2023-10-30T16:06:09-05:00 2022-12-31 042571780 AAFCPAS INC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2022-01-01 813005904 COMMUNITY CARE COOPERATIVE INC COMM 8666769226 75 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 CHRISTINA SEVERIN PRESIDENT & CEO 8666769226 2023-10-30 1 CHRISTINA SEVERIN 813005904 1 CAITLIN LIMOGES CPA P01633588 5083669100 2023-10-30 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CHRISTINA SEVERIN 75 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 92579843 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. C3 RENEWED ITS FIVE-YEAR CONTRACT WITH MASSACHUSETTS MEDICAID IN 2022. 44 43 196 43 0 0 23575022 28356580 24067712 56593642 370400 -242437 0 0 48013134 84707785 14257234 28179827 0 0 8401146 12725468 0 0 0 12771608 19011233 35429988 59916528 12583146 24791257 58957905 95073824 5555409 19572278 53402496 75501546 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. C3 RENEWED ITS FIVE-YEAR CONTRACT WITH MASSACHUSETTS MEDICAID IN 2022. 0 0 51284451 28179827 39980592 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. 4955900 16350502 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. 1351918 262548 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. 57592269 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 41 0 1 196 1 0 0 0 0 0 0 0 0 0 0 0 0 X 44 43 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X MATTHEW MULLANEY CHIEF FINANCE AND STRATEGY OFFICER 8666769226 75 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 CHRISTINA SEVERIN PRESIDENT & CEO 40.00 X X 518596 0 29147 KAREN GARDNER TREASURER 1.00 X X 0 0 0 MARGARET BRENNAN CLERK 1.00 X X 0 0 0 KIAME MAHANIAH MD BOARD MEMBER/CHAIR 1.00 X X 0 0 0 DAMIAN ARCHER MD BOARD MEMBER 1.00 X 0 0 0 JACKIE FANTES MD BOARD MEMBER 1.00 X 0 0 0 ALEJANDRO ESPARAZA MD BOARD MEMBER 1.00 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 DAVID TAGER MD BOARD MEMBER 1.00 X 0 0 0 ELIZABETH BROWNE BOARD MEMBER 1.00 X 0 0 0 JAY TRIVEDI BOARD MEMBER 1.00 X 0 0 0 ELIZA LAKE 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 PAUL GELTMAN MD 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 ALLISON VAN DER VELDEN DMD BOARD MEMBER 1.00 X 0 0 0 CHARLES ANDERSON MD BOARD MEMBER 1.00 X 0 0 0 ELLEN LAPOINTE BOARD MEMBER 1.00 X 0 0 0 EUGENE FLAHERTY 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 GREG WILMOT 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 MONICA LIAO 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 JAY BREINES BOARD MEMBER (UNTIL 8/2022) 1.00 X 0 0 0 ALEX GONZALEZ MD BOARD MEMBER (UNTIL 3/2022) 1.00 X 0 0 0 JAMES E LUISI BOARD MEMBER (UNTIL 5/2022) 1.00 X 0 0 0 KHLEDA JABBAR MD BOARD MEMBER (UNTIL 5/2022) 1.00 X 0 0 0 MATTHEW MULLANEY CHIEF FINANCE AND STRATEGY OFFICER 40.00 X 361857 0 23515 PHILLOMIN LAPTISTE CHIEF PEOPLE OFFICER 40.00 X 283219 0 21363 JULITA MIR CHIEF MEDICAL OFFICER 40.00 X 288353 0 10772 KAREN SERRAGO CHIEF INFORMATION OFFICER, CTC 40.00 X 259835 0 21835 MONA BASTIDE SR DIRECTOR, BH PROGRAMS 40.00 X 207442 0 14540 JOHN AWAD DIRECTOR OF PHARMACY OPERATIONS 40.00 X 197063 0 24435 2116365 0 145607 40 0 1 0 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 EHR SOFTWARE HOSTING/MAINTENANCE 2708586 ARCADIA SOLUTIONS LLC 20 BLANCHARD ROAD BURLINGTON MA 01803 POPULATION HEALTH SERVICES 1189380 MILLIMAN 201 EDGEWATER DRIVE SUITE 289 WAKEFIELD MA 01880 ACTUARIAL SERVICES 662001 ROCKHILL MANAGEMENT 500 BOYLSTON ST BOSTON MA 02216 PROPERTY MANAGEMENT SERVICES 626318 INSOURCE SERVICES INC 148 LINDEN ST WELLESLEY MA 02482 IT, HR, RECRUITING, AND FINANCIAL SERVIC 601989 5 27643301 713279 28356580 ADMINISTRATIVE REVENUE 621498 27622073 27622073 CONSULTING 621498 17545224 17545224 ACO SHARED SAVINGS 621498 9978086 9978086 RISK CAPITATION 621498 1448259 1448259 56593642 531824 531824 7097797 7872058 -774261 -774261 -774261 84707785 56593642 0 -242437 28179827 28179827 933253 658366 274887 9869049 9421476 447573 356244 338905 17339 753764 710048 43716 813158 759176 53982 181709 63731 117978 34500 34500 72000 72000 31526 31526 4174094 3541517 632577 118265 118265 249283 76285 172998 387096 387096 626747 575675 51072 186892 59848 127044 361685 355466 6219 344291 193644 150647 FLEXIBLE SERVICES 7373183 7373183 EPIC FEES 3328965 3328965 TELEHEALTH EXPENSE 774496 774496 MISCELLANEOUS 351655 261454 90201 414846 414846 59916528 57592269 2324259 0 2593189 2070025 31925346 44491748 428290 8616839 1973987 2823349 17784787 503335 991886 17281452 21045207 17896551 0 1893860 58957905 95073824 5218978 17394716 336431 2177562 5555409 19572278 X 46426342 68784276 6976154 6717270 53402496 75501546 58957905 95073824 24791257 -2692207 0 X X 0 1 X 1 0 X 34725273 26545788 37177921 23575022 28356580 150380584 6458250 10948059 17575745 24067712 56593642 115643408 41183523 37493847 54753666 47642734 84950222 266023992 0 5945456 10502709 17025163 23277941 36586339 93337608 5945456 10502709 17025163 23277941 36586339 93337608 172686384 95922 294504 303935 370400 531824 1596585 95922 294504 303935 370400 531824 1596585 183 606 789 41279445 37788534 55058207 48013134 85482046 267621366 0.64530 0.69690 0.00600 0.00560 X 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 10039 17774748 503335 17271413 17281452 OPERATING LEASE LIABILITY 2177562 2177562 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, 2022. THE ORGANIZATION'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS. X X 1 BETSY TARLIN 88 COLUMBIA STREET BROOKLINE MA 02446 FUNDRAISING COUNSEL 0 0 28679 -28679 28679 -28679 1 BROCKTON NEIGHBORHOOD HEALTH CENTER INC 63 MAIN STREET BROCKTON MA 02301 043165044 501(C)(3) 2617688 0 DSRIP - ACO MODEL MANAGEMENT CHARLES RIVER COMMUNITY HEALTH INC 495 WESTERN AVENUE BRIGHTON MA 02135 237221597 501(C)(3) 469199 0 DSRIP - ACO MODEL MANAGEMENT COMMUNITY HEALTH CENTER OF CAPE COD 107 COMMERCIAL STREET MASHPEE MA 02649 043370560 501(C)(3) 1212246 0 DSRIP - ACO MODEL MANAGEMENT COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INC 102 MAIN STREET GREENFIELD MA 01301 043312968 501(C)(3) 344023 0 DSRIP - ACO MODEL MANAGEMENT EAST BOSTON NEIGHBORHOOD HEALTH CENTER INC 10 GOVE STREET BOSTON MA 02128 237425849 501(C)(3) 6407765 0 DSRIP - ACO MODEL MANAGEMENT EDWARD M KENNEDY HEALTH CENTER INC 650 LINCOLN STREET WORCESTER MA 01605 042513817 501(C)(3) 1677848 0 DSRIP - ACO MODEL MANAGEMENT FAMILY HEALTH CENTER OF WORCESTER INC 26 QUEEN STREET WORCESTER MA 01610 042485308 501(C)(3) 3293614 0 DSRIP - ACO MODEL MANAGEMENT FENWAY COMMUNITY HEALTH CENTER INC 1340 BOYLSTON STREET BOSTON MA 02215 042510564 501(C)(3) 538927 0 DSRIP - ACO MODEL MANAGEMENT HILLTOWN COMMUNITY HEALTH CENTERS INC 58 OLD NORTH ROAD WORTHINGTON MA 01098 042161484 501(C)(3) 177589 0 DSRIP - ACO MODEL MANAGEMENT HOLYOKE HEALTH CENTER INC 230 MAPLE STREET HOLYOKE MA 01040 042492730 501(C)(3) 2557066 0 DSRIP - ACO MODEL MANAGEMENT LYNN COMMUNITY HEALTH CENTER INC 269 UNION STREET LYNN MA 01901 042525066 501(C)(3) 3247471 0 DSRIP - ACO MODEL MANAGEMENT NORTH END COMMUNITY HEALTH COMMITTEE INC 332 HANOVER STREET BOSTON MA 02113 237089746 501(C)(3) 269093 0 DSRIP - ACO MODEL MANAGEMENT NORTH SHORE COMMUNITY HEALTH INC 47 CONGRESS STREET SALEM MA 01970 042610447 501(C)(3) 969195 0 DSRIP - ACO MODEL MANAGEMENT DIMOCK COMMUNITY HEALTH CENTER INC 55 DIMOCK STREET BOSTON MA 02119 043487835 501(C)(3) 1081349 0 DSRIP - ACO MODEL MANAGEMENT UPHAM'S CORNER HEALTH CENTER 547 COLUMBIA ROAD DORCHESTER MA 02125 237211732 501(C)(3) 882161 0 DSRIP - ACO MODEL MANAGEMENT COMMUNITY HEALTH CONNECTIONS 326 NICHOLS ROAD FITCHBURG MA 01420 043452697 501(C)(3) 1903599 0 DSRIP - ACO MODEL MANAGEMENT ISLAND HEALTH INC 245 EDGARTOWN-VINEYARD HAVEN ROAD WEST TISBURY MA 02539 470870772 501(C)(3) 106814 0 DSRIP - ACO MODEL MANAGEMENT CITY OF SPRINGFIELD HEALTH SERVICES FOR THE HOMELESS 755 WORTHINGTON STREET SPRINGFIELD MA 01105 046001415 189458 0 DSRIP - ACO MODEL MANAGEMENT KRONOS HEALTH 360 MERRIMACK STREET LAWRENCE MA 01843 810787629 107209 0 DSRIP - ACO MODEL MANAGEMENT GREATER NEW BEDFORD COMMUNITY HEALTH CENTER 874 PURCHASE STREET NEW BEDFORD MA 02740 042675800 501(C)(3) 127513 0 DSRIP - ACO MODEL MANAGEMENT 18 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 518596 0 0 0 0 0 12200 0 16947 0 547743 0 0 0 MATTHEW MULLANEY CHIEF FINANCE AND STRATEGY OFFICER 361857 0 0 0 0 0 12200 0 11315 0 385372 0 0 0 PHILLOMIN LAPTISTE CHIEF PEOPLE OFFICER 283219 0 0 0 0 0 10048 0 11315 0 304582 0 0 0 JULITA MIR CHIEF MEDICAL OFFICER 288353 0 0 0 0 0 9337 0 1435 0 299125 0 0 0 KAREN SERRAGO CHIEF INFORMATION OFFICER, CTC 259835 0 0 0 0 0 10004 0 11831 0 281670 0 0 0 MONA BASTIDE SR DIRECTOR, BH PROGRAMS 207442 0 0 0 0 0 7904 0 6636 0 221982 0 0 0 JOHN AWAD DIRECTOR OF PHARMACY OPERATIONS 197063 0 0 0 0 0 7488 0 16947 0 221498 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 21350502 22199233 COMMUNITY CARE COOPERATIVE INC COMMUNITY PHARMACY COOPERATIVE LLC 75 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 880598726 SUPPORT FEDERALLY QUALIFIED HEALTH CENTERS MA 1602887 250969 COMMUNITY CARE COOPERATIVE INC