2021-11-08T12:53:55-06:00 2021-06-30 042571780 AAFCPAS INC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2020-07-01 043452697 COMMUNITY HEALTH CONNECTIONS INC COMM 9788788100 326 NICHOLS ROAD FITCHBURG MA 01420 JOHN DEMALIA PRESIDENT AND CEO 9788788100 2021-11-05 1 JOHN DEMALIA XXX-XX-XXXX COURTNEY MCFARLAND CPA P01645518 5083669100 2021-11-05 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JOHN DEMALIA 326 NICHOLS ROAD FITCHBURG MA 01420 37139574 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. 14 14 372 14 0 0 6659549 13638653 22036942 22771084 4551 5957 113340 73959 28814382 36489653 0 0 0 0 20365812 21817360 0 0 0 7447792 8743453 27813604 30560813 1000778 5928840 32143637 34131204 17426556 13451283 14717081 20679921 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 11970978 10444075 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 79,857 MEDICAL OFFICE VISITS. 6154115 4129364 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 31,529 DENTAL VISITS. 3675550 2211133 PROVIDES BEHAVIORAL HEALTH SERVICES TO RESIDENTS OF NORTHERN WORCESTER COUNTY. DURING THE FISCAL YEAR THERE WERE 28,537 BEHAVIORAL HEALTH VISITS. 2715792 5537165 POVIDES PHARMACY SERVICES TO THE PATIENTS SERVICED BY THE CENTER. DURING THE FISCAL YEAR THERE WERE 32,577 PHARMACY SCRIPTS PROVIDED. 578619 449347 PROVIDES OPTOMETRY SERVICES TO RESIDENTS OF NORTHERN WORCESTER COUNTY. DURING THE FISCAL YEAR THERE WERE 5,267 OPTOMETRY VISITS. 3294411 5986512 25095054 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 1 0 0 0 0 0 0 0 0 1 40 0 1 372 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 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 KATHLEEN SWEENEY PHYSICIAN 40.00 X 343353 0 35149 JOHN DEMALIA CHIEF EXECUTIVE OFFICER 40.00 X 331966 0 29875 CHERYL DIVITO ASSOC MED DIR/PHYSICIAN 40.00 X 238026 0 32261 MOHAMED ILSHAHUOME DENTIST/ORAL SURGERY 40.00 X 211445 0 23414 TERRY OSBORNE DIRECTOR OF PSYCHIATRY 40.00 X 209584 0 17526 SHIRLEY AUSTIN CHIEF DENTAL DIRECTOR 40.00 X 195482 0 27790 PATRICK LAVELLE CHIEF FINANCIAL OFFICER 40.00 X 188677 0 21621 MARK FRANCIOSA MD CHIEF MEDICAL OFFICER 40.00 X 0 0 0 MELISSA MARANDA CHAIRPERSON 4.00 X X 0 0 0 IRENE HERNANDEZ VICE CHAIRPERSON 4.00 X X 0 0 0 KATHLEEN MCDERMOTT TREASURER 4.00 X X 0 0 0 CINDY CADORET CLERK 4.00 X X 0 0 0 JANE CROCKER DIRECTOR 4.00 X 0 0 0 EMILY MACRAE 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 DANIEL CUNNINGHAM DIRECTOR 4.00 X 0 0 0 SHAWN HAYDEN DIRECTOR 4.00 X 0 0 0 1718533 0 187636 30 0 1 0 WELLPARTNER 22 COURTLAND STREET 17TH FLOOR NEW YORK NY 10007 PHARMACY MANAGEMENT 1146752 ADAPT HEALTH INFORMATION TECHNOLOGY LLC 163 CENTER ROAD GRAY ME 04039 SOFTWARE CONSULTANT 219115 WALGREEN CO 104 WILMONT ROAD DEERFIELD IL 60015 PHARMACY MANAGEMENT 192272 4 10886589 2752064 150000 13638653 PATIENT SERVICE REVENUE 621498 22771084 22771084 22771084 5957 5957 723288 649921 73367 73367 73367 MISCELLANEOUS INCOME 900099 592 592 592 36489653 22771084 0 79916 678568 194892 483676 17609729 15323714 2286015 500834 404136 96698 1875357 1483501 391856 1152872 844654 308218 30566 30566 79336 79336 372463 259470 112993 150752 114610 36142 681136 588942 92194 11728 9414 2314 40418 126 40292 971021 747338 223683 44824 44824 MEDICAL SUPPLIES AND SE 2700073 2694306 5767 PHARMACY MANAGEMENT FEE 1510712 1510712 TELEPHONE AND NETWORKIN 932195 7740 924455 TRAINING AND RECRUITING 365737 311190 54547 852492 569743 282749 30560813 25095054 5465759 0 1061206 1199315 4182778 5178006 838170 348301 2178006 2332651 180366 160354 34441023 10943256 22699561 23497767 1003550 1414810 32143637 34131204 2614165 2964880 9791664 8630262 4017177 441331 1003550 1414810 17426556 13451283 X 14671679 20673672 45402 6249 14717081 20679921 32143637 34131204 X 5928840 34000 X X 0 1 X 1 1 1 X 5499301 6916694 6251569 6659549 13638653 38965766 5499301 6916694 6251569 6659549 13638653 38965766 38965766 697184 711644 714318 721201 729245 3573592 4545 9171 13994 13970 592 42272 42581630 100447373 0.91510 0.89570 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1205855 1205855 27135949 6378380 20757569 5805834 4564876 1240958 293385 293385 23497767 DEFERRED COMPENSATION 1414810 1414810 X 37173574 34000 34000 37139574 -649921 -649921 36489653 31210734 649921 649921 30560813 0 30560813 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, 2021. 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 -649,921. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 649,921. X X X X 0 1 0 0 0 0 0 0 0 KATHLEEN SWEENEY PHYSICIAN 343353 0 0 0 0 0 21092 0 14057 0 378502 0 0 0 JOHN DEMALIA CHIEF EXECUTIVE OFFICER 331966 0 0 0 0 0 28900 0 975 0 361841 0 0 0 CHERYL DIVITO ASSOC MED DIR/PHYSICIAN 238026 0 0 0 0 0 17494 0 14767 0 270287 0 0 0 MOHAMED ILSHAHUOME DENTIST/ORAL SURGERY 211445 0 0 0 0 0 8613 0 14801 0 234859 0 0 0 TERRY OSBORNE DIRECTOR OF PSYCHIATRY 209584 0 0 0 0 0 16551 0 975 0 227110 0 0 0 SHIRLEY AUSTIN CHIEF DENTAL DIRECTOR 195482 0 0 0 0 0 13304 0 14486 0 223272 0 0 0 PATRICK LAVELLE CHIEF FINANCIAL OFFICER 188677 0 0 0 0 0 15198 0 6423 0 210298 0 0 0 X EQUIPMENT 1 150000 FAIR MARKET VALUE 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: THIS PROCESS HAS NOT CHANGED FROM LAST YEAR. THE AUDIT/FINANCE COMMITTEE REVIEWS AND RECOMMENDS TO THE BOARD AN AUDIT FIRM. THE FINANCE/AUDIT COMMITTEE MEETS FROM TIME TO TIME WITH THE AUDITORS, AS NEEDED, TO PERFORM OVERSITE FUNCTIONS. THE FINANCE/AUDIT COMMITTEE REVIEWS THE AUDIT WITH THE AUDITORS AND RECOMMENDS THE ACCEPTANCE TO THE BOARD.