2022-11-15T09:49:16-06:00 2021-12-31 341900735 CBIZ MHM OF FLORIDA LLC 2255 GLADES ROAD SUITE 321A BOCA RATON FL 33431 990 2021-01-01 237211732 UPHAMS CORNER HEALTH COMMITTEE INC UPHA 6172878000 500 COLUMBIA ROAD DORCHESTER MA 02125 JAGDEEP TRIVEDI CHIEF EXECUTIVE OFFICER 6172878000 2022-11-11 1 JAGDEEP TRIVEDI 999009999 DAVID A KATZMAN P00033289 5619945050 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JAGDEEP TRIVEDI 500 COLUMBIA ROAD DORCHESTER MA 02125 49008891 0 X INFO@UPHAMS.ORG X 1971 MA COMPREHENSIVE COMMUNITY CARE THAT INCLUDES PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOME CARE, ADULT DAY HEALTH CARE AND WIC PROGRAM 10 10 604 0 0 0 9625414 7877614 38778763 40917514 13272 1012 170630 162548 48588079 48958688 0 0 0 0 26105253 29148522 0 0 84637 19095135 19012000 45200388 48160522 3387691 798166 21652473 23283775 8459548 9292684 13192925 13991091 TO PROVIDE THE COMMUNITY WITH COMPREHENSIVE HEALTH CARE IN DORCHESTER, MA INCLUDING PRIMARY AND SPECIALTY CARE, HOME CARE, SOCIAL SERVICES, WOMEN, INFANT AND CHILD CARE, AND ADULT DAY HEALTH CARE. 0 0 41731634 40917514 COMPREHENSIVE COMMUNITY HEALTH CARE, PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOMECARE, ADULT DAY HEALTH CARE AND WIC PROGRAM 41731634 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 19 0 1 604 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 MA X JAGDEEP TRIVEDI CHIEF EXECUTIVE OFFICER 6172878000 500 COLUMBIA ROAD DORCHESTER MA 02125 JAGDEEP TRIVEDI CHIEF EXEC OFFICER 40.00 X X 259138 0 14665 MARGARET LEAHY WIRTH PRESIDENT 2.00 X X 0 0 0 ALTHEA GARRISON VICE PRESIDENT 2.00 X X 0 0 0 CHRIS BEARES DIRECTOR 2.00 X X 0 0 0 DR CLARA LENNOX AT-LARGE MEMBER 2.00 X 0 0 0 MARIA FIGUEROA TREASURER 2.00 X X 0 0 0 DAI MOREHOUSE AT-LARGE MEMBER 2.00 X 0 0 0 TANYA CABRAL SECRETARY 2.00 X 0 0 0 TONY JONES DIRECTOR 2.00 X 0 0 0 CAROL SHAMSHAK DIRECTOR 2.00 X 0 0 0 TROY BYNER DIRECTOR 2.00 X 0 0 0 DR GEOFFREY MODEST PHYSICIAN 30.96 X 168911 0 11601 ELISE HENRICKS MEDICAL DIRECTOR 35.82 X 169565 0 11262 NICOLE SMITH CHIEF HUMAN RESOURCES 40.00 X 189305 0 11319 DR ADAM BURROWS PHYSICIAN 36.35 X 251000 0 15487 PAUL L GELTMAN PHYSICIAN 36.41 X 246000 0 13854 1283919 0 78188 32 0 1 0 BOSTON MEDICAL CENTER 840 HARRISON AVENUE BOSTON MA 02118 HEALTHCARE SERVICES 2688350 BOSTONIAN SKILLED NURSING & REHAB 389 ALDEN ROAD FAIRHAVEN MA 02719 SKILLED NURSING CARE FACILITY 622266 LANDMARK AT LONGWOOD 63 PARKER HILL AVE BOSTON MA 02120 ASSISTED LIVING FACILITY 464432 CPA MEDICAL BILLING LLC 20-1 THOMPSON ROAD BRANFORD CT 06405 MEDICAL BILLING 458699 BENJAMIN HEALTH CARE CENTER SNF 120 FISHER AVENUE BOSTON MA 02120 HEALTHCARE SERVICES 435761 14 4222527 3655087 7877614 PATIENT/INSURANCE FEES 621400 26060271 26060271 MEDICARE PAYMENTS 621400 13021919 13021919 MEDICARE PART D REFUNDS 621400 1835324 1835324 40917514 1012 1012 212751 50203 162548 162548 162548 48958688 40917514 0 163560 X 273803 273803 24261542 21125208 3061257 75077 2910730 2855405 50755 4570 1702447 1475808 221649 4990 89929 89929 107118 107118 306296 178102 128194 277368 277368 30314 28165 2149 27630 15463 12167 5208 5208 663001 663001 DIRECT PATIENT SERVICES 6771633 6771633 MEDICAL SUPPLIES 4703827 4703827 DATA PROCESSING FEES 1329264 610026 719238 BILLING SERVICES 688004 688004 4012408 3027628 984780 48160522 41731634 6344251 84637 14497532 13951226 933449 1580743 1023052 1538065 300881 327568 18052660 12166487 4897559 5886173 21652473 23283775 4011092 5073707 322875 93396 4125581 4125581 8459548 9292684 X 13024175 13822341 168750 168750 13192925 13991091 21652473 23283775 798166 0 X X 0 1 X 1 1 1 X 3931257 4359134 4517015 9625414 7877614 30310434 33073590 38628502 38180016 38778763 40917514 189578385 37004847 42987636 42697031 48404177 48795128 219888819 1842375 2110818 1778186 1980768 1765989 9478136 0 1842375 2110818 1778186 1980768 1765989 9478136 210410683 213677 278324 299734 227935 213763 1233433 213677 278324 299734 227935 213763 1233433 1547 3228 266674 271449 37220071 43269188 43263439 48632112 49008891 221393701 0.95040 0.94680 0.00560 0.00570 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32495 32495 12528549 7415917 5112632 5491616 4750570 741046 5886173 PAYCHECK PROTECTION PROGRAM 4125581 4125581 X 47173567 0 47173567 1785121 1785121 48958688 46375401 0 46375401 1785121 1785121 48160522 PART X, LINE 2: THE COMMITTEE'S MANAGEMENT BELIEVES THAT THEY HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -50,203. MEDICARE PART D REFUNDS 1,835,324. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -50,203. MEDICARE PART D REFUNDS 1,835,324. X X 0 0 0 0 0 0 0 0 0 JAGDEEP TRIVEDI CHIEF EXEC OFFICER 259138 0 0 0 0 0 0 0 14665 0 273803 0 0 0 DR ADAM BURROWS PHYSICIAN 251000 0 0 0 0 0 0 0 15487 0 266487 0 0 0 PAUL L GELTMAN PHYSICIAN 246000 0 0 0 0 0 0 0 13854 0 259854 0 0 0 NICOLE SMITH CHIEF HUMAN RESOURCES 189305 0 0 0 0 0 0 0 11319 0 200624 0 0 0 ELISE HENRICKS MEDICAL DIRECTOR 169565 0 0 0 0 0 0 0 11262 0 180827 0 0 0 DR GEOFFREY MODEST PHYSICIAN 168911 0 0 0 0 0 0 0 11601 0 180512 0 0 0 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 RENTALS,REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 519,117. MANAGEMENT AND GENERAL EXPENSES 59,896. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 579,013. INSURANCE: PROGRAM SERVICE EXPENSES 149,569. MANAGEMENT AND GENERAL EXPENSES 305,664. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 455,233. BAD DEBTS: PROGRAM SERVICE EXPENSES 447,628. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 447,628. RENTAL EXPENSES: PROGRAM SERVICE EXPENSES 389,655. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 389,655. PATIENT TRANSPORTATION: PROGRAM SERVICE EXPENSES 311,861. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 311,861. LAB EXPENSES: PROGRAM SERVICE EXPENSES 234,809. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 234,809. CONSULTANTS: PROGRAM SERVICE EXPENSES 54,393. MANAGEMENT AND GENERAL EXPENSES 166,160. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 220,553. DENTAL EXPENSES: PROGRAM SERVICE EXPENSES 194,190. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 194,190. PATIENT MEALS: PROGRAM SERVICE EXPENSES 175,527. MANAGEMENT AND GENERAL EXPENSES 164. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 175,691. EYE CARE SUPPLIES: PROGRAM SERVICE EXPENSES 174,261. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 174,261. SECURITY: PROGRAM SERVICE EXPENSES 14,167. MANAGEMENT AND GENERAL EXPENSES 133,802. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 147,969. PAYROLL FEES: PROGRAM SERVICE EXPENSES 124,155. MANAGEMENT AND GENERAL EXPENSES 20,840. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 144,995. PRINTING AND PUBLISHING: PROGRAM SERVICE EXPENSES 67,079. MANAGEMENT AND GENERAL EXPENSES 53,130. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 120,209. TRADE MEMBERSHIP DUES: PROGRAM SERVICE EXPENSES 49,085. MANAGEMENT AND GENERAL EXPENSES 50,474. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 99,559. TELEPHONE: PROGRAM SERVICE EXPENSES 97,514. MANAGEMENT AND GENERAL EXPENSES 2,009. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 99,523. VEHICLE EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 84,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,000. LICENSES & FEES: PROGRAM SERVICE EXPENSES 1,796. MANAGEMENT AND GENERAL EXPENSES 30,210. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,006. INTERPRETING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 25,727. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,727. BOARD & MEETING EXPENSES: PROGRAM SERVICE EXPENSES 2,177. MANAGEMENT AND GENERAL EXPENSES 20,186. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,363. MARKETING & ADVERTISING: PROGRAM SERVICE EXPENSES 15,766. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,766. POSTAGE & SHIPPING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12,521. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,521. HELP PROGRAM: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,033. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,033. RECRUITMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,907. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,907. BOOKS & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 4,879. MANAGEMENT AND GENERAL EXPENSES 300. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,179. PROGRAM TRAINING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,525. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,525. FOOD & LODGING EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,232. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,232. PART XII, PAGE 12, LINE 2C THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR PROCESS OF SELECTION OF INDEPENDENT AUDITORS OR AUDIT OVERSIGHT COLUMBIA MEDICAL GROUP INC 500 COLUMBIA ROAD DORCHESTER MA 02125 043317003 MEDICAL CARE, CURRENTLY INACTIVE MA 501(C)(3) LINE 12B, II N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0