EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC (EIN 04-2513817)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201301359349300775
- Schema version
- 2011v1.5
- 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 I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T09:46:08-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042571780 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALEXANDER ARONSON FINNING & CO PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 EAST MAIN STREET | AddressLine1 |
| City | WESTBOROUGH | City |
| State | MA | State |
| ZIP Code | 01581 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042513817 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EDWA | NameControl |
| Phone | 5088542122 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 CENTURY DRIVE | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01606 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ANTONIA MCGUIRE | Name |
| Title | CEO | Title |
| Phone | 5088521805 | Phone |
| Date Signed | 2013-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MATTHEW HUTT CPA | Name |
| PTIN | P01070603 | PTIN |
| Phone | 5083669100 | Phone |
| Date Prepared | 2013-05-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ANTONIA MCGUIRE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 CENTURY DRIVE | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 34679963 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | EDWARDMKENNEDYCHC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1972 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | OUR VISION IS TO BE A CONSTANTLY GROWING, FINANCIALLY SOUND FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER THAT - PROVIDES ACCESS TO PRIMARY HEALTH CARE SERVICES TO ALL THAT REQUIRE THEM IN ALL THE COMMUNITIES WE SERVE - PROVIDES HIGH QUALITY, COMPASSIONATE, COMPREHENSIVE, AND INTEGRATED HEALTH CARE TO EVERYONE WE SERVE - WORKING IN PARTNERSHIP WITH OUR PATIENTS TO ACHIEVE IMPROVED HEALTH OUTCOMES - DEVELOPING AN ORGANIZATION WITH CLEAR STRATEGIC DIRECTION, ALIGNED OBJECTIVES, AND EFFECTIVE INTERNAL COMMUNICATION - BEING RECOGNIZED AS A GREAT PLACE TO WORK AND AN EMPLOYER OF CHOICE - UNDERSTANDING AND RESPECTING THE CULTURES OF OUR EMPLOYEES, PATIENTS, AND THE COMMUNITIES WE SERVE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 430 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4917463 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6047835 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 27169652 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 28418643 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 16728 | InvestmentIncomePriorYear |
| Investment Income Current Year | -131802 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 240850 | OtherRevenuePriorYear |
| Other Revenue Current Year | 202807 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 32344693 | TotalRevenuePriorYear |
| Total Revenue Current Year | 34537483 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 573920 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 606808 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 19870549 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 19921445 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 9078665 | OtherExpensePriorYear |
| Other Expenses Current Year | 9540466 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 29523134 | TotalExpensesPriorYear |
| Total Expenses Current Year | 30068719 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2821559 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4468764 | RevenuesLessExpensesCY |
| Total Assets BOY | 30491001 | TotalAssetsBOY |
| Total Assets EOY | 36904744 | TotalAssetsEOY |
| Total Liabilities BOY | 14907188 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 16852167 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15583813 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 20052577 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | OUR VISION IS TO BE A CONSTANTLY GROWING, FINANCIALLY SOUND FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER THAT PROVIDES ACCESS TO PRIMARY HEALTH CARE SERVICES TO ALL THAT REQUIRE THEM IN ALL THE COMMUNITIES WE SERVE -PROVIDE HIGH QUALITY, COMPASSIONATE, COMPREHENSIVE, AND INTEGRATED HEALTH CARE TO EVERYONE WE SERVE -WORKING IN PARTNERSHIP WITH OUR PATIENTS TO ACHIEVE IMPROVED HEALTH OUTCOMES -DEVELOPING AN ORGANIZATION WITH CLEAR STRATEGIC DIRECTION, ALIGNED OBJECTIVES, AND EFFECTIVE INTERNAL COMMUNICATION -BEING REORGANIZED AS A GREAT PLACE TO WORK AND AN EMPLOYER OF CHOICE -UNDERSTANDING AND RESPECTING THE CULTURES OF OUR EMPLOYEES, PATIENTS, AND THE COMMUNITIES WE SERVE | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 19337709 | Expense |
| Grants | 606808 | Grants |
| Revenue | 22463978 | Revenue |
| Description | PRIMARY MEDICAL - EDWARD M KENNEDY COMMUNITY HEALTH CENTER UTILIZES A FAMILY PRACTICE MODEL OF CARE SERVICES INCLUDE PREVENTATIVE CARE, ROUTINE CHECKUPS, IMMUNIZATIONS, AND MANAGEMENT OF ACUTE AND CHRONIC ILLNESSES SPECIALTY CARE - PULMONOLOGY, FAMILY PLANNING, OBSTETRICS/GYNECOLOGY, INFECTIOUS DISEASE, OPHTHALMOLOGY, AND PODIATRY. DENTAL HEALTH - DENTAL SERVICES ARE PROVIDED AT FOUR SITES (TWO IN WORCESTER, ONE IN FRAMINGHAM AND ONE IN CLINTON) SERVICES INCLUDE COMPREHENSIVE EXAMS, X-RAYS, ORAL HEALTH EDUCATION, PROPHYLAXIS (CLEANINGS), RESTORATIVE TREATMENT, ORAL SURGERY AND EMERGENCY TREATMENT. WE ALSO PROVIDE PEDIATRIC DENTAL CARE AND PROSTHODONTIC SERVICES SUCH AS DENTURES, PARTIALS, CROWNS, BRIDGES, AND MOUTH GUARDS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4151843 | Expense |
| Revenue | 4869185 | Revenue |
| Description | 340B PHARMACY - DISPENSING OF PHARMACEUTICAL PRODUCTS TO AID MEDICAL TREATMENT. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1601198 | Expense |
| Revenue | 1085480 | Revenue |
| Description | SCHOOL BASED HEALTH CENTERS - TO PROVIDE HEALTH SERVICES TO SCHOOLS | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 25090750 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 48 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 430 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 1 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANTONIA MCGUIRE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5088542122 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 CENTURY DRIVE | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01606 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| MATTHEW J HOGAN | ||||||||
| CHAIR | 1.00 | X | X | 0 | 0 | 0 | ||
| JOHN RICCIO | ||||||||
| VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 | ||
| JOSEPH STOLBERG | ||||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | ||
| GAIL F HORMATS | ||||||||
| CLERK | 1.00 | X | X | 0 | 0 | 0 | ||
| LISA M CAVALCANTI | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| VERONICA CRESPO | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JAMES DUPRE | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ANGEL P HAMPTON | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL PAGANO | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DEBORAH SANCHEZ | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| VALERIE ZOLEZZI-WYNDHAM | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ANTONIA MCGUIRE | ||||||||
| CEO/PRESIDENT | 40.00 | X | 277708 | 0 | 7619 | |||
| LEO AUDETTE | ||||||||
| FORMER VP OF FINANCE/CFO | 40.00 | X | 141319 | 0 | 3122 | |||
| MARIA COPPENRATH | ||||||||
| VP OF FINANCE/CFO | 40.00 | X | 75585 | 0 | 0 | |||
| LEAH GALLIVAN | ||||||||
| COO | 40.00 | X | 115396 | 0 | 2687 | |||
| MICHELE PICI | ||||||||
| MEDICAL DIRECTOR - WORCESTER | 40.00 | 172664 | 0 | 4695 | X | |||
| DEVAL SHAH-CANNING | ||||||||
| MEDICAL DIRECTOR - FRAMINGHAM | 40.00 | 160562 | 0 | 4407 | X | |||
| ANITA KOSTECKI | ||||||||
| MD | 32.00 | 166877 | 0 | 3722 | X | |||
| THEODOR ENE | ||||||||
| MD | 40.00 | 152956 | 0 | 113 | X | |||
| IRYNA YEUCHYK | ||||||||
| MD | 40.00 | 147604 | 0 | 104 | X | |||
| DANIEL O'DONNELL | ||||||||
| MD | 32.00 | 141767 | 0 | 2939 | X | |||
| ALLIAN IFFIH | ||||||||
| MD | 40.00 | 141828 | 0 | 2744 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1694266 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 32152 | TotalOtherCompensation |
| Number Individuals GT100 K | 10 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ERLAND CONSTRUCTION INC | |||||
| 83 SECOND AVENUE | BURLINGTON | MA | 01803 | CONSTRUCTION | 5148683 |
| BLUE CROSS BLUE SHIELD OF MASS | |||||
| PO BOX 371318 | PITTSBURGH | PA | 15250 | EMPLOYEE BENEFITS | 2517230 |
| MCKESSON DRUG COMPANY | |||||
| PO BOX 848442 | DALLAS | TX | 75284 | PHARMACEUTICAL | 2049254 |
| CUTLER ASSOCIATES INC | |||||
| BOX 15049 | WORCESTER | MA | 01615 | CONSTRUCTION | 648279 |
| AKUITY TECHNOLOGIES | |||||
| 1 WESTEC DRIVE | AUBURN | MA | 01501 | IT SUPPORT PROVIDER | 352902 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 17 | NumberOfContractorsGT100K |
| Federated Campaigns | 44704 | FederatedCampaigns |
| Government Grants | 5518807 | GovernmentGrants |
| All Other Contributions | 484324 | AllOtherContributions |
| Noncash Contributions | 479847 | NoncashContributions |
| Total Contributions | 6047835 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 621400 | 20795007 | 20795007 |
| CONTRACT REVENUE | 621400 | 7623636 | 7623636 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 28418643 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9178 | TotalRevenueColumn |
| Exclusion | $9,178 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 118582 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 118582 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 118582 | TotalRevenueColumn |
| Exclusion | $118,582 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1500 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 142480 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -140980 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -140980 | TotalRevenueColumn |
| Exclusion | -$140,980 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 84225 | TotalRevenueColumn |
| Exclusion | $84,225 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 84225 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 34537483 | TotalRevenueColumn |
| Related Or Exempt Function Income | 28418643 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $71,005 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 601808 | Total |
| Program Services | 601808 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5000 | Total |
| Program Services | 5000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 910380 | Total |
| Program Services | 137965 | ProgramServices |
| Management And General | 772415 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15613440 | Total |
| Program Services | 14037918 | ProgramServices |
| Management And General | 1575522 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190782 | Total |
| Program Services | 158654 | ProgramServices |
| Management And General | 32128 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1851841 | Total |
| Program Services | 1589044 | ProgramServices |
| Management And General | 262797 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1355002 | Total |
| Program Services | 984193 | ProgramServices |
| Management And General | 370809 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 205276 | Total |
| Program Services | 2685 | ProgramServices |
| Management And General | 202591 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50997 | Total |
| Management And General | 50997 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1641914 | Total |
| Program Services | 1107496 | ProgramServices |
| Management And General | 534418 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1028672 | Total |
| Program Services | 441590 | ProgramServices |
| Management And General | 587082 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1070833 | Total |
| Program Services | 858530 | ProgramServices |
| Management And General | 212303 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89095 | Total |
| Program Services | 78643 | ProgramServices |
| Management And General | 10452 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 981071 | Total |
| Program Services | 811376 | ProgramServices |
| Management And General | 169695 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113380 | Total |
| Program Services | 94506 | ProgramServices |
| Management And General | 18874 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 3566546 | 3425911 | 140635 |
| PROVISION FOR BAD DEBTS | 560883 | 560883 | |
| COMMUNICATIONS | 216620 | 180164 | 36456 |
| MISCELLANEOUS | 15179 | 14384 | 795 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30068719 | Total |
| Program Services | 25090750 | ProgramServices |
| Management And General | 4977969 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 734251 | BOY |
| EOY | 1955 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2395628 | BOY |
| EOY | 1670525 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 490096 | BOY |
| EOY | 1042810 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6606238 | BOY |
| EOY | 6736169 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 254490 | BOY |
| EOY | 200276 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 367173 | BOY |
| EOY | 341918 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 25726657 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 8024999 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19377789 | BOY |
| EOY | 17701658 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 195348 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 265336 | BOY |
| EOY | 9014085 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30491001 | BOY |
| EOY | 36904744 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3663371 | BOY |
| EOY | 4198854 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11213000 | BOY |
| EOY | 11027499 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1200000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30817 | BOY |
| EOY | 425814 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14907188 | BOY |
| EOY | 16852167 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14334685 | BOY |
| EOY | 19655741 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1249128 | BOY |
| EOY | 396836 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15583813 | BOY |
| EOY | 20052577 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30491001 | BOY |
| EOY | 36904744 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 4468764 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5794608 | OtherCostOrOtherBasis |
| Book Value | 5794608 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13780947 | OtherCostOrOtherBasis |
| Depreciation | 3778840 | Depreciation |
| Book Value | 10002107 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1529180 | OtherCostOrOtherBasis |
| Depreciation | 1491294 | Depreciation |
| Book Value | 37886 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4564472 | OtherCostOrOtherBasis |
| Depreciation | 2697415 | Depreciation |
| Book Value | 1867057 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 57450 | OtherCostOrOtherBasis |
| Depreciation | 57450 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 17701658 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEPOSITS AND OTHER | 42249 |
| WORK IN PROGRESS | 8918505 |
| DEBT SERVICE FUND | 53331 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 9014085 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE OBLIGATION | $411,326 |
| DEPOSITS | $14,488 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 425814 | TotalOfAmounts |
| Total Revenue | 34537483 | TotalRevenue |
| Total Expenses | 30068719 | TotalExpenses |
| Excess Or Deficit For Year | 4468764 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 4468764 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 34665281 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 127798 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 127798 | RevenueNotRptdF990 |
| Revenue Subtotal | 34537483 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 34537483 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 30196517 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 127798 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 127798 | ExpensesNotRptdF990 |
| Expenses Subtotal | 30068719 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 30068719 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | THE AGENCY FOLLOWS THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES STANDARD, WHICH REQUIRES THE AGENCY TO REPORT UNCERTAIN TAX POSITIONS, RELATED INTEREST AND PENALTIES, AND TO ADJUST ITS ASSETS AND LIABILITIES RELATED TO UNRECOGNIZED TAX BENEFITS AND ACCRUED INTEREST AND PENALTIES ACCORDINGLY. AS OF JUNE 30, 2012, THE AGENCY DETERMINED THAT THERE ARE NO MATERIAL UNRECOGNIZED TAX BENEFITS TO REPORT. THE AGENCY DOES NOT EXPECT THAT THE AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL CHANGE SIGNIFICANTLY WITHIN THE NEXT TWELVE MONTHS.INFORMATION RETURNS GENERALLY REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND MASSACHUSETTS TAX AUTHORITIES FOR THREE YEARS AFTER FILING. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| FAMILY HEALTH CENTER OF WORCESTER | |||||||
| 26 QUEEN STREET | WORCESTER | MA | 01610 | 042485308 | 501(C)(3) | 490814 | FUND SW/PN CASE MANAGERS & HIV EDUCATION AND PREVENTION |
| PERNET FAMLILY HEALTH SERVICES INC | |||||||
| 237 MILLBURY STREET | WORCESTER | MA | 01610 | 042453851 | 501(C)(3) | 53000 | FUND SW/PN CASE MANAGERS |
| UMASS MEMORIAL | |||||||
| 119 BELMONT STREET | WORCESTER | MA | 01605 | 043358564 | 501(C)(3) | 57994 | FUND SW/PN CASE MANAGERS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 3 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | GRANTS ARE MONITORED BY OFFICE BASED MONITORING AND ON-SITE MONITORING. OFFICE BASED MONITORING ENTAILS A REVIEW OF THE RECIPIENT'S FILES TO ENSURE THAT ALL DOCUMENTATION IS COMPLETE AND UP-TO-DATE. GRANTS ARE REVIEWED MONTHLY FOR APPROPRIATE BILLING. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANTONIA MCGUIRE | |||||||||||||
| 252708 | 0 | 25000 | 0 | 0 | 0 | 4281 | 0 | 3338 | 0 | 285327 | 0 | 0 | 0 |
| MICHELE PICI | |||||||||||||
| 172664 | 0 | 0 | 0 | 0 | 0 | 4471 | 0 | 224 | 0 | 177359 | 0 | 0 | 0 |
| DEVAL SHAH-CANNING | |||||||||||||
| 160562 | 0 | 0 | 0 | 0 | 0 | 4202 | 0 | 205 | 0 | 164969 | 0 | 0 | 0 |
| ANITA KOSTECKI | |||||||||||||
| 153077 | 0 | 13800 | 0 | 0 | 0 | 3564 | 0 | 158 | 0 | 170599 | 0 | 0 | 0 |
| THEODOR ENE | |||||||||||||
| 152956 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 113 | 0 | 153069 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| MASS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | |||||||
| 042456011 | 57586CVK8 | 2006-12-20 | 5100000 | INDEBTEDNESS RELATING TO CONSTRUCTION AND RENOVATION COSTS | 0 | 0 | 0 |
| MASS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | |||||||
| 042456011 | 2011-04-27 | 6423000 | INDEBTEDNESS RELATING TO CONSTRUCTION AND RENOVATION COSTS | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5100000 | 50415 | 1662364 | 154284 | 3283352 | 3970090 | 1494921 | 2009 | 0 | 0 | 1 | 1 |
| 6423000 | 70000 | 887989 | 3970090 | 1494921 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Exception To RebateExceptionToRebate |
|---|---|---|---|---|
| 0 | 1 | 0 | 0 | 0 |
| 0 | 1 | 0 | 0 | 0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 479847 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | MANAGEMENT WORKS WITH THE ORGANIZATION'S EXTERNAL AUDITORS TO PREPARE THE FINANCIAL INFORMATION AND COMPILE THE DISCLOSURES REQUIRED FOR THE FORM 990. UPON ITS COMPLETION, THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS REVIEW THE FORM 990 PRIOR TO SUBMISSION. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL STAFF AND KEY EMPLOYEES ARE EDUCATED ANNUALLY AND ARE REQUIRED TO SIGN AN ACKNOWLEGMENT INDICATING THAT THE EDUCATION WAS PROVIDED. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD COMPLETES A PERFORMANCE REVIEW OF THE CEO. PART OF THE REVIEW IS TO COMPLETE A COMPENSATION SURVEY. THE CEO'S SALARY IS SET TO MARKET BY THE BOARD BASED ON THE BUDGET AND SIZE OF THE HEALTH CENTER. THE SENIOR MANAGERS AND OTHER STAFF ARE PLACED IN THE WAGE AND SALARY SCALE BASED ON MARKET TRENDS DETERMINED BY THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND APPROVED BY THE BOARD. SENIOR MANAGER SALARY RECOMMENDATIONS WERE REVIEWED AND APPROVED WITH THE FINANCE COMMITTEE IN AN EXECUTIVE SESSION. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND CAN BE FOUND AT THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. | |
| FORM 990, PART VII | LEO AUDETTE - 84 IRISH LANE, RUTLAND, MA 01543. | CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC |
| PART XII, LINE 2C | THE OVERSIGHT PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HCHC INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2000 CENTURY DRIVE | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800545630 | EIN |
| Primary Activities | TO SUPPORT THE MISSION OF THE HEALTH CENTER | PrimaryActivities |
| Legal Domicile State | MA | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 501(C)(3) | PublicCharityStatus |
| Controlled Org | 0 | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 380 WAVERLY STREET LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 19 TACOMA STREET | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01605 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042513817 | EIN |
| Primary Activity | TO ACQUIRE, IMPROVE, MANAGE, OPERATE, AND OTHERWISE DEAL WITH REAL PROPERTY. | PrimaryActivity |
| Legal Domicile State | MA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMKCHC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |