UPHAMS CORNER HEALTH COMMITTEE INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- UPHAMS CORNER HEALTH COMMITTEE INC (EIN 23-7211732)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-14
- IRS object ID
- 201113189349300431
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-14T08:17:24-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-01-01 | 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 | 2011-11-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID A KATZMAN | Name |
| Phone | 5619945050 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | 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 | 27109072 | 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 | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 439 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2634626 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2658750 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 21215650 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 24269997 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4064 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4368 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 163968 | OtherRevenuePriorYear |
| Other Revenue Current Year | 175957 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 24018308 | TotalRevenuePriorYear |
| Total Revenue Current Year | 27109072 | 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 | 15582201 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 16859494 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 75524 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8693172 | OtherExpensePriorYear |
| Other Expenses Current Year | 9457777 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 24275373 | TotalExpensesPriorYear |
| Total Expenses Current Year | 26317271 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -257065 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 791801 | RevenuesLessExpensesCY |
| Total Assets BOY | 16237094 | TotalAssetsBOY |
| Total Assets EOY | 17535645 | TotalAssetsEOY |
| Total Liabilities BOY | 2438422 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2945172 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 13798672 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 14590473 | 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 | 23723788 | Expense |
| Revenue | 24269997 | Revenue |
| Description | COMPREHENSIVE COMMUNITY HEALTH CARE, PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOMECARE, ADULT DAY HEALTH CARE AND WIC PROGRAM | Description |
| Total Program Service Expense | 23723788 | 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 | 0 | 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 | 14 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 439 | 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 | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | 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 | 147317 | 0 | 8838 | |
| 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 | 35.00 | 203313 | 0 | 0 | X | ||
| DR LAURA CHANG | |||||||
| PHYSICIAN | 35.00 | 139018 | 0 | 0 | X | ||
| DR ADAM BURROWS | |||||||
| PHYSICIAN | 28.00 | 156769 | 0 | 0 | X | ||
| DR MINA GILLERS | |||||||
| PHYSICIAN | 26.00 | 137252 | 0 | 0 | X | ||
| DR VALERIE HEEMSTRA | |||||||
| PHYSICIAN | 35.00 | 145676 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 929345 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 8838 | 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 | 1779043 | GovernmentGrants |
| All Other Contributions | 879707 | AllOtherContributions |
| Total Contributions | 2658750 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT/INSURANCE FEES | 621400 | 17517839 | 17517839 |
| MEDICARE PAYMENTS | 621400 | 6752158 | 6752158 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 24269997 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4368 | TotalRevenueColumn |
| Exclusion | $4,368 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 156832 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 156832 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 156832 | TotalRevenueColumn |
| Exclusion | $156,832 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS INCOME | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 19125 | TotalRevenueColumn |
| Exclusion | $19,125 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 19125 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 27109072 | TotalRevenueColumn |
| Related Or Exempt Function Income | 24269997 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $180,325 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 156155 | Total |
| Management And General | 156155 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14026233 | Total |
| Program Services | 12431835 | ProgramServices |
| Management And General | 1531529 | ManagementAndGeneral |
| Fundraising | 62869 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1570806 | Total |
| Program Services | 1365034 | ProgramServices |
| Management And General | 198322 | ManagementAndGeneral |
| Fundraising | 7450 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1106300 | Total |
| Program Services | 961377 | ProgramServices |
| Management And General | 139718 | ManagementAndGeneral |
| Fundraising | 5205 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1873 | Total |
| Management And General | 1873 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58000 | Total |
| Management And General | 58000 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 163199 | Total |
| Program Services | 107961 | ProgramServices |
| Management And General | 55238 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 282961 | Total |
| Program Services | 206083 | ProgramServices |
| Management And General | 76878 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66177 | Total |
| Program Services | 63578 | ProgramServices |
| Management And General | 2599 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12580 | Total |
| Program Services | 10795 | ProgramServices |
| Management And General | 1785 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 464291 | Total |
| Program Services | 396963 | ProgramServices |
| Management And General | 67328 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| DIRECT PATIENT SERVICES | 4109350 | 4109350 | |
| BAD DEBTS | 1537084 | 1537084 | |
| MEDICAL SUPPLIES | 762253 | 762253 | |
| PATIENT TRANSPORTATION | 281858 | 281858 | |
| INSURANCE | 263620 | 226642 | 36978 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1454531 | Total |
| Program Services | 1262975 | ProgramServices |
| Management And General | 191556 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26317271 | Total |
| Program Services | 23723788 | ProgramServices |
| Management And General | 2517959 | ManagementAndGeneral |
| Fundraising | 75524 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6284222 | BOY |
| EOY | 7780433 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1027964 | BOY |
| EOY | 1028716 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 974423 | BOY |
| EOY | 898163 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130231 | BOY |
| EOY | 245234 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 13508441 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5925342 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7820254 | BOY |
| EOY | 7583099 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16237094 | BOY |
| EOY | 17535645 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2260303 | BOY |
| EOY | 2765496 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 178119 | BOY |
| EOY | 179676 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2438422 | BOY |
| EOY | 2945172 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13798672 | BOY |
| EOY | 14590473 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13798672 | BOY |
| EOY | 14590473 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16237094 | BOY |
| EOY | 17535645 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 791801 | 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 | 3232343 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3367121 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3144788 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2634626 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2658750 | CurrentTaxYear |
| Total | 15037628 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 16645060 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 18744017 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18738791 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 21215650 | CurrentTaxYearMinus1Year |
| Current Tax Year | 24269997 | CurrentTaxYear |
| Total | 99613515 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19877403 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 22111138 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 21883579 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 23850276 | CurrentTaxYearMinus1Year |
| Current Tax Year | 26928747 | CurrentTaxYear |
| Total | 114651143 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2561746 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2565287 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2549785 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2139941 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1918089 | CurrentTaxYear |
| Total | 11734848 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 588850 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 448593 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 580563 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 534742 | CurrentTaxYearMinus1Year |
| Current Tax Year | 894881 | CurrentTaxYear |
| Total | 3047629 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3150596 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3013880 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3130348 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2674683 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2812970 | CurrentTaxYear |
| Total | 14782477 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 99868666 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 477825 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 499578 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 263055 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 161640 | CurrentTaxYearMinus1Year |
| Current Tax Year | 156832 | CurrentTaxYear |
| Total | 1558930 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 477825 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 499578 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 263055 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 161640 | CurrentTaxYearMinus1Year |
| Current Tax Year | 156832 | CurrentTaxYear |
| Total | 1558930 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13347 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4002 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5369 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6392 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19125 | CurrentTaxYear |
| Total | 48235 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 20368575 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 22614718 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 22152003 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 24018308 | CurrentTaxYearMinus1Year |
| Current Tax Year | 27104704 | CurrentTaxYear |
| Total | 116258308 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.85900 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.84390 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01340 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01600 | 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 | 10653527 | OtherCostOrOtherBasis |
| Depreciation | 3631383 | Depreciation |
| Book Value | 7022144 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2822419 | OtherCostOrOtherBasis |
| Depreciation | 2293959 | Depreciation |
| Book Value | 528460 | 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 | 7583099 | TotalOfBookValueLandBuildings |
| Total Revenue | 27109072 | TotalRevenue |
| Total Expenses | 26317271 | TotalExpenses |
| Excess Or Deficit For Year | 791801 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 791801 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 27109072 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 27109072 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 27109072 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 26317271 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 26317271 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 26317271 | TotalExpensesPerForm990 |
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 (3 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 | |||||||||||||
| 147317 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 8838 | 0 | 156155 | 0 | 0 | 0 |
| DR GEOFFREY MODEST | |||||||||||||
| 203313 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 16265 | 0 | 219578 | 0 | 0 | 0 |
| DR ADAM BURROWS | |||||||||||||
| 156769 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12931 | 0 | 169700 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE TAX RETURN IS REVIEWED BY THE CORPORATE ACCOUNTANT AND THE EXECUTIVE DIRECTOR | |
| 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 DESIGNATE MAIL BOX THAT IS MONITORED BY THE ENTITY'S COMPLIANCE OFFICER FOR REVIEW AND RESOLUTION. | FORM 990, PART VI, SECTION B, LINE 12C | |
| 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 B, LINE 15 | |
| THIS INFORMATION IS AVAILABLE THROUGH THE CENTER'S WEBSITE | FORM 990, PART VI, SECTION C, LINE 19 | |
| THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR PROCESS OF SELECTION OF INDEPENDENT AUDITORS OR AUDIT OVERSIGHT | PART XII, PAGE 12, LINE 2C |
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 |
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