CAMBRIDGE HEALTH ALLIANCE FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CAMBRIDGE HEALTH ALLIANCE FOUNDATION INC (EIN 01-0676306)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201441349349306684
Schema version
2012v2.3
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)
Timestamp2014-05-14T15:53:53-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1125 High StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02110ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010676306EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CAMBRIDGE HEALTH ALLIANCE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% AVERIL KANEInCareOfName
Name ControlCAMBNameControl
Phone7813380311Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJILL BATTYName
TitleCFOTitle
Phone6173380311Phone
Date Signed2014-05-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6175305000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonPATRICK WARDELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11493 Cambridge StAddressLine1
CityCambridgeCity
StateMAState
ZIP Code02139ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1303389GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionFundraising support for the Cambridge Health Alliance and all related organizations.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers37TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1153890ContributionsGrantsPriorYear
Contributions Grants Current Year1236054ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year-58828OtherRevenuePriorYear
Other Revenue Current Year-76977OtherRevenueCurrentYear
Total Revenue Prior Year1095062TotalRevenuePriorYear
Total Revenue Current Year1159077TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year370404SalariesEtcPriorYear
Salaries Etc Current Year243856SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year144312TotalFundrsngExpCurrentYear
Other Expense Prior Year780972OtherExpensePriorYear
Other Expenses Current Year960612OtherExpensesCurrentYear
Total Expenses Prior Year1151376TotalExpensesPriorYear
Total Expenses Current Year1204468TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-56314RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-45391RevenuesLessExpensesCY
Total Assets BOY2511372TotalAssetsBOY
Total Assets EOY3342362TotalAssetsEOY
Total Liabilities BOY296593TotalLiabilitiesBOY
Total Liabilities EOY159723TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2214779NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3182639NetAssetsOrFundBalancesEOY
Mission DescriptionFUNDRAISING SUPPORT FOR THE CAMBRIDGE HEALTH ALLIANCE AND ALL RELATED ORGANIZATIONS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense995519Expense
DescriptionCAMBRIDGE HEALTH ALLIANCE FOUNDATION, INC. IS THE FUNDRAISING ARM OF CAMBRIDGE HEALTH ALLIANCE (CHA), WHOSE MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES. THE CAMBRIDGE HEALTH ALLIANCE FOUNDATION RAISES FUNDS TO SUPPORT CHA'S PROGRAMS, SERVICES, AND OPERATIONAL NEEDS. THE ANNUAL FUND PROVIDES CAMBRIDGE HEALTH ALLIANCE THE FLEXIBILITY TO APPLY CONTRIBUTIONS TO AREAS THAT HAVE THE GREATEST NEEDS. CONTRIBUTIONS MADE TO SUPPORT SPECIFIC PROGRAMS AND ACTIVITIES THROUGH THE CAMBRIDGE HEALTH ALLIANCE FOUNDATION GO IN THEIR ENTIRETY TO THOSE PROGRAMS.Description
Total Program Service Expense995519TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonAVERIL KANENamePerson
Telephone Number7813380311TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1COMMERCE PLACE 350 MAIN STREETAddressLine1
CityMALDENCity
StateMAState
ZIP Code02148ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationReportable Comp From OrganizationReportableCompFromOrganizationOfficerOfficer
PATRICK R WARDELL
DIRECTOR2.048.0X44475822891
GORDON H BOUDROW JR
SR. VP OF FINANCE/CFO2.048.0X43766012414
RONALD WEINTRAUB MD
DIRECTOR2.048.0X7918216000
BRENDAN CARROLL
DIRECTOR2.048.0X11660627057
NANCY BUSNACH
DIRECTOR2.0X00
ROBERT CATALDO
DIRECTOR2.0X00
LORING CONANT JRMD
DIRECTOR2.0X00
RICHARD DEFILIPPI PHD
DIRECTOR2.0X00
ISAAC MMACHADO
DIRECTOR2.02.0X00
KIM KEOUGH
DIRECTOR/EXEC DIRECTOR20.030.0X14424714271X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1222453TotalReportableCompFrmRltdOrgs
Total Other Compensation78233TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonNone PAID BY CAMBRIDGE HEALTH ALLINamePerson
FieldValueIRS element (for citing)
Address Of ContractorAddressOfContractor
FieldValueIRS element (for citing)
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events259350FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions976704AllOtherContributions
Total Contributions1236054TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events67335GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events259350CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses144312FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-76977TotalRevenueColumn
Exclusion-$76,977ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1159077TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$76,977ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total197673Total
Program Services145303ProgramServices
Management And General52370ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2433Total
Program Services338ProgramServices
Management And General2095ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total34332Total
Program Services27355ProgramServices
Management And General6977ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9418Total
Program Services6223ProgramServices
Management And General3195ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total173112Total
Program Services28800ProgramServices
Fundraising144312Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total25350Total
Program Services25350ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8974Total
Program Services8974ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
INTRAGROUP EXPENSE752553752553
MISCELLANEOUS623623

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1204468Total
Program Services995519ProgramServices
Management And General64637ManagementAndGeneral
Fundraising144312Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2511050BOY
EOY3342362EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY322BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2511372BOY
EOY3342362EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY296593BOY
EOY159723EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY296593BOY
EOY159723EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-283220BOY
EOY514211EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2263004BOY
EOY2432625EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY234995BOY
EOY235803EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2214779BOY
EOY3182639EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2511372BOY
EOY3342362EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-45391ReconcilationRevenueExpenses
Reconciliation Unrealized Invest0ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Reconcilation Other Changes1013251ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1CAMBRIDGE PUBLIC HEALTH COMMISSIONBusinessNameLine1
FieldValueIRS element (for citing)
EIN043320571EIN
Type Of Organization06TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts
General ExplanationCAMBRIDGE HEALTH ALLIANCE FOUNDATION, INC. (THE "ORGANIZATION") IS A WHOLLY-OWNED SUBSIDIARY OF THE CAMBRIDGE PUBLIC HEALTH COMMISSION ("CPHC"). CPHC IS A GOVERNMENT ENTITY CREATED BY, AND CURRENTLY EXISTING PURSUANT TO, MASSACHUSETTS STATUTE, CHAPTER 147 OF THE ACTS AND RESOLVES OF 1996.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance234995BeginningOfYearBalance
Contributions533Contributions
Investment Earnings Or Losses572InvestmentEarningsOrLosses
Other Expenditures297OtherExpenditures
End Of Year Balance235803EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance234050BeginningOfYearBalance
Contributions3622Contributions
Investment Earnings Or Losses307InvestmentEarningsOrLosses
Other Expenditures2984OtherExpenditures
End Of Year Balance234995EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance233499BeginningOfYearBalance
Contributions551Contributions
Investment Earnings Or Losses282InvestmentEarningsOrLosses
Other Expenditures282OtherExpenditures
End Of Year Balance234050EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance231743BeginningOfYearBalance
Contributions1756Contributions
Investment Earnings Or Losses238InvestmentEarningsOrLosses
Other Expenditures238OtherExpenditures
End Of Year Balance233499EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance277230BeginningOfYearBalance
Contributions4400Contributions
Investment Earnings Or Losses3501InvestmentEarningsOrLosses
Other Expenditures53388OtherExpenditures
End Of Year Balance231743EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPart V, Line 4Identifier
ExplanationTHE PURPOSE OF CAMBRIDGE HEALTH ALLIANCE FOUNDATION, INC.'S ENDOWMENT IS TO SUPPORT THE FACILITIES AND OPERATIONS OF RELATED ENTITIES. PART X, LINE 2 The Alliance is exempt from taxation pursuant to the Enabling Act from federal taxation because it is a public instrumentality performing an essential governmental function. The Internal Revenue Service ("IRS") has determined that Somerville Hospital, Whidden, CHAPO, CHA Management Services, Inc., ICH and Cambridge Health Alliance Foundation, Inc. are exempt from federal income taxation because they are organizations described in Section 501(c)(3) of the Code. The IRS has further determined that none of these entities is a private foundation because each is a supporting organization described in Section 509(a)(3) of the Code. Somerville Hospital was an organization described in Section 509(a)(1) of the Code until July 25, 2013 when the IRS issued an updated determination letter classifying Somerville Hospital as a supporting organization described in Section 509(a)(3) of the Code. Accordingly, no provision for income taxes has been recorded in the accompanying financial statements.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event163345GrossReceiptsEvent1
Charitable Contributions Event135905CharitableContributionsEvent1
Gross Revenue Event127440GrossRevenueEvent1
Cash Prizes Event12750CashPrizesEvent1
Food And Beverage Event18395FoodAndBeverageEvent1
Entertainment Event115000EntertainmentEvent1
Other Direct Expenses Event15887OtherDirectExpensesEvent1
Name Of Event2ART OF HEALINGNameOfEvent2
Gross Receipts Event2263340GrossReceiptsEvent2
Charitable Contributions Event2223445CharitableContributionsEvent2
Gross Revenue Event239895GrossRevenueEvent2
Food And Beverage Event248609FoodAndBeverageEvent2
Entertainment Event2750EntertainmentEvent2
Other Direct Expenses Event262921OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Other Events0GrossReceiptsOtherEvents
Charitable Contrib Other Events0CharitableContribOtherEvents
Gross Revenue Other Events0GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Other Direct Expenses Other Events0OtherDirectExpensesOtherEvents
Gross Receipts Total326685GrossReceiptsTotal
Charitable Contributions Total259350CharitableContributionsTotal
Gross Revenue Total Events67335GrossRevenueTotalEvents
Cash Prizes Total Events2750CashPrizesTotalEvents
Food And Beverage Total Events57004FoodAndBeverageTotalEvents
Entertainment Total Events15750EntertainmentTotalEvents
Other Direct Expenses Total Events68808OtherDirectExpensesTotalEvents
Direct Expense Summary Events144312DirectExpenseSummaryEvents
Net Income Summary-76977NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierSchedule G, Part IIIdentifier
ExplanationACTIVITY RELATED TO THE GOLF TOURNAMENT AND THE ART OF HEALING MAY BE RECORDED IN A PRIOR AND/OR SUBSEQUENT FISCAL YEAR DUE TO THE TIMING OF THESE EVENTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PATRICK R WARDELL
DIRECTOR4336610110970228914676490
GORDON H BOUDROW JR
SR. VP OF FINANCE/CFO4264600112001000024144500740
KIM KEOUGH
DIRECTOR/EXEC DIRECTOR1437970450587783941585180

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPart I, Line 3Identifier
ExplanationEXECUTIVES ARE COMPENSATED FOR THEIR SERVICES AS EXECUTIVES OF CAMBRIDGE HEALTH ALLIANCE FOUNDATION, INC. THROUGH A RELATED ORGANIZATION'S PAYROLL. DIRECTORS OF CAMBRIDGE HEALTH ALLIANCE FOUNDATION, INC. THAT WERE COMPENSATED BY A RELATED ORGANIZATION WERE COMPENSATED FOR SERVICES THAT WERE RENDERED IN OTHER ROLES. CAMBRIDGE HEALTH ALLIANCE FOUNDATION, INC. RELIES ON ITS PARENT, CAMBRIDGE HEALTH ALLIANCE, TO DETERMINE COMPENSATION FOR CAMBRIDGE HEALTH ALLIANCE FOUNDATION, INC.'S EXECUTIVE DIRECTOR. CAMBRIDGE HEALTH ALLIANCE USED A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
Part VI, Line 2:CERTAIN DIRECTORS ARE ALSO EMPLOYEES AT OTHER ORGANIZATIONS WITHIN THE CAMBRIDGE HEALTH ALLIANCE SYSTEM. PART VI, LINE 6: CAMBRIDGE HEALTH ALLIANCE IS THE SOLE CORPORATE MEMBER OF CAMBRIDGE HEALTH ALLIANCE FOUNDATION, INC.
Part VI, Line 7a:CAMBRIDGE HEALTH ALLIANCE HAS THE RIGHT TO APPOINT, AND DOES APPOINT, ALL MEMBERS OF CAMBRIDGE HEALTH ALLIANCE FOUNDATION, INC. BOARD OF DIRECTORS.
Part VI, Line 7b:CERTAIN ACTIONS OF THE BOARD OF DIRECTORS MUST BE APPROVED BY CAMBRIDGE HEALTH ALLIANCE, CAMBRIDGE HEALTH ALLIANCE FOUNDATION, 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 FOUNDATION, INC., ANY CAPITAL TRANSACTIONS, AND INCURRENCE OF DEBT. CAMBRIDGE HEALTH ALLIANCE HAS AUTHORITY TO APPROVE OR DENY ANY DECISION MADE BY CAMBRIDGE HEALTH ALLIANCE FOUNDATION, INC.'S BOARD OF DIRECTORS. ITEMS CAN BE RECOMMENDED TO THE BOARD OF CAMBRIDGE HEALTH ALLIANCE OR ITS COMMITTEES FOR REVIEW AND APPROVAL.
PART VI, Line 11:CAMBRIDGE HEALTH ALLIANCE FOUNDATION, INC.'S FORM 990 WAS PREPARED WITH THE ASSISTANCE OF ITS OUTSIDE TAX ACCOUNTANTS AND PAID PREPARER (PRICEWATERHOUSECOOPERS). CAMBRIDGE HEALTH ALLIANCE FOUNDATION'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 FOUNDATION, INC.'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.
Part VI, Line 12c:THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY FOR ITS DIRECTORS AND ONE FOR ITS OFFICERS. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THESE CONFLICT OF INTEREST POLICIES BY ANNUALLY SURVEYING ITS OFFICERS AND DIRECTORS. OFFICERS AND DIRECTORS 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, 2013.
Part VI, Lines 15a:CAMBRIDGE HEALTH ALLIANCE'S (CHA) COMPENSATION COMMITTEE IS THE AUTHORIZED BODY FOR REVIEWING THE EXECUTIVE DIRECTOR'S COMPENSATION. THE COMMITTEE RELIED UPON COMPARABILITY DATA OBTAINED BY AN INDEPENDENT CONSULTANT WHEN APPROVING THE EXECUTIVE DIRECTOR'S 2012 COMPENSATION AND DISCUSSED THEIR FINDINGS WITH THE ORGANIZATION'S BOARD AND DOCUMENTED THEIR DECISIONS IN THE BOARD MINUTES. PART VI, LINE 15B: THE ORGANIZATION DOES NOT HAVE OTHER OFFICERS OR KEY EMPLOYEES.
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 VIII, LINE 1C: THE GROSS RECEIPTS FROM THE GOLF TOURNAMENT EVENT WERE RECORDED AS FULLY RESTRICTED FUNDS DURING THE FISCAL YEAR. PART IX, LINE 7: CAMBRIDGE HEALTH ALLIANCE FOUNDATION, INC. DOES NOT HAVE ANY EMPLOYEES. THE FORM 990, PART IX SHOWS SALARIES EXPENSE BECAUSE IT IS REIMBURSED TO A RELATED ORGANIZATION.
PART XI, LINE 9:CHANGE IN NET ASSETS OR FUND BALANCE - $1,013,251 INCLUDED: RESTRICTED FUND RECEIPTS - $623,767 RESTRICTED FUND RELEASED - ($459,802) INTEREST EARNED ON RESTRICTED FUNDS - $6,464 TRANSFER FROM AFFILIATE - $842,822

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
WHIDDEN MEMORIAL HOSPITAL
101 Station Landing 5th FloorMedfordMA02155043561265HospitalMA501(C)311ACPHCtrue
SOMERVILLE HOSPITAL
101 Station Landing 5th FloorMedfordMA02155042103852HospitalMA501(C)311aCPHCtrue
CHA MANAGEMENT SERVICES INC
101 Station Landing 5th FloorMedfordMA02155043476565SEE PART VIIMA501(C)311ACPHCtrue
INSTITUTE FOR COMMUNITY HEALTHINC
101 Station Landing 5th FloorMedfordMA02155043543853RESEARCHMA501(C)39CPHCtrue
CAMBRIDGE HEALTH ALLIANCE PHYSICIANS
101 Station Landing 5th FloorMedfordMA02155043167608HEALTHCAREMA501(C)39CPHCtrue
CAMBRIDGE PUBLIC HEALTH COMMISSION
101 Station Landing 5th FloorMedfordMA02155043320571HEALTHCAREMA115N/ANAfalse
CAMBRIDGE ENERGY ALLIANCE
1385 Cambridge StreetCambridgeMA02155260663000REDUCE ENERGYMA501(C)39NAfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1SOMERVILLE HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeOTransactionType
Amount Involved150502AmountInvolved
Method Of Amt DeterminationCOSTMethodOfAmtDetermination

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierPART II, LINE 3, COLUMN (B)Identifier
ExplanationCHA MANAGEMENT SERVICES, INC. PRIMARY ACTIVITY: ASSET HOLDING SUPPORT ORGANIZATION FOR CPHC.Explanation

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