2014-11-11T13:03:16-06:00 2014-06-30 042684828 FEELEY & DRISCOLL PC 200 PORTLAND STREET BOSTON MA 02114 990 2013-07-01 043452697 COMMUNITY HEALTH CONNECTIONS INC COMM 9788788100 326 NICHOLS ROAD FITCHBURG MA 01420 JOHN DEMALIA CEO 9788788100 2014-10-27 1 ALAN GAROFALO P00744592 6177427788 2013 2015-11-30 17:44:51Z JOHN DEMALIA 326 NICHOLS ROAD FITCHBURG MA 01420 22706349 0 X WWW.CHCFHC.ORG X 1997 MA 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 12 12 300 15 0 0 4523991 4368817 16457792 16949027 3805 -24611 663721 1385588 21649309 22678821 0 0 0 0 12361153 12580353 2797 0 180533 10097483 10121987 22461433 22702340 -812124 -23519 27813570 27600451 16235250 16045650 11578320 11554801 X 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. 0 0 8419394 9016306 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. 5024763 6379610 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. 2689543 1769688 PROVIDES PHARMACY SERVICES TO THE PATIENTS SERVICED BY THE CENTER. DURING THE FISCAL YEAR THERE WERE 75,598 PHARMACY SCRIPTS PROVIDED. 1594249 562345 PROVIDES MENTAL HEALTH SERVICES TO RESIDENTS OF NORTHERN WORCESTER COUNTY. DURING THE FISCAL YEAR THERE WERE 13,750 MENTAL HEALTH VISITS. 1594249 562345 17727949 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 33 0 1 300 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X PATRICK LAVELLE 9788788100 326 NICHOLS ROAD FITCHBURG MA 01420 PAUL SCHIAVITTI VICE CHAIRPERSON 4.00 X 0 0 0 GREGG BUCKMAN DIRECTOR 4.00 X 0 0 0 ADRIENNE MCGLONE DIRECTOR 4.00 X 0 0 0 MARY GIANNETTI CHAIRPERSON 4.00 X 0 0 0 ROD STOCKING CLERK 4.00 X 0 0 0 MELISSA MARANDA TREASURER 4.00 X 0 0 0 DAVID STREB DIRECTOR 4.00 X 0 0 0 KEVIN WEEKS DIRECTOR 4.00 X 0 0 0 DON SPARKS DIRECTOR 4.00 X 0 0 0 JANE CROCKER CLERK (THROUGH 3/24/2014) 4.00 X 0 0 0 WAREN FERGUSON DIRECTOR (THROUGH 5/1/2014) 4.00 X 0 0 0 MARY LOU MONTALVO DIRECTOR (THROUGH 6/9/2014) 4.00 X 0 0 0 JOHN DEMALIA PRESIDENT/CEO 40.00 X 110589 0 7941 PATRICK LAVELLE CFO 40.00 X 14385 0 932 MARK SULLIVAN CIO 40.00 X 85810 0 1731 KATHLEEN SWEENEY CMO 40.00 X 81141 0 14104 TIMOTHY EDDY ASSOC. MEDICAL DIRECTOR 40.00 X 119449 0 15091 LORI BUSZKIEWIC PHYSICIAN 40.00 X 148838 0 22538 KIM HOUDE PHYSICIAN 40.00 X 154103 0 26443 RODERICK LEWIN INTERIM DENTAL DIRECTOR 40.00 X 125568 0 22702 CYNTHIA STEVENS DENTIST 40.00 X 121704 0 5436 961587 0 116918 11 0 1 0 UMASS MEMORIAL MEDICAL GROUP 306 BELMONT STREET WORCESTER MA 01604 MEDICAL SERVICES 1584085 FAMILY PHARMACY INC 100 GROVE STREET SUITE 201 WORCESTER MA 01605 PHARMACY MANAGEMENT 742975 QUALITY SYSTEMS INC 18111 VON KARMAN AVE SUITE 700 IRVINE CA 92612 BILLING SERVICES 645510 HEALTH ALLIANCE HOSPITAL INC 60 HOSPITAL ROAD LEOMINSTER MA 01453 PROPERTY MANAGEMENT 469658 CAMBRIDGE MANAGEMENT GROUP 79 HILLSIDE TERRACE BELMONT MA 02478 EXECUTIVE MANAGEMENT SERVICES 450227 14 3960635 408182 4368817 MEDICAL PATIENT SERVICE REVENUE 621400 16295447 16295447 CONTRACT REVENUE 621400 516978 516978 PATIENT CENTERED MEDICAL 621400 136602 136602 16949027 2917 2917 235935 0 235935 235935 235935 27528 -27528 -27528 -27528 FORGIVENESS OF DEBT 900004 799935 799935 MISCELLANEOUS INCOME 900099 299279 299279 SHARED EXPENSES REVENUE 531390 50439 50439 1149653 22678821 18334615 0 -24611 X 280035 280035 9553376 8279938 1126598 146840 60896 46577 14319 1797563 1450146 329934 17483 888483 741319 138104 9060 1353511 1353511 36496 753 35743 34284 34284 3457482 3369651 87061 770 34950 33138 659 1153 562781 477050 83077 2654 1299514 1018821 280104 589 40286 23261 15840 1185 37708 29053 8554 101 450911 313623 137288 791552 251963 538965 624 47326 4729 42597 PHARMACY SUPPLIES 1185227 1185227 MEDICAL SUPPLIES 396698 396698 REPAIRS AND MAINTENANCE 393261 106002 287185 74 22702340 17727949 4793858 180533 760817 776514 443029 357070 3167665 2022998 82368 124153 79111 110604 28657415 4838300 23021386 23819115 259194 389997 27813570 27600451 7504850 6527864 8662546 9277678 67854 240108 16235250 16045650 X 11062058 11294932 516262 259869 11578320 11554801 27813570 27600451 -23519 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 218000 218000 23467749 866764 22600985 884435 550111 334324 3888201 3421425 466776 199030 199030 23819115 OTHER LONG-TERM LIABILITIES 154239 OTHER CURRENT LIABILITIES 85869 240108 X 22678821 0 22678821 0 22678821 22702340 0 22702340 0 22702340 PART X, LINE 2: 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. X X X X 0 0 0 0 0 0 0 0 0 LORI BUSZKIEWIC PHYSICIAN 147718 0 1120 0 0 0 9252 0 13286 0 171376 0 0 0 KIM HOUDE PHYSICIAN 154103 0 0 0 0 0 13004 0 13439 0 180546 0 0 0 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.