2011-11-14T08:17:24-06:00 2010-12-31 CBIZ GOLDSTEIN LEWIN 1675 N MILITARY TRAIL FIFTH FLOOR BOCA RATON FL 33486 990 2010-01-01 237211732 UPHAMS CORNER HEALTH COMMITTEE INC UPHA 6172878000 500 COLUMBIA ROAD DORCHESTER MA 02125 EDWARD F GRIMES 6172878000 2011-11-07 1 DAVID A KATZMAN 5619945050 2010 2016-03-07 17:11:31Z EDWARD F GRIMES 500 COLUMBIA ROAD DORCHESTER MA 02125 27109072 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 12 12 439 0 0 0 2634626 2658750 21215650 24269997 4064 4368 163968 175957 24018308 27109072 0 0 0 0 15582201 16859494 0 0 75524 8693172 9457777 24275373 26317271 -257065 791801 16237094 17535645 2438422 2945172 13798672 14590473 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 23723788 24269997 COMPREHENSIVE COMMUNITY HEALTH CARE, PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOMECARE, ADULT DAY HEALTH CARE AND WIC PROGRAM 23723788 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 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 14 0 1 439 1 0 0 0 0 0 0 0 0 0 0 X 12 12 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 147317 0 8838 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 35.00 X 203313 0 0 DR LAURA CHANG 35.00 X 139018 0 0 DR ADAM BURROWS 28.00 X 156769 0 0 DR MINA GILLERS 26.00 X 137252 0 0 DR VALERIE HEEMSTRA 35.00 X 145676 0 0 929345 0 8838 14 0 1 0 0 1779043 879707 2658750 PATIENT/INSURANCE FEES 621400 17517839 17517839 MEDICARE PAYMENTS 621400 6752158 6752158 24269997 4368 4368 156832 156832 156832 156832 MISCELLANEOUS INCOME 621400 19125 19125 19125 27109072 24269997 0 180325 156155 156155 14026233 12431835 1531529 62869 1570806 1365034 198322 7450 1106300 961377 139718 5205 1873 1873 58000 58000 163199 107961 55238 282961 206083 76878 66177 63578 2599 12580 10795 1785 464291 396963 67328 DIRECT PATIENT SERVICES 4109350 4109350 BAD DEBTS 1537084 1537084 MEDICAL SUPPLIES 762253 762253 PATIENT TRANSPORTATION 281858 281858 INSURANCE 263620 226642 36978 1454531 1262975 191556 26317271 23723788 2517959 75524 6284222 7780433 1027964 1028716 974423 898163 130231 245234 13508441 5925342 7820254 7583099 16237094 17535645 2260303 2765496 178119 179676 2438422 2945172 X 13798672 14590473 13798672 14590473 16237094 17535645 791801 0 X X 0 1 1 X 1 1 X 3232343 3367121 3144788 2634626 2658750 15037628 16645060 18744017 18738791 21215650 24269997 99613515 19877403 22111138 21883579 23850276 26928747 114651143 2561746 2565287 2549785 2139941 1918089 11734848 588850 448593 580563 534742 894881 3047629 3150596 3013880 3130348 2674683 2812970 14782477 99868666 477825 499578 263055 161640 156832 1558930 477825 499578 263055 161640 156832 1558930 13347 4002 5369 6392 19125 48235 20368575 22614718 22152003 24018308 27104704 116258308 0.85900 0.84390 0.01340 0.01600 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32495 32495 10653527 3631383 7022144 2822419 2293959 528460 0 7583099 27109072 26317271 791801 0 791801 27109072 0 27109072 0 27109072 26317271 0 26317271 0 26317271 X X 0 0 0 0 0 0 0 0 0 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 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 DESIGNATE 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