Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2010 and ending 06-30-2011
BCheck if applicable:
CName of organization
MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH
CENTERS INC
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
40 COURT STREET 10TH FLOOR
 
Room/suite
City or town, state or country, and ZIP + 4
BOSTON, MA02108
D Employer identification number

04-2507409
E Telephone number

G Gross receipts $ 8,395,608
F Name and address of principal officer:
JAMES W HUNT JR
40 COURT STREET 10TH FLOOR
BOSTON,MA02108
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.MASSLEAGUE.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1972
M State of legal domicile: MA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE LEADERSHIP TO OUR MEMBERSHIP IN ACHIEVING THEIR GOALS, AND TO PROMOTE ACCESSIBLE, QUALITY, COMMUNITY RESPONSIVE HEALTH CARE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 62
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 62
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 70
6 Total number of volunteers (estimate if necessary) .... 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 1,051,424
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 7,570,521 5,821,874
9 Program service revenue (Part VIII, line 2g) ......... 1,688,041 2,381,789
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 19,196 13,562
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 34,234 70,871
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 9,311,992 8,288,096
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 3,151,851 1,245,610
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 3,814,853 4,135,227
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 3,419,778 4,024,564
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 10,386,482 9,405,401
19 Revenue less expenses. Subtract line 18 from line 12...... -1,074,490 -1,117,305
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 9,572,059 8,016,079
21 Total liabilities (Part X, line 26)............ 2,530,503 2,091,828
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 7,041,556 5,924,251
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: TO PROVIDE LEADERSHIP TO OUR MEMBERSHIP IN ACHIEVING THEIR GOALS, AND TO PROMOTE ACCESSIBLE, QUALITY, COMMUNITY RESPONSIVE HEALTH CARE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 3,123,451 including grants of $ 223,026 ) (Revenue $ 900,416 )
DEVELOPMENTAL SERVICES AND TECHNICAL ASSISTANCE- PROVIDE SUPPORT TO COMMUNITY HEALTH CENTERS TO ASSESS AND DOCUMENT COMMUNITY NEEDS FOR HEALTH CARE, TO ASSIST CENTERS TO UNDERSTAND AND MEET PROGRAM NEEDS AND REPORTING REQUIREMENTS FOR FEDERAL QUALIFIED HEALTH CENTERS AND 330 GRANTS. TO PROVIDE GUIDANCE ON HRSA FEDERAL GRANT POLICIES AND REGULATIONS. TO COLLECT AND PROVIDE DATA ON COMMUNITY HEALTH CENTER SERVICE COMMUNITIES AND SERVICE DELIVERY. TO SUPPORT HEALTH INFORMATION TECHNOLOGY LEADERSHIP AT COMMUNITY HEALTH CENTERS TO EXCHANGE BEST PRACTICES AND ADDRESS NEEDS FOR SERVICES AT CENTERS. TO PROVIDE SERVICES IN SUPPORT OF ADOPTION AND IMPLEMENTATION OF HEALTH INFORMATION TECHNOLOGY, ELECTRONIC HEALTH RECORDS, REPORTING SOLUTIONS AND INFORMATION MANAGEMENT SYSTEMS AT COMMUNITY HEALTH CENTERS.
4b (Code:   ) (Expenses $ 1,826,153 including grants of $ 355,000 ) (Revenue $   )
POLICY ANALYSIS AND INFORMATION DISSEMINATION - PROVIDE SUPPORT TO COMMUNITY HEALTH CENTERS IN UNDERSTANDING, IMPLEMENTING AND COMPLYING WITH FEDERAL, STATE AND LOCAL REGULATIONS. PROVIDE TRAINING AND GUIDANCE ON REGULATIONS COVERING HEALTH POLICY, HEALTH COVERAGE AND HEALTH SERVICE PROGRAM. SUPPORT UNDERSTANDING AND COMPLIANCE WITH LICENSE REGULATIONS FOR COMMUNITY HEALTH CENTER. TRACK ADEQUACY OF RATE SETTING PRACTICES FOR HEALTH COVERAGE PROGRAMS. SUPPORT INFORMATION SHARING ON POLICIES, SERVICES, AND SYSTEMS TO ASSURE COMMUNITY HEALTH CENTERS PROVIDE ACCESS TO SERVICES. SUPPORT PROGRAMS AND MATERIALS TO GUIDE MULTI-CULTURAL PATIENT POPULATIONS IN ACCESS TO CARE. SUPPORT ACCESS TO MULTI-LINGUAL INFORMATION ON SERVICE PROGRAMS. PROVIDE INFORMATION AND SERVICES TO ADDRESS THE NEEDS OF MULTI-LINGUAL PATIENTS AND COMMUNITIES. PROVIDE TECHNICAL ASSISTANCE AND SUPPORT FOR PUBLIC INFORMATION ABOUT COMMUNITY HEALTH CENTER PROGRAMS AND SERVICES.
4c (Code:   ) (Expenses $ 2,173,230 including grants of $ 667,584 ) (Revenue $   )
CLINICAL SERVICES- PROVIDE TECHNICAL ASSISTANCE, TRAINING AND DEVELOPMENT GUIDANCE FOR THE DELIVERY OF CLINICAL SERVICES AND FOR THE LEADERSHIP AND DEVELOPMENT OF CLINICAL STAFF. SUPPORT QUALITY IMPROVEMENT AND DEVELOPMENT ACTIVITIES AND INITIATIVES FOR CLINICAL SERVICES, PROGRAMS AND SYSTEMS OF CARE. SUPPORT WORK FORCE PROGRAMS FOR RECRUITMENT AND RETENTION OF CLINICAL STAFF. PROVIDE FOR TRAINING IN QUALITY IMPROVEMENT, CLINICAL LEADERSHIP AND CHANGE MANAGEMENT. SUPPORT COMMUNICATION AND GUIDANCE ON CLINICAL POLICIES AND BEST PRACTICES FOR CLINICAL MANAGEMENT.
(Code:   ) (Expenses $ 974,037 including grants of $   ) (Revenue $ 429,949 )
MEMBERSHIP SERVICES AND TRAINING AND EDUCATION-PROVIDE THE STAFF AND BOARDS OF COMMUNITY HEALTH CENTERS WITH A SERIES OF SOCIAL, NETWORKING AND FUNDRAISING EVENTS.
(Code:   ) (Expenses $ 643,702 including grants of $   ) (Revenue $   )
GROUP PURCHASING PROGRAMS: TO ENGAGE IN THE BUSINESS OF GROUP PURCHASING GOODS AND SERVICES ON BEHALF OF THE HEALTH SERVICES COMMUNITY.
4d Other program services. (Describe in Schedule O.)
(Expenses $ 1,617,739 including grants of $   ) (Revenue $ 429,949 )
4e Total program service expensesMediumBullet$ 8,740,573
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
 
No
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
33
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
70
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
No
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
No
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
No
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
No
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
62
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
62
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
THE CORPORATION
40 COURT STREET 10TH FLR
BOSTON,MA02108
(617) 426-2225
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) FRANCES M ANTHES - FHC OF WORCESTER
IMMEDIATE PAST CHAIR
 3.00   X         0 0 0
(2) ANTONIA MCGUIRE-EDWARD KENNEDY CHC
BOARD 1ST VICE CHAIR
 3.00   X X       0 0 0
(3) JOHN CRADOCK-E BOSTON NEIGHBRHD HC
BOARD TREASURER
 3.00   X X       0 0 0
(4) SUSAN JOSS-BROCKTON NEIGHBORHOOD HC
BOARD SECRETARY
 3.00   X X       0 0 0
(5) JAMES LUISI-NORTH END COMMUNITY HC
BOARD MEMBER
 3.00   X         0 0 0
(6) JOEL ABRAMS-DORCHESTER HOUSE MULTI-
BOARD MEMBER
 3.00   X         0 0 0
(7) LORI ABRAMS BERRY-LYNN COMMUNITY HC
BOARD MEMBER
 3.00   X         0 0 0
(8) JAY BREINES-HOLYOKE HEALTH CENTER
BOARD MEMBER
 3.00   X         0 0 0
(9) ANITA CRAWFORD-ROXBURY CHC
BOARD MEMBER
 3.00   X         0 0 0
(10) FRANCIS J DOYLE-BOSTON HEALTHNET
BOARD MEMBER
 3.00   X         0 0 0
(11) DANIEL J DRISCOLL-HARBOR HEALTH SVC
BOARD MEMBER
 3.00   X         0 0 0
(12) DORCAS GRIGG-SAITO-LOWELL CHC
BOARD MEMBER
 3.00   X         0 0 0
(13) WILLIAM J HALPIN JR-S BOSTON CHC
BOARD CHAIR
 3.00   X X       0 0 0
(14) EUGENIA HANDLER-FENWAY CHC
BOARD MEMBER
 3.00   X         0 0 0
(15) ROBERT INGALA-GREATER LAWRENCE FHC
BOARD MEMBER
 3.00   X         0 0 0
(16) THOMAS KIEFFER-S JAMAICA PLAIN HC
BOARD MEMBER
 3.00   X         0 0 0
(17) ADELA MARGULES-BOWDOIN STREET HC
BOARD MEMBER
 3.00   X         0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) PAULA MCNICHOLS-BROOKSIDE CHC
BOARD MEMBER
 3.00   X         0 0 0
(19) PAULETTE SHAW QUERNER-CHC HARBOR HL
BOARD MEMBER
 3.00   X         0 0 0
(20) ANNE RICHMOND-MGH COMMUNITY HLTH AS
BOARD MEMBER
 3.00   X         0 0 0
(21) RITA SORRENTO-EAST BOSTON NEIGBRD H
BOARD MEMBER
 3.00   X         0 0 0
(22) EUGENE WELCH-SOUTH COVE CHC
BOARD MEMBER
 3.00   X         0 0 0
(23) AZZIE YOUNG-MATTAPAN CHC
2ND VICE CHAIR
 3.00   X X       0 0 0
(24) CHIDI ACHEBE MD-HARVARD STNGHBRD HC
BOARD MEMBER
 3.00   X         0 0 0
(25) JULIE ALMOND-HEALTHFIRST FCC INC
BOARD MEMBER
 3.00   X         0 0 0
(26) ANNIE AWAD-CARING HEALTH CENTER INC
BOARD MEMBER
 3.00   X         0 0 0
(27) DOUGLAS BROOKS-SIDNEY BORUM JR HC
BOARD MEMBER
 3.00   X         0 0 0
(28) LIZ BROWNE-JOSEPH M SMITH CHC
BOARD MEMBER
 3.00   X         0 0 0
(29) NANCY BUCKEN-NEPONSET HEALTH CENTER
BOARD MEMBER
 3.00   X         0 0 0
(30) HELEN CAULTON-HARRIS-HLTH SVCS FOR
BOARD MEMBER
 3.00   X         0 0 0
(31) RICHARD DESIMONE-TRI-RIVER FAMILY H
BOARD MEMBER
 3.00   X         0 0 0
(32) DEBORAH ENOS-NEIGHBORHOOD HEALTH PL
BOARD MEMBER
 3.00   X         0 0 0
(33) RUTH ELLEN FITCH-DIMOCK CHC
BOARD MEMBER
 3.00   X         0 0 0
(34) EDISS GANDELMAN-COMM CARE ALLIANCE
BOARD MEMBER
 3.00   X         0 0 0
(35) KAREN GARDNER-CHC OF CAPECOD
BOARD MEMBER
 3.00   X         0 0 0
(36) PETER GEORGEOPOULOS-GNEW BEDFORD CH
BOARD MEMBER
 3.00   X         0 0 0
(37) CLAIRE GOYER-DUFFY HEALTH CENTER
BOARD MEMBER
 3.00   X         0 0 0
(38) EDWARD GRIMES-UPHAM'S CORNER HC
BOARD MEMBER
 3.00   X         0 0 0
(39) ROBERT HENDERSHOTT-NORTH SHORE CHC
BOARD MEMBER
 3.00   X         0 0 0
(40) ROBERT HOCH MD-HARBOR HEALTH SVS
BOARD MEMBER
 3.00   X         0 0 0
(41) ROBERT JOHNSON-SOUTH END CHC
BOARD MEMBER
 3.00   X         0 0 0
(42) JOHN KOOMSON-BAYSTATE CHC
BOARD MEMBER
 3.00   X         0 0 0
(43) BARBARA LOTTERO-GRROSLINDALE MEDICA
BOARD MEMBER
 3.00   X         0 0 0
(44) BRIDGETTE MADDEN-CHC OF FRANKLIN CO
BOARD MEMBER
 3.00   X         0 0 0
(45) CYNTHIA MITCHELL-ISLAND HEALTH CARE
BOARD MEMBER
 3.00   X         0 0 0
(46) DAVID REIDY-MID-UPPER CAPE CHC
BOARD MEMBER
 3.00   X         0 0 0
(47) EDWARD SAYER-HILLTOWN CHC INC
BOARD MEMBER
 3.00   X         0 0 0
(48) ROBERT TAUBE-BHC FOR THE HOMELESS P
BOARD MEMBER
 3.00   X         0 0 0
(49) HENRY TUTTLE-MANET CHC INC
BOARD MEMBER
 3.00   X         0 0 0
(50) FREDERICA WILLIAMS-WHITTIER ST HC
BOARD MEMBER
 3.00   X         0 0 0
(51) DENISE WRIGHT RN-FAMILY HCC SSTAR
BOARD MEMBER
 3.00   X         0 0 0
(52) WILLIAM WALCZAK - CODMAN SQUARE HC
BOARD MEMBER
 3.00   X         0 0 0
(53) BRYAN AYARS- CHP HEALTH CENTER
BOARD MEMBER
 3.00   X         0 0 0
(54) GEORGE BARTON- CHC OF FRANKLIN COUN
BOARD MEMBER
 3.00   X         0 0 0
(55) LYNN BUDLONG- CAMBRIDGE HEALTH ALLI
BOARD MEMBER
 3.00   X         0 0 0
(56) SANDRA COTTERELL- CODMAN HEALTH CEN
BOARD MEMBER
 3.00   X         0 0 0
(57) SALLY DEANE- OUTER CAPE HEALTH SERV
BOARD MEMBER
 3.00   X         0 0 0
(58) LEAH GALLIVAN- FRAMINGHAM CHC
BOARD MEMBER
 3.00   X         0 0 0
(59) MICHAEL HUPPERT- COMMUNITY HEALTH C
BOARD MEMBER
 3.00   X         0 0 0
(60) ESTHER LOPEZ- MARTHA ELIOT HEALTH C
BOARD MEMBER
 3.00   X         0 0 0
(61) HEIDI NELSON- DUFFY HEALTH CENTER
BOARD MEMBER
 3.00   X         0 0 0
(62) JACKIE SPAIN- HOLYOKE HEALTH CENTER
BOARD MEMBER
 3.00   X         0 0 0
(63) JAMES W HUNT JR
PRESIDENT & CEO
 35.00     X       475,193 0 65,996
(64) ELLEN HAFER
EXEC. V.P./COO
 35.00     X       204,173 0 38,818
(65) KEITH MAXWELL
TECH SERVICES DIR.
 35.00         X   128,445 0 28,297
(66) PATRICIA EDRAOS
HEALTH RESOURCES/POLICY DIRECTOR
 35.00         X   122,605 0 16,665
(67) RICHARD BRYANT
DIRECTOR CWPG
 35.00         X   109,212 0 25,463
(68) DAVE CONCANNON
DIR.OF FINANCE AND ADMINISTRATION
 35.00         X   111,217 0 26,486
(69) JOAN PERNICE
DIR. OF CLINICAL HEALTH AFFAIRS
 35.00         X   130,325 0 27,407
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 1,281,170 0 229,132
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet10
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
ARCADIA SOLUTIONS
PO BOX 769
WAITSFIELD,VT05673 		TECHNICAL SERVICES CONSULTANT 431,574
ADVOCATES FOR HUMAN POTENTIAL
490B BOSTON POST RD
SUDBURY,MA01776 		EMR PROJECT CONSULTANT 200,388
DENNIS SMITH ASSOC
600 ATLANTIC AVE 19TH FLOOR
BOSTON,MA02210 		TECHNICAL SERVICES CONSULTANT 120,000
CLAREMONT GROUP
15 CLAREMONT PARK
BOSTON,MA02118 		EMR PROJECT CONSULTANT 113,783
CUPPLES ASSOCIATES CONSULTING
14 OLMSTEAD STREET
BOSTON,MA02130 		EMR PROJECT CONSULTANT 107,399
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet5
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 57,735
d Related organizations...1d  
e Government grants (contributions)1e 3,640,254
f All other contributions, gifts, grants, and
similar amounts not included above1f 		2,123,885
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 5,821,874
Program Service Revenue Business Code
2a GROUP PURCHASING INCOM 541,900 1,051,424   1,051,424  
b CONTRACTED SERVICES AN 541,900 900,416 900,416    
c MEMBERSHIP DUES 541,900 429,949 429,949    
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 2,381,789
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 13,562     13,562
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss)..........MediumBullet        
8a Gross income from fundraising events (not including
$ 57,735
of contributions reported on line 1c). See Part IV, line 18 ...
a 178,383
b Less: direct expenses ...b 107,512
c Net income or (loss) from fundraising events..MediumBullet 70,871   70,871
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet  
12 Total revenue. See Instructions....MediumBullet 8,288,096 1,330,365 1,051,424 84,433
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 902,207 902,207
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 343,403 343,403
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 817,287 650,836 166,451  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 2,460,038 2,319,610 140,428  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 160,990 147,111 13,879  
9 Other employee benefits ....... 465,133 425,034 40,099  
10 Payroll taxes ........... 231,779 211,798 19,981  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 65,241 64,757 484  
c Accounting ........... 57,458   57,458  
d Lobbying ........... 139,535 139,535    
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 2,013,005 2,007,377 5,628  
12 Advertising and promotion .... 99,786 99,186 600  
13 Office expenses ....... 404,750 346,061 58,689  
14 Information technology ......        
15 Royalties ..        
16 Occupancy ........... 457,824 348,633 109,191  
17 Travel ............ 272,055 269,527 2,528  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 197,593 192,340 5,253  
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 218,417 198,039 20,378  
23 Insurance .............. 12,255   12,255  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a PROFESSIONAL DUES 66,646 64,846 1,800  
b MISCELLANEOUS EXPENSE 19,999 10,273 9,726  
c
d
e
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 9,405,401 8,740,573 664,828 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 125 1 125
2 Savings and temporary cash investments ....... 3,147,710 2 2,814,104
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 5,409,215 4 4,076,487
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges ............ 26,163 9 36,262
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 679,479
b Less: accumulated depreciation. ..... 10b 626,629 94,673 10c 52,850
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 894,173 15 1,036,251
16 Total assets. Add lines 1 through 15 (must equal line 34)... 9,572,059 16 8,016,079
Liabilities 17 Accounts payable and accrued expenses . 974,346 17 839,058
18 Grants payable ..........   18  
19 Deferred revenue .......... 318,986 19 405,569
20 Tax-exempt bond liabilities ..........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 1,237,171 25 847,201
26 Total liabilities. Add lines 17 through 25..... 2,530,503 26 2,091,828
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 2,028,439 27 2,115,890
28 Temporarily restricted net assets ..... 5,013,117 28 3,808,361
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 7,041,556 33 5,924,251
34 Total liabilities and net assets/fund balances ..... 9,572,059 34 8,016,079
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
8,288,096
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
9,405,401
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
-1,117,305
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
7,041,556
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
0
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
5,924,251
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH
CENTERS INC
Employer identification number

04-2507409
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... 120,282,553 12,631,096 5,964,770 7,570,535 5,822,054 152,271,008
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3.. 120,282,553 12,631,096 5,964,770 7,570,535 5,822,054 152,271,008
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..           13,622,576
6 Public Support. Subtract line 5 from line 4.           138,648,432
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4.. 120,282,553 12,631,096 5,964,770 7,570,535 5,822,054 152,271,008
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 76,859 160,157 85,259 19,196 13,562 355,033
9 Net income from unrelated business activities, whether or not the business is regularly carried on..   23,425   33,485 33,757 90,667
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).           152,716,708
12
12
4,525,079
13
Section C. Computation of Public Support Percentage
14
14
90.790 %
15
15
98.810 %
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH
CENTERS INC
Employer identification number

04-2507409
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH
CENTERS INC 		Employer identification number

04-2507409
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH
CENTERS INC 		Employer identification number

04-2507409
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH
CENTERS INC 		Employer identification number

04-2507409
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH
CENTERS INC
Employer identification number

04-2507409
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
46,086
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
139,535
j
Total. lines 1c through 1i ...................................
185,621
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: CONSULTANTS PROVIDE INCIDENTAL LOBBYING DONE WITH NON-FEDERAL FUNDS REGARDING STATE HEALTH POLICY. PART II-B, LINE 1(G): CONSULTANT PROVIDES GOVERNMENT RELATIONS AT STATE LEVEL.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH
CENTERS INC
Employer identification number

04-2507409
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............        
d Equipment ................   398,169 357,809 40,360
e Other .................   281,310 268,820 12,490
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 52,850
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) CENTRALIZED DATABASE 1,036,251








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 1,036,251
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
ACCOUNTS HELD AS FISCAL AGENT 308,316
LOANS PAYABLE - LOAN REPAYMENT PROGRAM 538,885







Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 847,201
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 8,288,096
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 9,405,401
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 -1,117,305
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 0
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 -1,117,305
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 8,288,096
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1..................... 3 8,288,096
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 8,288,096
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 9,405,401
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e 0
3 Subtract line 2e from line 1..................... 3 9,405,401
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 9,405,401
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
    THE LEAGUE FOLLOWS THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES WHICH REQUIRES THE LEAGUE TO REPORT ANY UNCERTAIN TAX POSITIONS AND TO ADJUST ITS CONSOLIDATED FINANCIAL STATEMENTS FOR THE IMPACT THEREOF. AS OF JUNE 30, 2011, THE LEAGUE DETERMINED THAT IT HAD NO TAX POSITIONS THAT DID NOT MEET THE "MORE LIKELY THAN NOT" THRESHOLD OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY. THE LEAGUE FILES FEDERAL AND MASSACHUSETTS TAX AND INFORMATION RETURNS. THESE RETURNS ARE GENERALLY SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR FISCAL YEARS ENDING AFTER 2007.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH
CENTERS INC
Employer identification number

04-2507409
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

ANNUAL GALA
(event type) 		(b) Event #2

GOLF TOURNAMENT
(event type) 		(c) Other Events

  
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 199,880 36,238   236,118
2 Less: Charitable
contributions . . . 		53,010 4,725   57,735
3 Gross income (line 1
minus line 2) . . . 		146,870 31,513   178,383
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages . .        
8 Entertainment . . .        
9 Other direct expenses . 92,086 15,426   107,512
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 107,512
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow 70,871
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH
CENTERS INC
Employer identification number
04-2507409
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) LOWELL COMMUNITY HEALTH CENTER597 MERRIMACK STREET
LOWELL,MA01854 		04-2881348 501(C)(3) 12,241       VARIOUS
(2) SOUTH END COMMUNITY HEALTH CENTER1601 WASHINGTON STREET
BOSTON,MA02118 		04-2456134 501(C)(3) 38,462       VARIOUS
(3) COMMUNITY HEALTH CONNECTIONSFITCHBURG275 NICHOLS RD
FITCHBURG,MA01420 		04-3452697 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(4) FAMILY HEALTH CENTER OF WORCESTER INC26 QUEEN STREET
WORCESTER,MA01610 		04-2485308 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(5) FENWAY CHC132 BROOKLINE AVE
BOSTON,MA02215 		04-3397060 501(C)(3) 16,700       VARIOUS
(6) THE DIMOCK CENTER55 DIMOCK STREET
ROXBURY,MA02119 		04-3487835 501(C)(3) 17,700       VARIOUS
(7) GREATER LAWRENCE FAMILY HEALTH CENTER34 HAVERILL STREET
LAWRENCE,MA01841 		04-2708824 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(8) BAYSTATE BRIGHTWOOD HEALTH CENTER380 PLAINFIELD STREET
SPRINGFIELD,MA01199 		00-0110314 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(9) BAYSTATE MASON SQUARE NHC11 WILBRAHAM ROAD
SPRINGFIELD,MA01109 		00-0110314 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(10) BOSTON HEALTH CARE FOR THE HOMELESS780 ALBANY STREET
BOSTON,MA02118 		04-3160480 501(C)(3) 15,100       EMERGENCY PREPAREDNESS
(11) BOWDOIN STREET HEALTH CENTER200 BOWDOIN STREET
DORCHESTER,MA02122 		04-2529788 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(12) BROCKTON NEIGHBORHOOD HEALTH CENTER157 MAIN STREET
BROCKTON,MA02301 		04-3165044 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(13) BROOKSIDE CHC3297 WASHINGTON STREET
JAMAICA PLAIN,MA02130 		04-2312909 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(14) CAMBRIDGE HEALTH ALLIANCE1493 CAMBRIDGE STREET
CAMBRIDGE,MA02139 		04-3167608 501(C)(3) 60,000       EMERGENCY PREPAREDNESS
(15) CARING HEALTH CENTER1040 MAIN STREET
SPRINGFIELD,MA01103 		04-2620040 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(16) CHICOPEE HEALTH CENTER505 FRONT STREET
CHICOPEE,MA01013 		04-2492730 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(17) CHP HEALTH CENTER444 STOCKBRIDGE ROAD PO BOX 30
GREAT BARRINGTON,MA01230 		04-2582119 501(C)(3) 45,000       VARIOUS
(18) CODMAN SQ HEATH CENTER637 WASHINGTON STREET
DORCHESTER,MA02124 		04-2678774 501(C)(3) 19,500       VARIOUS
(19) COMMUNITY HEALTH CTR OF CAPE COD-BOURNE107 COMMERCIAL STREET
MASHPEE,MA02649 		04-3370560 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(20) COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY338 MONTAGUE CITY ROAD
TURNER FALLS,MA01376 		04-3312968 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(21) COMM HLEATH CTR OF CAPE COD-MASHPEE107 COMMERCIAL STREET
MASHPEE,MA02649 		04-3370560 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(22) COMM HEALTH CENTER OF CAPE COD-FALMOUTH210 JONES ROAD SUITE 22 HOMEPORT
FALMOUTH,MA02540 		04-3370560 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(23) DESMOND CALLAN COMM HEALTH CENTER450 WEST RIVER STREET
ORANGE,MA01364 		04-3312968 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(24) DORCHESTER HOUSE MULTI-SERVICE CENTER1354 DORCHESTER AVE
DORCHESTER,MA02122 		23-7125970 501(C)(3) 22,031       VARIOUS
(25) DUFFY HEALTH CENTER105 PARK STREET
HYANNIS,MA02601 		04-3373741 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(26) EAST BOSTON NEIGHBORHOOD HEALTH CENTER10 GOVE STREET
EAST BOSTON,MA02128 		23-7425849 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(27) EDWARD M KENNEDY CHC-FRAMINGHAM19 CONCORD STREET
FRAMINGHAM,MA01702 		04-2513817 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(28) EDWARD M KENNEDY CHC-WORCESTER19 TACOMA STREET
WORCESTER,MA01605 		04-2513817 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(29) GEIGER GIBSON HEALTH CENTER250 MOUNT VERNON STREET
DORCHESTER,MA021253120 		23-7100550 501(C)(3) 10,900       VARIOUS
(30) GLOUCESTER FAMILY HEALTH CENTER302 WASHINGTON STREET
GLOUCESTER,MA01930 		04-2610447 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(31) GREATER GARDNER COMMUNITY HEALTH CENTER175 CONNORS STREET
GARNER,MA01440 		00-0577775 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(32) GREATER NEW BEDFORD CHC874 PURCHASE STREET
NEW BEDFORD,MA02740 		04-2675800 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(33) GREATER ROSLINDALE MEDICAL & DENTAL CENTER4199 WASHINGTON STREET
ROSLINDALE,MA02131 		04-2579527 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(34) HARVARD ST NEIGHBORHOOD HEALTH CENTER632 BLUE HILL AVE
DORCHESTER,MA02121 		04-2600042 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(35) HEALTH FIRST FAMILY CARE CENTER102 COUNTY STREET
FALL RIVER,MA02723 		04-2503444 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(36) HILLTOWN COMMUNITY HEALTH CENTERS INC58 OLD NORTH ROAD
WORTHINGTON,MA01098 		04-2161484 501(C)(3) 10,000       EMERGENCY PREPAREDNESS
(37) HOLYOKE HEALTH CENTER230 MAPLE STREET
HOLYOKE,MA01040 		04-2492730 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(38) ISLAND HEALTH CARE245 EDGARTOWN-VINEYARD HAVEN ROAD
EDGARTOWN,MA02539 		00-0820031 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(39) JOSEPH M SMITH CHC287 WESTERN AVE
ALLSTON,MA02134 		23-7221597 501(C)(3) 50,000       VARIOUS
(40) LEOMINSTER COMMUNITY HEALTH CENTER14 MANNING AVENUE 4TH FLOOR
LEOMINSTER,MA01453 		00-0577775 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(41) LYNN COMMUNITY HEALTH CENTER269 UNION STREET
LYNN,MA01901 		00-1021080 501(C)(3) 44,998       VARIOUS
(42) MANET COMMMUNITY HEALTH CENTER1193 SEA STREET
QUINCY,MA02169 		04-2646695 501(C)(3) 10,000       EMERGENCY PREPAREDNESS
(43) MARTHA ELIOT HEALTH CENTER33 BICKFORD STREET
JAMAICA PLAIN,MA02130 		00-0009180 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(44) MASS LEAGUE OF CHC - CRVFHP MIGRANT PROGRAM40 COURT STREET 10TH FLOOR
BOSTON,MA02108 		04-2507409 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(45) MATTAPAN CHC1425 BLUE HILL AVENUE
MATTAPAN,MA02126 		04-2544151 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(46) MGH CHARLESTOWN HEALTHCARE CTR73 HIGH STREET
CHARLESTOWN,MA02129 		04-1564655 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(47) MGH CHELSEA HEALTHCARE CENTER151 EVERETT AVENUE
CHELSEA,MA02150 		04-1564655 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(48) MGH REVERE HEALTHCARE CENTER300 OCEAN AVENUE
REVERE,MA02157 		04-1564655 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(49) MID- UPPER CAPE COMMUNITY HEALTH CENTER30 ELM AVE
HYANNIS,MA02601 		00-0694696 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(50) COMMUNITY HEALTH PROGRAMSINC291 MAIN STREET SUITE 303 PO BOX 30
30
GREAT BARRINGTON,MA02130 		04-2582119 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(51) NEPONSET HEALTH CENTER1135 MORTON STREET
MATTAPAN,MA02126 		23-7100550 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(52) NORTH END COMMUNITY HEALTH CENTER332 HANOVER STREET
BOSTON,MA02113 		23-7089746 501(C)(3) 15,500       EMERGENCY PREPAREDNESS
(53) NORTH SHORE COMMUNITY HEALTH INCSALEM CHC47 CONGRESS STREET
SALEM,MA01960 		04-2610447 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(54) OUTER CAPE HEALTH SERVICES3073 STATE HIGHWAY ROUTE 6
WELLFLEET,MA02667 		04-2509828 501(C)(3) 10,000       EMERGENCY PREPAREDNESS
(55) PEABODY FAMILY HEALTH CENTER89 FOSTER STREET
PEABODY,MA01960 		04-2610447 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(56) ROXBURY COMP CHC435 WARREN STREET
ROXBURY,MA02119 		04-2501921 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(57) SOUTH BOSTON COMMUNITY HEALTH CENTER409 W BROADWAY
SOUTH BOSTON,MA02127 		04-2682152 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(58) SOUTH COVE CHC145 SOUTH STREET
BOSTON,MA02111 		04-2501818 501(C)(3) 22,700       EMERGENCY PREPAREDNESS
(59) SOUTHERN JAMAICA PLAIN CHC640 CENTRE STREET
JAMAICA PLAIN,MA02130 		04-2312909 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(60) SOUTH COVER CHC NORTH QUINCY CTR435 HANCOCK STREET
NORTH QUINCY,MA02171 		04-2501818 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(61) SSTAR FAMILY HEALTH CARE400 STANLEY STREET
FALL RIVER,MA02720 		04-2604426 501(C)(3) 5,000       EMERGENCY PREPAREDNESS
(62) UPHAMS CORNER HEALTH CENTER500 COLUMBUS ROAD
DORCHESTER,MA02125 		23-7211732 501(C)(3) 45,000       VARIOUS
(63) WHITTIER ST HEALTH CENTER1125 TREMONT STREET
ROXBURY,MA02120 		04-2619517 501(C)(3) 21,126       VARIOUS
(64) NEXGEN HEALTHCARE INFORMATION SYSTEMS1811 VON KARMAN AVE SUITE 600
IRVINE,CA92612 		00-8899560   195,248       VARIOUS
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
64
3
Enter total number of other organizations ................................ . Bullet Image
1
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) LOAN REPAYMENT PROGRAM (LRP) 5 285,610      
(2) STUDENT/RESIDENT EXPERIENCES AND ROTATIONS IN COMMUNITY HEALTH PROGRAM (SEARCH) 15 57,792      











Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: FOR THE LOAN REPAYMENT PROGRAM, THE LEAGUE GETS REPORTS FROM LOAN INSTITUTIONS FOR THE REPAID LOANS AND ARE INFORMED IF PHYSICIAN LEAVE CHC'S. FOR THE ELECTRONIC MEDICAL RECORDS GRANTS TO CHC'S AND THE STUDENT/RESIDENT EXPERIENCES AND ROTATIONS IN COMMUNITY HEALTH PROGRAM, THE LEAGUE GETS PROGRESS REPORTS FROM THE RECIPIENTS.
OTHER INFORMATION: PART IV: DURING FISCAL YEAR 2007, THE LEAGUE BEGAN THE PRIMARY CARE PHYSICIAN LOAN REPAYMENT PROGRAM (LRP). THE PROGRAM PROVIDES LOANS TO QUALIFYING PHYSICIANS. THESE LOANS WILL BE FORGIVEN IF THE PHYSICIAN MEETS CERTAIN CRITERIA, INCLUDING WORKING AT LEAST TWO YEARS IN A COMMUNITY HEALTH CENTER. FOR THE YEAR ENDED JUNE 30, 2011 LOANS UNDER THE LRP IN THE AMOUNT OF $285,610 WERE AWARDED TO VARIOUS QUALIFIED PHYSICIANS. THESE AMOUNTS ARE NET OF $14,390 OF ADJUSTMENTS MADE TO PREVIOUS YEAR AWARDS. THE LOANS AWARDED HAVE BEEN RECORDED AS LOAN RECEIVABLE BY THE LEAGUE UNTIL THEY ARE FORGIVEN OR RECOVERED. IN FISCAL YEAR 2011, $835,232 OF LOANS OUTSTANDING WERE FORGIVEN. THE LEAGUE'S MANAGEMENT EXPECTS THAT ALL PHYSICIANS PARTICIPATING IN THE LRP WILL MEET THE CRITERIA TO HAVE THEIR LOANS FORGIVEN IN FUTURE YEARS AND, ACCORDINGLY, THE LEAGUE HAS RECORDED AN ALLOWANCE AND RELATED GRANT EXPENSE FOR FORGIVABLE LOANS RECEIVABLE EQUAL TO THE LOANS RECEIVABLE BALANCE. THE STUDENT/RESIDENT EXPERIENCES AND ROTATIONS IN COMMUNITY HEALTH (SEARCH) PROGRAM PROVIDES OPPORTUNITIES FOR HEALTH PROFESSIONS STUDENTS AND RESIDENTS TO SERVE ON MULTIDISCIPLINARY HEALTH CARE TEAMS IN UNDERSERVED COMMUNITIES THROUGHOUT THE UNITED STATES AND ITS TERRITORIES, THEREBY ESTABLISHING AND STRENGTHENING LINKS BETWEEN COMMUNITY-BASED SITES AND ACADEMIC INSTITUTIONS.
Schedule I (Form 990) 2010


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH
CENTERS INC
Employer identification number

04-2507409
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) JAMES W HUNT JR (i)
(ii)		 358,066
0 		100,000
0 		17,127
0 		24,500
0 		41,496
0 		541,189
0 		0
0
(2) ELLEN HAFER (i)
(ii)		 204,173
0 		0
0 		0
0 		13,236
0 		25,582
0 		242,991
0 		0
0
(3) KEITH MAXWELL (i)
(ii)		 128,445
0 		0
0 		0
0 		9,612
0 		18,685
0 		156,742
0 		0
0
(4) JOAN PERNICE (i)
(ii)		 130,325
0 		0
0 		0
0 		8,802
0 		18,605
0 		157,732
0 		0
0












Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
SUPPLEMENTAL INFORMATION PART III DURING DECEMBER, 2005, THE LEAGUE ESTABLISHED A SENIOR EXECUTIVE RETIREMENT PROGRAM (SERP) TO PROVIDE SUPPLEMENTAL RETIREMENT BENEFITS TO SENIOR EXECUTIVES. THE SERP IS FUNDED FROM THE GENERAL NET ASSETS OF THE LEAGUE. AS OF JUNE 2011, JAMES HUNT, PRESIDENT AND CEO, IS THE ONLY EMPLOYEE PARTICIPATING IN THE SERP. THE SERP CONTRACTUALLY GUARANTEES THREE PAYMENTS OF $100,000 EACH TO THE SENIOR EXECUTIVE FOR EACH YEAR FOR FISCAL YEARS 2011, 2012 AND 2013 AND ARE CONTINGENT UPON THE EMPLOYMENT STATUS AT THE TIME OF THE POTENTIAL AWARDS. DURING THE FISCAL YEAR 2011, $100,000 WAS EXPENSED. THE CEO'S SALARY IN PART IX OF THE 2010 990 INCLUDES $100,000 OF PAYMENTS UNDER THIS PLAN. THE CEO'S REPORTABLE COMPENSATION (FROM HIS W-2) IN PART VIII AND SCHEDULE J, PART II OF THE 2010 990 ALSO INCLUDES THE $100,000 PAYMENT UNDER THIS PLAN MADE IN FISCAL YEAR 2011. THIS PAYMENT IS SHOWN IN BOX BII OF SCHEDULE J, PART II
Schedule J (Form 990) 2010

Additional Data


Software ID:  
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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH
CENTERS INC
Employer identification number

04-2507409
Identifier Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6   THE LEAGUE HAS MEMBERS, WHO ARE COMMUNITY HEALTH CENTERS (CHC'S), CHC NETWORKS, AND CHC HEALTH SYSTEMS. ANY QUALIFIED ORGANIZATION CAN APPLY TO BE A LEAGUE MEMBER. EACH MEMBER ELECTS A VOTING REPRESENTATIVE TO THE LEAGUE'S BOARD OF DIRECTORS. THE ANNUAL ASSEMBLY OF MEMBERS MUST APPROVE OR VERIFY THE SELECTIONS OF THE FULL BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A   SEE EXPLANATION PROVIDED IN PART VI, SEC A, LINE 6
FORM 990, PART VI, SECTION B, LINE 11   THE FORM 990 IS REVIEWED BY THE COMPLIANCE COMMITTEE (EXECUTIVE BOARD OFFICERS) AND IS THEN PROVIDED TO THE EXECUTIVE BOARD FOR REVIEW AND APPROVAL, AS THE AUTHORIZED GOVERNING BODY. THE 990 IS REPORTED ON BY THE EXECUTIVE BOARD AND IS MADE AVAILABLE AS MAY BE REQUIRED TO THE FULL BOARD. CHANGES TO FINAL SUBMISSIONS FROM THE REVIEW WILL BE MADE AVAILABLE TO THE EXECUTIVE BOARD AS THE GOVERNING BODY AND THE MLCHC FULL BOARD.
  FORM 990, PART VI, SECTION B, LINE 12C MASS LEAGUE REQUIRES AN ANNUAL SIGN OFF FROM DIRECTORS DISCLOSING INTERESTS THAT COULD GIVE RISE TO CONFLICT OF INTEREST.
  FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS THE EXECUTIVE DIRECTOR'S PERFORMANCE AND SETS COMPENSATION AFTER AN ANNUAL REVIEW BY THE DIRECTORS. A COMPENSATION STUDY IS COMPLETED WHEN DIRECTED BY THE PRESIDENT OF THE BOARD.
  FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST BY AGENCIES/INDIVIDUALS THAT REQUIRE THEM.
  FORM 990, PART XI, LINE 2C THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF THE ANNUAL FINANCIAL STATEMENTS. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH
CENTERS INC
Employer identification number

04-2507409
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) COMMONWEALTH PURCHASING GROUP LLC
40 COURT STREET 10TH FLOOR
BOSTON,MA02108
86-1135007 		GROUP PURCHASING MA 1,051,424 326,878 N/A










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) COMMUNITY HEALTH CENTER CAPITAL FUND INC

40 COURT ST 10 FLR

BOSTON,MA02108
04-3122535 		ASSISTS COMM HEALTH CTRS IN ACCESSING CAPITAL FOR BLDG & EQUIPMENT MA 501(C)(3) 9 N/A
 
No
(2) CAPITAL LINK INC

40 COURT ST 10 FLR

BOSTON,MA02108
52-1593251 		ASSISTS COMM HEALTH CTRS IN PLANNING & OBTAINING FINANCING FOR BLDG & EQUIP DC 501(C)(3) 11A N/A
 
No
(3) MASSACHUSETTS ASSOCIATION OF COMMUNITY HEALTH INC

40 COURT ST 10 FLR

BOSTON,MA02108
04-3535724 		PROMOTE & IMPROVE ACCESS TO & PROVISION TO PRIMARY CARE SVCS IN UDRSVD AREAS MA 501(C)(4) N/A N/A
 
No








For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership












Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) CAPITAL LINK INC

 P 144,000 MEMORANDUM OF AGREEMENT
(2) CAPITAL LINK INC

 K 130,869 ADMIN SERVICES AND IT SUPPORT
(3) CAPITAL LINK INC - SEE ABOVE TYPE P

 I   MEMORANDUM OF AGREEMENT
(4)
(5)
(6)
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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