2019-11-11T13:30:03-06:00 2019-06-30 042571780 ALEXANDER ARONSON FINNING & CO PC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2018-07-01 043452697 COMMUNITY HEALTH CONNECTIONS INC COMM 9788788100 326 NICHOLS ROAD FITCHBURG MA 01420 JOHN DEMALIA PRESIDENT AND CEO 9788788100 2019-11-11 1 COURTNEY MCFARLAND P01645518 5083669100 2019-11-08 40.70.31.102 2019-11-11 09:33:05 ES P 221B671FE44F99E3C2A4B855E869F87DDB42EDB8 1166F2FD08ABF73FAA4779C448B3D4829B6A5C9C 2018 2020-03-31 21:24:44Z JOHN DEMALIA 326 NICHOLS ROAD FITCHBURG MA 01420 26199311 0 X WWW.CHCFHC.ORG X 1997 MA TO IMPROVE AND MAINTAIN THE HEALTH OF INDIVIDUALS AND FAMILIES IN THE SERVICE AREA WHERE SERVICES ARE PROVIDED THROUGH A NETWORK OF HIGH QUALITY COMPREHENSIVE HEALTH CARE, DENTAL AND PHARMACEUTICAL SERVICES. 15 15 300 15 0 0 6916694 6251569 18853244 19219430 2756 2586 153662 104899 25926356 25578484 0 0 0 0 17707287 19030490 0 0 0 6835252 6772496 24542539 25802986 1383817 -224502 27570233 27237429 13697428 13555126 13872805 13682303 X TO IMPROVE AND MAINTAIN THE HEALTH OF INDIVIDUALS AND FAMILIES IN THE SERVICE AREA WHERE SERVICES ARE PROVIDED THROUGH A NETWORK OF HIGH QUALITY COMPREHENSIVE HEALTH CARE, DENTAL AND PHARMACEUTICAL SERVICES. 0 0 9824453 9051052 PROVIDES MEDICAL SERVICES TO RESIDENTS OF NORTHERN WORCESTER COUNTY TO IMPROVE THE HEALTH OF INDIVIDUALS AND THE COMMUNITY AS A WHOLE. DURING THE FISCAL YEAR THERE WERE 59,037 MEDICAL OFFICE VISITS. 5962208 4929995 PROVIDES DENTAL SERVICES TO RESIDENTS OF NORTHERN WORCESTER COUNTY TO IMPROVE THE ORAL HYGIENE OF INDIVIDUALS AND THE COMMUNITY AS A WHOLE. DURING THE FISCAL YEAR THERE WERE 38,756 DENTAL VISITS. 3771408 2314562 PROVIDES BEHAVIORAL HEALTH SERVICES TO RESIDENTS OF NORTHERN WORCESTER COUNTY. DURING THE FISCAL YEAR THERE WERE 23,323 BEHAVIORAL HEALTH VISITS. 1829452 2717207 POVIDES PHARMACY SERVICES TO THE PATIENTS SERVICED BY THE CENTER. DURING THE FISCAL YEAR THERE WERE 47,242 PHARMACY SCRIPTS PROVIDED. 430630 206614 PROVIDES OPTOMETRY SERVICES TO RESIDENTS OF NORTHERN WORCESTER COUNTY. DURING THE FISCAL YEAR THERE WERE 2,590 OPTOMETRY VISITS. 2260082 2923821 21818151 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 31 0 1 300 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X PATRICK LAVELLE CFO 9788788100 326 NICHOLS ROAD FITCHBURG MA 01420 PAUL SCHIAVITTI CHAIRPERSON 4.00 X X 0 0 0 IRENE HERNANDEZ VICE CHAIRPERSON 4.00 X X 0 0 0 GREGG BUCKMAN CLERK 4.00 X X 0 0 0 JANE CROCKER DIRECTOR 4.00 X 0 0 0 OSCAR BAYINGANA DIRECTOR 4.00 X 0 0 0 EMILY MACRAE DIRECTOR 4.00 X 0 0 0 DAVID STREB TREASURER 4.00 X X 0 0 0 CINDY CADORET DIRECTOR 4.00 X 0 0 0 DAVID WILLIAMS DIRECTOR 4.00 X 0 0 0 JAMES CROSBY DIRECTOR 4.00 X 0 0 0 RODERICK LEWIN DIRECTOR 4.00 X 0 0 0 CHELSEY PATRISS DIRECTOR 4.00 X 0 0 0 TARA RIVERA DIRECTOR 4.00 X 0 0 0 MARIBEL CRUZ DIRECTOR 4.00 X 0 0 0 JOHN DEMALIA CHIEF EXECUTIVE OFFICER 40.00 X 278588 0 28310 PATRICK LAVELLE CHIEF FINANCIAL OFFICER 40.00 X 143010 0 15611 KATHLEEN SWEENEY CHIEF MEDICAL OFFICER 40.00 X 253107 0 32556 CHERYL DIVITO PHYSICIAN 40.00 X 224536 0 29348 GARO GARABEDIAN PHYSICIAN 40.00 X 189635 0 25933 ELEANOR THERESA TEDESCO PSYCHIATRIST BF 40.00 X 213324 0 25699 MADHAVI MEDIPALLY PHYSICIAN 40.00 X 194589 0 28191 BABTUNDE THOMAS PHYSICIAN 40.00 X 178057 0 26927 1674846 0 212575 28 0 1 0 FAMILY PHARMACY INC 100 GROVE STREET SUITE 201 WORCESTER MA 01605 PHARMACY MANAGEMENT 690010 EQUISCRIPT LLC 1360 TRUXTUN AVENUE SUITE 300 NORTH CHARLESTON SC 29405 PHARMACY MANAGEMENT 169398 MICHAEL NEVALSKY 4 YVETT STREET WORCESTER MA 01604 ELECTRICAL WORK 137750 WELLPARTNER 22 COURTLAND STREET 17TH FLOOR NEW YORK NY 10007 PHARMACY MANAGEMENT 121493 4 5470812 780757 6251569 PATIENT SERVICE REVENUE 621498 19219430 19219430 19219430 2586 2586 711732 620827 90905 90905 90905 MISCELLANEOUS INCOME 900099 13994 13994 13994 25578484 19219430 0 107485 778391 82527 695864 14737958 13332289 1405669 441682 244810 196872 2004356 1944244 60112 1068103 808078 260025 20566 20566 60000 60000 234292 162874 71418 129174 99853 29321 496187 437275 58912 29948 15209 14739 63690 1164 62526 827499 716009 111490 46025 770 45255 MEDICAL SUPPLIES AND SE 1748656 1748656 PHARMACY MANAGEMENT FEE 1022710 1022710 BAD DEBT 693725 693725 TELEPHONE AND NETWORKIN 637727 12722 625005 762297 474670 287627 25802986 21818151 3984835 0 213747 179489 1964051 1505308 20340 89127 1429595 1862826 90378 0 147034 103832 31754513 9120233 22962518 22634280 742570 862567 27570233 27237429 1981402 2305237 10876951 10345322 839075 904567 13697428 13555126 X 13461683 13439887 411122 242416 13872805 13682303 27570233 27237429 X -224502 34000 X X 0 1 X 1 1 1 X 4498200 5113725 5499301 6916694 6251569 28279489 4498200 5113725 5499301 6916694 6251569 28279489 28279489 684504 688259 697184 711644 714318 3495909 31775398 72718196 0.89000 0.89730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 316700 316700 26772321 4939490 21832831 4647377 4180743 466634 18115 18115 22634280 DEFERRED COMPENSATION 862567 DEFERRED RENT 42000 904567 X 26233311 34000 34000 26199311 -620827 -620827 25578484 26423813 620827 620827 25802986 0 25802986 PART X, LINE 2: THE HEALTH CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE HEALTH CENTER HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT JUNE 30, 2019. THE HEALTH CENTER'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: FORGIVENESS OF DEBT 34,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -620,827. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 620,827. X X X X 0 1 0 0 0 0 0 0 0 JOHN DEMALIA CHIEF EXECUTIVE OFFICER 278588 0 0 0 0 0 27397 0 913 0 306898 0 0 0 PATRICK LAVELLE CHIEF FINANCIAL OFFICER 143010 0 0 0 0 0 10079 0 5532 0 158621 0 0 0 KATHLEEN SWEENEY CHIEF MEDICAL OFFICER 253107 0 0 0 0 0 19923 0 12633 0 285663 0 0 0 CHERYL DIVITO PHYSICIAN 224536 0 0 0 0 0 16715 0 12633 0 253884 0 0 0 GARO GARABEDIAN PHYSICIAN 189635 0 0 0 0 0 13300 0 12633 0 215568 0 0 0 ELEANOR THERESA TEDESCO PSYCHIATRIST BF 213324 0 0 0 0 0 15172 0 10527 0 239023 0 0 0 MADHAVI MEDIPALLY PHYSICIAN 194589 0 0 0 0 0 15558 0 12633 0 222780 0 0 0 BABTUNDE THOMAS PHYSICIAN 178057 0 0 0 0 0 14145 0 12782 0 204984 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT WORKS WITH THE HEALTH CENTER'S EXTERNAL AUDITORS TO ENSURE THE COMPLETE AND ACCURATE PREPARATION OF THE FORM. MANAGEMENT PROVIDES THE 990 TO THE BOARD FOR REVIEW PRIOR TO SIGNATURE AND SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE HEALTH CENTER ENSURES THAT THE CONFLICT OF INTEREST POLICY IS ENFORCED BY REQUIRING BOARD MEMBERS TO SIGN CONFLICT OF INTEREST DOCUMENTS ON A YEARLY BASIS. THESE DOCUMENTS ARE REVIEWED ANNUALLY BY MANAGEMENT TO IDENTIFY ANY CONFLICTS, ACTUAL OR PERCEIVED, AND TO DEVELOP NECESSARY RESOLUTIONS FOR ANY IDENTIFIED CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS APPROVES COMPENSATION AFTER CAREFUL REVIEW OF OTHER SIMILAR ORGANIZATIONS' COMPENSATION PACKAGES. FORM 990, PART VI, SECTION C, LINE 19 THE HEALTH CENTER PROVIDES THESE FORMS AND DOCUMENTS UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 9: FORGIVENESS OF DEBT 34,000. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS APPROVES COMPENSATION AFTER CAREFUL REVIEW OF OTHER SIMILAR ORGANIZATIONS' COMPENSATION PACKAGES.