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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T11:04:56-06:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | 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 | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043370560 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTER OF CAPE COD INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 5084777090 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 107 COMMERCIAL STREET | AddressLine1 |
| City | MASHPEE | City |
| State | MA | State |
| ZIP Code | 02649 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KAREN GARDNER | Name |
| Title | CEO | Title |
| Phone | 5084777090 | Phone |
| Date Signed | 2011-11-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MATTHEW HUTT CPA | Name |
| Phone | 5083669100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KAREN GARDNER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 107 COMMERCIAL STREET | AddressLine1 |
| City | MASHPEE | City |
| State | MA | State |
| ZIP Code | 02649 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 8501785 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CHCOFCAPECOD.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | THE 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 Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 138 | TotalNbrEmployees |
| Total Nbr Volunteers | 4 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3293145 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2480132 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4451482 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5914725 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3634 | InvestmentIncomePriorYear |
| Investment Income Current Year | 8539 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 103096 | OtherRevenuePriorYear |
| Other Revenue Current Year | 53739 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7851357 | TotalRevenuePriorYear |
| Total Revenue Current Year | 8457135 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5993241 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6949987 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 328469 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1379045 | OtherExpensePriorYear |
| Other Expenses Current Year | 1413981 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7372286 | TotalExpensesPriorYear |
| Total Expenses Current Year | 8363968 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 479071 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 93167 | RevenuesLessExpensesCY |
| Total Assets BOY | 6805836 | TotalAssetsBOY |
| Total Assets EOY | 7094276 | TotalAssetsEOY |
| Total Liabilities BOY | 370800 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 566073 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6435036 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6528203 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE COMPREHENSIVE, HIGH QUALITY, PASSIONATE HEALTH CARE TO CONSUMERS, REGARDLESS OF ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 6618078 | Expense |
| Revenue | 5943614 | Revenue |
| Description | COMPREHENSIVE 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 Expense | 6618078 | 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 | 1 | 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 | 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 | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | 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 | 10 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 138 | 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 | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAREN GARDNER CEO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5084777090 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 107 COMMERCIAL STREET | AddressLine1 |
| City | MASHPEE | City |
| State | MA | State |
| ZIP Code | 02649 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 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 |
|---|---|---|---|---|---|---|---|
| MICHAEL BIHARI MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LEVI C ADAMS | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | |
| RUDOLPH R HUNTER | |||||||
| VICE PRESIDENT | 1.00 | X | 0 | 0 | 0 | X | |
| DAVE PETERSON | |||||||
| PRESIDENT | 1.00 | X | 0 | 0 | 0 | X | |
| ANTHONY ROSS | |||||||
| CLERK | 1.00 | X | 0 | 0 | 0 | X | |
| ANITA M THACKER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| NANCY BARNETT MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JILL COLLINS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| BRENDA SWITHENBANK | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ELLYN DENT | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| GARY DELLAPOSTA | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| PATRICIA AVILA | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KAREN GARDNER | |||||||
| CEO | 40.00 | 152386 | 0 | 18050 | X | ||
| PAUL CHIZEK | |||||||
| CFO | 40.00 | 112389 | 0 | 16736 | X | ||
| STEPHANIE PRIOR | |||||||
| PHYSICIAN | 40.00 | 132669 | 0 | 17432 | X | ||
| DAVID TAGER | |||||||
| MEDICAL DIRECTOR | 40.00 | 160522 | 0 | 18425 | X | ||
| ROBERT COHEN | |||||||
| PHYSICIAN | 40.00 | 148525 | 0 | 17589 | X | ||
| KAREN BISSONNETTE | |||||||
| DIRECTOR OF DEVELOPMENT | 40.00 | 128949 | 0 | 17346 | X | ||
| DALE WELDON | |||||||
| PHYSICIAN | 40.00 | 143974 | 0 | 5746 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 979414 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 111324 | 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
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STANTEC ARCHITECTURE INC | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 141 PORTLAND STREET | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02114 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | DEVELOPER- FEDERAL EXPANSION | DescriptionOfServices |
| Compensation | 231991 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Fundraising Events | 58575 | FundraisingEvents |
| Government Grants | 1543460 | GovernmentGrants |
| All Other Contributions | 878097 | AllOtherContributions |
| Noncash Contributions | 10439 | NoncashContributions |
| Total Contributions | 2480132 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE RE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 5914725 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5914725 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5914725 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8539 | TotalRevenueColumn |
| Exclusion | $8,539 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 69500 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 58575 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 44650 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 24850 | TotalRevenueColumn |
| Exclusion | $24,850 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 28889 | TotalRevenueColumn |
| Related Or Exempt Function Income | 28889 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 28889 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8457135 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5943614 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $33,389 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 509420 | Total |
| Program Services | 193425 | ProgramServices |
| Management And General | 315995 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5178285 | Total |
| Program Services | 4396227 | ProgramServices |
| Management And General | 547416 | ManagementAndGeneral |
| Fundraising | 234642 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89228 | Total |
| Program Services | 70986 | ProgramServices |
| Management And General | 11088 | ManagementAndGeneral |
| Fundraising | 7154 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 694739 | Total |
| Program Services | 518368 | ProgramServices |
| Management And General | 141449 | ManagementAndGeneral |
| Fundraising | 34922 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 478315 | Total |
| Program Services | 398854 | ProgramServices |
| Management And General | 60316 | ManagementAndGeneral |
| Fundraising | 19145 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13961 | Total |
| Program Services | 10223 | ProgramServices |
| Management And General | 3738 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39038 | Total |
| Management And General | 39038 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71096 | Total |
| Program Services | 45596 | ProgramServices |
| Management And General | 23128 | ManagementAndGeneral |
| Fundraising | 2372 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170490 | Total |
| Program Services | 98072 | ProgramServices |
| Management And General | 62710 | ManagementAndGeneral |
| Fundraising | 9708 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 406407 | Total |
| Program Services | 245866 | ProgramServices |
| Management And General | 142446 | ManagementAndGeneral |
| Fundraising | 18095 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15257 | Total |
| Program Services | 11901 | ProgramServices |
| Management And General | 3356 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64954 | Total |
| Program Services | 48460 | ProgramServices |
| Management And General | 14796 | ManagementAndGeneral |
| Fundraising | 1698 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210530 | Total |
| Program Services | 192442 | ProgramServices |
| Management And General | 17926 | ManagementAndGeneral |
| Fundraising | 162 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16555 | Total |
| Management And General | 16555 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES AND SE | 351712 | 351712 | ||
| BAD DEBTS | 35001 | 35001 | ||
| MISCELLANEOUS | 18980 | 945 | 17464 | 571 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8363968 | Total |
| Program Services | 6618078 | ProgramServices |
| Management And General | 1417421 | ManagementAndGeneral |
| Fundraising | 328469 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99169 | BOY |
| EOY | 33396 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1049619 | BOY |
| EOY | 1305215 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 670567 | BOY |
| EOY | 299306 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1343487 | BOY |
| EOY | 1589033 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42054 | BOY |
| EOY | 70119 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4512576 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 715369 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3600940 | BOY |
| EOY | 3797207 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6805836 | BOY |
| EOY | 7094276 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 370800 | BOY |
| EOY | 566073 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 370800 | BOY |
| EOY | 566073 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5069149 | BOY |
| EOY | 5575407 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1191471 | BOY |
| EOY | 778380 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 174416 | BOY |
| EOY | 174416 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6435036 | BOY |
| EOY | 6528203 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6805836 | BOY |
| EOY | 7094276 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 93167 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| 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 Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3442862 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2049345 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2797372 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3264641 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2469693 | CurrentTaxYear |
| Total | 14023913 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3442862 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2049345 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2797372 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3264641 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2469693 | CurrentTaxYear |
| Total | 14023913 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 392670 | AmountsSubstContributorsTotal |
| Public Support Total170 | 13631243 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 60110 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 55949 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7858 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3634 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8539 | CurrentTaxYear |
| Total | 136090 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1565 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1765 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9151 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8916 | CurrentTaxYearMinus1Year |
| Current Tax Year | 28889 | CurrentTaxYear |
| Total | 50286 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 14210289 | TotalSupport |
| Gross Receipts From Admissions Etc | 50286 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.95930 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.94210 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 174416 | BeginningOfYearBalance |
| End Of Year Balance | 174416 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 159416 | BeginningOfYearBalance |
| Contributions | 15000 | Contributions |
| End Of Year Balance | 174416 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 159416 | Contributions |
| End Of Year Balance | 159416 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2801676 | OtherCostOrOtherBasis |
| Depreciation | 330838 | Depreciation |
| Book Value | 2470838 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 302710 | OtherCostOrOtherBasis |
| Depreciation | 72333 | Depreciation |
| Book Value | 230377 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 391919 | OtherCostOrOtherBasis |
| Depreciation | 199865 | Depreciation |
| Book Value | 192054 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1016271 | OtherCostOrOtherBasis |
| Depreciation | 112333 | Depreciation |
| Book Value | 903938 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3797207 | TotalOfBookValueLandBuildings |
| Total Revenue | 8457135 | TotalRevenue |
| Total Expenses | 8363968 | TotalExpenses |
| Excess Or Deficit For Year | 93167 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 93167 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 8687419 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 230284 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 230284 | RevenueNotRptdF990 |
| Revenue Subtotal | 8457135 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 8457135 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 8594252 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 230284 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 230284 | ExpensesNotRptdF990 |
| Expenses Subtotal | 8363968 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 8363968 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | PART 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | SUMMER BY THE SEA | NameOfEvent1 |
| Gross Receipts Event1 | 77045 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 22075 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 54970 | GrossRevenueEvent1 |
| Entertainment Event1 | 24495 | EntertainmentEvent1 |
| Name Of Event2 | GOLF TOURNAMENT | NameOfEvent2 |
| Gross Receipts Event2 | 51030 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 36500 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 14530 | GrossRevenueEvent2 |
| Entertainment Event2 | 20155 | EntertainmentEvent2 |
| Gross Receipts Total | 128075 | GrossReceiptsTotal |
| Charitable Contributions Total | 58575 | CharitableContributionsTotal |
| Gross Revenue Total Events | 69500 | GrossRevenueTotalEvents |
| Entertainment Total Events | 44650 | EntertainmentTotalEvents |
| Direct Expense Summary Events | 44650 | DirectExpenseSummaryEvents |
| Net Income Summary | 24850 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| 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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KAREN GARDNER | |||||||||||||
| 152386 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 18050 | 0 | 170436 | 0 | 0 | 0 |
| STEPHANIE PRIOR | |||||||||||||
| 132669 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 17432 | 0 | 150101 | 0 | 0 | 0 |
| DAVID TAGER | |||||||||||||
| 160522 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 18425 | 0 | 178947 | 0 | 0 | 0 |
| ROBERT COHEN | |||||||||||||
| 148525 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 17589 | 0 | 166114 | 0 | 0 | 0 |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 3 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 60548 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | MEDICAL SUPPLIES | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 10439 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE 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 |