2023-05-15T10:57:51-05:00 2022-06-30 042571780 AAFCPAS INC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2021-07-01 042544151 MATTAPAN COMMUNITY HEALTH CENTER INC MATT 6172960061 1575 BLUE HILL AVENUE MATTAPAN MA 02126 GUALE VALDEZ PRESIDENT & CEO 6175222766 2023-05-08 1 GUALE VALDEZ XXX-XX-XXXX SORIE KABA CPA P01317106 5083669100 2023-05-08 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z GUALE VALDEZ 1575 BLUE HILL AVENUE MATTAPAN MA 02126 13221560 0 X WWW.MATTAPANCHC.ORG X 1974 MA IMPROVE THE HEALTH AND WELL-BEING OF DIVERSE POPULATIONS IN MATTAPAN AND SURROUNDING COMMUNITIES BY PROVIDING EXCEPTIONAL COMPREHENSIVE INTEGRATED HEALTH SERVICES. 11 11 123 11 129251 22156 7008749 6312527 5903150 5948133 2111 954 947579 959946 13861589 13221560 0 0 0 0 6443540 7192837 0 0 39198 5990586 6623088 12434126 13815925 1427463 -594365 28895449 27790343 5344520 4833779 23550929 22956564 X IMPROVE THE HEALTH AND WELL-BEING OF DIVERSE POPULATIONS IN MATTAPAN AND SURROUNDING COMMUNITIES BY PROVIDING EXCEPTIONAL COMPREHENSIVE INTEGRATED HEALTH SERVICES. 0 0 6218859 4235812 PRIMARY CARE - PROVIDES SERVICES SUCH AS ADULT MEDICINE, PEDIATRICS, OB/GYN, NUTRITION AND HIV SERVICES TO INDIVIDUALS FROM THE MATTAPAN, DORCHESTER, ROXBURY, AND HYDE PARK NEIGHBORHOODS OF BOSTON, AS WELL AS THE ADJACENT BOSTON SUBURBS OF BROCKTON, RANDOLPH, STOUGHTON, AND MILTON, MASSACHUSETTS. MCHC SERVICES POPULATION PRIMARILY CONSISTING OF BLACK/AFRICAN AMERICANS, INCLUDING AN INCREASINGLY LARGE PERCENTAGE OF CARIBBEAN IMMIGRANTS. MCHC SERVED 7,914 PRIMARY CARE PATIENTS THROUGH 27,337 VISITS FOR THE FISCAL YEAR ENDING JUNE 30, 2022. 1368373 672236 DENTAL SERVICES - PROVIDES DENTAL SERVICES TO INDIVIDUALS FROM THE MATTAPAN, DORCHESTER, ROXBURY, AND HYDE PARK NEIGHBORHOODS OF BOSTON, AS WELL AS THE ADJACENT BOSTON SUBURBS OF BROCKTON, RANDOLPH, STOUGHTON, AND MILTON, MASSACHUSETTS. MCHC SERVED 2,482 DENTAL PATIENTS THROUGH 5,564 VISITS FOR THE FISCAL YEAR ENDING JUNE 30, 2022. 1006527 840066 BEHAVIORAL HEALTH - PROVIDES MENTAL HEALTH SERVICES TO INDIVIDUALS FROM THE MATTAPAN, DORCHESTER, ROXBURY, AND HYDE PARK NEIGHBORHOODS OF BOSTON, AS WELL AS THE ADJACENT BOSTON SUBURBS OF BROCKTON, RANDOLPH, STOUGHTON, AND MILTON, MASSACHUSETTS. MCHC SERVED 733 BEHAVIORAL HEALTH PATIENTS THROUGH 4,984 VISITS FOR THE FISCAL YEAR ENDING JUNE 30, 2022. 1168940 200019 OTHER PROGRAM SERVICES INCLUDE PREVENTIVE HEALTH, SOCIAL SERVICES, PATIENT SUPPORT AND PHARMACY 1168940 200019 9762699 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 21 0 1 123 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X REGINA IZMAYLOVA CFO 6172960061 1575 BLUE HILL AVENUE MATTAPAN MA 02126 GLENOLA MITCHELL BOARD CHAIR 1.00 X X 0 0 0 ENO MONDESIR BOARD VICE CHAIR 1.00 X X 0 0 0 CHRISTOPHER BRANDON BOARD TREASURER 1.00 X X 0 0 0 MONET BLAND BOARD SECRETARY 1.00 X X 0 0 0 THOMAS HAWKINS BOARD MEMBER 1.00 X 0 0 0 AUDREY THOMAS-MILLER BOARD MEMBER 1.00 X 0 0 0 VESPER GIBBS BARNES BOARD MEMBER 1.00 X 0 0 0 GEORGETTE COPELAND BOARD MEMBER 1.00 X 0 0 0 CHERYL LINDSAY BOARD MEMBER 1.00 X 0 0 0 DELORES RICHARDSON BOARD MEMBER 1.00 X 0 0 0 JULIAN SCOTT BOARD MEMBER 1.00 X 0 0 0 GUALE VALDEZ CHIEF EXECUTIVE OFFICER 40.00 X 198760 0 14779 MONICA DAVID CHIEF OPERATING OFFICER (AS OF 8/2021) 40.00 X 54017 0 8984 REGINA IZMAYLOVA CHIEF FINANCIAL OFFICER 40.00 X 145404 0 5424 JORDINA SHANKS CHIEF OPERATING OFFICER (UNTIL 8/2021) 40.00 X 139707 0 5145 NEENA CHATURVEDI INTERNIST 40.00 X 170849 0 1308 RAYMOND SAMUELS DENTIST 40.00 X 143670 0 5937 JOSE CARIZ INTERNIST 25.00 X 129499 0 997 LAURA LIVADITIS PEDIATRICIAN 40.00 X 153651 0 4715 DEBBIE M BROWN DIRECTOR OF HUMAN RESOURCES 40.00 X 122945 0 24022 1258502 0 71311 13 0 1 0 BU FAMILY MEDICINE ASSOCIATES DOWLING 5 SOUTH ONE BOSTON MEDICAL BOSTON MA 02118 CONTRACTED PROVIDER 588834 CPA MEDICAL BILLING LLC 100 SOUTH SHORE DRIVE EAST HAVEN CT 06512 OUTSOURCED BILLING 341688 CALL 4 HEALTH 2855 S CONGRESS AVE DELRAY BEACH FL 33445 MEDICAL ANSWERING SERVICE 308299 OCHIN INC PO BOX 5426 PORTLAND OR 97228 IT SERVICES 275384 4 4634662 1677865 6312527 NET PATIENT SERVICE REVENUE 621400 5748114 5748114 PHARMACY REVENUE 446110 200019 200019 5948133 954 954 947779 0 947779 947779 129251 818528 MISCELLANEOUS INCOME 900099 12167 12167 12167 13221560 5948133 129251 831649 X 571618 228647 342971 5706522 4323555 1382967 106620 58712 47908 364855 197765 167090 443222 327642 115580 72621 72621 122015 122015 1879246 1821919 57327 127729 1729 125915 85 516542 383744 132798 498611 306585 191876 150 12537 999 11538 3250 3250 186866 145046 38363 3457 994027 506033 475933 12061 102460 18854 83606 FACILITY ALLOCATION 1125050 873263 230973 20814 PROGRAM SUPPLIES 791341 506260 282811 2270 MISCELLANEOUS 121900 42237 79302 361 REPAIRS AND MAINTENANCE 68893 19709 49184 13815925 9762699 4014028 39198 2661527 2228358 100000 100000 1397715 1546018 72105 81844 32232447 8620015 24428696 23612432 235406 221691 28895449 27790343 888823 818913 4184269 4014866 265385 6043 0 5344520 4833779 X 23318121 22792616 232808 163948 23550929 22956564 28895449 27790343 -594365 0 X X 0 1 X 1 1 1 X 4593763 4523875 4336498 7008749 6312527 26775412 4593763 4523875 4336498 7008749 6312527 26775412 26775412 527485 836738 808602 915073 819482 3907380 559027 134885 128538 123744 129251 1075445 731442 41048 25474 10873 12167 821004 32579241 26596192 0.82190 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2017 AMOUNT: $ 731,442. 2018 AMOUNT: $ 41,048. 2019 AMOUNT: $ 25,474. 2020 AMOUNT: $ 10,873. 2021 AMOUNT: $ 12,167. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5179729 5179729 23377732 5849219 17528513 433356 140159 293197 2679031 2204571 474460 562599 426066 136533 23612432 X 13221560 0 13221560 0 13221560 13815925 0 13815925 0 13815925 PART X, LINE 2: MCHC 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. MCHC HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT JUNE 30, 2022. MCHC'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS. X X 0 0 0 0 0 0 0 0 0 GUALE VALDEZ CHIEF EXECUTIVE OFFICER 196260 0 2500 0 0 0 5888 0 8891 0 213539 0 0 0 NEENA CHATURVEDI INTERNIST 168349 0 2500 0 0 0 0 0 1308 0 172157 0 0 0 LAURA LIVADITIS PEDIATRICIAN 151151 0 2500 0 0 0 3461 0 1254 0 158366 0 0 0 REGINA IZMAYLOVA CHIEF FINANCIAL OFFICER 142904 0 2500 0 0 0 4287 0 1137 0 150828 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS SIGN THE CONFLICT OF INTEREST AND CONFIDENTIALITY FORMS ANNUALLY. IF BOARD MEMBERS ASSIST MCHC AS A CONSULTANT, FULL DISCLOSURE IS REPORTED TO THE ENTIRE BOARD PRIOR TO THE WORK BEING PERFORMED. FORM 990, PART VI, SECTION B, LINE 15 THE PRESIDENT AND CEO'S COMPENSATION, AS WELL AS ANY CHANGES MADE TO COMPENSATION, IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOLLOWING ANY CONSULTATION WITH AN INDUSTRY EXPERT. THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS HAS A LIST OF AVAILABLE CONSULTANTS. A RECOMMENDATION IS SUBMITTED TO THE FULL BOARD FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF ITNEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990 IS AVAILABLE ON THE INTERNET THROUGH GUIDESTAR.ORG. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,821,919. MANAGEMENT AND GENERAL EXPENSES 57,327. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,879,246. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED BETWEEN YEARS.