UPHAMS CORNER HEALTH COMMITTEE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: UPHAMS CORNER HEALTH COMMITTEE INC (EIN 23-7211732)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-10-29
IRS object ID: 201213039349300241
Schema version: 2011v1.2
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	2012-10-29T15:20:35-05:00	Timestamp
Tax Period End Date	2011-12-31	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 GOLDSTEIN LEWIN	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	2011-01-01	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	2012-10-18	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	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	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	25990740	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	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	465	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2658750	ContributionsGrantsPriorYear
Contributions Grants Current Year	2759479	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	24269997	ProgramServiceRevenuePriorYear
Program Service Revenue CY	23054773	ProgramServiceRevenueCY
Investment Income Prior Year	4368	InvestmentIncomePriorYear
Investment Income Current Year	3086	InvestmentIncomeCurrentYear
Other Revenue Prior Year	175957	OtherRevenuePriorYear
Other Revenue Current Year	137527	OtherRevenueCurrentYear
Total Revenue Prior Year	27109072	TotalRevenuePriorYear
Total Revenue Current Year	25954865	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	16859494	SalariesEtcPriorYear
Salaries Etc Current Year	17379518	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	65375	TotalFundrsngExpCurrentYear
Other Expense Prior Year	9457777	OtherExpensePriorYear
Other Expenses Current Year	8559002	OtherExpensesCurrentYear
Total Expenses Prior Year	26317271	TotalExpensesPriorYear
Total Expenses Current Year	25938520	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	791801	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	16345	RevenuesLessExpensesCY
Total Assets BOY	17535645	TotalAssetsBOY
Total Assets EOY	17508845	TotalAssetsEOY
Total Liabilities BOY	2945172	TotalLiabilitiesBOY
Total Liabilities EOY	2902027	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	14590473	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	14606818	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	23257337	Expense
Revenue	23064551	Revenue
Description	COMPREHENSIVE COMMUNITY HEALTH CARE, PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOMECARE, ADULT DAY HEALTH CARE AND WIC PROGRAM	Description
Total Program Service Expense	23257337	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
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	16	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	465	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
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	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 (15 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	151630	0	0
MARGARET LEAHY WIRTH
PRESIDENT	0.00	X	X	0	0	0
ALTHEA GARRISON
VICE PRESIDENT	0.00	X	X	0	0	0
THERESA CUSSEN
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
WINIFRED PICKETT
AT-LARGE MEMBER	0.00	X		0	0	0
DR GEOFFREY MODEST
PHYSICIAN	33.30			185797	0	0	X
DR ANI TAHMASSIAN
PHYSICIAN	35.00			135760	0	0	X
DR OLGA DELACALLE
PHYSICIAN	35.00			131283	0	0	X
DR MINA GILLERS
PHYSICIAN	26.00			134887	0	0	X
DR BURAK ALSAN
PHYSICIAN	31.00			125455	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	864812	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	14	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	1896547	GovernmentGrants
All Other Contributions	862932	AllOtherContributions
Total Contributions	2759479	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT/INSURANCE FEES	621400	16827949	16827949
MEDICARE PAYMENTS	621400	6226824	6226824

Field	Value	IRS element (for citing)
Total Program Service Revenue	23054773	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3086	TotalRevenueColumn
Related Or Exempt Function Income	3086	RelatedOrExemptFunctionIncome

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	166710	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	35875	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	130835	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	130835	TotalRevenueColumn
Exclusion	$130,835	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS INCOME	Description
Business Code	621400	BusinessCode
Total Revenue Column	6692	TotalRevenueColumn
Related Or Exempt Function Income	6692	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	6692	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	25954865	TotalRevenueColumn
Related Or Exempt Function Income	23064551	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$130,835	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	158205	Total
Management And General	158205	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	14264622	Total
Program Services	12629996	ProgramServices
Management And General	1581255	ManagementAndGeneral
Fundraising	53371	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1810047	Total
Program Services	1568625	ProgramServices
Management And General	233971	ManagementAndGeneral
Fundraising	7451	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1146644	Total
Program Services	993706	ProgramServices
Management And General	148385	ManagementAndGeneral
Fundraising	4553	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2975	Total
Management And General	2975	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	58500	Total
Management And General	58500	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	140293	Total
Program Services	88697	ProgramServices
Management And General	51596	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	259428	Total
Program Services	202190	ProgramServices
Management And General	57238	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	66137	Total
Program Services	62662	ProgramServices
Management And General	3475	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	16154	Total
Program Services	15775	ProgramServices
Management And General	379	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	474860	Total
Program Services	407329	ProgramServices
Management And General	67531	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
DIRECT PATIENT SERVICES	3796037	3796037
BAD DEBTS	848775	848775
MEDICAL SUPPLIES	796655	796655
PATIENT TRANSPORTATION	296671	296671

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1802517	Total
Program Services	1550219	ProgramServices
Management And General	252298	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	25938520	Total
Program Services	23257337	ProgramServices
Management And General	2615808	ManagementAndGeneral
Fundraising	65375	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	7780433	BOY
EOY	7764594	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1028716	BOY
EOY	1128537	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	898163	BOY
EOY	1070015	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	245234	BOY
EOY	226326	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	13685653	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	6366280	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	7583099	BOY
EOY	7319373	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	17535645	BOY
EOY	17508845	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2765496	BOY
EOY	2595038	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	179676	BOY
EOY	306989	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2945172	BOY
EOY	2902027	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	14590473	BOY
EOY	14606818	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	14590473	BOY
EOY	14606818	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	17535645	BOY
EOY	17508845	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	16345	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
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	3367121	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3144788	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2634626	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2658750	CurrentTaxYearMinus1Year
Current Tax Year	2759479	CurrentTaxYear
Total	14564764	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	18744017	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	18738791	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	21215650	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	24269997	CurrentTaxYearMinus1Year
Current Tax Year	23054773	CurrentTaxYear
Total	106023228	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	22111138	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	21883579	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	23850276	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	26928747	CurrentTaxYearMinus1Year
Current Tax Year	25814252	CurrentTaxYear
Total	120587992	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2565287	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2549785	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2139941	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1918089	CurrentTaxYearMinus1Year
Current Tax Year	1761294	CurrentTaxYear
Total	10934396	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	448593	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	580563	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	534742	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	894881	CurrentTaxYearMinus1Year
Current Tax Year	908468	CurrentTaxYear
Total	3367247	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3013880	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3130348	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2674683	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2812970	CurrentTaxYearMinus1Year
Current Tax Year	2669762	CurrentTaxYear
Total	14301643	Total

Field	Value	IRS element (for citing)
Public Support Total509	106286349	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	499578	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	263055	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	161640	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	156832	CurrentTaxYearMinus1Year
Current Tax Year	166710	CurrentTaxYear
Total	1247815	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	499578	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	263055	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	161640	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	156832	CurrentTaxYearMinus1Year
Current Tax Year	166710	CurrentTaxYear
Total	1247815	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4002	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5369	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6392	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	19125	CurrentTaxYearMinus1Year
Current Tax Year	6692	CurrentTaxYear
Total	41580	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	22614718	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	22152003	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	24018308	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	27104704	CurrentTaxYearMinus1Year
Current Tax Year	25987654	CurrentTaxYear
Total	121877387	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.87210	PublicSupportPercentage509
Prior Year Support Percentage	0.85900	PriorYearSupportPercentage
Investment Income Percentage	0.01020	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01340	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	10672019	OtherCostOrOtherBasis
Depreciation	3937408	Depreciation
Book Value	6734611	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2981139	OtherCostOrOtherBasis
Depreciation	2428872	Depreciation
Book Value	552267	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	7319373	TotalOfBookValueLandBuildings
Total Revenue	25954865	TotalRevenue
Total Expenses	25938520	TotalExpenses
Excess Or Deficit For Year	16345	ExcessOrDeficitForYear
Excess Or Deficit Per FS	16345	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	25990740	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	25990740	RevenueSubtotal
Other Revenues Not Included	-35875	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-35875	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	25954865	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	25974395	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	25974395	ExpensesSubtotal
Other Expenses Not Included	-35875	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	-35875	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	25938520	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	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 XII, LINE 4B - OTHER ADJUSTMENTS:		NET RENTAL INCOME -35,875.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:		NET RENTAL INCOME -35,875.

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 (2 entries)

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
151630	0	0	0	0	0	0	0	6575	0	158205	0	0	0
DR GEOFFREY MODEST
185797	0	0	0	0	0	0	0	9021	0	194818	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
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

UPHAMS CORNER HEALTH COMMITTEE INC: Form 990, tax year 2011

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

Address Principal Officer US AddressPrincipalOfficerUS

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

Program Service Revenue ProgramServiceRevenue (2 entries)

Investment Income InvestmentIncome

Gross Rents GrossRents

Less Rental Expenses LessRentalExpenses

Rental Income Or Loss RentalIncomeOrLoss

Net Rental Income Or Loss NetRentalIncomeOrLoss

Other Revenue Misc OtherRevenueMisc

Total Revenue TotalRevenue

Comp Current Officers Directors CompCurrentOfficersDirectors

Other Salaries And Wages OtherSalariesAndWages

Other Employee Benefits OtherEmployeeBenefits

Payroll Taxes PayrollTaxes

Fees For Services Legal FeesForServicesLegal

Fees For Services Accounting FeesForServicesAccounting

Office Expenses OfficeExpenses

Occupancy Occupancy

Travel Travel

Conferences Meetings ConferencesMeetings

Depreciation Depletion DepreciationDepletion

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Accounts Receivable AccountsReceivable

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Deferred Revenue DeferredRevenue

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Total509 Total509

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Amts From Subst Contributors AmtsFromSubstContributors

Support From DQ Ps Etc SupportFromDQPsEtc

Gross Investment Income509 GrossInvestmentIncome509

Investment Income And UBTI InvestmentIncomeAndUBTI

Other Income509 OtherIncome509

Total Support Total TotalSupportTotal

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Contributor Name Business ContributorNameBusiness

Contributor Address US ContributorAddressUS

Schedule D IRS990ScheduleD

Land Land

Buildings Buildings

Equipment Equipment

Other Land Buildings OtherLandBuildings

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

Schedule J IRS990ScheduleJ

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Address US AddressUS

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