CODMAN SQUARE HEALTH CENTER INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- CODMAN SQUARE HEALTH CENTER INC (EIN 04-2678774)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-01
- IRS object ID
- 201122139349300802
- Schema version
- 2009v1.7
- 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 J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-01T13:20:29-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2009-10-01 | 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 | WILLIAM WALCZAK | Name |
| Title | president | Title |
| Phone | 6178259660 | Phone |
| Date Signed | 2011-07-26 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN FINNING CPA | Name |
| Phone | 5083669100 | Phone |
| Date Prepared | 2011-07-26 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Stephen Weymouth | 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 | 23254751 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| 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 | WE OPENED OUR DOORS IN 1979 WITH A DREAM: TO BUILD THE BEST URBAN COMMUNITY IN AMERICA. AS PART OF THIS DREAM, WE RECOGNIZED THAT THOUGH HEALTH CARE BEGINS BY ALLEVIATING SICKNESS, THE JOURNEY TO A TRUE 'CULTURE OF HEALTH' IS ACHIEVED THROUGH THE HEALTH OF THE WHOLE PERSON AND THE WHOLE COMMUNITY. TODAY, WITH A STAFF OF 256 EXPERT CLINICIANS, MEDICAL STAFF AND OTHER EMPLOYEES, AND AN ASTOUNDING DEPTH AND BREADTH OF COMMUNITY PROGRAMS, WE BELIEVE THAT WE ARE WELL ON OUR WAY TOWARD REACHING OUR DREAM. WE SERVE 20,764 PATIENTS IN 97,240 PATIENT VISITS EACH YEAR AS THE PRINCIPAL OPTION FOR AFFORDABLE, HIGH QUALITY, PRIMARY AND PREVENTIVE CARE IN ONE OF BOSTON'S POOREST AND MOST VULNERABLE COMMUNITIES. WE STRIVE TO CONTINUALLY REFINE OUR BEST PRACTICES AND PROVIDE THE TYPE OF COMMUNITY MEDICINE THAT NOT ONLY CURES, BUT ALSO EMPOWERS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 277 | TotalNbrEmployees |
| Total Nbr Volunteers | 1 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3800036 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3412775 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 15286149 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 15918154 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 163554 | InvestmentIncomePriorYear |
| Investment Income Current Year | 476809 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 367321 | OtherRevenuePriorYear |
| Other Revenue Current Year | 30633 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 19617060 | TotalRevenuePriorYear |
| Total Revenue Current Year | 19838371 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 12115043 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 12505802 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7127545 | OtherExpensePriorYear |
| Other Expenses Current Year | 7408294 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 19242588 | TotalExpensesPriorYear |
| Total Expenses Current Year | 19914096 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 374472 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -75725 | RevenuesLessExpensesCY |
| Total Assets BOY | 22078533 | TotalAssetsBOY |
| Total Assets EOY | 21962560 | TotalAssetsEOY |
| Total Liabilities BOY | 1915257 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1497537 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 20163276 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 20465023 | NetAssetsOrFundBalancesEOY |
| Mission Description | WE OPENED OUR DOORS IN 1979 WITH A DREAM: TO BUILD THE BEST URBAN COMMUNITY IN AMERICA. AS PART OF THIS DREAM, WE RECOGNIZED THAT THOUGH HEALTH CARE BEGINS BY ALLEVIATING SICKNESS, THE JOURNEY TO A TRUE 'CULTURE OF HEALTH' IS ACHIEVED THROUGH THE HEALTH OF THE WHOLE PERSON AND THE WHOLE COMMUNITY. TODAY, WITH A STAFF OF 256 EXPERT CLINICIANS, MEDICAL STAFF AND OTHER EMPLOYEES, AND AN ASTOUNDING DEPTH AND BREADTH OF COMMUNITY PROGRAMS, WE BELIEVE THAT WE ARE WELL ON OUR WAY TOWARD REACHING OUR DREAM. WE SERVE 20,764 PATIENTS IN 97,240 PATIENT VISITS EACH YEAR AS THE PRINCIPAL OPTION FOR AFFORDABLE, HIGH QUALITY, PRIMARY AND PREVENTIVE CARE IN ONE OF BOSTON'S POOREST AND MOST VULNERABLE COMMUNITIES. WE STRIVE TO CONTINUALLY REFINE OUR BEST PRACTICES AND PROVIDE THE TYPE OF COMMUNITY MEDICINE THAT NOT ONLY CURES, BUT ALSO EMPOWERS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 6370693 | Expense |
| Revenue | 7133901 | Revenue |
| Description | Family Medicine is part of our Primary Care Department, the backbone of our patient care medical home. Family Medicine is a medical specialty in which the provider cares for the patient throughout all stages of his or her life and through all types of Illness and injury. In Family Medicine, we care for the individual and the family by integrating the biological, clinical, and behavioral sciences. Our Family Medicine Team approach is an integrated, holistic approach that combines primary care with social services and community-based programs, and treatment services with prevention plans. We manage preventative, routine and urgent health needs, including every disease entity and even prenatal care. When specialists are necessary, we help coordinate care. Our Family Medicine department includes 10 Primary Care Doctors and dozens of nurses, MAs and other support staff. Family Medicine recorded 34,686 visits in FY2010. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1306299 | Expense |
| Revenue | 1210756 | Revenue |
| Description | Our dental services include general dentistry, oral hygiene, oral surgery, periodontistry, prostodonistry, endodontistry, implantation and full mouth rehabilitation. We have outfitted seven dental operatories with state-of-the-art DENTRIX Dental Systems enabling our dental staff to create a virtual chart of a patient?s oral health and a median, providing evidence for recommended procedures and preventative care. Specifically, we are able to capture, manipulate and store crisp, clean bitewings, pans or cephs which are then attached to the patient?s electronic chart. We deliver high quality, comprehensive dental care to a broad range of the population including those most high-risk and under-served: HIV/AIDS, medically compromised, physically handicapped and geriatric populations. Our Dental Department has an office at the Codman Square Health Center School-Based Health Clinic, onsite at the Dorchester Education Complex high school, where students can get check-ups, cleanings, x-rays, and fillings. Our Dental Department also provides on-site training to Boston University and Tufts students in dentistry and oral hygiene over the course of 5 to 10 week externships. Dental recorded 8,620 visits from 2,875 active patients in FY2010 | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2554347 | Expense |
| Revenue | 2090801 | Revenue |
| Description | In Codman Square Health Center's Urgent Care Department, we provide same-day treatment for illnesses or conditions that aren't life-threatening, but need attention right away. Our dedicated Urgent Care Team is made up of physicians, physician assistants, nurses and medical assistants. Together they provide the compassion, knowledge and clinical skills to expertly assess, diagnose and treat every patient who comes to them. Our Urgent Care Department also serves as a vital entryway to our broader patient care medical home. Our goal therefore is to not only treat all conditions that require immediate care, but also to identify a caregiver who will become the patient?s PCP. Urgent Care is open 7 days a week, because getting sick doesn't wait for the next business day. In FY2010, we recorded 16,960 visits to our Urgent Care department. | Description |
Activity Other ActivityOther (4 entries)
| ExpenseExpense | RevenueRevenue | DescriptionDescription |
|---|---|---|
| 605607 | 0 | Community Services |
| 500339 | 548965 | EYECARE |
| 859186 | 568023 | Mental Health |
| 2720458 | 4461316 | Patient Support Services |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 4685590 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 5578304 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 14916929 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | 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 | 0 | 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 | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | 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 | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 10 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 277 | 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 |
| 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 | THE 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 |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ROBERT J MACEACHERN | |||||||
| Board memBER | 3.00 | X | 0 | 0 | 0 | ||
| Stephen Weymouth | |||||||
| president | 3.00 | X | 0 | 0 | 0 | X | |
| Garvin Warden | |||||||
| boARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| SUSAN MONAHAN | |||||||
| treasurer | 3.00 | X | 0 | 0 | 0 | X | |
| THABITI BROWN | |||||||
| clerk | 3.00 | X | 0 | 0 | 0 | X | |
| EMMETT SCHMARSOW | |||||||
| Vice president | 3.00 | X | 0 | 0 | 0 | X | |
| 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 | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| EGOBUDIKE J EZEDI | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| MARVA SEROTKIN | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| Isaac Colbert | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| Sandy Warren | |||||||
| BOARD MEMBER | 3.00 | X | 0 | 0 | 0 | ||
| WILLIAM WALczAK | |||||||
| EXECUTIVE DIRECTOR | 40.00 | 166855 | 0 | 12764 | X | ||
| PATRICIA ROSS | |||||||
| CHIEF FINANCIAL OFFICER | 20.00 | 0 | 103408 | 202 | X | ||
| SANDRA COTTERELL | |||||||
| CHIEF OPERATIONs OFFICER | 40.00 | 118195 | 0 | 20391 | X | ||
| KAREN KENNEDY | |||||||
| physician | 40.00 | 147582 | 0 | 22375 | X | ||
| PHILIP SEvErIN | |||||||
| physician | 40.00 | 147481 | 0 | 11798 | X | ||
| SALvATORE MOLICA | |||||||
| physician | 40.00 | 151882 | 0 | 21405 | X | ||
| MARK BEAUMONT | |||||||
| PHYSICIAN | 40.00 | 184539 | 0 | 34305 | X | ||
| UNIQUE MICHAUD | |||||||
| Physician | 40.00 | 142573 | 0 | 19303 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1059107 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 103408 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 142543 | 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 | Member Fees | 1143063 |
| Shawmut Design and Construction | |||||
| 560 Harrison Ave Suite 411 | BOSTON | MA | 02118 | Renovation | 228055 |
| Platform solutions | |||||
| 201 South Street Suite 615 | boston | MA | 02111 | AGENCY HELP | 223664 |
| Evans Medical | |||||
| 1 Boston medical Center Place | BOSTON | MA | 02118 | Physician Time | 205161 |
| Service Master | |||||
| 905 Turnpike Street | canton | MA | 02118 | Cleaning Service | 173647 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Fundraising Events | 188327 | FundraisingEvents |
| Government Grants | 923925 | GovernmentGrants |
| All Other Contributions | 2300523 | AllOtherContributions |
| Total Contributions | 3412775 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENU | 621400 | 15794090 | 15794090 |
| rent - exempt organiza | 900099 | 124064 | 124064 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 15918154 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 237804 | TotalRevenueColumn |
| Exclusion | $237,804 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3551260 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3312255 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 239005 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 239005 | TotalRevenueColumn |
| Exclusion | $239,005 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 39150 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 188327 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 104125 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -64975 | TotalRevenueColumn |
| Exclusion | -$64,975 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MISC. REVENUE | 900099 | 69622 | 69622 |
| settlements | 900099 | 25986 | 25986 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 95608 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19838371 | TotalRevenueColumn |
| Related Or Exempt Function Income | 16013762 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $411,834 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 335946 | Total |
| Program Services | 17961 | ProgramServices |
| Management And General | 317985 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10153773 | Total |
| Program Services | 9262356 | ProgramServices |
| Management And General | 891417 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75445 | Total |
| Program Services | 66753 | ProgramServices |
| Management And General | 8692 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1197118 | Total |
| Program Services | 917463 | ProgramServices |
| Management And General | 279655 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 743520 | Total |
| Program Services | 657858 | ProgramServices |
| Management And General | 85662 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19486 | Total |
| Management And General | 19486 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52976 | Total |
| Management And General | 52976 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4719 | Total |
| Management And General | 4719 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 370010 | Total |
| Program Services | 170786 | ProgramServices |
| Management And General | 199224 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 855049 | Total |
| Program Services | 21439 | ProgramServices |
| Management And General | 833610 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49176 | Total |
| Program Services | 34232 | ProgramServices |
| Management And General | 14944 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 864773 | Total |
| Program Services | 64526 | ProgramServices |
| Management And General | 800247 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69218 | Total |
| Program Services | 57606 | ProgramServices |
| Management And General | 11612 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACTED SERVICES | 2210697 | 1037773 | 1172924 |
| BAD DEBTS | 1131655 | 1131655 | |
| medical supplies | 936819 | 936714 | 105 |
| MISCELLANEOUS | 440112 | 167839 | 272273 |
| LAB FEES | 191292 | 191292 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 212312 | Total |
| Program Services | 180676 | ProgramServices |
| Management And General | 31636 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19914096 | Total |
| Program Services | 14916929 | ProgramServices |
| Management And General | 4997167 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2966 | BOY |
| EOY | 1280 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4724814 | BOY |
| EOY | 3725847 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 679608 | BOY |
| EOY | 1014487 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1538913 | BOY |
| EOY | 1769254 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 140642 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 272915 | BOY |
| EOY | 116361 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 19122375 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 9975095 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9191665 | BOY |
| EOY | 9147280 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5667652 | BOY |
| EOY | 6047409 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22078533 | BOY |
| EOY | 21962560 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1528295 | BOY |
| EOY | 1268567 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 278172 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 108790 | BOY |
| EOY | 228970 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1915257 | BOY |
| EOY | 1497537 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20051754 | BOY |
| EOY | 20280822 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111522 | BOY |
| EOY | 184201 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20163276 | BOY |
| EOY | 20465023 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22078533 | BOY |
| EOY | 21962560 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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 | 3537628 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3252723 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3578661 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3800036 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3451925 | CurrentTaxYear |
| Total | 17620973 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12536399 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12222157 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13334155 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15286149 | CurrentTaxYearMinus1Year |
| Current Tax Year | 15918154 | CurrentTaxYear |
| Total | 69297014 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 16074027 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 15474880 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 16912816 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19086185 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19370079 | CurrentTaxYear |
| Total | 86917987 | 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 | 86917987 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 245684 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 351919 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 408002 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 320442 | CurrentTaxYearMinus1Year |
| Current Tax Year | 237804 | CurrentTaxYear |
| Total | 1563851 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 245684 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 351919 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 408002 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 320442 | CurrentTaxYearMinus1Year |
| Current Tax Year | 237804 | CurrentTaxYear |
| Total | 1563851 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1113651 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 683209 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 32554 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 367321 | CurrentTaxYearMinus1Year |
| Current Tax Year | 95608 | CurrentTaxYear |
| Total | 2292343 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17433362 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16510008 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17353372 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19773948 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19703491 | CurrentTaxYear |
| Total | 90774181 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.95750 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.94630 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01720 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01750 | 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) |
|---|---|---|
| Other Cost Or Other Basis | 1065291 | OtherCostOrOtherBasis |
| Book Value | 1065291 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12897701 | OtherCostOrOtherBasis |
| Depreciation | 5804919 | Depreciation |
| Book Value | 7092782 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5159383 | OtherCostOrOtherBasis |
| Depreciation | 4170176 | Depreciation |
| Book Value | 989207 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9147280 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | accrued settlements | Description |
| Amount | $228,970 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 228970 | TotalOfAmounts |
| Total Revenue | 19838371 | TotalRevenue |
| Total Expenses | 19914096 | TotalExpenses |
| Excess Or Deficit For Year | -75725 | ExcessOrDeficitForYear |
| Other | $377,472 | OtherAmount |
| Total Adjustments | 377472 | TotalAdjustments |
| Excess Or Deficit Per FS | 301747 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 20405368 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 99300 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 85400 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 382297 | OtherRevenues |
| Revenue Not Rptd F990 | 566997 | RevenueNotRptdF990 |
| Revenue Subtotal | 19838371 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 19838371 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 20103621 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 85400 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 104125 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 189525 | ExpensesNotRptdF990 |
| Expenses Subtotal | 19914096 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 19914096 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XI, Line 8 - Other Adjustments: | Forgiveness of Conditional Note Payable, INTEREST and Capital Grants Vested: 278172. unrealized gains ON INVESTMENTS: 99300. |
| Part XII, Line 2d - Other Adjustments: | FORGIVENESS OF CONDITIONAL NOTE PAYABLE, INTEREST AND CAPITAL GRANTS VESTED Event expenses netted with event revenue |
| Part XIII, Line 2d - Other Adjustments: | Event expenses netted with event revenue |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Men of Boston Cook Event | NameOfEvent1 |
| Gross Receipts Event1 | 227477 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 188327 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 39150 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 48135 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 10104 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 45886 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 227477 | GrossReceiptsTotal |
| Charitable Contributions Total | 188327 | CharitableContributionsTotal |
| Gross Revenue Total Events | 39150 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 48135 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 10104 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 45886 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 104125 | DirectExpenseSummaryEvents |
| Net Income Summary | -64975 | NetIncomeSummary |
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 (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM WALczAK | |||||||||||||
| 166855 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12764 | 0 | 179619 | 0 | 0 | 0 |
| KAREN KENNEDY | |||||||||||||
| 147582 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22375 | 0 | 169957 | 0 | 0 | 0 |
| PHILIP SEvErIN | |||||||||||||
| 147481 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 11798 | 0 | 159279 | 0 | 0 | 0 |
| SALvATORE MOLICA | |||||||||||||
| 151882 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 21405 | 0 | 173287 | 0 | 0 | 0 |
| MARK BEAUMONT | |||||||||||||
| 184539 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 34305 | 0 | 218844 | 0 | 0 | 0 |
| UNIQUE MICHAUD | |||||||||||||
| 142573 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 19303 | 0 | 161876 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Dotwell | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Shared Employee | Relationship |
| Amount Of Transaction | 1144305 | AmountOfTransaction |
| Description Of Transaction | 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 $1,127,809 for management fee. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 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 and other officers and key employees is determined and evaluated by the Board of Directors based on the Mass League of Community Health Centers' salary and compensation survey. |
| 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. |
| Codman Square Health Center's finance committee is responsible for the oversight of the financial statement audit and selection of the auditor. |
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 |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
| CODMAN ACADEMY charter public school | |||||||||
| 637 washington street | dorchester | MA | 02124 | charter school | MA | 501(c)3 | 170(b)(1)(a)(II) | N/A | |
| 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 | 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 | 1 | 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 | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| health services partnership of Dorchester Inc dba Dotwell | |
| D | 71617 |
| codman academy charter public school | |
| I | 70000 |
| health services partnership of Dorchester Inc dba Dotwell | |
| N | 1144305 |