2017-11-15T10:38:09-06:00 2016-12-31 341900735 CBIZ MHM LLC 1675 N MILITARY TRAIL 5TH FLOOR BOCA RATON FL 33486 990 2016-01-01 237211732 UPHAMS CORNER HEALTH COMMITTEE INC UPHA 6172878000 500 COLUMBIA ROAD DORCHESTER MA 02125 JAGDEEP TRIVEDI CHIEF EXECUTIVE OFFICER 6172878000 2017-11-10 1 David A Katzman P00033289 5619945050 96.84.32.253 2017-11-10 15:30:10 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 39A05A4EDDF26322AF843A5E09EFE94D49923AF4 2016 2021-01-29 14:40:06Z JAGDEEP TRIVEDI 500 COLUMBIA ROAD DORCHESTER MA 02125 37779724 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 9 9 635 0 0 0 3008003 3477246 31942616 34097069 2351 1700 140693 170173 35093663 37746188 0 0 0 0 22887153 24174962 0 0 77427 13887805 13766190 36774958 37941152 -1681295 -194964 18370815 18883823 4441024 5148996 13929791 13734827 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 34318634 34117782 COMPREHENSIVE COMMUNITY HEALTH CARE, PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOMECARE, ADULT DAY HEALTH CARE AND WIC PROGRAM 34318634 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 1 138 0 1 635 1 0 0 0 0 0 0 0 0 0 0 X 9 9 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 180326 0 6790 MARGARET LEAHY WIRTH PRESIDENT 0.00 X X 0 0 0 ALTHEA GARRISON VICE PRESIDENT 0.00 X X 0 0 0 WINIFRED PICKETT TREASURER 0.00 X X 0 0 0 DR CLARA LENNOX AT-LARGE MEMBER 0.00 X 0 0 0 ZITA JACKSON SECRETARY 0.00 X X 0 0 0 DAI MOREHOUSE ASSISTANT SECRETARY 0.00 X 0 0 0 TANYA CABRAL AT-LARGE MEMBER 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 DR GEOFFREY MODEST PHYSICIAN 28.75 X 164541 0 12349 ELISE HENDRICKS MEDICAL DIRECTOR 30.70 X 178942 0 7480 DR OLGA DELACALLE PHYSICIAN 32.50 X 154213 0 10848 DR EDWARD R LEVY PHYSICIAN 33.00 X 152008 0 5320 DR ADAM BURROWS PHYSICIAN 35.00 X 212941 0 20538 1042971 0 63325 16 0 1 0 BOSTON MEDICAL CENTER 840 HARRISON AVENUE BOSTON MA 02118 HEALTHCARE SERVICES 1832760 MCKESSON MEDICAL 1 DEVONSHIRE ST BOSTON MA 02109 MEDICAL SUPPLIES 1189828 BENJAMIN HEALTHCARE CENTER 120 FISHER AVE ROXBURY MA 02120 MEDICAL CARE 794257 DAW INC 298 UNION STREET LYNN MA 01901 PHARMACEUTICALS 751344 FAVORITE HEALTHCARE STAFFING 333 WASHINGTON STREET 5TH FL BOSTON MA 02108 STAFFING SERVICES 682919 8 1034745 2442501 3477246 PATIENT/INSURANCE FEES 621400 23805950 23805950 MEDICARE PAYMENTS 621400 10291119 10291119 34097069 1700 1700 184696 33536 151160 151160 151160 MISCELLANEOUS INCOME 621400 19013 19013 19013 37746188 34117782 0 151160 X 187117 187117 20195347 18020545 2110230 64572 2236298 1953973 274841 7484 1556200 1359735 191094 5371 69259 69259 82892 82892 143768 106343 37425 254564 207288 47276 62250 59109 3141 21325 14842 6483 22531 22531 707646 606457 101189 DIRECT PATIENT SERVICES 6245049 6245049 BAD DEBTS 1288379 1288379 MEDICAL SUPPLIES 1242607 1242607 PATIENT TRANSPORTATION 707556 707556 2918364 2484220 434144 37941152 34318634 3545091 77427 9525415 9850376 1189199 943537 928111 1138669 205020 224527 16183550 9456836 6523070 6726714 18370815 18883823 4416224 4296713 24800 23293 828990 4441024 5148996 X 13713437 13518473 216354 216354 13929791 13734827 18370815 18883823 -194964 0 X X 0 1 X 1 1 1 X 3082660 3936793 3107026 3008003 3477246 16611728 25655695 27359468 29963809 31942616 34097069 149018657 28738355 31296261 33070835 34950619 37574315 165630385 1785574 2306417 1444257 1117134 1967568 8620950 482600 152267 407772 543321 1585960 2268174 2458684 1852029 1660455 1967568 10206910 155423475 177513 179757 175218 180248 186396 899132 177513 179757 175218 180248 186396 899132 6779 4044 3811 779 19013 34426 28922647 31480062 33249864 35131646 37779724 166563943 0.93310 0.92540 0.00540 0.00570 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32495 32495 11283915 5903984 5379931 4867140 3552852 1314288 0 6726714 X 37779724 0 37779724 -33536 -33536 37746188 37974688 0 37974688 -33536 -33536 37941152 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. X X 0 0 0 0 0 0 0 0 0 JAGDEEP TRIVEDI CHIEF EXECUTIVE OFFIC 180326 0 0 0 0 0 0 0 6790 0 187116 0 0 0 DR GEOFFREY MODEST PHYSICIAN 164541 0 0 0 0 0 0 0 12349 0 176890 0 0 0 ELISE HENDRICKS MEDICAL DIRECTOR 178942 0 0 0 0 0 0 0 7480 0 186422 0 0 0 DR OLGA DELACALLE PHYSICIAN 154213 0 0 0 0 0 0 0 10848 0 165061 0 0 0 DR EDWARD R LEVY PHYSICIAN 152008 0 0 0 0 0 0 0 5320 0 157328 0 0 0 DR ADAM BURROWS PHYSICIAN 212941 0 0 0 0 0 0 0 20538 0 233479 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 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 COLUMBIA MEDICAL GROUP INC 500 COLUMBIA ROAD DORCHESTER MA 02125 043317003 MEDICAL CARE, CURRENTLY INACTIVE MA 501(C)(3) Line 12a, I N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0