COMMUNITY HEALTH CONNECTIONS INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH CONNECTIONS INC (EIN 04-3452697)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2014-11-11
- IRS object ID
- 201423159349302112
- Schema version
- 2013v3.0
- 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 | 2014-11-11T13:03:16-06:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 042684828 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FEELEY & DRISCOLL PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 PORTLAND STREET | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02114 | 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 | 043452697 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CONNECTIONS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 9788788100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 NICHOLS ROAD | AddressLine1 |
| City | FITCHBURG | City |
| State | MA | State |
| ZIP Code | 01420 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN DEMALIA | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9788788100 | PhoneNum |
| Signature | 2014-10-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ALAN GAROFALO | PreparerPersonNm |
| PTIN | P00744592 | PTIN |
| Phone | 6177427788 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN DEMALIA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 NICHOLS ROAD | AddressLine1 |
| City | FITCHBURG | City |
| State | MA | State |
| ZIP Code | 01420 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,706,349 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHCFHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE AND MAINTAIN THE HEALTH OF INDIVIDUALS AND FAMILIES IN THE SERVICE AREA WHERE SERVICES ARE PROVIDED THROUGH A NETWORK OF HIGH QUALITY COMPREHENSIVE HEALTH CARE, DENTAL, AND PHARMACEUTICAL SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 300 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,523,991 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,368,817 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,457,792 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,949,027 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,805 | PYInvestmentIncomeAmt |
| CY Investment Income | -$24,611 | CYInvestmentIncomeAmt |
| PY Other Revenue | $663,721 | PYOtherRevenueAmt |
| CY Other Revenue | $1,385,588 | CYOtherRevenueAmt |
| PY Total Revenue | $21,649,309 | PYTotalRevenueAmt |
| CY Total Revenue | $22,678,821 | 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 | $12,361,153 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,580,353 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $2,797 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $180,533 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,097,483 | PYOtherExpensesAmt |
| CY Other Expenses | $10,121,987 | CYOtherExpensesAmt |
| PY Total Expenses | $22,461,433 | PYTotalExpensesAmt |
| CY Total Expenses | $22,702,340 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$812,124 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$23,519 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $27,813,570 | TotalAssetsBOYAmt |
| Total Assets EOY | $27,600,451 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,235,250 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,045,650 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,578,320 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,554,801 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE AND MAINTAIN THE HEALTH OF INDIVIDUALS AND FAMILIES IN THE SERVICE AREA WHERE SERVICES ARE PROVIDED THROUGH A NETWORK OF HIGH QUALITY COMPREHENSIVE HEALTH CARE, DENTAL, AND PHARMACEUTICAL SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $8,419,394 | ExpenseAmt |
| Revenue | $9,016,306 | RevenueAmt |
| Desc | PROVIDES MEDICAL SERVICES TO RESIDENTS OF NORTHERN WORCESTER COUNTY TO IMPROVE THE HEALTH OF INDIVIDUALS AND THE COMMUNITY AS A WHOLE. DURING THE FISCAL YEAR THERE WERE 55,840 MEDICAL OFFICE VISITS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,024,763 | ExpenseAmt |
| Revenue | $6,379,610 | RevenueAmt |
| Desc | PROVIDES DENTAL SERVICES TO RESIDENTS OF NORTHERN WORCESTER COUNTY TO IMPROVE THE ORAL HYGIENE OF INDIVIDUALS AND THE COMMUNITY AS A WHOLE. DURING THE FISCAL YEAR THERE WERE 40,309 DENTAL VISITS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,689,543 | ExpenseAmt |
| Revenue | $1,769,688 | RevenueAmt |
| Desc | PROVIDES PHARMACY SERVICES TO THE PATIENTS SERVICED BY THE CENTER. DURING THE FISCAL YEAR THERE WERE 75,598 PHARMACY SCRIPTS PROVIDED. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,594,249 | ExpenseAmt |
| Revenue | $562,345 | RevenueAmt |
| Desc | PROVIDES MENTAL HEALTH SERVICES TO RESIDENTS OF NORTHERN WORCESTER COUNTY. DURING THE FISCAL YEAR THERE WERE 13,750 MENTAL HEALTH VISITS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,594,249 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $562,345 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $17,727,949 | 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 | 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 | 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 | 33 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 300 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATRICK LAVELLE | PersonNm |
| Phone | 9788788100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 NICHOLS ROAD | AddressLine1 |
| City | FITCHBURG | City |
| State | MA | State |
| ZIP Code | 01420 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| PAUL SCHIAVITTI | |||||||
| VICE CHAIRPERSON | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| GREGG BUCKMAN | |||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| ADRIENNE MCGLONE | |||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY GIANNETTI | |||||||
| CHAIRPERSON | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| ROD STOCKING | |||||||
| CLERK | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| MELISSA MARANDA | |||||||
| TREASURER | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID STREB | |||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| KEVIN WEEKS | |||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| DON SPARKS | |||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| JANE CROCKER | |||||||
| CLERK (THROUGH 3/24/2014) | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| WAREN FERGUSON | |||||||
| DIRECTOR (THROUGH 5/1/2014) | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY LOU MONTALVO | |||||||
| DIRECTOR (THROUGH 6/9/2014) | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN DEMALIA | |||||||
| PRESIDENT/CEO | 40.00 | $110,589 | $0 | $7,941 | Yes (X) | ||
| PATRICK LAVELLE | |||||||
| CFO | 40.00 | $14,385 | $0 | $932 | Yes (X) | ||
| MARK SULLIVAN | |||||||
| CIO | 40.00 | $85,810 | $0 | $1,731 | Yes (X) | ||
| KATHLEEN SWEENEY | |||||||
| CMO | 40.00 | $81,141 | $0 | $14,104 | Yes (X) | ||
| TIMOTHY EDDY | |||||||
| ASSOC. MEDICAL DIRECTOR | 40.00 | $119,449 | $0 | $15,091 | Yes (X) | ||
| LORI BUSZKIEWIC | |||||||
| PHYSICIAN | 40.00 | $148,838 | $0 | $22,538 | Yes (X) | ||
| KIM HOUDE | |||||||
| PHYSICIAN | 40.00 | $154,103 | $0 | $26,443 | Yes (X) | ||
| RODERICK LEWIN | |||||||
| INTERIM DENTAL DIRECTOR | 40.00 | $125,568 | $0 | $22,702 | Yes (X) | ||
| CYNTHIA STEVENS | |||||||
| DENTIST | 40.00 | $121,704 | $0 | $5,436 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $961,587 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $116,918 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | 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 |
|---|---|---|---|---|---|
| UMASS MEMORIAL MEDICAL GROUP | |||||
| 306 BELMONT STREET | WORCESTER | MA | 01604 | MEDICAL SERVICES | $1,584,085 |
| FAMILY PHARMACY INC | |||||
| 100 GROVE STREET SUITE 201 | WORCESTER | MA | 01605 | PHARMACY MANAGEMENT | $742,975 |
| QUALITY SYSTEMS INC | |||||
| 18111 VON KARMAN AVE SUITE 700 | IRVINE | CA | 92612 | BILLING SERVICES | $645,510 |
| HEALTH ALLIANCE HOSPITAL INC | |||||
| 60 HOSPITAL ROAD | LEOMINSTER | MA | 01453 | PROPERTY MANAGEMENT | $469,658 |
| CAMBRIDGE MANAGEMENT GROUP | |||||
| 79 HILLSIDE TERRACE | BELMONT | MA | 02478 | EXECUTIVE MANAGEMENT SERVICES | $450,227 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,960,635 | GovernmentGrantsAmt |
| All Other Contributions | $408,182 | AllOtherContributionsAmt |
| Total Contributions | $4,368,817 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL PATIENT SERVICE REVENUE | 621400 | $16,295,447 | $16,295,447 |
| CONTRACT REVENUE | 621400 | $516,978 | $516,978 |
| PATIENT CENTERED MEDICAL | 621400 | $136,602 | $136,602 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,949,027 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,917 | TotalRevenueColumnAmt |
| Exclusion | $2,917 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $235,935 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $235,935 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $235,935 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $235,935 | RelatedOrExemptFuncIncomeAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $27,528 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$27,528 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$27,528 | TotalRevenueColumnAmt |
| Exclusion | -$27,528 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| FORGIVENESS OF DEBT | 900004 | $799,935 | $799,935 |
| MISCELLANEOUS INCOME | 900099 | $299,279 | $299,279 |
| SHARED EXPENSES REVENUE | 531390 | $50,439 | $50,439 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,149,653 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,678,821 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,334,615 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$24,611 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,035 | TotalAmt |
| Management And General | $280,035 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,553,376 | TotalAmt |
| Program Services | $8,279,938 | ProgramServicesAmt |
| Management And General | $1,126,598 | ManagementAndGeneralAmt |
| Fundraising | $146,840 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,896 | TotalAmt |
| Program Services | $46,577 | ProgramServicesAmt |
| Management And General | $14,319 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,797,563 | TotalAmt |
| Program Services | $1,450,146 | ProgramServicesAmt |
| Management And General | $329,934 | ManagementAndGeneralAmt |
| Fundraising | $17,483 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $888,483 | TotalAmt |
| Program Services | $741,319 | ProgramServicesAmt |
| Management And General | $138,104 | ManagementAndGeneralAmt |
| Fundraising | $9,060 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,353,511 | TotalAmt |
| Management And General | $1,353,511 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,496 | TotalAmt |
| Program Services | $753 | ProgramServicesAmt |
| Management And General | $35,743 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,284 | TotalAmt |
| Management And General | $34,284 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,457,482 | TotalAmt |
| Program Services | $3,369,651 | ProgramServicesAmt |
| Management And General | $87,061 | ManagementAndGeneralAmt |
| Fundraising | $770 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,950 | TotalAmt |
| Program Services | $33,138 | ProgramServicesAmt |
| Management And General | $659 | ManagementAndGeneralAmt |
| Fundraising | $1,153 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562,781 | TotalAmt |
| Program Services | $477,050 | ProgramServicesAmt |
| Management And General | $83,077 | ManagementAndGeneralAmt |
| Fundraising | $2,654 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,299,514 | TotalAmt |
| Program Services | $1,018,821 | ProgramServicesAmt |
| Management And General | $280,104 | ManagementAndGeneralAmt |
| Fundraising | $589 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,286 | TotalAmt |
| Program Services | $23,261 | ProgramServicesAmt |
| Management And General | $15,840 | ManagementAndGeneralAmt |
| Fundraising | $1,185 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,708 | TotalAmt |
| Program Services | $29,053 | ProgramServicesAmt |
| Management And General | $8,554 | ManagementAndGeneralAmt |
| Fundraising | $101 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $450,911 | TotalAmt |
| Program Services | $313,623 | ProgramServicesAmt |
| Management And General | $137,288 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $791,552 | TotalAmt |
| Program Services | $251,963 | ProgramServicesAmt |
| Management And General | $538,965 | ManagementAndGeneralAmt |
| Fundraising | $624 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,326 | TotalAmt |
| Program Services | $4,729 | ProgramServicesAmt |
| Management And General | $42,597 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PHARMACY SUPPLIES | $1,185,227 | $1,185,227 | ||
| MEDICAL SUPPLIES | $396,698 | $396,698 | ||
| REPAIRS AND MAINTENANCE | $393,261 | $106,002 | $287,185 | $74 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,702,340 | TotalAmt |
| Program Services | $17,727,949 | ProgramServicesAmt |
| Management And General | $4,793,858 | ManagementAndGeneralAmt |
| Fundraising | $180,533 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $760,817 | BOYAmt |
| EOY | $776,514 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $443,029 | BOYAmt |
| EOY | $357,070 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,167,665 | BOYAmt |
| EOY | $2,022,998 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,368 | BOYAmt |
| EOY | $124,153 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,111 | BOYAmt |
| EOY | $110,604 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $28,657,415 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,838,300 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,021,386 | BOYAmt |
| EOY | $23,819,115 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $259,194 | BOYAmt |
| EOY | $389,997 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,813,570 | BOYAmt |
| EOY | $27,600,451 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,504,850 | BOYAmt |
| EOY | $6,527,864 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,662,546 | BOYAmt |
| EOY | $9,277,678 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,854 | BOYAmt |
| EOY | $240,108 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,235,250 | BOYAmt |
| EOY | $16,045,650 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,062,058 | BOYAmt |
| EOY | $11,294,932 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $516,262 | BOYAmt |
| EOY | $259,869 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,578,320 | BOYAmt |
| EOY | $11,554,801 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,813,570 | BOYAmt |
| EOY | $27,600,451 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$23,519 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| 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 | $218,000 | OtherCostOrOtherBasisAmt |
| Book Value | $218,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,467,749 | OtherCostOrOtherBasisAmt |
| Depreciation | $866,764 | DepreciationAmt |
| Book Value | $22,600,985 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $884,435 | OtherCostOrOtherBasisAmt |
| Depreciation | $550,111 | DepreciationAmt |
| Book Value | $334,324 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,888,201 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,421,425 | DepreciationAmt |
| Book Value | $466,776 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $199,030 | OtherCostOrOtherBasisAmt |
| Book Value | $199,030 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $23,819,115 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LONG-TERM LIABILITIES | $154,239 |
| OTHER CURRENT LIABILITIES | $85,869 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $240,108 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $22,678,821 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $22,678,821 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $22,678,821 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $22,702,340 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $22,702,340 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $22,702,340 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE CENTER IS INCORPORATED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND, ACCORDINGLY, IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE CENTER IS CLASSIFIED AS A PUBLIC CHARITY. IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE CENTER ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LORI BUSZKIEWIC | ||||||||||||||
| PHYSICIAN | $147,718 | $0 | $1,120 | $0 | $0 | $0 | $9,252 | $0 | $13,286 | $0 | $171,376 | $0 | $0 | $0 |
| KIM HOUDE | ||||||||||||||
| PHYSICIAN | $154,103 | $0 | $0 | $0 | $0 | $0 | $13,004 | $0 | $13,439 | $0 | $180,546 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | MANAGEMENT WORKS WITH THE ORGANIZATION'S EXTERNAL AUDITORS TO ENSURE THE COMPLETE AND ACCURATE PREPARATION OF THE FORM. MANAGEMENT PROVIDES THE 990 TO THE BOARD FOR REVIEW PRIOR TO SIGNATURE AND SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CENTER ENSURES THAT THE CONFLICT OF INTEREST POLICY IS ENFORCED BY REQUIRING BOARD MEMBERS TO SIGN CONFLICT OF INTEREST DOCUMENTS ON A YEARLY BASIS. THESE DOCUMENTS ARE REVIEWED ANNUALLY BY MANAGEMENT TO IDENTIFY ANY CONFLICTS, ACTUAL OR PERCEIVED, AND TO DEVELOP NECESSARY RESOLUTIONS FOR ANY IDENTIFIED CONFLICTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS APPROVES COMPENSATION AFTER CAREFUL REVIEW OF OTHER SIMILAR ORGANIZATIONS' COMPENSATION PACKAGES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CENTER PROVIDES THESE FORMS AND DOCUMENTS UPON WRITTEN REQUEST. |
| FORM 990, PART IX, LINE 11G | THIRD PARTY CLINICAL PROFESSIONAL MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 3,369,651. MANAGEMENT AND GENERAL EXPENSES 87,061. FUNDRAISING EXPENSES 770. TOTAL EXPENSES 3,457,482. |