LOWELL COMMUNITY HEALTH CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LOWELL COMMUNITY HEALTH CENTER INC (EIN 04-2881348)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-05-02
IRS object ID
201201239349300915
Schema version
2010v3.7
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)
Timestamp2012-05-02T14:13:54-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HODGSON PRATT PRATT & SAUNDERS PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line143 TOWER DRAddressLine1
CityNEW BEDFORDCity
StateMAState
ZIP Code027406264ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

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
Phone9787467831Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1175 CABOT STREET SUITE 420AddressLine1
CityLOWELLCity
StateMAState
ZIP Code01852ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGREGORY WHITEName
TitleCHIEF FINANCIAL OFFICERTitle
Phone9787467831Phone
Date Signed2012-04-30DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHELE M PRATTName
Phone5089902600Phone
Date Prepared2012-04-30DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGREGORY WHITE CFONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1175 CABOT STREET STE 420AddressLine1
CityLOWELLCity
StateMAState
ZIP Code01852ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19572720GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LCHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF LOWELL COMMUNITY HEALTH CENTER IS TO PROVIDE CARING, QUALITY AND CULTURALLY APPROPRIATE HEALTH CARE SERVICES TO ALL INDIVIDUALS, REGARDLESS OF THEIR ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees354TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year9544071ContributionsGrantsPriorYear
Contributions Grants Current Year6386330ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13359065ProgramServiceRevenuePriorYear
Program Service Revenue CY12651518ProgramServiceRevenueCY
Investment Income Prior Year8365InvestmentIncomePriorYear
Investment Income Current Year43242InvestmentIncomeCurrentYear
Other Revenue Prior Year176960OtherRevenuePriorYear
Other Revenue Current Year491630OtherRevenueCurrentYear
Total Revenue Prior Year23088461TotalRevenuePriorYear
Total Revenue Current Year19572720TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16784905SalariesEtcPriorYear
Salaries Etc Current Year15952111SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year243139TotalFundrsngExpCurrentYear
Other Expense Prior Year4631083OtherExpensePriorYear
Other Expenses Current Year3900432OtherExpensesCurrentYear
Total Expenses Prior Year21415988TotalExpensesPriorYear
Total Expenses Current Year19852543TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1672473RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-279823RevenuesLessExpensesCY
Total Assets BOY7463979TotalAssetsBOY
Total Assets EOY28601433TotalAssetsEOY
Total Liabilities BOY3186333TotalLiabilitiesBOY
Total Liabilities EOY23093572TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4277646NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5507861NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF LOWELL COMMUNITY HEALTH CENTER IS TO PROVIDE CARING, QUALITY AND CULTURALLY APPROPRIATE HEALTH CARE SERVICES TO ALL INDIVIDUALS, REGARDLESS OF THEIR ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense15880515Expense
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, AND OTHER RELATED OUTREACH AND SUPPORTIVE SERVICES.Description
Total Program Service Expense15880515TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109680NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees354NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
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 Number9787467831TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1175 CABOT STREET SUITE 420AddressLine1
CityLOWELLCity
StateMAState
ZIP Code01854ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployee
MARIATOU ALLIE-DUMBUYA
VICE CHAIRXX000
SUSANNE BEATON
CHAIRXX000
SHERYL BOURBEAU
DIRECTORX000
MARIA CUNHA
DIRECTORX000
CHRISTINE CSIK
DIRECTORX000
MARY JO GIROUX
DIRECTORX000
TERRY HOWARD
DIRECTORX000
YOLANDA MAURICIO
DIRECTORX000
BRUCE ROBINSON
DIRECTORX000
KRISTIN ROSS-SITCAWICH
DIRECTORX000
AJAHN MANGKONE SANANIKONE
DIRECTORX000
PATTY SULLIVAN-TALTY
DIRECTORX000
KEVIN WILLETT
DIRECTORX000
ROSEZETHA S KEO
DIRECTORX000
SUSAN GREEN
TREASURERXX000
GORDON HALM
DIRECTORX000
ANITA SOUY
DIRECTORX000
STEPHEN LAPUT
DIRECTORX000
DORCAS GRIGG-SAITO
CEOX1845660886940.00
GREGORY WHITE
CFOX13416201548440.00
IBRAHIM JOULAK
PHYSICIAN3056960597840.00X
SNEH DAVE
PHYSICIAN29396601830840.00X
KUMBLE RAJESH
CMO27487902220740.00X
KRISHNAMOORTHY RAO
PHYSICIAN25258301433040.00X
MUKUND GUPTA MD
PHYSICIAN20747102231440.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1653323TotalReportableCompFromOrg
Total Other Compensation107490TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DURKEE BROWN VIVEIROS ARCHITECTSBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1111 CHESTNUT ST 2ND FLAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02903ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesARCHITECTSDescriptionOfServices
Compensation123386Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants5593158GovernmentGrants
All Other Contributions793172AllOtherContributions
Total Contributions6386330TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Total Revenue Column12651518TotalRevenueColumn
Related Or Exempt Function Income12651518RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12651518TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column43242TotalRevenueColumn
Exclusion$43,242ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4950Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real4950Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4950TotalRevenueColumn
Exclusion$4,950ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Total Revenue Column486680TotalRevenueColumn
Related Or Exempt Function Income486680RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue486680TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19572720TotalRevenueColumn
Related Or Exempt Function Income13138198RelatedOrExemptFunctionIncome
Exclusion$48,192ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13434859Total
Program Services11240891ProgramServices
Management And General2040360ManagementAndGeneral
Fundraising153608Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1366533Total
Program Services1157285ProgramServices
Management And General193251ManagementAndGeneral
Fundraising15997Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1150719Total
Program Services960562ProgramServices
Management And General177031ManagementAndGeneral
Fundraising13126Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total49290Total
Management And General49290ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total41243Total
Management And General41243ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total944637Total
Program Services525066ProgramServices
Management And General416672ManagementAndGeneral
Fundraising2899Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total120531Total
Program Services100932ProgramServices
Management And General19398ManagementAndGeneral
Fundraising201Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total309038Total
Program Services143888ProgramServices
Management And General165150ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DIRECT PROGRAM/OP NON-REI52506449379131273
PROGRAM SUPPORT376801376801
OTHER PROFESSIONAL FEES35924034111418126
INCIDENTAL MEDICINE308916308916
SUBCONTRACTED DIRECT CARE199318199318

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total666354Total
Program Services373065ProgramServices
Management And General254107ManagementAndGeneral
Fundraising39182Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19852543Total
Program Services15880515ProgramServices
Management And General3728889ManagementAndGeneral
Fundraising243139Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1724BOY
EOY407570EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1152308BOY
EOY394626EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY938297BOY
EOY1396552EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1847590BOY
EOY1762721EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY26035BOY
EOY19411425EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY59786BOY
EOY128294EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6699942LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2721236LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3431878BOY
EOY3978706EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY996932EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6361BOY
EOY124607EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7463979BOY
EOY28601433EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1840418BOY
EOY1739401EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY2063761EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY316378BOY
EOY18207669EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1029537BOY
EOY1082741EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3186333BOY
EOY23093572EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3017078BOY
EOY3700083EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1260568BOY
EOY1807778EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4277646BOY
EOY5507861EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7463979BOY
EOY28601433EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-279823ReconcilationRevenueExpenses
Reconcilation Other Changes1510038ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6380346CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7281948CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7797127CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9544071CurrentTaxYearMinus1Year
Current Tax Year6386330CurrentTaxYear
Total37389822Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9101377CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11124388CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11279898CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13493079CurrentTaxYearMinus1Year
Current Tax Year13138198CurrentTaxYear
Total58136940Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15481723CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18406336CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19077025CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23037150CurrentTaxYearMinus1Year
Current Tax Year19524528CurrentTaxYear
Total95526762Total
FieldValueIRS element (for citing)
Public Support Total50995526762PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13811CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22121CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24297CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15565CurrentTaxYearMinus1Year
Current Tax Year48192CurrentTaxYear
Total123986Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13811CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22121CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24297CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15565CurrentTaxYearMinus1Year
Current Tax Year48192CurrentTaxYear
Total123986Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15495534CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18428457CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19101322CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23052715CurrentTaxYearMinus1Year
Current Tax Year19572720CurrentTaxYear
Total95650748Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99870PublicSupportPercentage509
Prior Year Support Percentage0.99380PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3940715OtherCostOrOtherBasis
Depreciation369651Depreciation
Book Value3571064BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis134947OtherCostOrOtherBasis
Depreciation89981Depreciation
Book Value44966BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2624280OtherCostOrOtherBasis
Depreciation2261604Depreciation
Book Value362676BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3978706TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
LINE OF CREDIT$737,987
CURRENT PORTION OF NOTES PAYABLE$246,817
NOTES PAYABLE$60,000
DUE TO LCHC CORPORATION$37,937
FieldValueIRS element (for citing)
Total Of Amounts1082741TotalOfAmounts
Total Revenue19572720TotalRevenue
Total Expenses19852543TotalExpenses
Excess Or Deficit For Year-279823ExcessOrDeficitForYear
Other$1OtherAmount
Total Adjustments1TotalAdjustments
Excess Or Deficit Per FS-279822ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt19717597TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities144877DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990144877RevenueNotRptdF990
Revenue Subtotal19572720RevenueSubtotal
Total Revenue Per Form99019572720TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19997419TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities144877DonatedServicesUseOfFacilities
Expenses Not Rptd F990144877ExpensesNotRptdF990
Expenses Subtotal19852542ExpensesSubtotal
Other Expenses Not Included1OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1ExpensesNotRptdOnFinStmt
Total Expenses Per Form99019852543TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8BOOK / TAX DEPRECIATION DIFFERENCE 1
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 4BBOOK / TAX DEPRECIATION DIFFERENCE 1

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
DORCAS GRIGG-SAITO
174566100008869193435
IBRAHIM JOULAK
3056965978311674
SNEH DAVE
29396618308312274
KUMBLE RAJESH
271292358722207297086
KRISHNAMOORTHY RAO
25258314330266913
MUKUND GUPTA MD
20747122314229785

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LOWELL GENERAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipCFO ON BODRelationship
Amount Of Transaction144887AmountOfTransaction
Description Of TransactionPENSION EXPENSEDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RELATED PARTY INFORMATION AMONG OFFICERSFORM 990, PAGE 6, PART VI, LINE 2LOWELL GENERAL HOSPITAL CFO BOARD MEMBER WORKS AT HOSPITAL LOWELL GENERAL HOSPITAL STAFF BOARD MEMBER WORKS AT HOSPITAL
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BELECTRONIC COPIES OF THE 990 ARE PROVIDED TO ALL BOARD MEMBERS VIA EMAIL, AND THEN THE 990 IS REVIEWED BY THE FINANCE COMMITTEE OF THE BOD. 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.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CANNUAL DISCLOSURE QUESTIONNAIRE IS CIRCULATED TO ALL BOARD MEMBERS.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AA COMMITTEE OF THE BOARD SETS THE COMPENSATION OF THE CEO.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BFOR OTHER KEY EMPLOYEES, COMPENSATION IS ESTABLISHED BY THE CEO, USING THE LOCAL MARKET COMPARISONS AUCH AS THE FORM 990, MASS LEAGUE OF COMMUNITY HEALTH CENTERS, AND OTHER SURVEYS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE AVAILABLE THROUGH THE MASSACHUSETTS SECRETARY OF STATE'S WEBSITE.

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
175 CABOT STREET SUITE 420LOWELLMA01852043498316REAL EST.MA501(C)11AN/Afalse
LOWELL GENERAL HOSPITAL
295 VARNUM AVENUELOWELLMA01854042103590SERVICESMA501(C)N/Afalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
UNIT B HOLDER CORPORATION
175 CABOT STREET SUITE 420LOWELLMA01852453125723REAL ESTATN/AC CORP9864651.00000
LCHC NMTC CORPORATION
175 CABOT STREET SUITE 420LOWELLMA01852452631072REAL ESTATN/AC CORP8969671.00000
LCHC QALICB LLC
175 CABOT STREET SUITE 420LOWELLMA01852452631409REAL ESTATN/AC CORP249852950.95000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
LOWELL GENERAL HOSPITAL
C144877
LOWELL GENERAL HOSPITAL
E306817
LCHC CORP
E37937
LCHC CORP
J139000
LCHC QALICB LLC
K363802
LCHC QALICB LLC
R2005000

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE RReturnReference
ExplanationLCHC INC OWES 37937 TO LCHC CORP AT 93011Explanation

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