2015-11-06T15:30:09-06:00 2014-12-31 341900735 CBIZ MHM LLC 1675 N MILITARY TRAIL FIFTH FLOOR BOCA RATON FL 33486 990 2014-01-01 237211732 UPHAMS CORNER HEALTH COMMITTEE INC UPHA 6172878000 500 COLUMBIA ROAD DORCHESTER MA 02125 EDWARD F GRIMES CHIEF EXECUTIVE OFFICER 6172878000 2015-10-28 1 DAVID A KATZMAN P00033289 5619945050 2014 2016-04-25 22:37:26Z EDWARD F GRIMES 500 COLUMBIA ROAD DORCHESTER MA 02125 33249864 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 7 7 577 0 0 0 3936793 3107026 27359468 29963809 3978 3579 126216 116367 31426455 33190781 0 0 0 0 19812479 21411602 0 0 71346 10729876 12289741 30542355 33701343 884100 -510562 19837680 19822000 3716032 4210914 16121648 15611086 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 30457529 29971199 COMPREHENSIVE COMMUNITY HEALTH CARE, PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOMECARE, ADULT DAY HEALTH CARE AND WIC PROGRAM 30457529 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 1 120 0 1 577 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 MA X EDWARD F GRIMES CHIEF EXECUTIVE OFFICER 6172878000 500 COLUMBIA ROAD DORCHESTER MA 02125 EDWARD F GRIMES CHIEF EXECUTIVE OFFICER 35.00 X X 165456 0 10563 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 DR GEOFFREY MODEST PHYSICIAN 29.80 X 150458 0 5692 ELISE HENDRICKS MEDICAL DIRECTOR 29.80 X 163806 0 6944 DR OLGA DELACALLE PHYSICIAN 35.00 X 150176 0 10276 DR MINA GILLERS PHYSICIAN 26.00 X 141550 0 16164 DANIEL DENNIS CONTROLLER 35.00 X 131121 0 17033 902567 0 66672 15 0 1 0 BOSTON MEDICAL CENTER 840 HARRISON AVENUE BOSTON MA 02118 HEALTHCARE SERVICES 1560857 FAVORITE HEALTHCARE STAFFING 333 WASHINGTON STREET 5TH FL BOSTON MA 02108 STAFFING SERVICES 617904 DAW INC 298 UNION STREET LYNN MA 01901 PHARMACEUTICALS 515082 SUSAN S BAILIS ASSISTED LIVING 352 MASSACHUSETTS AVENUE BOSTON MA 02115 ASSISTED LIVING FACILITY 411517 CAREERSTAFF UNLIMITED 50 MALL ROAD BURLINGTON MA 01803 STAFFING SERVICES 280800 5 1185227 1921799 3107026 PATIENT/INSURANCE FEES 621400 21033932 21033932 MEDICARE PAYMENTS 621400 8929877 8929877 29963809 3579 3579 171639 59083 112556 112556 112556 MISCELLANEOUS INCOME 621400 3811 3811 3811 33190781 29971199 0 112556 X 176039 176039 17806132 15775612 1969145 61375 2058946 1782336 271760 4850 1370485 1186367 178997 5121 3472 3472 68750 68750 181113 135320 45793 271688 218507 53181 65991 62848 3143 27239 24508 2731 632001 522940 109061 DIRECT PATIENT SERVICES 5280404 5280404 BAD DEBTS 1571486 1571486 MEDICAL SUPPLIES 764201 764201 PATIENT TRANSPORTATION 716217 716217 2707179 2416783 290396 33701343 30457529 3172468 71346 10538332 10935738 850893 822096 955385 879328 159496 199987 15133239 8148388 7333574 6984851 19837680 19822000 3628694 4163006 87338 47908 3716032 4210914 X 15593206 15315987 528442 295099 16121648 15611086 19837680 19822000 -510562 0 X X 0 1 X 1 1 1 X 2658750 2759479 3082660 3936793 3107026 15544708 24269997 23054773 25655695 27359468 29963809 130303742 26928747 25814252 28738355 31296261 33070835 145848450 1918089 1761294 1785574 2306417 1444257 9215631 623834 648591 482600 152267 407772 2315064 2541923 2409885 2268174 2458684 1852029 11530695 134317755 156832 166710 177513 179757 175218 856030 156832 166710 177513 179757 175218 856030 19125 6692 6779 4044 3811 40451 27104704 25987654 28922647 31480062 33249864 146744931 0.91530 0.89500 0.00580 0.00610 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2010 AMOUNT: $ 19,125. 2011 AMOUNT: $ 6,692. 2012 AMOUNT: $ 6,779. 2013 AMOUNT: $ 4,044. 2014 AMOUNT: $ 3,811. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32495 32495 11287967 5112598 6175369 3812777 3035790 776987 0 6984851 X 33249864 0 33249864 -59083 -59083 33190781 33760426 0 33760426 -59083 -59083 33701343 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 -59,083. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -59,083. X X 0 0 0 0 0 0 0 0 0 EDWARD F GRIMES CHIEF EXECUTIVE OFFICER 165456 0 0 0 0 0 0 0 10563 0 176019 0 0 0 DR GEOFFREY MODEST PHYSICIAN 150458 0 0 0 0 0 0 0 5692 0 156150 0 0 0 ELISE HENDRICKS MEDICAL DIRECTOR 163806 0 0 0 0 0 0 0 6944 0 170750 0 0 0 DR OLGA DELACALLE PHYSICIAN 150176 0 0 0 0 0 0 0 10276 0 160452 0 0 0 DR MINA GILLERS PHYSICIAN 141550 0 0 0 0 0 0 0 16164 0 157714 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 372,236. MANAGEMENT AND GENERAL EXPENSES 51,604. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 423,840. RENTALS,REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 282,328. MANAGEMENT AND GENERAL EXPENSES 51,755. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 334,083. PATIENT MEALS: PROGRAM SERVICE EXPENSES 261,727. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 261,727. RENTAL EXPENSES: PROGRAM SERVICE EXPENSES 256,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 256,000. INSURANCE: PROGRAM SERVICE EXPENSES 196,288. MANAGEMENT AND GENERAL EXPENSES 31,252. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 227,540. VEHICLE EXPENSES: PROGRAM SERVICE EXPENSES 158,804. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,804. DENTAL EXPENSES: PROGRAM SERVICE EXPENSES 132,104. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 132,104. EYE CARE SUPPLIES: PROGRAM SERVICE EXPENSES 130,911. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 130,911. LAB EXPENSES: PROGRAM SERVICE EXPENSES 123,550. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 123,550. TELEPHONE: PROGRAM SERVICE EXPENSES 96,633. MANAGEMENT AND GENERAL EXPENSES 23,866. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 120,499. TRADE MEMBERSHIP DUES: PROGRAM SERVICE EXPENSES 97,436. MANAGEMENT AND GENERAL EXPENSES 250. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 97,686. PRINTING AND PUBLISHING: PROGRAM SERVICE EXPENSES 59,520. MANAGEMENT AND GENERAL EXPENSES 33,283. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 92,803. CONSULTANTS: PROGRAM SERVICE EXPENSES 50,101. MANAGEMENT AND GENERAL EXPENSES 21,572. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,673. MARKETING & ADVERTISING: PROGRAM SERVICE EXPENSES 59,196. MANAGEMENT AND GENERAL EXPENSES 616. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,812. PAYROLL FEES: PROGRAM SERVICE EXPENSES 48,553. MANAGEMENT AND GENERAL EXPENSES 7,488. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 56,041. POSTAGE & SHIPPING: PROGRAM SERVICE EXPENSES 33,459. MANAGEMENT AND GENERAL EXPENSES 7,292. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,751. RECRUITMENT: PROGRAM SERVICE EXPENSES 25. MANAGEMENT AND GENERAL EXPENSES 34,648. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,673. LICENSES & FEES: PROGRAM SERVICE EXPENSES 26,851. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,851. BOARD & MEETING EXPENSES: PROGRAM SERVICE EXPENSES 2,365. MANAGEMENT AND GENERAL EXPENSES 22,103. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,468. SECURITY: PROGRAM SERVICE EXPENSES 10,573. MANAGEMENT AND GENERAL EXPENSES 2,831. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,404. INTERPRETING SERVICES: PROGRAM SERVICE EXPENSES 9,269. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,269. FOOD & LODGING EXPENSES: PROGRAM SERVICE EXPENSES 4,023. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,023. PATIENT ASSISTANCE PROGRAMS: PROGRAM SERVICE EXPENSES 2,497. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,497. EDUCATIONAL SUPPLIES: PROGRAM SERVICE EXPENSES 2,105. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,105. BOOKS & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 229. MANAGEMENT AND GENERAL EXPENSES 1,836. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,065. 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