LOWELL COMMUNITY HEALTH CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LOWELL COMMUNITY HEALTH CENTER INC (EIN 04-2881348)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-05
IRS object ID
201432179349300233
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-05T11:26:20-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN042571780EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ALEXANDER ARONSON FINNING & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line121 E MAIN STREETAddressLine1
CityWESTBOROUGHCity
StateMAState
ZIP Code01581ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042881348EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LOWELL COMMUNITY HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLOWENameControl
Phone9789379700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1161 JACKSON STREETAddressLine1
CityLOWELLCity
StateMAState
ZIP Code01852ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDORCAS GRIGG-SAITOName
TitleCEOTitle
Phone9789379700Phone
Date Signed2014-08-04DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSORIE KABA CPAName
PTINP01317106PTIN
Phone5083669100Phone
Date Prepared2014-08-04DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDORCAS GRIGG-SAITONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1161 JACKSON STREETAddressLine1
CityLOWELLCity
StateMAState
ZIP Code01852ZIPCode
FieldValueIRS element (for citing)
Gross Receipts29026877GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LCHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE CARING, QUALITY AND CULTURALLY COMPETENT HEALTH SERVICES TO THE PEOPLE OF GREATER LOWELL, REGARDLESS OF THEIR FINANCIAL STATUS; TO REDUCE HEALTH DISPARITIES AND ENHANCE THE HEALTH OF THE GREATER LOWELL COMMUNITY; AND TO EMPOWER EACH INDIVIDUAL TO MAXIMIZE THEIR OVERALL WELL-BEING.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees361TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year16063510ContributionsGrantsPriorYear
Contributions Grants Current Year12781443ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12828122ProgramServiceRevenuePriorYear
Program Service Revenue CY15447608ProgramServiceRevenueCY
Investment Income Prior Year63111InvestmentIncomePriorYear
Investment Income Current Year204782InvestmentIncomeCurrentYear
Other Revenue Prior Year3350338OtherRevenuePriorYear
Other Revenue Current Year593044OtherRevenueCurrentYear
Total Revenue Prior Year32305081TotalRevenuePriorYear
Total Revenue Current Year29026877TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16264917SalariesEtcPriorYear
Salaries Etc Current Year18223698SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year28766TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY10470TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year366497TotalFundrsngExpCurrentYear
Other Expense Prior Year4019546OtherExpensePriorYear
Other Expenses Current Year5183345OtherExpensesCurrentYear
Total Expenses Prior Year20313229TotalExpensesPriorYear
Total Expenses Current Year23417513TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11991852RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5609364RevenuesLessExpensesCY
Total Assets BOY33941714TotalAssetsBOY
Total Assets EOY40803292TotalAssetsEOY
Total Liabilities BOY17547475TotalLiabilitiesBOY
Total Liabilities EOY18919289TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16394239NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY21884003NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE CARING, QUALITY AND CULTURALLY COMPETENT HEALTH SERVICES TO THE PEOPLE OF GREATER LOWELL, REGARDLESS OF THEIR FINANCIAL STATUS; TO REDUCE HEALTH DISPARITIES AND ENHANCE THE HEALTH OF THE GREATER LOWELL COMMUNITY; AND TO EMPOWER EACH INDIVIDUAL TO MAXIMIZE THEIR OVERALL WELL-BEING.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense19912089Expense
Revenue15474657Revenue
DescriptionPRIMARY HEALTH CARE - PROVISION OF PRIMARY HEALTH CARE SERVICES TO THE RESIDENTS OF GREATER LOWELL, WITH A FOCUS UPON THOSE RESIDENTS WHO MAY NOT OTHERWISE BE ABLE TO AFFORD SUCH SERVICES OR WHO MAY FACE BARRIERS TO CARE. SERVICES INCLUDE: PEDIATRICS, INTERNAL MEDICINE, OB/GYN, BEHAVIORAL HEALTH, HIV, LAB, NUTRITION, OUTREACH, FAMILY MEDECINE, COMMUNITY HEALTH EDUCATION AND OTHER RELATED OUTREACH AND SUPPORTIVE SERVICES.Description
Total Program Service Expense19912089TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109661NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees361NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LOWELL COMMUNITY HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9789379700TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1161 JACKSON STREETAddressLine1
CityLOWELLCity
StateMAState
ZIP Code01582ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MARIATOU ALLIE-DUMBUYA
VICE CHAIR3.00XX000
MAUREEN ANDRICOPOULOS
DIRECTOR3.00X000
SUSANNE BEATON
CHAIR3.00XX000
SHERYL BOURBEAU
DIRECTOR3.00X000
CHRISTINE CSIK
DIRECTOR3.00X000
MARIA CUNHA
DIRECTOR3.00X000
MARY JO GIROUX
DIRECTOR3.00X000
SUSAN GREEN
TREASURER3.00XX000
GORDON HALM
DIRECTOR3.00X000
TERRY HOWARD
DIRECTOR3.00X000
STEPHEN LAPUT
DIRECTOR3.00X000
YOLANDA MAURICIO
DIRECTOR3.00X000
YASER NASER
DIRECTOR3.00X000
BRUCE ROBINSON
DIRECTOR3.00X000
PATTY SULLIVAN-TALTY
CLERK3.00XX000
SOPHY THEAM
DIRECTOR3.00X000
ARDETH THAWNGMUNG
DIRECTOR3.00X000
VANNA HOWARD
DIRECTOR3.00X000
LEO SHERIDAN
DIRECTOR3.00X000
MAYTE RAMOS
DIRECTOR3.00X000
BLONG XIONG
DIRECTOR3.00X000
DORCAS GRIGG-SAITO
CHIEF EXECUTIVE OFFICER40.00X172928011800
GREGORY WHITE
CHIEF FINANCIAL OFFICER40.00X131167015859
KUMBLE RAJESH
CHIEF MEDICAL OFFICER40.00294003023428X
PRANAV PRAKASH
PHYSICIAN40.0028865207327X
SNEH DAVE
PHYSICIAN40.00266209023385X
KRISHNAMOORTHY RAO
PHYSICIAN40.00236514016667X
PETER KUHLMAN
PHYSICIAN40.0022930006910X
DONALD MILLER
PHYSICIAN40.00208633016626X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1827406TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation122002TotalOtherCompensation
Number Individuals GT100 K25NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
JONCAS ASSOCIATES
130 WARREN STLOWELLMA01852PROPERTY DEVELOPMENT349500
CDW
PO BOX 75723CHICAGOIL606755723IT & COMPUTER204894
ECLINICAL WORKS LLC
114 TURNPIKE ROAD SUITE 204WESTBOROUGHMA01581AMBULATORY CLINICAL SOLUTIONS127185
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants8533096GovernmentGrants
All Other Contributions4248347AllOtherContributions
Total Contributions12781443TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REDescription
Business Code621110BusinessCode
Total Revenue Column15447608TotalRevenueColumn
Related Or Exempt Function Income15447608RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15447608TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column204782TotalRevenueColumn
Exclusion$204,782ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real42906Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real42906Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column42906TotalRevenueColumn
Exclusion$42,906ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
DEVELOPER FEE900099523089$523,089
MISC REVENUE9000992704927049
FieldValueIRS element (for citing)
Total Other Revenue550138TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column29026877TotalRevenueColumn
Related Or Exempt Function Income15474657RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$770,777ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total655757Total
Program Services151033ProgramServices
Management And General504724ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14929985Total
Program Services13528212ProgramServices
Management And General1222712ManagementAndGeneral
Fundraising179061Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1555198Total
Program Services1434665ProgramServices
Management And General113326ManagementAndGeneral
Fundraising7207Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1082758Total
Program Services926221ProgramServices
Management And General142876ManagementAndGeneral
Fundraising13661Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total41659Total
Program Services900ProgramServices
Management And General40759ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total59035Total
Management And General59035ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total10470Total
Fundraising10470Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total898623Total
Program Services751776ProgramServices
Management And General64817ManagementAndGeneral
Fundraising82030Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total411576Total
Program Services145302ProgramServices
Management And General266274ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1391625Total
Program Services1108030ProgramServices
Management And General283233ManagementAndGeneral
Fundraising362Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total39003Total
Program Services33267ProgramServices
Management And General4303ManagementAndGeneral
Fundraising1433Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total43864Total
Program Services12723ProgramServices
Management And General21069ManagementAndGeneral
Fundraising10072Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total24732Total
Management And General24732ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total485128Total
Program Services370232ProgramServices
Management And General114896ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total101853Total
Program Services13764ProgramServices
Management And General88089ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL AND PHARMACY SU662390661952438
BAD DEBT371784371784
PROGRAM SUPPLIES AND EX279447279447
DUES, FEES AND SUBSCRIP1617997531786482

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total210827Total
Program Services47464ProgramServices
Management And General101162ManagementAndGeneral
Fundraising62201Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23417513Total
Program Services19912089ProgramServices
Management And General3138927ManagementAndGeneral
Fundraising366497Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY366850BOY
EOY1033063EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1196630BOY
EOY2489601EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2075812BOY
EOY1784496EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2148147BOY
EOY2511964EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY19602049BOY
EOY19379350EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY66009EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY138668BOY
EOY61457EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8366744LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1638789LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2437548BOY
EOY6727955EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5976010BOY
EOY6749397EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY33941714BOY
EOY40803292EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2434202BOY
EOY2866092EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1974154BOY
EOY1943307EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY12772302BOY
EOY13743073EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY366817BOY
EOY366817EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17547475BOY
EOY18919289EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15325929BOY
EOY21441252EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1068310BOY
EOY442751EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16394239BOY
EOY21884003EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33941714BOY
EOY40803292EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5609364ReconcilationRevenueExpenses
Reconcilation Other Changes-119600ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2497622OtherCostOrOtherBasis
Depreciation46830Depreciation
Book Value2450792BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2677196OtherCostOrOtherBasis
Depreciation642270Depreciation
Book Value2034926BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2005152OtherCostOrOtherBasis
Depreciation818496Depreciation
Book Value1186656BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1186774OtherCostOrOtherBasis
Depreciation131193Depreciation
Book Value1055581BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6727955TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DEVELOPER FEE RECEIVABLE2167688
DUE FROM AFFILIATES4154699
FINANCING FEES, NET37755
INTEREST RECEIVABLE389255
FieldValueIRS element (for citing)
Total Book Value Other Assets6749397TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCONTINGENT NOTES PAYABLEDescription
Amount$366,817Amount
FieldValueIRS element (for citing)
Total Of Amounts366817TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE AGENCY FOLLOWS THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES STANDARD, WHICH REQUIRES THE AGENCY 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 SEPTEMBER 30, 2013, THE AGENCY DETERMINED THAT THERE ARE NO MATERIAL UNRECOGNIZED TAX BENEFITS TO REPORT. THE AGENCY DOES NOT EXPECT THAT THE AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL CHANGE SIGNIFICANTLY WITHIN THE NEXT TWELVE MONTHS. INFORMATION RETURNS GENERALLY ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND MASSACHUSETTS TAX AUTHORITIES FOR THREE YEARS AFTER FILING.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Agreement Ref Fundraising0AgreementRefFundraising
Licensed StatesMALicensedStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DORCAS GRIGG-SAITO
CHIEF EXECUTIVE OFFICER1729280000000118000184728000
KUMBLE RAJESH
CHIEF MEDICAL OFFICER2871280687500000234280317431000
PRANAV PRAKASH
PHYSICIAN288652000000073270295979000
SNEH DAVE
PHYSICIAN2662090000000233850289594000
KRISHNAMOORTHY RAO
PHYSICIAN2321390437500000166670253181000
PETER KUHLMAN
PHYSICIAN228050012500000069100236210000
DONALD MILLER
PHYSICIAN2086330000000166260225259000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
LOWELL GENERAL HOSPITAL
CFO IS THE BOARD TREASURER134048PENSION EXPENSE FUNDED BY LOWELL GENERAL HOSPITAL WHERE SUSAN GREEN IS THE CFO.0
FRED C CHURCH INSURANCE AGENCY
VP AT INSURANCE AGENCY IS A BOARD MEMBER71000BRUCE ROBINSON, VP OF FRED C. CHURCH INSURANCE AGENCY, WHICH WRITES INSURANCE POLICIES FOR THE HEALTH CENTER IS A BOARD MEMBER.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2SUSAN GREEN, BOARD TREASURER, IS THE CFO OF LOWELL GENERAL HOSPITAL (THE HOSPITAL). EMPLOYEES OF THE HEALTH CENTER AS OF OCTOBER 15, 2003, ARE ELIGIBLE TO PARTICIPATE IN THE HOSPITAL'S NON-CONTRIBUTORY DEFINED BENEFIT RETIREMENT PLAN. THIS PLAN IS AVAILABLE TO ALL EMPLOYEES WHO HAVE MET CERTAIN MINIMUM PARTICIPATION REQUIREMNETS. PENSION EXPENSE WAS $134,048 FOR FISCAL YEAR 2013, WHICH WAS PAID BY THE HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11ELECTRONIC COPIES OF THE 990 ARE PROVIDED TO ALL BOARD MEMBERS VIA EMAIL, AND THEN THE 990 IS REVIEWED BY THE FINANCE COMMITTEE. QUESTIONS AND CONCERNS ARE ADDRESSED AND THE COMMITTEE THEN MAKES A REPORT TO THE FULL BOARD, RECOMMENDING ITS ACCEPTANCE AND THAT IT SHOULD BE FILED.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL DISCLOSURE QUESTIONNAIRE IS CIRCULATED TO ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15A COMMITTEE OF THE BOARD SETS THE COMPENSATION FOR THE CEO. FOR OTHER KEY EMPLOYEES, COMPENSATION IS ESTABLISHED BY THE CEO, USING THE LOCAL MARKET COMPARISONS SUCH AS THE FORM 990, MASS LEAGUE OF COMMUNITY HEALTH CENTERS, AND OTHER SURVEYS.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS ARE AVAILABLE THROUGH THE MASSACHUSETTS SECRETARY OF STATE WEBSITE.
FORM 990, PART XI, LINE 9:LOSS ON DISPOSAL OF FIXED ASSETS -119,600.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
LCHC CORP
161 JACKSON STREETLOWELLMA01852043498316REAL ESTATEMA501(C)(2)11AN/A1
LOWELL GENERAL HOSPITAL
295 VARBNUM AVENUELOWELLMA01854042103590HEALTH SERVICESMA501(C)(3)LINE 3N/A0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
LCHC QALICB LLC
161 JACKSON STREETLOWELLMA01852452631409RENTAL OF COMMERCIAL SPACEMAN/AN/A00
LOWELL MASTER TENANT LLC
161 JACKSON STREETLOWELLMA01852452631445RENTAL OF COMMERCIAL SPACEMAN/AN/A00

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgShare Of Total IncomeShareOfTotalIncome
UNIT B HOLDER CORPORATION
161 JACKSON STREETLOWELLMA01852453125723REAL ESTATEMALCHCC12699721.000001
LCHC NMTC CORPORATION
161 JACKSON STREETLOWELLMA01852452631072REAL ESTATEMALCHCC1.000001-1315
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LCHC QALICB LLC
L523089ACTUAL COST - DEVELOPMENT FEE
LCHC QALICB LLC
D3904087ACTUAL COST - DUE TO LCHC
UNIT B HOLDER CORPORATION
D248047ACTUAL COST - DUE TO LCHC
LCHC QALICB LLC
D25626594AMOUNT OF LOANS GUARANTEED
LCHC CORP
E80657ACTUAL COST - DUE FROM LCHC
LCHC CORP
K33824ACTUAL COST - RENT
LCHC NMTC CORPORATION
D2065ACTUAL COST - DUE TO LCHC
LCHC QALICB LLC
K1780454STRAIGHT LINED RENT PER LEASE
LCHC QALICB LLC
A90726INTEREST ON INTERCOMPANY LOAN

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