CODMAN SQUARE HEALTH CENTER INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CODMAN SQUARE HEALTH CENTER INC (EIN 04-2678774)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-15
- IRS object ID
- 201342279349300539
- 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 G
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-15T08:33:42-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | 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 | WESTBORO | City |
| State | MA | State |
| ZIP Code | 01581 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042678774 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CODMAN SQUARE HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CODM | NameControl |
| Phone | 6178259660 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 637 WASHINGTON STREET | AddressLine1 |
| City | DORCHESTER | City |
| State | MA | State |
| ZIP Code | 02124 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT MACEACHERN | Name |
| Title | PRESIDENT | Title |
| Phone | 6178259660 | Phone |
| Date Signed | 2013-08-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN T FINNING CPA | Name |
| PTIN | P01445870 | PTIN |
| Phone | 5083669100 | Phone |
| Date Prepared | 2013-08-13 | 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 | ROBERT MACEACHERN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 637 WASHINGTON STREET | AddressLine1 |
| City | DORCHESTER | City |
| State | MA | State |
| ZIP Code | 02124 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 32871280 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CODMAN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1975 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | TO SERVE AS A RESOURCE FOR IMPROVING THE PHYSICAL, MENTAL AND SOCIAL WELL-BEING OF THE COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 276 | TotalNbrEmployees |
| Total Nbr Volunteers | 1 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4251895 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 10774098 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 18086202 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 17687443 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 378393 | InvestmentIncomePriorYear |
| Investment Income Current Year | 473399 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 245116 | OtherRevenuePriorYear |
| Other Revenue Current Year | 220810 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 22961606 | TotalRevenuePriorYear |
| Total Revenue Current Year | 29155750 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 7288786 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 13304954 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 14222177 | 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 | 9668687 | OtherExpensePriorYear |
| Other Expenses Current Year | 9695557 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 22973641 | TotalExpensesPriorYear |
| Total Expenses Current Year | 31206520 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -12035 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2050770 | RevenuesLessExpensesCY |
| Total Assets BOY | 22171364 | TotalAssetsBOY |
| Total Assets EOY | 26759178 | TotalAssetsEOY |
| Total Liabilities BOY | 1898922 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 8239544 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 20272442 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 18519634 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO SERVE AS A RESOURCE FOR IMPROVING THE PHYSICAL, MENTAL AND SOCIAL WELL-BEING OF THE COMMUNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 14229448 | Expense |
| Grants | 7288786 | Grants |
| Revenue | 12576836 | Revenue |
| Description | THE LARGEST PROGRAM BY EXPENSE IS FAMILY MEDICINE, WHICH IS A PART OF OUR PRIMARY CARE DEPARTMENT. THIS IS THE BACKBONE OF OUR PATIENT CENTERED MEDICAL HOME EFFORTS. FAMILY MEDICINE PROVIDERS CARE FOR PATIENTS THROUGHOUT ALL STAGES OF LIFE, INCLUDING BOTH WELLNESS APPOINTMENTS AND VISITS REQUIRING ATTENTION TO A SPECIFIC ILLNESS OR INJURY. THE HEALTH CENTER CARES FOR BOTH THE INDIVIDUAL AND HIS/HER FAMILY THROUGH THE INTEGRATION OF BIOLOGICAL, CLINICAL AND BEHAVIORAL SCIENCES. OUR APPROACH IS INTEGRATED AND HOLISTIC, AND ADDRESSES BOTH THE CLINICAL AND NON-CLINICAL (SOCIAL SERVICES, COMMUNITY BASED PROGRAMS). WHEN SPECIALTY SERVICES ARE NEEDED WE COORDINATE THAT CARE. THE FAMILY MEDICINE DEPARTMENT RECORDED 62,062 VISITS IN FY 2012. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2010119 | Expense |
| Revenue | 1115194 | Revenue |
| Description | OUR DENTAL DEPARTMENT PROVIDES PREVENTATIVE AND RESTORATIVE WORK, ORAL SURGERY, AND PERIODONTAL CARE. WE OFFER A STATE-OF-THE-ART DENTAL CLINIC CONSISTING OF SEVEN DENTAL OPERATORIES EQUIPPED WITH FULLY AUTOMATIC DENTAL CHAIRS AND A COMPUTER DESKTOP WITH DUAL MONITORS FOR PATIENTS CASE PRESENTATIONS AND DIGITAL RADIOGRAPHY. WE USE THE DENTRIX SYSTEM, A DENTAL PRACTICE MANAGEMENT SOFTWARE SYSTEM, THAT ALLOWS STAFF TO TAKE AND STORE DIGITAL X-RAYS. DENTAL STAFF INCLUDES GENERAL DENTISTS, HYGIENISTS, AND ORAL AND GUM SURGERY SPECIALISTS. TREATMENT IS AVAILABLE TO ALL MEMBERS OF THE COMMUNITY, INCLUDING UNINSURED PATIENTS AND PATIENTS WITH MEDICAID, MEDICARE, AND HEALTH SAFETY NET. WE ALSO SERVE AS A ROTATING SITE FOR SENIOR DENTAL STUDENTS AT TUFTS AND BOSTON UNIVERSITY DENTAL SCHOOLS. OUR PRIMARY CARE PROVIDERS COORDINATE CARE WITH THE DENTAL DEPARTMENT, AS NURSES ARE TRAINED TO SCREEN PATIENTS FOR ORAL HEALTH DISEASE AND TO ASSURE THAT THEY HAVE A YEARLY DENTAL VISIT. OUR DENTAL DEPARTMENT ALSO HAS A SATELLITE OFFICE AT TECHBOSTON ACADEMY, A LOCAL HIGH SCHOOL, WHERE STUDENTS ARE PROVIDED CHECK-UPS, CLEANINGS, X-RAYS AND FILLINGS. THE DENTAL DEPARTMENT RECORDED 9,329 VISITS IN FY 2012. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2684574 | Expense |
| Revenue | 2534902 | Revenue |
| Description | OUR URGENT CARE DEPARTMENT PROVIDES SAME DAY TREATMENT FOR ILLNESSES OR CONDITIONS THAT NEED IMMEDIATE ATTENTION. OUR STAFF IS COMPRISED OF PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, NURSES AND MEDICAL ASSISTANTS. URGENT CARE IS OFTEN A GATEWAY FOR PATIENTS TO BECOME A PART OF THE PATIENT CENTERED MEDICAL HOME, AND OUR STAFF IS TRAINED TO IDENTIFY THOSE INDIVIDUALS THAT NEED A PRIMARY CAREGIVER. URGENT CARE IS OPEN SEVEN DAYS A WEEK AND IS A KEY RESOURCE IN THE COMMUNITY TO ADDRESS URGENT NEEDS THAT SHOULD NOT REQUIRE A VISIT TO A HOSPITAL EMERGENCY ROOM. THE URGENT CARE DEPARTMENT RECORDED 16,230 VISITS IN FY 2012. | Description |
Activity Other ActivityOther (4 entries)
| ExpenseExpense | DescriptionDescription | RevenueRevenue |
|---|---|---|
| 589140 | COMMUNITY SERVICES | |
| 634399 | EYECARE | 749773 |
| 1499502 | MENTAL HEALTH | 814032 |
| 4087024 | PATIENT SUPPORT SERVICES | 23370 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 6810065 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 1587175 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 25734206 | 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 | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | 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 | 1 | 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 | 0 | TaxExemptBonds |
| 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 | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 1 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | 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 | 17 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 276 | 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 | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | 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 | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| 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 | CODMAN SQUARE HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6178259660 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 637 WASHINGTON STREET | AddressLine1 |
| City | DORCHESTER | City |
| State | MA | State |
| ZIP Code | 02124 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ROBERT J MACEACHERN | |||||||
| PRESIDENT | 3.00 | X | X | 0 | 0 | 0 | |
| STEPHEN WEYMOUTH | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| GARVIN WARDEN | |||||||
| VICE PRESIDENT | 3.00 | X | X | 0 | 0 | 0 | |
| SUSAN MONAHAN | |||||||
| TREASURER | 3.00 | X | X | 0 | 0 | 0 | |
| THABITI BROWN | |||||||
| CLERK | 3.00 | X | X | 0 | 0 | 0 | |
| EMMETT SCHMARSOW | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| SEABORN SCOTT | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| CHARLES O'HARA | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| MONA SCANTLEBURY | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| JULIA CHARLEY | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| ARDIS VAUGHAN | |||||||
| TREASURER | 3.00 | X | 0 | 0 | 0 | ||
| EGOBUDIKE J EZEDI | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| MARVA SEROTKIN | |||||||
| PRESIDENT - ELECT | 3.00 | X | X | 0 | 0 | 0 | |
| ISAAC COLBERT | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| SANDRA WARREN | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| PATRICIA ROSS | |||||||
| CHIEF FINANCIAL OFFICER | 20.00 | X | 0 | 154688 | 23758 | ||
| SANDRA COTTERELL | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | X | 158514 | 0 | 17639 | ||
| ANTHONY STANKIEWICZ | |||||||
| CHIEF OF STAFF / CHIEF ADV | 40.00 | X | 134424 | 0 | 837 | ||
| PHILIP SEVERIN | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | X | 175799 | 0 | 2462 | ||
| GABRIEL VONLEH | |||||||
| CHIEF OPERATING OFFICER | 40.00 | X | 70192 | 0 | 775 | ||
| KAREN KENNEDY | |||||||
| PHYSICIAN | 40.00 | 162098 | 0 | 17529 | X | ||
| STEPHENSON TOBIERRE | |||||||
| PHYSICIAN | 40.00 | 183766 | 0 | 853 | X | ||
| JONATHAN PINCUS | |||||||
| MEDICAL DIRECTOR OF INTERNAL MEDICINE | 40.00 | 153039 | 0 | 17420 | X | ||
| MATTHEW HORAN | |||||||
| DIRECTOR OF DENTAL SERVICES | 40.00 | 156224 | 0 | 6709 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1194056 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 154688 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 87982 | TotalOtherCompensation |
| Number Individuals GT100 K | 7 | 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 |
|---|---|---|---|---|---|
| DOTWELL | |||||
| 1452 DORCHESTER AVENUE | DORCHESTER | MA | 02122 | IT/FINANCIAL SERVICES | 902700 |
| HKT ARCHITECTS | |||||
| 35 MEDFORD STREET | SOMERVILLE | MA | 02143 | ARCHITECTURE | 726999 |
| SHAWMUT DESIGN AND CONSTRUCTION | |||||
| 560 HARRISON AVE | BOSTON | MA | 02118 | CONSTRUCTION MANAGEMENT | 520304 |
| INX INC | |||||
| 10101 SW BARBUR BOULEVARD 207 | PORTLAND | OR | 97219 | COMPUTER DESIGN & INSTALL SERVICES | 359434 |
| DIVERSIFIED PROJECT MANAGEMENT | |||||
| 300 WASHINGTON STREET | NEWTON | MA | 02458 | CONSTRUCTION MANAGEMENT | 231986 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
| Fundraising Events | 237665 | FundraisingEvents |
| Government Grants | 840949 | GovernmentGrants |
| All Other Contributions | 9695484 | AllOtherContributions |
| Noncash Contributions | 293000 | NoncashContributions |
| Total Contributions | 10774098 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENU | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 17687443 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17687443 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 17687443 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 243813 | TotalRevenueColumn |
| Exclusion | $243,813 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 132869 | 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 | 132869 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 132869 | TotalRevenueColumn |
| Exclusion | $132,869 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3870879 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3641293 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 229586 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 229586 | TotalRevenueColumn |
| Exclusion | $229,586 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 35514 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 237665 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 74237 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -38723 | TotalRevenueColumn |
| Exclusion | -$38,723 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MISC. REVENUE | 900099 | 119626 | 119626 |
| SETTLEMENTS | 900099 | 7038 | 7038 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 126664 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 29155750 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17814107 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $567,545 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7288786 | Total |
| Program Services | 7288786 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 872132 | Total |
| Program Services | 132500 | ProgramServices |
| Management And General | 739632 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11207507 | Total |
| Program Services | 10471754 | ProgramServices |
| Management And General | 735753 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64971 | Total |
| Program Services | 54695 | ProgramServices |
| Management And General | 10276 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1249524 | Total |
| Program Services | 1148149 | ProgramServices |
| Management And General | 101375 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 828043 | Total |
| Program Services | 660861 | ProgramServices |
| Management And General | 167182 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74462 | Total |
| Program Services | 6907 | ProgramServices |
| Management And General | 67555 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38876 | Total |
| Program Services | 6484 | ProgramServices |
| Management And General | 32392 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39671 | Total |
| Management And General | 39671 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25952 | Total |
| Program Services | 25952 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 396429 | Total |
| Program Services | 188127 | ProgramServices |
| Management And General | 208302 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 695102 | Total |
| Program Services | 12946 | ProgramServices |
| Management And General | 682156 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30084 | Total |
| Program Services | 23676 | ProgramServices |
| Management And General | 6408 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 740922 | Total |
| Program Services | 64160 | ProgramServices |
| Management And General | 676762 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114367 | Total |
| Program Services | 52000 | ProgramServices |
| Management And General | 62367 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACTED SERVICES | 2434920 | 1001033 | 1433887 |
| PHARMACY | 1936019 | 1936019 | |
| MEDICAL SUPPLIES | 1177015 | 1177001 | 14 |
| BAD DEBTS | 1039786 | 1039786 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 951952 | Total |
| Program Services | 443370 | ProgramServices |
| Management And General | 508582 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31206520 | Total |
| Program Services | 25734206 | ProgramServices |
| Management And General | 5472314 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1280 | BOY |
| EOY | 1280 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1350291 | BOY |
| EOY | 604767 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 534521 | BOY |
| EOY | 590875 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2014665 | BOY |
| EOY | 2556175 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 12713464 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 199884 | BOY |
| EOY | 220981 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 107236 | BOY |
| EOY | 211149 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 9186880 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4990551 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11722819 | BOY |
| EOY | 4196329 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6240668 | BOY |
| EOY | 5024158 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 640000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22171364 | BOY |
| EOY | 26759178 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1898922 | BOY |
| EOY | 2889544 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 5350000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1898922 | BOY |
| EOY | 8239544 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19681420 | BOY |
| EOY | 18230204 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 591022 | BOY |
| EOY | 289430 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20272442 | BOY |
| EOY | 18519634 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22171364 | BOY |
| EOY | 26759178 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -2050770 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 297962 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3578661 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3800036 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3451925 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4173354 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10774098 | CurrentTaxYear |
| Total | 25778074 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13334155 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 15286149 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 15918154 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 18226253 | CurrentTaxYearMinus1Year |
| Current Tax Year | 17820312 | CurrentTaxYear |
| Total | 80585023 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 16912816 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19086185 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 19370079 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 22399607 | CurrentTaxYearMinus1Year |
| Current Tax Year | 28594410 | CurrentTaxYear |
| Total | 106363097 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 106363097 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 408002 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 320442 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 237804 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 273526 | CurrentTaxYearMinus1Year |
| Current Tax Year | 243813 | CurrentTaxYear |
| Total | 1483587 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 408002 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 320442 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 237804 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 273526 | CurrentTaxYearMinus1Year |
| Current Tax Year | 243813 | CurrentTaxYear |
| Total | 1483587 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 32554 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 367321 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 95608 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 161306 | CurrentTaxYearMinus1Year |
| Current Tax Year | 87941 | CurrentTaxYear |
| Total | 744730 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17353372 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19773948 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 19703491 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 22834439 | CurrentTaxYearMinus1Year |
| Current Tax Year | 28926164 | CurrentTaxYear |
| Total | 108591414 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.97950 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.96950 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01370 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01650 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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) |
|---|---|---|
| Investment Cost Or Other Basis | 564639 | InvestmentCostOrOtherBasis |
| Book Value | 564639 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 8622241 | InvestmentCostOrOtherBasis |
| Depreciation | 4990551 | Depreciation |
| Book Value | 3631690 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4196329 | TotalOfBookValueLandBuildings |
| Total Revenue | 29155750 | TotalRevenue |
| Total Expenses | 31206520 | TotalExpenses |
| Excess Or Deficit For Year | -2050770 | ExcessOrDeficitForYear |
| Other | $297,962 | OtherAmount |
| Total Adjustments | 297962 | TotalAdjustments |
| Excess Or Deficit Per FS | -1752808 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 29528912 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 297962 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 75200 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 373162 | RevenueNotRptdF990 |
| Revenue Subtotal | 29155750 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 29155750 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 31281720 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 75200 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 75200 | ExpensesNotRptdF990 |
| Expenses Subtotal | 31206520 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 31206520 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE HEALTH CENTER FOLLOWS THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES STANDARD, WHICH REQUIRES THE HEALTH CENTER 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 SEPTEMBER 30, 2012, THE HEALTH CENTER DETERMINED THAT THERE ARE NO MATERIAL UNRECOGNIZED TAX BENEFITS TO REPORT. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS 297,962. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | MEN OF BOSTON COOK EVENT | NameOfEvent1 |
| Gross Receipts Event1 | 273179 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 237665 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 35514 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 36535 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 11169 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 26533 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 273179 | GrossReceiptsTotal |
| Charitable Contributions Total | 237665 | CharitableContributionsTotal |
| Gross Revenue Total Events | 35514 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 36535 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 11169 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 26533 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 74237 | DirectExpenseSummaryEvents |
| Net Income Summary | -38723 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CODMAN SQUARE HEALTH AND EDUCATION CENTER INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 637 WASHINGTON STREET | AddressLine1 |
| City | DORCHESTER | City |
| State | MA | State |
| ZIP Code | 02124 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 453666184 | EINOfRecipient |
| Amount Of Non Cash Assistance | 7288786 | AmountOfNonCashAssistance |
| Method Of Valuation | NET BOOK VALUE | MethodOfValuation |
| Description Of Non Cash Assistance | FIXED ASSETS | DescriptionOfNonCashAssistance |
| Purpose Of Grant | FOR BUILDING/RENOVATION OF HEALTH CENTER | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| 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 (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PATRICIA ROSS | |||||||||||||
| 0 | 154688 | 0 | 0 | 0 | 0 | 0 | 1500 | 0 | 22258 | 0 | 178446 | 0 | 0 |
| SANDRA COTTERELL | |||||||||||||
| 158514 | 0 | 0 | 0 | 0 | 0 | 1500 | 0 | 16139 | 0 | 176153 | 0 | 0 | 0 |
| PHILIP SEVERIN | |||||||||||||
| 175799 | 0 | 0 | 0 | 0 | 0 | 1500 | 0 | 962 | 0 | 178261 | 0 | 0 | 0 |
| KAREN KENNEDY | |||||||||||||
| 162098 | 0 | 0 | 0 | 0 | 0 | 1500 | 0 | 16029 | 0 | 179627 | 0 | 0 | 0 |
| STEPHENSON TOBIERRE | |||||||||||||
| 183766 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 853 | 0 | 184619 | 0 | 0 | 0 |
| JONATHAN PINCUS | |||||||||||||
| 153039 | 0 | 0 | 0 | 0 | 0 | 1500 | 0 | 15920 | 0 | 170459 | 0 | 0 | 0 |
| MATTHEW HORAN | |||||||||||||
| 156224 | 0 | 0 | 0 | 0 | 0 | 1500 | 0 | 5209 | 0 | 162933 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| PATRICIA ROSS | |||
| SHARED EMPLOYEE | 132350 | SHARED CHIEF FINANCIAL OFFICER OF CODMAN SQUARE HEALTH CENTER (THE HEALTH CENTER) AND DORCHESTER HOUSE MULTI-SERVICE CENTER, INC. (DOT HOUSE). BOTH DOT HOUSE AND THE HEALTH CENTER ARE MEMBERS OF HEALTH SERVICES PARTNERSHIP OF DORCHESTER (D/B/A DOTWELL), WHICH THE HEALTH CENTER PAID $1,260,665 FOR MANAGEMENT FEES. FOR THE PERIOD FROM OCTOBER 2011 TO APRIL 2012, PATRICIA ROSS WAS THE SHARED CFO BETWEEN CODMAN SQUARE AND A RELATED ORGANIZATION. THE CFO POSITION WAS NOT FILLED FOR THE REMAINDER OF FY2012 AFTER HER RESIGNATION. | 0 |
| ANTHONY STANKIEWICZ | |||
| OFFICER - CSHC; BOARD MEMBER - CSHEC | 154430 | BOARD MEMBER FOR CSHEC, A RELATED ORGANIZATION. | 0 |
| GABE VONLEH | |||
| OFFICER - CSHC; BOARD MEMBER - CSHEC | 170232 | BOARD MEMBER FOR CSHEC, A RELATED ORGANIZATION. | 0 |
Schedule M IRS990ScheduleM
Real Estate Other RealEstateOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 293000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | BOOK VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule N IRS990ScheduleN
Disposition Table DispositionTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Asset | PROPERTY TRANSFER TO CSHEC | DescriptionOfAsset |
| Date Of Distribution | 2012-12-31 | DateOfDistribution |
| FMV Of Asset | 7288786 | FMVOfAsset |
| Method Of FMV Determination | BOOK VALUE | MethodOfFMVDetermination |
| EIN | 453666184 | EIN |
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CODMAN SQUARE HEALTH AND EDUCATION CENTER INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 637 WASHINGTON STREET | AddressLine1 |
| City | DORCHESTER | City |
| State | MA | State |
| ZIP Code | 02124 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(C)(3) | IRCSection |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | 0 | DirectorOfSuccessor2 |
| Employee Of Successor2 | 0 | EmployeeOfSuccessor2 |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2 |
| Receive Compensation2 | 0 | ReceiveCompensation2 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | DURING THE CURRENT YEAR, THE CFO POSITION WAS PURCHASED FROM AN ORGANIZATION THAT THE CODMAN SQUARE HEALTH CENTER HAS A 50% INTEREST IN. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS BEFORE IT IS FILED. | |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICERS AND MEMBERS OF THE BOARD MUST COMPLETE ANNUAL SIGN OFFS ON THE CONFLICT OF INTEREST POLICY. | |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION OF THE CEO IS DETERMINED AND EVALUATED BY THE BOARD OF DIRECTORS. THE BOARD HAS ENGAGED AN INDEPENDENT CONSULTANT TO REVIEW AND MAKE RECOMMENDATIONS REGARDING COMPENSATION AND BENEFITS. COMPENSATION OF OTHER OFFICERS AND KEY STAFF MEMBERS IS DETERMINED BY THE HUMAN RESOURCES, IN CONJUNCTION WITH THE CEO AND EXECUTIVE TEAM. THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS ANNUAL SALARY AND COMPENSATION SURVEY IS USED DURING SUCH REVIEWS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | CODMAN SQUARE HEALTH CENTER MAKES THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART VII | FOR THE PERIOD FROM OCTOBER 2011 THROUGH APRIL 2012, PATRICIA ROSS WAS THE SHARED CFO BETWEEN CODMAN SQUARE AND A RELATED ORGANIZATION. THE CFO POSITION WAS NOT FILLED FOR THE REMAINDER OF FY2012 AFTER HER RESIGNATION. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 297,962. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| THERE HAS BEEN NO CHANGE TO THE PROCESS SINCE THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH SERVICES PARTNERSHIP OF DORCESTER INC DBA DOTWELL | ||||||||||
| 1452 DORCHESTER AVE | DORCHESTER | MA | 02122 | 043433538 | COMMUNITY BASED SERVICES | MA | 501(C)3 | 509(A)(3) | N/A | 0 |
| CODMAN SQUARE HEALTH AND EDUCATION CENTER INC | ||||||||||
| 637 WASHINGTON STREET | DORCHESTER | MA | 02122 | PROVIDE EDUCATIONAL HEALTH RELATED SERVICES. | MA | 501(C)3 | 509(A)(2) | N/A | 0 | |
| 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 | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | 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 | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| CODMAN SQUARE HEALTH AND EDUCATION CENTER INC | ||
| E | 500000 | AMOUNT DUE FROM CSHEC |
| HEALTH SERVICES PARTNERSHIP OF DORCHESTER INC DBA DOTWELL | ||
| N | 1260665 | MANAGEMENT FEES PAID TO DOTWELL |
| HEALTH SERVICES PARTNERSHIP OF DORCHESTER INC DBA DOTWELL | ||
| D | 14140 | AMOUNT DUE TO DOTWELL |
| CODMAN SQUARE HEALTH AND EDUCATION CENTER INC | ||
| Q | 7288786 | CONTRIBUTED PROPERTY |