2016-11-09T08:05:56-06:00 2015-12-31 341900735 CBIZ MHM LLC 1675 N MILITARY TRAIL 5TH FLOOR BOCA RATON FL 33486 990 2015-01-01 237211732 UPHAMS CORNER HEALTH COMMITTEE INC UPHA 6172878000 500 COLUMBIA ROAD DORCHESTER MA 02125 JAGDEEP TRIVEDI CHIEF EXECUTIVE OFFICER 6172878000 2016-11-04 1 David A Katzman P00033289 5619945050 2015 2017-02-10 21:41:12Z JAGDEEP TRIVEDI 500 COLUMBIA ROAD DORCHESTER MA 02125 35131646 0 X uphamscornerhealthctr.com X 1971 MA COMPREHENSIVE COMMUNITY CARE THAT INCLUDES PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOME CARE, ADULT DAY HEALTH CARE AND WIC PROGRAM 9 9 599 0 0 0 3107026 3008003 29963809 31942616 3579 2351 116367 140693 33190781 35093663 0 0 0 0 21411602 22887153 0 0 75073 12289741 13887805 33701343 36774958 -510562 -1681295 19822000 18370815 4210914 4441024 15611086 13929791 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 33344669 31945746 COMPREHENSIVE COMMUNITY HEALTH CARE, PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOMECARE, ADULT DAY HEALTH CARE AND WIC PROGRAM 33344669 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 1 117 0 1 599 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 EDWARD F GRIMES PAST CHIEF EXECUTIVE OFFICER 35.00 X X 214419 0 53808 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 CLERK/SECRETARY 0.00 X X 0 0 0 DAI MOREHOUSE ADJUNCT CLERK/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 29.80 X 162742 0 5696 ELISE HENDRICKS MEDICAL DIRECTOR 29.80 X 171903 0 7223 DR OLGA DELACALLE PHYSICIAN 35.00 X 152061 0 10586 DR MINA GILLERS PHYSICIAN 26.00 X 144181 0 17638 EDWARD R LEVY PHYSICIAN 35.00 X 153854 0 5385 999160 0 100336 16 0 1 0 BOSTON MEDICAL CENTER 840 HARRISON AVENUE BOSTON MA 02118 HEALTHCARE SERVICES 1773728 MCKESSON MEDICAL 1 DEVONSHIRE ST BOSTON MA 02109 MEDICAL SUPPLIES 727681 BENJAMIN HEALTHCARE CENTER 120 FISHER AVE ROXBURY MA 02120 MEDICAL CARE 474217 FAVORITE HEALTHCARE STAFFING 333 WASHINGTON STREET 5TH FL BOSTON MA 02108 STAFFING SERVICES 466942 DAW INC 298 UNION STREET LYNN MA 01901 PHARMACEUTICALS 445775 8 1146340 1861663 3008003 PATIENT/INSURANCE FEES 621400 22894056 22894056 MEDICARE PAYMENTS 621400 9048560 9048560 31942616 2351 2351 177897 37983 139914 139914 139914 MISCELLANEOUS INCOME 621400 779 779 779 35093663 31945746 0 139914 X 226905 226905 19181890 17053337 2065859 62694 2041847 1770413 264138 7296 1436511 1245548 185880 5083 14843 14843 65975 65975 160590 111323 49267 282563 228095 54468 69917 67816 2101 20160 19289 871 642197 536475 105722 DIRECT PATIENT SERVICES 6581707 6581707 BAD DEBTS 1333374 1333374 MEDICAL SUPPLIES 989860 989860 PATIENT TRANSPORTATION 813099 813099 2913520 2594333 319187 36774958 33344669 3355216 75073 10935738 9525415 822096 1189199 879328 928111 199987 205020 15272260 8749190 6984851 6523070 19822000 18370815 4163006 4416224 47908 24800 4210914 4441024 X 15315987 13713437 295099 216354 15611086 13929791 19822000 18370815 -1681295 0 X X 0 1 X 1 1 1 X 2759479 3082660 3936793 3107026 3008003 15893961 23054773 25655695 27359468 29963809 31942616 137976361 25814252 28738355 31296261 33070835 34950619 153870322 1761294 1785574 2306417 1444257 1117134 8414676 648591 482600 152267 407772 543321 2234551 2409885 2268174 2458684 1852029 1660455 10649227 143221095 166710 177513 179757 175218 180248 879446 166710 177513 179757 175218 180248 879446 6692 6779 4044 3811 779 22105 25987654 28922647 31480062 33249864 35131646 154771873 0.92540 0.91530 0.00570 0.00580 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32495 32495 11283915 5510886 5773029 3955850 3238304 717546 0 6523070 X 35131646 0 35131646 -37983 -37983 35093663 36812941 0 36812941 -37983 -37983 36774958 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 -37,983. Part XII, Line 4b - Other Adjustments: RENTAL EXPENSES -37,983. X X 1 0 0 0 0 0 0 0 0 EDWARD F GRIMES PAST CHIEF EXECUTIVE OFFICER 214419 0 0 0 0 0 41322 0 12486 0 268227 0 0 0 DR GEOFFREY MODEST PHYSICIAN 162742 0 0 0 0 0 0 0 5696 0 168438 0 0 0 ELISE HENDRICKS MEDICAL DIRECTOR 171903 0 0 0 0 0 0 0 7223 0 179126 0 0 0 DR OLGA DELACALLE PHYSICIAN 152061 0 0 0 0 0 0 0 10586 0 162647 0 0 0 DR MINA GILLERS PHYSICIAN 144181 0 0 0 0 0 0 0 17638 0 161819 0 0 0 EDWARD R LEVY PHYSICIAN 153854 0 0 0 0 0 0 0 5385 0 159239 0 0 0 Form 990, Part VI, Section B, line 11 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 417,335. Management and general expenses 62,863. Fundraising expenses 0. Total expenses 480,198. RENTALS,REPAIRS AND MAINTENANCE: Program service expenses 253,594. Management and general expenses 39,061. Fundraising expenses 0. Total expenses 292,655. PATIENT MEALS: Program service expenses 280,283. Management and general expenses 0. Fundraising expenses 0. Total expenses 280,283. RENTAL EXPENSES: Program service expenses 256,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 256,000. INSURANCE: Program service expenses 211,932. Management and general expenses 41,657. Fundraising expenses 0. Total expenses 253,589. DENTAL EXPENSES: Program service expenses 194,547. Management and general expenses 0. Fundraising expenses 0. Total expenses 194,547. VEHICLE EXPENSES: Program service expenses 162,639. Management and general expenses 0. Fundraising expenses 0. Total expenses 162,639. EYE CARE SUPPLIES: Program service expenses 144,821. Management and general expenses 0. Fundraising expenses 0. Total expenses 144,821. LAB EXPENSES: Program service expenses 129,344. Management and general expenses 0. Fundraising expenses 0. Total expenses 129,344. TELEPHONE: Program service expenses 84,413. Management and general expenses 25,002. Fundraising expenses 0. Total expenses 109,415. PRINTING AND PUBLISHING: Program service expenses 67,169. Management and general expenses 34,054. Fundraising expenses 0. Total expenses 101,223. PAYROLL FEES: Program service expenses 79,853. Management and general expenses 12,243. Fundraising expenses 0. Total expenses 92,096. MARKETING & ADVERTISING: Program service expenses 83,223. Management and general expenses 1,861. Fundraising expenses 0. Total expenses 85,084. TRADE MEMBERSHIP DUES: Program service expenses 70,062. Management and general expenses 9,213. Fundraising expenses 0. Total expenses 79,275. CONSULTANTS: Program service expenses 56,218. Management and general expenses 17,761. Fundraising expenses 0. Total expenses 73,979. LICENSES & FEES: Program service expenses 40,640. Management and general expenses 0. Fundraising expenses 0. Total expenses 40,640. RECRUITMENT: Program service expenses 628. Management and general expenses 36,145. Fundraising expenses 0. Total expenses 36,773. POSTAGE & SHIPPING: Program service expenses 24,009. Management and general expenses 5,233. Fundraising expenses 0. Total expenses 29,242. BOARD & MEETING EXPENSES: Program service expenses 3,788. Management and general expenses 24,171. Fundraising expenses 0. Total expenses 27,959. SECURITY: Program service expenses 17,240. Management and general expenses 5,427. Fundraising expenses 0. Total expenses 22,667. FOOD & LODGING EXPENSES: Program service expenses 7,358. Management and general expenses 1,056. Fundraising expenses 0. Total expenses 8,414. PATIENT ASSISTANCE PROGRAMS: Program service expenses 4,533. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,533. BOOKS & SUBSCRIPTIONS: Program service expenses 227. Management and general expenses 3,440. Fundraising expenses 0. Total expenses 3,667. INTERPRETING SERVICES: Program service expenses 2,982. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,982. EDUCATIONAL SUPPLIES: Program service expenses 1,495. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,495. 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 11a, I N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0