2019-08-14T13:55:53-07:00 2018-09-30 990 2017-10-01 237425849 East Boston Neighborhood Health Center EAST 6175684570 10 Gove Street East Boston MA 02128 James Hazard CFO 2019-08-14 2017 2019-02-21 02:37:17Z 145868067 false false X www.ebnhc.org X 1974 MA The Health Center's mission is to provide easily accessible, affordable, appropriate, high-quality, personalized, coordinated primary care, for all who lives and works in East Boston and the surrounding communities, without regard to age, income, insurance status, language, culture, or social circumstances 11 11 1234 200 0 16739528 17830982 116998488 123939641 160947 123342 6821885 3910743 140720848 145804708 0 0 85514875 83630920 0 0 57877669 59597670 143392544 143228590 -2671696 2576118 82661500 96743032 54821571 66802430 27839929 29940602 The Health Center's mission is to provide easily accessible, affordable, appropriate, high-quality, personalized, coordinated primary care, for all who lives and works in East Boston and the surrounding communities, without regard to age, income, insurance status, language, culture, or social circumstances false false 59239351 65444655 In Fiscal Year 2018 the East Boston Neighborhood Health Center Corp.continued it's mission to provide easily accessible, personalized, high quality,affordable care that is sensitive to the needs of each individual who lives or works in the East Boston Community regardless of the ability to pay.The Center had 319,645 patient visits during the year ending September 30,2018. 40800468 45360124 The Neighborhood PACE Program and the Long Term Care Pharmacy,continued to provide all inclusive care for the elderly during the year, the organization provided direct care for 6,615 member months for its PACE particpants for the period ending September 30,2018. 11087986 16895024 The Pharmacy provides onsite prescription medication exclusive to health center patients only.Health Center patients are able to purchase prescriptions at select CVS, Walgreens,and Rite Aid locations in the area.During the period ending September 30, 2018, the organization filled 602,073 prescriptions for its patients. In addition, the Health Center patients are able to purchase prescriptions at various contract 340B llocations in the area. 111127805 true true false true false false false false false false true false false true true true false true false false false false false false true false false false false true true false false false false false false false false false false false false false false false true true false false false true 101 0 true 1234 true false false false false false false false false 0 false false false false false false false false false false X 11 11 false false false false false false false true true false true true true true true true true true true true false MA X James Hazard 6175684570 10 Gove Street East Boston MA 02128 Rita Sorrento BOD President 2.00 0.00 X X 0 0 0 Sandra Caggiano Treasurer 2.00 0.00 X X 0 0 0 Jean Staropoli Director 2.00 0.00 X 0 0 0 Lawrence F Keegan Jr Director 2.00 0.00 X 0 0 0 Allison Eng Director 2.00 0.00 X 0 0 0 Rosa Dominguez Director 2.00 0.00 X 0 0 0 Jennifer C Blanco Clerk 2.00 0.00 X X 0 0 0 Louis Scapicchio Director 2.00 0.00 X 0 0 0 Nancy M Christoff Director 2.00 0.00 X 0 0 0 Doris Virginia Rubio Vice President 2.00 0.00 X X 0 0 0 Frank M Ramirez Director 2.00 0.00 X 0 0 0 James Hazard CFO 39.00 1.00 X 250288 0 29138 Manuel Lopes President & CEO 39.00 1.00 X 468829 0 29515 Dr Jackie Fantes CMO 40.00 0.00 X 273082 0 9520 Dr Jeffrey Shapiro Physician 40.00 0.00 X 330583 0 29515 Dr Irving S Danesh Physician 40.00 0.00 X 321364 0 29515 Dr James Pedulla Physician 40.00 0.00 X 254167 0 28895 Dr Catherine Silva Physician 40.00 0.00 X 249848 0 9349 Dr Patricio Cabral Physician 40.00 0.00 X 230393 0 15364 2378554 180811 159 false true false Eaton Apothecary Offices PO Box 6880 Holliston MA 01746 Pharmacy Services 1928550 EmCare Inc 7032 Collection Center Drive Chicago IL 60693 Medical Services 1512735 Quest Diagnostics MA LLC 5763 Collection Center Drive Chicago IL 606930057 Laboratory Services 1184465 BU Family Medicine One BMC Place Boston MA 02118 Medical Services 1149726 McGarr Services Corp PO Box 670139 Chesnut Hill MA 02467 Cleaning Services 1095288 16 8797994 9032988 17830982 Health Center NPSR 621400 61684493 61684493 PACE Revenue 621610 45360124 45360124 Pharmacy Revenue 621400 16895024 16895024 123939641 123042 123042 0 0 0 300 300 300 300 213940 63359 150581 150581 0 0 Other Program Support 621400 2546251 2546251 Rental Income 623000 1213911 1213911 3760162 145804708 127699803 273923 0 0 0 0 1060822 1060822 0 65601350 49994396 15606954 1296716 969876 326840 11110222 11003990 106232 4561810 4561810 0 68868 4188 64680 112669 272 112397 34931 34931 0 0 0 154683 68653 86030 404492 220888 183604 0 0 6459391 3431660 3027731 0 94358 17317 77041 0 716117 716117 0 4052033 251723 3800310 514117 205399 308718 Purchased Services 14051293 13064487 986806 Medical Expenses 13482744 13432395 50349 Institutional Expenses 12535418 12535418 Other Admin Expenses 4840228 4840228 2076328 1086915 989413 143228590 111127805 32100785 0 7752949 15802694 0 609837 4334833 10333846 9622617 0 0 2885181 1010067 881921 2153472 1797329 74500682 38985845 41410391 35514837 0 0 0 0 19390938 25903620 82661500 96743032 17932698 23716667 2868066 281206 12091914 19671973 21928893 23132584 54821571 66802430 X 24697502 26644230 3142427 3296372 27839929 29940602 82661500 96743032 X 2576118 -475445 X false true X false false X false false false false false false false false true 34931 false false 34931 false false Part II-B, Line 1i - Other Activities Description Reports on state legislative activities. 3884158 3884158 18780732 3649110 15131622 24540164 15845740 8694424 20571081 16365263 4205818 6724547 3125732 3598815 35514837 CSR Life Insurance 1660568 Due From Affiliates 692577 Due From Related Party Due From Related Party 247359 ESP Cash Reserve 112271 Investment in TMS N/R Invest. Fund 15990392 N/R LSLP N/R LSLP N/R Lyman School TGS Receivable 7200453 25903620 Amort. Def. Fin.Cost 530394 Deferred Fin. Cost -1245899 Deferred Rent 19210042 General Reserve 726991 Interest Rate Swap 123655 Loss in Affiliates 2833605 Post Retirement Benefit 953796 23132584 X Part X : FIN48 Footnote 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 September 30, 2018. The Health Centers information returns are subject to examination by Federal and state jurisdictions X X X true MA Art of Health Care 213940 213940 17059 20565 25735 213940 213940 17059 20565 25735 63359 150581 X X X X X X false false false false false false false false false false Dr Patricio Cabral Physician 230393 5874 9490 245757 Dr Catherine Silva Physician 249848 7020 2329 259197 Dr Irving S Danesh Physician 321364 7020 22495 350879 Dr Jackie Fantes CMO 273082 7020 2500 282602 Dr James Pedulla Physician 254167 7020 21875 283062 Dr Jeffrey Shapiro Physician 330583 7020 22495 360098 James Hazard CFO 250288 6695 22443 279426 Manuel Lopes President & CEO 459829 9000 7020 22495 498344 A Massachusetts Development Finance Agency 043431814 2006-02-01 7564000 Attached Note false false B Massachusetts Development 043431814 2012-09-12 10400000 Attached Note false false A 7564000 7399239 7564000 true false true true B 10400000 10400000 false true true true A false false false false B false false false false A true true false false false B true false false false false Client Note 1 Client Note 1 - In September of 2017, the Center entered into an agreement with the Massachusetts Development Finance Agency ("MDFA") to issue $7,000,000 of MDFA Series 2017 Revenue Bonds ("Series 2017 Bonds")payable to TD Bank,N.A.with annual interest at 3.03% through December 2017, and 3.856% beginning in January 2018.Monthly interest-only payments of $22,806 were due through September 2018.Begining on October 2018,monthly principal and interest payments of $37,503 are due through August 2042.The processed from the Series 2017 Bonds were used to make a loan to Chase IF. The Series 2017 Bonds are secured by the Health Center's revenues, accounts receivable, a pledge of the Health Center's loan from Chase IF, and a certain property and contain various covenants which the Health Center must comply.The Bond payable balance as of September 30, 2018 is $7,000.000.In October of 2013, The Center entered into a ten (10) year forgivable loan agreement with Boston Medical Center ("BMC") for $100,000 to support capital improvements to the Center's facilities. The loan bears interest equal to prime rate plus two percent (2%).The principal and interest balance shall be forgiven yearly over the life of the loan. The balance outstanding as of September 30, 2018 is $400,000.In September 2012, the Center entered into an agreement with the Massachusetts Development Finance Agency ("MDFA") to issue $10,400,000 of MDFA Series 2012 Revenue Bonds ("Series 2012 Bonds"), East Boston Neighborhood Health Center Issue, Series 2012 that will mature on September 1,2037.The bonds were issued to in order to finance the construction of a new health center building. Under the terms of a loan and trust agreement (the "Agreement") between the Center, MDFA and TD Banknorth, as trustee, the Center is required to make monthly payments to the trustee in amounts sufficient to pay the scheduled principal and interest requirements of the Series 2012 Bonds through maturity on September 1, 2037. The annual interest rate on the outstanding Series 2012 Bonds is 2.4%. Collateral for the Series 2012 Bonds consists of the Center's accounts receivable. The Agreement also contains various financial and reporting covenants.The Bond payable balance as of September 30, 2018 is $8,439,873.The Center loaned the proceeds of its new bonds to East Boston Neighborhood Health Center Fund, LLC. ("Investment Fund").The Investment Fund then invested in the Qualified Low Income Community Investments CDE #1-#5, LLC("CDE".The CDE used the investment to provide the financing to TMS in five separate loans, totaling $22,376,000 for the construction of the new health center.In February of 2006, the Center entered into an agreement with the Massachusetts Development Finance Agency ("MDFA") to issue $7,564,000 of MDFA Series 1996 Revenue Bonds ("Series 2006 Bonds"), East Boston Neighborhood Health Center Issue, Series 2006 that will mature on July 1, 2026.The bonds were issued to advance refund the Center's outstanding MIFA Series 1996 Revenue Bonds. Under the terms of a loan and trust agreement (the "Agreement") between the Center, MDFA and TD Banknorth, as trustee, the Center is required to make monthly payments to the trustee in amounts sufficient to pay the scheduled principal and interest requirements of the Series 2006 Bonds through maturity on July 1, 2026. The annual interest rate on the outstanding Series 2006 Bond is the LIBOR rate times sixty nine percent (69%)plus one and two hundred seventy-eight thousand percent(1.278%). The interest rate was one and forty-five hundreds percent (1.45%) at September 30, 2015 and 2014. Collateral for the Series 2006 Bonds consists of the Center's accounts receivable. The Agreement also contains various financial and reporting covenants.Concurrent with the Center's loan and trust agreement, the Center entered into a fifteen (15) year interest rate swap agreement (the "Swap") with TD Bank effectively modifying the interest rate under the variable rate instrument to a fixed rate in order to avoid the risk of rising interest rates and to make their borrowing costs more predictable.The interest rate swap, is designed as a cash flow hedge and the activity is reported in other changes in net assets. The notional amount is $6,448,600 with a maturity date of February 1, 2021. The fixed rate is $4.825% and the floating rate is 1.437%.Interest expense is recorded at the fixed rate. The swap is outstanding through February 1, 2021, while the debt is outstanding until 2026.The interest rate swap was recorded at fair value as a liability of $123,455 and $277,177 as of September 30, 2018 and 2017 respectively.The Bond payable balance as of September 30, 2018 is $3,832,100. Form 990, Part VI, Line 11b: Form 990 Review Process A copy of the Form 990 is made available to it's governing body for review prior to submission to the Internal Revenue Service through a web site portal. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The organization requires that employees, members and officers of the board of directors and any member of any committee disclose in writing (and update annually) all business and other relationships which might potentially create a conflict of interest as defined by the policy. The written disclosure shall include an itemization of any substantive conflict of interest for such individual by virtue of his or her activities. The conflict of interest policy is reviewed and communicated to ensure individuals with outside relationships do not inappropriately participate in business decisions of the Organization in which they are not independent Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees All compensation for the President and CEO are governed and overseen by the Board of Directors.The Board established a Compensation Committee,made up of disinterested trustees,who are given the authority to establish compensation for the President and CEO.The Compensation Committee performs annual reviews and approves executive compensation for the President and CEO.In order to assist the Committee in it's responsibilities, the Compensation Committee hires independent, outside compensation consultants to advise the committee on the reasonableness of the overall executive compensation. The Committee works with these consultants to ensure that all compensation is reasonable, meets all regulatory requirements, and is competitive within the relevant market.Compensation for senior staff is overseen by the President and CEO, and is based upon benchmarks from an independent, outside compensation consultant. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The organization prepares the Form 990 and the related disclosures with assistance and guidance from it's individual tax advisors (CPA firm).The Form 990 is reviewed by the organizations' management team prior to submission to the board of directors and the IRS.The Form 990 is also available on the Massachusetts office of the Attorney General's website. Other Changes In Net Assets Or Fund Balances - Other Increases Chnges in temp. net assets = $0 Other Changes In Net Assets Or Fund Balances - Other Increases Forgiveness of Note Payable = $100000 Other Changes In Net Assets Or Fund Balances - Other Increases Grants and Contributions = $0 Other Changes In Net Assets Or Fund Balances - Other Decreases Loss on TMS = -$882912 Other Changes In Net Assets Or Fund Balances - Other Decreases Net Assets released from Restrictions = -$0 Other Changes In Net Assets Or Fund Balances - Other Increases Net Assets released from Restrictions = $153945 Other Changes In Net Assets Or Fund Balances - Other Increases Unrealized Gain on Interest Rate Swap = $153522 Twenty Maverick Square Corporation 10 Gove Street East Boston MA 02128 272299376 Support for East Boston Health Center MA 501 (c) (3) 12A East Boston Neighborhood Health Center true Lyman School Housing Committee 30 Gove Street East Boston MA 02128 042733990 Housing for the Elderly MA 501 (c) (3) 10 East Boston Neighborhood Health Center true Ten Garofalo Street Corporation 10 Gove Street East Boston MA 02128 821162875 Support for East Boston Health Center MA 501 (c) (3) 12A East Boston Neighborhood Health Center true false false false false false false false false false false true false false false false false false false false Twenty Maverick Square Corporation k 425000 Fair Market Rt