2014-05-13T16:24:01-05:00 2013-06-30 042571780 ALEXANDER ARONSON FINNING & CO PC 21 EAST MAIN STREET WESTBORO MA 01581 990 2012-07-01 237221597 JOSEPH M SMITH COMMUNITY HEALTH CENTER INC JOSE 6177830500 287 WESTERN AVENUE ALLSTON MA 02134 ELIZABETH BROWNE 6175222766 2014-05-13 1 DAVID P MCMANUS CPA P00533266 5083669100 2012 2015-11-30 17:44:51Z ELIZABETH BROWNE 287 WESTERN AVENUE ALLSTON MA 02134 12865635 0 X WWW.JMSCHC.ORG X 1970 MA HIGH-QUALITY, COMPREHENSIVE, CULTURALLY COMPETENT, AND AFFORDABLE COMMUNITY-BASED HEALTH CARE SERVICES FOR ALL RESIDENTS OF ALLSTON/BRIGHTON, WALTHAM AND SURROUNDING COMMUNITIES, INCLUDING UNINSURED, UNDER-INSURED, LOW INCOME, AND UNDERSERVED POPULATIONS. 19 19 220 2 0 0 3719775 3757035 8020939 8680874 6970 11300 2904 1187 11750588 12450396 23333 30000 0 0 8126634 8816959 0 0 159578 3023391 3143558 11173358 11990517 577230 459879 8442052 9163236 1342799 1562033 7099253 7601203 HIGH-QUALITY, COMPREHENSIVE, CULTURALLY COMPETENT, AND AFFORDABLE COMMUNITY-BASED HEALTH CARE SERVICES FOR ALL RESIDENTS OF ALLSTON/BRIGHTON, WALTHAM, AND SURROUNDING COMMUNITIES, INCLUDING UNINSURED, UNDER-INSURED, LOW INCOME, AND UNDERSERVED POPULATIONS. 0 0 7380536 30000 6338173 FAMILY PRACTICE - MEDICAL AND SPECIALTY SERVICES FOR RESIDENTS OF ALLSTON-BRIGHTON AND WALTHAM, MA, AND SURROUNDING COMMUNITIES. SPECIALTY SERVICES INCLUDE OB/GYN, ENDOCRINOLOGY, PODIATRY, CASE MANAGEMENT, CANCER SCREENING, FAMILY PLANNING, VISION, NUTRITION, HEALTH EDUCATION, HEALTH BENEFITS, AND PHARMACY. 2209857 1969211 DENTAL - DENTAL SERVICES TO RESIDENTS OF THE ALLSTON-BRIGHTON AND WALTHAM, MA COMMUNITIES. 896164 374677 COUNSELING AND FAMILY SUPPORT - BEHAVIORAL HEALTH COUNSELING AND OUTREACH SERVICES TO RESIDENTS OF ALLSTON-BRIGHTON AND WALTHAM, MA, AND SURROUNDING COMMUNITIES. 10486557 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 22 0 1 220 1 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X X JAMES SOUZA CFO 6177830500 287 WESTERN AVENUE ALLSTON MA 02134 TRACEY MANGHAM 1.00 X 0 0 0 RAYMOND SLEEPER 1.00 X 0 0 0 PATRICE MCGREGOR 1.00 X X 0 0 0 DAVID NORTON 1.00 X X 0 0 0 PETER KOUTOUJIAN SR 1.00 X X 0 0 0 CAROLINE GROSSMAN 1.00 X 0 0 0 ANGELA GONZALEZ 1.00 X X 0 0 0 SAGRARIO ORTIZ 1.00 X 0 0 0 GABRIELA CANEPA 1.00 X 0 0 0 HIEU DO 1.00 X X 0 0 0 JULIE MORAN 1.00 X 0 0 0 ADDISON POWERS 1.00 X 0 0 0 SUSAN KEARNS 1.00 X 0 0 0 PRAMILA VIVEK 1.00 X 0 0 0 ANTHONY RUFO 1.00 X 0 0 0 MEL SCOVELL 1.00 X 0 0 0 AMIT SONI 1.00 X 0 0 0 GISSELLE COLLINS 1.00 X 0 0 0 AMY ATWOOD 1.00 X 0 0 0 ELIZABETH BROWNE 40.00 X 133763 0 14691 JAMES SOUZA 40.00 X 118934 0 13087 KAMAU KARANJA 40.00 X 181628 0 1584 GLENN DIAZ 40.00 X 167827 0 5995 NICOLE BADIE 40.00 X 121192 0 6751 STEPHENSON TOBIERRE 40.00 X 128098 0 20022 MARIA BOLIVAR 40.00 X 123930 0 6044 JULIA DEJOSEPH 40.00 X 100865 0 4554 1076237 0 72728 8 0 1 0 ISGENUITY LLC 321 SUMMER STREET BOSTON MA 02210 ARCHITECTURAL SERVICES 530804 QUALITY SYSTEMS INC 18111 VON KARMAN AVE SUITE 700 IRVINE CA 92612 IS SUPPORT 146860 NEW ENGLAND EYE INSTITUTE 940 COMMONWEALTH AVE BOSTON MA 02115 OPTOMETRIST 112029 3 3198925 558110 3757035 PATIENT SERVICE REVENUE 624100 5636889 5636889 MEDICARE/MEDICAID 900099 3043985 3043985 8680874 16602 16602 409937 405677 9562 4260 -9562 -5302 -5302 MISCELLANEOUS INCOME 900001 1187 1187 1187 12450396 8682061 0 11300 30000 30000 476800 190708 286092 7000603 6387626 492656 120321 140995 121743 16783 2469 652502 599895 41257 11350 546059 481574 55717 8768 21926 21926 50645 50645 532931 496837 28324 7770 1123551 1058232 64880 439 815122 683092 132030 19853 13950 4226 1677 342860 278031 64829 34689 34689 BAD DEBT 110943 110943 MISCELLANEOUS 36751 9320 20647 6784 TEMPORARY HELP 30100 24606 5494 NON OPERATING EXPENSES- 24187 24187 11990517 10486557 1344382 159578 15084 25264 4915145 4637374 356866 397532 956563 1186767 82022 90586 4117663 3396959 949273 720704 641343 724400 6133 3302 519623 1377307 8442052 9163236 1194645 1479973 148154 82060 1342799 1562033 X 6004819 6533323 546458 519904 547976 547976 7099253 7601203 8442052 9163236 459879 42071 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 47 0 0 1 1977 1 2007 0 4031 0 709276 40343 749619 692376 16900 709276 640002 52374 692376 601453 38549 640002 575586 22558 3309 601453 0.73100 0.26900 0 0 2163431 1862889 300542 1717850 1343439 374411 236382 190631 45751 720704 INVESTMENT IN J.M.S. JR. INC. 490218 CONSTRUCTION IN PROGRESS 887089 1377307 X DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: PERMANENTLY RESTRICTED NET ASSETS CONSIST OF FUNDS THAT ARE RESTRICTED BY DONORS AGAINST ANY EXPENDITURE OF PRINCIPAL. INCOME GENERATED BY THE PERMANENTLY RESTRICTED ASSETS IS AVAILABLE FOR USE IN OPERATIONS, BUT MAY ALSO BE SUBJECT TO TEMPORARY RESTRICTIONS. ALL INCOME IS RECORDED AS EITHER UNRESTRICTED OR TEMPORARILY RESTRICTED NET ASSETS BASED UPON THE EXISTENCE OR LACK OF DONOR RESTRICTIONS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE HEALTH CENTER FOLLOWS THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES STANDARD UNDER U.S. GAAP WHICH REQUIRES THE HEALTH CENTER TO REPORT UNCERTAIN TAX POSITIONS, RELATED INTEREST AND PENALTIES, AND TO ADJUST ITS ASSETS AND LIABILITIES RELATED TO UNRECOGNIZED TAX BENEFITS AND ACCRUED INTEREST AND PENALTIES ACCORDINGLY. AS OF JUNE 30, 2013, THE HEALTH CENTER DETERMINED THAT THERE ARE NO MATERIAL UNRECOGNIZED TAX BENEFITS TO REPORT. INFORMATIONAL RETURNS FILED FOR THE YEARS ENDED JUNE 30, 2012, 2011 AND 2010 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND THE COMMONWEALTH OF MASSACHUSETTS. THE HEALTH CENTER DOES NOT EXPECT THAT THE AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL CHANGE SIGNIFICANTLY WITHIN THE NEXT TWELVE MONTHS. 1 BOSTON PUBLIC SCHOOLS 26 COURT STREET BOSTON MA 02108 046001138 N/A 30000 SCHOOL BASED GRANT 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANTS PROVIDED TO NON-PROFIT/CHARITABLE ORGANIZATIONS ARE DOCUMENTED AND GOVERNED BY WRITTEN CONTRACTUAL AGREEMENTS AND NOTICES OF GRANT AWARDS SUBJECT TO THE APPROVAL OF THE OFFICERS OF THE JOSEPH M SMITH COMMUNITY HEALTH CENTER, INC. ALL GRANT PROCEEDS AND DISBURSEMENTS ARE RECORDED AND TRACKED WITHIN THE HEALTH CENTER'S ACCOUNTING SYSTEMS AND RECORDS IN ORDER TO ASSESS AND DOCUMENT COMPLIANCE WITH GRANTOR RESTRICTIONS, TERMS, AND CONDITIONS. X X X X 0 0 0 0 0 0 0 1 0 KAMAU KARANJA 180378 0 1250 0 0 0 0 0 1584 0 183212 0 0 0 GLENN DIAZ 167827 0 0 0 0 0 0 0 5995 0 173822 0 0 0 PART I, LINE 7 KAMAU KARANJA RECEIVED $1,250 AND STEPHENSON TOBIERRE RECEIVED $345 OF INCENTIVE PAY FOR EXCEEDING THE TARGETED NUMBER OF VISITS. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C JOSEPH M SMITH COMMUNITY HEALTH CENTER CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY REQUIRING SENIOR MANAGEMENT AND BOARD MEMBERS TO SIGN ANNUALLY A CONFLICT OF INTEREST FORM ACKNOWLEDGING THAT THEY HAVE RECEIVED AND UNDERSTAND THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR THE HEALTH CENTERS TOP MANAGEMENT OFFICIALS AND KEY EMPLOYEES IS BASED ON A DOCUMENTED EVALUATION PROCESS AND THE REVIEW OF AN INDEPENDENT COMPENSATION SURVEY OF OTHER MASSACHUSETTS COMMUNITY HEALTH CENTERS. FORM 990, PART VI, SECTION C, LINE 19 THE HEALTH CENTER'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: JOSEPH M. SMITH COMMUNITY HEALTH CENTER UTILIZES THEIR FINANCE COMMITTEE TO OVERSEE THE AUDIT AND SELECT THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. JMS JR INC 287 WESTERN AVENUE ALLSTON MA 02134 040519984 RELATED THROUGH COMMON BOARD OF DIRECTORS MA 501(C)(3) 170(B)(1)(A)(III) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 JMS JR INC R 490218 AMOUNT OF INVESTMENT IN AFFILIATE