FAMILY HEALTH CENTER OF WORCESTER INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- FAMILY HEALTH CENTER OF WORCESTER INC (EIN 04-2485308)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-08
- IRS object ID
- 202301289349301560
- Schema version
- 2021v4.2
- 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 | 2023-05-08T09:34:58-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 042571780 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AAFCPAS INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 WASHINGTON STREET | AddressLine1Txt |
| City | WESTBOROUGH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01581 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042485308 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAMILY HEALTH CENTER OF WORCESTERINC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FAMI | BusinessNameControlTxt |
| Phone | 5088607975 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 26 QUEEN STREET | AddressLine1Txt |
| City | WORCESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01610 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LOUIS BRADY | PersonNm |
| Person Title | PRESIDENT AND CEO | PersonTitleTxt |
| Phone | 5088607975 | PhoneNum |
| Signature | 2023-05-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LOUIS | PersonFirstNm |
| Person Last | BRADY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MATTHEW HUTT CPA | PreparerPersonNm |
| PTIN | P01070603 | PTIN |
| Phone | 5083669100 | PhoneNum |
| Preparation | 2023-05-05 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LOUIS BRADY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 26 QUEEN STREET | AddressLine1Txt |
| City | WORCESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01610 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $56,651,779 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FHCW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | FAMILY HEALTH CENTER OF WORCESTER'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF ALL RESIDENTS IN THE GREATER WORCESTER AREA, ESPECIALLY CULTURALLY DIVERSE POPULATIONS, BY PROVIDING ACCESS TO AFFORDABLE, HIGH QUALITY, INTEGRATED, COMPREHENSIVE, AND RESPECTFUL PRIMARY HEALTH CARE AND SOCIAL SERVICES, REGARDLESS OF PATIENTS' ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 609 | TotalEmployeeCnt |
| Total Volunteers | 37 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $31,150,627 | PYContributionsGrantsAmt |
| CY Contributions Grants | $24,374,129 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,976,323 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $29,903,540 | CYProgramServiceRevenueAmt |
| PY Investment Income | $44,520 | PYInvestmentIncomeAmt |
| CY Investment Income | $568 | CYInvestmentIncomeAmt |
| PY Other Revenue | $699,176 | PYOtherRevenueAmt |
| CY Other Revenue | $2,373,542 | CYOtherRevenueAmt |
| PY Total Revenue | $56,870,646 | PYTotalRevenueAmt |
| CY Total Revenue | $56,651,779 | 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 | $36,416,372 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $34,947,260 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $20,898,137 | PYOtherExpensesAmt |
| CY Other Expenses | $23,381,911 | CYOtherExpensesAmt |
| PY Total Expenses | $57,314,509 | PYTotalExpensesAmt |
| CY Total Expenses | $58,329,171 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$443,863 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,677,392 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,676,950 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,241,959 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,760,734 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,003,135 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,916,216 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,238,824 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | FAMILY HEALTH CENTER OF WORCESTER (FHCW) IS A JOINT COMMISSIONACCREDITED, FEDERALLY-QUALIFIED COMMUNITY HEALTH CENTER THAT IMPROVES THE HEALTH AND WELL-BEING OF TRADITIONALLY UNDERSERVED AND CULTURALLY DIVERSE POPULATIONS IN THE GREATER WORCESTER AREA BY PROVIDING ACCESSIBLE, HIGH-QUALITY, COMPREHENSIVE PRIMARY CARE, DENTAL CARE AND SOCIAL SERVICES TO INDIVIDUALS AND FAMILIES REGARDLESS OF THEIR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $22,675,702 | ExpenseAmt |
| Revenue | $19,162,605 | RevenueAmt |
| Desc | PRIMARY HEALTH CARE SERVICES - FHCW PROVIDES A BROAD ARRAY OF HEALTHCARE SERVICES, WHICH REQUIRE NUMEROUS AND DIVERSE FUNDING STREAMS IN ORDER TO SUSTAIN. WE PRACTICE FAMILY MEDICINE, MATERNAL AND CHILD HEALTH, BEHAVIORAL HEALTH, NURSING, AND DENTISTRY. WE OPERATE A WALK-IN CENTER FOR URGENT AND PRIMARY CARE, A 340B PHARMACY, 7 SCHOOL-BASED HEALTH CENTERS, REFUGEE HEALTH ASSESSMENT PROGRAM, SPECIALTY CLINICS, HEALTH EDUCATION AND OUTREACH, HIV COUNSELING AND TESTING, AND PUBLIC HEALTH PROGRAMS FOR THE EARLY DETECTION AND PREVENTION OF DISEASE. IN FISCAL YEAR 2022, FAMILY HEALTH CENTER OF WORCESTER PERFORMED 131,463 MEDICAL VISITS COVERING 29,279 PATIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,043,535 | ExpenseAmt |
| Revenue | $9,314,188 | RevenueAmt |
| Desc | PHARMACY - PROVIDES PRESCRIPTION DRUGS TO ADULTS AND CHILDREN. DURING FISCAL YEAR 2022, FAMILY HEALTH CENTER OF WORCESTER FILLED 166,727 PRESCRIPTIONS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,892,118 | ExpenseAmt |
| Revenue | $1,597,613 | RevenueAmt |
| Desc | DENTAL - ADULT AND PEDIATRIC DENTAL SERVICES - IN FISCAL YEAR 2022, FAMILY HEALTH CENTER PERFORMED 20,941 DENTAL VISITS COVERING 6,628 PATIENTS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (5 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $39,675 | $79,147 | RADIOLOGY |
| $1,247,433 | $2,086,624 | MENTAL HEALTH |
| $1,399,315 | WIC | |
| $1,987,521 | SCHOOL BASED HEALTH CENTER | |
| $14,438,459 | OTHER PROGRAMS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $19,112,403 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $2,165,771 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $53,723,758 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 51 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 609 | 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 | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | 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 | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YINKA FADAHUNSI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5088607745 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 26 QUEEN STREET | AddressLine1Txt |
| City | WORCESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01610 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JOSEPH O SCARDINO ESQ | ||||||||
| CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN CONGDON | ||||||||
| VICE CHAIRPERSON & INTERIM TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | 1.00 | |
| JANICE MORGANJONES | ||||||||
| CLERK | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RUBIN WILLIAMS | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANNA WHITTED | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ESTHER F TENDO | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARGARET L SELLERS | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| PETER J MARTIN ESQ | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LISA B BEITTEL | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LYNDA E ROWE | ||||||||
| MEMBER AT LARGE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ELLEN S MORE PHD | ||||||||
| MEMBER AT LARGE | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| DOREEN M SAMUELS | ||||||||
| MEMBER AT LARGE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| NANCY JONES | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RUTH RODRIGUEZ FAY | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JASON PASSELL | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BLERINA TAHIRAJ | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THERESA ARTHUR | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| VALERIE PIETRY | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $210,378 | $0 | $0 | |||
| LOUIS BRADY | ||||||||
| PRESIDENT AND CEO | 39.00 | Yes (X) | $239,649 | $0 | $21,331 | 1.00 | ||
| MARTHA SULLIVAN-EBERHARD | ||||||||
| CHIEF DENTAL OFFICER | 40.00 | Yes (X) | $158,199 | $0 | $3,232 | |||
| SUSAN J ADAMS | ||||||||
| CHIEF INFORMATION OFFICER | 40.00 | Yes (X) | $52,459 | $0 | $0 | |||
| SUSAN SLEIGH | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | Yes (X) | $103,362 | $0 | $18,602 | |||
| NOREEN JOHNSON SMITH | ||||||||
| CHIEF STRATEGY OFFICER | 40.00 | Yes (X) | $122,952 | $0 | $0 | |||
| ALEX JEAN-BAPTISTE | ||||||||
| CHIEF NURSING OFFICER | 40.00 | Yes (X) | $90,323 | $0 | $0 | |||
| HELEN KANTOR | ||||||||
| CHIEF HUMAN RESOURCES OFFICER | 40.00 | Yes (X) | $102,273 | $0 | $2,216 | |||
| DOUGLAS CRASPER | ||||||||
| CHIEF INTEGRATION OFFICER | 40.00 | Yes (X) | $38,700 | $0 | $0 | |||
| LAURA PETERSON HEISERMAN | ||||||||
| MEDICAL DIRECTOR - WALK-IN CENTER | 40.00 | $179,425 | $0 | $14,325 | Yes (X) | |||
| SHEILA ABDALLAH | ||||||||
| FACULTY PHYSICIAN | 40.00 | $191,997 | $0 | $20,308 | Yes (X) | |||
| LAURA STURGILL | ||||||||
| FACULTY PHYSICIAN | 40.00 | $171,168 | $0 | $19,921 | Yes (X) | |||
| SEEMA NARAVANE | ||||||||
| MEDICAL DIRECTOR OF CLINICAL SERVICES | 40.00 | $233,685 | $0 | $2,423 | Yes (X) | |||
| CLAUDELEEDY PIERRE | ||||||||
| PROVIDER LEADER - SPECIAL POPULATION | 40.00 | $187,619 | $0 | $20,212 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,082,189 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $122,570 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 60 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| INSOURCE SERVICES INC | |||||
| 148 LINDEN STREET | WELLESLEY | MA | 02482 | TECHNOLOGY CONSULTANT | $1,370,483 |
| UMASS MEMORIAL REALTY INC | |||||
| 26 QUEEN STREET | WORCESTER | MA | 01610 | REALTY SERVICES | $1,252,714 |
| MCKESSON GENERAL MEDICAL | |||||
| 9954 MAYLAND DR | RICHMOND | VA | 23233 | MEDICAL SUPPLIES | $694,327 |
| OSIS | |||||
| PO BOX 772852 | CHICAGO | IL | 606772852 | TECHNOLOGY CONSULTANT | $591,897 |
| TELELANGUAGE INC | |||||
| 610 SW BROADWAY STE 200 | PORTLAND | OR | 97205 | MEDICAL SUPPLIES | $470,831 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 42 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $150,596 | FederatedCampaignsAmt |
| Government Grants | $19,380,707 | GovernmentGrantsAmt |
| All Other Contributions | $4,842,826 | AllOtherContributionsAmt |
| Total Contributions | $24,374,129 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621498 | BusinessCd |
| Total Revenue Column | $29,903,540 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,903,540 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $29,903,540 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $568 | TotalRevenueColumnAmt |
| Exclusion | $568 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $36,905 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $36,905 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,905 | TotalRevenueColumnAmt |
| Exclusion | $36,905 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PERFORMANCE AND MANAGEMENT FEES | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $2,336,637 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,336,637 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,336,637 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,651,779 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $32,240,177 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $37,473 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $798,425 | TotalAmt |
| Program Services | $174,143 | ProgramServicesAmt |
| Management And General | $624,282 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,268,890 | TotalAmt |
| Program Services | $26,810,188 | ProgramServicesAmt |
| Management And General | $1,458,702 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $854,281 | TotalAmt |
| Program Services | $800,413 | ProgramServicesAmt |
| Management And General | $53,868 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,996,794 | TotalAmt |
| Program Services | $2,808,083 | ProgramServicesAmt |
| Management And General | $188,711 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,028,870 | TotalAmt |
| Program Services | $1,880,613 | ProgramServicesAmt |
| Management And General | $148,257 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,500 | TotalAmt |
| Management And General | $19,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,211,905 | TotalAmt |
| Program Services | $4,789,566 | ProgramServicesAmt |
| Management And General | $1,422,339 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,992 | TotalAmt |
| Program Services | $32,190 | ProgramServicesAmt |
| Management And General | $17,802 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $522,291 | TotalAmt |
| Program Services | $411,360 | ProgramServicesAmt |
| Management And General | $110,931 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,050,312 | TotalAmt |
| Program Services | $2,036,372 | ProgramServicesAmt |
| Management And General | $13,940 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,488,156 | TotalAmt |
| Program Services | $2,459,750 | ProgramServicesAmt |
| Management And General | $28,406 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,577 | TotalAmt |
| Program Services | $17,814 | ProgramServicesAmt |
| Management And General | $31,763 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,870 | TotalAmt |
| Program Services | $173,634 | ProgramServicesAmt |
| Management And General | $37,236 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,063 | TotalAmt |
| Program Services | $300,063 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,166 | TotalAmt |
| Management And General | $3,166 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES AND SE | $9,438,367 | $9,438,367 | |
| CONTRACT LABOR | $1,109,041 | $884,675 | $224,366 |
| SUBCONTRACT EXPENSE | $229,096 | $229,096 | |
| DUES & MEMBERSHIPS | $206,298 | $123,112 | $83,186 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,277 | TotalAmt |
| Program Services | $354,319 | ProgramServicesAmt |
| Management And General | $138,958 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,329,171 | TotalAmt |
| Program Services | $53,723,758 | ProgramServicesAmt |
| Management And General | $4,605,413 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,242,638 | BOYAmt |
| EOY | $2,129,510 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $873,201 | BOYAmt |
| EOY | $193,626 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,302,397 | BOYAmt |
| EOY | $1,804,665 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,700,014 | BOYAmt |
| EOY | $4,431,902 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $295,257 | BOYAmt |
| EOY | $314,262 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,218 | BOYAmt |
| EOY | $581,122 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,100,573 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,544,137 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $744,919 | BOYAmt |
| EOY | $556,436 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,306 | BOYAmt |
| EOY | $230,436 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,676,950 | BOYAmt |
| EOY | $10,241,959 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,470,387 | BOYAmt |
| EOY | $6,003,135 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,347 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000,000 | BOYAmt |
| EOY | $1,000,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,760,734 | BOYAmt |
| EOY | $7,003,135 | 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 | $2,616,150 | BOYAmt |
| EOY | $1,630,020 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,300,066 | BOYAmt |
| EOY | $1,608,804 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,916,216 | BOYAmt |
| EOY | $3,238,824 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,676,950 | BOYAmt |
| EOY | $10,241,959 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,677,392 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,433,732 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,415,154 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,636,246 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,150,627 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,374,129 | CurrentTaxYearAmt |
| Total | $104,009,888 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,433,732 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,415,154 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,636,246 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,150,627 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,374,129 | CurrentTaxYearAmt |
| Total | $104,009,888 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $104,009,888 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $55,455 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $55,941 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,486 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $80,790 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $37,473 | CurrentTaxYearAmt |
| Total | $263,145 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $134,584 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $171,738 | CurrentTaxYearMinus3YearsAmt |
| Total | $306,322 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $104,579,355 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $140,662,307 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99460 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99260 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | Yes (1) | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | Yes (1) | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Rallies Demonstrations | Yes (1) | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $19,500 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $19,500 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II-B, LINE 1: | GENERAL & ADMINISTRATIVE |
| SCHEDULE C, PART IV: | FAMILY HEALTH CENTER OF WORCESTER PAID A REGISTERED LOBBYIST (SMITH & RAUSHENBACH) TO INFORM STATE OFFICIALS ON THE NEEDS OF THE HEALTH CENTERS. |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,403,333 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,403,333 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $697,240 | OtherCostOrOtherBasisAmt |
| Depreciation | $140,804 | DepreciationAmt |
| Book Value | $556,436 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $556,436 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THIRD PARTY ADVANCES | Desc |
| Amt | $1,000,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,000,000 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE AGENCY ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE COMBINING FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE AGENCY HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE COMBINING FINANCIAL STATEMENTS AT JUNE 30, 2022. THE AGENCY'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LOUIS BRADY | ||||||||||||||
| PRESIDENT AND CEO | $239,649 | $0 | $0 | $0 | $0 | $0 | $5,000 | $0 | $16,331 | $0 | $260,980 | $0 | $0 | $0 |
| SEEMA NARAVANE | ||||||||||||||
| MEDICAL DIRECTOR OF CLINICAL SERVICE | $233,685 | $0 | $0 | $0 | $0 | $0 | $2,423 | $0 | $0 | $0 | $236,108 | $0 | $0 | $0 |
| SHEILA ABDALLAH | ||||||||||||||
| FACULTY PHYSICIAN | $191,997 | $0 | $0 | $0 | $0 | $0 | $3,977 | $0 | $16,331 | $0 | $212,305 | $0 | $0 | $0 |
| VALERIE PIETRY | ||||||||||||||
| CHIEF MEDICAL OFFICER | $210,378 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $210,378 | $0 | $0 | $0 |
| CLAUDELEEDY PIERRE | ||||||||||||||
| PROVIDER LEADER - SPECIAL POPULATION | $187,619 | $0 | $0 | $0 | $0 | $0 | $3,881 | $0 | $16,331 | $0 | $207,831 | $0 | $0 | $0 |
| LAURA PETERSON HEISERMAN | ||||||||||||||
| MEDICAL DIRECTOR - WALK-IN CENTER | $179,425 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $14,325 | $0 | $193,750 | $0 | $0 | $0 |
| LAURA STURGILL | ||||||||||||||
| FACULTY PHYSICIAN | $171,168 | $0 | $0 | $0 | $0 | $0 | $3,590 | $0 | $16,331 | $0 | $191,089 | $0 | $0 | $0 |
| MARTHA SULLIVAN-EBERHARD | ||||||||||||||
| CHIEF DENTAL OFFICER | $158,199 | $0 | $0 | $0 | $0 | $0 | $3,232 | $0 | $0 | $0 | $161,431 | $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 | THE CFO, TREASURER AND BOARD OF DIRECTORS ARE PROVIDED A COPY OF THE 990 TO REVIEW BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | FAMILY HEALTH CENTER OF WORCESTER, INC. HAS IMPLEMENTED A CONFLICT OF INTEREST AND CONFIDENTIAL DISCLOSURE STATEMENT WHICH STATES THAT BOARD MEMBERS AND STAFF MEMBERS MUST DISCLOSE ANY CONFLICTS OF INTEREST AS SOON AS THEY ARE AWARE OF IT. THERE IS AN ANNUAL QUESTIONAIRE THAT IS GIVEN TO THESE OFFICERS AND DIRECTORS TO DISCLOSE ANNUAL INTERESTS THAT COULD GIVE RISE TO CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE HEALTH CENTER OFFICERS AND KEY EMPLOYEES IS APPROVED BY THE BOARD OF DIRECTORS UTILIZING A SALARY SURVEY. THE CHIEF FINANCIAL OFFICER AND FINANCE COMMITTEE SET THE OTHER EMPLOYEES' SALARIES BASED ON A SALARY SURVEY IN ACCORDANCE WITH THE HEALTH CENTER'S BUDGET PARAMETERS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE HEALTH CENTER'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONSULTANTS: PROGRAM SERVICE EXPENSES 4,789,566. MANAGEMENT AND GENERAL EXPENSES 1,422,339. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,211,905. |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF DIRECTORS AND AUDIT COMMITTEE ARE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAMILY HEALTH CENTER REALTY INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 26 QUEEN STREET | AddressLine1Txt |
| City | WORCESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01610 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042743834 | EIN |
| Primary Activities | TO BENEFIT, PERFORM THE FUNCTIONS OF, AND CARRY OUT THE PURPOSES OF FHCW | PrimaryActivitiesTxt |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12B, II | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAMILY HEALTH CENTER OF WORCESTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAMILY HEALTH CENTER REALTY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | D | TransactionTypeTxt |
| Involved | $335,306 | InvolvedAmt |
| Method Of Amount Determination | FAIR MARKET VALUE | MethodOfAmountDeterminationTxt |