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        <PersonNm>SARAH JALBERT</PersonNm>
        <TitleTxt>EXEC DIRECTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>201814</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <NontaxableBenefitsRltdOrgsAmt>41084</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTORS OF INSTITUTE OF COMMUNITY HEALTH, INC. ("ICH") RECEIVE NO COMPENSATION FOR THEIR ROLES AS DIRECTORS. SEVERAL DIRECTORS RECEIVE COMPENSATION FROM RELATED ORGANIZATIONS FOR SERVICES PROVIDED TO THE RELATED ORGANIZATION. ICH'S EXECUTIVE DIRECTOR IS EMPLOYED BY ONE OF ITS MEMBERS, NAMELY THE CAMBRIDGE PUBLIC HEALTH COMMISSION D/B/A CAMBRIDGE HEALTH ALLIANCE ("CHA"). CHA IS A RELATED ORGANIZATION. CHA REVIEWED MARKET DATA AND INTERNAL COMPARABLES TO DETERMINE THE COMPENSATION FOR ICH'S EXECUTIVE DIRECTOR. ICH'S BOARD OF DIRECTORS VOTES AND APPROVES THE BUDGET FOR ICH, INCLUDING THE EXECUTIVE DIRECTOR'S COMPENSATION, AFTER REVIEW AND DISCUSSION OF THE COMPARABLE SALARY INFORMATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1 &amp; PART III, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>INSTITUTE FOR COMMUNITY HEALTH, INC. ("ICH") IS AN EVALUATION AND RESEARCH NONPROFIT CHARITABLE ORGANIZATION WHOSE VISION IS A WORLD IN WHICH EMPOWERED AND KNOWLEDGEABLE COMMUNITIES ACHIEVE HEALTH EQUALITY AND A HIGH QUALITY OF LIFE FOR ALL. THE MISSION OF ICH IS TO IMPROVE COMMUNITY HEALTH THROUGH PARTICIPATORY EVALUATION, APPLIED RESEARCH, ASSESSMENT, AND DATA SERVICES WITH AND FOR HOSPITALS, HEALTH CENTERS, GOVERNMENT AGENCIES, AND COMMUNITY-BASED ORGANIZATIONS. ICH VALUES ARE: ESTABLISHING STRONG, LONG-TERM PARTNERSHIPS BETWEEN COMMUNITIES AND HEALTH CARE PROVIDERS AND SERVICES, ENGAGING IN PARTICIPATORY AND CAPACITY-BUILDING PROCESSES, INCORPORATING DIVERSE PERSPECTIVES, ADDRESSING SOCIAL DETERMINANTS OF HEALTH, USING DATA TO GUIDE POLICY AND ACTION, AND ADHERING TO THE HIGHEST ETHICAL STANDARDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO THE ICH BYLAWS, EACH MEMBER MAY APPOINT DIRECTORS TO THE GOVERNING BODY, WHICH IS THE ICH BOARD OF DIRECTORS. CAMBRIDGE PUBLIC HEALTH COMMISION D/B/A CAMBRIDGE HEALTH ALLIANCE APPOINTS THREE (3) DIRECTORS. THESE DIRECTORS MAY HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF THE FACT THAT THEY SHARE A COMMON EMPLOYER. DAVID BOR AND GREG HAGAN ARE ALSO EMPLOYEES OF CAMBRIDGE PUBLIC HEALTH COMMISSION OR ITS OTHER WHOLLY-OWNED SUBSIDIARIES, AND THEREFORE HAVE A BUSINESS RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>CAMBRIDGE PUBLIC HEALTH COMMISSION D/B/A CAMBRIDGE HEALTH ALLIANCE IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER HAS THE RIGHT TO APPOINT 4 OF THE 12 DIRECTORS TO THE BOARD. THE REMAINING 8 DIRECTORS ARE ELECTED BY THE BOARD OF DIRECTORS (OR IF SO DELEGATED, ITS NOMINATING COMMITTEE RECOMMENDS THOSE DIRECTORS AND THE BOARD THEN ELECTS THEM). THE DIRECTORS ELECTED BY THE BOARD OF DIRECTORS SHOULD BE INDEPENDENT, WHICH MEANS INDIVIDUALS WHO, IN THE REASONABLE DISRECTION OF THE BOARD, ARE NOT OTHERWISE AFFILIATED WITH ANY OF THE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7B:</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN ACTIONS OF THE BOARD OF DIRECTORS MUST BE APPROVED BY CAMBRIDGE PUBLIC HEALTH COMMISSION D/B/A CAMBRIDGE HEALTH ALLIANCE, THE ORGANIZATION'S SOLE CORPORATE MEMBER, AS REQUIRING BY STATE LAW OR AS SET FORTH IN THE BYLAWS, SUCH AS AMENDMENTS TO THE BYLAWS OR ARTICLES OF ORGANIZATION, A SALE OF ALL OR SUBSTANTIALLY ALL ASSETS, MERGER, CONSOLIDATION, JOINT VENTURES, OR AFFILIATION WITH INSTITUTE FOR COMMUNITY HEALTH, INC. CERTAIN BUSINESS ITEMS CAN BE RECOMMENDED TO THE MEMBERS OF THEIR DESIGNATED COMMITTEES FOR REVIEW AND APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>ICH'S FORM 990 WAS PREPARED WITH THE ASSISTANCE OF ITS OUTSIDE TAX ACCOUNTANTS AND PAID PREPARER (ERNST &amp; YOUNG LLP). ICH'S INTERNAL MANAGEMENT AND CHA EMPLOYEES REVIEWED THE FORM 990 AND PROVIDED COMMENTS AND CHANGES. COPIES OF THE COMPLETED FORM 990 WERE DISTRIBUTED IN ELECTRONIC OR PAPER FORM TO DIRECTORS ON ICH'S GOVERNING BODY PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 12C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY FOR ITS DIRECTORS, OFFICERS, AND KEY EMPLOYEES. THE CHIEF COMPLIANCE OFFICER MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING COMPLETION AND SIGNATURES ON THE ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT BY ITS OFFICERS, DIRECTORS, AND KEY EMPLOYEES, WHO EACH RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY ALONG WITH THE ANNUAL DISCLOSURE FORM AND WHO ARE REMINDED ANNUALLY AT A BOARD OF DIRECTORS MEETING OF HIS OR HER OBLIGATION TO PROMPTLY REPORT ANY NEW POTENTIAL CONFLICTS THAT ARISE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 14</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS AN ACTIVE DOCUMENT RETENTION AND DESTRUCTION POLICY APPROVED BY MANAGEMENT AND FOLLOWED IN DAY TO DAY OPERATIONS. IT IS ANTICIPATED THAT THIS POLICY WILL BE APPROVED BY THE BOARD OF DIRECTORS IN THE UPCOMING FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 15A:</FormAndLineReferenceDesc>
        <ExplanationTxt>ICH'S EXECUTIVE DIRECTOR IS EMPLOYED BY ONE OF ITS MEMBERS, NAMELY THE CAMBRIDGE PUBLIC HEALTH COMMISSION D/B/A CAMBRIDGE HEALTH ALLIANCE ("CHA"). CHA IS A RELATED ORGANIZATION. CHA REVIEWED MARKET DATA AND INTERNAL COMPARABLES TO DETERMINE THE COMPENSATION FOR ICH'S EXECUTIVE DIRECTOR. ICH'S BOARD OF DIRECTORS VOTED AND APPROVED THE BUDGET FOR ICH, INCLUDING THE EXECUTIVE DIRECTOR'S COMPENSATION AFTER REVIEW AND DISCUSSION OF THE COMPARABLE SALARY INFORMATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VII AND PART IX</FormAndLineReferenceDesc>
        <ExplanationTxt>ICH DOES NOT HAVE ANY EMPLOYEES RATHER ITS EMPLOYEES ARE CARRIED ON THE PAYROLL OF CHA, A RELATED ORGANIZATION. THE FORM 990, PART IX SHOWS SALARY EXPENSE BECAUSE ICH REIMBURSES THE ASSOCIATED PAYROLL/BENEFITS EXPENSE TO CHA. THE ICH BOARD APPROVES THE ASSOCIATED PAYROLL/BENEFITS EXPENSE AS PART OF THE ICH BUDGET APPROVAL PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <CityNm>Malden</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02148</ZIPCd>
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        <EIN>043561265</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHA MANAGEMENT SERVICESINC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>Commerce Place 350 Main St</AddressLine1Txt>
          <CityNm>Malden</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02148</ZIPCd>
        </USAddress>
        <EIN>043476565</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CPHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CAMBRIDGE HEALTH ALLIANCE PHY ORGINC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>Commerce Place 350 Main St</AddressLine1Txt>
          <CityNm>Malden</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02148</ZIPCd>
        </USAddress>
        <EIN>043167608</EIN>
        <PrimaryActivitiesTxt>Physician Svc</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CPHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CAMBRIDGE HEALTH ALLIANCE FOUNDATIONINC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>Commerce Place 350 Main St</AddressLine1Txt>
          <CityNm>Malden</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02148</ZIPCd>
        </USAddress>
        <EIN>010676306</EIN>
        <PrimaryActivitiesTxt>Foundation</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CPHC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CAMBRIDGE PUBLIC HEALTH COMMISSION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>Commerce Place 350 Main St</AddressLine1Txt>
          <CityNm>Malden</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02148</ZIPCd>
        </USAddress>
        <EIN>043320571</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CAMBRIDGE PUBLIC HEALTH COMMISSION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>322188</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHA GENERAL SERVICES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>2524526</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 1, COLUMN (B)</FormAndLineReferenceDesc>
        <ExplanationTxt>CHA GENERAL SERVICES, INC. PRIMARY ACTIVITY: REAL ESTATE HOLDING AND EMPLOYMENT SERVICES SUPPORTING ORGANIZATION FOR CAMBRIDGE PUBLIC HEALTH COMMISSION. PART II, LINE 3, COLUMN (B) CHA MANAGEMENT SERVICES, INC. PRIMARY ACTIVITY: ASSET HOLDING SUPPORTING ORGANIZATION FOR CAMBRIDGE PUBLIC HEALTH COMMISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>