CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION INC (EIN 04-3167608)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-04-28
IRS object ID
201521189349300507
Schema version
2013v4.0
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

FieldValueIRS element (for citing)
Return2015-04-28T09:06:40-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1125 High StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02110ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043167608EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAMBRIDGE HEALTH ALLIANCE PHYSICIANSBusinessNameLine1
Business Name Line2ORGANIZATION INCBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of% AVERIL KANEInCareOfNm
Business Name ControlCAMBBusinessNameControlTxt
Phone7813380311PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1COMMERCE PLACE 350 MAIN STREETAddressLine1
Address Line2SuiteAddressLine2
CityMALDENCity
StateMAState
ZIP Code02148ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJILL BATTY CFOPersonNm
Person TitleCFOPersonTitleTxt
Phone7813380311PhoneNum
Signature2015-04-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERIN COUTUREPreparerPersonNm
PTINP01390592PTIN
Phone7813380311PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPATRICK R WARDELLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11493 CAMBRIDGE STAddressLine1
CityCAMBRIDGECity
StateMAState
ZIP Code02139ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$116,577,743GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee593TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$24,616,601CYContributionsGrantsAmt
PY Program Service Revenue$116,861,730PYProgramServiceRevenueAmt
CY Program Service Revenue$91,961,142CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$116,861,730PYTotalRevenueAmt
CY Total Revenue$116,577,743CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$80,079,129PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$81,177,972CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$36,782,601PYOtherExpensesAmt
CY Other Expenses$35,399,771CYOtherExpensesAmt
PY Total Expenses$116,861,730PYTotalExpensesAmt
CY Total Expenses$116,577,743CYTotalExpensesAmt
CY Revenues Less Expenses$0CYRevenuesLessExpensesAmt
Total Assets BOY$9,794,773TotalAssetsBOYAmt
Total Assets EOY$9,511,073TotalAssetsEOYAmt
Total Liabilities BOY$8,169,683TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,566,302TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,625,090NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$944,771NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$113,030,704ExpenseAmt
Revenue$91,961,142RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$113,030,704TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee593EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAVERIL KANEPersonNm
Phone7813380311PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1COMMERCE PLACE 350 MAIN STREETAddressLine1
CityMALDENCity
StateMAState
ZIP Code02148ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
PATRICK R WARDELL
TRUSTEE2.048.0Yes (X)$0$593,109$28,857
PAUL ALLISON
TRUSTEE/TREAS/CLERK UNTIL 7/132.048.0Yes (X)$0$201,945$24,286Yes (X)
GERALD STEINBERG MD
TRUSTEE/PRESIDENT UNTIL 1/1410.040.0Yes (X)$407,082$0$14,080Yes (X)
ANDREW FUQUA
CLERK 12/13,TRUSTEE 12/13-1/142.048.0Yes (X)$0$171,769$12,861Yes (X)
ASSAAD J SAYAHMD
TRUSTEE/PRESIDENT AS OF 1/1410.040.0Yes (X)$536,441$0$37,209Yes (X)
JILL BATTY
TRUSTEE/TREASURER AS OF 1/142.048.0Yes (X)$0$0$0Yes (X)
DAVID PORELL
CAO/CHAPO20.030.0$0$224,189$12,852Yes (X)
LISA TRUMBLE
VP FINANCE AND OPERATIONS50.0$252,476$0$20,440Yes (X)
DAVID BOR
CHIEF/MEDICINE20.030.0$384,805$28,035Yes (X)
JACK BURKE MD
CHAPO MH&A - ADMIN50.0$379,556$46,323Yes (X)
SAMUEL DOPPELT MD
PHYSICIAN50.0$615,964$0$45,023Yes (X)
DEEPAK THATAI MD
PHYSICIAN50.0$562,436$0$39,037Yes (X)
STEVEN PATALANO MD
PHYSICIAN50.0$514,903$0$38,209Yes (X)
PAUL LESSER MD
PHYSICIAN50.0$512,484$0$35,709Yes (X)
LOUIS LIOU MD
PHYSICIAN50.0$511,270$0$11,580Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,292,612TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,575,817TotReportableCompRltdOrgAmt
Total Other Compensation$394,501TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K284IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonNONEPersonNm
FieldValueIRS element (for citing)
Contractor AddressContractorAddress
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$24,616,601RelatedOrganizationsAmt
Total Contributions$24,616,601TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE900099$58,237,399$58,237,399
CONTRACTS AND MANAGEMENT FEE900099$3,563,307$3,563,307
OTHER MISC. PROG. REVENUE900099$2,337,264$2,337,264
MEDICAL SERVICE TO RELATED ORGANIZATIONS900099$27,823,172$27,823,172
FieldValueIRS element (for citing)
Total Program Service Revenue$91,961,142TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$116,577,743TotalRevenueColumnAmt
Related Or Exempt Func Income$91,961,142RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,294,977TotalAmt
Program Services$512,942ProgramServicesAmt
Management And General$782,035ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$121,448TotalAmt
Program Services$121,448ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$69,753,281TotalAmt
Program Services$67,858,904ProgramServicesAmt
Management And General$1,894,377ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,125,344TotalAmt
Program Services$2,098,971ProgramServicesAmt
Management And General$26,373ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,433,027TotalAmt
Program Services$4,360,806ProgramServicesAmt
Management And General$72,221ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,449,895TotalAmt
Program Services$3,371,364ProgramServicesAmt
Management And General$78,531ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$581,577TotalAmt
Program Services$488,357ProgramServicesAmt
Management And General$93,220ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$25,109TotalAmt
Management And General$25,109ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,130,939TotalAmt
Program Services$14,964,199ProgramServicesAmt
Management And General$166,740ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$250,852TotalAmt
Program Services$39,146ProgramServicesAmt
Management And General$211,706ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$138,861TotalAmt
Program Services$20,833ProgramServicesAmt
Management And General$118,028ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,574TotalAmt
Program Services$284ProgramServicesAmt
Management And General$1,290ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,867TotalAmt
Program Services$4,648ProgramServicesAmt
Management And General$1,219ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$24,004TotalAmt
Program Services$7,547ProgramServicesAmt
Management And General$16,457ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$660,937TotalAmt
Program Services$633,513ProgramServicesAmt
Management And General$27,424ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$67,554TotalAmt
Program Services$53,350ProgramServicesAmt
Management And General$14,204ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,208,021TotalAmt
Program Services$4,193,489ProgramServicesAmt
Management And General$14,532ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
INTRAGROUP EXPENSE$13,723,232$13,723,232
UCC EXPENSE$300,000$300,000
MISCELLANEOUS$281,244$277,671$3,573

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$116,577,743TotalAmt
Program Services$113,030,704ProgramServicesAmt
Management And General$3,547,039ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,285,693BOYAmt
EOY$5,328,149EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,744,587BOYAmt
EOY$1,869,355EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,174,340LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,922,017LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$319,876BOYAmt
EOY$252,323EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,444,617BOYAmt
EOY$2,061,246EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,794,773BOYAmt
EOY$9,511,073EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,169,683BOYAmt
EOY$8,566,302EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,169,683BOYAmt
EOY$8,566,302EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,161,094BOYAmt
EOY$479,441EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$463,996BOYAmt
EOY$465,330EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,625,090BOYAmt
EOY$944,771EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,794,773BOYAmt
EOY$9,511,073EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$0ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$680,319OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,434,177CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,415,611CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,275,389CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,899,486CurrentTaxYearMinus1YearAmt
Current Tax Year$24,616,601CurrentTaxYearAmt
Total$118,641,264TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,434,177CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,415,611CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,275,389CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,899,486CurrentTaxYearMinus1YearAmt
Current Tax Year$24,616,601CurrentTaxYearAmt
Total$118,641,264TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$118,641,264PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$118,641,264TotalSupportAmt
Gross Receipts Rltd Activities$430,482,168GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1700.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support CY5090.00000PublicSupportCY509Pct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$858,058OtherCostOrOtherBasisAmt
Depreciation$655,928DepreciationAmt
Book Value$202,130BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,316,282OtherCostOrOtherBasisAmt
Depreciation$2,266,089DepreciationAmt
Book Value$50,193BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$252,323TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLE$1,946,647
OTHER ASSETS$114,599
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,061,246TotalBookValueOtherAssetsAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PATRICK R WARDELL
TRUSTEE$0$578,280$0$0$0$14,829$0$0$0$28,857$0$621,966$0$0
PAUL ALLISON
TRUSTEE/TREAS/CLERK UNTIL 7/13$0$197,229$0$0$0$4,716$0$8,159$0$16,127$0$226,231$0$0
GERALD STEINBERG MD
TRUSTEE/PRESIDENT UNTIL 1/14$395,941$0$0$0$11,141$0$10,200$0$3,880$0$421,162$0$0$0
DAVID PORELL
CAO/CHAPO$0$221,087$0$0$0$3,102$0$9,076$0$3,776$0$237,041$0$0
LISA TRUMBLE
VP FINANCE AND OPERATIONS$237,797$0$10,519$0$4,160$0$10,200$0$10,240$0$272,916$0$0$0
SAMUEL DOPPELT MD
PHYSICIAN$581,223$0$15,127$0$19,614$0$10,200$0$34,823$0$660,987$0$0$0
DEEPAK THATAI MD
PHYSICIAN$457,070$0$102,125$0$3,241$0$10,200$0$28,837$0$601,473$0$0$0
STEVEN PATALANO MD
PHYSICIAN$512,394$0$0$0$2,509$0$10,200$0$28,009$0$553,112$0$0$0
PAUL LESSER MD
PHYSICIAN$501,615$0$5,000$0$5,869$0$10,200$0$25,509$0$548,193$0$0$0
LOUIS LIOU MD
PHYSICIAN$507,412$0$0$0$3,858$0$10,200$0$1,380$0$522,850$0$0$0
ANDREW FUQUA
CLERK 12/13,TRUSTEE 12/13-1/14$0$171,571$0$0$0$198$0$3,477$0$9,384$0$184,630$0$0
ASSAAD J SAYAHMD
TRUSTEE/PRESIDENT AS OF 1/14$483,692$0$50,000$0$2,749$0$10,200$0$27,009$0$573,650$0$0$0
DAVID BOR
CHIEF/MEDICINE$358,123$0$26,682$0$28,035$412,840$0
JACK BURKE MD
CHAPO MH&A - ADMIN$355,957$0$23,599$10,200$36,123$425,879$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationCERTAIN 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.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonHENRIETTA BARNESPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionWIFE OF KEY EMPRelationshipDescriptionTxt
Transaction$121,448TransactionAmt
TransactionEMPLOYMENTTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1 & PART III, LINE 1:FormAndLineReferenceDesc
ExplanationTHE 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, 2014. 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 2013 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 IX, LINE 11G: DESCRIPTION TOTAL(A) PROGRAM(B) MANAGE(C) FUNDR(D) HOSP BASED PHYS 10,586,985 10,572,930 14,055 SERVICE CONTRACTS THIRD PARTY BILLING CONTR 3,756,643 3,756,643 CONTRACT MD'S ON CALL 654,987 654,987 OTHER 132,324 (20,361) 152,685 TOTAL 15,130,939 14,964,199 166,740 PART XI, LINE 9: CHANGE IN NET ASSETS OR FUND BALANCE - ($680,319) INCLUDED: RESTRICTED FUND RECEIPTS - $33,601 RESTRICTED FUND RELEASED - ($32,267) RETAINED EARNING/FUND EQUITY - ($681,653)ExplanationTxt

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
Whidden Memorial Hospital INC
Commerce Place 350 Main StMaldenMA02148043561265SEE PART VIIMA501(C)(3)11ACPHCYes (true)
Somerville Hospital
Commerce Place 350 Main StMaldenMA02148042103852SEE PART VIIMA501(C)(3)11ACPHCYes (true)
CHA MANAGEMENT SERVICESINC
Commerce Place 350 Main StMaldenMA02148043476565SEE PART VIIMA501(C)(3)11ACPHCYes (true)
Institute for Community Health Inc
Commerce Place 350 Main StMaldenMA02148043543853HLTH RESEARCHMA501(C)(3)7CPHCYes (true)
CAMBRIDGE HEALTH ALLIANCE FOUNDATIONINC
Commerce Place 350 Main StMaldenMA02148010676306FoundationMA501(C)(3)11ACPHCYes (true)
Cambridge Public Health Commission
Commerce Place 350 Main StMaldenMA02148043320571HealthcareMA115N/ANAfalse
Cambridge Energy Alliance
1385 Cambridge StreetCambridgeMA02139260663000REDUCE ENERGYMA501(C)(3)9NAfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
INSTITUTE FOR COMMUNITY HEALTH INC
O$103,406COST
SOMERVILLE HOSPITAL
O$759,742COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 1, COLUMN (B)FormAndLineReferenceDesc
ExplanationWHIDDEN 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.ExplanationTxt

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