2016-05-09T19:45:04-05:00 2015-06-30 PricewaterhouseCoopers LLP 101 SEAPORT BLVD Boston MA 02210 990 2014-07-01 043167608 CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION INC % AVERIL KANE CAMB 7813380311 COMMERCE PLACE 350 MAIN STREET MALDEN MA 02148 Jilly Batty CFO / TREASURER 7813380311 2016-05-05 true ERIN COUTURE P01390592 6175305000 2014 2016-08-17 19:52:53Z PATRICK R WARDELL 1493 CAMBRIDGE ST CAMBRIDGE MA 02139 124275442 false X N/A X 1992 MA SEE SCHEDULE O 3 0 587 0 0 0 24616601 29971167 91961142 94304275 0 0 0 0 116577743 124275442 0 0 0 0 81177972 88278396 0 0 0 35399771 35997046 116577743 124275442 0 9511073 10153590 8566302 8995245 944771 1158345 X SEE SCHEDULE O false false 120646210 94304275 SEE SCHEDULE O 120646210 true true false false false false false false false false true false false true false false false true false false false false false false false false false false false true false false false false false false true false false false false false false true true true false false true 0 0 587 true false false false false false false false false false false X 3 0 true false false false true true true true true false false true true true true true false false false false MA X AVERIL KANE 7813380311 COMMERCE PLACE 350 MAIN STREET MALDEN MA 02148 PATRICK R WARDELL TRUSTEE 2.0 48.0 X 0 586446 40950 ASSAAD J SAYAH MD TRUSTEE/PRESIDENT 10.0 40.0 X X 570987 0 37732 JILL BATTY TRUSTEE/TREASURER 2.0 48.0 X X 0 371651 29675 ANDREW FUQUA CLERK 2.0 48.0 X 0 253704 13525 DAVID PORELL CAO/CHAPO 20.0 30.0 X 0 231454 13168 LISA TRUMBLE VP OF AC & STRATEGIC FINANCIAL 50.0 0.0 X 271462 0 36662 DAVID BOR MD CHIEF/MEDICINE 20.0 30.0 X 0 395017 28923 JACK BURKE MD CHAPO MH&A - ADMIN 50.0 0.0 X 383539 0 48655 SAMUEL DOPPELT MD PHYSICIAN 50.0 0.0 X 653036 0 46116 CAROL HULKA MD PHYSICIAN 50.0 0.0 X 534910 0 42162 PAUL LESSER MD PHYSICIAN 50.0 0.0 X 521975 0 36732 JASON FREEDMAN MD PHYSICIAN 50.0 0.0 X 517972 0 45115 DEEPAK THATAI MD PHYSICIAN 50.0 0.0 X 506755 0 41745 GERALD STEINBERG MD SR.VP.NETWORK DEVELOPM 22.0 0.0 X 165568 0 957 4126204 1838272 462117 289 true true false NONE 0 29971167 29971167 PATIENT SERVICE REVENUE 900099 62023121 62023121 CONTRACTS AND MANAGEMENT FEE 900099 3080827 3080827 OTHER MISC. PROG. REVENUE 900099 1556802 1556802 MEDICAL SERVICE TO RELATED ORGANIZATIONS 900099 27643525 27643525 94304275 0 0 0 0 0 0 0 0 0 0 0 124275442 94304275 0 0 0 0 1370587 437521 933066 306754 306754 74995868 73095607 1900261 2294480 2254086 40394 5391197 5295869 95328 3919510 3820423 99087 689165 684953 4212 11715 6905 4810 0 0 0 0 15401659 15361303 40356 335386 17221 318165 399332 289676 109656 1343 418 925 0 13275 12684 591 15549 3491 12058 0 755937 724399 31538 0 0 61995 48740 13255 4243782 4218502 25280 INTRAGROUP EXPENSE 13723236 13723236 UCC EXPENSE 300717 300717 MISCELLANEOUS 43955 43705 250 124275442 120646210 3629232 0 0 0 0 0 0 0 5328149 5906564 0 0 0 0 0 0 0 0 1869355 2867925 3137831 2947504 252323 190327 0 0 0 0 0 0 0 0 2061246 1188774 9511073 10153590 8566302 8995245 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8566302 8995245 X 479441 758969 465330 399376 0 0 944771 1158345 9511073 10153590 X 0 213574 X false true X true false X 25415611 24275389 22899486 24616601 29971167 127178254 0 0 25415611 24275389 22899486 24616601 29971167 127178254 0 127178254 0 0 0 127178254 444132137 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 858058 698994 159064 2279773 2248510 31263 190327 OTHER RECEIVABLE 1071705 OTHER ASSETS 117069 1188774 X X X X false true false false false false false true false PATRICK R WARDELL TRUSTEE 0 577302 0 0 0 9144 0 10400 0 30550 0 627396 0 0 ASSAAD J SAYAH MD TRUSTEE/PRESIDENT 517509 0 50000 0 3478 0 10400 0 27332 0 608719 0 0 0 JILL BATTY TRUSTEE/TREASURER 0 367731 0 0 0 3920 0 0 0 29675 0 401326 0 0 ANDREW FUQUA CLERK 0 253164 0 0 0 540 0 5131 0 8394 0 267229 0 0 DAVID PORELL CAO/CHAPO 0 223199 0 5000 0 3255 0 9367 0 3801 0 244622 0 0 LISA TRUMBLE VP OF AC & STRATEGIC FINANCIAL 256452 0 10000 0 5010 0 10400 0 26262 0 308124 0 0 0 DAVID BOR MD CHIEF/MEDICINE 0 358127 0 10200 0 26690 0 0 0 28923 0 423940 0 0 JACK BURKE MD CHAPO MH&A - ADMIN 359331 0 0 0 24208 0 10400 0 38255 0 432194 0 0 0 SAMUEL DOPPELT MD PHYSICIAN 559178 0 74387 0 19471 0 10400 0 35716 0 699152 0 0 0 CAROL HULKA MD PHYSICIAN 454673 0 76759 0 3478 0 10400 0 31762 0 577072 0 0 0 PAUL LESSER MD PHYSICIAN 501455 0 11800 0 8720 0 10400 0 26332 0 558707 0 0 0 JASON FREEDMAN MD PHYSICIAN 472006 0 42904 0 3062 0 10400 0 34715 0 563087 0 0 0 DEEPAK THATAI MD PHYSICIAN 456530 0 46747 0 3478 0 10400 0 31345 0 548500 0 0 0 GERALD STEINBERG MD SR.VP.NETWORK DEVELOPM 140547 0 10200 0 14821 0 904 0 53 0 166525 0 0 0 PART I, LINE 3 CERTAIN EXECUTIVES ARE COMPENSATED FOR THEIR SERVICES AS EXECUTIVES OF CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION,INC. THROUGH A RELATED ORGANIZATION'S PAYROLL. TRUSTEES OF CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION, INC. WHO WERE COMPENSATED BY A RELATED ORGANIZATION WERE COMPENSATED FOR SERVICES THAT WERE RENDERED IN OTHER ROLES. TRUSTEES OF CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION, INC. RECEIVE NO COMPENSATION AS TRUSTEES. PART 1, LINE 4B Effective March 19, 2012, Patrick Wardell entered into an employment agreement with the Cambridge Public Health Commission (CPHC). Under this agreement, Mr. Wardell will be provided a long-term cash incentive bonus based on the achievement of specified organizational objectives over the performance period commencing on March 19, 2012 and ending on June 30, 2015. The incentive amount will be determined by the Compensation Committee of the CPHC at the end of the performance period. Mr. Wardell must be employed by CPHC on the last day of the performance period to receive the incentive bonus. An officer participates in a split dollar life insurance arrangement. The value of the premium is included in his taxable compensation in Schedule J, Part II, column (B)(iii). PART I, LINE 7: MANY OF THE EMPLOYEES OF THE CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION, INC. PARTICIPATE IN COMPENSATION MODELS WHICH INCLUDE VARIABLE PAY FOR PERFORMANCE. CRITERIA FOR EARNING INCENTIVES CAN INCLUDE PRODUCTIVITY, CITIZENSHIP, ACHIEVEMENT VS. QUALITY MEASURES, OR OTHER FACTORS AS DETERMINED ANNUALLY BY THE ORGANIZATION. TRUSTEES OF CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION, INC. RECEIVE NO COMPENSATION AS TRUSTEES. GERALD STEINBERG WAS A TRUSTEE AND PRESIDENT OF THE ORGANIZATION UNTIL JANUARY, 2014. HE CONTINUED TO WORK PART TIME AS A PHYSICIAN FOR THE CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION, INC. HENRIETTA BARNES WIFE OF KEY EMP 135960 EMPLOYMENT false PART I, LINE 1 & PART III, LINE 1: THE ORGANIZATION PROVIDES IN-PATIENT AND OUT-PATIENT SERVICES TO PATIENTS OF ITS SOLE CORPORATE MEMBER, THE CAMBRIDGE PUBLIC HEALTH COMMISSION D/B/A CAMBRIDGE HEALTH ALLIANCE (CHA), AND SUPPORTS TEACHING AND RESEARCH ACTIVITIES OF THAT INSTITUTION INCLUDING ALL RELATED ORGANIZATIONS. PART III, LINE 4A: THE ORGANIZATION EMPLOYS AND CONTRACTS WITH PHYSICIANS OF VARIOUS SPECIALITIES TO PROVIDE A VARIETY OF SERVICES TO THE PATIENTS OF ITS SOLE CORPORATE MEMBER, CAMBRIDGE PUBLIC HEALTH COMMISSION D/B/A CAMBRIDGE HEALTH ALLIANCE (CHA). PRIMARY CARE PHYSICIANS RENDER SERVICES AT APPROXIMATELY 15 CHA LOCATIONS IN CAMBRIDGE, SOMERVILLE, AND OTHER METRO NORTH COMMUNITIES. PSYCHIATRISTS AND PSYCHOLOGISTS RENDER BOTH OUTPATIENT AND INPATIENT SERVICES. ORGANIZATION PHYSICIANS PROVIDE HOSPITAL BASED SERVICES SUCH AS PATHOLOGY, RADIOLOGY, ANESTHESIA AND HOSPITALIST SERVICES. A WIDE RANGE OF SPECIALIST SERVICES ARE OFFERED TO CHA PATIENTS BY EMPLOYED AND CONTRACTING PHYSICIANS PRACTICING IN SURGERY, CARDIOLOGY, PULMONOLOGY, ONCOLOGY AND OTHER MEDICAL SPECIALTIES. WHILE THE PRIMARY FOCUS OF MOST PHYSICIANS IS CLINICAL SERVICE TO PATIENTS, MANY PHYSICIANS ALSO PARTICIPATE IN TEACHING AND/OR RESEARCH PROGRAMS. TEACHING RESPONSIBILITIES SUPPORT CHA'S FIVE MEDICAL RESIDENCY PROGRAMS (DENTISTRY, FAMILY MEDICINE, INTERNAL MEDICINE, PSYCHIATRY, AND SURGICAL PODIATRY), PRECEPTING OF MEDICAL RESIDENTS FROM NUMEROUS OTHER ENTITIES INCLUDING MGH, BIDMC, TUFTS MC, AND CHA'S AFFILIATION WITH HARVARD MEDICAL SCHOOL FOR MEDICAL STUDENT TRAINING VIA THE INTEGRATED CLERKSHIP PROGRAM. PART VI, LINE 2: CERTAIN TRUSTEES ARE ALSO EMPLOYEES OF CAMBRIDGE PUBLIC HEALTH COMMISSION OR ITS OTHER WHOLLY-OWNED SUBSIDIARIES. PART VI, LINE 6: CAMBRIDGE PUBLIC HEALTH COMMISSION D/B/A CAMBRIDGE HEALTH ALLIANCE IS THE SOLE CORPORATE MEMBER OF CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION, INC. PART VI, LINE 7A: CAMBRIDGE PUBLIC HEALTH COMMISSION D/B/A CAMBRIDGE HEALTH ALLIANCE (CHA) HAS THE RIGHT TO APPOINT, AND DOES APPOINT, ALL MEMBERS OF THE CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION, INC. BOARD OF TRUSTEES. PART VI, LINE 7B: CERTAIN ACTIONS OF THE BOARD OF TRUSTEES MUST BE APPROVED BY CAMBRIDGE PUBLIC HEALTH COMMISSION D/B/A CAMBRIDGE HEALTH ALLIANCE (CHA), CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION, INC.'S SOLE CORPORATE MEMBER, AS SET FORTH IN THE BYLAWS, INCLUDING ADOPTION OF THE BUDGET, ANY MERGER, CONSOLIDATION, JOINT VENTURE, OR AFFILIATION WITH CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION, INC., ANY CAPITAL TRANSACTION, AND INCURRENCE OF DEBT. CHA HAS AUTHORITY TO APPROVE OR DENY ANY SUCH DECISION MADE BY CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION, INC.'S BOARD OF TRUSTEES. ITEMS CAN BE RECOMMENDED TO THE BOARD OF CHA OR ITS COMMITTEES FOR REVIEW AND APPROVAL. PART VI, LINE 11: CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION, INC.'S FORM 990 WAS PREPARED WITH THE ASSISTANCE OF ITS OUTSIDE TAX ACCOUNTANTS AND PAID PREPARER (PRICEWATERHOUSECOOPERS). CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION'S INTERNAL MANAGEMENT AND CHA EMPLOYEES REVIEWED THE FORM 990 AND PROVIDED COMMENTS AND CHANGES. ONCE THE RETURN WAS UPDATED, THE FORM 990 WAS PRESENTED FOR REVIEW TO EACH VOTING MEMBER OF THE CHA FINANCE COMMITTEE. PRICEWATERHOUSECOOPERS THEN FINALIZED THE FORM 990 BASED ON THE REVIEW AND FEEDBACK OF THE CHA FINANCE COMMITTEE. COPIES OF THE COMPLETED FORM 990 WERE DISTRIBUTED IN ELECTRONIC OR PAPER FORM TO MEMBERS OF THE CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION, INC.'S GOVERNING BODY PRIOR TO FILING WITH IRS. PART VI, LINE 12C: THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY FOR ITS TRUSTEES AND OFFICERS AND ONE FOR ITS PHYSICIANS. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THESE CONFLICT OF INTEREST POLICIES BY ANNUALLY SURVEYING ITS OFFICERS, DIRECTORS, AND PHYSICIANS. OFFICERS, DIRECTORS, AND PHYSICIANS ARE ALSO GIVEN A COPY OF THE APPLICABLE CONFLICT OF INTEREST POLICY ALONG WITH THE ANNUAL SURVEY AND ARE REMINDED OF THEIR OBLIGATION TO PROMPTLY REPORT ANY NEW POTENTIAL CONFLICTS THAT ARISE. THE COMPLIANCE OFFICER REVIEWS THE RESPONSES. IF A CONFLICT OF INTEREST IS DETERMINED, THE APPLICABLE INDIVIDUAL IS PRECLUDED FROM PARTICIPATING IN DELIBERATION ON OR DECISION-MAKING REGARDING THE TOPIC GIVING RISE TO THE CONFLICT. EACH CONFLICT POLICY CONTAINS DISCIPLINARY PROVISIONS TO ADDRESS VIOLATIONS OF THE POLICY. PART VI, LINE 14: THE ORGANIZATION HAS AN ACTIVE DOCUMENT RETENTION AND DESTRUCTION POLICY APPROVED BY MANAGEMENT. THIS POLICY HAS NOT BEEN APPROVED BY THE BOARD OR A COMMITTEE OF THE BOARD AS OF JUNE 30, 2015. PART VI, LINE 15A: THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF THE ORGANIZATION'S SOLE MEMBER, CAMBRIDGE PUBLIC HEALTH COMMISSION D/B/A CAMBRIDGE HEALTH ALLIANCE (CHA), IS THE AUTHORIZED BODY FOR REVIEWING THE PRESIDENT'S COMPENSATION. THE PRESIDENT ALSO SERVES AS THE CHIEF MEDICAL OFFICER OF CHA. THE COMMITTEE RELIED UPON COMPARABILITY DATA OBTAINED BY AN INDEPENDENT CONSULTANT WHEN APPROVING THE CEO'S 2014 COMPENSATION AND DISCUSSED THEIR FINDINGS WITH THE ORGANIZATION'S BOARD AND DOCUMENTED THEIR DECISIONS IN THE BOARD MINUTES. IN ADDITION, BECAUSE THE PRESIDENT IS A PHYSICIAN, THE ORGANIZATION'S COMPENSATION COMMITTEE COMPOSED SOLELY OF NON-PHYSICIAN MEMBERS ALSO REVIEWED THE PRESIDENT'S COMPENSATION. PART VI, LINE 15B: CHA'S COMPENSATION COMMITTEE IS THE "AUTHORIZED BODY" OF THE BOARD FOR REVIEWING COMPENSATION OF ALL OFFICERS AND CERTAIN KEY EMPLOYEES OF CHA AND ITS SUBSIDIARIES, INCLUDING THE ORGANIZATION. THE COMPENSATION COMMITTEE ALSO REVIEWS ALL DEPARTMENT CHIEF COMPENSATION. THE COMPENSATION COMMITTEE CONSISTS OF INDEPENDENT MEMBERS AND REVIEWS AND RECOMMENDS COMPENSATION BASED ON MARKET DATA AND BENCHMARKS PROVIDED BY INDEPENDENT CONSULTANTS. CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION, INC.'S COMPENSATION COMMITTEE REVIEWS ALL PHYSICIAN COMPENSATION METHODOLOGIES. ANNUALLY, THE COMPENSATION COMMITTEE REVIEWS PHYSICIAN COMPENSATION COMPARED TO NATIONAL BENCHMARKS FOR SIMILAR ORGANIZATIONS. THE COMPENSATION COMMITTEE IS COMPRISED SOLELY OF INDEPENDENT MEMBERS. PART VI, LINE 19: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC EITHER BY MAIL OR IN PERSON AT THE ORGANIZATION'S OFFICE, DEPENDING ON THE FORM OF REQUEST. PART XI, LINE 9: CHANGE IN NET ASSETS OR FUND BALANCE - $213,574 INCLUDED: RESTRICTED FUND RECEIPTS - $34,357 RESTRICTED FUND RELEASED - ($100,311) RETAINED EARNING/FUND EQUITY - $279,528 RETAINED EARNING/FUND EQUITY - $279,528 FORM 990 PART IX LINE 11G DESCRIPTION:HOSP BASED PHYS SERVICE CONTRA TOTAL FEES:11138374 FORM 990 PART IX LINE 11G DESCRIPTION:THIRD PARTY BILLING CONTRACTS TOTAL FEES:3407983 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT MD'S ON CALL TOTAL FEES:581766 FORM 990 PART IX LINE 11G DESCRIPTION:OTHERS TOTAL FEES:273536 Whidden Memorial Hospital INC Commerce Place 350 Main St Malden MA 02148 043561265 SEE PART VII MA 501(C)(3) 11A CPHC true Somerville Hospital Commerce Place 350 Main St Malden MA 02148 042103852 SEE PART VII MA 501(C)(3) 11A CPHC true CHA MANAGEMENT SERVICESINC Commerce Place 350 Main St Malden MA 02148 043476565 SEE PART VII MA 501(C)(3) 11A CPHC true Institute for Community Health Inc Commerce Place 350 Main St Malden MA 02148 043543853 HLTH RESEARCH MA 501(C)(3) 7 CPHC true CAMBRIDGE HEALTH ALLIANCE FOUNDATIONINC Commerce Place 350 Main St Malden MA 02148 010676306 Foundation MA 501(C)(3) 11A CPHC true Cambridge Public Health Commission Commerce Place 350 Main St Malden MA 02148 043320571 Healthcare MA 115 N/A NA false CAMBRIDGE ENERGY ALLIANCE 1385 CAMBRIDGE STREET CAMBRIDGE MA 02139 260663000 REDUCE ENERGY MA 501(C)(3) 9 NA false false false true false false false false false false false false false false true true true false false INSTITUTE FOR COMMUNITY HEALTH INC O 80375 COST SOMERVILLE HOSPITAL O 1190703 COST PART II, LINE 1, COLUMN (B) WHIDDEN MEMORIAL HOSPITAL, INC. PRIMARY ACTIVITY: REAL ESTATE HOLDING AND EMPLOYMENT SERVICES SUPPORTING ORGANIZATION FOR CAMBRIDGE PUBLIC HEALTH COMMISSION. PART II, LINE 2, COLUMN (B) SOMERVILLE HOSPITAL PRIMARY ACTIVITY: REAL ESTATE HOLDING AND EMPLOYMENT SERVICES SUPPORTING ORGANIZATION FOR CAMBRIDGE PUBLIC HEALTH COMMISSION. PART II, LINE 3, COLUMN (B) CHA MANAGEMENT SERVICES, INC. PRIMARY ACTIIVITY: ASSET HOLDING SUPPORTING ORGANIZATION FOR CAMBRIDGE PUBLIC HEALTH COMMISSION. PART II, LINE 7 CAMBRIDGE ENERGY ALLIANCE WAS DISSOLVED AS OF JULY 21, 2014.