UPHAMS CORNER HEALTH COMMITTEE INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- UPHAMS CORNER HEALTH COMMITTEE INC (EIN 23-7211732)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201733199349305343
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T10:38:09-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 341900735 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CBIZ MHM LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1675 N MILITARY TRAIL 5TH FLOOR | AddressLine1Txt |
| City | BOCA RATON | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33486 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237211732 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPHAMS CORNER HEALTH COMMITTEE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UPHA | BusinessNameControlTxt |
| Phone | 6172878000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 COLUMBIA ROAD | AddressLine1Txt |
| City | DORCHESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02125 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAGDEEP TRIVEDI | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 6172878000 | PhoneNum |
| Signature | 2017-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | David A Katzman | PreparerPersonNm |
| PTIN | P00033289 | PTIN |
| Phone | 5619945050 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 96.84.32.253 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-10 | IPDt |
| IP Tm | 15:30:10 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 39A05A4EDDF26322AF843A5E09EFE94D49923AF4 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAGDEEP TRIVEDI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 COLUMBIA ROAD | AddressLine1Txt |
| City | DORCHESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02125 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $37,779,724 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | info@uphams.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | COMPREHENSIVE COMMUNITY CARE THAT INCLUDES PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOME CARE, ADULT DAY HEALTH CARE AND WIC PROGRAM | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 635 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,008,003 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,477,246 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $31,942,616 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $34,097,069 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,351 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,700 | CYInvestmentIncomeAmt |
| PY Other Revenue | $140,693 | PYOtherRevenueAmt |
| CY Other Revenue | $170,173 | CYOtherRevenueAmt |
| PY Total Revenue | $35,093,663 | PYTotalRevenueAmt |
| CY Total Revenue | $37,746,188 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,887,153 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $24,174,962 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $77,427 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,887,805 | PYOtherExpensesAmt |
| CY Other Expenses | $13,766,190 | CYOtherExpensesAmt |
| PY Total Expenses | $36,774,958 | PYTotalExpensesAmt |
| CY Total Expenses | $37,941,152 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,681,295 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$194,964 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,370,815 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,883,823 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,441,024 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,148,996 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,929,791 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,734,827 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $34,318,634 | ExpenseAmt |
| Revenue | $34,117,782 | RevenueAmt |
| Desc | COMPREHENSIVE COMMUNITY HEALTH CARE, PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOMECARE, ADULT DAY HEALTH CARE AND WIC PROGRAM | Desc |
| Total Program Service Expenses | $34,318,634 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 138 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 635 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAGDEEP TRIVEDI CHIEF EXECUTIVE OFFICER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6172878000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 COLUMBIA ROAD | AddressLine1Txt |
| City | DORCHESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02125 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JAGDEEP TRIVEDI | |||||||
| CHIEF EXECUTIVE OFFIC | 35.00 | Yes (X) | Yes (X) | $180,326 | $0 | $6,790 | |
| MARGARET LEAHY WIRTH | |||||||
| PRESIDENT | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ALTHEA GARRISON | |||||||
| VICE PRESIDENT | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| WINIFRED PICKETT | |||||||
| TREASURER | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DR CLARA LENNOX | |||||||
| AT-LARGE MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ZITA JACKSON | |||||||
| SECRETARY | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAI MOREHOUSE | |||||||
| ASSISTANT SECRETARY | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TANYA CABRAL | |||||||
| AT-LARGE MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ANDREA BURTON | |||||||
| AT-LARGE MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CAROL SHAMSHAK | |||||||
| AT-LARGE MEMBER | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DR GEOFFREY MODEST | |||||||
| PHYSICIAN | 28.75 | $164,541 | $0 | $12,349 | Yes (X) | ||
| ELISE HENDRICKS | |||||||
| MEDICAL DIRECTOR | 30.70 | $178,942 | $0 | $7,480 | Yes (X) | ||
| DR OLGA DELACALLE | |||||||
| PHYSICIAN | 32.50 | $154,213 | $0 | $10,848 | Yes (X) | ||
| DR EDWARD R LEVY | |||||||
| PHYSICIAN | 33.00 | $152,008 | $0 | $5,320 | Yes (X) | ||
| DR ADAM BURROWS | |||||||
| PHYSICIAN | 35.00 | $212,941 | $0 | $20,538 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,042,971 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $63,325 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 16 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BOSTON MEDICAL CENTER | |||||
| 840 HARRISON AVENUE | BOSTON | MA | 02118 | HEALTHCARE SERVICES | $1,832,760 |
| MCKESSON MEDICAL | |||||
| 1 DEVONSHIRE ST | BOSTON | MA | 02109 | MEDICAL SUPPLIES | $1,189,828 |
| BENJAMIN HEALTHCARE CENTER | |||||
| 120 FISHER AVE | ROXBURY | MA | 02120 | MEDICAL CARE | $794,257 |
| DAW INC | |||||
| 298 UNION STREET | LYNN | MA | 01901 | PHARMACEUTICALS | $751,344 |
| FAVORITE HEALTHCARE STAFFING | |||||
| 333 WASHINGTON STREET 5TH FL | BOSTON | MA | 02108 | STAFFING SERVICES | $682,919 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,034,745 | GovernmentGrantsAmt |
| All Other Contributions | $2,442,501 | AllOtherContributionsAmt |
| Total Contributions | $3,477,246 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT/INSURANCE FEES | 621400 | $23,805,950 | $23,805,950 |
| MEDICARE PAYMENTS | 621400 | $10,291,119 | $10,291,119 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $34,097,069 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,700 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,700 | RelatedOrExemptFuncIncomeAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $184,696 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $33,536 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $151,160 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $151,160 | TotalRevenueColumnAmt |
| Exclusion | $151,160 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $19,013 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,013 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $19,013 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,746,188 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $34,117,782 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $151,160 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,117 | TotalAmt |
| Management And General | $187,117 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,195,347 | TotalAmt |
| Program Services | $18,020,545 | ProgramServicesAmt |
| Management And General | $2,110,230 | ManagementAndGeneralAmt |
| Fundraising | $64,572 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,236,298 | TotalAmt |
| Program Services | $1,953,973 | ProgramServicesAmt |
| Management And General | $274,841 | ManagementAndGeneralAmt |
| Fundraising | $7,484 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,556,200 | TotalAmt |
| Program Services | $1,359,735 | ProgramServicesAmt |
| Management And General | $191,094 | ManagementAndGeneralAmt |
| Fundraising | $5,371 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,259 | TotalAmt |
| Management And General | $69,259 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,892 | TotalAmt |
| Management And General | $82,892 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,768 | TotalAmt |
| Program Services | $106,343 | ProgramServicesAmt |
| Management And General | $37,425 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,564 | TotalAmt |
| Program Services | $207,288 | ProgramServicesAmt |
| Management And General | $47,276 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,250 | TotalAmt |
| Program Services | $59,109 | ProgramServicesAmt |
| Management And General | $3,141 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,325 | TotalAmt |
| Program Services | $14,842 | ProgramServicesAmt |
| Management And General | $6,483 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,531 | TotalAmt |
| Program Services | $22,531 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $707,646 | TotalAmt |
| Program Services | $606,457 | ProgramServicesAmt |
| Management And General | $101,189 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| DIRECT PATIENT SERVICES | $6,245,049 | $6,245,049 |
| BAD DEBTS | $1,288,379 | $1,288,379 |
| MEDICAL SUPPLIES | $1,242,607 | $1,242,607 |
| PATIENT TRANSPORTATION | $707,556 | $707,556 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,918,364 | TotalAmt |
| Program Services | $2,484,220 | ProgramServicesAmt |
| Management And General | $434,144 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,941,152 | TotalAmt |
| Program Services | $34,318,634 | ProgramServicesAmt |
| Management And General | $3,545,091 | ManagementAndGeneralAmt |
| Fundraising | $77,427 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,525,415 | BOYAmt |
| EOY | $9,850,376 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,189,199 | BOYAmt |
| EOY | $943,537 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $928,111 | BOYAmt |
| EOY | $1,138,669 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,020 | BOYAmt |
| EOY | $224,527 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $16,183,550 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,456,836 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,523,070 | BOYAmt |
| EOY | $6,726,714 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,370,815 | BOYAmt |
| EOY | $18,883,823 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,416,224 | BOYAmt |
| EOY | $4,296,713 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,800 | BOYAmt |
| EOY | $23,293 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $828,990 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,441,024 | BOYAmt |
| EOY | $5,148,996 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,713,437 | BOYAmt |
| EOY | $13,518,473 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $216,354 | BOYAmt |
| EOY | $216,354 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,929,791 | BOYAmt |
| EOY | $13,734,827 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,370,815 | BOYAmt |
| EOY | $18,883,823 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$194,964 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,082,660 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,936,793 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,107,026 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,008,003 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,477,246 | CurrentTaxYearAmt |
| Total | $16,611,728 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,655,695 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $27,359,468 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $29,963,809 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,942,616 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $34,097,069 | CurrentTaxYearAmt |
| Total | $149,018,657 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,738,355 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,296,261 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,070,835 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,950,619 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $37,574,315 | CurrentTaxYearAmt |
| Total | $165,630,385 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,785,574 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,306,417 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,444,257 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,117,134 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,967,568 | CurrentTaxYearAmt |
| Total | $8,620,950 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $482,600 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $152,267 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $407,772 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $543,321 | CurrentTaxYearMinus1YearAmt |
| Total | $1,585,960 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,268,174 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,458,684 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,852,029 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,660,455 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,967,568 | CurrentTaxYearAmt |
| Total | $10,206,910 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $155,423,475 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $177,513 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $179,757 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $175,218 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $180,248 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $186,396 | CurrentTaxYearAmt |
| Total | $899,132 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $177,513 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $179,757 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $175,218 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $180,248 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $186,396 | CurrentTaxYearAmt |
| Total | $899,132 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,779 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,044 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,811 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $779 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,013 | CurrentTaxYearAmt |
| Total | $34,426 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,922,647 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,480,062 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,249,864 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35,131,646 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $37,779,724 | CurrentTaxYearAmt |
| Total | $166,563,943 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.93310 | PublicSupportCY509Pct |
| Public Support PY509 | 0.92540 | PublicSupportPY509Pct |
| Investment Income CY | 0.00540 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00570 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,495 | OtherCostOrOtherBasisAmt |
| Book Value | $32,495 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,283,915 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,903,984 | DepreciationAmt |
| Book Value | $5,379,931 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,867,140 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,552,852 | DepreciationAmt |
| Book Value | $1,314,288 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,726,714 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $37,779,724 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $37,779,724 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$33,536 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$33,536 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $37,746,188 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $37,974,688 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $37,974,688 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$33,536 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$33,536 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $37,941,152 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 -33,536. |
| Part XII, Line 4b - Other Adjustments: | RENTAL EXPENSES -33,536. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAGDEEP TRIVEDI | ||||||||||||||
| CHIEF EXECUTIVE OFFIC | $180,326 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,790 | $0 | $187,116 | $0 | $0 | $0 |
| DR GEOFFREY MODEST | ||||||||||||||
| PHYSICIAN | $164,541 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $12,349 | $0 | $176,890 | $0 | $0 | $0 |
| ELISE HENDRICKS | ||||||||||||||
| MEDICAL DIRECTOR | $178,942 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,480 | $0 | $186,422 | $0 | $0 | $0 |
| DR OLGA DELACALLE | ||||||||||||||
| PHYSICIAN | $154,213 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,848 | $0 | $165,061 | $0 | $0 | $0 |
| DR EDWARD R LEVY | ||||||||||||||
| PHYSICIAN | $152,008 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,320 | $0 | $157,328 | $0 | $0 | $0 |
| DR ADAM BURROWS | ||||||||||||||
| PHYSICIAN | $212,941 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $20,538 | $0 | $233,479 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 433,279. Management and general expenses 117,909. Fundraising expenses 0. Total expenses 551,188. RENTAL EXPENSES: Program service expenses 329,967. Management and general expenses 0. Fundraising expenses 0. Total expenses 329,967. PATIENT MEALS: Program service expenses 279,503. Management and general expenses 0. Fundraising expenses 0. Total expenses 279,503. RENTALS,REPAIRS AND MAINTENANCE: Program service expenses 209,267. Management and general expenses 36,174. Fundraising expenses 0. Total expenses 245,441. INSURANCE: Program service expenses 100,556. Management and general expenses 89,592. Fundraising expenses 0. Total expenses 190,148. DENTAL EXPENSES: Program service expenses 151,594. Management and general expenses 0. Fundraising expenses 0. Total expenses 151,594. VEHICLE EXPENSES: Program service expenses 149,189. Management and general expenses 0. Fundraising expenses 0. Total expenses 149,189. EYE CARE SUPPLIES: Program service expenses 145,670. Management and general expenses 0. Fundraising expenses 0. Total expenses 145,670. LAB EXPENSES: Program service expenses 142,695. Management and general expenses 0. Fundraising expenses 0. Total expenses 142,695. TELEPHONE: Program service expenses 103,086. Management and general expenses 28,923. Fundraising expenses 0. Total expenses 132,009. PAYROLL FEES: Program service expenses 93,768. Management and general expenses 13,548. Fundraising expenses 0. Total expenses 107,316. BILLING SERVICES: Program service expenses 89,234. Management and general expenses 0. Fundraising expenses 0. Total expenses 89,234. PRINTING AND PUBLISHING: Program service expenses 35,741. Management and general expenses 44,179. Fundraising expenses 0. Total expenses 79,920. TRADE MEMBERSHIP DUES: Program service expenses 78,491. Management and general expenses 424. Fundraising expenses 0. Total expenses 78,915. BOARD & MEETING EXPENSES: Program service expenses 5,251. Management and general expenses 56,772. Fundraising expenses 0. Total expenses 62,023. CONSULTANTS: Program service expenses 55,658. Management and general expenses 775. Fundraising expenses 0. Total expenses 56,433. LICENSES & FEES: Program service expenses 36,414. Management and general expenses 0. Fundraising expenses 0. Total expenses 36,414. RECRUITMENT: Program service expenses 355. Management and general expenses 33,521. Fundraising expenses 0. Total expenses 33,876. POSTAGE & SHIPPING: Program service expenses 18,431. Management and general expenses 4,023. Fundraising expenses 0. Total expenses 22,454. SECURITY: Program service expenses 12,171. Management and general expenses 3,275. Fundraising expenses 0. Total expenses 15,446. FOOD & LODGING EXPENSES: Program service expenses 3,630. Management and general expenses 2,149. Fundraising expenses 0. Total expenses 5,779. MARKETING & ADVERTISING: Program service expenses 3,387. Management and general expenses 2,316. Fundraising expenses 0. Total expenses 5,703. EDUCATIONAL SUPPLIES: Program service expenses 2,683. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,683. INTERPRETING SERVICES: Program service expenses 2,254. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,254. HELP PROGRAM: Program service expenses 1,324. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,324. BOOKS & SUBSCRIPTIONS: Program service expenses 172. Management and general expenses 564. Fundraising expenses 0. Total expenses 736. PROGRAM TRAINING: Program service expenses 450. Management and general expenses 0. Fundraising expenses 0. Total expenses 450. |
| PART XII, PAGE 12, LINE 2C | THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR PROCESS OF SELECTION OF INDEPENDENT AUDITORS OR AUDIT OVERSIGHT |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBIA MEDICAL GROUP INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 COLUMBIA ROAD | AddressLine1Txt |
| City | DORCHESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02125 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043317003 | EIN |
| Primary Activities | MEDICAL CARE, CURRENTLY INACTIVE | PrimaryActivitiesTxt |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 12a, I | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |