PARTNERS FOR A HEALTHIER COMMUNITY INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: PARTNERS FOR A HEALTHIER COMMUNITY INC (EIN 04-3342182)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2020-11-12
IRS object ID: 202033179349302313
Schema version: 2019v5.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-12T09:15:09-06:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	042713795	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MEYERS BROTHERS KALICKA PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	330 WHITNEY AVE SUITE 800	AddressLine1Txt
City	HOLYOKE	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01040	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	043342182	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PARTNERS FOR A HEALTHIER COMMUNITY INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PART	BusinessNameControlTxt
Phone	4137947739	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 4895	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	011014895	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ANDREW MOREHOUSE	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	4137942520	PhoneNum
Signature	2020-11-11	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RUDY M D'AGOSTINO	PreparerPersonNm
PTIN	P00962620	PTIN
Phone	4135368510	PhoneNum
Preparation	2020-11-11	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	50.222.29.82	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-11-11	IPDt
IP Tm	16:46:04	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	5F4CBDCC106A8A3009941DE7CA21FA9945174D58	AtSubmissionCreationDeviceId
At Submission Filing Device Id	5F4CBDCC106A8A3009941DE7CA21FA9945174D58	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	PUBLIC HEALTH INSTITUTE OF WM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	JESSICA COLLINS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	127 STATE STREET - 4TH FLOOR	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01103	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,833,514	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PUBLICHEALTHWM.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1996	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	BUILDING HEALTHIER COMMUNITIES THROUGH COMMUNITY ENGAGEMENT, COLLABORATIVE PARTNERSHIPS, RESEARCH AND EVALUATION, AND POLICY ADVOCACY.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	21	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,062,344	PYContributionsGrantsAmt
CY Contributions Grants	$1,472,567	CYContributionsGrantsAmt
PY Program Service Revenue	$449,021	PYProgramServiceRevenueAmt
CY Program Service Revenue	$349,391	CYProgramServiceRevenueAmt
PY Investment Income	$8,540	PYInvestmentIncomeAmt
CY Investment Income	$9,043	CYInvestmentIncomeAmt
PY Other Revenue	$1,140	PYOtherRevenueAmt
CY Other Revenue	$2,513	CYOtherRevenueAmt
PY Total Revenue	$1,521,045	PYTotalRevenueAmt
CY Total Revenue	$1,833,514	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	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$39,508	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,500,618	PYOtherExpensesAmt
CY Other Expenses	$1,525,962	CYOtherExpensesAmt
PY Total Expenses	$1,500,618	PYTotalExpensesAmt
CY Total Expenses	$1,525,962	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,427	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$307,552	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,170,861	TotalAssetsBOYAmt
Total Assets EOY	$1,619,458	TotalAssetsEOYAmt
Total Liabilities BOY	$424,784	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$565,829	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$746,077	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,053,629	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	PARTNERS FOR A HEALTHIER COMMUNITY (PHC), INC. IS A 501(C)(3) NON-PROFIT ORGANIZATION WHOSE MISSION IS TO BUILD MEASURABLY HEALTHIER AND MORE EQUITABLE COMMUNITIES THROUGH COMMUNITY ENGAGEMENT, COLLABORATIVE PARTNERSHIPS, RESEARCH AND EVALUATION, AND POLICY ADVOCACY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$319,303	ExpenseAmt
Revenue	$323,766	RevenueAmt
Desc	RESEARCH & EVALUATION IS A SERVICE THAT HELPS PROVIDERS, POLICY MAKERS AND COMMUNITIES TARGET AND MEASURE THE IMPACT OF THEIR PROGRAMS/INITIATIVES SUCH AS IDENTIFICATION OF BEST PRACTICES THROUGH REVIEW OF THE SCIENTIFIC LITERATURE AND UNPUBLISHED EVIDENCE SOURCES; CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS AND ENVIRONMENTAL SCANS TO UNDERSTAND CURRENT COMMUNITY NEEDS, SERVICES OFFERED, AND GAPS; AND PLANNING AND CONDUCTING EVALUATIONS TO ASSESS A PROGRAM'S IMPLEMENTATION PROCESS AND IMPACT.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$299,225	ExpenseAmt
Desc	THE PVAC IS A COLLABORATIVE EFFORT TO BRING ABOUT AN ALIGNMENT OF LOCAL INTERESTS AND INITIATIVES TO ADDRESS ASTHMA. THE FOLLOWING IS A TYPICAL PARTNERSHIP FASHIONED BY THE COALITION: PVAC, BMC HEALTHNET PLAN AND BAYCARE HEALTH PARTNERS ARE WORKING TOGETHER USING HEALTHY HOMES PRINCIPLES AND COMMUNITY HEALTH WORKERS ("CHWS") AND NURSES TO IDENTIFY, REMEDIATE AND PREVENT ENVIRONMENTAL EXPOSURES IN THE HOME THAT TRIGGER ASTHMA. THESE CHWS CONDUCT HOME VISITS WITH 100'S OF FAMILIES OF PEDIATRIC ASTHMA PATIENTS TO EDUCATE THEM ABOUT HOME ENVIRONMENTAL EXPOSURES AND METHODS OF REMEDIATION AND PROVIDE THEM WITH TOOLS AND SERVICES TO AID IN REMEDIATION.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$291,101	ExpenseAmt
Revenue	$25,625	RevenueAmt
Desc	THE COALITION BUILDING SERVICES PROVIDE CONVENING SERVICES FOR BOTH MULTISECTOR COLLABORATIONS AND INDIVIDUAL ORGANIZATIONS. PROJECTS INCLUDE HEALTHCARE PROJECTS, YOUTH HEALTH, AND COUNTY WIDE HEALTH IMPROVEMENT PLANNING EFFORTS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmt	DescDesc
$222,917	THE LIVE WELL SPRINGFIELD COALITION IS A COLLABORATIVE EFFORT TO ADVANCE AND SUSTAIN A COMPREHENSIVE, COLLABORATIVE, FUNCTIONING COALITION THAT RECOGNIZES AND SUPPORTS GRASSROOTS, ORGANIZATIONAL AND INDIVIDUAL INITIATIVES WHILE BEING "PROUD PARTICIPANTS" OF A BROADER CITYWIDE EFFORT TO CREATE A HEALTHY SUSTAINABLE SPRINGFIELD WITH REGARDS TO PHYSICAL ACTIVITY AND HEALTHY EATING. LIVE WELL SPRINGFIELD STRATEGIES THAT ARE CONVENED BY PARTNERS FOR A HEALTHIER COMMUNITY INCLUDE - GO FRESH MOBILE MARKET, CLIMATE JUSTICE AND AGE FRIENDLY EFFORTS.
$6,046	YOUTH EDUCATION AND ADOLESCENT HEALTH (YEAH) NETWORK IS A COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF YOUTH IN HAMPDEN COUNTY. PROGRAM EMPHASIS IS ON YOUTH SEXUAL VIOLENCE, DATA COLLECTION, ASSESSMENT AND REPORTING.

ExpenseExpenseAmt

DescDesc

$222,917

THE LIVE WELL SPRINGFIELD COALITION IS A COLLABORATIVE EFFORT TO ADVANCE AND SUSTAIN A COMPREHENSIVE, COLLABORATIVE, FUNCTIONING COALITION THAT RECOGNIZES AND SUPPORTS GRASSROOTS, ORGANIZATIONAL AND INDIVIDUAL INITIATIVES WHILE BEING "PROUD PARTICIPANTS" OF A BROADER CITYWIDE EFFORT TO CREATE A HEALTHY SUSTAINABLE SPRINGFIELD WITH REGARDS TO PHYSICAL ACTIVITY AND HEALTHY EATING. LIVE WELL SPRINGFIELD STRATEGIES THAT ARE CONVENED BY PARTNERS FOR A HEALTHIER COMMUNITY INCLUDE - GO FRESH MOBILE MARKET, CLIMATE JUSTICE AND AGE FRIENDLY EFFORTS.

$6,046

YOUTH EDUCATION AND ADOLESCENT HEALTH (YEAH) NETWORK IS A COLLABORATIVE EFFORT TO IMPROVE THE HEALTH OF YOUTH IN HAMPDEN COUNTY. PROGRAM EMPHASIS IS ON YOUTH SEXUAL VIOLENCE, DATA COLLECTION, ASSESSMENT AND REPORTING.

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$228,963	TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses	$1,138,592	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	Yes (1)	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	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	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	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	19	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	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	18	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	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	KIMBERLY MURPHY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4137947741	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 4895	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	011014895	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd
KEVIN MAYNARD
DIRECTOR (END 1/2020)	0.25	Yes (X)	$0	$0	$0
JOAN KAGAN
DIRECTOR	0.25	Yes (X)	$0	$0	$0
ANDREW MOREHOUSE
TREASURER	0.25	Yes (X)	$0	$0	$0	Yes (X)
LORA WONDOLOWSKI
DIRECTOR	0.25	Yes (X)	$0	$0	$0
JEFF HARNESS
CHAIRMAN THRU 1/2020; DIRECTOR	0.50	Yes (X)	$0	$0	$0	Yes (X)
DR MATTHEW D SADOF
DIRECTOR	0.25	Yes (X)	$0	$0	$0
CYNTHIA MILLER
CLERK	0.25	Yes (X)	$0	$0	$0	Yes (X)
BETTYE ANDERSON-FREDERIC
DIRECTOR	0.25	Yes (X)	$0	$0	$0
JEAN AHN
DIRECTOR (END 1/2020)	0.25	Yes (X)	$0	$0	$0
CHRIS JASINSKI
DIRECTOR; VICE CHAIR AS OF 1/2020	0.25	Yes (X)	$0	$0	$0
JOHN COOK
DIRECTOR	0.25	Yes (X)	$0	$0	$0
CRISTINA HUEBNER TORRES
VICE CHAIR THRU 1/2020 THEN CHAIR	0.25	Yes (X)	$0	$0	$0	Yes (X)
MATT BANNISTER
DIRECTOR	0.25	Yes (X)	$0	$0	$0
SOLOE DENNIS
DIRECTOR	0.25	Yes (X)	$0	$0	$0
JOSHUA GARCIA
DIRECTOR	0.25	Yes (X)	$0	$0	$0
NIKKI BURNETT
DIRECTOR	0.25	Yes (X)	$0	$0	$0
FRANCES GOMES MARTHONE
DIRECTOR (END 7/2019)	0.25	Yes (X)	$0	$0	$0
JENNIFER LEE
DIRECTOR (START 1/2020)	0.25	Yes (X)	$0	$0	$0
AMALE NEARY
DIRECTOR (START 1/2020)	0.25	Yes (X)	$0	$0	$0
LUZ LOPEZ
DIRECTOR (START 1/2020)	0.25	Yes (X)	$0	$0	$0
JOEL VENGCO
DIRECTOR (START 3/2020)	0.25	Yes (X)	$0	$0	$0
JESSICA COLLINS
EXECUTIVE DIRECTOR	32.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BAYSTATE ADMINISTRATIVE SERVICES	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	759 CHESTNUT ST	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01199	ZIPCd

Field	Value	IRS element (for citing)
Services	PURCHASED SERVICES	ServicesDesc
Compensation	$905,309	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Government Grants	$165,000	GovernmentGrantsAmt
All Other Contributions	$1,307,567	AllOtherContributionsAmt
Total Contributions	$1,472,567	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	SERVICE INCOME	Desc
Business	541700	BusinessCd
Total Revenue Column	$349,391	TotalRevenueColumnAmt
Related Or Exempt Func Income	$349,391	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$349,391	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,043	TotalRevenueColumnAmt
Exclusion	$9,043	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISCELLANEOUS	Desc
Business	541700	BusinessCd
Total Revenue Column	$2,513	TotalRevenueColumnAmt
Exclusion	$2,513	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,513	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,833,514	TotalRevenueColumnAmt
Related Or Exempt Func Income	$349,391	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$11,556	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$55,900	TotalAmt
Management And General	$55,900	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,283,131	TotalAmt
Program Services	$1,042,382	ProgramServicesAmt
Management And General	$201,241	ManagementAndGeneralAmt
Fundraising	$39,508	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,670	TotalAmt
Program Services	$17,742	ProgramServicesAmt
Management And General	$3,928	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$68,014	TotalAmt
Program Services	$17,227	ProgramServicesAmt
Management And General	$50,787	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$18,009	TotalAmt
Program Services	$15,085	ProgramServicesAmt
Management And General	$2,924	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,472	TotalAmt
Management And General	$10,472	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,437	TotalAmt
Management And General	$5,437	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DUES & MEMBERSHIPS	$39,465	$32,437	$7,028
COMMUNITY TRAINING	$18,664	$12,504	$6,160
TELEPHONE & INTERNET	$3,742		$3,742
STIPENDS	$1,215	$1,215

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$243	TotalAmt
Management And General	$243	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,525,962	TotalAmt
Program Services	$1,138,592	ProgramServicesAmt
Management And General	$347,862	ManagementAndGeneralAmt
Fundraising	$39,508	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$264,859	BOYAmt
EOY	$500,827	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$568,815	BOYAmt
EOY	$577,859	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$302,902	BOYAmt
EOY	$486,197	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$14,592	BOYAmt
EOY	$33,324	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$106,919	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$85,668	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$19,693	BOYAmt
EOY	$21,251	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,170,861	BOYAmt
EOY	$1,619,458	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$327,591	BOYAmt
EOY	$515,139	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$93,834	BOYAmt
EOY	$47,332	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$3,359	BOYAmt
EOY	$3,358	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$424,784	BOYAmt
EOY	$565,829	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	$479,440	BOYAmt
EOY	$533,278	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$266,637	BOYAmt
EOY	$520,351	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$746,077	BOYAmt
EOY	$1,053,629	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,170,861	BOYAmt
EOY	$1,619,458	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$307,552	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)
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	$932,552	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$816,930	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$868,903	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,062,344	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,472,567	CurrentTaxYearAmt
Total	$5,153,296	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$932,552	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$816,930	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$868,903	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,062,344	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,472,567	CurrentTaxYearAmt
Total	$5,153,296	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$488,302	SubstantialContributorsTotAmt
Public Support Total170	$4,664,994	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,425	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,724	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,652	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,540	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,043	CurrentTaxYearAmt
Total	$31,384	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,313	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years	$5,094	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,140	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,513	CurrentTaxYearAmt
Total	$10,060	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$5,194,740	TotalSupportAmt
Public Support CY170	0.89800	PublicSupportCY170Pct
Public Support PY170	0.89850	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

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$106,919	OtherCostOrOtherBasisAmt
Depreciation	$85,668	DepreciationAmt
Book Value	$21,251	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$21,251	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,833,714	TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts	$200	DonatedServicesAndUseFcltsAmt
Revenue Not Reported	$200	RevenueNotReportedAmt
Revenue Subtotal	$1,833,514	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,833,514	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,526,162	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$200	DonatedServicesUseFcltsAmt
Expenses Not Reported	$200	ExpensesNotReportedAmt
Expenses Subtotal	$1,525,962	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,525,962	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART IV, LINE 2B:

THE ORGANIZATION HAD CASH IN EXCESS OF PROGRAM EXPENDITURES THAT PAYOR IS ALLOWING TO BE CARRIED OVER TO THE FOLLOWING YEAR

PART X, LINE 2:

THE ORGANIZATION IS REQUIRED TO RECOGNIZE THE FINANCIAL STATEMENT IMPACT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. A TAX POSITION IS DEEMED TO INCLUDE SUCH THINGS AS THE ORGANIZATION'S TAX EXEMPT STATUS. MANAGEMENT HAS EVALUATED SIGNIFICANT TAX POSITIONS AGAINST THE CRITERIA ESTABLISHED BY PROFESSIONAL STANDARDS AND BELIEVES THERE ARE NO SUCH TAX POSITIONS REQUIRING ACCOUNTING RECOGNITION. THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR ALL YEARS ENDING ON OR AFTER JUNE 30, 2017.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	THE EXECUTIVE COMMITTEE HAS THE POWERS OF THE DIRECTORS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR, MANAGEMENT AND THE FINANCE AND AUDIT REVIEW COMMITTEE. THE EXECUTIVE DIRECTOR, BOARD CHAIR AND TREASURER APPROVE THE FILING OF THE 990. THE BOARD IS NOTIFIED THAT THE DRAFT IS MADE AVAILABLE FOR REVIEW UPON REQUEST. THE 990 IS THEN FILED.
FORM 990, PART VI, SECTION B, LINE 12C	NEW BOARD MEMBERS RECEIVE AN ORIENTATION TO THE POLICY. ALL REAL OR PERCEIVED CONFLICTS MUST BE ACKNOWLEDGED AND CONSIDERED BY THE FULL BOARD. NO MEMBER OF THE BOARD OF DIRECTORS SHALL CAST A VOTE ON ANY CONTRACT, GRANT OR MONETARY AWARD WHICH WOULD PROVIDE DIRECT FINANCIAL BENEFIT TO THAT MEMBER OR ANY ORGANIZATION OR ENTITY WITH WHICH THAT MEMBER IS AFFILIATED.
FORM 990, PART VI, SECTION B, LINE 15	IN DETERMINING THE EXECUTIVE DIRECTOR'S SALARY, A THIRD PARTY CONTRACTOR'S COMPENSATION DEPARTMENT COMPARED THE MARKET SALARY RANGE TO OTHER NONPROFIT EXECUTIVE DIRECTOR POSITIONS IN THE AREA AND OF A COMPARABLE PEER GROUP WITHIN BAYSTATE HEALTH TO DETERMINE COMPENSATION. THE COMPENSATION RANGE FOR THE EXECUTIVE DIRECTOR POSITION WAS THEN PRESENTED TO PHC'S BOARD FOR APPROVAL. THE EXECUTIVE DIRECTOR OF PHC AS WELL AS OTHER TOP MANAGEMENT AND STAFF ARE EMPLOYEES OF BAYSTATE ADMINISTRATIVE SERVICES FROM WHOM PHC PURCHASED THEIR SERVICES. THE COMPENSATION OF PHC'S OTHER TOP MANAGEMENT IS DETERMINED BY THE EXECUTIVE DIRECTOR WHO WORKS WITH BAYSTATE HEALTH TALENT ACQUISITIONS TO DETERMINE THE GRADE AND RANGE FOR EACH JOB. THE COMPENSATION DEPARTMENT OF BAYSTATE HEALTH REGULARLY PARTICIPATES IN SALARY SURVEYS TO ENSURE THAT THE PAY STRUCTURE REFLECTS CURRENT MARKET CONDITIONS.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	PROGRAM CONSULTANTS: PROGRAM SERVICE EXPENSES 72,761. MANAGEMENT AND GENERAL EXPENSES 33,710. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 106,471. SUBCONTRACTS: PROGRAM SERVICE EXPENSES 219,424. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 219,424. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 750,197. MANAGEMENT AND GENERAL EXPENSES 167,531. FUNDRAISING EXPENSES 39,508. TOTAL EXPENSES 957,236.
990 PART XII. LINE 2C	THERE HAS BEEN NO CHANGE FROM PREVIOUS YEARS.