2021-11-10T14:25:05-06:00 2020-12-31 341900735 CBIZ MHM OF FLORIDA LLC 2255 GLADES ROAD SUITE 321A BOCA RATON FL 33431 990 2020-01-01 237211732 UPHAMS CORNER HEALTH COMMITTEE INC UPHA 6172878000 500 COLUMBIA ROAD DORCHESTER MA 02125 JAGDEEP TRIVEDI CHIEF EXECUTIVE OFFICER 6172878000 2021-11-08 1 JAGDEEP TRIVEDI 999009999 DAVID A KATZMAN P00033289 5619945050 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JAGDEEP TRIVEDI 500 COLUMBIA ROAD DORCHESTER MA 02125 48632112 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 10 614 0 0 0 4517015 9625414 38180016 38778763 90630 13272 422958 170630 43210619 48588079 0 0 0 0 26342031 26105253 0 0 84440 18792790 19095135 45134821 45200388 -1924202 3387691 13902822 21652473 3772546 8459548 10130276 13192925 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 39641527 38778763 COMPREHENSIVE COMMUNITY HEALTH CARE, PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOMECARE, ADULT DAY HEALTH CARE AND WIC PROGRAM 39641527 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 1 132 0 1 614 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 235234 0 5902 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 ANDREA BURTON 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 186139 0 8836 ELISE HENRICKS MEDICAL DIRECTOR 35.82 X 175957 0 7800 DR OLGA DELACALLE PHYSICIAN 35.54 X 162130 0 3478 DR ADAM BURROWS PHYSICIAN 36.35 X 245788 0 11812 PAUL L GELTMAN PHYSICIAN 36.41 X 255894 0 6841 1261142 0 44669 26 0 1 0 BOSTON MEDICAL CENTER 840 HARRISON AVENUE BOSTON MA 02118 HEALTHCARE SERVICES 2334606 BOSTONIAN SKILLED NURSING & REHAB 389 ALDEN ROAD FAIRHAVEN MA 02719 SKILLED NURSING CARE FACILITY 1042792 LANDMARK AT LONGWOOD 63 PARKER HILL AVE BOSTON MA 02120 ASSISTED LIVING FACILITY 455813 CPA MEDICAL BILLING LLC 20-1 THOMPSON ROAD BRANFORD CT 06405 MEDICAL BILLING 449339 DVA HEALTHCARE OF MASSACHUSETTS INC 600 HARRISON AVENUE BOSTON MA 02118 HEALTHCARE SERVICES 441391 14 3010087 6615327 9625414 PATIENT/INSURANCE FEES 621400 23416834 23416834 MEDICARE PAYMENTS 621400 13094615 13094615 MEDICARE PART D REFUNDS 621400 2267314 2267314 38778763 13272 13272 214663 44033 170630 170630 170630 48588079 38778763 0 183902 X 241136 241136 21924131 19597577 2250785 75769 2350427 1924313 422728 3386 1589559 1410476 173798 5285 114102 114102 99034 99034 257021 216556 40465 265971 249513 16458 41602 38284 3318 76880 9937 66943 711307 711307 DIRECT PATIENT SERVICES 7016919 7016919 MEDICAL SUPPLIES 5207436 5207436 DATA PROCESSING FEES 1091657 505394 586263 BAD DEBTS 593858 294214 299644 3619348 2459601 1159747 45200388 39641527 5474421 84440 5925944 14497532 1459400 933449 977351 1023052 224935 300881 16393873 11496314 5315192 4897559 13902822 21652473 3207658 4011092 322875 564888 0 4125581 3772546 8459548 X 9961526 13024175 168750 168750 10130276 13192925 13902822 21652473 X 3387691 -325042 0 X X 0 1 X 1 1 1 X 3477246 3931257 4359134 4517015 9625414 25910066 34097069 33073590 38628502 38180016 38778763 182757940 37574315 37004847 42987636 42697031 48404177 208668006 1967568 1842375 2110818 1778186 1980768 9679715 0 1967568 1842375 2110818 1778186 1980768 9679715 198988291 186396 213677 278324 299734 227935 1206066 186396 213677 278324 299734 227935 1206066 19013 1547 3228 266674 290462 37779724 37220071 43269188 43263439 48632112 210164534 0.94680 0.94500 0.00570 0.00590 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32495 32495 11849013 7485050 4363963 4512365 4011264 501101 4897559 PAYCHECK PROTECTION PROGRAM 4125581 4125581 X 46364798 0 46364798 2223281 2223281 48588079 42977107 0 42977107 2223281 2223281 45200388 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 -44,033. MEDICARE PART D REFUNDS 2,267,314. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -44,033. MEDICARE PART D REFUNDS 2,267,314. X X 0 0 0 0 0 0 0 0 0 PAUL L GELTMAN PHYSICIAN 255894 0 0 0 0 0 0 0 6841 0 262735 0 0 0 DR ADAM BURROWS PHYSICIAN 245788 0 0 0 0 0 0 0 11812 0 257600 0 0 0 JAGDEEP TRIVEDI CHIEF EXEC OFFICER 235234 0 0 0 0 0 0 0 5902 0 241136 0 0 0 DR GEOFFREY MODEST PHYSICIAN 186139 0 0 0 0 0 0 0 8836 0 194975 0 0 0 ELISE HENRICKS MEDICAL DIRECTOR 175957 0 0 0 0 0 0 0 7800 0 183757 0 0 0 DR OLGA DELACALLE PHYSICIAN 162130 0 0 0 0 0 0 0 3478 0 165608 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 443,475. MANAGEMENT AND GENERAL EXPENSES 52,007. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 495,482. PATIENT TRANSPORTATION: PROGRAM SERVICE EXPENSES 471,954. MANAGEMENT AND GENERAL EXPENSES 1,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 472,954. BILLING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 449,558. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 449,558. RENTAL EXPENSES: PROGRAM SERVICE EXPENSES 400,109. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 400,109. INSURANCE: PROGRAM SERVICE EXPENSES 123,736. MANAGEMENT AND GENERAL EXPENSES 250,570. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 374,306. LAB EXPENSES: PROGRAM SERVICE EXPENSES 198,006. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 198,006. PATIENT MEALS: PROGRAM SERVICE EXPENSES 189,845. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 189,845. PAYROLL FEES: PROGRAM SERVICE EXPENSES 135,240. MANAGEMENT AND GENERAL EXPENSES 18,655. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 153,895. CONSULTANTS: PROGRAM SERVICE EXPENSES 42,768. MANAGEMENT AND GENERAL EXPENSES 108,851. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 151,619. DENTAL EXPENSES: PROGRAM SERVICE EXPENSES 124,591. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 124,591. TELEPHONE: PROGRAM SERVICE EXPENSES 92,562. MANAGEMENT AND GENERAL EXPENSES 5,036. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 97,598. TRADE MEMBERSHIP DUES: PROGRAM SERVICE EXPENSES 49,000. MANAGEMENT AND GENERAL EXPENSES 41,239. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,239. RECRUITMENT: PROGRAM SERVICE EXPENSES 49,200. MANAGEMENT AND GENERAL EXPENSES 31,670. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,870. EYE CARE SUPPLIES: PROGRAM SERVICE EXPENSES 80,862. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,862. SECURITY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 60,947. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,947. PRINTING AND PUBLISHING: PROGRAM SERVICE EXPENSES 32,213. MANAGEMENT AND GENERAL EXPENSES 12,126. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,339. INTERPRETING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 38,223. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,223. LICENSES & FEES: PROGRAM SERVICE EXPENSES 2,357. MANAGEMENT AND GENERAL EXPENSES 33,479. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,836. BOARD & MEETING EXPENSES: PROGRAM SERVICE EXPENSES 378. MANAGEMENT AND GENERAL EXPENSES 29,363. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,741. POSTAGE & SHIPPING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 15,876. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,876. REAL ESTATE TAXES: PROGRAM SERVICE EXPENSES 10,653. MANAGEMENT AND GENERAL EXPENSES 1,470. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,123. MARKETING & ADVERTISING: PROGRAM SERVICE EXPENSES 9,795. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,795. HELP PROGRAM: PROGRAM SERVICE EXPENSES 498. MANAGEMENT AND GENERAL EXPENSES 5,979. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,477. BOOKS & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 1,209. MANAGEMENT AND GENERAL EXPENSES 3,523. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,732. FOOD & LODGING EXPENSES: PROGRAM SERVICE EXPENSES 1,150. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,150. PROGRAM TRAINING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 175. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 175. PART XII, PAGE 12, LINE 2C THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR PROCESS OF SELECTION OF INDEPENDENT AUDITORS OR AUDIT OVERSIGHT PART XI, PAGE 12, LINE 8 PRIOR YEAR RETIREMENT PLAN ADJUSTMENT 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