HILLTOWN COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2025
View the entire original 990 at ProPublica ↗
- Organization
- HILLTOWN COMMUNITY HEALTH CENTERS INC (EIN 04-2161484)
- Tax period
- 2025-01-01 to 2025-12-31
- Filed
- 2026-08-06
- IRS object ID
- 202612189349302001
- Schema version
- 2025v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-06T14:58:49-05:00 | ReturnTs |
| Tax Period End | 2025-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 060903326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHITTLESEY PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14 BOBALA RD | AddressLine1Txt |
| City | HOLYOKE | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01040 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2025-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042161484 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILLTOWN COMMUNITY HEALTH CENTERS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HILL | BusinessNameControlTxt |
| Phone | 4132385511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 58 OLD NORTH ROAD | AddressLine1Txt |
| City | WORTHINGTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01098 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LEE MANCHESTER | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 4132385511 | PhoneNum |
| Signature | 2026-08-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DOWLING | PreparerPersonNm |
| PTIN | P01232667 | PTIN |
| Phone | 4135363970 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2025 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LEE MANCHESTER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 58 OLD NORTH ROAD | AddressLine1Txt |
| City | WORTHINGTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01098 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,733,258 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HCHCWEB.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1950 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE MEDICAL, DENTAL, OPTOMETRY AND BEHAVIORAL HEALTH CARE, ANDRELATED SERVICES TO PEOPLE IN THE WESTERN MASSACHUSETTS HILLTOWNS ANDSURROUNDING AREAS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 166 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,168,260 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,901,589 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,009,041 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,732,316 | CYProgramServiceRevenueAmt |
| PY Investment Income | $53,899 | PYInvestmentIncomeAmt |
| CY Investment Income | $66,036 | CYInvestmentIncomeAmt |
| PY Other Revenue | $31,483 | PYOtherRevenueAmt |
| CY Other Revenue | $33,317 | CYOtherRevenueAmt |
| PY Total Revenue | $10,262,683 | PYTotalRevenueAmt |
| CY Total Revenue | $13,733,258 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,355,308 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,700,785 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $5,502 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,907,828 | PYOtherExpensesAmt |
| CY Other Expenses | $3,105,444 | CYOtherExpensesAmt |
| PY Total Expenses | $12,263,136 | PYTotalExpensesAmt |
| CY Total Expenses | $11,806,229 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,000,453 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,927,029 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,001,098 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,165,791 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,565,839 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,722,734 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,435,259 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,443,057 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HILLTOWN COMMUNITY HEALTH CENTER'S MISSION IS TO PROVIDE HIGH QUALITY, ACCESSIBLE MEDICAL, DENTAL, OPTOMETRY AND BEHAVIORAL HEALTH CARE, AND RELATED SERVICES TO PEOPLE IN THE WESTERN MASSACHUSETTS HILLTOWNS AND SURROUNDING AREAS. WE SEEK TO UNDERSTAND AND RESPOND TO THE NEEDS OF OUR COMMUNITY. ALL SERVICES WILL BE DELIVERED IN A CARING AND PROFESSIONAL MANNER WITHIN A CONTEXT OF A PARTNERSHIP BETWEEN PERSONS SERVED AND STAFF. TO ACHIEVE OUR MISSION WE PROMOTE EMPLOYEE GROWTH AND JOB SATISFACTION AND WE OFFER CONTINUITY OF CARE THROUGH OURRELATIONSHIPS WITH OTHER ORGANIZATIONS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,628,892 | ExpenseAmt |
| Revenue | $13,437,017 | RevenueAmt |
| Desc | MEDICAL, DENTAL, BEHAVIORAL HEALTH AND OPTOMETRY SERVICES HILLTOWN COMMUNITY HEALTH CENTERS, INC. (HCHC) PROVIDES COMPREHENSIVE MEDICAL SERVICES TO RESIDENTS OF THE 11 HILLTOWN COMMUNITIES AND THE SURROUNDING AREAS. OUR TEAM OF BOARD-CERTIFIED PHYSICIANS, NURSE PRACTITIONERS, REGISTERED NURSES, AND MEDICAL ASSISTANTS PROVIDE PREVENTATIVE, ACUTE AND CHRONIC CARE TREATMENT FOR INFANTS, CHILDREN, ADULTS AND ELDERS AT ONE OF OUR THREE HEALTH CENTER SITES. THISINCLUDES PHYSICAL EXAMS, WELL-CHILD EXAMS, CAMP AND SPORTS PHYSICALS, IMMUNIZATIONS, GYNECOLOGICAL EXAMS INCLUDING COLPOSCOPY WHEN INDICATED, LABORATORY TESTS, LIMITED PHARMACY SERVICES AND LIMITED PODIATRY SERVICES. ALSO HCHC'S DENTAL DEPARTMENT, STAFFED BY A TEAM OF BOARD-CERTIFIED DENTISTS, DENTAL HYGIENISTS AND DENTAL ASSISTANTS, PROVIDES PREVENTATIVE AND ACUTE CARE INCLUDING CLEANINGS AND FILLINGS, ROOT CANALS, DENTAL IMPLANTS, DENTURES, BRIDGES, PERIODONTAL WORK, EMERGENCY AND ORAL SURGERY. HCHC'S BEHAVIORAL HEALTH AND SUBSTANCE ABUSE DEPARTMENT, STAFFED BY LICENSED PRACTITIONERS, PROVIDES INDIVIDUAL, COUPLE, FAMILY AND GROUP TREATMENT FOR CHILDREN, ADOLESCENTS, ADULTS AND THE ELDERLY. HCHC'S OPTOMETRY DEPARTMENT, STAFFED BY A LICENSED OPTOMETRIST, BEGAN SEEING PATIENTS IN OCTOBER 2010. SERVICES PROVIDED BY THE DEPARTMENT INCLUDE: VISION TESTING, VISUAL FIELD TESTS, OPTICAL SCANS AND OFFERS A VARIETY OF FRAMES AND CONTACT LENSES. THE OPTOMETRIST WORKS CLOSELYWITH THE MEDICAL PROVIDERS TO INSURE DIABETIC PATIENTS RECEIVE THE NECESSARY VISUAL SCREENINGS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $506,589 | ExpenseAmt |
| Revenue | $296,241 | RevenueAmt |
| Desc | OUTREACH AND EDUCATION PROGRAMS HCHC PROVIDES A WIDE VARIETY OF OUTREACH AND EDUCATION PROGRAMS. WORKING CLOSELY WITH OUR MEDICAL DEPARTMENT WE OFFER WELLNESS PROGRAMSINCLUDING NUTRITION COUNSELING (BOTH INDIVIDUAL AND GROUP), SMOKING CESSATION SERVICES, STRESS REDUCTION AND PHYSICAL ACTIVITY PROGRAMS.OUR FAMILY PROGRAMS INCLUDE WORKSHOPS FOR PARENTS OF INFANTS AND TODDLERS COVERING TOPICS SUCH AS CHILD-DEVELOPMENT, COMMUNICATION, HEALTH AND SAFETY ISSUES (SUCH AS FAMILY CPR AND FIRST AID), INFANT MASSAGE, BABY SIGN LANGUAGE, SETTING LIMITS AND POSITIVE DISCIPLINE, AND COPING WITH TOUGH MOMENTS. INDIVIDUAL CONSULTATION WITH PARENTS STRUGGLING WITH CHILD REARING ISSUES IS ALSO PROVIDED. ALSO HCHC'S PROVIDES CHILDBIRTH EDUCATION PROGRAMS AND BREASTFEEDING EDUCATION AND SUPPORT. HCHC ALSO HAS A FAMILY CENTER WHICH PROVIDES PLAYGROUPS FORYOUNG CHILDREN, FAMILY-ORIENTED ACTIVITIES AND PARENTING EDUCATION SUPPORT AS WELL AS A PRE-SCHOOL SCHOOL READINESS PROGRAM. HCHC ALSO PROVIDES ASSISTANCE WITH HEALTH ACCESS (HELPING PEOPLE DETERMINE ELIGIBILITY FOR AND ENROLLING IN PUBLICALLY FUNDED HEALTH INSURANCE PROGRAMS) AND ASSISTANCE IN ACCESSING FUEL ASSISTANCE, HEALTH CARE, HOUSING REFERRALS, ADULT EDUCATION PROGRAMS, JOB READINESSPROGRAMS AND MUCH MORE.THE HOPE (HEALTH OUTREACH PROGRAM FOR ELDERS) PROGRAM PROVIDES PREVENTATIVE AND HEALTH MAINTENANCE CARE TO SENIORS IN THEIR HOMES. THE HOPE NURSE CAN DO VITAL SIGN AND BLOOD PRESSURE CHECKS; HOME SAFETY ASSESSMENTS; MEDICATION MANAGEMENT; FLU SHOTS; ASSISTANCE IN COMPLETING HEALTH CARE PROXY FORMS; ARRANGING APPOINTMENTS WITH PHYSICIANS ANDSPECIALISTS; REFERRALS FOR HOMEMAKER HELP AND MUCH MORE. THE PROGRAM ALSO PROVIDES OUTREACH VISITS BY PHYSICIANS WHEN CALLED FOR. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $8,135,481 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 166 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DR MICHAEL PURDY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4132385511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 58 OLD NORTH ROAD | AddressLine1Txt |
| City | WORTHINGTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01098 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| M LEE MANCHESTER | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NANCY GILBERT | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALAN GAITENBY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| NANCY BURKE | |||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KATHRYN JENSEN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LAURA DIMMLER | |||||||
| CLERK | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JENNIFER PAPPAS | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JAMES DOWNEY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL PURDY | |||||||
| CEO | 37.50 | Yes (X) | $171,858 | $0 | $969 | ||
| SHERI CHEUNG | |||||||
| PHYSICIAN | 40.00 | $171,187 | $0 | $1,235 | Yes (X) | ||
| JESSICA BOSSIE | |||||||
| PHYSICIAN | 40.00 | $199,591 | $0 | $12,302 | Yes (X) | ||
| RUCHIR AGARWAL | |||||||
| DENTAL DIRECTOR | 40.00 | $213,828 | $0 | $7,210 | Yes (X) | ||
| ALEXANDRA R KING | |||||||
| PHYSICIAN | 40.00 | $181,969 | $0 | $18,679 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $938,433 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $40,395 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COMMUNITY TECHNOLOGY | |||||
| 1290 RIDDER PARK DRIVE | SAN JOSE | CA | 95131 | EPIC CONSULTANTS | $503,957 |
| BARTON ASSOCIATES | |||||
| 1001 DAY HILL ROAD | WINDSOR | CT | 06095 | HEALTHCARE STAFFING SERVICES | $129,276 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,943,971 | GovernmentGrantsAmt |
| All Other Contributions | $957,618 | AllOtherContributionsAmt |
| Total Contributions | $2,901,589 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT FEES | 621110 | $7,821,691 | $7,821,691 |
| GOVERNMENT DIRECT | 621110 | $1,917,007 | $1,917,007 |
| PHARMACY INCOME | 456110 | $993,618 | $993,618 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,732,316 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,036 | TotalRevenueColumnAmt |
| Exclusion | $66,036 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $33,317 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,317 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $33,317 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,733,258 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,765,633 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $66,036 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,827 | TotalAmt |
| Management And General | $172,827 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,183,939 | TotalAmt |
| Program Services | $5,819,837 | ProgramServicesAmt |
| Management And General | $1,364,102 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $760,241 | TotalAmt |
| Program Services | $588,377 | ProgramServicesAmt |
| Management And General | $171,864 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $583,778 | TotalAmt |
| Program Services | $546,109 | ProgramServicesAmt |
| Management And General | $37,669 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,474 | TotalAmt |
| Management And General | $2,474 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,500 | TotalAmt |
| Management And General | $52,500 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,072 | TotalAmt |
| Program Services | $2,932 | ProgramServicesAmt |
| Management And General | $140 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,136 | TotalAmt |
| Program Services | $71,653 | ProgramServicesAmt |
| Management And General | $71,039 | ManagementAndGeneralAmt |
| Fundraising | $5,444 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,060 | TotalAmt |
| Program Services | $4,177 | ProgramServicesAmt |
| Management And General | $28,883 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $544,278 | TotalAmt |
| Program Services | $49,471 | ProgramServicesAmt |
| Management And General | $494,807 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,486 | TotalAmt |
| Program Services | $50,549 | ProgramServicesAmt |
| Management And General | $7,937 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,764 | TotalAmt |
| Program Services | $14,399 | ProgramServicesAmt |
| Management And General | $8,365 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $337,029 | TotalAmt |
| Program Services | $36,817 | ProgramServicesAmt |
| Management And General | $300,212 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,785 | TotalAmt |
| Program Services | $1,039 | ProgramServicesAmt |
| Management And General | $43,746 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| CONTRACTED LABOR | $902,388 | $305,526 | $596,862 | |
| PROGRAM SUPPLIES | $628,994 | $628,994 | ||
| LICENSES AND MERCHANT F | $153,590 | $23,187 | $130,345 | $58 |
| PRICE CONCESSIONS | $135,295 | -$38,630 | $173,925 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,593 | TotalAmt |
| Program Services | $31,044 | ProgramServicesAmt |
| Management And General | $7,549 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,806,229 | TotalAmt |
| Program Services | $8,135,481 | ProgramServicesAmt |
| Management And General | $3,665,246 | ManagementAndGeneralAmt |
| Fundraising | $5,502 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $900 | BOYAmt |
| EOY | $1,000 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $908,658 | BOYAmt |
| EOY | $3,434,368 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $236,839 | BOYAmt |
| EOY | $206,042 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $641,663 | BOYAmt |
| EOY | $585,487 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,739 | BOYAmt |
| EOY | $57,254 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,962,070 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,817,713 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,414,722 | BOYAmt |
| EOY | $3,144,357 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $498,227 | BOYAmt |
| EOY | $587,695 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $228,350 | BOYAmt |
| EOY | $149,588 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,001,098 | BOYAmt |
| EOY | $8,165,791 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,118,255 | BOYAmt |
| EOY | $715,281 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,218,387 | BOYAmt |
| EOY | $1,858,225 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,197 | BOYAmt |
| EOY | $149,228 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,565,839 | BOYAmt |
| EOY | $2,722,734 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,435,259 | BOYAmt |
| EOY | $5,443,057 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,435,259 | BOYAmt |
| EOY | $5,443,057 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,001,098 | BOYAmt |
| EOY | $8,165,791 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,927,029 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $80,769 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $748,066 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,065,385 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,517,561 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,168,260 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,901,589 | CurrentTaxYearAmt |
| Total | $8,400,861 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,912,686 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,432,755 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,926,957 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,009,041 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,732,316 | CurrentTaxYearAmt |
| Total | $53,013,755 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,660,752 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,498,140 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,444,518 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,177,301 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,633,905 | CurrentTaxYearAmt |
| Total | $61,414,616 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $61,414,616 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,034 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,496 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $57,016 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $53,899 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,036 | CurrentTaxYearAmt |
| Total | $189,481 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,034 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,496 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $57,016 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $53,899 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,036 | CurrentTaxYearAmt |
| Total | $189,481 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $44,281 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,893 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $46,032 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,483 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,317 | CurrentTaxYearAmt |
| Total | $210,006 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,711,067 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,559,529 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,547,566 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,262,683 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,733,258 | CurrentTaxYearAmt |
| Total | $61,814,103 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99350 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99400 | PublicSupportPY509Pct |
| Investment Income CY | 0.00310 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00230 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $204,506 | OtherCostOrOtherBasisAmt |
| Book Value | $204,506 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,741,301 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,094,451 | DepreciationAmt |
| Book Value | $1,646,850 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,933,674 | OtherCostOrOtherBasisAmt |
| Depreciation | $966,837 | DepreciationAmt |
| Book Value | $966,837 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,082,589 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,756,425 | DepreciationAmt |
| Book Value | $326,164 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,144,357 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEASE LIABILITY (ROU) | Desc |
| Amt | $149,228 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $149,228 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $13,814,027 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $80,769 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $80,769 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,733,258 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $13,733,258 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,806,229 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,806,229 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,806,229 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RUCHIR AGARWAL | ||||||||||||||
| DENTAL DIRECTOR | $213,828 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,210 | $0 | $221,038 | $0 | $0 | $0 |
| JESSICA BOSSIE | ||||||||||||||
| PHYSICIAN | $199,591 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $12,302 | $0 | $211,893 | $0 | $0 | $0 |
| ALEXANDRA R KING | ||||||||||||||
| PHYSICIAN | $181,969 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,679 | $0 | $200,648 | $0 | $0 | $0 |
| MICHAEL PURDY | ||||||||||||||
| CEO | $171,858 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $969 | $0 | $172,827 | $0 | $0 | $0 |
| SHERI CHEUNG | ||||||||||||||
| PHYSICIAN | $171,187 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,235 | $0 | $172,422 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS REVIEWED BY THE FINANCE COMMMITTEE AND PRESENTED TO THE FULL BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | A QUESTIONNAIRE MUST BE COMPLETED ANNUALLY BY OFFICERS, DIRECTORS AND KEY EMPLOYEES DISCLOSING ANY RELATIONSHIPS PRESENTING POTENTIAL CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE COMMITTEE MEETS ANNUALLY TO REVIEW THE EXECUTIVE DIRECTOR'S COMPENSATION AND COMPARE IT TO FOUR SIMILARLY-SIZED MASSACHUSETTS HEALTH CARE ORGANIZATIONS. THE EXECUTIVE COMMITTEE'S RECOMMENDATION IS BROUGHT TO THE BOARD OF DIRECTORS FOR FURTHER DISCUSSION AND FINAL APRROVAL. |
| FORM 990, PART VI, SECTION C, LINE 18 | FORM 990 IS AVAILABLE AT GUIDESTAR WEBSITE AND PROVIDED UPON REQUEST |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. |
| FORM 990 PART XII LINE 2C | THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE YEAR. |
Comments