LOWELL COMMUNITY HEALTH CENTER INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
LOWELL COMMUNITY HEALTH CENTER INC (EIN 04-2881348)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-03-17
IRS object ID
201110769349300656
Schema version
2009v1.7
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)
Timestamp2011-03-17T12:27:29-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line172 NORTH WATER ST 2ND FLOORAddressLine1
CityNEW BEDFORDCity
StateMAState
ZIP Code027406254ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

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 Signed2011-02-17DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHELE M PRATTName
Phone5089902600Phone
Date Prepared2011-03-17DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts23088461GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
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 Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees350TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year7797127ContributionsGrantsPriorYear
Contributions Grants Current Year9544071ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11279898ProgramServiceRevenuePriorYear
Program Service Revenue CY13359065ProgramServiceRevenueCY
Investment Income Prior Year24297InvestmentIncomePriorYear
Investment Income Current Year8365InvestmentIncomeCurrentYear
Other Revenue Prior Year138194OtherRevenuePriorYear
Other Revenue Current Year176960OtherRevenueCurrentYear
Total Revenue Prior Year19239516TotalRevenuePriorYear
Total Revenue Current Year23088461TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15300637SalariesEtcPriorYear
Salaries Etc Current Year16784905SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3665484OtherExpensePriorYear
Other Expenses Current Year4631083OtherExpensesCurrentYear
Total Expenses Prior Year18966121TotalExpensesPriorYear
Total Expenses Current Year21415988TotalExpensesCurrentYear
Revenues Less Expenses Prior Year273395RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1672473RevenuesLessExpensesCY
Total Assets BOY6146230TotalAssetsBOY
Total Assets EOY7463979TotalAssetsEOY
Total Liabilities BOY3541057TotalLiabilitiesBOY
Total Liabilities EOY3186333TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2605173NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4277646NetAssetsOrFundBalancesEOY
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
Expense17470887Expense
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

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionCHEC - COMMUNITY HEALTH EDUCATION AND SKILL COMPETENCY BUILDING.Description
FieldValueIRS element (for citing)
Total Program Service Expense17470887TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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 ActivitiestrueFundraisingActivities
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 ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109666NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees350NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
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 (28 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
LYNNE BROWN-ZOUNES
DIRECTORX000
CHERYL CALLAHAN
DIRECTORX000
CHRISTINE CSIK
DIRECTORX000
MARY JO GIROUX
DIRECTORX000
TERRY HOWARD
DIRECTORX000
YOLANDA MAURICIO
DIRECTORX000
AFFIFI MULKIGIAN
DIRECTORX000
THERESA POL
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
CEOX18100401194040.00
GREGORY WHITE
CFOX13830501407440.00
KUMBLE RAJESH
CMO28552502192740.00X
SNEH DAVE
PHYSICIAN2790910040.00X
KRISHNAMOORTHY RAO
PHYSICIAN2539430040.00X
MUKUND GUPTA MD
PHYSICIAN2104900040.00X
IBRAHIM JOULAK
PHYSICIAN2098880040.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1558246TotalReportableCompFromOrg
Total Other Compensation47941TotalOtherCompensation
Number Individuals GT100 K23NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DURKEE BROWN VIVEIROS ARCHITECTS
111 CHESTNUT ST 2ND FLPROVIDENCERI02903ARCHITECTS747573
JM COULL INC
20 POWDER MILL RDMAYNARDMA01754CONTRACTORS115159
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations1072492RelatedOrganizations
Government Grants8331579GovernmentGrants
All Other Contributions140000AllOtherContributions
Noncash Contributions1072492NoncashContributions
Total Contributions9544071TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Total Revenue Column13359065TotalRevenueColumn
Related Or Exempt Function Income13359065RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13359065TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8365TotalRevenueColumn
Exclusion$8,365ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real7200Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real7200Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column7200TotalRevenueColumn
Exclusion$7,200ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events35746GrossIncomeFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column35746TotalRevenueColumn
Exclusion$35,746ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Total Revenue Column134014TotalRevenueColumn
Related Or Exempt Function Income134014RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue134014TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column23088461TotalRevenueColumn
Related Or Exempt Function Income13493079RelatedOrExemptFunctionIncome
Exclusion$51,311ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14147928Total
Program Services11932568ProgramServices
Management And General2215360ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1560382Total
Program Services1383875ProgramServices
Management And General176507ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1076595Total
Program Services910025ProgramServices
Management And General166570ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total983Total
Management And General983ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29736Total
Management And General29736ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total806491Total
Program Services434530ProgramServices
Management And General371961ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total135488Total
Program Services108447ProgramServices
Management And General27041ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total362409Total
Program Services168738ProgramServices
Management And General193671ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DIRECT PROGRAM/OP NON-REI971773971773
OTHER PROFESSIONAL FEES477611477611
PROGRAM SUPPORT325300325300
INCIDENTAL MEDICINE316338316338
DIRECT CARE CONSULTANT305003305003

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total899951Total
Program Services614290ProgramServices
Management And General285661ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21415988Total
Program Services17470887ProgramServices
Management And General3945101ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY177380BOY
EOY1724EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY622691BOY
EOY1152308EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1012525BOY
EOY938297EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1594514BOY
EOY1847590EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY78181BOY
EOY26035EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY23489BOY
EOY59786EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6212616LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2780738LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2633332BOY
EOY3431878EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4118BOY
EOY6361EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6146230BOY
EOY7463979EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1872855BOY
EOY1840418EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY348154BOY
EOY316378EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1320048BOY
EOY1029537EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3541057BOY
EOY3186333EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1499588BOY
EOY3017078EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1105585BOY
EOY1260568EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2605173BOY
EOY4277646EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6146230BOY
EOY7463979EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years6434149CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6380346CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7281948CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7797127CurrentTaxYearMinus1Year
Current Tax Year9544071CurrentTaxYear
Total37437641Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8162892CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9101377CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11124388CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11279898CurrentTaxYearMinus1Year
Current Tax Year13493079CurrentTaxYear
Total53161634Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14597041CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15481723CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18406336CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19077025CurrentTaxYearMinus1Year
Current Tax Year23037150CurrentTaxYear
Total90599275Total
FieldValueIRS element (for citing)
Public Support Total50990599275PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7328CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13811CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22121CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24297CurrentTaxYearMinus1Year
Current Tax Year15565CurrentTaxYear
Total83122Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7328CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13811CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22121CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year24297CurrentTaxYearMinus1Year
Current Tax Year15565CurrentTaxYear
Total83122Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years45283CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years164452CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year138194CurrentTaxYearMinus1Year
Current Tax Year134014CurrentTaxYear
Total481943Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14604369CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15540817CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18592909CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19239516CurrentTaxYearMinus1Year
Current Tax Year23186729CurrentTaxYear
Total91164340Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99380PublicSupportPercentage509
Prior Year Support Percentage0.99390PriorYearSupportPercentage
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis88015OtherCostOrOtherBasis
Book Value88015BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3322447OtherCostOrOtherBasis
Depreciation572817Depreciation
Book Value2749630BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis134947OtherCostOrOtherBasis
Depreciation134947Depreciation

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2648197OtherCostOrOtherBasis
Depreciation2053964Depreciation
Book Value594233BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19010OtherCostOrOtherBasis
Depreciation19010Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3431878TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
LINE OF CREDIT$1,029,537
DUE TO LOWELL GENERAL HOSPITAL
FieldValueIRS element (for citing)
Total Of Amounts1029537TotalOfAmounts
Total Revenue23088461TotalRevenue
Total Expenses21415988TotalExpenses
Excess Or Deficit For Year1672473ExcessOrDeficitForYear
Excess Or Deficit Per FS1672473ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt23171293TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities82832DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99082832RevenueNotRptdF990
Revenue Subtotal23088461RevenueSubtotal
Total Revenue Per Form99023088461TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt21498820TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities82832DonatedServicesUseOfFacilities
Expenses Not Rptd F99082832ExpensesNotRptdF990
Expenses Subtotal21415988ExpensesSubtotal
Total Expenses Per Form99021415988TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1VARIOUS FUNDRAINameOfEvent1
Gross Receipts Event135746GrossReceiptsEvent1
Gross Revenue Event135746GrossRevenueEvent1
Gross Receipts Total35746GrossReceiptsTotal
Gross Revenue Total Events35746GrossRevenueTotalEvents
Net Income Summary35746NetIncomeSummary

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 (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
DORCAS GRIGG-SAITO
174187681711940192944
GREGORY WHITE
133305500014074152379
KUMBLE RAJESH
2484503707521927307452
SNEH DAVE
279091279091
KRISHNAMOORTHY RAO
253943253943
MUKUND GUPTA MD
210490210490
IBRAHIM JOULAK
209888209888

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 Transaction1072492AmountOfTransaction
Description Of TransactionFORGIVENESS OF DEBTDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9901072492NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RELATED PARTY INFORMATION AMONG OFFICERSFORM 990, PAGE 6, PART VI, LINE 2LOWELL GENERAL HOSPITAL CEO 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 11ELECTRONIC 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.
ADDITIONAL INFORMATIONSCHEDULE RLOAN FROM LCHC, CORP. REPRESENTS NET AMOUNT DUE FROM RELATED ORGANIZATION AS A RESULT OF PAYMENT OF SHARED EXPENSES. 26,035 IS DUE FROM LCHC, CORP. AT 9/30/10.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1LCHC CORPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1175 CABOT STREET SUITE 420AddressLine1
CityLOWELLCity
StateMAState
ZIP Code01852ZIPCode
FieldValueIRS element (for citing)
EIN043498316EIN
Primary ActivitiesREAL EST.PrimaryActivities
Legal Domicile StateMALegalDomicileState
Exempt Code Section501ExemptCodeSection
Public Charity Status11APublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
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 OrgfalseGiftGrantOrCapContrFrOtherOrg
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 OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
LCHC CORP
J139270
LCHC CORP
P69717
LCHC CORP
E26035

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