CHA MANAGEMENT SERVICES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CHA MANAGEMENT SERVICES INC (EIN 04-3476565)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201113199349303256
Schema version
2010v3.4
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)
Timestamp2011-11-15T09:30:51-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043476565EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NETWORK HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNETWNameControl
Phone7813933510Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 STATION LANDING 4TH FLOORAddressLine1
CityMEDFORDCity
StateMAState
ZIP Code02155ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameChristina SeverinName
TitlePresidentTitle
Date Signed2011-11-07DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePricewaterhouseCoopers LLPName
Phone6175305000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHRISTINA SEVERINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1101 STATION LANDING 4TH FLOORAddressLine1
CityMEDFORDCity
StateMAState
ZIP Code02155ZIPCode
FieldValueIRS element (for citing)
Gross Receipts591241464GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NETWORK-HEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH AND WELL-BEING OF OUR MEMBERS AND THEIR DIVERSE COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees406TotalNbrEmployees
Total Nbr Volunteers7TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year285822207ProgramServiceRevenuePriorYear
Program Service Revenue CY591050815ProgramServiceRevenueCY
Investment Income Prior Year25422InvestmentIncomePriorYear
Investment Income Current Year190649InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year285847629TotalRevenuePriorYear
Total Revenue Current Year591241464TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year231841203BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY490193895BenefitsPaidToMembersCY
Salaries Etc Prior Year27478570SalariesEtcPriorYear
Salaries Etc Current Year27665402SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year22274461OtherExpensePriorYear
Other Expenses Current Year21946804OtherExpensesCurrentYear
Total Expenses Prior Year281594234TotalExpensesPriorYear
Total Expenses Current Year539806101TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4253395RevenuesLessExpensesPriorYear
Revenues Less Expenses CY51435363RevenuesLessExpensesCY
Total Assets BOY54246510TotalAssetsBOY
Total Assets EOY181602933TotalAssetsEOY
Total Liabilities BOY39793145TotalLiabilitiesBOY
Total Liabilities EOY114714205TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14453365NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY66888728NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE THE HEALTH AND WELL-BEING OF OUR MEMBERS AND THEIR DIVERSE COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense510192358Expense
Revenue571480156Revenue
DescriptionNETWORK HEALTH PROVIDED HEALTH INSURANCE COVERAGE FOR LOW-INCOME RESIDENTS OF MASSACHUSETTS THROUGH CONTRACTS WITH THE STATE OF MASSACHUSETTS COMMONWEALTH HEALTH INSURANCE CONNECTOR AUTHORITY AND EXECUTIVE OFFICE OF HEALTH & HUMAN SERVICES (MASSACHUSETTS MEDICAID PROGRAM).Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense19187326Expense
Revenue19570659Revenue
DescriptionNETWORK HEALTH ACTED AS AN ADMINISTRATOR FOR ITS PARENT COMPANY, CAMBRIDGE PUBLIC HEALTH COMMISSION (A QUASI-GOVERNMENTAL PUBLIC HEALTH SYSTEM), IN SERVICING ITS CONTRACT WITH THE COMMONWEALTH OF MASSACHUSETTS MEDICAID PROGRAM. THE COSTS ASSOCIATED WITH THE MANAGEMENT OF THE CONTRACT ARE CHARGED TO THE PARENT.Description
FieldValueIRS element (for citing)
Total Program Service Expense529379684TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
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 EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10963911NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees406NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
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 PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
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 PersonJASON LEVYNamePerson
Telephone Number7813933510TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1101 STATION LANDING 4TH FLOORAddressLine1
CityMEDFORDCity
StateMAState
ZIP Code02155ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CHRISTINA SEVERIN
PRESIDENT50.0XX302111029640
ISAAC MACHADO
CHAIR OF THE BOARD2.0X000
STEVEN MANOS
VICE CHAIR OF THE BOARD1.0X000
DENNIS KEEFE
DIRECTOR1.0X074731447404
MARY CASSESSO
DIRECTOR1.0X000
JOHN FREEDMAN MD
DIRECTOR1.0X000
FRANK DUEHAY
DIRECTOR1.0X000
CAROL VAN DEUSEN LUKAS
DIRECTOR1.0X000
GEORGE MORAN
DIRECTOR1.0X000
LEANNE BERGE
CLERK&VP STRAT PLAN & BUS DEV.50.0X198442029210
DOUGLAS THOMPSON
TREAS & VP FIN(THRU SEPT 2010)50.0X1593845606129688
JEFFERY HULBURT
TREAS & VP FIN (FROM NOV 2010)50.0X3938002990
PETER YERACARIS MD
VP & CHIEF MEDICAL OFFICER50.0240590029570X
VINCENT PINA
VP HUMAN RESOURCES50.0175720024519X
PETER BRISTOL
SENIOR DIRECTOR IT50.0163814017012X
MICHELLE BERNARD
SENIOR DIRECTOR OPERATIONS50.0164289026529X
PAUL BURKE
SENIOR DIRECTOR NETWORK MGMT50.0157035023571X
DEBORAH GORDON
SENIOR DIRECTOR MARKETING50.016310607368X
MARY MCKENDRY
SENIOR DIRECTOR MEDICAL MGMT50.0147188025461X
MOHAMED ALLY MD
SENIOR MEDICAL DIRECTOR50.0184764026257X
ANN NAUGHTON
SENIOR DIRECTOR PHARMACY50.0146540021734X
LINDA PALMER
DIR COMPLIANCE&PRIVACY OFFICER50.0128687028220X
STEVEN KOSTOS
DIRECTOR OF CONTRACTING50.0123886027517X
JASON BELL
DIRECTOR OF PROJECT MANAGEMENT50.0125582022846X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2620518TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs803375TotalReportableCompFrmRltdOrgs
Total Other Compensation419536TotalOtherCompensation
Number Individuals GT100 K34NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
COMMONWEALTH CARE ALLIANCE INC
30 WINTER STREETBOSTONMA02108MEDICAL MANAGEMENT1295436
HEALTH DIALOG SERVICES CORPORATION
60 STATE STREETBOSTONMA02109HEALTH COACH SERVICE695625
STATE LINE GRAPHICS
6 VICTORIA STREETEVERETTMA02149GRAPHIC SERVICES675176
MEDSOLUTIONS INC
PO BOX 102323ATLANTAGA30339REFERRAL MANAGEMENT614149
INTERGLOBAL COMMUNICATION GROUP
67 Millbrook Street Suite 212WORCESTERMA01606CALL CENTER SERVICE604930
FieldValueIRS element (for citing)
Number Of Contractors GT100 K17NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAPITATION REVENUE524114571480156571480156
MANAGEMENT FEE REVENUE (FROM PARENT)5610001957065919570659
FieldValueIRS element (for citing)
Total Program Service Revenue591050815TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column190649TotalRevenueColumn
Exclusion$190,649ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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 Column591241464TotalRevenueColumn
Related Or Exempt Function Income591050815RelatedOrExemptFunctionIncome
Exclusion$190,649ExclusionAmount

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)
Total490193895Total
Program Services490193895ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2157430Total
Management And General2157430ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total19803796Total
Program Services17805894ProgramServices
Management And General1997902ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total612237Total
Program Services555976ProgramServices
Management And General56261ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3569652Total
Program Services2665746ProgramServices
Management And General903906ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1522287Total
Program Services1248255ProgramServices
Management And General274032ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total306748Total
Management And General306748ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total348669Total
Program Services45000ProgramServices
Management And General303669ManagementAndGeneral

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)
Total9602960Total
Program Services8873192ProgramServices
Management And General729768ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2476907Total
Program Services2433982ProgramServices
Management And General42925ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total998341Total
Program Services989240ProgramServices
Management And General9101ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2118563Total
Program Services2118563ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total156206Total
Program Services24061ProgramServices
Management And General132145ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total98834Total
Program Services72598ProgramServices
Management And General26236ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total53990Total
Program Services13200ProgramServices
Management And General40790ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total3010044Total
Management And General3010044ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total740738Total
Program Services607381ProgramServices
Management And General133357ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total177591Total
Program Services177591ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
LICENSES & FEES9948239873857438
TELEPHONE49864448567912965
MISCELLANEOUS36374682046281700

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total539806101Total
Program Services529379684ProgramServices
Management And General10426417ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY46811544BOY
EOY171272718EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4238059BOY
EOY6819277EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY401283BOY
EOY705791EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7539957LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4734810LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2795624BOY
EOY2805147EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY54246510BOY
EOY181602933EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2750086BOY
EOY4758061EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY2500000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY37043059BOY
EOY107456144EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY39793145BOY
EOY114714205EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY5767325BOY
EOY6767325EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY8686040BOY
EOY60121403EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14453365BOY
EOY66888728EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY54246510BOY
EOY181602933EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses51435363ReconcilationRevenueExpenses
Reconcilation Other Changes1000000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 COMMISSION (SEE PART IV)BusinessNameLine1
FieldValueIRS element (for citing)
EIN043320571EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
General ExplanationAMOUNT OF SUPPORT NETWORK HEALTH, INC. IS A SUPPORT ORGANIZATION FOR ITS PARENT, THE CAMBRIDGE PUBLIC HEALTH COMMISSION (D/B/A CAMBRIDGE HEALTH ALLIANCE) WHICH IS A PUBLIC INSTRUMENTALITY AND A COMPONENT UNIT OF THE CITY OF CAMBRIDGE PURSUANT TO INTERNAL REVENUE CODE SECTION 115. IN DOING BUSINESS TO SUPPORT CAMBRIDGE HEALTH ALLIANCE, THE ORGANIZATION LEASES ITS FACILITIES FROM CAMBRIDGE HEALTH ALLIANCE. ALSO, THE ORGANIZATION PAYS CAMBRIDGE HEALTH ALLIANCE FOR CERTAIN ADMINISTRATIVE SERVICES THAT ARE RENDERED ON ITS BEHALF SUCH AS PAYROLL AND ACCOUNTS PAYABLE SERVICES. THE PARENT PAYS NETWORK HEALTH, INC. FOR THE MANAGEMENT OF ITS CONTRACT WITH MASSHEALTH (MASSACHUSETTS MEDICAID). SEE SCHEDULE R FOR THE AMOUNTS OF THESE TRANSACTIONS.GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
Other ActivitiestrueOtherActivities
Other Activities$143,555OtherActivitiesAmount
Total Lobbying Expenditures IIB143555TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE C, PART II-B, LINE 1iIdentifier
Return ReferenceOTHER ACTIVITIESReturnReference
ExplanationFOR THE YEAR ENDED DECEMBER 31, 2010, NETWORK HEALTH, INC. PAID $143,555 IN MEMBERSHIP DUES TO MEMBER ORGANIZATIONS WHICH MAY ENGAGE IN LOBBYING ACTIVITIES ON BEHALF OF ITS MEMBERS. THEREFORE, A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

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

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1052317OtherCostOrOtherBasis
Depreciation399198Depreciation
Book Value653119BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis6487640OtherCostOrOtherBasis
Depreciation4335612Depreciation
Book Value2152028BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings2805147TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
MEDICAL CLAIMS UNPAID (IBNR)$88,152,103
DUE TO PARENT AND RELATED ORGS$16,621,420
RISK SHARE PAYABLE$2,682,621
FieldValueIRS element (for citing)
Total Of Amounts107456144TotalOfAmounts
Total Revenue591241464TotalRevenue
Total Expenses539806101TotalExpenses
Excess Or Deficit For Year51435363ExcessOrDeficitForYear
Other$1,000,000OtherAmount
Total Adjustments1000000TotalAdjustments
Excess Or Deficit Per FS52435363ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt591241464TotRevenueEtcAuditedFinclStmt
Revenue Subtotal591241464RevenueSubtotal
Total Revenue Per Form990591241464TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt539806101TotExpensesEtcAuditedFinclStmt
Expenses Subtotal539806101ExpensesSubtotal
Total Expenses Per Form990539806101TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE D, PART X, Line 2Identifier
Return ReferenceOther LiabilitiesReturnReference
ExplanationNETWORK HEALTH, INC. DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX PROVISION UNDER FIN 48 ON ITS AUDITED FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 8 DURING 2010, CAMBRIDGE HEALTH ALLIANCE MADE A CAPITAL CONTRIBUTION TO THE ORGANIZATION IN THE AMOUNT OF $1,000,000. THIS AMOUNT WAS RECORDED AS PAID IN CAPITAL AND USED TO FUND AN INSOLVENCY RESERVE REQUIRED UNDER THE ORGANIZATION'S CONTRACT WITH THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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 (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHRISTINA SEVERIN
301321000790098000198400331751000
LEANNE BERGE
1974180001024074260217840227652000
DOUGLAS THOMPSON
158805560180057943603202068629701861025903100
DENNIS KEEFE
065257500094739026300021104079471800
PETER YERACARIS MD
2395660001024097300198400270160000
VINCENT PINA
1741110001609035600209590200239000
PETER BRISTOL
163171000643064400105720180826000
MICHELLE BERNARD
163546000743066890198400190818000
PAUL BURKE
156221000814037310198400180606000
DEBORAH GORDON
1624710006350649908690170474000
MARY MCKENDRY
1461720001016045020209590172649000
MOHAMED ALLY MD
183782000982046480216090211021000
ANN NAUGHTON
145827000713057390159950168274000
LINDA PALMER
127825000862053800228400156907000
STEVEN KOSTOS
123258000628051770223400151403000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanation
FORM 990, PART I, LINE 6NETWORK HEALTH, INC.'S VOLUNTEERS INCLUDE UNCOMPENSATED DIRECTORS WHOSERVE ON A VOLUNTARY BASIS.
FORM 990, PART VI, LINE 6ORGANIZATIONAL MEMBERS CAMBRIDGE PUBLIC HEALTH COMMISSION (CPHC) D/B/A CAMBRIDGE HEALTH ALLIANCE IS THE SOLE CORPORATE MEMBER OF NETWORK HEALTH, INC.
FORM 990, PART VI, LINE 7AELECTION OF THE BOARD OF DIRECTORS CAMBRIDGE HEALTH ALLIANCE HAS THE RIGHT TO APPOINT MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 7BDECISION APPROVAL CERTAIN ACTIONS OF THE BOARD OF DIRECTORS MUST BE APPROVED BY CAMBRIDGE HEALTH ALLIANCE, NETWORK HEALTH INC.'S SOLE CORPORATE MEMBER, AS SET FORTH IN THE BY-LAWS, INCLUDING ADOPTION OF THE BUDGET, ANY MERGER, CONSOLIDATION, JOINT VENTURE, OR AFFILIATION WITH NETWORK HEALTH INC., ANY CAPITAL TRANSACTION, AND INCURRENCE OF DEBT. CAMBRIDGE HEALTH ALLIANCE HAS AUTHORITY TO APPROVE OR DENY ANY DECISION MADE BY NETWORK HEALTH INC.'S BOARD OF DIRECTORS. ITEMS CAN BE RECOMMENDED TO THE BOARD OF CAMBRIDGE HEALTH ALLIANCE OR ITS COMMITTEES FOR REVIEW AND APPROVAL.
FORM 990, PART VI, LINE 11AFORM 990 REVIEW PROCESS NETWORK HEALTH, INC.'S FORM 990 IS PREPARED WITH THE ASSISTANCE OF ITS OUTSIDE TAX ACCOUNTANTS (PRICEWATERHOUSECOOPERS). NETWORK HEALTH, INC.'S INTERNAL MANAGEMENT AND CAMBRIDGE HEALTH ALLIANCE EMPLOYEES REVIEW THE FORM 990 AND PROVIDE COMMENTS AND CHANGES. ONCE THE RETURN HAS BEEN UPDATED THE FORM 990 WILL BE PRESENTED FOR FURTHER REVIEW TO EACH VOTING MEMBER OF THE GOVERNING BODY AND CAMBRIDGE HEALTH ALLIANCE'S FINANCE COMMITTEE. PRICEWATERHOUSECOOPERS WILL THEN FINALIZE THE FORM 990. COPIES OF THE COMPLETED FORM 990 WILL BE DISTRIBUTED IN ELECTRONIC OR PAPER FORM TO MEMBERS OF THE GOVERNING BODY PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, LINE 12CCONFLICT OF INTEREST POLICY THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY WITH ITS OFFICERS, DIRECTORS AND KEY EMPLOYEES BY ANNUALLY SURVEYING EACH SUCH PERSON AND SHARING THE RESULTS WITH EACH GROUP. OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE ALSO GIVEN A COPY OF THE 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 COMPLIANCE OFFICER WILL EXERCISE THEIR JUDGEMENT ON THE BEST COURSE TO FOLLOW.
FORM 990, PART XI, LINE 5DURING 2010, CAMBRIDGE HEALTH ALLIANCE MADE A CAPITAL CONTRIBUTION TO THE ORGANIZATION IN THE AMOUNT OF $1,000,000. THIS AMOUNT WAS RECORDED AS PAID IN CAPITAL AND USED TO FUND AN INSOLVENCY RESERVE REQUIRED UNDER THE ORGANIZATION'S CONTRACT WITH THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES.
FORM 990, PART VI, LINES 15A AND 15BPROCESS FOR DETERMINING COMPENSATION CAMBRIDGE HEALTH ALLIANCE'S (CHA) COMPENSATION COMMITTEE IS THE AUTHORIZED BODY FOR REVIEWING THE PRESIDENT'S COMPENSATION. THE COMMITTEE RELIED UPON COMPARABILITY DATA OBTAINED BY AN INDEPENDENT CONSULTANT WHEN APPROVING THE PRESIDENT'S 2010 COMPENSATION AND DISCUSSED THEIR FINDINGS WITH THE ORGANIZATION'S BOARD AND DOCUMENTED THEIR DECISIONS IN THE BOARD MINUTES. FOR 2010, THE CHA COMPENSATION COMMITTEE WAS AUTHORIZED TO REVIEW AND DID REVIEW THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THE COMPENSATION COMMITTEE CONSISTS OF INDEPENDENT MEMBERS WHO REVIEW AND RECOMMEND COMPENSATION BASED ON MARKET DATA AND BENCHMARKS PROVIDED BY INDEPENDENT CONSULTANTS.
FORM 990, PART VI, LINE 19GOVERNING DOCUMENTS THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST EITHER BY MAIL OR IN PERSON AT THE ORGANIZATION'S OFFICE, DEPENDING ON THE FORM OF REQUEST.
FORM 990, PART VIITHE FOLLOWING INDIVIDUALS BOTH WORK AN AVERAGE OF 50 HOURS PER WEEK AT CAMBRIDGE HEALTH ALLIANCE AND ITS RELATED ORGANIZATIONS. DENNIS KEEFE DOUGLAS THOMPSON (WAS EMPLOYED BY NETWORK HEALTH , INC. THROUGH SEPTEMBER 30, 2010 AND THEN TRANSFERRED TO CAMBRIDGE HEALTH ALLIANCE IN A DIFFERENT ROLE).

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/BusinessNameLine1
CAMBRIDGE PUBLIC HEALTH COMMISSION
101 STATION LANDING 5TH FLOORMEDFORDMA02155043320571HEALTHCAREMA115N/ANA
CAMBRIDGE HEALTH ALLIANCE PHYS ORG INC
101 STATION LANDING 5TH FLOORMEDFORDMA02155043167608PHYSICIAN SRVMA501(c)(3)9NA
WHIDDEN MEMORIAL HOSPITAL
101 STATION LANDING 5TH FLOORMEDFORDMA02155043561265HOSPITAL SRVSMA501(c)(3)11ANA
INSTITUTE FOR COMMUNITY HEALTH INC
101 STATION LANDING 5TH FLOORMEDFORDMA02155043543853HEALTH RSRCHMA501(c)(3)9NA
ALLIANCE FOUNDATION FOR COMMUNITY HEALTH
101 STATION LANDING 5TH FLOORMEDFORDMA02155010676306FOUNDATIONMA501(c)(3)11ANA
SOMERVILLE HOSPITAL
101 STATION LANDING 5TH FLOORMEDFORDMA02155042103852HOSPITAL SRVSMA501(c)(3)3NA
CAMBRIDGE ENERGY ALLIANCE
1385 CAMBRIDGE STREETCAMBRIDGEMA02139260666300REDUCE ENERGYMA501(c)(3)9NA
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
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 OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
CAMBRIDGE PUBLIC HEALTH COMMISSION
M1510044
CAMBRIDGE PUBLIC HEALTH COMMISSION
K19570659
CAMBRIDGE PUBLIC HEALTH COMMISSION
L20382659
CAMBRIDGE PUBLIC HEALTH COMMISSION
C1000000

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