2020-11-16T09:38:08-06:00 2019-12-31 341900735 CBIZ MHM OF FLORIDA LLC 2255 GLADES ROAD SUITE 321A BOCA RATON FL 33431 990 2019-01-01 237211732 UPHAMS CORNER HEALTH COMMITTEE INC UPHA 6172878000 500 COLUMBIA ROAD DORCHESTER MA 02125 JAGDEEP TRIVEDI CHIEF EXECUTIVE OFFICER 6172878000 2020-11-12 1 DAVID A KATZMAN P00033289 5619945050 23.31.34.73 2020-11-12 14:30:00 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 5ECFB6418C87398E863BB0A40DE60428ABF57F24 2019 2021-01-29 14:40:06Z JAGDEEP TRIVEDI 500 COLUMBIA ROAD DORCHESTER MA 02125 43263439 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 10 661 0 0 0 4359134 4517015 38628502 38180016 83428 90630 159146 422958 43230210 43210619 0 0 0 0 25979453 26342031 0 0 79377 17327796 18792790 43307249 45134821 -77039 -1924202 17378383 13902822 5323905 3772546 12054478 10130276 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 41175588 38446690 COMPREHENSIVE COMMUNITY HEALTH CARE, PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOMECARE, ADULT DAY HEALTH CARE AND WIC PROGRAM 41175588 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 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 1 218 0 1 661 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 EXECUTIVE OFFIC 35.77 X X 198525 0 7600 MARGARET LEAHY WIRTH PRESIDENT 0.00 X X 0 0 0 ALTHEA GARRISON VICE PRESIDENT 0.00 X X 0 0 0 CHRIS BEARES DIRECTOR 0.00 X X 0 0 0 DR CLARA LENNOX AT-LARGE MEMBER 0.00 X 0 0 0 MARIA FIGUEROA TREASURER 0.00 X X 0 0 0 DAI MOREHOUSE AT-LARGE MEMBER 0.00 X 0 0 0 TANYA CABRAL SECRETARY 0.00 X 0 0 0 ANDREA BURTON DIRECTOR 0.00 X 0 0 0 CAROL SHAMSHAK DIRECTOR 0.00 X 0 0 0 TROY BYNER DIRECTOR 0.00 X 0 0 0 DR GEOFFREY MODEST PHYSICIAN 30.31 X 176144 0 11346 ELISE HENRICKS MEDICAL DIRECTOR 35.94 X 219045 0 8457 DR OLGA DELACALLE PHYSICIAN 35.54 X 175194 0 8172 DR ADAM BURROWS PHYSICIAN 35.00 X 225134 0 13061 ZUZANA MENDEZ DENTIST 35.00 X 139929 0 6938 1133971 0 55574 23 0 1 0 BOSTON MEDICAL CENTER 840 HARRISON AVENUE BOSTON MA 02118 HEALTHCARE SERVICES 3374684 BOSTONIAN SKILLED NURSING & REHAB 389 ALDEN ROAD FAIRHAVEN MA 02719 SKILLED NURSING CARE FACILITY 672218 BENJAMIN HEALTHCARE CENTER 120 FISHER AVE ROXBURY MA 02120 SKILLED NURSING CARE FACILITY 527896 CPA MEDICAL BILLING LLC 20-1 THOMPSON ROAD BRANFORD CT 06405 MEDICAL BILLING 492475 LANDMARK AT LONGWOOD 63 PARKER HILL AVE BOSTON MA 02120 ASSISTED LIVING FACILITY 374247 25 1804122 2712893 4517015 PATIENT/INSURANCE FEES 621400 26113979 26113979 MEDICARE PAYMENTS 621400 12066037 12066037 38180016 90630 90630 209104 52820 156284 156284 156284 BAD DEBT RECOVERY 621400 265753 265753 MISCELLANEOUS INCOME 621400 921 921 266674 43210619 38446690 0 246914 X 206125 206125 21854212 19569815 2214457 69940 2787913 2452827 330691 4395 1493781 1314240 174499 5042 71913 71913 65585 65585 242407 189583 52824 303353 259810 43543 98740 96450 2290 34178 34178 27566 27566 706556 649686 56870 DIRECT PATIENT SERVICES 10408028 10408028 MEDICAL SUPPLIES 1546409 1546409 DATA PROCESSING FEES 997772 984776 12996 PATIENT TRANSPORTATION 722530 722530 3567753 2919690 648063 45134821 41175588 3879856 79377 6950839 5925944 3532363 1459400 1107327 977351 264857 224935 16107372 10792180 5522997 5315192 17378383 13902822 4639621 3207658 31362 0 652922 564888 5323905 3772546 X 11885728 9961526 168750 168750 12054478 10130276 17378383 13902822 -1924202 0 X X 0 1 X 1 1 1 X 3008003 3477246 3931257 4359134 4517015 19292655 31942616 34097069 33073590 38628502 38180016 175921793 34950619 37574315 37004847 42987636 42697031 195214448 1117134 1967568 1842375 2110818 1778186 8816081 543321 543321 1660455 1967568 1842375 2110818 1778186 9359402 185855046 180248 186396 213677 278324 299734 1158379 180248 186396 213677 278324 299734 1158379 779 19013 1547 3228 266674 291241 35131646 37779724 37220071 43269188 43263439 196664068 0.94500 0.94380 0.00590 0.00550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32495 32495 11803433 7068888 4734545 4271444 3723292 548152 5315192 X 42997686 0 42997686 212933 212933 43210619 44921888 0 44921888 212933 212933 45134821 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 -52,820. BAD DEBT RECOVERY 265,753. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -52,820. BAD DEBT RECOVERY 265,753. X X 0 0 0 0 0 0 0 0 0 JAGDEEP TRIVEDI CHIEF EXECUTIVE OFFIC 198525 0 0 0 0 0 0 0 7600 0 206125 0 0 0 DR GEOFFREY MODEST PHYSICIAN 176144 0 0 0 0 0 0 0 11346 0 187490 0 0 0 ELISE HENRICKS MEDICAL DIRECTOR 219045 0 0 0 0 0 0 0 8457 0 227502 0 0 0 DR OLGA DELACALLE PHYSICIAN 175194 0 0 0 0 0 0 0 8172 0 183366 0 0 0 DR ADAM BURROWS PHYSICIAN 225134 0 0 0 0 0 0 0 13061 0 238195 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 BILLING SERVICES: PROGRAM SERVICE EXPENSES 528,572. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 528,572. RENTALS,REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 322,915. MANAGEMENT AND GENERAL EXPENSES 60,709. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 383,624. RENTAL EXPENSES: PROGRAM SERVICE EXPENSES 367,992. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 367,992. INSURANCE: PROGRAM SERVICE EXPENSES 84,523. MANAGEMENT AND GENERAL EXPENSES 233,088. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 317,611. PATIENT MEALS: PROGRAM SERVICE EXPENSES 307,026. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 307,026. CONSULTANTS: PROGRAM SERVICE EXPENSES 55,718. MANAGEMENT AND GENERAL EXPENSES 189,550. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 245,268. LAB EXPENSES: PROGRAM SERVICE EXPENSES 217,890. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 217,890. VEHICLE EXPENSES: PROGRAM SERVICE EXPENSES 200,134. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 200,134. DENTAL EXPENSES: PROGRAM SERVICE EXPENSES 172,198. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 172,198. PAYROLL FEES: PROGRAM SERVICE EXPENSES 107,346. MANAGEMENT AND GENERAL EXPENSES 14,665. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 122,011. EYE CARE SUPPLIES: PROGRAM SERVICE EXPENSES 119,206. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 119,206. TELEPHONE: PROGRAM SERVICE EXPENSES 96,290. MANAGEMENT AND GENERAL EXPENSES 7,045. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,335. LICENSES & FEES: PROGRAM SERVICE EXPENSES 93,316. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 93,316. TRADE MEMBERSHIP DUES: PROGRAM SERVICE EXPENSES 90,228. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,228. PRINTING AND PUBLISHING: PROGRAM SERVICE EXPENSES 52,799. MANAGEMENT AND GENERAL EXPENSES 34,442. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,241. RECRUITMENT: PROGRAM SERVICE EXPENSES 637. MANAGEMENT AND GENERAL EXPENSES 62,150. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,787. INTERPRETING SERVICES: PROGRAM SERVICE EXPENSES 30,920. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,920. SECURITY: PROGRAM SERVICE EXPENSES 11,575. MANAGEMENT AND GENERAL EXPENSES 18,239. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,814. BOARD & MEETING EXPENSES: PROGRAM SERVICE EXPENSES 5,601. MANAGEMENT AND GENERAL EXPENSES 23,684. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,285. MARKETING & ADVERTISING: PROGRAM SERVICE EXPENSES 24,945. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,945. POSTAGE & SHIPPING: PROGRAM SERVICE EXPENSES 19,265. MANAGEMENT AND GENERAL EXPENSES 2,632. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,897. HELP PROGRAM: PROGRAM SERVICE EXPENSES 4,634. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,634. FOOD & LODGING EXPENSES: PROGRAM SERVICE EXPENSES 4,139. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,139. BOOKS & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 1,821. MANAGEMENT AND GENERAL EXPENSES 1,859. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,680. 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