2022-09-06T12:22:30-05:00 2021-12-31 042571780 AAFCPAS INC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2021-01-01 813005904 COMMUNITY CARE COOPERATIVE INC COMM 8666769226 75 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 CHRISTINA SEVERIN PRESIDENT & CEO 8666769226 2022-09-01 1 CHRISTINA SEVERIN 813005904 MATTHEW HUTT CPA P01070603 5083669100 2022-09-01 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z CHRISTINA SEVERIN 75 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 48013134 0 X WWW.COMMUNITYCARECOOPERATIVE.ORG X 2016 MA C3'S MISSION IS TO LEVERAGE THE COLLECTIVE STRENGTHS OF FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) TO IMPROVE THE HEALTH AND WELLNESS OF THE PEOPLE WE SERVE. WE ARE A 501(C)(3) ACCOUNTABLE CARE ORGANIZATION (ACO) GOVERNED BY FQHCS. 35 34 102 34 0 0 37177921 23575022 17575745 24067712 303935 370400 606 0 55058207 48013134 13807466 14257234 0 0 9475245 8401146 0 0 0 13531852 12771608 36814563 35429988 18243644 12583146 45400666 58957905 4989599 5555409 40411067 53402496 C3'S MISSION IS TO LEVERAGE THE COLLECTIVE STRENGTHS OF FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) TO IMPROVE THE HEALTH AND WELLNESS OF THE PEOPLE WE SERVE. WE ARE A 501(C)(3) ACCOUNTABLE CARE ORGANIZATION (ACO) GOVERNED BY FQHCS. 0 0 33528672 14257234 24067712 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. 33528672 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 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 32 0 1 102 1 0 0 0 0 0 0 0 0 0 0 0 0 X 35 34 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 7815404206 75 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 CHRISTINA SEVERIN PRESIDENT & CEO 40.00 X X 465562 0 28381 MANNY LOPES CHAIR (UNTIL 10/21) 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 KIAME MAHANIAH MD BOARD MEMBER/CHAIR (AS OF 10/21) 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 JAY BREINES 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 ALEX GONZALEZ 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 JAMES E LUISI 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 BOARD MEMBER 1.00 X 0 0 0 ALLISON VAN DER VELDEN BOARD MEMBER 1.00 X 0 0 0 KHLEDA JABBAR MD 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 BOARD MEMBER 1.00 X 0 0 0 MARK FRANCOISA 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 HOLLY OH BOARD MEMBER (UNTIL 07/21) 1.00 X 0 0 0 VALERIE PIETRY BOARD MEMBER (UNTIL 07/21) 1.00 X 0 0 0 JONATHAN LIEBMAN BOARD MEMBER (UNTIL 03/21) 1.00 X 0 0 0 PETER GERONDEAU BOARD MEMBER (UNTIL 01/21) 1.00 X 0 0 0 MATTHEW MULLANEY CHIEF FINANCE AND STRATEGY OFFICER 40.00 X 300426 0 23224 DEBORAH YOLIN CHIEF OF CLINICAL PERFORMANCE 40.00 X 167692 0 18305 KRISTOPHER DACOSTA CHIEF PHARMACY OFFICER 40.00 X 239700 0 16217 JULITA MIR CMO 32.00 X 231920 0 9848 AMY TRAVERS DIRECTOR OF MEDICAL ECONOMICS AND PERF. ANALYTICS 40.00 X 164111 0 13163 DANIEL JOO DIRECTOR OF FINANCE AND STRATEGY 40.00 X 164070 0 13050 1733481 0 122188 22 0 1 0 ARCADIA SOLUTIONS LLC 20 BLANCHARD ROAD BURLINGTON MA 01803 POPULATION HEALTH SERVICES 1244083 RISK STRATEGIES 160 FEDERAL ST 4TH FLOOR BOSTON MA 02110 INSURANCE BROKER 664472 ROCKHILL MANAGEMENT 500 BOYLSTON ST BOSTON MA 02216 PROPERTY MANAGEMENT SERVICES 601329 INSOURCE SERVICES INC 148 LINDEN ST WELLESLEY MA 02482 IT, HR, RECRUITING, AND FINANCIAL SERVIC 438664 MILLIMAN 201 EDGEWATER DRIVE SUITE 289 WAKEFIELD MA 01880 ACTUARIAL SERVICES 388367 10 21493166 2081856 23575022 ADMINISTRATIVE REVENUE 621498 23758072 23758072 CONSULTING 621498 309640 309640 24067712 370400 370400 48013134 24067712 0 370400 X 14257234 14257234 817688 581739 235949 6213992 5916717 297275 204575 195206 9369 586142 548948 37194 578749 535853 42896 598926 415845 183081 23500 23500 72000 72000 38859 38859 2693044 2103294 589750 81307 81307 547829 507225 40604 9373 9373 68682 63591 5091 399773 252825 146948 FLEXIBLE SPENDING 5101134 5101134 TELEHEALTH EXPENSE 2342379 2342379 SOFTWARE 273773 273773 MISCELLANEOUS 246727 158607 88120 274302 274302 35429988 33528672 1901316 0 2645497 2593189 26446589 31925346 1058720 428290 1000000 366282 1973987 1133536 141650 196907 991886 13686671 21045207 45400666 58957905 4603596 5218978 386003 336431 4989599 5555409 X 35194329 46426342 5216738 6976154 40411067 53402496 45400666 58957905 12583146 408283 0 X X 0 1 X 1 0 X 8609749 34725273 26545788 37177921 23575022 130633753 6458250 10948059 17575745 24067712 59049766 8609749 41183523 37493847 54753666 47642734 189683519 0 5945456 10502709 17025163 23277941 56751269 5945456 10502709 17025163 23277941 56751269 132932250 7537 95922 294504 303935 370400 1072298 7537 95922 294504 303935 370400 1072298 183 606 789 8617286 41279445 37788534 55058207 48013134 190756606 0.69690 0.00560 X PART III, LINE 1C: THE ORGANIZATION FILED A SHORT YEAR RETURN FOR THE PERIOD 10/1/17 THROUGH 12/31/17. 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 1133536 141650 991886 991886 DEFERRED RENT 336431 336431 X 48382558 408283 408283 47974275 38859 38859 48013134 35391129 0 35391129 38859 38859 35429988 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, 2021. THE ORGANIZATION'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS. 1 BROCKTON NEIGHBORHOOD HEALTH CENTER INC 63 MAIN STREET BROCKTON MA 02301 043165044 501(C)(3) 1283401 0 DSRIP - ACO MODEL MANAGEMENT CHARLES RIVER COMMUNITY HEALTH INC 495 WESTERN AVENUE BRIGHTON MA 02135 237221597 501(C)(3) 177651 0 DSRIP - ACO MODEL MANAGEMENT COMMUNITY HEALTH CENTER OF CAPE COD 107 COMMERCIAL STREET MASHPEE MA 02649 043370560 501(C)(3) 325097 0 DSRIP - ACO MODEL MANAGEMENT COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INC 102 MAIN STREET GREENFIELD MA 01301 043312968 501(C)(3) 144957 0 DSRIP - ACO MODEL MANAGEMENT EAST BOSTON NEIGHBORHOOD HEALTH CENTER INC 10 GOVE STREET BOSTON MA 02128 237425849 501(C)(3) 1694824 0 DSRIP - ACO MODEL MANAGEMENT EDWARD M KENNEDY HEALTH CENTER INC 650 LINCOLN STREET WORCESTER MA 01605 042513817 501(C)(3) 933768 0 DSRIP - ACO MODEL MANAGEMENT FAMILY HEALTH CENTER OF WORCESTER INC 26 QUEEN STREET WORCESTER MA 01610 042485308 501(C)(3) 1475178 0 DSRIP - ACO MODEL MANAGEMENT FENWAY COMMUNITY HEALTH CENTER INC 1340 BOYLSTON STREET BOSTON MA 02215 042510564 501(C)(3) 121926 0 DSRIP - ACO MODEL MANAGEMENT HILLTOWN COMMUNITY HEALTH CENTERS INC 58 OLD NORTH ROAD WORTHINGTON MA 01098 042161484 501(C)(3) 77189 0 DSRIP - ACO MODEL MANAGEMENT HOLYOKE HEALTH CENTER INC 230 MAPLE STREET HOLYOKE MA 01040 042492730 501(C)(3) 917330 0 DSRIP - ACO MODEL MANAGEMENT LYNN COMMUNITY HEALTH CENTER INC 269 UNION STREET LYNN MA 01901 042525066 501(C)(3) 1332629 0 DSRIP - ACO MODEL MANAGEMENT NORTH END COMMUNITY HEALTH COMMITTEE INC 332 HANOVER STREET BOSTON MA 02113 237089746 501(C)(3) 56367 0 DSRIP - ACO MODEL MANAGEMENT NORTH SHORE COMMUNITY HEALTH INC 47 CONGRESS STREET SALEM MA 01970 042610447 501(C)(3) 277015 0 DSRIP - ACO MODEL MANAGEMENT DIMOCK COMMUNITY HEALTH CENTER INC 55 DIMOCK STREET BOSTON MA 02119 043487835 501(C)(3) 306288 0 DSRIP - ACO MODEL MANAGEMENT UPHAM'S CORNER HEALTH CENTER 547 COLUMBIA ROAD DORCHESTER MA 02125 237211732 501(C)(3) 430014 0 DSRIP - ACO MODEL MANAGEMENT COMMUNITY HEALTH CONNECTIONS 326 NICHOLS ROAD FITCHBURG MA 01420 043452697 501(C)(3) 540526 0 DSRIP - ACO MODEL MANAGEMENT ISLAND HEALTH INC 245 EDGARTOWN-VINEYARD HAVEN ROAD WEST TISBURY MA 02539 470870772 501(C)(3) 62521 0 DSRIP - ACO MODEL MANAGEMENT CITY OF SPRINGFIELD HEALTH SERVICES FOR THE HOMELESS 755 WORTHINGTON STREET SPRINGFIELD MA 01105 046001415 46103 0 DSRIP - ACO MODEL MANAGEMENT 17 1 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 465562 0 0 0 0 0 11600 0 16781 0 493943 0 0 0 MATTHEW MULLANEY CHIEF FINANCE AND STRATEGY OFFICER 300426 0 0 0 0 0 11538 0 11686 0 323650 0 0 0 KRISTOPHER DACOSTA CHIEF PHARMACY OFFICER 239700 0 0 0 0 0 9600 0 6617 0 255917 0 0 0 JULITA MIR CMO 231920 0 0 0 0 0 8189 0 1659 0 241768 0 0 0 DEBORAH YOLIN CHIEF OF CLINICAL PERFORMANCE 167692 0 0 0 0 0 6745 0 11560 0 185997 0 0 0 AMY TRAVERS DIRECTOR OF MEDICAL ECONOMICS AND PE 164111 0 0 0 0 0 6560 0 6603 0 177274 0 0 0 DANIEL JOO DIRECTOR OF FINANCE AND STRATEGY 164070 0 0 0 0 0 6520 0 6530 0 177120 0 0 0 PART I, LINE 3 THE ORGANIZATION USED THE SERVICES OF AN INDEPENDENT CONSULTING COMPANY TO DETERMINE THE ADEQUACY AND REASONABLENESS OF THE EMPLOYEE COMPENSATION. 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 IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 2,062,730. MANAGEMENT AND GENERAL EXPENSES 589,750. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,652,480. MARKETING: PROGRAM SERVICE EXPENSES 40,564. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,564. 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 SUPPORT COMMUNITY HEALTH CENTERS MA 0 863660 COMMUNITY CARE COOPERATIVE INC