2014-08-05T11:26:20-05:00 2013-09-30 042571780 ALEXANDER ARONSON FINNING & CO PC 21 E MAIN STREET WESTBOROUGH MA 01581 990 2012-10-01 042881348 LOWELL COMMUNITY HEALTH CENTER INC LOWE 9789379700 161 JACKSON STREET LOWELL MA 01852 DORCAS GRIGG-SAITO 9789379700 2014-08-04 1 SORIE KABA CPA P01317106 5083669100 2014-08-04 2012 2015-11-30 17:44:51Z DORCAS GRIGG-SAITO 161 JACKSON STREET LOWELL MA 01852 29026877 0 X WWW.LCHEALTH.ORG X 1986 MA TO 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. 21 21 361 30 0 0 16063510 12781443 12828122 15447608 63111 204782 3350338 593044 32305081 29026877 0 0 0 0 16264917 18223698 28766 10470 366497 4019546 5183345 20313229 23417513 11991852 5609364 33941714 40803292 17547475 18919289 16394239 21884003 X TO 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. 0 0 19912089 15474657 PRIMARY 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. 19912089 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 61 0 1 361 1 0 0 0 0 0 0 0 0 0 0 X 21 21 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X LOWELL COMMUNITY HEALTH CENTER 9789379700 161 JACKSON STREET LOWELL MA 01582 MARIATOU ALLIE-DUMBUYA 3.00 X X 0 0 0 MAUREEN ANDRICOPOULOS 3.00 X 0 0 0 SUSANNE BEATON 3.00 X X 0 0 0 SHERYL BOURBEAU 3.00 X 0 0 0 CHRISTINE CSIK 3.00 X 0 0 0 MARIA CUNHA 3.00 X 0 0 0 MARY JO GIROUX 3.00 X 0 0 0 SUSAN GREEN 3.00 X X 0 0 0 GORDON HALM 3.00 X 0 0 0 TERRY HOWARD 3.00 X 0 0 0 STEPHEN LAPUT 3.00 X 0 0 0 YOLANDA MAURICIO 3.00 X 0 0 0 YASER NASER 3.00 X 0 0 0 BRUCE ROBINSON 3.00 X 0 0 0 PATTY SULLIVAN-TALTY 3.00 X X 0 0 0 SOPHY THEAM 3.00 X 0 0 0 ARDETH THAWNGMUNG 3.00 X 0 0 0 VANNA HOWARD 3.00 X 0 0 0 LEO SHERIDAN 3.00 X 0 0 0 MAYTE RAMOS 3.00 X 0 0 0 BLONG XIONG 3.00 X 0 0 0 DORCAS GRIGG-SAITO 40.00 X 172928 0 11800 GREGORY WHITE 40.00 X 131167 0 15859 KUMBLE RAJESH 40.00 X 294003 0 23428 PRANAV PRAKASH 40.00 X 288652 0 7327 SNEH DAVE 40.00 X 266209 0 23385 KRISHNAMOORTHY RAO 40.00 X 236514 0 16667 PETER KUHLMAN 40.00 X 229300 0 6910 DONALD MILLER 40.00 X 208633 0 16626 1827406 0 122002 25 0 1 0 JONCAS ASSOCIATES 130 WARREN ST LOWELL MA 01852 PROPERTY DEVELOPMENT 349500 CDW PO BOX 75723 CHICAGO IL 606755723 IT & COMPUTER 204894 ECLINICAL WORKS LLC 114 TURNPIKE ROAD SUITE 204 WESTBOROUGH MA 01581 AMBULATORY CLINICAL SOLUTIONS 127185 3 8533096 4248347 12781443 NET PATIENT SERVICE RE 621110 15447608 15447608 15447608 204782 204782 42906 0 42906 42906 42906 DEVELOPER FEE 900099 523089 523089 MISC REVENUE 900099 27049 27049 550138 29026877 15474657 0 770777 655757 151033 504724 14929985 13528212 1222712 179061 1555198 1434665 113326 7207 1082758 926221 142876 13661 41659 900 40759 59035 59035 10470 10470 898623 751776 64817 82030 411576 145302 266274 1391625 1108030 283233 362 39003 33267 4303 1433 43864 12723 21069 10072 24732 24732 485128 370232 114896 101853 13764 88089 MEDICAL AND PHARMACY SU 662390 661952 438 BAD DEBT 371784 371784 PROGRAM SUPPLIES AND EX 279447 279447 DUES, FEES AND SUBSCRIP 161799 75317 86482 210827 47464 101162 62201 23417513 19912089 3138927 366497 366850 1033063 1196630 2489601 2075812 1784496 2148147 2511964 19602049 19379350 66009 138668 61457 8366744 1638789 2437548 6727955 5976010 6749397 33941714 40803292 2434202 2866092 1974154 1943307 12772302 13743073 366817 366817 17547475 18919289 X 15325929 21441252 1068310 442751 16394239 21884003 33941714 40803292 X 5609364 -119600 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2497622 46830 2450792 2677196 642270 2034926 2005152 818496 1186656 1186774 131193 1055581 6727955 DEVELOPER FEE RECEIVABLE 2167688 DUE FROM AFFILIATES 4154699 FINANCING FEES, NET 37755 INTEREST RECEIVABLE 389255 6749397 CONTINGENT NOTES PAYABLE 366817 366817 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE 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. X X X X 0 MA X X 0 0 0 0 0 0 0 0 0 DORCAS GRIGG-SAITO 172928 0 0 0 0 0 0 0 11800 0 184728 0 0 0 KUMBLE RAJESH 287128 0 6875 0 0 0 0 0 23428 0 317431 0 0 0 PRANAV PRAKASH 288652 0 0 0 0 0 0 0 7327 0 295979 0 0 0 SNEH DAVE 266209 0 0 0 0 0 0 0 23385 0 289594 0 0 0 KRISHNAMOORTHY RAO 232139 0 4375 0 0 0 0 0 16667 0 253181 0 0 0 PETER KUHLMAN 228050 0 1250 0 0 0 0 0 6910 0 236210 0 0 0 DONALD MILLER 208633 0 0 0 0 0 0 0 16626 0 225259 0 0 0 LOWELL GENERAL HOSPITAL CFO IS THE BOARD TREASURER 134048 PENSION 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 MEMBER 71000 BRUCE ROBINSON, VP OF FRED C. CHURCH INSURANCE AGENCY, WHICH WRITES INSURANCE POLICIES FOR THE HEALTH CENTER IS A BOARD MEMBER. 0 FORM 990, PART VI, SECTION A, LINE 2 SUSAN 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 11 ELECTRONIC 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 12C ANNUAL DISCLOSURE QUESTIONNAIRE IS CIRCULATED TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 A 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 19 GOVERNING DOCUMENTS ARE AVAILABLE THROUGH THE MASSACHUSETTS SECRETARY OF STATE WEBSITE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: LOSS ON DISPOSAL OF FIXED ASSETS -119,600. FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. LCHC CORP 161 JACKSON STREET LOWELL MA 01852 043498316 REAL ESTATE MA 501(C)(2) 11A N/A 1 LOWELL GENERAL HOSPITAL 295 VARBNUM AVENUE LOWELL MA 01854 042103590 HEALTH SERVICES MA 501(C)(3) LINE 3 N/A 0 LCHC QALICB LLC 161 JACKSON STREET LOWELL MA 01852 452631409 RENTAL OF COMMERCIAL SPACE MA N/A N/A 0 0 LOWELL MASTER TENANT LLC 161 JACKSON STREET LOWELL MA 01852 452631445 RENTAL OF COMMERCIAL SPACE MA N/A N/A 0 0 UNIT B HOLDER CORPORATION 161 JACKSON STREET LOWELL MA 01852 453125723 REAL ESTATE MA LCHC C 1269972 1.00000 1 LCHC NMTC CORPORATION 161 JACKSON STREET LOWELL MA 01852 452631072 REAL ESTATE MA LCHC C -1315 1.00000 1 1 0 0 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 LCHC QALICB LLC L 523089 ACTUAL COST - DEVELOPMENT FEE LCHC QALICB LLC D 3904087 ACTUAL COST - DUE TO LCHC UNIT B HOLDER CORPORATION D 248047 ACTUAL COST - DUE TO LCHC LCHC QALICB LLC D 25626594 AMOUNT OF LOANS GUARANTEED LCHC CORP E 80657 ACTUAL COST - DUE FROM LCHC LCHC CORP K 33824 ACTUAL COST - RENT LCHC NMTC CORPORATION D 2065 ACTUAL COST - DUE TO LCHC LCHC QALICB LLC K 1780454 STRAIGHT LINED RENT PER LEASE LCHC QALICB LLC A 90726 INTEREST ON INTERCOMPANY LOAN