UPHAMS CORNER HEALTH COMMITTEE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: UPHAMS CORNER HEALTH COMMITTEE INC (EIN 23-7211732)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-15
IRS object ID: 201323199349308922
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-15T15:30:07-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	341900735	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CBIZ MHM LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1675 N MILITARY TRAIL FIFTH FLOOR	AddressLine1
City	BOCA RATON	City
State	FL	State
ZIP Code	33486	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	237211732	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	UPHAMS CORNER HEALTH COMMITTEE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	UPHA	NameControl
Phone	6172878000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 COLUMBIA ROAD	AddressLine1
City	DORCHESTER	City
State	MA	State
ZIP Code	02125	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	EDWARD F GRIMES	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	6172878000	Phone
Date Signed	2013-11-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	DAVID A KATZMAN	Name
PTIN	P00033289	PTIN
Phone	5619945050	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	EDWARD F GRIMES	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	500 COLUMBIA ROAD	AddressLine1
City	DORCHESTER	City
State	MA	State
ZIP Code	02125	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	28922647	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	UPHAMSCORNERHEALTHCTR.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1971	YearFormation
State Legal Domicile	MA	StateLegalDomicile
Activity Or Mission Description	COMPREHENSIVE COMMUNITY CARE THAT INCLUDES PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOME CARE, ADULT DAY HEALTH CARE AND WIC PROGRAM	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	492	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2759479	ContributionsGrantsPriorYear
Contributions Grants Current Year	3082660	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	23054773	ProgramServiceRevenuePriorYear
Program Service Revenue CY	25655695	ProgramServiceRevenueCY
Investment Income Prior Year	3086	InvestmentIncomePriorYear
Investment Income Current Year	1519	InvestmentIncomeCurrentYear
Other Revenue Prior Year	137527	OtherRevenuePriorYear
Other Revenue Current Year	147876	OtherRevenueCurrentYear
Total Revenue Prior Year	25954865	TotalRevenuePriorYear
Total Revenue Current Year	28887750	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	17379518	SalariesEtcPriorYear
Salaries Etc Current Year	18448705	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	67672	TotalFundrsngExpCurrentYear
Other Expense Prior Year	8559002	OtherExpensePriorYear
Other Expenses Current Year	9808315	OtherExpensesCurrentYear
Total Expenses Prior Year	25938520	TotalExpensesPriorYear
Total Expenses Current Year	28257020	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16345	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	630730	RevenuesLessExpensesCY
Total Assets BOY	17508845	TotalAssetsBOY
Total Assets EOY	18526151	TotalAssetsEOY
Total Liabilities BOY	2902027	TotalLiabilitiesBOY
Total Liabilities EOY	3288603	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	14606818	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	15237548	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	25357506	Expense
Revenue	25663993	Revenue
Description	COMPREHENSIVE COMMUNITY HEALTH CARE, PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOMECARE, ADULT DAY HEALTH CARE AND WIC PROGRAM	Description
Total Program Service Expense	25357506	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	103	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	492	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	EDWARD F GRIMES EXECUTIVE DIRECTOR	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6172878000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	500 COLUMBIA ROAD	AddressLine1
City	DORCHESTER	City
State	MA	State
ZIP Code	02125	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
EDWARD F GRIMES
EXECUTIVE DIRECTOR	35.00	X	X	158175	0	10303
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
CARLOS DEPINA
AT-LARGE MEMBER	0.00	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
AT-LARGE MEMBER	0.00	X		0	0	0
TANYA CABRAL
AT-LARGE MEMBER	0.00	X		0	0	0
DR GEOFFREY MODEST
PHYSICIAN	33.30			166983	0	6151	X
DR ANI TAHMASSIAN
PHYSICIAN	35.00			140000	0	9936	X
DR OLGA DELACALLE
PHYSICIAN	35.00			141592	0	9486	X
DR MINA GILLERS
PHYSICIAN	26.00			134717	0	17099	X
DR BURAK ALSAN
PHYSICIAN	31.00			151585	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	893052	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	52975	TotalOtherCompensation
Number Individuals GT100 K	17	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Government Grants	1937034	GovernmentGrants
All Other Contributions	1145626	AllOtherContributions
Total Contributions	3082660	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT/INSURANCE FEES	621400	18259144	18259144
MEDICARE PAYMENTS	621400	7396551	7396551

Field	Value	IRS element (for citing)
Total Program Service Revenue	25655695	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1519	TotalRevenueColumn
Related Or Exempt Function Income	1519	RelatedOrExemptFunctionIncome

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	175994	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	34897	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	141097	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	141097	TotalRevenueColumn
Exclusion	$141,097	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS INCOME	Description
Business Code	621400	BusinessCode
Total Revenue Column	6779	TotalRevenueColumn
Related Or Exempt Function Income	6779	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	6779	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	28887750	TotalRevenueColumn
Related Or Exempt Function Income	25663993	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$141,097	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	168478	Total
Management And General	168478	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	15082172	Total
Program Services	13299499	ProgramServices
Management And General	1724616	ManagementAndGeneral
Fundraising	58057	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1989993	Total
Program Services	1718799	ProgramServices
Management And General	266478	ManagementAndGeneral
Fundraising	4716	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1208062	Total
Program Services	1043429	ProgramServices
Management And General	159734	ManagementAndGeneral
Fundraising	4899	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	14194	Total
Management And General	14194	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	52000	Total
Management And General	52000	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	139866	Total
Program Services	98052	ProgramServices
Management And General	41814	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	230036	Total
Program Services	179568	ProgramServices
Management And General	50468	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	63822	Total
Program Services	61743	ProgramServices
Management And General	2079	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	11967	Total
Program Services	11447	ProgramServices
Management And General	520	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	530235	Total
Program Services	448695	ProgramServices
Management And General	81540	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
DIRECT PATIENT SERVICES	3920832	3920832
BAD DEBTS	1819872	1819872
MEDICAL SUPPLIES	766915	766915
PATIENT TRANSPORTATION	335102	335102

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1923474	Total
Program Services	1653553	ProgramServices
Management And General	269921	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	28257020	Total
Program Services	25357506	ProgramServices
Management And General	2831842	ManagementAndGeneral
Fundraising	67672	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	7764594	BOY
EOY	8654142	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1128537	BOY
EOY	1505001	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1070015	BOY
EOY	904661	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	226326	BOY
EOY	226221	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	14139813	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	6903687	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	7319373	BOY
EOY	7236126	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	17508845	BOY
EOY	18526151	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2595038	BOY
EOY	3180065	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	306989	BOY
EOY	108538	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2902027	BOY
EOY	3288603	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	14606818	BOY
EOY	15237548	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	14606818	BOY
EOY	15237548	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	17508845	BOY
EOY	18526151	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	630730	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3144788	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2634626	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2658750	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2759479	CurrentTaxYearMinus1Year
Current Tax Year	3082660	CurrentTaxYear
Total	14280303	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	18738791	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	21215650	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	24269997	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	23054773	CurrentTaxYearMinus1Year
Current Tax Year	25655695	CurrentTaxYear
Total	112934906	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	21883579	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	23850276	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	26928747	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	25814252	CurrentTaxYearMinus1Year
Current Tax Year	28738355	CurrentTaxYear
Total	127215209	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2549785	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2139941	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1918089	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1761294	CurrentTaxYearMinus1Year
Current Tax Year	1785574	CurrentTaxYear
Total	10154683	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	580563	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	534742	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	894881	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	975594	CurrentTaxYearMinus1Year
Current Tax Year	771826	CurrentTaxYear
Total	3757606	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3130348	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2674683	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2812970	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2736888	CurrentTaxYearMinus1Year
Current Tax Year	2557400	CurrentTaxYear
Total	13912289	Total

Field	Value	IRS element (for citing)
Public Support Total509	113302920	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	263055	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	161640	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	156832	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	166710	CurrentTaxYearMinus1Year
Current Tax Year	177513	CurrentTaxYear
Total	925750	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	263055	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	161640	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	156832	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	166710	CurrentTaxYearMinus1Year
Current Tax Year	177513	CurrentTaxYear
Total	925750	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5369	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6392	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	19125	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6692	CurrentTaxYearMinus1Year
Current Tax Year	6779	CurrentTaxYear
Total	44357	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	22152003	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	24018308	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	27104704	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	25987654	CurrentTaxYearMinus1Year
Current Tax Year	28922647	CurrentTaxYear
Total	128185316	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.88390	PublicSupportPercentage509
Prior Year Support Percentage	0.87210	PriorYearSupportPercentage
Investment Income Percentage	0.00720	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01020	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	32495	OtherCostOrOtherBasis
Book Value	32495	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10773081	OtherCostOrOtherBasis
Depreciation	4320379	Depreciation
Book Value	6452702	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3334237	OtherCostOrOtherBasis
Depreciation	2583308	Depreciation
Book Value	750929	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	7236126	TotalOfBookValueLandBuildings
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	28922647	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	28922647	RevenueSubtotal
Other Revenues Not Included	-34897	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-34897	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	28887750	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	28291917	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	28291917	ExpensesSubtotal
Other Expenses Not Included	-34897	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	-34897	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	28257020	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	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 -34,897.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		RENTAL EXPENSES -34,897.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	X	IndependentConsultant
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
EDWARD F GRIMES
EXECUTIVE DIRECTOR	158175	0	0	0	0	0	0	0	10303	0	168478	0	0	0
DR GEOFFREY MODEST
PHYSICIAN	166983	0	0	0	0	0	0	0	6151	0	173134	0	0	0
DR OLGA DELACALLE
PHYSICIAN	141592	0	0	0	0	0	0	0	9486	0	151078	0	0	0
DR MINA GILLERS
PHYSICIAN	134717	0	0	0	0	0	0	0	17099	0	151816	0	0	0
DR BURAK ALSAN
PHYSICIAN	151585	0	0	0	0	0	0	0	0	0	151585	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11	THE TAX RETURN IS REVIEWED BY THE CORPORATE ACCOUNTANT AND THE EXECUTIVE DIRECTOR
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
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

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	COLUMBIA MEDICAL GROUP INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	500 COLUMBIA ROAD	AddressLine1
City	DORCHESTER	City
State	MA	State
ZIP Code	02125	ZIPCode

Field	Value	IRS element (for citing)
EIN	043317003	EIN
Primary Activities	MEDICAL CARE, CURRENTLY INACTIVE	PrimaryActivities
Legal Domicile State	MA	LegalDomicileState
Exempt Code Section	501(C)(3)	ExemptCodeSection
Public Charity Status	11-I	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	0	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg