UPHAMS CORNER HEALTH COMMITTEE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
UPHAMS CORNER HEALTH COMMITTEE INC (EIN 23-7211732)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-13
IRS object ID
201443179349304274
Schema version
2013v3.0
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

FieldValueIRS element (for citing)
Return2014-11-13T16:42:09-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN341900735PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11675 N MILITARY TRAIL FIFTH FLOORAddressLine1
CityBOCA RATONCity
StateFLState
ZIP Code33486ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237211732EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UPHAMS CORNER HEALTH COMMITTEE INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlUPHABusinessNameControlTxt
Phone6172878000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 COLUMBIA ROADAddressLine1
CityDORCHESTERCity
StateMAState
ZIP Code02125ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEDWARD F GRIMESPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone6172878000PhoneNum
Signature2014-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID A KATZMANPreparerPersonNm
PTINP00033289PTIN
Phone5619945050PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerEDWARD F GRIMESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 COLUMBIA ROADAddressLine1
CityDORCHESTERCity
StateMAState
ZIP Code02125ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$31,480,063GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressUPHAMSCORNERHEALTHCTR.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionCOMPREHENSIVE COMMUNITY CARE THAT INCLUDES PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOME CARE, ADULT DAY HEALTH CARE AND WIC PROGRAMActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee533TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,082,660PYContributionsGrantsAmt
CY Contributions Grants$3,936,793CYContributionsGrantsAmt
PY Program Service Revenue$25,655,695PYProgramServiceRevenueAmt
CY Program Service Revenue$27,359,468CYProgramServiceRevenueAmt
PY Investment Income$1,519PYInvestmentIncomeAmt
CY Investment Income$3,978CYInvestmentIncomeAmt
PY Other Revenue$147,876PYOtherRevenueAmt
CY Other Revenue$126,216CYOtherRevenueAmt
PY Total Revenue$28,887,750PYTotalRevenueAmt
CY Total Revenue$31,426,455CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,448,705PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,812,479CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$69,080CYTotalFundraisingExpenseAmt
PY Other Expenses$9,808,315PYOtherExpensesAmt
CY Other Expenses$10,729,876CYOtherExpensesAmt
PY Total Expenses$28,257,020PYTotalExpensesAmt
CY Total Expenses$30,542,355CYTotalExpensesAmt
PY Revenues Less Expenses$630,730PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$884,100CYRevenuesLessExpensesAmt
Total Assets BOY$18,526,151TotalAssetsBOYAmt
Total Assets EOY$19,837,680TotalAssetsEOYAmt
Total Liabilities BOY$3,288,603TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,716,032TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,237,548NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,121,648NetAssetsOrFundBalancesEOYAmt
MissionTO 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$27,520,028ExpenseAmt
Revenue$27,367,490RevenueAmt
DescCOMPREHENSIVE COMMUNITY HEALTH CARE, PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOMECARE, ADULT DAY HEALTH CARE AND WIC PROGRAMDesc
Total Program Service Expenses$27,520,028TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document145IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee533EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EDWARD F GRIMES CHIEF EXECUTIVE OFFICERBusinessNameLine1
FieldValueIRS element (for citing)
Phone6172878000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 COLUMBIA ROADAddressLine1
CityDORCHESTERCity
StateMAState
ZIP Code02125ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
EDWARD F GRIMES
CHIEF EXECUTIVE OFFICER35.00Yes (X)Yes (X)$161,326$0$10,583
MARGARET LEAHY WIRTH
PRESIDENT0.00Yes (X)Yes (X)$0$0$0
ALTHEA GARRISON
VICE PRESIDENT0.00Yes (X)Yes (X)$0$0$0
WINIFRED PICKETT
TREASURER0.00Yes (X)Yes (X)$0$0$0
DR CLARA LENNOX
AT-LARGE MEMBER0.00Yes (X)$0$0$0
ZITA JACKSON
CLERK/SECRETARY0.00Yes (X)Yes (X)$0$0$0
DAI MOREHOUSE
ADJUNCT CLERK/SECRETARY0.00Yes (X)$0$0$0
TANYA CABRAL
AT-LARGE MEMBER0.00Yes (X)$0$0$0
DR GEOFFREY MODEST
PHYSICIAN29.80$170,751$0$6,681Yes (X)
ELISE HENDRICKS
MEDICAL DIRECTOR29.80$139,832$0$6,238Yes (X)
DR OLGA DELACALLE
PHYSICIAN35.00$145,091$0$9,751Yes (X)
DR MINA GILLERS
PHYSICIAN26.00$139,385$0$17,261Yes (X)
DANIEL DENNIS
CONTROLLER35.00$126,376$0$17,028Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$882,761TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$67,542TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K13IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
BOSTON MEDICAL CENTER
840 HARRISON AVENUEBOSTONMA02118HEATHCARE SERVICES$1,357,851
SUSAN S BAILIS ASSISTED LIVING
352 MASSACHUSETTS AVENUEBOSTONMA02115ASSISTED LIVING FACILITY$435,783
DIVERSIFIED STAFFING GROUP
545 BOYLSTON STREETBOSTONMA02116STAFFING SERVICES$413,306
BENJAMIN HEALTHCARE CENTER
120 FISHER AVENUEBOSTONMA02120NURSING HOME FACILITIES$407,612
FAVORITE HEALTHCARE STAFFING
333 WASHINGTON STREET 5TH FLBOSTONMA02108STAFFING SERVICES$362,341
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$1,785,255GovernmentGrantsAmt
All Other Contributions$2,151,538AllOtherContributionsAmt
Total Contributions$3,936,793TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT/INSURANCE FEES621400$18,637,544$18,637,544
MEDICARE PAYMENTS621400$8,721,924$8,721,924
FieldValueIRS element (for citing)
Total Program Service Revenue$27,359,468TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,978TotalRevenueColumnAmt
Related Or Exempt Func Income$3,978RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$175,780RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$53,608RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$122,172RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$122,172TotalRevenueColumnAmt
Exclusion$122,172ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business621400BusinessCd
Total Revenue Column$4,044TotalRevenueColumnAmt
Related Or Exempt Func Income$4,044RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,044OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,426,455TotalRevenueColumnAmt
Related Or Exempt Func Income$27,367,490RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$122,172ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$171,909TotalAmt
Management And General$171,909ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,403,484TotalAmt
Program Services$14,507,883ProgramServicesAmt
Management And General$1,836,249ManagementAndGeneralAmt
Fundraising$59,352FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,932,187TotalAmt
Program Services$1,670,177ProgramServicesAmt
Management And General$257,362ManagementAndGeneralAmt
Fundraising$4,648FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,304,899TotalAmt
Program Services$1,127,951ProgramServicesAmt
Management And General$171,868ManagementAndGeneralAmt
Fundraising$5,080FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,485TotalAmt
Management And General$8,485ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$61,100TotalAmt
Management And General$61,100ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$183,455TotalAmt
Program Services$124,273ProgramServicesAmt
Management And General$59,182ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$254,064TotalAmt
Program Services$198,250ProgramServicesAmt
Management And General$55,814ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$72,814TotalAmt
Program Services$70,335ProgramServicesAmt
Management And General$2,479ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,028TotalAmt
Program Services$13,284ProgramServicesAmt
Management And General$1,744ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$605,528TotalAmt
Program Services$504,108ProgramServicesAmt
Management And General$101,420ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DIRECT PATIENT SERVICES$5,203,403$5,203,403
MEDICAL SUPPLIES$727,119$727,119
BAD DEBTS$628,756$628,756
PATIENT TRANSPORTATION$558,436$558,436

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,411,688TotalAmt
Program Services$2,186,053ProgramServicesAmt
Management And General$225,635ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$30,542,355TotalAmt
Program Services$27,520,028ProgramServicesAmt
Management And General$2,953,247ManagementAndGeneralAmt
Fundraising$69,080FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,654,142BOYAmt
EOY$10,538,332EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,505,001BOYAmt
EOY$850,893EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$904,661BOYAmt
EOY$955,385EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$226,221BOYAmt
EOY$159,496EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,849,961LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,516,387LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,236,126BOYAmt
EOY$7,333,574EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,526,151BOYAmt
EOY$19,837,680EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,180,065BOYAmt
EOY$3,628,694EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$108,538BOYAmt
EOY$87,338EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,288,603BOYAmt
EOY$3,716,032EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,237,548BOYAmt
EOY$15,593,206EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$528,442EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,237,548BOYAmt
EOY$16,121,648EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,526,151BOYAmt
EOY$19,837,680EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$884,100ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,634,626CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,658,750CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,759,479CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,082,660CurrentTaxYearMinus1YearAmt
Current Tax Year$3,936,793CurrentTaxYearAmt
Total$15,072,308TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,215,650CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,269,997CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,054,773CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,655,695CurrentTaxYearMinus1YearAmt
Current Tax Year$27,359,468CurrentTaxYearAmt
Total$121,555,583TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,850,276CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,928,747CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,814,252CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,738,355CurrentTaxYearMinus1YearAmt
Current Tax Year$31,296,261CurrentTaxYearAmt
Total$136,627,891TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,139,941CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,918,089CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,761,294CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,785,574CurrentTaxYearMinus1YearAmt
Current Tax Year$2,306,417CurrentTaxYearAmt
Total$9,911,315TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$534,742CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$894,881CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$975,594CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$771,826CurrentTaxYearMinus1YearAmt
Current Tax Year$467,068CurrentTaxYearAmt
Total$3,644,111TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,674,683CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,812,970CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,736,888CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,557,400CurrentTaxYearMinus1YearAmt
Current Tax Year$2,773,485CurrentTaxYearAmt
Total$13,555,426TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$123,072,465PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$161,640CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$156,832CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$166,710CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$177,513CurrentTaxYearMinus1YearAmt
Current Tax Year$179,757CurrentTaxYearAmt
Total$842,452TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$161,640CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$156,832CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$166,710CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$177,513CurrentTaxYearMinus1YearAmt
Current Tax Year$179,757CurrentTaxYearAmt
Total$842,452TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,392CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,125CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,692CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,779CurrentTaxYearMinus1YearAmt
Current Tax Year$4,044CurrentTaxYearAmt
Total$43,032TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,018,308CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,104,704CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,987,654CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,922,647CurrentTaxYearMinus1YearAmt
Current Tax Year$31,480,062CurrentTaxYearAmt
Total$137,513,375TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.89500PublicSupportCY509Pct
Public Support PY5090.88390PublicSupportPY509Pct
Investment Income CY0.00610InvestmentIncomeCYPct
Investment Income PY0.00720InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOME - 2009 AMOUNT: $ 6,392. 2010 AMOUNT: $ 19,125. 2011 AMOUNT: $ 6,692. 2012 AMOUNT: $ 6,779. 2013 AMOUNT: $ 4,044.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,495OtherCostOrOtherBasisAmt
Book Value$32,495BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,255,215OtherCostOrOtherBasisAmt
Depreciation$4,714,786DepreciationAmt
Book Value$6,540,429BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,562,251OtherCostOrOtherBasisAmt
Depreciation$2,801,601DepreciationAmt
Book Value$760,650BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,333,574TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$31,480,062TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$31,480,062RevenueSubtotalAmt
Other Revenues Not Included-$53,607OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$53,607RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$31,426,455TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$30,595,962TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$30,595,962ExpensesSubtotalAmt
Other Expenses Not Included-$53,607OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$53,607ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$30,542,355TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 AND ROUNDING -53,607.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSES AND ROUNDING -53,607.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
EDWARD F GRIMES
CHIEF EXECUTIVE OFFICER$161,326$0$0$0$0$0$0$0$10,583$0$171,909$0$0$0
DR GEOFFREY MODEST
PHYSICIAN$170,751$0$0$0$0$0$0$0$6,681$0$177,432$0$0$0
DR OLGA DELACALLE
PHYSICIAN$145,091$0$0$0$0$0$0$0$9,751$0$154,842$0$0$0
DR MINA GILLERS
PHYSICIAN$139,385$0$0$0$0$0$0$0$17,261$0$156,646$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE TAX RETURN IS REVIEWED BY THE CORPORATE ACCOUNTANT AND THE EXECUTIVE DIRECTOR
FORM 990, PART VI, SECTION B, LINE 12CALL 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 15THE 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 19THIS INFORMATION IS AVAILABLE THROUGH THE CENTER'S WEBSITE
PART XII, PAGE 12, LINE 2CTHERE 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

FieldValueIRS element (for citing)
Business Name Line1COLUMBIA MEDICAL GROUP INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 COLUMBIA ROADAddressLine1
CityDORCHESTERCity
StateMAState
ZIP Code02125ZIPCode
FieldValueIRS element (for citing)
EIN043317003EIN
Primary ActivitiesMEDICAL CARE, CURRENTLY INACTIVEPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status11-IPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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