2018-11-12T14:36:44-06:00 2017-12-31 341900735 CBIZ MHM LLC 2255 GLADES ROAD SUITE 321A BOCA RATON FL 33431 990 2017-01-01 237211732 UPHAMS CORNER HEALTH COMMITTEE INC UPHA 6172878000 500 COLUMBIA ROAD DORCHESTER MA 02125 JAGDEEP TRIVEDI CHIEF EXECUTIVE OFFICER 6172878000 2018-11-06 1 DAVID A KATZMAN P00033289 5619945050 23.31.34.73 2018-11-06 12:15:44 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 5ECFB6418C87398E863BB0A40DE60428ABF57F24 2017 2019-02-21 02:37:17Z JAGDEEP TRIVEDI 500 COLUMBIA ROAD DORCHESTER MA 02125 37220071 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 10 646 0 0 0 3477246 3931257 34097069 33073590 1700 34740 170173 130757 37746188 37170344 0 0 0 0 24174962 24551961 0 0 79266 13766190 16150610 37941152 40702571 -194964 -3532227 18883823 16225834 5148996 6023234 13734827 10202600 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 37009339 33109877 COMPREHENSIVE COMMUNITY HEALTH CARE, PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOMECARE, ADULT DAY HEALTH CARE AND WIC PROGRAM 37009339 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 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 1 147 0 1 646 1 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 35.00 X X 185867 0 6985 MARGARET LEAHY WIRTH PRESIDENT 0.00 X X 0 0 0 ALTHEA GARRISON VICE PRESIDENT 0.00 X X 0 0 0 WINIFRED PICKET AT-LARGE MEMBER 0.00 X X 0 0 0 DR CLARA LENNOX AT-LARGE MEMBER 0.00 X 0 0 0 MARIA FIGUEROA AT-LARGE MEMBER 0.00 X X 0 0 0 DAI MOREHOUSE TREASURER 0.00 X 0 0 0 TANYA CABRAL SECRETARY 0.00 X 0 0 0 ANDREA BURTON AT-LARGE MEMBER 0.00 X 0 0 0 CAROL SHAMSHAK AT-LARGE MEMBER 0.00 X 0 0 0 RAFAEL RIVERA AT-LARGE MEMBER 0.00 X 0 0 0 DR GEOFREEY MODEST PHYSICIAN 30.14 X 169549 0 19752 ELISE HENRICKS MEDICAL DIRECTOR 32.08 X 189195 0 7891 DR OLGA DELACALLE PHYSICIAN 35.00 X 165757 0 11076 DR ADAM BURROWS PHYSICIAN 35.00 X 219461 0 21013 CLAUDIA CLARKE PHYSICIAN 35.00 X 167774 0 6883 1097603 0 73600 17 0 1 0 BOSTON MEDICAL CENTER 840 HARRISON AVENUE BOSTON MA 02118 HEALTHCARE SERVICES 2228373 DAW INC 298 UNION STREET LYNN MA 01901 PHARMACEUTICALS 1119603 MCKESSON MEDICAL 1 DEVONSHIRE ST BOSTON MA 02109 MEDICAL SUPPLIES 1112779 METRO HEALTH FDN OF MA (DBA BOSTONIAN SK 389 ALDEN ROAD FAIRHAVEN MA 02719 SKILLED NURSING CARE FACILITY 658537 BENJAMIN HEALTHCARE CENTER 120 FISHER AVE ROXBURY MA 02120 MEDICAL CARE 593962 15 1433546 2497711 3931257 PATIENT/INSURANCE FEES 621400 23337178 23337178 MEDICARE PAYMENTS 621400 9736412 9736412 33073590 34740 34740 178937 49727 129210 129210 129210 MISCELLANEOUS INCOME 621400 1547 1547 1547 37170344 33109877 0 129210 X 192658 192658 20418723 18223910 2128793 66020 2324611 2035667 281252 7692 1615969 1415108 195307 5554 42413 42413 72128 72128 193447 131883 61564 296834 240599 56235 68050 63442 4608 17544 10879 6665 35489 35489 745795 652076 93719 DIRECT PATIENT SERVICES 8262488 8262488 BAD DEBTS 1289755 1289755 PATIENT TRANSPORTATION 815708 815708 MEDICAL SUPPLIES 800495 800495 3510464 3031840 478624 40702571 37009339 3613966 79266 9850376 7329953 943537 1564033 1138669 1153195 224527 148249 15897950 9867546 6726714 6030404 18883823 16225834 4296713 5257960 23293 24318 828990 740956 5148996 6023234 X 13518473 10033850 216354 168750 13734827 10202600 18883823 16225834 -3532227 0 X X 0 1 X 1 1 1 X 3936793 3107026 3008003 3477246 3931257 17460325 27359468 29963809 31942616 34097069 33073590 156436552 31296261 33070835 34950619 37574315 37004847 173896877 2306417 1444257 1117134 1967568 1842375 8677751 152267 407772 543321 1103360 2458684 1852029 1660455 1967568 1842375 9781111 164115766 179757 175218 180248 186396 213677 935296 179757 175218 180248 186396 213677 935296 4044 3811 779 19013 1547 29194 31480062 33249864 35131646 37779724 37220071 174861367 0.93850 0.93310 0.00530 0.00540 X 32495 32495 11322417 6294559 5027858 4543038 3572987 970051 6030404 X 37220071 0 37220071 -49727 -49727 37170344 40752298 0 40752298 -49727 -49727 40702571 PART X, LINE 2: THE COMMITTEE 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 -49,727. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -49,727. X X 0 0 0 0 0 0 0 0 0 JAGDEEP TRIVEDI CHIEF EXECUTIVE OFFIC 185867 0 0 0 0 0 0 0 6985 0 192852 0 0 0 DR GEOFREEY MODEST PHYSICIAN 169549 0 0 0 0 0 0 0 19752 0 189301 0 0 0 ELISE HENRICKS MEDICAL DIRECTOR 189195 0 0 0 0 0 0 0 7891 0 197086 0 0 0 DR OLGA DELACALLE PHYSICIAN 165757 0 0 0 0 0 0 0 11076 0 176833 0 0 0 DR ADAM BURROWS PHYSICIAN 219461 0 0 0 0 0 0 0 21013 0 240474 0 0 0 CLAUDIA CLARKE PHYSICIAN 167774 0 0 0 0 0 0 0 6883 0 174657 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 DATA PROCESSING FEES: PROGRAM SERVICE EXPENSES 570,129. MANAGEMENT AND GENERAL EXPENSES 148,017. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 718,146. RENTAL EXPENSES: PROGRAM SERVICE EXPENSES 384,725. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 384,725. RENTALS,REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 285,315. MANAGEMENT AND GENERAL EXPENSES 43,394. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 328,709. BILLING SERVICES: PROGRAM SERVICE EXPENSES 314,352. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 314,352. PATIENT MEALS: PROGRAM SERVICE EXPENSES 286,274. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 286,274. VEHICLE EXPENSES: PROGRAM SERVICE EXPENSES 179,730. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 179,730. LAB EXPENSES: PROGRAM SERVICE EXPENSES 158,816. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,816. TRADE MEMBERSHIP DUES: PROGRAM SERVICE EXPENSES 148,280. MANAGEMENT AND GENERAL EXPENSES 1,210. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 149,490. EYE CARE SUPPLIES: PROGRAM SERVICE EXPENSES 132,922. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 132,922. INSURANCE: PROGRAM SERVICE EXPENSES 56,135. MANAGEMENT AND GENERAL EXPENSES 74,532. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 130,667. TELEPHONE: PROGRAM SERVICE EXPENSES 106,965. MANAGEMENT AND GENERAL EXPENSES 20,802. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 127,767. DENTAL EXPENSES: PROGRAM SERVICE EXPENSES 123,542. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 123,542. PRINTING AND PUBLISHING: PROGRAM SERVICE EXPENSES 62,739. MANAGEMENT AND GENERAL EXPENSES 49,587. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,326. PAYROLL FEES: PROGRAM SERVICE EXPENSES 95,263. MANAGEMENT AND GENERAL EXPENSES 13,522. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 108,785. BOARD & MEETING EXPENSES: PROGRAM SERVICE EXPENSES 1,749. MANAGEMENT AND GENERAL EXPENSES 71,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,249. CONSULTANTS: PROGRAM SERVICE EXPENSES 47,876. MANAGEMENT AND GENERAL EXPENSES 875. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,751. RECRUITMENT: PROGRAM SERVICE EXPENSES 205. MANAGEMENT AND GENERAL EXPENSES 40,554. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,759. POSTAGE & SHIPPING: PROGRAM SERVICE EXPENSES 18,216. MANAGEMENT AND GENERAL EXPENSES 3,970. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,186. LICENSES & FEES: PROGRAM SERVICE EXPENSES 19,642. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,642. SECURITY: PROGRAM SERVICE EXPENSES 13,491. MANAGEMENT AND GENERAL EXPENSES 3,005. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,496. MARKETING & ADVERTISING: PROGRAM SERVICE EXPENSES 9,420. MANAGEMENT AND GENERAL EXPENSES 3,939. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,359. INTERPRETING SERVICES: PROGRAM SERVICE EXPENSES 9,582. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,582. EDUCATIONAL SUPPLIES: PROGRAM SERVICE EXPENSES 3,325. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,325. FOOD & LODGING EXPENSES: PROGRAM SERVICE EXPENSES 1,220. MANAGEMENT AND GENERAL EXPENSES 1,958. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,178. BOOKS & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 744. MANAGEMENT AND GENERAL EXPENSES 1,759. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,503. HELP PROGRAM: PROGRAM SERVICE EXPENSES 1,154. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,154. PROGRAM TRAINING: PROGRAM SERVICE EXPENSES 29. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29. 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