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COMMUNITY HEALTH CENTER OF CAPE COD INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CENTER OF CAPE COD INC (EIN 04-3370560)
Tax period
2010-07-01 to 2011-06-30
Filed
2011-11-15
IRS object ID
201143199349304154
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T11:04:56-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ALEXANDER ARONSON FINNING & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line121 EAST MAIN STREETAddressLine1
CityWESTBOROCity
StateMAState
ZIP Code01581ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043370560EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CENTER OF CAPE COD INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone5084777090Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1107 COMMERCIAL STREETAddressLine1
CityMASHPEECity
StateMAState
ZIP Code02649ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKAREN GARDNERName
TitleCEOTitle
Phone5084777090Phone
Date Signed2011-11-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMATTHEW HUTT CPAName
Phone5083669100Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKAREN GARDNERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1107 COMMERCIAL STREETAddressLine1
CityMASHPEECity
StateMAState
ZIP Code02649ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8501785GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHCOFCAPECOD.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTHE HEALTH CENTER PROVIDES HEALTH CARE FOR UNINSURED AND UNDER INSURED RESIDENTS OF THE CAPE COD AND SOUTHEASTERN AREAS OF MASSACHUSETTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees138TotalNbrEmployees
Total Nbr Volunteers4TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3293145ContributionsGrantsPriorYear
Contributions Grants Current Year2480132ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4451482ProgramServiceRevenuePriorYear
Program Service Revenue CY5914725ProgramServiceRevenueCY
Investment Income Prior Year3634InvestmentIncomePriorYear
Investment Income Current Year8539InvestmentIncomeCurrentYear
Other Revenue Prior Year103096OtherRevenuePriorYear
Other Revenue Current Year53739OtherRevenueCurrentYear
Total Revenue Prior Year7851357TotalRevenuePriorYear
Total Revenue Current Year8457135TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5993241SalariesEtcPriorYear
Salaries Etc Current Year6949987SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year328469TotalFundrsngExpCurrentYear
Other Expense Prior Year1379045OtherExpensePriorYear
Other Expenses Current Year1413981OtherExpensesCurrentYear
Total Expenses Prior Year7372286TotalExpensesPriorYear
Total Expenses Current Year8363968TotalExpensesCurrentYear
Revenues Less Expenses Prior Year479071RevenuesLessExpensesPriorYear
Revenues Less Expenses CY93167RevenuesLessExpensesCY
Total Assets BOY6805836TotalAssetsBOY
Total Assets EOY7094276TotalAssetsEOY
Total Liabilities BOY370800TotalLiabilitiesBOY
Total Liabilities EOY566073TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6435036NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6528203NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE COMPREHENSIVE, HIGH QUALITY, PASSIONATE HEALTH CARE TO CONSUMERS, REGARDLESS OF ABILITY TO PAY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6618078Expense
Revenue5943614Revenue
DescriptionCOMPREHENSIVE AND INTEGRATED PRIMARY CARE, BEHAVIORAL HEALTH AND DENTAL SERVICES, INCLUDING ACCESS TO PREVENTIVE HEALTH CARE, EPISODIC TREATMENT FOR ACUTE MEDICAL CONDITIONS, CHRONIC DISEASE MANAGEMENT, SPECIALTY REFERRALS, AND MEDICATIONS, REGARDLESS OF ABILITY TO PAY. THE HEALTH CENTER PROVIDED APROXIMATELY 55,000 PATIENT SERVICE VISITS.Description
Total Program Service Expense6618078TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees138NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KAREN GARDNER CEOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5084777090TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1107 COMMERCIAL STREETAddressLine1
CityMASHPEECity
StateMAState
ZIP Code02649ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
MICHAEL BIHARI MD
DIRECTOR1.00X000
LEVI C ADAMS
TREASURER1.00X000X
RUDOLPH R HUNTER
VICE PRESIDENT1.00X000X
DAVE PETERSON
PRESIDENT1.00X000X
ANTHONY ROSS
CLERK1.00X000X
ANITA M THACKER
DIRECTOR1.00X000
NANCY BARNETT MD
DIRECTOR1.00X000
JILL COLLINS
DIRECTOR1.00X000
BRENDA SWITHENBANK
DIRECTOR1.00X000
ELLYN DENT
DIRECTOR1.00X000
GARY DELLAPOSTA
DIRECTOR1.00X000
PATRICIA AVILA
DIRECTOR1.00X000
KAREN GARDNER
CEO40.00152386018050X
PAUL CHIZEK
CFO40.00112389016736X
STEPHANIE PRIOR
PHYSICIAN40.00132669017432X
DAVID TAGER
MEDICAL DIRECTOR40.00160522018425X
ROBERT COHEN
PHYSICIAN40.00148525017589X
KAREN BISSONNETTE
DIRECTOR OF DEVELOPMENT40.00128949017346X
DALE WELDON
PHYSICIAN40.0014397405746X
FieldValueIRS element (for citing)
Total Reportable Comp From Org979414TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation111324TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1STANTEC ARCHITECTURE INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1141 PORTLAND STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02114ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesDEVELOPER- FEDERAL EXPANSIONDescriptionOfServices
Compensation231991Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events58575FundraisingEvents
Government Grants1543460GovernmentGrants
All Other Contributions878097AllOtherContributions
Noncash Contributions10439NoncashContributions
Total Contributions2480132TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REDescription
Business Code621110BusinessCode
Total Revenue Column5914725TotalRevenueColumn
Related Or Exempt Function Income5914725RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue5914725TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8539TotalRevenueColumn
Exclusion$8,539ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events69500GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events58575CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses44650FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column24850TotalRevenueColumn
Exclusion$24,850ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column28889TotalRevenueColumn
Related Or Exempt Function Income28889RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue28889TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8457135TotalRevenueColumn
Related Or Exempt Function Income5943614RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$33,389ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total509420Total
Program Services193425ProgramServices
Management And General315995ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total5178285Total
Program Services4396227ProgramServices
Management And General547416ManagementAndGeneral
Fundraising234642Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total89228Total
Program Services70986ProgramServices
Management And General11088ManagementAndGeneral
Fundraising7154Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total694739Total
Program Services518368ProgramServices
Management And General141449ManagementAndGeneral
Fundraising34922Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total478315Total
Program Services398854ProgramServices
Management And General60316ManagementAndGeneral
Fundraising19145Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total13961Total
Program Services10223ProgramServices
Management And General3738ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total39038Total
Management And General39038ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total71096Total
Program Services45596ProgramServices
Management And General23128ManagementAndGeneral
Fundraising2372Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total170490Total
Program Services98072ProgramServices
Management And General62710ManagementAndGeneral
Fundraising9708Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total406407Total
Program Services245866ProgramServices
Management And General142446ManagementAndGeneral
Fundraising18095Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total15257Total
Program Services11901ProgramServices
Management And General3356ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total64954Total
Program Services48460ProgramServices
Management And General14796ManagementAndGeneral
Fundraising1698Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total210530Total
Program Services192442ProgramServices
Management And General17926ManagementAndGeneral
Fundraising162Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total16555Total
Management And General16555ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES AND SE351712351712
BAD DEBTS3500135001
MISCELLANEOUS1898094517464571

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8363968Total
Program Services6618078ProgramServices
Management And General1417421ManagementAndGeneral
Fundraising328469Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY99169BOY
EOY33396EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1049619BOY
EOY1305215EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY670567BOY
EOY299306EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1343487BOY
EOY1589033EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY42054BOY
EOY70119EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4512576LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec715369LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3600940BOY
EOY3797207EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6805836BOY
EOY7094276EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY370800BOY
EOY566073EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY370800BOY
EOY566073EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5069149BOY
EOY5575407EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1191471BOY
EOY778380EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY174416BOY
EOY174416EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6435036BOY
EOY6528203EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6805836BOY
EOY7094276EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses93167ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3442862CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2049345CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2797372CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3264641CurrentTaxYearMinus1Year
Current Tax Year2469693CurrentTaxYear
Total14023913Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3442862CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2049345CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2797372CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3264641CurrentTaxYearMinus1Year
Current Tax Year2469693CurrentTaxYear
Total14023913Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total392670AmountsSubstContributorsTotal
Public Support Total17013631243PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60110CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years55949CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7858CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3634CurrentTaxYearMinus1Year
Current Tax Year8539CurrentTaxYear
Total136090Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1565CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1765CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9151CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8916CurrentTaxYearMinus1Year
Current Tax Year28889CurrentTaxYear
Total50286Total
FieldValueIRS element (for citing)
Total Support14210289TotalSupport
Gross Receipts From Admissions Etc50286GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.95930PublicSupportPertcentage170
Public Support Pertcent Prior Year0.94210PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance174416BeginningOfYearBalance
End Of Year Balance174416EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance159416BeginningOfYearBalance
Contributions15000Contributions
End Of Year Balance174416EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Contributions159416Contributions
End Of Year Balance159416EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2801676OtherCostOrOtherBasis
Depreciation330838Depreciation
Book Value2470838BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis302710OtherCostOrOtherBasis
Depreciation72333Depreciation
Book Value230377BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis391919OtherCostOrOtherBasis
Depreciation199865Depreciation
Book Value192054BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1016271OtherCostOrOtherBasis
Depreciation112333Depreciation
Book Value903938BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3797207TotalOfBookValueLandBuildings
Total Revenue8457135TotalRevenue
Total Expenses8363968TotalExpenses
Excess Or Deficit For Year93167ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS93167ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8687419TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities230284DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990230284RevenueNotRptdF990
Revenue Subtotal8457135RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908457135TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8594252TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities230284DonatedServicesUseOfFacilities
Expenses Not Rptd F990230284ExpensesNotRptdF990
Expenses Subtotal8363968ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908363968TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationPART 5, LINE 4- THE ENDOWMENT FUNDS SUPPORT THE GENERAL OPERATIONS OF THE HEALTH CENTER. 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 JUNE 30, 2011, THE HEALTH CENTER DETERMINED THAT THERE ARE NO MATERIAL UNRECOGNIZED TAX BENEFITS TO REPORT.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SUMMER BY THE SEANameOfEvent1
Gross Receipts Event177045GrossReceiptsEvent1
Charitable Contributions Event122075CharitableContributionsEvent1
Gross Revenue Event154970GrossRevenueEvent1
Entertainment Event124495EntertainmentEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event251030GrossReceiptsEvent2
Charitable Contributions Event236500CharitableContributionsEvent2
Gross Revenue Event214530GrossRevenueEvent2
Entertainment Event220155EntertainmentEvent2
Gross Receipts Total128075GrossReceiptsTotal
Charitable Contributions Total58575CharitableContributionsTotal
Gross Revenue Total Events69500GrossRevenueTotalEvents
Entertainment Total Events44650EntertainmentTotalEvents
Direct Expense Summary Events44650DirectExpenseSummaryEvents
Net Income Summary24850NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KAREN GARDNER
1523860000000180500170436000
STEPHANIE PRIOR
1326690000000174320150101000
DAVID TAGER
1605220000000184250178947000
ROBERT COHEN
1485250000000175890166114000

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F99060548NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionMEDICAL SUPPLIESDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99010439NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE 990 DRAFT WILL BE REVIEWED BY THE CEO AND CFO AND PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW AND RECOMMENDATION TO THE FULL BOARD. THE CFO WILL PRESENT A 990 SUMMARY TO THE BOARD AND A FULL COPY OF THE 990 WILL BE MADE AVAILABLE TO THE FULL BOARD. THE FULL BOARD WILL VOTE TO APPROVE.
ALL NEW BOARD MEMBERS ARE PROVIDED A COPY OF THE CONFLICT OF INTEREST POLICY AND ASKED TO REVIEW AND SIGN. ANNUALLY, EACH BOARD MEMBER RECEIVES ANOTHER COPY OF THE POLICY FOR REVIEW AND SIGNATURE.FORM 990, PART VI, SECTION B, LINE 12C
COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES IS REVIEWED BY THE HUMAN RESOURCES COMMITTEE BASED ON THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS DATA.FORM 990, PART VI, SECTION B, LINE 15
BOARD DOCUMENTS SUCH AS MEETING MINUTES, FINANCIAL STATEMENTS, AND KEY ORGANIZATIONAL POLICIES AND DOCUMENTS ARE FILED CENTRALLY IN THE ADMINISTRATIVE SUITE. HARD COPIES ARE MAINTAINED FOR PUBLIC ACCESS, UPON REQUEST. PERSONNEL PRESENTING TO THE HEALTH CENTER, OR SUBMITTING A WRITTEN INQUIRY FOR PUBLIC INFORMATION ARE DIRECTED TO THE CHIEF EXECUTIVE OFFICER.FORM 990, PART VI, SECTION C, LINE 19