2023-08-04T05:43:51-05:00 2022-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2021-10-01 042682152 South Boston Community Health Center In SOUT 6174645848 409 West Broadway South Boston MA 02127 William J Halpin Jr CEO 6174645848 2023-08-02 1 William Halpin Jr 999009999 Barbara J McGuan CPA P00219457 2077752387 2023-08-02 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z William J Halpin Jr 409 West Broadway South Boston MA 02127 22028042 0 X www.sbchc.org X 1979 MA South Boston Community Health Center is a full service health care facility that serves the South Boston Community. With a staff of over 150, The Health Center provides over 60,000 visits a year to almost half of the population of South Boston. The mission of the Health Center is to provide health care to the entire community. While also ensuring care for those most in need. We are affiliated with some of the best hospitals in the world with Boston Medical Center being our primary affiliation. We are also affiliated with Partners Healthcare and Tufts Medical Center. Our medical services, include: primary health, behavioral health, cancer survivor clinic, dental. Diagnostic Services: mammography, radiology, ultrasound and x-ray, eye care, full service laboratory. Specialty Services: cardiology, diabetes education, health education, HIV services, nutrition, osteoporosis screening, physiatry, podiatry, pulmonology, and others. 10 10 152 10 0 0 7915914 9135145 14071302 12792450 5309 2082 2263403 96214 24255928 22025891 0 31554 0 0 13660410 13782466 0 0 114887 6720514 7961938 20380924 21775958 3875004 249933 25157759 24948626 3374330 2915264 21783429 22033362 The mission of the Health Center is to provide health care to the entire community while ensuring care to those most in need. Our governing principle is "all who seek care are welcome here." 0 0 17362036 31554 12792450 Provided outpatient neighborhood health services including approximately 60,898 visits for adult medicine, family medicine, pediatrics, dental, women's health, vision, behavioral health, family planning, nutrition, laboratory, radiology, cardiology, dermatology, podiatry, pulmonary, youth services, and multiple risk programs. 17362036 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 152 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X William J Halpin Jr 6174645848 409 West Broadway South Boston MA 02127 Ann Brady President 1.00 0.00 X X 0 0 0 Melissa Oomer Vice President 1.00 0.00 X X 0 0 0 John Vacha Treasurer 1.00 0.00 X X 0 0 0 Kevin Barrett Clerk 1.00 0.00 X 0 0 0 Carrie Benjamin Board Member 1.00 0.00 X 0 0 0 Paula Doherty Board Member 1.00 0.00 X 0 0 0 Heather Gaspar Board Member 1.00 0.00 X 0 0 0 John Melander Board Member 1.00 0.00 X 0 0 0 Joseph Ransom Board Member 1.00 0.00 X 0 0 0 Kevin Tyo Board Member 1.00 0.00 X 0 0 0 William J Halpin Jr CEO 35.00 0.00 X 676580 0 41081 Nisha Thakrar CMO 32.00 0.00 X 328690 0 34022 Kim Harrison CFO 32.00 0.00 X 145075 0 30804 Jocelyn Guggenheim COO 34.00 0.00 X 145011 0 99 Thomas J Schuch CIO 40.00 0.00 X 226777 0 21752 Mohamed Mehssen Physician 40.00 0.00 X 231134 0 8579 Sheel Saxena Physician 40.00 0.00 X 226459 0 0 Kevin Coughlin Child Psychiatrist 40.00 0.00 X 206316 0 23584 Pamela Cattel Physician 35.00 0.00 X 198489 0 24650 Sarah Sloan Physician 40.00 0.00 X 198102 0 0 2582633 0 184571 21 0 1 0 Bu Family Medicine Associates 1 Boston Medical Center Place Boston MA 02118 Providers 1175167 Ochin Inc 1881 SW Naito Parkway Portland OR 97201 Electronic Medical Records 463310 New England Eye Institute 424 Beacon Street Boston MA 02115 Providers 384469 Bond Building 10 Cabot Road Medford MA 02115 Contractor/Construction 259785 Podiatry Healthcare PC C/O Deepa Jhaveri DPM PO Box 52 Winthrop MA 02152 Podiatry Services 204325 7 151111 5789395 3194639 9135145 Patient Service Revenue 621400 22322663 22322663 Miscellaneous Revenue 621400 14833 14833 Contractual Allowance 621400 -9545046 -9545046 12792450 2082 2082 98365 0 98365 98365 98365 0 151111 2151 -2151 -2151 22025891 12792450 0 98296 X 17158 17158 14396 14396 1649891 72543 1577348 10150582 8787443 1285530 77609 1181014 985836 186476 8702 800979 607503 188150 5326 105208 105208 58887 58887 3622381 3365860 249460 7061 40813 30955 9587 271 94070 71750 22222 98 195912 148590 46019 1303 854316 647957 200680 5679 15155 11494 3560 101 76774 58229 18035 510 16177 12269 3800 108 972264 737414 228386 6464 199003 150934 46746 1323 Program Supplies 1450665 1450665 Miscellaneous Expense 153872 109832 43790 250 Printing and Delivery 94163 71896 22267 Storage Expense 12278 9312 2884 82 21775958 17362036 4299035 114887 15216127 13814734 0 1910819 523448 254082 670409 761896 172310 164964 18879375 11121146 8174989 7758229 26864 283902 373612 0 25157759 24948626 1585251 1597236 244554 613612 523902 1175467 549572 3374330 2915264 X 16770456 17768847 5012973 4264515 21783429 22033362 25157759 24948626 249933 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 36000 0 0 36000 0 Part II-B, Line 1: South Boston pays consulting fees for local lobbying services in an effort to secure grant funding. 13918344 6957737 6960607 35191 18858 16333 4925840 4144551 781289 7758229 Due to Third Parties 549572 549572 X 22028042 2151 2151 22025891 0 22025891 21778109 2151 2151 21775958 0 21775958 Part X, Line 2: The Organization is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Organization is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Organization's tax positions and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. Gala 76111 76111 2151 Harvest of Hope 75000 75000 151111 151111 2151 2151 -2151 1 Youth Ambassador Scholarships 8 14396 X X X X 0 1 0 0 0 0 0 1 0 William J Halpin Jr CEO 286850 0 0 0 389730 0 19500 0 21581 0 717661 0 261667 0 Nisha Thakrar CMO 214183 0 4611 0 109896 0 10000 0 24022 0 362712 0 77454 0 Thomas J Schuch CIO 210458 0 14532 0 1787 0 0 0 21752 0 248529 0 0 0 Mohamed Mehssen Physician 224560 0 4738 0 1836 0 0 0 8579 0 239713 0 0 0 Kevin Coughlin Child Psychiatrist 198727 0 4635 0 2954 0 0 0 23584 0 229900 0 0 0 Sheel Saxena Physician 217149 0 7553 0 1757 0 0 0 0 0 226459 0 0 0 Pamela Cattel Physician 191811 0 4146 0 2532 0 0 0 24650 0 223139 0 0 0 Sarah Sloan Physician 192509 0 4037 0 1556 0 0 0 0 0 198102 0 0 0 Kim Harrison CFO 139769 0 3174 0 2132 0 7000 0 23804 0 175879 0 0 0 Part I, Line 4b The Organization maintains a 457b nonqualified deferred compensation plan for the CEO, CFO and Medical Directors. Compensation in the following amounts were paid to the plan during calendar year 2021, CEO - $19,500; CMO - $10,000; CFO - $7,000. Part I, Line 7 Bonuses awarded in 2021 were Christmas bonuses determined by the CEO. Part II, The Organization maintains a qualified defined contribution 403(b) retirement plan under which all full-time and certain part-time employees who have been employed for a minimum of one year eligible to participate. The Organization may contribute up to 4% of an eligible employee's salary as outlined in the plan document. In 2009, the board voted to suspend the pension plan contribution. The Organization maintains a non-qualified deferred compensation plan for certain key employees under the provision of Internal Revenue Code Section 457(b). The Organization maintains the following nontaxable benefit plans under which all full-time and certain-part time employees are eligible for: - Health and dental insurance - Life, disability and long-term care insurance - Cafeteria plans Form 990, Part VI, Section B, line 11b The Organization prepares the Form 990 and the related disclosures with assistance and guidance from its CPA firm. The Form 990 is provided to the finance committee and board so that they understand the contents of the Form 990. Form 990, Part VI, Section B, line 12c Board members will excuse themselves from board discussions and votes if a potential conflict arises. If an issue is brought to our attention, it is investigated, brought to the board and resolved. Form 990, Part VI, Section B, line 15 The board has a subcommittee to review and recommend key employee compensation, utilizing compensation surveys and a written employment contract. Final compensation for officers and key employees is approved by the board. Form 990, Part VI, Section C, line 19 The Organization makes it governing documents, conflict of interest policy and financial statements available to the public upon request. Additionally, the organization's financial statements are available on the public charities websites maintained by the Commonwealth of Massachusetts Attorney General. Form 990, Part IX, line 11g Professional Fees: Program service expenses 2,560,397. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,560,397. Recruitment Services: Program service expenses 33,416. Management and general expenses 10,349. Fundraising expenses 293. Total expenses 44,058. Consulting Services: Program service expenses 106,224. Management and general expenses 32,899. Fundraising expenses 931. Total expenses 140,054. Interpretation Services: Program service expenses 94,357. Management and general expenses 29,223. Fundraising expenses 827. Total expenses 124,407. Service Contracts: Program service expenses 571,466. Management and general expenses 176,989. Fundraising expenses 5,010. Total expenses 753,465. Schedule A, Part I, Line 3: The Organization is exempt under section 170(b)(1)(A)(iii), as a hospital. The Organization operates three federally qualified health centers in Vermont. None of these centers are registered with the state of Vermont as a hospital. Accordingly no Schedule H is attached.