COMMUNITY HEALTH CENTER OF CAPE COD INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH CENTER OF CAPE COD INC (EIN 04-3370560)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202301359349310245
- 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 | 2023-05-15T13:38:26-05:00 | 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 | 043370560 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTER OF CAPE COD | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 5084777090 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 107 COMMERCIAL STREET | AddressLine1Txt |
| City | MASHPEE | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02649 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANN-MARIE RICHARD | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5084777090 | PhoneNum |
| Signature | 2023-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ANN-MARIE | PersonFirstNm |
| Person Last | RICHARD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL PRUELL CPA | PreparerPersonNm |
| PTIN | P01585061 | PTIN |
| Phone | 5083669100 | PhoneNum |
| Preparation | 2023-05-12 | 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
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANN-MARIE RICHARD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 107 COMMERCIAL STREET | AddressLine1Txt |
| City | MASHPEE | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02649 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $26,869,018 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHCOFCAPECOD.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | THE HEALTH CENTER PROVIDES COMPREHENSIVE, HIGH QUALITY, COMPASSIONATE CARE TO OUR PATIENTS, REGARDLESS OF THE ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 248 | TotalEmployeeCnt |
| Total Volunteers | 40 | TotalVolunteersCnt |
| Total Gross UBI | $259,157 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $371 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,532,801 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,919,714 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,879,906 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,985,977 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,417 | PYInvestmentIncomeAmt |
| CY Investment Income | $803 | CYInvestmentIncomeAmt |
| PY Other Revenue | $616,227 | PYOtherRevenueAmt |
| CY Other Revenue | $851,196 | CYOtherRevenueAmt |
| PY Total Revenue | $23,036,351 | PYTotalRevenueAmt |
| CY Total Revenue | $26,757,690 | 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 | $15,416,743 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,043,984 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $351,850 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,827,499 | PYOtherExpensesAmt |
| CY Other Expenses | $7,606,043 | CYOtherExpensesAmt |
| PY Total Expenses | $21,244,242 | PYTotalExpensesAmt |
| CY Total Expenses | $24,650,027 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,792,109 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,107,663 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $19,804,494 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,338,506 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,867,839 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,350,415 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,936,655 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $19,988,091 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH THE PROVISION OF COMPREHENSIVE, HIGH QUALITY, COMPASSIONATE HEALTH CARE TO ALL, REGARDLESS OF THE ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $22,607,542 | ExpenseAmt |
| Revenue | $18,582,822 | RevenueAmt |
| Desc | COMPREHENSIVE AND INTEGRATED PRIMARY CARE, BEHAVIORAL HEALTH, DENTAL AND OPTOMETRY SERVICES, INCLUDING ACCESS TO PREVENTIVE HEALTH CARE, EPISODIC TREATMENT FOR ACUTE MEDICAL CONDITIONS, CHRONIC CARE MANAGEMENT, SPECIALTY REFERRALS, SUBSTANCE USE DISORDERS AND PHARMACY SERVICES, REGARDLESS OF ABILITY TO PAY. THE HEALTH CENTER PROVIDED APROXIMATELY 93,000 PATIENT SERVICE VISITS. | Desc |
| Total Program Service Expenses | $22,607,542 | 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 | Yes (1) | 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 | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 | Yes (1) | 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 | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 248 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | KAREN GARDNER CEO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5084777090 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 107 COMMERCIAL STREET | AddressLine1Txt |
| City | MASHPEE | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02649 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| KAREN GARDNER | |||||||
| CEO | 40.00 | Yes (X) | $331,011 | $0 | $25,717 | ||
| MUNIR AHMED | |||||||
| CHIEF TRANSFORMATION OFFICER | 40.00 | $321,900 | $0 | $25,444 | Yes (X) | ||
| DAVID TAGER MD | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $301,460 | $0 | $24,831 | ||
| SAMUEL KOTHALANKA | |||||||
| PSYCHIATRIST | 40.00 | $270,577 | $0 | $23,904 | Yes (X) | ||
| ANN-MARIE RICHARD | |||||||
| CFO | 40.00 | Yes (X) | $194,980 | $0 | $21,636 | ||
| ROBERT EATON BURR | |||||||
| PHYSICIAN PD | 40.00 | $208,420 | $0 | $7,314 | Yes (X) | ||
| FANNY VANESSA GIRON GALEANO | |||||||
| PHYSICIAN | 40.00 | $188,896 | $0 | $5,947 | Yes (X) | ||
| THERESA GUANCI | |||||||
| DENTAL DIRECTOR | 40.00 | $180,192 | $0 | $12,505 | Yes (X) | ||
| DAVID PETERSON | |||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JOHN DAWLEY | |||||||
| VICE PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| RUDOLPH R HUNTER | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| GINA HOTTON | |||||||
| CLERK | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| OTIS M PORTER | |||||||
| MEMBER AT LARGE | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MADELEINE WING ADLER PHD | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| BHAWANA CHITKARA | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| BRUCE DONOFF | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| REV WILLIAM MEBANE | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| RALPH SEWALL | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| PAUL SMITH | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,997,436 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $147,298 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 38 | 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 |
|---|---|---|---|---|---|
| MCKESSON DRUG COMPANY | |||||
| 9 AEGEAN DRIVE | METHUEN | MA | 01844 | DRUGS PURCHASED FOR PHARMACY | $1,711,335 |
| OCHIN INC | |||||
| PO BOX 5426 | PORTLAND | OR | 972285426 | SOFTWARE SYSTEM FOR MEDICAL PRACTICE | $520,621 |
| HRC TOTAL SOLUTIONS | |||||
| 111 CHARLES STREET | MANCHESTER | NH | 03101 | PAYROLL SOLUTIONS | $261,577 |
| PATTERSON DENTAL SUPPLY | |||||
| 28244 NETWORK PLACE | CHICAGO | IL | 606731282 | MEDICAL SUPPLIES | $231,706 |
| MCKESSON MEDICAL SURGICAL | |||||
| PO BOX 933027 | ATLANTA | GA | 311933027 | MEDICAL SUPPLIES | $205,436 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $6,000 | FederatedCampaignsAmt |
| Fundraising | $119,713 | FundraisingAmt |
| Government Grants | $5,510,286 | GovernmentGrantsAmt |
| All Other Contributions | $2,283,715 | AllOtherContributionsAmt |
| Noncash Contributions | $2,086 | NoncashContributionsAmt |
| Total Contributions | $7,919,714 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621498 | BusinessCd |
| Total Revenue Column | $17,985,977 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,726,820 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $259,157 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,985,977 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,413 | TotalRevenueColumnAmt |
| Exclusion | $5,413 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $80,310 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $84,920 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$4,610 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,610 | TotalRevenueColumnAmt |
| Exclusion | -$4,610 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $21,602 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $119,713 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $26,408 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,806 | TotalRevenueColumnAmt |
| Exclusion | -$4,806 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 621498 | BusinessCd |
| Total Revenue Column | $856,002 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $856,002 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $856,002 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,757,690 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,582,822 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $259,157 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$4,003 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $919,520 | TotalAmt |
| Program Services | $662,995 | ProgramServicesAmt |
| Management And General | $220,056 | ManagementAndGeneralAmt |
| Fundraising | $36,469 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,163,061 | TotalAmt |
| Program Services | $12,314,851 | ProgramServicesAmt |
| Management And General | $736,749 | ManagementAndGeneralAmt |
| Fundraising | $111,461 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $316,809 | TotalAmt |
| Program Services | $307,301 | ProgramServicesAmt |
| Management And General | $6,214 | ManagementAndGeneralAmt |
| Fundraising | $3,294 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,632,740 | TotalAmt |
| Program Services | $1,505,190 | ProgramServicesAmt |
| Management And General | $103,423 | ManagementAndGeneralAmt |
| Fundraising | $24,127 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,011,854 | TotalAmt |
| Program Services | $932,696 | ProgramServicesAmt |
| Management And General | $64,147 | ManagementAndGeneralAmt |
| Fundraising | $15,011 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,626 | TotalAmt |
| Management And General | $81,626 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,686 | TotalAmt |
| Program Services | $70,386 | ProgramServicesAmt |
| Management And General | $89,300 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $520,204 | TotalAmt |
| Program Services | $365,968 | ProgramServicesAmt |
| Management And General | $34,831 | ManagementAndGeneralAmt |
| Fundraising | $119,405 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $402,951 | TotalAmt |
| Program Services | $286,285 | ProgramServicesAmt |
| Management And General | $102,147 | ManagementAndGeneralAmt |
| Fundraising | $14,519 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,024,169 | TotalAmt |
| Program Services | $1,942,331 | ProgramServicesAmt |
| Management And General | $75,826 | ManagementAndGeneralAmt |
| Fundraising | $6,012 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,783 | TotalAmt |
| Program Services | $8,674 | ProgramServicesAmt |
| Management And General | $494 | ManagementAndGeneralAmt |
| Fundraising | $615 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $266,000 | TotalAmt |
| Program Services | $253,787 | ProgramServicesAmt |
| Management And General | $11,256 | ManagementAndGeneralAmt |
| Fundraising | $957 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $691,918 | TotalAmt |
| Program Services | $628,310 | ProgramServicesAmt |
| Management And General | $48,528 | ManagementAndGeneralAmt |
| Fundraising | $15,080 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,668 | TotalAmt |
| Program Services | $42,701 | ProgramServicesAmt |
| Management And General | $87,463 | ManagementAndGeneralAmt |
| Fundraising | $504 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES AND SE | $3,224,093 | $3,223,272 | $821 | |
| MISCELLANEOUS | $79,549 | $51,795 | $27,754 | |
| RECRUITMENT | $11,000 | $11,000 | ||
| EVENT EXPENSES | $4,396 | $4,396 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,650,027 | TotalAmt |
| Program Services | $22,607,542 | ProgramServicesAmt |
| Management And General | $1,690,635 | ManagementAndGeneralAmt |
| Fundraising | $351,850 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,588,596 | BOYAmt |
| EOY | $772,966 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,489,594 | BOYAmt |
| EOY | $5,871,648 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $294,327 | BOYAmt |
| EOY | $801,291 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,292,957 | BOYAmt |
| EOY | $2,226,913 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,923 | BOYAmt |
| EOY | $221,323 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,406 | BOYAmt |
| EOY | $273,766 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,394,336 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,916,954 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,666,691 | BOYAmt |
| EOY | $10,477,382 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $693,217 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,804,494 | BOYAmt |
| EOY | $21,338,506 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,318,688 | BOYAmt |
| EOY | $1,286,393 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $549,151 | BOYAmt |
| EOY | $64,022 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,867,839 | BOYAmt |
| EOY | $1,350,415 | 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 | $17,443,383 | BOYAmt |
| EOY | $19,283,742 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $493,272 | BOYAmt |
| EOY | $704,349 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,936,655 | BOYAmt |
| EOY | $19,988,091 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,804,494 | BOYAmt |
| EOY | $21,338,506 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,107,663 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$56,227 | 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,773,928 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,201,008 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,437,740 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,560,620 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,919,714 | CurrentTaxYearAmt |
| Total | $29,893,010 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,773,928 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,201,008 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,437,740 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,560,620 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,919,714 | CurrentTaxYearAmt |
| Total | $29,893,010 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $158,636 | SubstantialContributorsTotAmt |
| Public Support Total170 | $29,734,374 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,601 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,625 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,742 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,417 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,413 | CurrentTaxYearAmt |
| Total | $24,798 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $371 | CurrentTaxYearAmt |
| Total | $371 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $29,918,179 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $73,607,223 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99390 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99320 | 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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $175,500 | BeginningYearBalanceAmt |
| Contributions | $35,054 | ContributionsAmt |
| End Year Balance | $210,554 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $175,500 | BeginningYearBalanceAmt |
| End Year Balance | $175,500 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $175,500 | BeginningYearBalanceAmt |
| End Year Balance | $175,500 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $175,500 | BeginningYearBalanceAmt |
| End Year Balance | $175,500 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $175,500 | BeginningYearBalanceAmt |
| End Year Balance | $175,500 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.16450 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.83550 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,741,512 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,407,342 | DepreciationAmt |
| Book Value | $7,334,170 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,988,155 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,033,615 | DepreciationAmt |
| Book Value | $1,954,540 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,891,791 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,887,293 | DepreciationAmt |
| Book Value | $1,004,498 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $772,878 | OtherCostOrOtherBasisAmt |
| Depreciation | $588,704 | DepreciationAmt |
| Book Value | $184,174 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,477,382 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $26,913,167 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$56,227 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $185,296 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $129,069 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,784,098 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$26,408 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$26,408 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $26,757,690 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $24,861,731 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $185,296 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $185,296 | ExpensesNotReportedAmt |
| Expenses Subtotal | $24,676,435 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$26,408 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$26,408 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $24,650,027 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE HEALTH CENTER 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 FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE HEALTH CENTER HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT JUNE 30, 2022. THE HEALTH CENTER'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | SPECIAL EVENTS EXPENSE -26,408. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | SPECIAL EVENTS EXPENSE -26,408. |
| PART 5, LINE 4 | THE ENDOWMENT FUNDS SUPPORT THE GENERAL OPERATIONS OF THE HEALTH CENTER. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CHC GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $141,315 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $119,713 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $21,602 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $960 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $2,422 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $21,602 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $1,424 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $141,315 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $119,713 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $21,602 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $960 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $2,422 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $21,602 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,424 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $26,408 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$4,806 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KAREN GARDNER | ||||||||||||||
| CEO | $331,011 | $0 | $0 | $0 | $0 | $0 | $9,930 | $0 | $15,787 | $0 | $356,728 | $0 | $0 | $0 |
| MUNIR AHMED | ||||||||||||||
| CHIEF TRANSFORMATION OFFICER | $321,900 | $0 | $0 | $0 | $0 | $0 | $9,657 | $0 | $15,787 | $0 | $347,344 | $0 | $0 | $0 |
| DAVID TAGER MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $301,460 | $0 | $0 | $0 | $0 | $0 | $9,044 | $0 | $15,787 | $0 | $326,291 | $0 | $0 | $0 |
| SAMUEL KOTHALANKA | ||||||||||||||
| PSYCHIATRIST | $270,577 | $0 | $0 | $0 | $0 | $0 | $8,117 | $0 | $15,787 | $0 | $294,481 | $0 | $0 | $0 |
| ANN-MARIE RICHARD | ||||||||||||||
| CFO | $194,980 | $0 | $0 | $0 | $0 | $0 | $5,849 | $0 | $15,787 | $0 | $216,616 | $0 | $0 | $0 |
| ROBERT EATON BURR | ||||||||||||||
| PHYSICIAN PD | $208,420 | $0 | $0 | $0 | $0 | $0 | $6,253 | $0 | $1,061 | $0 | $215,734 | $0 | $0 | $0 |
| FANNY VANESSA GIRON GALEANO | ||||||||||||||
| PHYSICIAN | $188,896 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,947 | $0 | $194,843 | $0 | $0 | $0 |
| THERESA GUANCI | ||||||||||||||
| DENTAL DIRECTOR | $180,192 | $0 | $0 | $0 | $0 | $0 | $5,406 | $0 | $7,099 | $0 | $192,697 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 DRAFT WILL BE REVIEWED BY THE CEO AND CFO AND PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW AND RECOMMENDATION TO THE FULL BOARD. THE CFO WILL PRESENT A 990 SUMMARY TO THE BOARD AND A FULL COPY OF THE 990 WILL BE MADE AVAILABLE TO THE FULL BOARD. THE FULL BOARD WILL VOTE TO APPROVE. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL NEW BOARD MEMBERS ARE PROVIDED A COPY OF THE CONFLICT OF INTEREST POLICY AND ASKED TO REVIEW AND SIGN. ANNUALLY, EACH BOARD MEMBER RECEIVES ANOTHER COPY OF THE POLICY FOR REVIEW AND SIGNATURE. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES IS REVIEWED BY THE HUMAN RESOURCES COMMITTEE BASED ON THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS DATA. |
| FORM 990, PART VI, SECTION C, LINE 19 | BOARD DOCUMENTS SUCH AS MEETING MINUTES, FINANCIAL STATEMENTS, AND KEY ORGANIZATIONAL POLICIES AND DOCUMENTS ARE FILED CENTRALLY IN THE ADMINISTRATIVE SUITE. HARD COPIES ARE MAINTAINED FOR PUBLIC ACCESS, UPON REQUEST. PERSONNEL PRESENTING TO THE HEALTH CENTER, OR SUBMITTING A WRITTEN INQUIRY FOR PUBLIC INFORMATION ARE DIRECTED TO THE CHIEF EXECUTIVE OFFICER. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS AN AUDIT COMMITTEE WHICH OVERSEES THE AUDIT PROCESS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |