EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC (EIN 04-2513817)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201531349349304978
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-14T15:22:29-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 042571780 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALEXANDER ARONSON FINNING & CO PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 EAST MAIN STREET | AddressLine1 |
| City | WESTBOROUGH | City |
| State | MA | State |
| ZIP Code | 01581 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042513817 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EDWA | BusinessNameControlTxt |
| Phone | 5085327313 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 650 LINCOLN STREET | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01605 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANTONIA MCGUIRE | PersonNm |
| Person Title | CEO/PRESIDENT | PersonTitleTxt |
| Phone | 5088521805 | PhoneNum |
| Signature | 2015-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MATTHEW HUTT CPA | PreparerPersonNm |
| PTIN | P01070603 | PTIN |
| Phone | 5083669100 | PhoneNum |
| Preparation | 2015-05-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | ANTONIA MCGUIRE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 650 LINCOLN STREET | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01605 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,890,854 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | EDWARDMKENNEDYCHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | OUR VISION IS TO BE A CONSTANTLY GROWING, FINANCIALLY SOUND COMMUNITY HEALTH CENTER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 402 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,636,700 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,929,511 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $23,595,473 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,596,884 | CYProgramServiceRevenueAmt |
| PY Investment Income | $841 | PYInvestmentIncomeAmt |
| CY Investment Income | -$46,390 | CYInvestmentIncomeAmt |
| PY Other Revenue | $401,722 | PYOtherRevenueAmt |
| CY Other Revenue | $313,704 | CYOtherRevenueAmt |
| PY Total Revenue | $31,634,736 | PYTotalRevenueAmt |
| CY Total Revenue | $30,793,709 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $323,428 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $222,381 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,311,887 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,455,503 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,996,441 | PYOtherExpensesAmt |
| CY Other Expenses | $9,618,545 | CYOtherExpensesAmt |
| PY Total Expenses | $30,631,756 | PYTotalExpensesAmt |
| CY Total Expenses | $30,296,429 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,002,980 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $497,280 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $37,451,756 | TotalAssetsBOYAmt |
| Total Assets EOY | $37,011,138 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,396,199 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,537,557 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,055,557 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $21,473,581 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR VISION IS TO BE A CONSTANTLY GROWING, FINANCIALLY SOUND COMMUNITY HEALTH CENTER. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,789,969 | ExpenseAmt |
| Revenue | $9,598,416 | RevenueAmt |
| Desc | MEDICAL- EDWARD M. KENNEDY COMMUNITY HEALTH CENTER UTILIZES A FAMILY PRACTICE MODEL OF CARE TO PROVIDE PRIMARY MEDICAL CARE TO OUR PATIENTS. A DEDICATED INTERDISCIPLINARY TEAM, COMPRISED OF THE MEDICAL PROVIDER, NURSE, NUTRITIONIST AND OTHER SPECIALISTS, WORKS TOGETHER WITH PATIENTS TO MANAGE THEIR HEALTH, INJURIES, ILLNESSES, AND CHRONIC DISEASES. THE SELF MANAGEMENT MODEL ALLOWS PATIENTS TO BE IN CHARGE OF SETTING THEIR GOALS WITH THE SUPPORT OF A PROFESSIONAL HEALTH CARE TEAM. PRIMARY CARE SERVICES INCLUDE PREVENTIVE CARE, ROUTINE CHECKUPS, IMMUNIZATIONS, AND MANAGEMENT OF ACUTE AND CHRONIC ILLNESSES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,273,414 | ExpenseAmt |
| Revenue | $3,927,385 | RevenueAmt |
| Desc | DENTAL- THE MULTILINGUAL STAFF AND INTERPRETERS FACILITATE ALL APPOINTMENTS AND PROGRAMS. PEDIATRIC AND ADULT DENTISTRY; DENTAL EXAMS AND CLEANINGS (PROPHYLAXIS); DENTAL X-RAYS; ORAL HEALTH EDUCATION; URGENT DENTAL CARE; FLUORIDE TREATMENTS; FILLINGS; ROOT CANALS; EXTRACTIONS; CROWNS; BRIDGES; MOUTH GUARDS; PARTIAL AND FULL DENTURES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,704,251 | ExpenseAmt |
| Revenue | $4,961,820 | RevenueAmt |
| Desc | PHARMACY- THE KENNEDY CHC PHARMACY PROGRAM PROVIDES BOTH AN ON-SITE PHARMACY AT THEIR HEALTH CENTER IN WORCESTER AND AN AFFILIATE (CONTRACTED) PHARMACY, EATON APOTHECARY, IN THE FRAMINGHAM COMMUNITY. THEY ARE ABLE TO PURCHASE PRESCRIPTION MEDICATIONS AT A DISCOUNT THROUGH SPECIAL FUNDING FROM THE FEDERAL GOVERNMENT AND PASS THESE SAVINGS ON TO OUR PATIENTS. THEIR PHARMACY PROGRAM FILLS OVER 130,000 PRESCRIPTIONS ANNUALLY FOR NEARLY 18,000 PATIENTS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc | GrantGrantAmt |
|---|---|---|---|
| $1,371,805 | $1,168,411 | BEHAVIORAL HEALTH- SERVICES PROVIDED FOR ADULTS, ADOLESCENTS, AND CHILDREN INCLUDE: OUTPATIENT COUNSELING FOR INDIVIDUALS, COUPLES, AND FAMILIES; PSYCHIATRIC EVALUATION AND ONGOING MEDICATION MANAGEMENT; AND CULTURALLY COMPETENT BEHAVIORAL HEALTH TREATMENT FOR NON-ENGLISH SPEAKING PATIENTS, INCLUDING REFUGEES AND IMMIGRANTS. SOCIAL SERVICES - SERVICES FOR PATIENTS INCLUDE PSYCHO-SOCIAL ASSESSMENT, CRISIS INTERVENTION, DOMESTIC VIOLENCE SCREENING AND INTERVENTION, ADVOCACY, AND TRANSPORTATION. CASEWORKERS CONNECT PATIENTS TO APPROPRIATE COMMUNITY RESOURCES AND ASSIST PATIENTS IN NAVIGATING THE HEALTH CARE AND INSURANCE SYSTEMS. | |
| $2,745,267 | $798,167 | OTHER PROGRAMS- COMMUNITY PROGRAMS ARE THE HEALTH CENTER'S WORCESTER-BASED PREVENTION, OUTREACH AND HEALTH EDUCATION PROGRAMS PROVIDED AT SITES THROUGHOUT THE COMMUNITY. WE "MEET PEOPLE WHERE THEY ARE" TO PROMOTE HEALTH AWARENESS AMONG EXISTING PATIENTS AND THE BROADER COMMUNITY. EVERYONE SHOULD HAVE AN ONGOING RELATIONSHIP WITH A PRIMARY CARE PROVIDER AND ACCESS TO THE PREVENTIVE AND CONTINUING MEDICAL SERVICES TO MAINTAIN HEALTH. THEY HELP FACILITATE ACCESS THOUGH THEIR PRESENCE AT SCHOOLS, SHELTERS, OTHER HUMAN SERVICES AGENCIES, JAILS, COMMUNITY HEALTH FAIRS, FESTIVALS AND CELEBRATIONS, FARMERS MARKETS, AND OTHER COMMUNITY EVENTS. PROGRAMS INCLUDE: CORRECTIONS TO COMMUNITY; HIV CASE MANAGEMENT; HIV PREVENTION, INFORMATION, SCREENING, REFERRAL, COUNSELING AND TESTING; YOUTH DEVELOPMENT AND PEER LEADERSHIP. | $222,381 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $4,117,072 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $222,381 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $1,966,578 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $24,884,706 | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | 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 | 40 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 402 | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANTONIA MCGUIRE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5088542122 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 650 LINCOLN STREET | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01605 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MATTHEW J HOGAN | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN RICCIO | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH STOLBERG | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GAIL F HORMATS | ||||||||
| CLERK | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LILIA M CAVALCANTI | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| VERONICA CRESPO | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL PAGANO | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DEBORAH SANCHEZ | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| VALERIE ZOLEZZI-WYNHAM | ||||||||
| BOARD CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STUART PYNN JR | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DEBORAH DESOUZA | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANTONIA MCGUIRE | ||||||||
| CEO/PRESIDENT | 40.00 | Yes (X) | $262,425 | $0 | $10,744 | |||
| MICHELE PICI | ||||||||
| CMO | 40.00 | Yes (X) | $206,896 | $0 | $5,383 | |||
| MARIA COPPENRATH | ||||||||
| VP OF FINANCE/CFO | 40.00 | Yes (X) | $134,643 | $0 | $428 | |||
| LEAH GALLIVAN | ||||||||
| COO | 40.00 | Yes (X) | $119,084 | $0 | $2,991 | |||
| DEVAL SHAH-CANNING | ||||||||
| MEDICAL DIRECTOR - FRAMING | 40.00 | $168,688 | $0 | $5,588 | Yes (X) | |||
| ANITA KOSTECKI | ||||||||
| MD | 32.00 | $164,617 | $0 | $4,009 | Yes (X) | |||
| THEODOR ENE | ||||||||
| MD | 40.00 | $146,287 | $0 | $186 | Yes (X) | |||
| ALLIAN IFFIH | ||||||||
| MD | 40.00 | $149,497 | $0 | $3,735 | Yes (X) | |||
| SAILAJA ALLAPARTHI | ||||||||
| MD | 40.00 | $133,825 | $0 | $3,576 | Yes (X) | |||
| ELIZABETH DOBLES | ||||||||
| MD | 40.00 | $131,235 | $0 | $1,300 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,617,197 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $37,940 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 28 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUALITY SYSTEMS INC | |||||
| 18111 VON KARMAN AVE SUITE 700 | IRVINCE | CA | 92612 | NEXTGEN EMR/EHR | $582,733 |
| LOBISSER BUILDING CORPORATION | |||||
| PO BOX 310 | MILFORD | MA | 01757 | CONSTRUCTION - MILFORD | $475,545 |
| AKUITY TECHNOLOGIES | |||||
| 1 WESTEC DRIVE | AUBURN | ME | 01501 | IT SUPPORT AND SUPPLIES | $299,225 |
| FAMILY HEALTH CENTER | |||||
| 26 QUEEN STREET | WORCESTER | MA | 01610 | SUBCONTRACTED SERVICES | $279,890 |
| UHEALTH SOLUTIONS | |||||
| 100 CENTURY DRIEVE | WORCESTER | MA | 01505 | CALL CENTER | $230,106 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $26,152 | FederatedCampaignsAmt |
| Government Grants | $5,073,874 | GovernmentGrantsAmt |
| All Other Contributions | $4,829,485 | AllOtherContributionsAmt |
| Noncash Contributions | $344,879 | NoncashContributionsAmt |
| Total Contributions | $9,929,511 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621400 | $20,454,199 | $20,454,199 |
| CAPITATION REVENUE | 900099 | $142,685 | $142,685 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,596,884 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $828 | TotalRevenueColumnAmt |
| Exclusion | $828 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $214,826 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $49,927 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $164,899 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $164,899 | TotalRevenueColumnAmt |
| Exclusion | $164,899 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $47,218 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$47,218 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$47,218 | TotalRevenueColumnAmt |
| Exclusion | -$47,218 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MISCELLANEOUS | 900099 | $116,784 | $116,784 |
| MANAGEMENT FEES | 900099 | $32,021 | $32,021 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $148,805 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,793,709 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,596,884 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $267,314 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,381 | TotalAmt |
| Program Services | $222,381 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,096,132 | TotalAmt |
| Program Services | $214,775 | ProgramServicesAmt |
| Management And General | $881,357 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,090,442 | TotalAmt |
| Program Services | $14,023,541 | ProgramServicesAmt |
| Management And General | $2,066,901 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,878 | TotalAmt |
| Program Services | $158,932 | ProgramServicesAmt |
| Management And General | $30,946 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,857,297 | TotalAmt |
| Program Services | $1,567,204 | ProgramServicesAmt |
| Management And General | $290,093 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,221,754 | TotalAmt |
| Program Services | $1,003,180 | ProgramServicesAmt |
| Management And General | $218,574 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,936 | TotalAmt |
| Program Services | $2,750 | ProgramServicesAmt |
| Management And General | $34,186 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,810 | TotalAmt |
| Management And General | $60,810 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,798,342 | TotalAmt |
| Program Services | $1,450,761 | ProgramServicesAmt |
| Management And General | $347,581 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $992,739 | TotalAmt |
| Program Services | $224,989 | ProgramServicesAmt |
| Management And General | $767,750 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $993,143 | TotalAmt |
| Program Services | $986,141 | ProgramServicesAmt |
| Management And General | $7,002 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,120 | TotalAmt |
| Program Services | $38,167 | ProgramServicesAmt |
| Management And General | $10,953 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,594 | TotalAmt |
| Program Services | $786 | ProgramServicesAmt |
| Management And General | $106,808 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,395,362 | TotalAmt |
| Program Services | $919,770 | ProgramServicesAmt |
| Management And General | $475,592 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,926 | TotalAmt |
| Program Services | $56,917 | ProgramServicesAmt |
| Management And General | $15,009 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $3,141,802 | $3,087,731 | $54,071 |
| BAD DEBTS | $488,093 | $488,093 | |
| COMMUNICATIONS | $260,599 | $243,802 | $16,797 |
| EQUIPMENT REPAIRS AND M | $95,204 | $82,050 | $13,154 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,875 | TotalAmt |
| Program Services | $112,736 | ProgramServicesAmt |
| Management And General | $14,139 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,296,429 | TotalAmt |
| Program Services | $24,884,706 | ProgramServicesAmt |
| Management And General | $5,411,723 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,400 | BOYAmt |
| EOY | $1,450 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,839,493 | BOYAmt |
| EOY | $1,616,153 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $920,748 | BOYAmt |
| EOY | $1,801,149 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,077,697 | BOYAmt |
| EOY | $6,119,582 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $188,768 | BOYAmt |
| EOY | $167,260 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $350,562 | BOYAmt |
| EOY | $373,418 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $36,944,100 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,489,357 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,479,980 | BOYAmt |
| EOY | $26,454,743 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $187,268 | BOYAmt |
| EOY | $179,188 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $405,840 | BOYAmt |
| EOY | $298,195 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,451,756 | BOYAmt |
| EOY | $37,011,138 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,901,555 | BOYAmt |
| EOY | $3,446,804 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $20,517 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,780,657 | BOYAmt |
| EOY | $10,525,092 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,100,000 | BOYAmt |
| EOY | $950,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $613,987 | BOYAmt |
| EOY | $595,144 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,396,199 | BOYAmt |
| EOY | $15,537,557 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,432,959 | BOYAmt |
| EOY | $19,909,612 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $622,598 | BOYAmt |
| EOY | $1,563,969 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,055,557 | BOYAmt |
| EOY | $21,473,581 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,451,756 | BOYAmt |
| EOY | $37,011,138 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $497,280 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$79,256 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,810,143 | OtherCostOrOtherBasisAmt |
| Book Value | $5,810,143 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,430,412 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,304,927 | DepreciationAmt |
| Book Value | $18,125,485 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,358,611 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,518,320 | DepreciationAmt |
| Book Value | $840,291 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,344,934 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,666,110 | DepreciationAmt |
| Book Value | $1,678,824 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $26,454,743 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASE OBLIGATION | $580,554 |
| DEPOSITS | $14,590 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $595,144 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $30,831,413 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $116,960 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | -$79,256 | OtherRevenueAmt |
| Revenue Not Reported | $37,704 | RevenueNotReportedAmt |
| Revenue Subtotal | $30,793,709 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $30,793,709 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $30,413,389 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $116,960 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $116,960 | ExpensesNotReportedAmt |
| Expenses Subtotal | $30,296,429 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $30,296,429 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | 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 FINANCIAL STATEMENTS 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 FINANCIAL STATEMENTS AT JUNE 30, 2014. THE HEALTH CENTER'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS AND GENERALLY REMAIN OPEN FOR THE MOST RECENT THREE YEARS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | NON-OPERATING EXPENSE -79,256. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| FAMILY HEALTH CENTER OF WORCESTER | |||||||
| 26 QUEEN STREET | WORCESTER | MA | 01610 | 042485308 | 501(C)(3) | $209,050 | FUND SW/PN CASE MANAGERS & HIV EDUCATION AND PREVENTION |
| DISMAS HOUSE OF MASSACHUSETTS INC | |||||||
| PO BOX 30125 | WORCESTER | MA | 01603 | 542075825 | 501(C)(3) | $13,331 | FUND SW/PN CASE MANAGERS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2, PART III | FormAndLineReferenceDesc |
| Explanation | GRANTS ARE MONITORED BY OFFICE BASED MONITORING AND ON-SITE MONITORING. OFFICE BASED MONITORING ENTAILS A REVIEW OF THE RECIPIENT'S FILES TO ENSURE THAT ALL DOCUMENTATION IS COMPLETE AND UP-TO-DATE. GRANTS ARE REVIEWED MONTHLY FOR APPROPRIATE BILLING. A YEARLY SITE VISIT IS DONE TO REVIEW THE FINANCIAL AND PROGRAM INFORMATION OF THE GRANTEE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANTONIA MCGUIRE | ||||||||||||||
| CEO/PRESIDENT | $262,425 | $0 | $0 | $0 | $0 | $0 | $6,130 | $0 | $4,614 | $0 | $273,169 | $0 | $0 | $0 |
| MICHELE PICI | ||||||||||||||
| CMO | $206,896 | $0 | $0 | $0 | $0 | $0 | $5,203 | $0 | $180 | $0 | $212,279 | $0 | $0 | $0 |
| DEVAL SHAH-CANNING | ||||||||||||||
| MEDICAL DIRECTOR - FRAMING | $168,688 | $0 | $0 | $0 | $0 | $0 | $4,340 | $0 | $1,248 | $0 | $174,276 | $0 | $0 | $0 |
| ANITA KOSTECKI | ||||||||||||||
| MD | $164,617 | $0 | $0 | $0 | $0 | $0 | $3,601 | $0 | $408 | $0 | $168,626 | $0 | $0 | $0 |
| ALLIAN IFFIH | ||||||||||||||
| MD | $149,497 | $0 | $0 | $0 | $0 | $0 | $3,735 | $0 | $0 | $0 | $153,232 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MASS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | ||||||||
| A | 042456011 | 57586CVK8 | 2006-12-20 | $5,100,000 | PMT OF EXISTING INDEBTEDNESS RELATING TO CONSTRUCTION OF MAIN FACILITY | 0 | 0 | 0 |
| MASS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | ||||||||
| B | 042456011 | 2011-04-27 | $6,423,000 | PMT OF EXISTING INDEBTEDNESS RELATING TO CONSTRUCTION OF MAIN FACILITY | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capitalized InterestCapitalizedInterestAmt | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $5,100,000 | $53,331 | $1,662,364 | $154,284 | $3,283,352 | 2009 | 0 | 0 | Yes (1) | Yes (1) | ||
| B | $6,423,000 | $70,000 | $2,106,305 | 2012 | 0 | 0 | Yes (1) | Yes (1) | $276,605 | $3,970,090 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K SUPPLENTAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | DATE OF THE REBATE CALCULATION FOR BOND A WAS 1/20/2014. | ExplanationTxt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $344,879 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | MANAGEMENT WORKS WITH THE ORGANIZATION'S EXTERNAL AUDITORS TO PREPARE THE FINANCIAL INFORMATION AND COMPILE THE DISCLOSURES REQUIRED FOR THE FORM 990. UPON ITS COMPLETION, THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS REVIEW THE FORM 990 PRIOR TO SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL STAFF AND KEY EMPLOYEES ARE EDUCATED ANNUALLY AND ARE REQUIRED TO SIGN AN ACKNOWLEGMENT INDICATING THAT THE EDUCATION WAS PROVIDED. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD COMPLETES A PERFORMANCE REVIEW OF THE CEO. PART OF THE REVIEW IS TO COMPLETE A COMPENSATION SURVEY. THE CEO'S SALARY IS SET TO MARKET BY THE BOARD BASED ON PERFORMANCE AND SIZE OF THE HEALTH CENTER. THE SENIOR MANAGERS AND OTHER STAFF ARE PLACED IN THE WAGE AND SALARY SCALE BASED ON MARKET TRENDS DETERMINED BY THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND APPROVED BY THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND CAN BE FOUND AT THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. |
| FORM 990, PART XI, LINE 9: | NON-OPERATING EXPENSE -79,256. |
| FORM 990, PART XII, LINE 2C | THE OVERSIGHT PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. |