2025-11-13T08:37:03-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP TWO INTERNATIONAL PLACE 22ND FLOOR BOSTON MA 02110 990 2024-01-01 237211732 UPHAM'S CORNER HEALTH COMMITTEE INC UPHA 6172878000 500 COLUMBIA ROAD DORCHESTER MA 02125 JAGDEEP TRIVEDI CHIEF EXECUTIVE OFFICER 6172878000 2025-11-12 1 1 KATARZYNA O PADZIK P02268641 7819821001 2025-11-12 2024 2025-03-06 01:10:19Z JAGDEEP TRIVEDI 500 COLUMBIA ROAD DORCHESTER MA 02125 66306760 0 X INFO@UPHAMS.ORG X 1971 MA COMPREHENSIVE COMMUNITY CARE THAT INCLUDES PRIMARY & SPECIALTY CARE, SOCIAL SERVICES, HOME CARE, ADULT DAY HEALTH CARE AND WIC PROGRAM 10 10 562 10 0 0 8075629 11293714 51293235 54475332 315861 300456 146634 169914 59831359 66239416 0 0 0 0 36837896 36128024 0 0 0 24842706 29528781 61680602 65656805 -1849243 582611 18914988 21994895 5546805 7842796 13368183 14152099 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 57540166 0 54475332 COMPREHENSIVE COMMUNITY HEALTH CARE, PRIMARY & SPECIALITY CARE, SOCIAL SERVICES, HOMECARE, ADULT DAY HEALTH CARE AND WIC PROGRAM 57540166 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 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 1 1 0 0 1 52 0 1 562 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 MA X JAGDEEP TRIVEDI 6172878000 500 COLUMBIA RD DORCHESTER MA 02125 MARGARET LEAHY WIRTH PRESIDENT 2.00 0.00 X X 0 0 0 ALTHEA GARRISON VICE PRESIDENT 2.00 0.00 X X 0 0 0 TANYA CABRAL SECRETARY/CLERK 2.00 0.00 X X 0 0 0 TONEY JONES TREASURER 2.00 0.00 X X 0 0 0 MARIA FIGUEROA AT-LARGE MEMBER 2.00 0.00 X 0 0 0 CLARA LENNOX AT-LARGE MEMBER 2.00 0.00 X 0 0 0 CHRIS BEARES DIRECTOR 2.00 0.00 X 0 0 0 TROY BYNER DIRECTOR 2.00 0.00 X 0 0 0 CARMEN MARTINEZ DIRECTOR 2.00 0.00 X 0 0 0 DAI MOREHOUSE DIRECTOR 2.00 0.00 X 0 0 0 JAGDEEP TRIVEDI CHIEF EXECUTIVE OFFICER 40.00 0.00 X 334800 0 32457 KEVIN CHERRY CHIEF FINANCIAL OFFICER 40.00 0.00 X 276787 0 332 NICOLE SMITH CHIEF HUMAN RESOURCES OFFICER 40.00 0.00 X 294392 0 32402 DR ADAM BURROWS MEDICAL DIRECTOR 40.00 0.00 X 286991 0 13011 MARJIORE JANVIER CHIEF MEDICAL OFFICER 40.00 0.00 X 260000 0 0 OLGA DE LA CALLE PHYSICIAN 40.00 0.00 X 212524 0 12024 ELISE M HENRICKS PHYSICIAN 32.00 0.00 X 180949 0 29246 1846443 0 119472 57 0 1 0 BOSTON MEDICAL CENTER PO BOX 419873 BOSTON MA 02241 HEALTHCARE SERVICES 4010622 TABULA RASA HEALTHCARE 228 STRAWBRIDGE DR MOORESTOWN NJ 08057 HEALTHCARE SERVICES 1648751 BENJAMIN HEALTH CARE CENTER SNF 120 FISHER AVE BOSTON MA 02120 HEALTHCARE SERVICES 1147978 BOSTONIAN NURSING CARE & REHAB CENTER 337 NEPONSET AVE DORCHESTER MA 02122 NURSING CARE FACILITY 619032 CPA MEDICAL BILLING LLC 100 SOUTH SHORE DRIVE SUITE 200 EAST HAVEN CT 06512 MEDICAL BILLING SERVICES 498568 21 11013127 280587 11293714 PATIENT/INSURANCE FEES 621400 33179708 33179708 MEDICARE PAYMENTS 621400 18249418 18249418 MEDICARE PART D REFUNDS 621400 3046206 3046206 54475332 300456 300456 233573 67344 166229 166229 166229 OTHER REVENUE 900099 3685 3685 3685 66239416 54475332 0 470370 635877 635877 31622271 27365631 4256640 33489 29310 4179 2304491 1990958 313533 1531896 1499911 31985 185659 185659 212600 212600 1407855 1105901 301954 21491 21491 425605 198704 226901 1441831 815198 626633 594419 263840 330579 42107 39283 2824 29737 10945 18792 854993 854993 725680 398200 327480 DIRECT PATIENT SERVICES 12781857 12781857 MEDICAL SUPPLIES 7913408 7913408 REPAIRS AND MAINTENANCE 806661 455058 351603 PATIENT TRANSPORTATION 453393 453393 1631485 1363576 267909 65656805 57540166 8116639 0 3740 8312383 8906513 2899775 2253665 2313859 1186443 429019 449277 18446061 12418283 6453963 6027778 279515 1393953 18914988 21994895 4258484 7088753 1007697 514878 280624 239165 5546805 7842796 X 13368183 14152099 13368183 14152099 18914988 21994895 582611 201305 0 X X 0 1 X 1 1 1 X 9625414 7877614 12068991 8075629 11293714 48941362 38778763 40917514 44578445 51293235 54475332 230043289 48404177 48795128 56647436 59368864 65769046 278984651 1980768 1765989 1850343 4115661 9712761 0 1980768 1765989 1850343 4115661 9712761 269271890 227935 213763 292549 521788 534029 1790064 227935 213763 292549 521788 534029 1790064 3685 3685 48632112 49008891 56939985 59890652 66306760 280778400 0.95900 0.94830 0.00640 0.00600 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2024 AMOUNT: $ 3,685. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32495 32495 14120648 9032415 5088233 4292918 3385868 907050 6027778 OPERATING LEASE RIGHT-OF-USE ASSETS 200223 DUE FROM AFFILIATE 1193730 1393953 OPERATING LEASE LIABILITIES 201332 DUE TO AFFILIATES 37833 239165 X PART X, LINE 2: THE COMMITTEE'S MANAGEMENT BELIEVES THAT THEY HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AND, AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE COMMITTEE IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS IN PROGRESS FOR ANY TAX PERIODS. MANAGEMENT BELIEVES THAT THE COMMITTEE IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2021. X X 0 0 0 0 0 0 0 0 0 JAGDEEP TRIVEDI CHIEF EXECUTIVE OFFICER 334800 0 0 0 0 0 451 0 32006 0 367257 0 0 0 NICOLE SMITH CHIEF HUMAN RESOURCES OFFICER 294392 0 0 0 0 0 196 0 32206 0 326794 0 0 0 DR ADAM BURROWS MEDICAL DIRECTOR 286991 0 0 0 0 0 382 0 12629 0 300002 0 0 0 KEVIN CHERRY CHIEF FINANCIAL OFFICER 276787 0 0 0 0 0 332 0 0 0 277119 0 0 0 MARJIORE JANVIER CHIEF MEDICAL OFFICER 260000 0 0 0 0 0 0 0 0 0 260000 0 0 0 OLGA DE LA CALLE PHYSICIAN 212524 0 0 0 0 0 282 0 11742 0 224548 0 0 0 ELISE M HENRICKS PHYSICIAN 180949 0 0 0 0 0 240 0 29006 0 210195 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL BE A STANDING COMMITTEE CONSISTING OF THE PRESIDENT, VICE PRESIDENT, SECRETARY AND TREASURER OF THE CORPORATION AND TWO ADDITIONAL MEMBERS OF THE BOARD OF DIRECTORS ELECTED BY THE BOARD OF DIRECTORS AT ITS FIRST MEETING AFTER ITS ELECTION. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS SUBJECT TO ANY LIMITATIONS IMPOSED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE MUST REPORT ALL ACTIONS TAKEN INDEPENDENTLY AND ON BEHALF OF THE BOARD TO THE FULL BOARD OF DIRECTORS, WHO WILL THEN VOTE/CONFIRM THE ACTIONS. THE EXECUTIVE COMMITTEE SHALL CAUSE TO BE PREPARED, AND SHALL SUBMIT TO THE BOARD OF DIRECTORS AT ITS LAST MEETING BEFORE THE END OF THE FISCAL YEAR A BUDGET ESTIMATING THE INCOME AND EXPENSES FOR THE COMING YEAR. FURTHERMORE, IT SHALL BE THE DUTY OF THE EXECUTIVE COMMITTEE TO EXAMINE THE FINANCIAL REPORTS OF THE CORPORATION, TO SUPERVISE THE INVESTMENT AND MANAGEMENT OF ALL ENDOWMENTS AND FUNDS OF THE CORPORATION, TO MAKE CERTAIN THAT THE INCOME, AFTER LEGITIMATE EXPENSES, IS PAID INTO THE PROPER FUND OF THE CORPORATION, AND TO MAKE CERTAIN THAT BOTH PRINCIPAL AND INCOME ARE USED IN ACCORDANCE WITH THE TERMS OF THE GIFT, BEQUEST, DEVISE, TRUST OR GRANT BY WHICH THE CORPORATION ACQUIRED IT. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY TAX ADVISORS OF A NATIONAL ACCOUNTING FIRM WITH INFORMATION PROVIDED BY MANAGEMENT. THE FORM 990 IS THEN REVIEWED BY THE CORPORATE ACCOUNTANT AND THE CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS HAVE COPIES OF THE CORPORATE BYLAWS ADDRESSING CONFLICTS 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. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THIS INFORMATION IS AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES FROM PRIOR YEAR'S 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) LINE 12A, I UPHAM'S CORNER HEALTH COMMITTEE INC 1 THE UPHAM'S CORNER COMMUNITY CENTER INC (BIRD STREET) 500 COLUMBIA ROAD DORCHESTER MA 02125 042708670 ATHLETIC RECREATION SOCIAL & EDUCATION SVCS MA UPHAM'S CORNER HEALTH COMMITTEE INC C 521122 790922 1.00000 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 THE UPHAM'S CORNER COMMUNITY CENTER INC (BIRD STREET) D 1193730 COLUMBIA MEDICAL GROUP INC D 251295