LOWELL COMMUNITY HEALTH CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LOWELL COMMUNITY HEALTH CENTER INC (EIN 04-2881348)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-06-18
IRS object ID
201341699349300239
Schema version
2011v1.5
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)
Timestamp2013-06-18T15:29:09-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Date2011-10-01TaxPeriodBeginDate

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)
NameGREGORY WHITEName
TitleCFOTitle
Phone9789379700Phone
Date Signed2013-06-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSORIE KABA CPAName
PTINP01317106PTIN
Phone5083669100Phone
Date Prepared2013-06-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonGREGORY WHITENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1161 JACKSON STREETAddressLine1
CityLOWELLCity
StateMAState
ZIP Code01852ZIPCode
FieldValueIRS element (for citing)
Gross Receipts32612320GrossReceipts
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 Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees351TotalNbrEmployees
Total Nbr Volunteers22TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6386330ContributionsGrantsPriorYear
Contributions Grants Current Year16063510ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12651518ProgramServiceRevenuePriorYear
Program Service Revenue CY12828122ProgramServiceRevenueCY
Investment Income Prior Year43242InvestmentIncomePriorYear
Investment Income Current Year63111InvestmentIncomeCurrentYear
Other Revenue Prior Year491630OtherRevenuePriorYear
Other Revenue Current Year3350338OtherRevenueCurrentYear
Total Revenue Prior Year19572720TotalRevenuePriorYear
Total Revenue Current Year32305081TotalRevenueCurrentYear
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 Year15952111SalariesEtcPriorYear
Salaries Etc Current Year16264917SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY28766TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year321983TotalFundrsngExpCurrentYear
Other Expense Prior Year3900432OtherExpensePriorYear
Other Expenses Current Year4019546OtherExpensesCurrentYear
Total Expenses Prior Year19852543TotalExpensesPriorYear
Total Expenses Current Year20313229TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-279823RevenuesLessExpensesPriorYear
Revenues Less Expenses CY11991852RevenuesLessExpensesCY
Total Assets BOY28601433TotalAssetsBOY
Total Assets EOY33941714TotalAssetsEOY
Total Liabilities BOY23093572TotalLiabilitiesBOY
Total Liabilities EOY17547475TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5507861NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16394239NetAssetsOrFundBalancesEOY
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
Expense17317636Expense
Revenue12842676Revenue
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 Expense17317636TotalProgramServiceExpense
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 Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109679NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees351NumberOfEmployees
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 Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
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 (30 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
JAKELINE CASTANEDA
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
ROSEZETHA S KEO
DIRECTOR3.00X000
STEPHEN LAPUT
DIRECTOR3.00X000
YOLANDA MAURICIO
DIRECTOR3.00X000
YASER NASER
DIRECTOR3.00X000
BRUCE ROBINSON
DIRECTOR3.00X000
AJAHN MANGKONE SANANIKONE
DIRECTOR3.00X000
KRISTIN ROSS-SITCAWICH
DIRECTOR3.00X000
ANITA SOUY
DIRECTOR3.00X000
PATTY SULLIVAN-TALTY
CLERK3.00XX000
SOPHY THEAM
DIRECTOR3.00X000
ARDETH THAWNGMUNG
DIRECTOR3.00X000
DORCAS GRIGG-SAITO
CHIEF EXECUTIVE OFFICER40.00X181481016390
GREGORY WHITE
CHIEF FINANCIAL OFFICER40.00X127535016069
KUMBLE RAJESH
CHIEF MEDICAL OFFICER40.00276809024031X
IBRAHIM JOULAK
PHYSICIAN40.0029813706407X
SNEH DAVE
PHYSICIAN40.00287692027951X
MUKUND GUPTA
PHYSICIAN40.00204848022962X
BERRYZAD RAMADAN
PHYSICIAN40.0018416601119X
KRISHNAMOORTHY RAO
PHYSICIAN40.00237612017990X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1798280TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation132919TotalOtherCompensation
Number Individuals GT100 K22NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants13133601GovernmentGrants
All Other Contributions2929909AllOtherContributions
Total Contributions16063510TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REDescription
Business Code621110BusinessCode
Total Revenue Column12828122TotalRevenueColumn
Related Or Exempt Function Income12828122RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12828122TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4350TotalRevenueColumn
Exclusion$4,350ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real35796Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real35796Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column35796TotalRevenueColumn
Exclusion$35,796ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other366000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other307239Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other58761Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column58761TotalRevenueColumn
Exclusion$58,761ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
DEVELOPER FEE OVERHEAD9000993299988$3,299,988
MISC REVENUE9000991455414554
FieldValueIRS element (for citing)
Total Other Revenue3314542TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column32305081TotalRevenueColumn
Related Or Exempt Function Income12842676RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,398,895ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total343219Total
Program Services19023ProgramServices
Management And General324196ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13485984Total
Program Services12177291ProgramServices
Management And General1127662ManagementAndGeneral
Fundraising181031Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1392913Total
Program Services1243669ProgramServices
Management And General130475ManagementAndGeneral
Fundraising18769Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1042801Total
Program Services912963ProgramServices
Management And General116162ManagementAndGeneral
Fundraising13676Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total21976Total
Management And General21976ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total58339Total
Management And General58339ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total28766Total
Fundraising28766Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total799554Total
Program Services674627ProgramServices
Management And General112100ManagementAndGeneral
Fundraising12827Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total331624Total
Program Services102417ProgramServices
Management And General212216ManagementAndGeneral
Fundraising16991Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total785108Total
Program Services689482ProgramServices
Management And General94097ManagementAndGeneral
Fundraising1529Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total31656Total
Program Services25791ProgramServices
Management And General4533ManagementAndGeneral
Fundraising1332Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total40208Total
Program Services21404ProgramServices
Management And General12854ManagementAndGeneral
Fundraising5950Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total145030Total
Management And General145030ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total295716Total
Program Services171694ProgramServices
Management And General124022ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total74032Total
Program Services17289ProgramServices
Management And General56743ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL AND PHARMACY SU532517532517
BAD DEBT478158478158
DUES, FEES AND SUBSCRIP1619557987582080
PROGRAM SUPPLIES AND EX129084129084

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total134589Total
Program Services42352ProgramServices
Management And General51125ManagementAndGeneral
Fundraising41112Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20313229Total
Program Services17317636ProgramServices
Management And General2673610ManagementAndGeneral
Fundraising321983Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY407570BOY
EOY366850EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY394626BOY
EOY1196630EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1396552BOY
EOY2075812EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1762721BOY
EOY2148147EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY19411425BOY
EOY19602049EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY128294BOY
EOY138668EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5414503LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2976955LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3978706BOY
EOY2437548EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY996932BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY124607BOY
EOY5976010EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY28601433BOY
EOY33941714EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1739401BOY
EOY2434202EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2063761BOY
EOY1974154EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY18207669BOY
EOY12772302EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1082741BOY
EOY366817EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY23093572BOY
EOY17547475EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3700083BOY
EOY15325929EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1807778BOY
EOY1068310EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5507861BOY
EOY16394239EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28601433BOY
EOY33941714EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses11991852ReconcilationRevenueExpenses
Reconcilation Other Changes-1105474ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2661518OtherCostOrOtherBasis
Depreciation523042Depreciation
Book Value2138476BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2635854OtherCostOrOtherBasis
Depreciation2366397Depreciation
Book Value269457BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis117131OtherCostOrOtherBasis
Depreciation87516Depreciation
Book Value29615BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2437548TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DEVELOPER FEE RECEIVABLE3170809
DUE FROM AFFILIATES189431
CONSTRUCTION IN PROGRESS2538808
FINANCING FEES, NET76962
FieldValueIRS element (for citing)
Total Book Value Other Assets5976010TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

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

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X: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, 2012, 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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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)

Base 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
17148101000000000163900197871000
KUMBLE RAJESH
2768090000000240310300840000
IBRAHIM JOULAK
298137000000064070304544000
SNEH DAVE
2876920000000279510315643000
MUKUND GUPTA
2048480000000229620227810000
BERRYZAD RAMADAN
184166000000011190185285000
KRISHNAMOORTHY RAO
2376120000000179900255602000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
LOWELL GENERAL HOSPITAL
CFO IS A BOARD MEMBER137723PENSION 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 MEMBER68135BRUCE 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 (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2SUSAN GREEN, BOARD TREASURER, IS THE CFO OF LOWELL GENERAL HOSPITAL. 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 $137,723 FOR FISCAL YEAR 2012, WHICH WAS PAID BY THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 4THE ARTICLES HAVE BEEN AMMENDED TO UPDATE THE AGENCY'S ORGANIZATIONAL PURPOSE TO INCLUDE ECONOMIC DEVELOPMENT WITH A FOCUS ON POVERTY AND JOB CREATION.
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 5:WRITE DOWN OF INVESTMENT IN LCHC NMTC CORP -1,005,609. ADJUSTMENT FOR UNIT B FUND BALANCE -99,865. TOTAL TO FORM 990, PART XI, LINE 5: -1,105,474.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, 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/A0
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 StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
LCHC QALICB LLC
161 JACKSON STREETLOWELLMA01852452631409RENTAL OF COMMERCIAL SPACEMALCHC NMTC CORPORATION25001920000.95000
LOWELL MASTER TENANT LLC
161 JACKSON STREETLOWELLMA01852452631445RENTAL OF COMMERCIAL SPACEMALCHC NMTC CORPORATION1010000.01000

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntityShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipShare Of Total IncomeShareOfTotalIncome
UNIT B HOLDER CORPORATION
161 JACKSON STREETLOWELLMA01852453125723REAL ESTATEMAC11053941.00000
LCHC NMTC CORPORATION
161 JACKSON STREETLOWELLMA01852452631072REAL ESTATEMAC7501.00000-750
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
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
K3299988ACTUAL COST - DEVELOPMENT FEE
LCHC NMTC COPRORATION
B108542ACTUAL COST -CAPITAL CONTRIBUTION
LCHC QALICB LLC
D87482ACTUAL COST - DUE TO/FROM
UNIT B HOLDER CORPORATION
D101199ACTUAL COST - DUE TO/FROM
LCHC QALICB LLC
D1679000AMOUNT OF LOANS GUARANTEED
LCHC CORP
E102973ACTUAL COST - DUE FROM LCHC
LCHC CORP
J138368ACTUAL COST - RENT
LOWELL GENERAL HOSPITAL
C137723ACTUAL COST - DONATED PENSION
LOWELL GENERAL HOSPITAL
E366817AMOUNT OF CONTINGENT LOANS

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