2025-08-12T14:41:41-05:00 2024-09-30 042571780 AAFCPAS INC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2023-10-01 042678774 CODMAN SQUARE HEALTH CENTER INC CODM 6178259660 637 WASHINGTON STREET DORCHESTER MA 02124 GUY FISH CEO 6178259660 2025-08-12 1 1 CAITLIN LIMOGES CPA P01633588 5083669100 2025-08-12 2023 2025-03-06 01:10:19Z GUY FISH 637 WASHINGTON STREET DORCHESTER MA 02124 78700556 0 X WWW.CODMAN.ORG X 1975 MA TO SERVE AS A RESOURCE FOR IMPROVING THE PHYSICAL, MENTAL AND SOCIAL WELL-BEING OF THE COMMUNITY. 15 15 404 15 0 0 13936093 14097201 40148288 42302548 811601 775173 403299 252541 55299281 57427463 0 0 0 0 26076189 27009009 40600 44963 44963 30248537 32768554 56365326 59822526 -1066045 -2395063 53282785 50906339 8105918 6165233 45176867 44741106 X TO SERVE AS A RESOURCE FOR IMPROVING THE PHYSICAL, MENTAL AND SOCIAL WELL-BEING OF THE COMMUNITY. 0 0 26292149 38509770 THE LARGEST PROGRAM BY EXPENSE IS OUR PRIMARY CARE DEPARTMENT. THIS IS THE BACKBONE OF OUR PATIENT CENTERED MEDICAL HOME EFFORTS. PROVIDERS CARE FOR PATIENTS THROUGHOUT ALL STAGES OF LIFE, INCLUDING BOTH WELLNESS APPOINTMENTS AND VISITS REQUIRING ATTENTION TO A SPECIFIC ILLNESS OR INJURY. THE HEALTH CENTER CARES FOR BOTH THE INDIVIDUAL AND HIS/HER FAMILY THROUGH THE INTEGRATION OF BIOLOGICAL, CLINICAL AND BEHAVIORAL SCIENCES. OUR APPROACH IS INTEGRATED AND HOLISTIC, AND ADDRESSES BOTH THE CLINICAL AND NON-CLINICAL (SOCIAL SERVICES, COMMUNITY BASED PROGRAMS). WHEN SPECIALTY SERVICES ARE NEEDED WE COORDINATE THAT CARE. THE HEALTH CENTER RECORDED 49,447 VISITS IN FY 2024. 1551088 1389842 OUR DENTAL DEPARTMENT PROVIDES PREVENTATIVE AND RESTORATIVE TREATMENT. THIS INCLUDES EXAMS, CLEANINGS, FILLINGS, ROOT CANAL TREATMENT, CROWNS, AND ORAL SURGERY PROCEDURES. OUR STATE-OF-THE-ART DENTAL CLINIC HAS 7 DENTAL OPERATORIES FULLY EQUIPPED WITH DIGITAL RADIOGRAPHY & AUTOMATIC DENTAL CHAIRS. WE ALSO HAVE A PEDIATRIC DENTAL SUITE EMBEDDED IN THE PEDIATRIC DENTAL CLINIC, DESIGNED SPECIFICALLY FOR PEDIATRIC DENTAL CARE. DENTRIX IS THE DENTAL PRACTICE MANAGEMENT SOFTWARE SYSTEM UTILIZED IN THE PRACTICE TO STORE DIGITAL X-RAYS, INTRAORAL PICTURES, PATIENT MEDICAL HISTORY, CLINICAL NOTES AND DENTAL BENEFIT INFORMATION. THE DENTAL STAFF INCLUDES GENERAL DENTISTS, HYGIENISTS, A PERIODONTIST (GUM SPECIALIST) AND ENDODONTIST (ROOT CANAL SPECIALIST). TREATMENT IS AVAILABLE TO ALL MEMBERS IN THE COMMUNITY INCLUDING UNINSURED PATIENTS, PATIENTS WITH MEDICAID, MEDICARE, MASS HEALTH, AS WELL AS COMMERCIALLY INSURED PATIENTS. WE ALSO SERVE AS AN EDUCATIONAL SITE FOR DENTAL STUDENT EXTERNS AND RESIDENTS FROM BOSTON UNIV., TUFTS UNIV. DENTAL SCHOOLS AND NYU LUTHERAN ADVANCED EDUCATION IN GENERAL DENTISTRY RESIDENCY PROGRAM. THE DENTAL DEPARTMENT RECORDED 9,184 VISITS IN FY 2024. 2348935 2414420 OUR URGENT CARE DEPARTMENT PROVIDES SAME DAY TREATMENT FOR ILLNESSES OR CONDITIONS THAT NEED IMMEDIATE ATTENTION. OUR STAFF IS COMPRISED OF PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, NURSES AND MEDICAL ASSISTANTS. URGENT CARE IS OFTEN A GATEWAY FOR PATIENTS TO BECOME A PART OF THE PATIENT CENTERED MEDICAL HOME, AND OUR STAFF IS TRAINED TO IDENTIFY THOSE INDIVIDUALS THAT NEED A PRIMARY CAREGIVER. URGENT CARE IS OPEN SEVEN DAYS A WEEK AND IS A KEY RESOURCE IN THE COMMUNITY TO ADDRESS URGENT NEEDS THAT SHOULD NOT REQUIRE A VISIT TO A HOSPITAL EMERGENCY ROOM. THE URGENT CARE DEPARTMENT RECORDED 20,734 VISITS IN FY 2024. 16309411 OTHER PROGRAMS THAT SUPPORT THE MISSION. 16309411 46501583 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 103 0 1 404 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 15 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X YI JUNG CFO 6178259660 637 WASHINGTON STREET DORCHESTER MA 02124 ROBERT J MACEACHERN PRESIDENT 1.00 X X 0 0 0 STEPHEN WEYMOUTH ESQ VICE PRESIDENT 1.00 X X 0 0 0 DESIREE OTENTI PRESIDENT-ELECT 1.00 X X 0 0 0 MARVA SEROTKIN TREASURER 1.00 X X 0 0 0 THABITI BROWN CLERK (UNTIL 7/2024) 1.00 X X 0 0 0 ARDIS VAUGHAN BOARD MEMBER 1.00 X 0 0 0 KATHERINE BOWES BOARD MEMBER (UNTIL 5/2024) 1.00 X 0 0 0 JULIA CHARLEY BOARD MEMBER 1.00 X 0 0 0 ISAAC COLBERT BOARD MEMBER 1.00 X 0 0 0 EGOBUDIKE J EZEDI BOARD MEMBER 1.00 X 0 0 0 TASHA KITTY BOARD MEMBER 1.00 X 0 0 0 CHARLES O'HARA BOARD MEMBER 1.00 X 0 0 0 GARVIN WARDEN BOARD MEMBER (UNTIL 7/2024) 1.00 X 0 0 0 TERESA THOMPSON MAYNARD BOARD MEMBER 1.00 X 0 0 0 ELIZABETH J PIMENTEL BOARD MEMBER 1.00 X 0 0 0 SANDRA COTTERELL CHIEF EXECUTIVE OFFICER 40.00 X 324264 0 51277 YI JUNG CHIEF FINANCIAL OFFICER 40.00 X 211536 0 37509 TARSHA WEAVER CHIEF PROJECT OFFICER 40.00 X 217534 0 26465 ANTHONY STANKIEWICZ CDO AND CHIEF OF STAFF 40.00 X 202534 0 4612 PIERRE LUBIN CHRO 40.00 X 180589 0 14673 RENEE CRICHLOW CHIEF MEDICAL OFFICER 40.00 X 254808 0 0 STEPHENSON TOBIERRE PHYSICIAN 44.00 X 276380 0 37452 STEPHEN TRINGALE PHYSICIAN 40.00 X 278768 0 16774 JONATHAN PINCUS PHYSICIAN 38.00 X 232954 0 41121 VASKEN KROSHIAN PEDIATRICIAN 38.00 X 241413 0 1152 SALVATORE MOLICA PHYSICIAN 37.00 X 229145 0 28594 PHILIP SEVERIN FORMER CMO 32.00 X 196952 0 4484 2846877 0 264113 63 1 1 0 BU FAMILY MEDICINE INC DOWLING 5 SOUTH ONE BOSTON MEDICAL BOSTON MA 02118 FAMILY MEDICINE PROVIDER 907980 MEDIX STAFFING SOLUTIONS INC 7839 SOLUTION CENTER CHICAGO IL 60677 MEDICAL STAFFING SERVICES 497880 MAXIM HEALTHCARE SERVICE HOLDINGS INC 7227 LEE DEFOREST DRIVE COLUMBIA MD 21046 MEDICAL STAFFING RESOURCE SERVICES 495701 ROTH STAFFING COMPANIES LP PO BOX 60003 ANAHEIM CA 92812 STAFFING RESOURCE SERVICES 273652 JOBOT LLC 3101 W PACIFIC HIGHWAY NEWPORT BEACH CA 92663 STAFFING RESOURCE SERVICES 211703 6 177800 4692706 9226695 14097201 PATIENT SERVICE REVENUE 621400 42278277 42278277 FISCAL AGENCY FEES 621400 17876 17876 MEDICAL RECORD FEES 621400 6395 6395 42302548 727383 727383 392124 0 392124 392124 392124 21164611 21116821 47790 47790 47790 5205 177800 156272 -151067 -151067 MISC. REVENUE 900099 11484 11484 11484 57427463 42314032 0 1016230 X 1325589 44577 1281012 20974473 18427512 2546961 365837 264317 101520 2770286 1918270 852016 1572824 1069468 503356 39443 39443 151075 23200 127875 44963 44963 65766 65766 9348449 5793536 3554913 103235 29619 73616 1466382 905834 560548 1125075 31523 1093552 23590 5918 17672 5160 5160 1595705 304886 1290819 340420 69965 270455 PHARMACY 15867485 15867485 MEDICAL SUPPLIES 1248616 1247902 714 MISCELLANEOUS 851008 453698 397310 RECRUITMENT 266859 16016 250843 270286 27857 242429 59822526 46501583 13275980 44963 2360 2313 7326382 3847751 1303561 1186964 1827387 2505886 523218 526170 30968271 12449512 17041978 18518759 22053121 22011552 3204778 2306944 53282785 50906339 4832941 4660738 201481 75560 3071496 1428935 8105918 6165233 X 43076167 42650325 2100700 2090781 45176867 44741106 53282785 50906339 -2395063 1959302 0 X X 0 1 X 1 1 1 X 8318743 18663419 15159915 13936093 14097201 70175371 8318743 18663419 15159915 13936093 14097201 70175371 70175371 330092 355725 501100 1035980 1119507 3342404 873301 873301 74391076 183468267 0.94330 0.94690 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2020 AMOUNT: $ 873,301. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1332986 1332986 19609849 4349741 15260108 1147473 279536 867937 8877963 7820235 1057728 18518759 REFUNDABLE ADVANCE 65265 CONDITIONAL GRANT ADVANCE 453987 OPERATING LEASE LIABILITIES 909683 1428935 X 59548771 1959302 71500 2030802 57517969 65766 -156272 -90506 57427463 59984532 71500 156272 227772 59756760 65766 65766 59822526 PART X, LINE 2: THE HEALTH CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE COMBINING FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE HEALTH CENTER HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE COMBINING FINANCIAL STATEMENTS AT SEPTEMBER 30, 2024. THE HEALTH CENTER'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES -156,272. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES 156,272. X X X 0 MICHAEL P WASSERMAN 349 NEWBURY ST SUITE 300 BOSTON MA 02115 PROFESSIONAL FUNDRAISER 0 0 44963 -44963 44963 -44963 MA MEN OF BOSTON COOK FOR WOMENS HEALT 183005 177800 5205 106951 1557 47764 183005 177800 5205 106951 1557 47764 156272 -151067 X X X X X X 0 0 0 0 0 0 0 1 0 SANDRA COTTERELL CHIEF EXECUTIVE OFFICER 318041 0 0 0 6223 0 27100 0 24177 0 375541 0 0 0 STEPHENSON TOBIERRE PHYSICIAN 270078 0 1500 0 4802 0 5675 0 31777 0 313832 0 0 0 STEPHEN TRINGALE PHYSICIAN 271960 0 2000 0 4808 0 5624 0 11150 0 295542 0 0 0 JONATHAN PINCUS PHYSICIAN 230032 0 1500 0 1422 0 4897 0 36224 0 274075 0 0 0 SALVATORE MOLICA PHYSICIAN 227645 0 1500 0 0 0 4738 0 23856 0 257739 0 0 0 RENEE CRICHLOW CHIEF MEDICAL OFFICER 254808 0 0 0 0 0 0 0 0 0 254808 0 0 0 YI JUNG CHIEF FINANCIAL OFFICER 207862 0 0 0 3674 0 4408 0 33101 0 249045 0 0 0 TARSHA WEAVER CHIEF PROJECT OFFICER 200361 0 13231 0 3942 0 4470 0 21995 0 243999 0 0 0 VASKEN KROSHIAN PEDIATRICIAN 241413 0 0 0 0 0 0 0 1152 0 242565 0 0 0 ANTHONY STANKIEWICZ CDO AND CHIEF OF STAFF 198770 0 0 0 3764 0 4051 0 561 0 207146 0 0 0 PHILIP SEVERIN FORMER CMO 191865 0 1000 0 4087 0 3939 0 545 0 201436 0 0 0 PIERRE LUBIN CHRO 177123 0 0 0 3466 0 2952 0 11721 0 195262 0 0 0 PART I, LINE 7 BONUSES PAID TO EMPLOYEES ARE DISCRETIONARY. FORM 990, PART VI, SECTION A, LINE 7A EXPLANATION: THE BOARD MEMBERS HAVE THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND MEMBERS OF THE BOARD MUST COMPLETE ANNUAL SIGN OFFS ON THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE CEO IS DETERMINED AND EVALUATED BY THE BOARD OF DIRECTORS. THE BOARD ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW AND MAKE RECOMMENDATIONS REGARDING COMPENSATION AND BENEFITS FOR ALL POSITIONS. COMPENSATION OF OTHER OFFICERS AND KEY STAFF MEMBERS IS DETERMINED BY HUMAN RESOURCES, IN CONJUNCTION WITH THE CEO AND EXECUTIVE TEAM. THE MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTER'S ANNUAL SALARY AND COMPENSATION SURVEY IS USED DURING SUCH REVIEWS. FORM 990, PART VI, SECTION C, LINE 19 CODMAN SQUARE HEALTH CENTER MAKES THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 5,793,536. MANAGEMENT AND GENERAL EXPENSES 3,554,913. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,348,449. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE FROM PRIOR YEARS. CODMAN EYE CARE AFFILIATES - SOUTH SHORE INC 637 WASHINGTON STREET DORCHESTER MA 02124 825132976 EYE CARE MA CODMAN SQUARE HEALTH CENTER C 471610 571501 1.00000 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 CODMAN EYE CARE AFFILIATES - SOUTH SHORE INC D 1008702 AMOUNT DUE FROM CECA CODMAN EYE CARE AFFILIATES - SOUTH SHORE INC B 415276 BOOK VALUE