2013-11-15T15:30:07-06:00 2012-12-31 341900735 CBIZ MHM LLC 1675 N MILITARY TRAIL FIFTH FLOOR BOCA RATON FL 33486 990 2012-01-01 237211732 UPHAMS CORNER HEALTH COMMITTEE INC UPHA 6172878000 500 COLUMBIA ROAD DORCHESTER MA 02125 EDWARD F GRIMES 6172878000 2013-11-15 1 DAVID A KATZMAN P00033289 5619945050 2012 2016-03-07 17:11:31Z EDWARD F GRIMES 500 COLUMBIA ROAD DORCHESTER MA 02125 28922647 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 8 8 492 0 0 0 2759479 3082660 23054773 25655695 3086 1519 137527 147876 25954865 28887750 0 0 0 0 17379518 18448705 0 0 67672 8559002 9808315 25938520 28257020 16345 630730 17508845 18526151 2902027 3288603 14606818 15237548 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 25357506 25663993 COMPREHENSIVE COMMUNITY HEALTH CARE, PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOMECARE, ADULT DAY HEALTH CARE AND WIC PROGRAM 25357506 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 1 103 0 1 492 1 0 0 0 0 0 0 0 0 X 8 8 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 EXECUTIVE DIRECTOR 6172878000 500 COLUMBIA ROAD DORCHESTER MA 02125 EDWARD F GRIMES 35.00 X X 158175 0 10303 MARGARET LEAHY WIRTH 0.00 X X 0 0 0 ALTHEA GARRISON 0.00 X X 0 0 0 WINIFRED PICKETT 0.00 X X 0 0 0 CARLOS DEPINA 0.00 X 0 0 0 DR CLARA LENNOX 0.00 X 0 0 0 ZITA JACKSON 0.00 X X 0 0 0 DAI MOREHOUSE 0.00 X 0 0 0 TANYA CABRAL 0.00 X 0 0 0 DR GEOFFREY MODEST 33.30 X 166983 0 6151 DR ANI TAHMASSIAN 35.00 X 140000 0 9936 DR OLGA DELACALLE 35.00 X 141592 0 9486 DR MINA GILLERS 26.00 X 134717 0 17099 DR BURAK ALSAN 31.00 X 151585 0 0 893052 0 52975 17 0 1 0 0 1937034 1145626 3082660 PATIENT/INSURANCE FEES 621400 18259144 18259144 MEDICARE PAYMENTS 621400 7396551 7396551 25655695 1519 1519 175994 34897 141097 141097 141097 MISCELLANEOUS INCOME 621400 6779 6779 6779 28887750 25663993 0 141097 168478 168478 15082172 13299499 1724616 58057 1989993 1718799 266478 4716 1208062 1043429 159734 4899 14194 14194 52000 52000 139866 98052 41814 230036 179568 50468 63822 61743 2079 11967 11447 520 530235 448695 81540 DIRECT PATIENT SERVICES 3920832 3920832 BAD DEBTS 1819872 1819872 MEDICAL SUPPLIES 766915 766915 PATIENT TRANSPORTATION 335102 335102 1923474 1653553 269921 28257020 25357506 2831842 67672 7764594 8654142 1128537 1505001 1070015 904661 226326 226221 14139813 6903687 7319373 7236126 17508845 18526151 2595038 3180065 306989 108538 2902027 3288603 X 14606818 15237548 14606818 15237548 17508845 18526151 630730 0 X X 0 1 X 1 1 1 X 3144788 2634626 2658750 2759479 3082660 14280303 18738791 21215650 24269997 23054773 25655695 112934906 21883579 23850276 26928747 25814252 28738355 127215209 2549785 2139941 1918089 1761294 1785574 10154683 580563 534742 894881 975594 771826 3757606 3130348 2674683 2812970 2736888 2557400 13912289 113302920 263055 161640 156832 166710 177513 925750 263055 161640 156832 166710 177513 925750 5369 6392 19125 6692 6779 44357 22152003 24018308 27104704 25987654 28922647 128185316 0.88390 0.87210 0.00720 0.01020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32495 32495 10773081 4320379 6452702 3334237 2583308 750929 0 7236126 X 28922647 0 28922647 -34897 -34897 28887750 28291917 0 28291917 -34897 -34897 28257020 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. X X 0 0 0 0 0 0 0 0 0 EDWARD F GRIMES 158175 0 0 0 0 0 0 0 10303 0 168478 0 0 0 DR GEOFFREY MODEST 166983 0 0 0 0 0 0 0 6151 0 173134 0 0 0 DR OLGA DELACALLE 141592 0 0 0 0 0 0 0 9486 0 151078 0 0 0 DR MINA GILLERS 134717 0 0 0 0 0 0 0 17099 0 151816 0 0 0 DR BURAK ALSAN 151585 0 0 0 0 0 0 0 0 0 151585 0 0 0 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 COLUMBIA MEDICAL GROUP INC 500 COLUMBIA ROAD DORCHESTER MA 02125 043317003 MEDICAL CARE, CURRENTLY INACTIVE MA 501(C)(3) 11-I N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0