2012-10-29T15:20:35-05:00 2011-12-31 341900735 CBIZ GOLDSTEIN LEWIN 1675 N MILITARY TRAIL FIFTH FLOOR BOCA RATON FL 33486 990 2011-01-01 237211732 UPHAMS CORNER HEALTH COMMITTEE INC UPHA 6172878000 500 COLUMBIA ROAD DORCHESTER MA 02125 EDWARD F GRIMES 6172878000 2012-10-18 1 DAVID A KATZMAN P00033289 5619945050 2011 2016-02-24 21:20:13Z EDWARD F GRIMES 500 COLUMBIA ROAD DORCHESTER MA 02125 25990740 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 9 9 465 0 0 0 2658750 2759479 24269997 23054773 4368 3086 175957 137527 27109072 25954865 0 0 0 0 16859494 17379518 0 0 65375 9457777 8559002 26317271 25938520 791801 16345 17535645 17508845 2945172 2902027 14590473 14606818 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 23257337 23064551 COMPREHENSIVE COMMUNITY HEALTH CARE, PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOMECARE, ADULT DAY HEALTH CARE AND WIC PROGRAM 23257337 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 0 1 16 0 1 465 1 0 0 0 0 0 0 0 0 0 0 X 9 9 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 151630 0 0 MARGARET LEAHY WIRTH 0.00 X X 0 0 0 ALTHEA GARRISON 0.00 X X 0 0 0 THERESA CUSSEN 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 WINIFRED PICKETT 0.00 X 0 0 0 DR GEOFFREY MODEST 33.30 X 185797 0 0 DR ANI TAHMASSIAN 35.00 X 135760 0 0 DR OLGA DELACALLE 35.00 X 131283 0 0 DR MINA GILLERS 26.00 X 134887 0 0 DR BURAK ALSAN 31.00 X 125455 0 0 864812 0 0 14 0 1 0 0 1896547 862932 2759479 PATIENT/INSURANCE FEES 621400 16827949 16827949 MEDICARE PAYMENTS 621400 6226824 6226824 23054773 3086 3086 166710 35875 130835 130835 130835 MISCELLANEOUS INCOME 621400 6692 6692 6692 25954865 23064551 0 130835 158205 158205 14264622 12629996 1581255 53371 1810047 1568625 233971 7451 1146644 993706 148385 4553 2975 2975 58500 58500 140293 88697 51596 259428 202190 57238 66137 62662 3475 16154 15775 379 474860 407329 67531 DIRECT PATIENT SERVICES 3796037 3796037 BAD DEBTS 848775 848775 MEDICAL SUPPLIES 796655 796655 PATIENT TRANSPORTATION 296671 296671 1802517 1550219 252298 25938520 23257337 2615808 65375 7780433 7764594 1028716 1128537 898163 1070015 245234 226326 13685653 6366280 7583099 7319373 17535645 17508845 2765496 2595038 179676 306989 2945172 2902027 X 14590473 14606818 14590473 14606818 17535645 17508845 16345 0 X X 0 1 1 X 1 1 X 3367121 3144788 2634626 2658750 2759479 14564764 18744017 18738791 21215650 24269997 23054773 106023228 22111138 21883579 23850276 26928747 25814252 120587992 2565287 2549785 2139941 1918089 1761294 10934396 448593 580563 534742 894881 908468 3367247 3013880 3130348 2674683 2812970 2669762 14301643 106286349 499578 263055 161640 156832 166710 1247815 499578 263055 161640 156832 166710 1247815 4002 5369 6392 19125 6692 41580 22614718 22152003 24018308 27104704 25987654 121877387 0.87210 0.85900 0.01020 0.01340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32495 32495 10672019 3937408 6734611 2981139 2428872 552267 0 7319373 25954865 25938520 16345 16345 25990740 0 25990740 -35875 -35875 25954865 25974395 0 25974395 -35875 -35875 25938520 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. X X 0 0 0 0 0 0 0 0 0 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 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