COMMONWEALTH CARE ALLIANCE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
COMMONWEALTH CARE ALLIANCE INC (EIN 04-3756900)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202213199349321391
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-15T15:31:11-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line180 CITY SQUAREAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021293742ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043756900EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMONWEALTH CARE ALLIANCE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone6174260600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line130 WINTER STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02108ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARY HAMILTONPersonNm
Person TitleINTERIM CFOPersonTitleTxt
Phone6174260600PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARYPersonFirstNm
Person LastHAMILTONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLYNNE JOHNSONPreparerPersonNm
PTINP00757336PTIN
Phone6179129000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRISTOPHER D PALMIERIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line130 WINTER STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02108ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,262,410,276GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COMMONWEALTHCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionCOMMONWEALTH CARE ALLIANCE, INC.'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE WITH SIGNIFICANT NEEDS BY INNOVATING, COORDINATING AND PROVIDING THE HIGHEST QUALITY, INDIVIDUALIZED CARE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee1889TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,797,212,518PYProgramServiceRevenueAmt
CY Program Service Revenue$2,032,668,552CYProgramServiceRevenueAmt
PY Investment Income$3,016,076PYInvestmentIncomeAmt
CY Investment Income$3,923,850CYInvestmentIncomeAmt
PY Other Revenue$1,164,828PYOtherRevenueAmt
CY Other Revenue$7,578,115CYOtherRevenueAmt
PY Total Revenue$1,801,393,422PYTotalRevenueAmt
CY Total Revenue$2,044,170,517CYTotalRevenueAmt
PY Grants And Similar Paid$296,451PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$200,209CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$138,956,384PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$145,230,133CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,595,246,344PYOtherExpensesAmt
CY Other Expenses$1,847,636,890CYOtherExpensesAmt
PY Total Expenses$1,734,499,179PYTotalExpensesAmt
CY Total Expenses$1,993,067,232CYTotalExpensesAmt
PY Revenues Less Expenses$66,894,243PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$51,103,285CYRevenuesLessExpensesAmt
Total Assets BOY$585,038,382TotalAssetsBOYAmt
Total Assets EOY$813,491,332TotalAssetsEOYAmt
Total Liabilities BOY$386,729,111TotalLiabilitiesBOYAmt
Total Liabilities EOY$575,877,978TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$198,309,271NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$237,613,354NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCOMMONWEALTH CARE ALLIANCE, INC.'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE WITH SIGNIFICANT NEEDS BY INNOVATING, COORDINATING AND PROVIDING THE HIGHEST QUALITY, INDIVIDUALIZED CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,754,011,895ExpenseAmt
Grant$200,209GrantAmt
Revenue$2,040,246,667RevenueAmt
DescCOMMONWEALTH CARE ALLIANCE (CCA) HAS CONTRACTED WITH COMMUNITY BASED PRIMARY CARE PRACTICES THAT HAVE DEMONSTRATED EXPERIENCE SERVING ADULTS IN A MANAGED CARE NETWORK. EXAMPLES OF THESE PRIMARY CARE SITES INCLUDE AFFILIATED PHYSICIANS GROUP OF JAMAICA PLAIN, BOSTON UNIVERSITY GERIATRICS, BRIGHTWOOD HEALTH SERVICES, CAMBRIDGE HEALTH ALLIANCE, EAST BOSTON HEALTH CENTER, ELDER SERVICE PLAN OF THE NORTH SHORE, HARBOR HEALTH SERVICE, UPHAM'S CORNER HEALTH CENTER. CCA IS ONE OF THE SIX SENIOR CARE OPTION OR "SCO ORGANIZATIONS IN THE COMMONWEALTH: THE SCO PROGRAM IS A COMPREHENSIVE HEALTH PLAN THAT COVERS ALL SERVICES REIMBURSABLE UNDER A DELIVERY SYSTEM AND ITS PREFERRED NETWORK OF PROVIDERS. CCA IS ALSO ONE OF TWO ORGANIZATIONS THAT OFFERS ONE CARE TO INDIVIDUALS AGED 18 TO 64 RESIDENT IN THE COMMONWEALTH OF MASSACHUSETTS.Desc
Total Program Service Expenses$1,754,011,895TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4180IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1889EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELIZABETH CAHN GOODMAN SECRETARY & CLERK CHIEF LEGAL OFFICERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6174260600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line130 WINTER STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02108ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHRISTOPHER D PALMIERI
PRESIDENT & CEO, DIRECTOR15.0025.00Yes (X)Yes (X)$1,536,295$0$151,990
ROBERT GITTENS
CHAIR OF THE BOARD3.002.00Yes (X)$0$0$0
CAROL RAPHAEL
VICE CHAIR OF THE BOARD3.002.00Yes (X)$0$0$0
CHARLES CARR
DIRECTOR3.002.00Yes (X)$0$0$0
ALEXANDRA DACOSTA
DIRECTOR3.002.00Yes (X)$0$0$0
STEPHANIE DYSON
DIRECTOR3.002.00Yes (X)$0$0$0
LEN FISHMAN
DIRECTOR3.002.00Yes (X)$0$0$0
TEJAL GANDHI MD
DIRECTOR3.002.00Yes (X)$0$0$0
IRA GOTTLIEB
DIRECTOR3.002.00Yes (X)$0$0$0
SYATRIZAL HAMDALLAH
DIRECTOR3.002.00Yes (X)$0$0$0
LESLIE KIRWAN
DIRECTOR3.002.00Yes (X)$0$0$0
DAVID KLEIN
DIRECTOR3.002.00Yes (X)$0$0$0
CHRISTOPHER KOLLER
DIRECTOR3.002.00Yes (X)$0$0$0
JOSEPH PADUDA
DIRECTOR3.002.00Yes (X)$0$0$0
MIHIR SHAH
TREASURER & CFO20.0020.00Yes (X)$817,643$0$18,730
LISA FLEMING
SEC. & CLERK, CHIEF LEGAL OFFICER15.0025.00Yes (X)$553,260$0$97,654
COURTNEY MURPHY COO PRESIDENT
OF MARKETS (AS OF 12/13/21)40.000.00$817,180$0$119,105Yes (X)
ROBERT MACARTHUR
CHIEF MEDICAL OFFICER35.005.00$622,504$0$117,471Yes (X)
SARAH GARRITY
CHIEF MARKETING OFFICER40.000.00$519,467$0$35,139Yes (X)
ALFRED ENAGBARE
CHIEF PEOPLE OFFICER40.000.00$514,082$0$104,501Yes (X)
DONALD STIFFLER CHIEF
DEVELOPMENT OFFICER (FROM 5/3/21)40.000.00$241,164$0$39,127Yes (X)
LAWRENCE GOTTLIEB
CHIEF QUALITY OFFICER30.0010.00$489,872$0$47,633Yes (X)
JONATHAN GORDON
SVP & MANAGING DIRECTOR WSV40.000.00$459,847$0$54,978Yes (X)
KALYAN NARAYANAN
CHIEF INFORMATION OFFICER40.000.00$410,292$0$32,887Yes (X)
SEBASTIAAN FOPPEMA
GENERAL MANAGER INSTED40.000.00$410,146$0$15,729Yes (X)
DIDZIS VOLDINS
SVP GENERAL COUNSEL40.000.00$390,883$0$42,660Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,782,635TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$877,604TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K523IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
STAVROS CENTER FOR INDEPENDENT LIVING
PO BOX 2130 210 OLD FARM ROADAMHERSTMA01004HEALTHCARE & TECHNOLOGY$66,538,956
TEMPUS UNLIMITED INC
600 TECHNOLOGY CENTER DRIVESTOUGHTONMA02072HEALTHCARE & TECHNOLOGY$62,752,726
NORTHEAST ARC INC
64 HOLTON STDANVERSMA01923HEALTHCARE & TECHNOLOGY$42,970,675
PUBLIC CONSULTING GROUP INC
148 STATE STREETBOSTONMA02109CONSULTING$7,361,963
GREATER SPRINGFIELD SENIOR SERVICES INC
66 INDUSTRY AVENUE SUITE 9SPRINGFIELDMA01104HEALTHCARE & TECHNOLOGY$2,918,180
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K997CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ENROLLEE FEES621300$2,032,200,977$2,032,200,977
GRANT REVENUE900099$467,575$467,575
FieldValueIRS element (for citing)
Total Program Service Revenue$2,032,668,552TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,859,544TotalRevenueColumnAmt
Exclusion$3,859,544ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$218,304,065SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$218,237,081SecuritiesAmt
Other$2,678OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$66,984SecuritiesAmt
Other-$2,678OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,306TotalRevenueColumnAmt
Exclusion$64,306ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
COVID CENTER900099$6,993,000$6,993,000
MISCELLANEOUS INCOME900099$585,115$585,115
FieldValueIRS element (for citing)
Other Revenue Total$7,578,115OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,044,170,517TotalRevenueColumnAmt
Related Or Exempt Func Income$2,040,246,667RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,923,850ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$200,209TotalAmt
Program Services$200,209ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,057,389TotalAmt
Management And General$7,057,389ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$107,548,241TotalAmt
Management And General$107,548,241ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,983,645TotalAmt
Management And General$5,983,645ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,182,472TotalAmt
Management And General$11,182,472ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,458,386TotalAmt
Management And General$13,458,386ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,780,081TotalAmt
Management And General$2,780,081ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$937,480TotalAmt
Management And General$937,480ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,709,887TotalAmt
Management And General$1,709,887ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$483,541TotalAmt
Management And General$483,541ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$28,724,263TotalAmt
Management And General$28,724,263ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,524,397TotalAmt
Management And General$3,524,397ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,376,977TotalAmt
Management And General$3,376,977ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,464,472TotalAmt
Management And General$11,464,472ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,500,503TotalAmt
Management And General$8,500,503ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,647,378TotalAmt
Management And General$2,647,378ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$431,583TotalAmt
Management And General$431,583ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$52,279TotalAmt
Management And General$52,279ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,097,235TotalAmt
Management And General$7,097,235ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,431,541TotalAmt
Management And General$1,431,541ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL EXPENSES$1,503,727,739$1,503,727,739
CAPITATION EXPENSES$250,083,947$250,083,947
CLAIMS ADJUDICATION$19,550,665$19,550,665
MEDICAL SUPPLIES$448,082$448,082

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$664,840TotalAmt
Management And General$664,840ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,993,067,232TotalAmt
Program Services$1,754,011,895ProgramServicesAmt
Management And General$239,055,337ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,063,156BOYAmt
EOY$34,733,995EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$165,162BOYAmt
EOY$154,013EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$137,652,320BOYAmt
EOY$200,437,446EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,636,522BOYAmt
EOY$6,374,485EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$41,942,077LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$17,522,154LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$24,103,813BOYAmt
EOY$24,419,923EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$277,946,226BOYAmt
EOY$289,394,939EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$565,000BOYAmt
EOY$11,519,280EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$132,906,183BOYAmt
EOY$246,457,251EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$585,038,382BOYAmt
EOY$813,491,332EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$38,679,832BOYAmt
EOY$72,081,887EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$348,049,279BOYAmt
EOY$503,796,091EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$386,729,111BOYAmt
EOY$575,877,978EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$198,309,271BOYAmt
EOY$237,613,354EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$198,309,271BOYAmt
EOY$237,613,354EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$585,038,382BOYAmt
EOY$813,491,332EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$51,103,285ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$11,799,202NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,029,992,170CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,257,805,887CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,541,164,995CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,798,377,346CurrentTaxYearMinus1YearAmt
Current Tax Year$2,040,246,667CurrentTaxYearAmt
Total$7,667,587,065TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,029,992,170CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,257,805,887CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,541,164,995CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,798,377,346CurrentTaxYearMinus1YearAmt
Current Tax Year$2,040,246,667CurrentTaxYearAmt
Total$7,667,587,065TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$7,667,587,065PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$103,606CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,254,268CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,608,988CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,254,094CurrentTaxYearMinus1YearAmt
Current Tax Year$3,859,544CurrentTaxYearAmt
Total$12,080,500TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$103,606CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,254,268CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,608,988CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,254,094CurrentTaxYearMinus1YearAmt
Current Tax Year$3,859,544CurrentTaxYearAmt
Total$12,080,500TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,030,095,776CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,259,060,155CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,544,773,983CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,801,631,440CurrentTaxYearMinus1YearAmt
Current Tax Year$2,044,106,211CurrentTaxYearAmt
Total$7,679,667,565TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99840PublicSupportCY509Pct
Public Support PY5090.99870PublicSupportPY509Pct
Investment Income CY0.00160InvestmentIncomeCYPct
Investment Income PY0.00130InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$3,798,225DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$412,207OtherActivitiesAmt
Total Lobbying Expenditures$4,210,432TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationCCA PAYS DUES TO CERTAIN MEMBERSHIP ORGANIZATIONS, A PIECE OF WHICH MAY BE USED BY SUCH ORGANIZATIONS FOR FEDERAL LOBBYING ACTIVITIES ON BEHALF OF CCA AND OTHER SIMILARLY SITUATED ORGANIZATIONS. $1,164,600 WAS PAID TO OUTSIDE CONSULTANT FOR LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$119,298OtherCostOrOtherBasisAmt
Book Value$119,298BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,498,744OtherCostOrOtherBasisAmt
Depreciation$454,098DepreciationAmt
Book Value$2,044,646BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,094,838OtherCostOrOtherBasisAmt
Depreciation$5,681,854DepreciationAmt
Book Value$7,412,984BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,430,882OtherCostOrOtherBasisAmt
Depreciation$3,746,635DepreciationAmt
Book Value$3,684,247BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,798,315OtherCostOrOtherBasisAmt
Depreciation$7,639,567DepreciationAmt
Book Value$11,158,748BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$24,419,923TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDescBook ValueBookValueAmt
ASSETS LIMITED AS TO USE$532,554
DUE FROM COMMONWEALTH COMMUNITY CARE, INC.$46,511,779
DEPOSITS$89,690
DUE FROM COMMONWEALTH CLINICAL ALLIANCE, INC.$139,163,591
DUE FROM INSTITUTE FOR ADVANCING CONSUMER CENTERED QUALITY, INC.$2,841,648
DUE FROM COMMONWEALTH CARE ALLIANCE MASSACHUSETTS, INC.$4,906,610
DUE FROM COMMONWEALTH CARE ALLIANCE RHODE ISLAND, INC.$7,367,563
DUE FROM COMMONWEALTH CARE ALLIANCE INDIANA, LLC$1,505,000
DUE FROM COMMONWEALTH CARE ALLIANCE CALIFORNIA, LLC$6,768,617
DUE FROM COMMONWEALTH CARE ALLIANCE MICHIGAN, LLC$36,770,199
FieldValueIRS element (for citing)
Total Book Value Other Assets$246,457,251TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
MEDICAL EXPENSE OBLIGATIONS$218,465,416
REFUNDABLE ADVANCES$94,821,331
DEFERRED RENT$5,011,641
DEFERRED FUNDRAISING$819,807
OTHER LIABILITIES$278,279
DUE TO COMMONWEALTH COMMUNITY CARE, INC.$39,364,619
DUE TO COMMONWEALTH CLINICAL ALLIANCE, INC.$143,979,352
DUE TO INSTITUTE FOR ADVANCING CONSUMER CENTERED QUALITY, INC.$1,052,945
DUE TO COMMONWEALTH CARE ALLIANCE MASSACHUSETTS, INC.$2,290
DUE TO COMMONWEALTH CARE ALLIANCE RHODE ISLAND, INC.$411
FieldValueIRS element (for citing)
Total Liability$503,796,091TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationCCA IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS GENERALLY EXEMPT FROM INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION IS REQUIRED TO ASSESS UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT THERE WERE NO SUCH POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
ADVOCATES INC
290 ELWOOD DAVIS ROAD SUITE 101LIVERPOOLNY13088161453716501(C)(3)$7,500$0HOST SPONSORSHIP
BOSTON CENTER FOR INDEPENDENT LIVING
60 TEMPLE PLACEBOSTONMA02111042546595501(C)(3)$20,000$0HOST SPONSORSHIP
HEALTH CARE FOR ALL
ONE FEDERAL STREETBOSTONMA02110043071598501(C)(3)$30,000$0HOST SPONSORSHIP
MASSACHUSETTS HEALTH COUNCIL INC
200 RESERVOIR STREET SUITE 101NEEDHAMMA02494042296739501(C)(3)$10,000$0HOST SPONSORSHIP
THE PROVIDENCE COMMUNITY HEALTH CENTERS INC
375 ALLENS AVENUEPROVIDENCERI02905050368134501(C)(3)$27,000$0HOST SPONSORSHIP
DUFFY & SHANLEY
10 CHARLES STREETPROVIDENCERI02904$24,500$0GRANTS TO OTHER NONPROFITS: ALZHEIMER'S ASSOCIATION PROVIDENCE WALK CORPORATE SPONSOR $1,500; ELISHA PROJECT DONATION $15,000; RI ELDER INFO PRESENTING SPONSOR $1,000; PROVIDENCE BUSINESS NEWS FALL HEALTH CARE SUMMIT SPONSORSHIP $7,000.
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationIN 2021, THE ORGANIZATION SPONSORED OTHER HUMAN SERVICES ORGANIZATIONS AND ORGANIZATIONS WITH SIMILAR MISSIONS. MEMBERS OF THE ORGANIZATION'S EXECUTIVE MANAGEMENT TEAM SELECT THE THIRD PARTIES THAT IT WILL SPONSOR, DETERMINE THE AMOUNT OF SPONSORSHIP AND MAINTAIN RECORDS TO SUBSTANTIATE THE CONTRIBUTIONS MADE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTOPHER D PALMIERI
PRESIDENT & CEO, DIRECTOR$986,455$0$401,350$0$148,490$0$125,550$0$26,440$0$1,688,285$0$112,500$0
COURTNEY MURPHY COO PRESIDENT
OF MARKETS (AS OF 12/13/21)$530,050$0$236,202$0$50,928$0$78,662$0$40,443$0$936,285$0$0$0
MIHIR SHAH
TREASURER & CFO$544,616$0$223,767$0$49,260$0$13,050$0$5,680$0$836,373$0$0$0
ROBERT MACARTHUR
CHIEF MEDICAL OFFICER$432,478$0$166,139$0$23,887$0$72,575$0$44,896$0$739,975$0$0$0
LISA FLEMING
SEC. & CLERK, CHIEF LEGAL OFFICER$382,838$0$147,391$0$23,031$0$65,863$0$31,791$0$650,914$0$0$0
ALFRED ENAGBARE
CHIEF PEOPLE OFFICER$348,119$0$161,606$0$4,357$0$61,300$0$43,201$0$618,583$0$0$0
SARAH GARRITY
CHIEF MARKETING OFFICER$364,142$0$133,992$0$21,333$0$13,050$0$22,089$0$554,606$0$0$0
LAWRENCE GOTTLIEB
CHIEF QUALITY OFFICER$365,015$0$116,475$0$8,382$0$13,050$0$34,583$0$537,505$0$0$0
JONATHAN GORDON
SVP & MANAGING DIRECTOR WSV$354,196$0$105,016$0$635$0$13,050$0$41,928$0$514,825$0$0$0
KALYAN NARAYANAN
CHIEF INFORMATION OFFICER$340,592$0$64,182$0$5,518$0$13,050$0$19,837$0$443,179$0$0$0
DIDZIS VOLDINS
SVP GENERAL COUNSEL$328,024$0$61,869$0$990$0$6,679$0$35,981$0$433,543$0$0$0
SEBASTIAAN FOPPEMA
GENERAL MANAGER INSTED$354,786$0$54,370$0$990$0$10,661$0$5,068$0$425,875$0$0$0
DONALD STIFFLER CHIEF
DEVELOPMENT OFFICER (FROM 5/3/21)$240,172$0$0$0$992$0$11,144$0$27,983$0$280,291$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BCCA PROVIDES MR. PALMIERI WITH A LONG-TERM BENEFIT, WHICH IF EARNED IN FULL HAS A TARGET VALUE OF $450,000. MR. PALMIERI IS ENTITLED TO PAYMENTS UNDER THIS AWARD PURSUANT TO A VESTING SCHEDULE WHICH COMBINES BOTH TIME AND PERFORMANCE BASED TARGET. UNDER THIS AWARD, MR. PALMIERI WILL RECEIVE $112,500 ON EACH OF NOVEMBER 2022 AND NOVEMBER 2, 2023, PROVIDED HE IS EMPLOYED AS CCA'S CEO AT THE TIME OF PAYOUT. THE REMAINING AMOUNT OF THE AWARD IS TO BE PAID ON NOVEMBER 2, 2023 SUBJECT TO ACHIEVEMENT OF LONG-TERM PERFORMANCE GOALS WHICH WERE SET BASED ON THRESHOLD, TARGET AND MAXIMUM CRITERIA BY THE BOARD IN ADVANCE. THE FINAL TRANCHE WILL VEST ON NOVEMBER 3, 2023 AND MR. PALMIERI WILL BE PAID AN AMOUNT BASED ON ACHIEVEMENT OF THE PERFORMANCE GOALS. IF MR. PALMIERI ACHIEVES TARGET PERFORMANCE, HE MAY EARN $225,000, HOWEVER UP TO A MAXIMUM OF $303,750 CAN BE EARNED SUBJECT TO PERFORMANCE AT THE MAXIMUM LEVEL UNDER THESE GOALS. ON NOVEMBER 2, 2021, MR. PALMIERI WAS PAID $112,500 (LESS APPLICABLE TAX WITHHOLDING) UPON VESTING OF THE FIRST TRANCHE UNDER THE 2020 LONG TERM INCENTIVE. CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATE IN THE COMMONWEALTH CARE ALLIANCE EXECUTIVE RETENTION PLAN, A NONQUALIFIED DEFERRED COMPENSATION PLAN WHICH IN 2020 WAS OFFERED TO CERTAIN MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM. PAYMENTS WILL BE MADE TO THE EXECUTIVE ONLY IF THE EXECUTIVE STAYS WITH THE ORGANIZATION THROUGH 2024 AS THE PRIMARY PURPOSE OF THIS PLAN IS TO PROVIDE FOR THE RETENTION OF THE PARTICIPANTS. THE MARKET FOR EXECUTIVE TALENT IN THIS COUNTRY IS FIERCELY COMPETITIVE AND WE RECRUIT INDIVIDUALS FROM ACROSS THE COUNTRY AND FROM VARIOUS INDUSTRIES. DUTIES ARE BOTH EXTENSIVE AND COMPLEX AND REQUIRE SUBSTANTIAL AND DIVERSE EXPERIENCE AND SKILL SETS TO EXECUTE SUCCESSFULLY. PAYMENTS WILL BE MADE AT THE END OF A FIVE-YEAR PERIOD BASED ON AN EFFECTIVE DATE OF JANUARY 1, 2020 THROUGH DECEMBER 31, 2021 IN AN AMOUNT EQUAL TO 90% OF THE EXECUTIVE'S BASE SALARY ON DECEMBER 31, 2024. IN 2021, 12.5% OF BASE SALARY FOR MR. SHAH, MS. FLEMING, MS. MURPHY, DR. MACARTHUR AND DR. ENAGBARE WAS ACCRUED AND HAS BEEN INCLUDED AS DEFERRED COMPENSATION IN (SCHEDULE J, PART II, COLUMN C). AMOUNTS WILL BE REFLECTED AGAIN AS REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)).
PART I, LINE 7BONUSES REPORTED IN PART II, COLUMN (B)(II) WERE DETERMINED BY A FIXED FORMULA BASED ON ATTAINING BOTH COMPANY AND INDIVIDUAL PERFORMANCE GOALS. THE CEO'S SHORT-TERM BONUS WAS DETERMINED BY A FIXED FORMULA BASED ON ACHIEVING PRE-ESTABLISHED COMPANY GOALS WHICH WERE APPROVED BY THE BOARD OF DIRECTORS. PART II, COLUMN (B)(III): CHRISTOPHER PALMIERI RECEIVES AN ANNUAL STIPEND OF $35,000 TO PURCHASE ADDITIONAL BENEFITS OF HIS CHOOSING. MIHIR SHAH AND COURTNEY MURPHY RECEIVED $25,000 EACH IN 2021 FOR THE PURCHASE OF ADDITIONAL BENEFITS. THERE ARE BONUSES REPORTED ON PART II, COLUMN (B)(III) THAT ARE NOT PERFORMANCE BASED OR RELATED TO SHORT-TERM INCENTIVE PLANS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD OF DIRECTORS REVIEWS THE FORM 990 BEFORE THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. THE BOARD ALSO REVIEWS THE ORGANIZATION'S FINANCIAL STATEMENTS ON A QUARTERLY BASIS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ANNUAL COMPLIANCE POLICY AND CONFLICT OF INTEREST DISCLOSURE FORMS ARE DISTRIBUTED TO CCA'S WORKFORCE WHICH INCLUDES THE BOARD, OFFICERS, AND KEY EMPLOYEES. THIS PROCESS IS OVERSEEN BY THE COMPLIANCE DEPARTMENT WHICH ALSO MONITORS THE PROCESS TO ENSURE DISCLOSURES ARE OBTAINED AND ANALYZED APPROPRIATELY. THE BOARD, OFFICERS, AND KEY EMPLOYEES ALSO RECEIVE ANNUAL TRAINING ON CONFLICTS OF INTEREST AND COMPLIANCE. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS CCA EMPLOYEES, OFFICERS AND DIRECTORS. THE POLICY CALLS FOR CONFLICT OF INTEREST ANALYSIS AND ACTUAL CONFLICTS ARE REVIEWED AND CONFLICTS DETERMINATIONS ARE MADE BY THE CHIEF COMPLIANCE OFFICER AND CHIEF LEGAL OFFICER. WHERE AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST INVOLVING A TRANSACTION IS DETERMINED, THE INDIVIDUAL WITH A CONFLICT IS PROHIBITED FROM PARTICIPATING IN EITHER MANAGEMENT'S OR THE BOARD'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS COMPRISED ENTIRELY OF INDEPENDENT DIRECTORS. THIS COMMITTEE MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS REGARDING THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY, EXECUTIVE COMPENSATION POLICIES AS WELL AS THE COMPENSATION STRUCTURE OF ITS PRESIDENT AND CHIEF EXECUTIVE OFFICER. AMONG OTHER THINGS, THIS COMMITTEE IS RESPONSIBLE FOR ENSURING THAT THE TOTAL COMPENSATION PROVIDED TO EXECUTIVE OFFICERS IS DETERMINED BY A FAIR AND EQUITABLE PROCESS, INFORMED BY CURRENT AND CREDIBLE MARKET PRACTICE INFORMATION, AND IS COMPLIANT WITH APPLICABLE LEGAL AND REGULATORY GUIDELINES. THE ORGANIZATION ENGAGED COMPENSATION CONSULTANTS TO PROVIDE A COMPREHENSIVE COMPENSATION ASSESSMENT AND RECOMMENDATIONS TO CREATE A REASONABLE COMPENSATION PACKAGE FOR ITS PRESIDENT AND CEO UNDER AN EMPLOYMENT AGREEMENT WITH THE CEO DATED NOVEMBER 2, 2018. THE COMMITTEE MET ON SEVERAL OCCASIONS TO REVIEW THE EXECUTIVE COMPENSATION STRUCTURE AND THE CURRENT AND PROPOSED COMPENSATION LEVELS, ALL IN THE CONTEXT OF COMPARABLE MARKET DATA. WITH REGARD TO THE CEO'S COMPENSATION, THE COMMITTEE MET WITHOUT THE CEO PRESENT TO REVIEW INDIVIDUAL ELEMENTS AND HIS TOTAL COMPENSATION AS WELL AS THE CEO'S PERFORMANCE AGAINST PRE-ESTABLISHED GOALS. IN 2021, THE COMMITTEE AND THE BOARD APPROVED THE PAYMENT OF A SHORT TERM INCENTIVE TO THE CEO BASED UPON ACHIEVEMENT OF 2020 PERFORMANCE GOALS WHICH HAD BEEN APPROVED BY THE BOARD IN 2020. IN ADDITION, IN ESTABLISHING THE CEO'S BASE SALARY AND OTHER COMPENSATION ELEMENTS UNDER THE CEO'S 2018 EMPLOYMENT CONTRACT, THE COMMITTEE RECEIVED A MARKET SURVEY PREPARED BY ITS INDEPENDENT COMPENSATION CONSULTANT. THE BOARD OF DIRECTORS VOTED TO APPROVE THE COMMITTEE'S RECOMMENDATION AND RECOMMENDED THAT THE BOARD INCREASE THE PRESIDENT AND CEO'S BASE SALARY TO BRING IT INTO ALIGNMENT WITH CURRENT MARKET DATA AND THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY. ALL OF THE DELIBERATIONS WERE CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES OF THE COMMITTEE AND BOARD. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES ARE REVIEWED ANNUALLY AND ARE ADJUSTED BASED UPON PERFORMANCE AND IN RELATION TO MARKET VALUE OF SURVEY OF POSITIONS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). IN ADDITION, THE FORM 990 WITHOUT SCHEDULE B IS AVAILABLE VIA GUIDESTAR AND THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
WINTER STREET VENTURES LLC
30 WINTER STREETBOSTONMA02108812358124INVEST IN COMPANIES RELATED TO HEALTH CARE DELIVERY AND PAYMENTDE$0$63,967COMMONWEALTH CARE ALLIANCE INC
747 CAMBRIDGE STREET LLC
30 WINTER STREETBOSTONMA02108464325429REAL ESTATE HOLDINGMA$0$0COMMONWEALTH CARE ALLIANCE INC
INSTED LLC
30 WINTER STREETBOSTONMA02108831983756BROKERING AND DISPATCHING MOBILE INTEGRATED HEALTH SERVICESMA$3,529,383$5,792,629COMMONWEALTH CARE ALLIANCE INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
BOSTON'S COMMUNITY MEDICAL GROUP INC
30 NORTHAMPTON STREETBOSTONMA02118260100022MEDICAL SERVICEMA501(C)(3)LINE 3COMMONWEALTH CARE ALLIANCE INCYes (1)
COMMONWEALTH CLINICAL ALLIANCEINC
30 WINTER STREETBOSTONMA02108562382058MEDICAL SERVICEMA501(C)(3)LINE 10COMMONWEALTH CARE ALLIANCE INCYes (1)
THE CENTER TO ADVANCE CONSUMER PARTNERSHIP INC
30 WINTER STREETBOSTONMA02108822810261INNOVATION HUB FOR DEVELOPMENT IN THE QUALITY OF CARE AND HEALTH SERVICESMA501(C)(3)LINE 12A, ICOMMONWEALTH CARE ALLIANCE INCYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
LIFEPOD SOLUTIONS INC
759 CHIEF JUSTICE CUSHING HWY 255COHASSETMA020258154212922 WAY VOICE INTERFACES TO HELP PROFESSIONAL & FAMILY CAREGIVERSMACOMMONWEALTH CARE ALLIANCE INCC$340,614$82,1140.51000Yes (1)
COMMONWEALTH CARE ALLIANCE MASSACHUSETTS INC
30 WINTER STREETBOSTONMA02108854228186MEDICARE ADVANTAGE PRODUCTSMACOMMONWEALTH CARE ALLIANCE INCC$11,532$4,165,8071.00000Yes (1)
COMMONWEALTH CARE ALLIANCE RHODE ISLAND INC
30 WINTER STREETBOSTONMA02108854310885MEDICARE ADVANTAGE PRODUCTSMACOMMONWEALTH CARE ALLIANCE INCC$7,434,9751.00000Yes (1)
COMMONWEALTH CARE ALLIANCE INDIANA LLC
30 WINTER STREETBOSTONMA02108873317576MEDICARE ADVANTAGE PRODUCTSINCOMMONWEALTH CARE ALLIANCE INCC$3,010,0001.00000Yes (1)
COMMONWEALTH CARE ALLIANCE MICHIGAN LLC
30 WINTER STREETBOSTONMA02108872560730HOLDING COMPANYMICOMMONWEALTH CARE ALLIANCE INCC$36,770,1991.00000Yes (1)
RELIANCE HMO INC (ACQUIRED DEC10 2021)
23900 ORCHARD LAKE RD SUITE 210FARMINGTONMI48336814977640MEDICAL SERVICES TO PERSONS IN MICHIGANMICOMMONWEALTH CARE ALLIANCE MICHIGAN LLCC-$78,791$19,624,8710.70000Yes (1)
RELIANCE ACO LLC (ACQUIRED DEC10 2021)
23900 ORCHARD LAKE RD SUITE 210FARMINGTONMI48336461262045MEDICARE ADVANTAGE PRODUCTSMICOMMONWEALTH CARE ALLIANCE MICHIGAN LLCC$11,683,8780.60000Yes (1)
RELIANCE PO OF MICHIGAN INC (ACQUIRED DEC10 2021)
23900 ORCHARD LAKE RD SUITE 210FARMINGTONMI48336813685900MEDICARE ADVANTAGE PRODUCTSMICOMMONWEALTH CARE ALLIANCE MICHIGAN LLCC$23,912$4,890,1960.60000Yes (1)
RELIANCE NEXT GEN ACO LLC (ACQUIRED DEC10 2021)
23900 ORCHARD LAKE RD SUITE 210FARMINGTONMI48336812185714MEDICARE ADVANTAGE PRODUCTSMICOMMONWEALTH CARE ALLIANCE MICHIGAN LLCC$6,7010.60000Yes (1)
COMMONWEALTH CARE ALLIANCE CALIFORNIA LLC
30 WINTER STREETBOSTONMA02108873361607HOLDING COMPANYCACOMMONWEALTH CARE ALLIANCE INCC$6,768,6171.00000Yes (1)
VITALITY HEALTH PLAN OF CALIFORNIA INC (ACQUIRED DEC 2021)
18000 STUDEBAKER RD STE 150CERRITOSCA90703814822508ARRANGES FOR HEALTHCARE SERVICES TO MEDICARE BENEFICIARIESCACOMMONWEALTH CARE ALLIANCE CALIFORNIA LLCC$12,747,2941.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMONWEALTH CLINICAL ALLIANCE
M$101,479,734FAIR MARKET VALUE
BOSTON'S COMMUNITY MEDICAL GROUP INC
M$26,867,347FAIR MARKET VALUE

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