBROOK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4137947741 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 127 STATE STREET - 4TH FLOOR | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| REV KAREN RUCKS | ||||||
| CHAIRMAN (END 1/2016) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| NICOLE CONTOIS | ||||||
| TREASURER | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ANTHONY HILL | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| ROBERT LEPAGE | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| STEVEN BRADLEY | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| WILLIAM DAVILA | ||||||
| SECRETARY (END 1/2016) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JANET RODRIGUEZ-DENNEY | ||||||
| DIRECTOR/SECRETARY (AS OF 1/2016) | 0.25 | Yes (X) | $0 | $0 | $0 | |
| KEVIN MAYNARD | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| JOAN KAGAN | ||||||
| CLERK | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ANDREW MOREHOUSE | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| THU PHAM | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| KELVIN MOLINA | ||||||
| DIRECTOR/VICE CHAIR (AS OF 1/2016) | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CESARINA THOMPSON | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| ANTHONY WILSON | ||||||
| DIRECTOR (END 1/2016) | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LORA WONDOLOWSKI | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| JEFF HARNESS | ||||||
| VP (END 1/16)/CHAIRMAN (AS OF 1/2016) | 0.90 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR MATTHEW D SADOF | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| NIKKI BURNETT | ||||||
| DIRECTOR (END 1/2016) | 0.25 | Yes (X) | $0 | $0 | $0 | |
| RAYMOND BERRY | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| CYNTHIA MILLER | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| BETTYE ANDERSON-FREDERIC | ||||||
| DIRECTOR | 0.25 | Yes (X) | $0 | $0 | $0 | |
| JEAN AHN | ||||||
| DIRECTOR (START 1/2016) | 0.25 | Yes (X) | $0 | $0 | $0 | |
| YVONNE BOUDREAU | ||||||
| DIRECTOR (START 1/2016) | 0.25 | Yes (X) | $0 | $0 | $0 | |
| CHRIS JASINSKI | ||||||
| DIRECTOR (START 1/2016) | 0.25 | Yes (X) | $0 | $0 | $0 | |
| JESSICA COLLINS | ||||||
| EXECUTIVE DIRECTOR | 32.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | 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 | BAYSTATE ADMINISTRATIVE SERVICES | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 759 CHESTNUT ST | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01199 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | MANAGEMENT SERVICE | ServicesDesc |
| Compensation | $684,472 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $359,287 | GovernmentGrantsAmt |
| All Other Contributions | $573,265 | AllOtherContributionsAmt |
| Total Contributions | $932,552 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SERVICE INCOME | Desc |
| Business | 541700 | BusinessCd |
| Total Revenue Column | $305,193 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $305,193 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $305,193 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,425 | TotalRevenueColumnAmt |
| Exclusion | $3,425 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REIMBURS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,784 | TotalRevenueColumnAmt |
| Exclusion | $1,784 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,784 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,242,954 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $305,193 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,209 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $684,474 | TotalAmt |
| Program Services | $433,863 | ProgramServicesAmt |
| Management And General | $203,588 | ManagementAndGeneralAmt |
| Fundraising | $47,023 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,200 | TotalAmt |
| Management And General | $19,200 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $454,554 | TotalAmt |
| Program Services | $430,814 | ProgramServicesAmt |
| Management And General | $23,740 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,026 | TotalAmt |
| Program Services | $4,508 | ProgramServicesAmt |
| Management And General | $6,518 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,426 | TotalAmt |
| Program Services | $20,424 | ProgramServicesAmt |
| Management And General | $35,002 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,177 | TotalAmt |
| Program Services | $7,356 | ProgramServicesAmt |
| Management And General | $7,821 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,706 | TotalAmt |
| Management And General | $3,706 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,744 | TotalAmt |
| Management And General | $5,744 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DUES & MEMBERSHIPS | $23,282 | $10,750 | $12,532 |
| COMMUNITY TRAINING | $8,023 | $5,639 | $2,384 |
| MISC | $5,790 | $1,229 | $4,561 |
| TELEPHONE & INTERNET | $4,621 | $104 | $4,517 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,755 | TotalAmt |
| Program Services | $5,271 | ProgramServicesAmt |
| Management And General | $1,484 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,297,778 | TotalAmt |
| Program Services | $919,958 | ProgramServicesAmt |
| Management And General | $330,797 | ManagementAndGeneralAmt |
| Fundraising | $47,023 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,121 | BOYAmt |
| EOY | $173,603 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $647,221 | BOYAmt |
| EOY | $650,646 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,427 | BOYAmt |
| EOY | $190,550 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,297 | BOYAmt |
| EOY | $5,518 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $76,060 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $47,191 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $28,869 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,136,066 | BOYAmt |
| EOY | $1,049,186 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,583 | BOYAmt |
| EOY | $203,004 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,968 | BOYAmt |
| EOY | $23,491 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $258,551 | BOYAmt |
| EOY | $226,495 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $589,789 | BOYAmt |
| EOY | $647,087 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,726 | BOYAmt |
| EOY | $175,604 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $877,515 | BOYAmt |
| EOY | $822,691 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,136,066 | BOYAmt |
| EOY | $1,049,186 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$54,824 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,345,978 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,480,617 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,559,715 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,350,289 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $932,552 | CurrentTaxYearAmt |
| Total | $6,669,151 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,345,978 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,480,617 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,559,715 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,350,289 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $932,552 | CurrentTaxYearAmt |
| Total | $6,669,151 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $653,340 | SubstantialContributorsTotAmt |
| Public Support Total170 | $6,015,811 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,950 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,009 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,922 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,980 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,425 | CurrentTaxYearAmt |
| Total | $30,286 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,557 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,365 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $431 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,135 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,313 | CurrentTaxYearAmt |
| Total | $8,801 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $6,708,238 | TotalSupportAmt |
| Public Support CY170 | 0.89680 | PublicSupportCY170Pct |
| Public Support PY170 | 0.91730 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $76,060 | OtherCostOrOtherBasisAmt |
| Depreciation | $47,191 | DepreciationAmt |
| Book Value | $28,869 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $28,869 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,242,954 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,242,954 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,242,954 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,297,778 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,297,778 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,297,778 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS REQUIRED TO RECOGNIZE THE FINANCIAL STATEMENT IMPACT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. A TAX POSITION IS DEEMED TO INCLUDE SUCH THINGS AS THE ORGANIZATION'S TAX EXEMPT STATUS. MANAGEMENT HAS EVALUATED SIGNIFICANT TAX POSITIONS AGAINST THE CRITERIA ESTABLISHED BY PROFESSIONAL STANDARDS AND BELIEVES THERE ARE NO SUCH TAX POSITIONS REQUIRING ACCOUNTING RECOGNITION. THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR ALL YEARS ENDING ON OR AFTER JUNE 30, 2013. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH NEW ENGLAND | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SUBSTANTIAL CONTRIBUTOR | RelationshipDescriptionTxt |
| Transaction | $14,500 | TransactionAmt |
| Transaction | PAYMENT FOR RESEARCH SERVICES PROVIDED | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR, THEN BY THE EXECUTIVE AND FINANCE COMMITTEE MEMBERS. THE EXECUTIVE AND FINANCE COMMITTEES THEN RECOMMEND APPROVAL BY THE FULL BOARD WITH DISCUSSION OF ANY ISSUES OR CONCERNS. THE 990 IS THEN FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | NEW BOARD MEMBERS RECEIVE AN ORIENTATION TO THE POLICY. ALL REAL OR PERCEIVED CONFLICTS MUST BE ACKNOWLEDGED AND CONSIDERED BY THE FULL BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION DEPARTMENT WILL DETERMINE THE GRADE AND RANGE FOR EACH JOB AND PLACE IN THE CORRECT PAY SCALE. EACH PAY GRADE WILL HAVE A MINIMUM, MARKET REFERENCE AND A MAXIMUM. THE COMPENSATION DEPARTMENT REGULARLY PARTICIPATES IN SALARY SURVEYS TO ENSURE THAT OUR PAY STRUCTURE REFLECTS CURRENT MARKET CONDITIONS. TO DETERMINE THE EXECUTIVE DIRECTOR'S SALARY, A THIRD PARTY CONTRACTOR'S COMPENSATION DEPARTMENT COMPARED THE MARKET SALARY RANGE TO OTHER NONPROFIT EXECUTIVE DIRECTOR POSITIONS IN THE AREA AND OF A COMPARABLE PEER GROUP WITHIN BAYSTATE HEALTH TO DETERMINE COMPENSATION. THE COMPENSATION RANGE FOR THE EXECUTIVE DIRECTOR POSITION WAS THEN PRESENTED TO PHC'S BOARD FOR APPROVAL. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST |
| FORM 990, PART IX, LINE 11G | PROGRAM CONSULTANTS: PROGRAM SERVICE EXPENSES 199,720. MANAGEMENT AND GENERAL EXPENSES 23,740. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 223,460. PROGRAM SERVICE SUBCONTRACTED FEES: PROGRAM SERVICE EXPENSES 231,094. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 231,094. |
| 990 PART XII. LINE 2C | THERE HAS BEEN NO CHANGE FROM PREVIOUS YEARS. |
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