CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION INC (EIN 04-3167608)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201121339349305917
Schema version
2009v1.7
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)
Timestamp2011-05-13T17:59:02-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043167608EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Cambridge Health Alliance PhysiciansBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCAMBNameControl
Phone7813068872Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 Station Landing 5th FloorAddressLine1
CityMedfordCity
StateMAState
ZIP Code02155ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGORDON BOUDROWName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2011-05-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6175305000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDENNIS KEEFENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11493 CAMBRIDGE STAddressLine1
CityCAMBRIDGECity
StateMAState
ZIP Code02139ZIPCode
FieldValueIRS element (for citing)
Gross Receipts102088483GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees587TotalNbrEmployees
Total Nbr Volunteers14TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year107457991ProgramServiceRevenuePriorYear
Program Service Revenue CY102088483ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year107457991TotalRevenuePriorYear
Total Revenue Current Year102088483TotalRevenueCurrentYear
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 Year74106111SalariesEtcPriorYear
Salaries Etc Current Year71467701SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year33351880OtherExpensePriorYear
Other Expenses Current Year30620782OtherExpensesCurrentYear
Total Expenses Prior Year107457991TotalExpensesPriorYear
Total Expenses Current Year102088483TotalExpensesCurrentYear
Revenues Less Expenses CY0RevenuesLessExpensesCY
Total Assets BOY8998955TotalAssetsBOY
Total Assets EOY8023891TotalAssetsEOY
Total Liabilities BOY23739994TotalLiabilitiesBOY
Total Liabilities EOY8076838TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-14741039NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-52947NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense99871986Expense
Grants0Grants
Revenue102088483Revenue
DescriptionTHE CORPORATION EMPLOYS AND CONTRACTS WITH PHYSICIANS OF VARIOUS SPECIALITIES TO PROVIDE A VARIETY OF SERVICES TO THE PATIENTS OF CAMBRIDGE HEALTH ALLIANCE. CHA PRIMARY CARE PHYSCIANS RENDER SERVICES IN APPROXIMATELY 15 LOCATIONS, IN CAMBRIDGE, SOMERVILLE, AND OTHER METRO NORTH COMMUNITIES. PSYCHIATRISTS AND PSYCHOLOGISTS RENDER BOTH OUTPATIENT AND INPATIENT SERVICES. HOSPITAL BASED SERVICES ARE PROVIDED BY PHYSICIANS SUCH AS PATHOLOGY, RADIOLOGY, ANESTHESIA AND HOSPITALIST SERVICES. A WIDE RANGE OF SPECIALIST SERVICES ARE OFFERED TO EMPLOYED AND CONTRACTING PHYSICANS PRACTICING IN SURGEY, CARDIOLOGY, PULMONOLOGY, ONCOLOGY AND OTHER MEDICAL SPECIALTIES. WHILE THE PRIMARY FOCUS OF MOST PHYSICIANS IS CLINICAL SERVICE TO PATIENTS, MANY PHYSICICANS ALSO PARTICPATE IN TEACHING AND/OR RESEARCH PROGRAMS. TEACHING RESPONSIBILITIES TO SUPPORT CHA'S OWNSERSHIP OF FIVE MEDICAL RESIDENCY PROGRAMS (DENTISRY, FAMILY MEDICINE, INTERNAL MEDICINE, PSYCHIATRY, AND SURGICAL PODIATRY), PRECEPTING OF MEDICAL RESIDENTS FROM NUMEROUS OTHER ENTITIES INCLUDING MGH, BIDMC, TUFTS MC, AS WELL AS AN AFFILIATION WITH HARVARD MEDICAL SCHOOL FOR MEDICAL STUDENT TRAINING VIA THE INTEGRATED CLERKSHIP PROGRAM.Description
Total Program Service Expense99871986TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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 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 MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees587NumberOfEmployees
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
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
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 PolicytrueDocumentRetentionPolicy
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 Number7813068872TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1101 STATION LANDING 5TH FLOORAddressLine1
CityMEDFORDCity
StateMAState
ZIP Code02155ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DAVID PORELL
TRUSTEE/CHIEF ADMIN OFFICER50.0XX020071923129
DENNIS KEEFE
TRUSTEE2.0X065270846323
DAVID BOR MD
TRUSTEE/CHIEF OF MEDICINE50.0X027254321156
DAVID LINK MD
TRUSTEE/CHIEF OF PEDIATRICS50.0X019649421242
JACK BURKE MD
TRUSTEE/Chief of Psychiatry50.0X372122038647
STEVE SCHWAITZBERG MD
TRUSTEE/Chief of Surgery50.0X447769034147
KATHLEEN HARNEY MD
TRUSTEE/CHIEF OF OB/GYN50.0X365018015700
ASAAD SAYAH MD
TRUSTEE/CHIEF OF EMER MEDICINE50.0X424740030641
KRISTEN MEISINGER MD
TRUSTEE/PHYSICIAN50.0X15788506362
GREGORY OTA MD
TRUSTEE/PHYSICIAN50.0X378330027793
STUART BECK MD
TRUSTEE/PHYSICIAN50.0X215849034844
SOMAVA STOUT MD
TRUSTEE/MEDICAL STAFF PRES.50.0X223356026917
JOSH POSNER
TRUSTEE2.0X000
ELLEN SEMONOFF
TRUSTEE2.0X000
PAUL LESSER MD
PHYSICIAN50.0623703029341X
SAMUEL DOPPELT MD
PHYSICIAN50.0602779037415X
VINCENT PATALANO II MD
PHYSICIAN50.0514665034861X
CAROL HULKA MD
Physician50.0506503036895X
STEVEN PATALANO MD
PHYSICIAN50.0483826029341X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5316545TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1322464TotalReportableCompFrmRltdOrgs
Total Other Compensation494754TotalOtherCompensation
Number Individuals GT100 K262NumberIndividualsGT100K
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
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE9000995491832554918325
CONTRACTS AND MANAGEMENT FEE90009931869463186946
OTHER MISC. PROG. REVENUE90009918172011817201
MEDICAL SERVICE TO RELATED ORGANIZATIONS9000992073183420731834
SUPPORT FROM RELATED ORGANIZATION9000992143417721434177
FieldValueIRS element (for citing)
Total Program Service Revenue102088483TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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 Column102088483TotalRevenueColumn
Related Or Exempt Function Income102088483RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

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)
Total2681440Total
Program Services2681440ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total138093Total
Program Services138093ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total59354464Total
Program Services58089173ProgramServices
Management And General1265291ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1945600Total
Program Services1906113ProgramServices
Management And General39487ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4312096Total
Program Services4225366ProgramServices
Management And General86730ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3036008Total
Program Services2976394ProgramServices
Management And General59614ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total606391Total
Program Services294871ProgramServices
Management And General311520ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6354Total
Program Services1049ProgramServices
Management And General5305ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31965Total
Management And General31965ManagementAndGeneral

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)
Total17647069Total
Program Services17647069ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total238913Total
Program Services30307ProgramServices
Management And General208606ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total127612Total
Program Services40536ProgramServices
Management And General87076ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total9320Total
Program Services7600ProgramServices
Management And General1720ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total46086Total
Program Services3275ProgramServices
Management And General42811ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total13049Total
Program Services285ProgramServices
Management And General12764ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total494448Total
Program Services458828ProgramServices
Management And General35620ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total93547Total
Program Services75718ProgramServices
Management And General17829ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3875545Total
Program Services3866464ProgramServices
Management And General9081ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
INTRAGROUP EXPENSE73818267381826
MISCELLANEOUS48657475791078

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total102088483Total
Program Services99871986ProgramServices
Management And General2216497ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY367282BOY
EOY26709EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3714443BOY
EOY3858833EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1786617BOY
EOY1563422EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3867609LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3315540LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY656749BOY
EOY552069EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2473864BOY
EOY2022858EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8998955BOY
EOY8023891EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10276349BOY
EOY8055505EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY21817BOY
EOY21333EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13441828BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY23739994BOY
EOY8076838EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-15297631BOY
EOY-608237EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY556592BOY
EOY555290EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-14741039BOY
EOY-52947EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8998955BOY
EOY8023891EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1190250CurrentTaxYearMinus4Years
Total1190250Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years85591323CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years100093508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years107453649CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year107457991CurrentTaxYearMinus1Year
Total400596471Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years86781573CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years100093508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years107453649CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year107457991CurrentTaxYearMinus1Year
Total401786721Total
FieldValueIRS element (for citing)
Public Support Pertcent Prior Year1.00000PublicSupportPertcentPriorYear
Thirty Three Percnt Tests PY170XThirtyThreePercntTestsPY170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1190250CurrentTaxYearMinus4Years
Total1190250Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years85591323CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years100093508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years107453649CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year107457991CurrentTaxYearMinus1Year
Current Tax Year102088483CurrentTaxYear
Total502684954Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years86781573CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years100093508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years107453649CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year107457991CurrentTaxYearMinus1Year
Current Tax Year102088483CurrentTaxYear
Total503875204Total
FieldValueIRS element (for citing)
Public Support Total509503875204PublicSupportTotal509

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years86781573CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years100093508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years107453649CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year107457991CurrentTaxYearMinus1Year
Current Tax Year102088483CurrentTaxYear
Total503875204Total
FieldValueIRS element (for citing)
Public Support Percentage5091.00000PublicSupportPercentage509
Prior Year Support Percentage1.00000PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis858058OtherCostOrOtherBasis
Depreciation476884Depreciation
Book Value381174BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2952856OtherCostOrOtherBasis
Depreciation2807647Depreciation
Book Value145209BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis56695OtherCostOrOtherBasis
Depreciation31009Depreciation
Book Value25686BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings552069TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionOTHER RECEIVABLEDescription
Book Value2022858BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets2022858TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X, Line 2:Identifier
ExplanationTHE ORGANIZATION DOES NOT HAVE A FIN 48 FOOTNOTE AS ANY UNCERTAIN TAX POSITIONS WERE DEEMED IMMATERIAL.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 PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 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
DAVID PORELL
0198739000198008245014884022384800
DENNIS KEEFE
056757400085134026300020023069903100
DAVID BOR MD
02509360002160700021156029369900
DAVID LINK MD
0187912000858200021242021773600
JACK BURKE MD
34690600025216094000292470410769000
STEVE SCHWAITZBERG MD
41362800034141049000292470481916000
KATHLEEN HARNEY MD
33058902130001312909400063000380718000
ASAAD SAYAH MD
350021050000024719094000212410455381000
KRISTEN MEISINGER MD
1491890262906067062760860164247000
GREGORY OTA MD
35867300019657094000183930406123000
STUART BECK MD
208810087506164088470259970250693000
SOMAVA STOUT MD
2167930317203391069760199410250273000
PAUL LESSER MD
58384800039855094000199410653044000
SAMUEL DOPPELT MD
4495670117117036095094000280150640194000
VINCENT PATALANO II MD
414877076914022874094000254610549526000
CAROL HULKA MD
412298059682034523094000274950543398000
STEVEN PATALANO MD
422135037229024462094000199410513167000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Identifierpart I, Line 3:Identifier
ExplanationEXECUTIVES AND CERTAIN EMPLOYEES ARE COMPENSATED FOR THEIR SERVICES AS EXECUTIVES AND EMPLOYEES OF CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION, INC. THROUGH A RELATED ORGANIZATION'S PAYROLL. TRUSTEES OF CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION, INC. THAT 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 I, LINE 7: MANY OF THE EMPLOYEES OF THE CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION 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.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonHenrietta Barnes MDNamePerson
FieldValueIRS element (for citing)
RelationshipWife of trusteeRelationship
Amount Of Transaction138093AmountOfTransaction
Description Of TransactionEmploymentDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierPART I & III, LINE 1:Identifier
ExplanationTHE CORPORATION PROVIDES IN-PATIENT AND OUT-PATIENT SERVICES TO PATIENTS OF THE CAMBRIDGE HEALTH ALLIANCE AND SUPPORTS TEACHING AND RESEARCH ACTIVITIES OF THAT INSTITUTION INCLUDING ALL RELATED ORGANIZATIONS. PART VI, LINE 2: CERTAIN TRUSTEES ARE ALSO EMPLOYEES AT OTHER ORGANIZATIONS WITHIN THE CAMBRIDGE HEALTH ALLIANCE SYSTEM. PART VI, LINE 6: CAMBRIDGE PUBLIC HEALTH COMMISSION (CPHC) D/B/A CAMBRIDGE HEALTH ALLIANCE IS THE SOLE CORPORATE MEMBER OF CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION, INC. PART VI, LINE 7A: CAMBRIDGE HEALTH ALLIANCE (CHA) HAS THE RIGHT TO APPOINT CERTAIN MEMBERS OF THE BOARD OF TRUSTEES. THE REMAINING MEMBERS SERVE EX OFFICIO OR ARE SELECTED BY THE PHYSICIAN EMPLOYEES. PART VI, LINE 7B: CERTAIN ACTIONS OF THE BOARD OF TRUSTEES MUST BE APPROVED BY CAMBRIDGE HEALTH ALLIANCE, 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. CAMBRIDGE HEALTH ALLIANCE HAS AUTHORITY TO APPROVE OR DENY ANY DECISION MADE BY CAMBRIDGE HEALTH ALLIANCE PHYSICIANS ORGANIZATION, INC'S BOARD OF TRUSTEES. 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 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 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 GOVERNING BODY PRIOR TO FILING WITH IRS. PART VI, LINE 12C: THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY FOR ITS TRUSTEES AND ONE FOR ITS OFFICERS. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THESE CONFLICT OF INTEREST POLICIES BY ANNUALLY SURVEYING EACH OF ITS TRUSTEES AND OFFICERS. OFFICERS AND TRUSTEES 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 15A: THE ORGANIZATION'S OFFICERS AND TRUSTEES DO NOT RECEIVE COMPENSATION IN THEIR CAPACITIES AS OFFICERS AND TRUSTEES. COMPENSATION (AND THE FORMULAS FOR DETERMINING COMPENSATION) OF CERTAIN OF THE ORGANIZATION'S PHYSICIAN EMPLOYEES IS REVIEWED AND UPDATED ANNUALLY BY ITS COMPENSATION COMMITTEE WHICH IS COMPRISED SOLELY OF INDEPENDENT MEMBERS. COMPENSATION AND THE COMPENSATION STRUCTURE IS ANNUALLY BENCHMARKED AGAINST MARKET COMPARABILITY SURVEY DATA. THE COMPENSATION COMMITTEE VOTES AND APPROVES ALL PHYSICIAN COMPENSATION. 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 VII: THE FOLLOWING INDIVIDUALS WORK AN AVERAGE OF 50 HOURS PER WEEK AT CAMBRIDGE HEALTH ALLIANCE AND ITS RELATED ORGANIZATIONS: DAVID PORELL DENNIS KEEFE DAVID BOR, MD DAVID LINK, MDExplanation

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
Whidden Memorial Hospital
101 Station Landing 5th FloorMedfordMA02155043561265HOSPITALMA501(c)(3)11ANA
Somerville Hospital
101 Station Landing 5th FloorMedfordMA02155042103852HOSPITALMA501(c)(3)11ANA
Network Health Inc
101 Station Landing 5th FloorMedfordMA02155043476565Managed CareMA501(c)(3)11ANA
Institute for Community Health Inc
101 Station Landing 5th FloorMedfordMA02155043543853HLTH RESEARCHMA501(c)(3)9NA
Alliance Foundation for Community Health
101 Station Landing 5th FloorMedfordMA02155010676306FoundationMA501(c)(3)11ANA
Cambridge Public Health Commission
101 Station Landing 5th FloorMedfordMA02155043320571HealthcareMA115N/ANA
Cambridge Energy Alliance
1385 Cambridge StreetCambridgeMA02139260663000Energy EfficiMA501(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 OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.