2024-11-14T10:17:51-06:00 2023-12-31 042571780 AAFCPAS INC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2023-01-01 813005904 COMMUNITY CARE COOPERATIVE INC COMM 8666769226 75 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 CHRISTINA SEVERIN PRESIDENT & CEO 8666769226 2024-11-13 1 1 CAITLIN LIMOGES CPA P01633588 5083669100 2024-11-13 2023 2024-10-15 13:58:12Z CHRISTINA SEVERIN 75 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 109687464 0 X WWW.COMMUNITYCARECOOPERATIVE.ORG X 2016 MA C3 IS AN FQHC GOVERNED ACO PARTICIPATING IN MEDICAID, MEDICARE, AND COMMERCIAL VALUE-BASED CONTRACTS, AND DEVELOPING ADDITIONAL SERVICES TO SUPPORT ITS MISSION AND MEMBERS. 43 42 318 42 0 0 28356580 14515031 56593642 93377544 -242437 1791902 0 2987 84707785 109687464 28179827 27354591 0 0 12725468 28929624 0 0 0 19011233 45823147 59916528 102107362 24791257 7580102 95073824 101385552 19572278 16639542 75501546 84746010 C3 IS AN FQHC GOVERNED ACO PARTICIPATING IN MEDICAID, MEDICARE, AND COMMERCIAL VALUE-BASED CONTRACTS, AND DEVELOPING ADDITIONAL SERVICES TO SUPPORT ITS MISSION AND MEMBERS. 0 0 71193848 27354591 74709659 C3 STARTED A FULL, FIVE-YEAR MASSHEALTH (MASSACHUSETTS MEDICAID) ACO PROGRAM ON MARCH 1, 2018. THE ACO IS MADE UP ENTIRELY OF 18 FEDERALLY QUALIFIED HEALTH CENTERS. 18410633 10813600 COMMUNITY TECHNOLOGY COOPERATIVE (CTC) WAS FORMED TO HELP FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IMPROVE HEALTH AND EQUITY FOR UNDER-RESOURCED COMMUNITIES THROUGH TECHNOLOGY. COMPRISED OF FQHCS THROUGHOUT MASSACHUSETTS, CTC IS FOCUSED ON TRANSITIONING OUR EXISTING ELECTRONIC HEALTH RECORDS (EHR) SYSTEMS TO EPIC. 9706633 7857272 COMMUNITY PHARMACY COOPERATIVE (CPC) HAS A MISSION TO IMPROVE PHARMACY OPERATIONS AND CLINICAL SERVICES AT FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). CPC PARTNERS WITH FQHCS TO DELIVER CLINICAL AND ECONOMIC VALUE TO THEIR PHARMACY SERVICES AND TO IMPROVE ACCESS BY ASSISTING PATIENTS IN RECEIVING AND UNDERSTANDING THEIR MEDICATIONS. 99311114 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 22 0 1 318 1 0 0 0 0 0 0 0 0 0 0 0 0 X 43 42 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X PATRICK HOLLAND 8666769226 75 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 CHRISTINA SEVERIN PRESIDENT & CEO 40.00 X X 512756 0 27962 ALEJANDRO ESPARAZA MD BOARD MEMMBER/CHAIR 1.00 X X 0 0 0 KAREN GARDNER TREASURER 1.00 X X 0 0 0 MARGARET BRENNAN CLERK 1.00 X X 0 0 0 PABLO HERNANDEZ MD BOARD MEMBER 1.00 X 0 0 0 SUE JOSS BOARD MEMBER 1.00 X 0 0 0 JAY TRIVEDI BOARD MEMBER 1.00 X 0 0 0 ANNE MURRAY-CHIRIBOGA MD BOARD MEMBER 1.00 X 0 0 0 JOHN DEMALIA BOARD MEMBER 1.00 X 0 0 0 JOE PANERIO-LANGER MD BOARD MEMBER 1.00 X 0 0 0 STEPHEN SEGATORE DNP BOARD MEMBER 1.00 X 0 0 0 STEVE KERRIGAN BOARD MEMBER 1.00 X 0 0 0 LOUIS BRADY BOARD MEMBER 1.00 X 0 0 0 ELIZABETH BROWNE BOARD MEMBER 1.00 X 0 0 0 CYNTHIA MITCHELL BOARD MEMBER 1.00 X 0 0 0 GEOFF PECHINSKY MD BOARD MEMBER 1.00 X 0 0 0 CHARLES ANDERSON MD BOARD MEMBER 1.00 X 0 0 0 MARISELA FERMIN-SCHON RN MSN FNP-C BOARD MEMBER 1.00 X 0 0 0 MARK FRANCOISA MD BOARD MEMBER 1.00 X 0 0 0 JAMES WOLFF MD BOARD MEMBER 1.00 X 0 0 0 NANDINI SENGUPTA MD BOARD MEMBER 1.00 X 0 0 0 MIMI GARDNER BOARD MEMBER 1.00 X 0 0 0 ROBERT ZAVOSKI MD BOARD MEMBER 1.00 X 0 0 0 JUAN JAIME DE ZENGOTITA BOARD MEMBER 1.00 X 0 0 0 VINCENZO SCIBELLI BOARD MEMBER 1.00 X 0 0 0 CHERYL BARTLETT BOARD MEMBER 1.00 X 0 0 0 GLENN TUCKER BOARD MEMBER 1.00 X 0 0 0 GUY FISH MD BOARD MEMBER 1.00 X 0 0 0 ZANDRA KELLEY BOARD MEMBER 1.00 X 0 0 0 HEIDI NELSON BOARD MEMBER 1.00 X 0 0 0 LISA JONES MD BOARD MEMBER 1.00 X 0 0 0 TANIA BARBER BOARD MEMBER 1.00 X 0 0 0 JONATHAN MOSELEY BOARD MEMBER 1.00 X 0 0 0 AL CECCHINELLI BOARD MEMBER 1.00 X 0 0 0 ASHIYA SETH BOARD MEMBER 1.00 X 0 0 0 CARLOS CAPPAS BOARD MEMBER 1.00 X 0 0 0 MANNY LOPES BOARD MEMBER 1.00 X 0 0 0 MARJORIE JANVIER BOARD MEMBER 1.00 X 0 0 0 MICHAEL PURDY BOARD MEMBER 1.00 X 0 0 0 PATRICIA NADLE BOARD MEMBER 1.00 X 0 0 0 ALLISON VAN DER VELDEN DMD BOARD MEMBER 1.00 X 0 0 0 DAMIAN ARCHER MD BOARD MEMBER 1.00 X 0 0 0 MONICA LIAO BOARD MEMBER 1.00 X 0 0 0 GREG WILMOT BOARD MEMBER (UNTIL 3/2023) 1.00 X 0 0 0 JACKIE FANTES MD BOARD MEMBER (UNTIL 3/2023) 1.00 X 0 0 0 ELLEN LAPOINTE BOARD MEMBER (UNTIL 3/2023) 1.00 X 0 0 0 KIAME MAHANIAH MD BOARD MEMBER (UNTIL 3/2023) 1.00 X 0 0 0 PAUL GELTMAN MD BOARD MEMBER (UNTIL 3/2023) 1.00 X 0 0 0 ELIZA LAKE BOARD MEMBER (UNTIL 9/2023) 1.00 X 0 0 0 MATTHEW MULLANEY CHIEF FINANCE AND STRATEGY OFFICER 40.00 X 384503 0 23373 PHILLOMIN LAPTISTE CHIEF PEOPLE OFFICER 40.00 X 283363 0 19844 THOMAS SIEPKA CHIEF PHARMACY OFFICER 40.00 X 279337 0 5377 KAREN SERRAGO CHIEF INFORMATION OFFICER, CTC 40.00 X 224144 0 19776 ADITYA MAHALINGAM-DHINGRA CHIEF BUSINESS OFFICER 40.00 X 278402 0 19772 JOHN AWAD DIRECTOR OF PHARMACY OPERATIONS 40.00 X 209275 0 7668 2171780 0 123772 67 0 1 0 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 EHR SOFTWARE HOSTING/MAINTENANCE 8233529 ARCADIA SOLUTIONS LLC 20 BLANCHARD ROAD BURLINGTON MA 01803 POPULATION HEALTH SERVICES 1752507 MILLIMAN 201 EDGEWATER DRIVE SUITE 289 WAKEFIELD MA 01880 ACTUARIAL SERVICES 1102504 DIVURGENT LLC 4445 CORPORATION LN VIRGINIA BEACH VA 23462 DATA ARCHIVING 1046948 INSOURCE SERVICES INC 148 LINDEN ST WELLESLEY MA 02482 FINANCIAL AND IT CONSULTANTS 678447 20 13388095 1126936 14515031 ADMINISTRATIVE REVENUE 621498 64219698 64219698 EHR AND PHARMACY SERVICES 621498 19275878 19275878 ACO SHARED SAVINGS 621498 9724736 9724736 RISK CAPITATION 621498 157232 157232 93377544 1791902 1791902 OTHER REVENUE 900999 2987 2987 2987 109687464 93380531 0 1791902 27354591 27354591 948824 663694 285130 23556518 22732099 824419 655451 632184 23267 1762477 1685411 77066 2006354 1911928 94426 331813 36940 294873 30000 30000 72000 72000 47340 47340 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370400 531824 1791902 3292565 183 606 2987 3776 37788534 55058207 48013134 85482046 109687464 336029385 0.51330 0.64530 0.00980 0.00600 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2019 AMOUNT: $ 183. 2020 AMOUNT: $ 606. 2023 AMOUNT: $ 2,987. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 72000 72000 0 PART II-B, LINE 1: THE ORGANIZATION HAS RETAINED SANCHEZ STRATEGIES FOR LOBBYING TO THE MASSACHUSETTS STATE HOUSE. 0 0 10039 3765 6274 17774748 4045941 13728807 13735081 OPERATING LEASE LIABILITY 1582075 1582075 X PART X, LINE 2: THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE ORGANIZATION HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT DECEMBER 31, 2023. THE ORGANIZATION'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS. 1 ACCESS HEALTH LOUISIANA 2900 INDIANA AVE KENNER LA 70065 470852944 501(C)(3) 84651 0 DSRIP - ACO MODEL MANAGEMENT BROCKTON NEIGHBORHOOD HEALTH CENTER 63 MAIN STREET BROCKTON MA 02301 043165044 501(C)(3) 2326179 0 DSRIP - ACO MODEL MANAGEMENT CARING HEALTH CENTER INC 1049 MAIN STREET SPRINGFIELD MA 01103 042620040 501(C)(3) 337687 0 DSRIP - ACO MODEL MANAGEMENT CHARLES RIVER COMMUNITY HEALTH ATTN E B 495 WESTERN AVE BOSTON MA 02135 237221597 501(C)(3) 336984 0 DSRIP - ACO MODEL MANAGEMENT COMMUNITY HEALTH CENTER OF CAPE COD 107 COMMERCIAL STREET MASHPEE MA 02649 043370560 501(C)(3) 1154578 0 DSRIP - ACO MODEL MANAGEMENT COMMUNITY HEALTH CENTER OF FRANKLIN CHCFC 102 MAIN STREET GREENFIELD MA 01301 043312968 501(C)(3) 220715 0 DSRIP - ACO MODEL MANAGEMENT COMMUNITY HEALTH CONNECTIONS 326 NICHOLS ROAD FITCHBURG MA 01420 043452697 501(C)(3) 1736064 0 DSRIP - ACO MODEL MANAGEMENT DUFFY HEALTH CENTER 94 MAIN STREET HYANNIS MA 02601 043373741 501(C)(3) 6227 0 DSRIP - ACO MODEL MANAGEMENT EAST BOSTON NEIGHBORHOOD HEALTH CENTER 10 GOVE STREET EAST BOSTON MA 02128 237425849 501(C)(3) 3113147 0 DSRIP - ACO MODEL MANAGEMENT EDWARD M KENNEDY HEALTH CENTER 115 NORTHEAST CUTOFF BLDG 2 SUITE 200 WORCESTER MA 01606 042513817 501(C)(3) 2249592 0 DSRIP - ACO MODEL MANAGEMENT FAMILY HEALTH CENTER OF WORCESTER 26 QUEEN ST WORCESTER MA 01610 042485308 501(C)(3) 3776558 0 DSRIP - ACO MODEL MANAGEMENT FENWAY HEALTH 1340 BOYLSTON STREET BOSTON MA 02215 042510564 501(C)(3) 607080 0 DSRIP - ACO MODEL MANAGEMENT GREATER LAWRENCE FAMILY HEALTH CENTER 1 GRIFFIN BROOK DRIVE SUITE 209 METHUEN MA 01844 042708824 501(C)(3) 130613 0 DSRIP - ACO MODEL MANAGEMENT GREATER NEW BEDFORD COMMUNITY HC 874 PURCHASE STREET NEW BEDFORD MA 02740 042675800 501(C)(3) 691464 0 DSRIP - ACO MODEL MANAGEMENT HEALTH SERVICES FOR THE HOMELESS 311 STATE STREET SPRINGFIELD MA 01105 046001415 227093 0 DSRIP - ACO MODEL MANAGEMENT HILLTOWN COMMUNITY HEALTH CENTER 58 OLD NORTH ROAD WORTHINGTON MA 01098 042161484 501(C)(3) 177175 0 DSRIP - ACO MODEL MANAGEMENT HOLYOKE HEALTH CENTER 230 MAPLE STREET HOLYOKE MA 01040 042492730 501(C)(3) 2824922 0 DSRIP - ACO MODEL MANAGEMENT ISLAND HEALTH INC 245 EDGARTOWN-VINEYARD HAVEN RD EDGARTOWN MA 02539 000820031 501(C)(3) 132154 0 DSRIP - ACO MODEL MANAGEMENT KRONOS HEALTH PLLC 360 MERRIMACK STREET BUILDING 9 ENTRANCE G LAWRENCE MA 01843 810787629 120351 0 DSRIP - ACO MODEL MANAGEMENT LYNN COMMUNITY HEALTH CENTER 269 UNION STREET LYNN MA 01901 042525066 501(C)(3) 3377115 0 DSRIP - ACO MODEL MANAGEMENT NORTH END WATERFRONT HEALTH (NEWH) 332 HANOVER ST BOSTON MA 02113 237089746 501(C)(3) 349301 0 DSRIP - ACO MODEL MANAGEMENT NORTH SHORE COMMUNITY HEALTH 27 CONGRESS STREET SALEM MA 01970 042610447 501(C)(3) 1028739 0 DSRIP - ACO MODEL MANAGEMENT OUTER CAPE HEALTH SERVICES INC 710 ROUTE 28 HARWICH PORT MA 02646 042509828 501(C)(3) 281879 0 DSRIP - ACO MODEL MANAGEMENT THE DIMOCK CENTER 55 DIMOCK STREET ROXBURY MA 02119 043487835 501(C)(3) 530131 0 DSRIP - ACO MODEL MANAGEMENT UPHAM'S CORNER HEALTH CENTER 500 COLUMBIA RD DORCHESTER MA 02125 237211732 501(C)(3) 798541 0 DSRIP - ACO MODEL MANAGEMENT 23 2 PART I, LINE 2: ALL GRANTS ARE SUBJECT TO A BOARD APPROVED POLICY. GRANTS ARE AWARDED BASED UPON CRITERIA AS DETERMINED BY THE BOARD OF DIRECTORS. ALL GRANTS ARE MONITORED AND TRACKED INTERNALLY AND ARE PERIODICALLY REVIEWED BY THE BOARD OF DIRECTORS. X 0 0 0 0 0 0 0 0 0 CHRISTINA SEVERIN PRESIDENT & CEO 512756 0 0 0 0 0 13200 0 14762 0 540718 0 0 0 MATTHEW MULLANEY CHIEF FINANCE AND STRATEGY OFFICER 384503 0 0 0 0 0 13739 0 9634 0 407876 0 0 0 PHILLOMIN LAPTISTE CHIEF PEOPLE OFFICER 283363 0 0 0 0 0 10210 0 9634 0 303207 0 0 0 ADITYA MAHALINGAM-DHINGRA CHIEF BUSINESS OFFICER 278402 0 0 0 0 0 9749 0 10023 0 298174 0 0 0 THOMAS SIEPKA CHIEF PHARMACY OFFICER 279337 0 0 0 0 0 5118 0 259 0 284714 0 0 0 KAREN SERRAGO CHIEF INFORMATION OFFICER, CTC 224144 0 0 0 0 0 8282 0 11494 0 243920 0 0 0 JOHN AWAD DIRECTOR OF PHARMACY OPERATIONS 209275 0 0 0 0 0 7668 0 0 0 216943 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 C3'S MEMBER ORGANIZATIONS ARE MASSACHUSETTS-BASED COMMUNITY HEALTH CENTERS. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATIONS'S BOARD OF DIRECTORS IS MADE UP OF MANAGEMENT PERSONNEL OF MEMBER ORGANIZATIONS. THESE PERSONNEL LEAVE THE C3 BOARD OF DIRECTORS IF THEIR EMPLOYMENT WITH THE MEMBER ORGANIZATION ENDS. FORM 990, PART VI, SECTION A, LINE 7B ADMISSION OF NEW CORPORATE MEMBERS (FQHCS) IS RESERVED FOR THE EXISTING MEMBERS WHO GET ONE VOTE EACH. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 IS SHARED WITH THE BOARD OF DIRECTORS, BUT DOES NOT REQUIRE BOARD APPROVAL BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C C3'S BOARD MEMEBERS ARE REQUIRED TO SIGN CONFLICT OF INTEREST DISCLOSURES ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 C3 USED THE SERVICES OF AN INDEPENDENT CONSULTING COMPANY TO DETERMINE THE ADEQUACY AND REASONABLENESS OF THE CEO'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 C3 MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. COMMUNITY TECHNOLOGY COOPERATIVE LLC 75 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 873808676 SUPPORT COMMUNITY HEALTH CENTERS MA 10813600 11342570 COMMUNITY CARE COOPERATIVE INC COMMUNITY PHARMACY COOPERATIVE LLC 75 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 880598726 SUPPORT FEDERALLY QUALIFIED HEALTH CENTERS MA 8508574 -794902 COMMUNITY CARE COOPERATIVE INC