Somerville Hospital

“Somerville hospital is a wholly-owned subsidiary of the cambridge public health commission d/b/a cambridge health alliance (cha), a public health system created by and existing pursuant to special act of the massachusetts legislature. The organization provides management and support personnel to and holds the real estate for its parent, cha, in furtherance of cha's mission. Cha is the legal entity that is licensed to operate healthcare facilities and provide health related services to the communities it serves. Part i, lines 3 & 4 and part vi, lines 1a & 1b: somerville does not have any independent board members since all of the board members are compensated by a related organization. However, somerville is part of the cambridge health alliance, which is a government instrumentality of the city of cambridge, ma. There has been no material changes in the structure of somerville's governing body since it applied and received exempt status. Part iii, line 4a: somerville hospital (the "organization") is a wholly-owned subsidiary of the cambridge public health commission, a regional public safety net health system conducting business under the name cambridge health alliance ("cha"). The organization is a supporting organization of cha. Chas mission is to improve the health of the communities it serves. Cha operates (a) three hospital campuses, two of which are inpatient facilities and all of which have full-service emergency departments, and (b) a network of ambulatory care clinics in the massachusetts communities of cambridge, somerville, malden, revere, and everett. Cha also provides public health services and programs in its service area. Cha qualifies as a disproportionate share hospital under medicare and medicaid, and the majority of its patients are uninsured or under-insured. Part vi, line 2: the officers and directors are also employees of cambridge public health commission or its other wholly-owned subsidiaries, and therefore have a business relationship. Part vi, line 6: cambridge public health commission d/b/a cambridge health alliance is the sole corporate member of somerville hospital. Part vi, line 7a: cambridge public health commission d/b/a cambridge health alliance (cha) has the right to appoint, and does appoint, all members of the somerville hospital board of directors. Part vi, line 7b: as set forth in the bylaws of somerville hospital (the "organization"), certain actions of the organization's board of directors must be approved by cambridge public health commission d/b/a cambridge health alliance ("cha"), the organization's sole corporate member. These actions requiring cha approval include adoption of the organizations budget; any merger, consolidation, joint venture, or affiliation; any capital transaction or incurrence of debt greater than $500,000; amendments to the organization's bylaws or articles of organization; the sale or other disposition of or mortgage or grant of a security interest in all or substantially all of the organization's assets; and dissolution or liquidation of the organization. Cha has authority to approve or deny any such decision made by the organization's board of directors. Items can be recommended to the board of cha or its committees for review and approval. Part vi, line 11: somerville hospital's form 990 was prepared with the assistance of its outside tax accountants and paid preparer (ernst & young llp). Somerville hospital's internal management and cambridge public health commission d/b/a cambridge health alliance ("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 board finance committee. Ernst & young llp 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 somerville hospital governing body prior to filing with the irs”

“Other changes in net assets or fund balances include the following: restricted funds release ($2,000) transfer of intercompany balances to fund balance ($837,378).”

“Description:esp services total fees:17106581”

“Description:transportation services total fees:1281818”

“Description:contracts funded services total fees:922486”

“Description:agency total fees:894431”

“Description:technical med service contract total fees:314406”

“Description:other services total fees:879646”