Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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 | ||||||
| 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) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 4,517,015 | 9,625,414 | 7,877,614 | 12,068,991 | 8,075,629 | 42,164,663 |
| 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 | 38,180,016 | 38,778,763 | 40,917,514 | 44,578,445 | 51,293,235 | 213,747,973 |
| 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 | 42,697,031 | 48,404,177 | 48,795,128 | 56,647,436 | 59,368,864 | 255,912,636 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 1,778,186 | 1,980,768 | 1,765,989 | 1,850,343 | 4,115,661 | 11,490,947 |
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | 1,778,186 | 1,980,768 | 1,765,989 | 1,850,343 | 4,115,661 | 11,490,947 |
| 8 | Public support. (Subtract line 7c from line 6.) | 244,421,689 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 42,697,031 | 48,404,177 | 48,795,128 | 56,647,436 | 59,368,864 | 255,912,636 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 299,734 | 227,935 | 213,763 | 292,549 | 521,788 | 1,555,769 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 299,734 | 227,935 | 213,763 | 292,549 | 521,788 | 1,555,769 |
| 11 | Net income from unrelated business activities not included on 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 VI.) .. | 266,674 | 266,674 | ||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 43,263,439 | 48,632,112 | 49,008,891 | 56,939,985 | 59,890,652 | 257,735,079 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2023 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| FORM 990, PART VI, SECTION B, LINE 11B | THE TAX RETURN IS REVIEWED BY THE CORPORATE ACCOUNTANT AND THE CHIEF EXECUTIVE OFFICER. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS HAVE COPIES OF THE CORPORATE BY-LAWS ADDRESSING CONFLICT OF INTEREST AND RECEIVE ORIENTATION AND TRAINING ON ALL ASPECTS OF THE POLICY. MANAGEMENT AND SUPERVISORY STAFF WITH AUTHORITY TO MAKE FINANCIAL OR PERSONNEL DECISIONS ALSO RECEIVE TRAINING. STAFF CAN ANONYMOUSLY FILE COMPLAINTS OR CONCERNS, OR BY VOICE MAIL OR DESIGNATED MAIL BOX THAT IS MONITORED BY THE ENTITY'S COMPLIANCE OFFICER FOR REVIEW AND RESOLUTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ENTITY'S BOARD OF DIRECTORS UTILIZES REPORTS ON SALARY/PAY SCALES AND BENEFIT INFORMATION PREPARED BY OUTSIDE CONSULTANTS THAT ARE ANNUALLY OBTAINED FROM THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS AND THE FOUNDATION OF HOME HEALTH. THESE REPORTS DETERMINE THE PAY OR SALARY RANGE OF EVERY POSITION IN THE CORPORATION INCLUDING ALL EXECUTIVES, DEPARTMENT HEADS, PHYSICIANS, NURSES, ADMINISTRATIVE STAFF AND ALL OTHER EMPLOYEES. THE PROPOSED SALARIES ARE THEN SUBMITTED TO THE BOARD DURING THE BUDGET PROCESS FOR APPROVAL. |
| FORM 990, PART VI, SECTION C, LINE 19 | THIS INFORMATION IS AVAILABLE THROUGH THE CENTER'S WEBSITE |
| FORM 990, PART IX, LINE 24E | BILLING SERVICES: PROGRAM SERVICE EXPENSES 43,730. MANAGEMENT AND GENERAL EXPENSES 598,525. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 642,255. CONSULTANTS: PROGRAM SERVICE EXPENSES 159,678. MANAGEMENT AND GENERAL EXPENSES 474,250. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 633,928. INSURANCE: PROGRAM SERVICE EXPENSES 224,685. MANAGEMENT AND GENERAL EXPENSES 295,595. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 520,280. PATIENT TRANSPORTATION: PROGRAM SERVICE EXPENSES 450,752. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 450,752. RENTAL EXPENSES: PROGRAM SERVICE EXPENSES 385,342. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 385,342. LAB EXPENSES: PROGRAM SERVICE EXPENSES 301,351. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 301,351. PATIENT MEALS: PROGRAM SERVICE EXPENSES 269,816. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 269,816. TELEPHONE: PROGRAM SERVICE EXPENSES 110,821. MANAGEMENT AND GENERAL EXPENSES 111,832. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 222,653. SECURITY: PROGRAM SERVICE EXPENSES 197,796. MANAGEMENT AND GENERAL EXPENSES 10,326. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 208,122. DENTAL EXPENSES: PROGRAM SERVICE EXPENSES 183,808. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 183,808. EYE CARE SUPPLIES: PROGRAM SERVICE EXPENSES 178,456. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 178,456. PAYROLL FEES: PROGRAM SERVICE EXPENSES 158,675. MANAGEMENT AND GENERAL EXPENSES 19,698. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 178,373. INTERPRETING SERVICES: PROGRAM SERVICE EXPENSES 460. MANAGEMENT AND GENERAL EXPENSES 131,130. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 131,590. BAD DEBTS: PROGRAM SERVICE EXPENSES 124,934. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 124,934. PRINTING AND PUBLISHING: PROGRAM SERVICE EXPENSES 46,349. MANAGEMENT AND GENERAL EXPENSES 74,746. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 121,095. RECRUITMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 113,755. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 113,755. PROGRAM SUPPORT: PROGRAM SERVICE EXPENSES 87,507. MANAGEMENT AND GENERAL EXPENSES 2,065. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 89,572. LICENSES & FEES: PROGRAM SERVICE EXPENSES 21,376. MANAGEMENT AND GENERAL EXPENSES 64,224. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,600. TRADE MEMBERSHIP DUES: PROGRAM SERVICE EXPENSES 62,348. MANAGEMENT AND GENERAL EXPENSES 13,570. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,918. MARKETING & ADVERTISING: PROGRAM SERVICE EXPENSES 35,073. MANAGEMENT AND GENERAL EXPENSES 15,659. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,732. BOARD & MEETING EXPENSES: PROGRAM SERVICE EXPENSES 2,148. MANAGEMENT AND GENERAL EXPENSES 21,902. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,050. DISASTER PREPAREDNESS: PROGRAM SERVICE EXPENSES 16,658. MANAGEMENT AND GENERAL EXPENSES 2,969. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,627. POSTAGE & SHIPPING: PROGRAM SERVICE EXPENSES 30. MANAGEMENT AND GENERAL EXPENSES 19,138. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,168. PROGRAM TRAINING: PROGRAM SERVICE EXPENSES 3,693. MANAGEMENT AND GENERAL EXPENSES 9,448. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,141. SMALL EQUIPMENT & VEHICLE EXP'S: PROGRAM SERVICE EXPENSES 10,786. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,786. BOOKS & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 7,268. MANAGEMENT AND GENERAL EXPENSES 466. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,734. FOOD & LODGING EXPENSES: PROGRAM SERVICE EXPENSES 3,953. MANAGEMENT AND GENERAL EXPENSES 3,179. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,132. HELP PROGRAM: PROGRAM SERVICE EXPENSES 1,293. MANAGEMENT AND GENERAL EXPENSES 1,853. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,146. EDUCATIONAL SUPPLIES: PROGRAM SERVICE EXPENSES 45. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45. |
| PART XII, PAGE 12, LINE 2C | THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR PROCESS OF SELECTION OF INDEPENDENT AUDITORS OR AUDIT OVERSIGHT |
| Software ID: | |
| Software Version: |