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COMMUNITY HEALTH CENTER OF CAPE COD INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CENTER OF CAPE COD INC (EIN 04-3370560)
Tax period
2016-07-01 to 2017-06-30
Filed
2017-12-20
IRS object ID
201703549349300120
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2017-12-20T11:02:06-06:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN042571780PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ALEXANDER ARONSON FINNING & CO PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line150 WASHINGTON STREETAddressLine1Txt
CityWESTBOROUGHCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01581ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043370560EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CENTER OF CAPE CODBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone5084777090PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1107 COMMERCIAL STREETAddressLine1Txt
CityMASHPEECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02649ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANN-MARIE RICHARDPersonNm
Person TitleCFOPersonTitleTxt
Phone5084777090PhoneNum
Signature2017-12-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMATTHEW R HUTT CPAPreparerPersonNm
PTINP01584755PTIN
Phone5083669100PhoneNum
Preparation2017-12-19PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.238.141.162IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-12-19IPDt
IP Tm11:48:25IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC3B1CA5E9EDD1B55B0F6E2DA0EC022650C85F82CAtSubmissionCreationDeviceId
At Submission Filing Device IdE389E89C54D8B2D0E67DFD5473BAB8CDEAF766EEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2018-03-14 21:41:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANN-MARIE RICHARDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1107 COMMERCIAL STREETAddressLine1Txt
CityMASHPEECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02649ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,798,070GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHCOFCAPECOD.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTHE HEALTH CENTER PROVIDES HEALTH CARE FOR UNINSURED AND UNDER INSURED RESIDENTS OF THE CAPE COD AND SOUTHEASTERN AREAS OF MASSACHUSETTS.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee213TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,656,297PYContributionsGrantsAmt
CY Contributions Grants$5,394,334CYContributionsGrantsAmt
PY Program Service Revenue$10,633,924PYProgramServiceRevenueAmt
CY Program Service Revenue$11,220,256CYProgramServiceRevenueAmt
PY Investment Income$5,093PYInvestmentIncomeAmt
CY Investment Income$8,115CYInvestmentIncomeAmt
PY Other Revenue$161,685PYOtherRevenueAmt
CY Other Revenue$144,306CYOtherRevenueAmt
PY Total Revenue$15,456,999PYTotalRevenueAmt
CY Total Revenue$16,767,011CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,222,646PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,126,298CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$481,874CYTotalFundraisingExpenseAmt
PY Other Expenses$3,839,826PYOtherExpensesAmt
CY Other Expenses$4,343,339CYOtherExpensesAmt
PY Total Expenses$14,062,472PYTotalExpensesAmt
CY Total Expenses$15,469,637CYTotalExpensesAmt
PY Revenues Less Expenses$1,394,527PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,297,374CYRevenuesLessExpensesAmt
Total Assets BOY$15,517,060TotalAssetsBOYAmt
Total Assets EOY$17,046,579TotalAssetsEOYAmt
Total Liabilities BOY$710,220TotalLiabilitiesBOYAmt
Total Liabilities EOY$942,365TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,806,840NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,104,214NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE COMPREHENSIVE, HIGH QUALITY, PASSIONATE HEALTH CARE TO CONSUMERS, REGARDLESS OF ABILITY TO PAY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$13,677,629ExpenseAmt
Revenue$11,381,922RevenueAmt
DescCOMPREHENSIVE AND INTEGRATED PRIMARY CARE, BEHAVIORAL HEALTH AND DENTAL SERVICES, INCLUDING ACCESS TO PREVENTIVE HEALTH CARE, EPISODIC TREATMENT FOR ACUTE MEDICAL CONDITIONS, CHRONIC DISEASE MANAGEMENT, SPECIALTY REFERRALS, AND A 340B PHARMACY, REGARDLESS OF ABILITY TO PAY. THE HEALTH CENTER PROVIDED APROXIMATELY 77,000 PATIENT SERVICE VISITS.Desc
Total Program Service Expenses$13,677,629TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee213EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KAREN GARDNER CEOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5084777090PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1107 COMMERCIAL STREETAddressLine1Txt
CityMASHPEECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02649ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MADELEINE WING ADLER
DIRECTOR1.00Yes (X)$0$0$0
RALPH SEWALL
DIRECTOR1.00Yes (X)$0$0$0
GINA HOTTON
DIRECTOR1.00Yes (X)$0$0$0
BRENDA SWITHENBANK
CLERK1.00Yes (X)$0$0$0Yes (X)
MATTHEW WATERBURY OD
DIRECTOR1.00Yes (X)$0$0$0
BEVERLY JACOBSON
DIRECTOR1.00Yes (X)$0$0$0
PAUL SMITH
VICE PRESIDENT1.00Yes (X)$0$0$0Yes (X)
DAVID PETERSON
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
RUDOLPH R HUNTER
TREASURER1.00Yes (X)$0$0$0Yes (X)
TOM CHADIE
DIRECTOR1.00Yes (X)$0$0$0
DAVID WESTON
DIRECTOR1.00Yes (X)$0$0$0
BOB ANDERSON
DIRECTOR1.00Yes (X)$0$0$0
RICHARD PICKETT DMD
DIRECTOR1.00Yes (X)$0$0$0
OTIS M PORTER
DIRECTOR1.00Yes (X)$0$0$0
KAREN GARDNER
CEO40.00$198,585$0$20,154Yes (X)
ANN-MARIE RICHARD
CFO40.00$136,885$0$18,303Yes (X)
DAVID TAGER MD
CHIEF MEDICAL OFFICER40.00$211,988$0$20,556Yes (X)
LAURA JETT
PHYSICIAN40.00$191,747$0$19,949Yes (X)
LISA BUSTIN
PHYSICIAN40.00$178,607$0$10,774Yes (X)
KATE DRUMOND
PHYSICIAN40.00$173,545$0$19,403Yes (X)
MICHAEL MESSINA
PHYSICIAN40.00$166,758$0$19,199Yes (X)
DAWN WEST
DENTIST40.00$179,665$0$18,481Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,437,780TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$146,819TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K19IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MCKESSON DRUG COMPANY
9 AEGEAN DRIVEMETHUENMA01844DRUGS PURCHASED FOR PHARMACY$440,530
OCHIN INC
1881 SW NATIO PARKWAYPORTLANDOR97201SOFTWARE SYSTEM FOR MEDICAL PRACTICE$355,775
PAESANO LEASING RT
PO BOX 3139POCASSETMA02559RENT AND CONSTRUCTION OF BOURNE OFFICE$168,545
TECHNICAL DENTAL LAB
110 REEDS HILL RD 7HYANNISMA02601SUPPLIES PURCHASED FOR DENTAL$166,503
PATTERSON DENTAL
400 RESEARCH DRIVE SUITE 110WILMINGTONMA02601SUPPLIES PURCHASED FOR DENTAL$159,407
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Fundraising$49,991FundraisingAmt
Government Grants$3,274,784GovernmentGrantsAmt
All Other Contributions$2,069,559AllOtherContributionsAmt
Noncash Contributions$7,554NoncashContributionsAmt
Total Contributions$5,394,334TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business621498BusinessCd
Total Revenue Column$11,220,256TotalRevenueColumnAmt
Related Or Exempt Func Income$11,220,256RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$11,220,256TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,115TotalRevenueColumnAmt
Exclusion$8,115ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$13,699FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$49,991ContriRptFundraisingEventAmt
Fundraising Direct Expenses$31,059FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$17,360TotalRevenueColumnAmt
Exclusion-$17,360ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$161,666TotalRevenueColumnAmt
Related Or Exempt Func Income$161,666RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$161,666OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,767,011TotalRevenueColumnAmt
Related Or Exempt Func Income$11,381,922RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$9,245ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$654,324TotalAmt
Program Services$251,588ProgramServicesAmt
Management And General$402,736ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,662,176TotalAmt
Program Services$8,181,354ProgramServicesAmt
Management And General$242,435ManagementAndGeneralAmt
Fundraising$238,387FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$181,647TotalAmt
Program Services$164,258ProgramServicesAmt
Management And General$12,087ManagementAndGeneralAmt
Fundraising$5,302FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$966,859TotalAmt
Program Services$876,519ProgramServicesAmt
Management And General$66,172ManagementAndGeneralAmt
Fundraising$24,168FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$661,292TotalAmt
Program Services$580,868ProgramServicesAmt
Management And General$64,304ManagementAndGeneralAmt
Fundraising$16,120FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$67,214TotalAmt
Management And General$67,214ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$71,600TotalAmt
Management And General$71,600ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$426,206TotalAmt
Program Services$155,086ProgramServicesAmt
Management And General$109,912ManagementAndGeneralAmt
Fundraising$161,208FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$284,583TotalAmt
Program Services$208,753ProgramServicesAmt
Management And General$64,073ManagementAndGeneralAmt
Fundraising$11,757FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,042,805TotalAmt
Program Services$1,029,030ProgramServicesAmt
Management And General$7,757ManagementAndGeneralAmt
Fundraising$6,018FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$25,649TotalAmt
Program Services$8,955ProgramServicesAmt
Management And General$16,694ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$154,304TotalAmt
Program Services$87,215ProgramServicesAmt
Management And General$66,304ManagementAndGeneralAmt
Fundraising$785FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$779,454TotalAmt
Program Services$726,488ProgramServicesAmt
Management And General$35,275ManagementAndGeneralAmt
Fundraising$17,691FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$37,920TotalAmt
Program Services$832ProgramServicesAmt
Management And General$37,088ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES AND SE$1,251,250$1,247,323$3,927$0
BAD DEBTS$121,363$121,363
MISCELLANEOUS$59,032$16,038$42,556$438
RECRUITMENT$21,959$21,959

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,469,637TotalAmt
Program Services$13,677,629ProgramServicesAmt
Management And General$1,310,134ManagementAndGeneralAmt
Fundraising$481,874FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$614,699BOYAmt
EOY$636,118EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,603,379BOYAmt
EOY$3,010,487EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$368,964BOYAmt
EOY$151,151EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,186,500BOYAmt
EOY$1,305,737EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$100,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$106,274BOYAmt
EOY$112,373EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$110,769BOYAmt
EOY$142,805EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,599,501LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,274,409LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,515,759BOYAmt
EOY$10,325,092EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,716BOYAmt
EOY$1,262,816EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,517,060BOYAmt
EOY$17,046,579EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$622,022BOYAmt
EOY$890,804EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$88,198BOYAmt
EOY$51,561EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$710,220BOYAmt
EOY$942,365EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,543,367BOYAmt
EOY$14,290,426EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,087,973BOYAmt
EOY$1,638,288EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$175,500BOYAmt
EOY$175,500EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,806,840BOYAmt
EOY$16,104,214EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,517,060BOYAmt
EOY$17,046,579EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,297,374ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,643,851CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,312,992CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,619,217CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,656,297CurrentTaxYearMinus1YearAmt
Current Tax Year$5,394,334CurrentTaxYearAmt
Total$22,626,691TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,643,851CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,312,992CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,619,217CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,656,297CurrentTaxYearMinus1YearAmt
Current Tax Year$5,394,334CurrentTaxYearAmt
Total$22,626,691TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,337,864SubstantialContributorsTotAmt
Public Support Total170$21,288,827PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,848CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,741CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,693CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,093CurrentTaxYearMinus1YearAmt
Current Tax Year$8,115CurrentTaxYearAmt
Total$21,490TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,293CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$62,161CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$88,097CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$142,203CurrentTaxYearMinus1YearAmt
Current Tax Year$161,666CurrentTaxYearAmt
Total$516,420TotalAmt
FieldValueIRS element (for citing)
Total Support$23,164,601TotalSupportAmt
Gross Receipts Rltd Activities$47,063,997GrossReceiptsRltdActivitiesAmt
Public Support CY1700.91900PublicSupportCY170Pct
Public Support PY1700.94270PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$175,500BeginningYearBalanceAmt
End Year Balance$175,500EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$175,500BeginningYearBalanceAmt
End Year Balance$175,500EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$175,500BeginningYearBalanceAmt
End Year Balance$175,500EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$175,500BeginningYearBalanceAmt
End Year Balance$175,500EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$174,416BeginningYearBalanceAmt
Contributions$1,084ContributionsAmt
End Year Balance$175,500EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,157,064OtherCostOrOtherBasisAmt
Depreciation$1,946,594DepreciationAmt
Book Value$8,210,470BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$551,632OtherCostOrOtherBasisAmt
Depreciation$277,242DepreciationAmt
Book Value$274,390BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,827,605OtherCostOrOtherBasisAmt
Depreciation$1,725,925DepreciationAmt
Book Value$1,101,680BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,063,200OtherCostOrOtherBasisAmt
Depreciation$324,648DepreciationAmt
Book Value$738,552BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,325,092TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescCONSTRUCTION IN PROCESSDesc
Book Value$1,262,816BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,262,816TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$17,004,291TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$206,221DonatedServicesAndUseFcltsAmt
Other Revenue$31,059OtherRevenueAmt
Revenue Not Reported$237,280RevenueNotReportedAmt
Revenue Subtotal$16,767,011RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$16,767,011TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$15,706,917TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$206,221DonatedServicesUseFcltsAmt
Other Expenses Included$31,059OtherExpensesIncludedAmt
Expenses Not Reported$237,280ExpensesNotReportedAmt
Expenses Subtotal$15,469,637ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$15,469,637TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2017.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSE 31,059.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSE 31,059.
PART 5, LINE 4THE ENDOWMENT FUNDS SUPPORT THE GENERAL OPERATIONS OF THE HEALTH CENTER.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SUMMER SOLSTICEEvent1Nm
Gross Receipts Event1$15,049GrossReceiptsEvent1Amt
Charitable Contri Event1$1,600CharitableContriEvent1Amt
Gross Revenue Event1$13,449GrossRevenueEvent1Amt
Food And Beverage Event1$3,439FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$2,478OtherDirectExpensesEvent1Amt
Event2GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$48,641GrossReceiptsEvent2Amt
Charitable Contri Event2$48,391CharitableContriEvent2Amt
Gross Revenue Event2$250GrossRevenueEvent2Amt
Rent Facility Costs Event2$13,943RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$2,058OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Oth Direct Expnss Other Events$9,141OthDirectExpnssOtherEventsAmt
Gross Receipts Total$63,690GrossReceiptsTotalAmt
Charitable Contributions Tot$49,991CharitableContributionsTotAmt
Gross Revenue Total Events$13,699GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$13,943RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$3,439FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$13,677OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$31,059DirectExpenseSummaryEventsAmt
Net Income Summary-$17,360NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KAREN GARDNER
CEO$198,585$0$0$0$0$0$0$0$0$20,154$198,585$20,154$0$0
ANN-MARIE RICHARD
CFO$136,885$0$0$0$0$0$0$0$0$18,303$136,885$18,303$0$0
DAVID TAGER MD
CHIEF MEDICAL OFFICER$211,988$0$0$0$0$0$0$0$0$20,556$211,988$20,556$0$0
LAURA JETT
PHYSICIAN$191,747$0$0$0$0$0$0$0$0$19,949$191,747$19,949$0$0
LISA BUSTIN
PHYSICIAN$178,607$0$0$0$0$0$0$0$0$10,774$178,607$10,774$0$0
KATE DRUMOND
PHYSICIAN$173,545$0$0$0$0$0$0$0$0$19,403$173,545$19,403$0$0
MICHAEL MESSINA
PHYSICIAN$166,758$0$0$0$0$0$0$0$0$19,199$166,758$19,199$0$0
DAWN WEST
DENTIST$179,665$0$0$0$0$0$0$0$0$18,481$179,665$18,481$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CALL 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 15COMPENSATION 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 19BOARD 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.