2021-09-23T08:32:25-05:00 2020-12-31 042571780 AAFCPAS INC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2020-01-01 813005904 COMMUNITY CARE COOPERATIVE INC COMM 8666769226 75 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 CHRISTINA SEVERIN PRESIDENT & CEO 8666769226 2021-06-04 1 CHRISTINA SEVERIN 813005904 MATTHEW HUTT CPA P01070603 5083669100 2021-06-02 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z CHRISTINA SEVERIN 75 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 55058207 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. 38 37 104 35 0 0 26545788 37177921 10948059 17575745 294504 303935 183 606 37788534 55058207 10453127 13807466 0 0 6874982 9475245 0 0 0 11508543 13531852 28836652 36814563 8951882 18243644 26233865 45400666 4361191 4989599 21872674 40411067 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 35208408 13807466 17575745 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. 35208408 1 1 0 1 0 0 0 0 1 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 0 0 0 0 0 1 47 0 1 104 1 0 0 0 0 0 0 0 0 0 0 0 0 X 38 37 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 425229 0 13001 MATTHEW MULLANEY CHIEF FINANCE AND STRATEGY OFFICER 40.00 X 278863 0 28017 DEBORAH YOLIN CHIEF OF CLINICAL PERFORMANCE 40.00 X 244578 0 25324 LYNN BUDLONG COO 40.00 X 234065 0 23216 JULITA MIR CMO 32.00 X 214031 0 9676 SHARON HANSON CHIEF PEOPLE OFFICER 40.00 X 161116 0 16312 AMANDA FRANK SENIOR DIRECTOR OF PRACTICE TRANSFORMATION 40.00 X 150572 0 20015 MANNY LOPES CHAIR 2.00 X X 0 0 0 KAREN GARDNER TREASURER 2.00 X X 0 0 0 MARGARET BRENNAN CLERK 2.00 X X 0 0 0 HOLLY OH MD BOARD MEMBER 2.00 X 0 0 0 KIAME MAHANIAH MD BOARD MEMBER 2.00 X 0 0 0 DAMIAN ARCHER MD BOARD MEMBER 2.00 X 0 0 0 JACKIE FANTES MD BOARD MEMBER 2.00 X 0 0 0 JAY BREINES BOARD MEMBER 2.00 X 0 0 0 ALEJANDRO ESPARAZA MD BOARD MEMBER 2.00 X 0 0 0 PABLO HERNANDEZ MD BOARD MEMBER 2.00 X 0 0 0 VALERIE PIETRY MD BOARD MEMBER 2.00 X 0 0 0 SUE JOSS BOARD MEMBER 2.00 X 0 0 0 DAVID TAGER MD BOARD MEMBER 2.00 X 0 0 0 ALEX GONZALEZ MD BOARD MEMBER 2.00 X 0 0 0 ELIZABETH BROWNE BOARD MEMBER 2.00 X 0 0 0 JAY TRIVEDI BOARD MEMBER 2.00 X 0 0 0 ELIZA LAKE BOARD MEMBER 2.00 X 0 0 0 JAMES E LUISI BOARD MEMBER 2.00 X 0 0 0 ANNE MURRAY-CHIRIBOGA MD BOARD MEMBER 2.00 X 0 0 0 JOHN DEMALIA BOARD MEMBER 2.00 X 0 0 0 JOE PANERIO-LANGER MD BOARD MEMBER 2.00 X 0 0 0 STEPHEN SEGATORE DNP BOARD MEMBER 2.00 X 0 0 0 STEVE KERRIGAN BOARD MEMBER 2.00 X 0 0 0 LOUIS BRADY BOARD MEMBER 2.00 X 0 0 0 PAUL GELTMAN MD BOARD MEMBER 2.00 X 0 0 0 CYNTHIA MITCHELL BOARD MEMBER 2.00 X 0 0 0 GEOFF PECHINSKY BOARD MEMBER 2.00 X 0 0 0 ALLISON VAN DER VELDEN BOARD MEMBER 2.00 X 0 0 0 KHLEDA JABBER BOARD MEMBER 2.00 X 0 0 0 CHARLES ANDERSON BOARD MEMBER 2.00 X 0 0 0 ELLEN LAPOINTE BOARD MEMBER 2.00 X 0 0 0 EUGENE FLAHERTY BOARD MEMBER 2.00 X 0 0 0 MARISELA FERMIN-SCHON BOARD MEMBER 2.00 X 0 0 0 MARK FRANCOISA BOARD MEMBER 2.00 X 0 0 0 JAMES WOLFF BOARD MEMBER 2.00 X 0 0 0 JONATHAN LIEBMAN BOARD MEMBER 2.00 X 0 0 0 PETER GERONDEAU BOARD MEMBER 2.00 X 0 0 0 EDWARD SAYER BOARD MEMBER (UNTIL 7/2020) 2.00 X 0 0 0 KATHLEEN SWEENEY BOARD MEMBER (UNTIL 10/2020) 2.00 X 0 0 0 JANE POWERS BOARD MEMBER (UNTIL 3/2020) 2.00 X 0 0 0 GREESHMA NAINI BOARD MEMBER (UNTIL 7/2020) 2.00 X 0 0 0 JUDY JONES BOARD MEMBER (UNTIL 6/2020) 2.00 X 0 0 0 1708454 0 135561 19 0 1 0 EVOLENT HEALTH 800 N GLEBE ROAD SUITE 500 ARLINGTON VA 22203 POPULATION HEALTH SERVICES 1559015 ARCADIA SOLUTIONS LLC 20 BLANCHARD ROAD BURLINGTON MA 01803 POPULATION HEALTH SERVICES 1112455 INSOURCE SERVICES INC 148 LINDEN ST WELLESLEY MA 02482 IT, HR, AND FINANCIAL SERVICES 859012 MILLIMAN 201 EDGEWATER DRIVE SUITE 289 WAKEFIELD MA 01880 MANAGEMENT CONSULTING 458694 OPTUM 1325 BOYLSTON STREET BOSTON MA 02215 CHART AUDITING 221225 5 31785002 5392919 37177921 ADMINISTRATIVE REVENUE 621498 17575745 17575745 17575745 303935 303935 OTHER REVENUE 900099 606 606 606 55058207 17575745 0 304541 X 13807466 13807466 743360 551636 191724 7802848 7695322 107526 213995 206812 7183 103567 103535 32 611475 576736 34739 511549 390725 120824 26502 26502 57000 57000 4610309 3958296 652013 113483 113483 621599 599215 22384 11581 11581 67535 67535 944074 820193 123881 TELEHEALTH EXPENSE 3425897 3425897 FLEXIBLE SPENDING 2362695 2362695 MEMBER COMMUNICATION 295170 295170 SOFTWARE 234705 234705 249753 112470 137283 36814563 35208408 1606155 0 193760 2645497 23806166 26446589 1670712 136632 1058720 1000000 183591 366282 269876 72969 243004 196907 13686671 26233865 45400666 4247869 4603596 113322 0 386003 4361191 4989599 X 14111896 35194329 7760778 5216738 21872674 40411067 26233865 45400666 18243644 294749 0 X X 0 1 X 1 0 X 7972485 8609749 34725273 26545788 37177921 115031216 410000 6458250 10948059 17575745 35392054 8382485 8609749 41183523 37493847 54753666 150423270 0 6358250 10502709 17025163 33886122 6358250 10502709 17025163 33886122 116537148 7093 7537 95922 294504 303935 708991 7093 7537 95922 294504 303935 708991 183 606 789 8389578 8617286 41279445 37788534 55058207 151133050 X PART III, LINE 1B: THE ORGANIZATION FILED A SHORT YEAR RETURN FOR THE PERIOD 6/20/16 THROUGH 9/30/16. 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 57000 57000 0 PART II-B, LINE 1: THE ORGANIZATION HAS RETAINED SANCHEZ STRATEGIES FOR LOBBYING TO THE MASSACHUSETTS STATE HOUSE. 0 113322 113322 0 1 X 269876 72969 196907 196907 DEFERRED RENT 386003 386003 X 55352956 294749 294749 55058207 0 55058207 36814563 0 36814563 0 36814563 PART IV, LINE 2B: AS A CONDITION OF THE ACO, CERTAIN ESCROWS HAVE BEEN SET ASIDE TO ACCOUNT FOR POTENTIAL FUTURE LOSSES. AS OF DECEMBER 31, 2020, ALL AMOUNTS WERE REPAID. 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, 2020. 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) 1234935 DSRIP - ACO MODEL MANAGEMENT CHARLES RIVER COMMUNITY HEALTH INC 495 WESTERN AVENUE BRIGHTON MA 02135 237221597 501(C)(3) 269936 DSRIP - ACO MODEL MANAGEMENT COMMUNITY HEALTH CENTER OF CAPE COD 107 COMMERCIAL STREET MASHPEE MA 02649 043370560 501(C)(3) 329380 DSRIP - ACO MODEL MANAGEMENT COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INC 102 MAIN STREET GREENFIELD MA 01301 043312968 501(C)(3) 149418 DSRIP - ACO MODEL MANAGEMENT EAST BOSTON NEIGHBORHOOD HEALTH CENTER INC 10 GOVE STREET BOSTON MA 02128 237425849 501(C)(3) 1794039 DSRIP - ACO MODEL MANAGEMENT EDWARD M KENNEDY HEALTH CENTER INC 650 LINCOLN STREET WORCESTER MA 01605 042513817 501(C)(3) 1013385 DSRIP - ACO MODEL MANAGEMENT FAMILY HEALTH CENTER OF WORCESTER INC 26 QUEEN STREET WORCESTER MA 01610 042485308 501(C)(3) 788629 DSRIP - ACO MODEL MANAGEMENT FENWAY COMMUNITY HEALTH CENTER INC 1340 BOYLSTON STREET BOSTON MA 02215 042510564 501(C)(3) 225971 DSRIP - ACO MODEL MANAGEMENT HILLTOWN COMMUNITY HEALTH CENTERS INC 58 OLD NORTH ROAD WORTHINGTON MA 01098 042161484 501(C)(3) 47461 DSRIP - ACO MODEL MANAGEMENT HOLYOKE HEALTH CENTER INC 230 MAPLE STREET HOLYOKE MA 01040 042492730 501(C)(3) 1117617 DSRIP - ACO MODEL MANAGEMENT LYNN COMMUNITY HEALTH CENTER INC 269 UNION STREET LYNN MA 01901 042525066 501(C)(3) 1123811 DSRIP - ACO MODEL MANAGEMENT NORTH END COMMUNITY HEALTH COMMITTEE INC 332 HANOVER STREET BOSTON MA 02113 237089746 501(C)(3) 95505 DSRIP - ACO MODEL MANAGEMENT NORTH SHORE COMMUNITY HEALTH INC 47 CONGRESS STREET SALEM MA 01970 042610447 501(C)(3) 210752 DSRIP - ACO MODEL MANAGEMENT DIMOCK COMMUNITY HEALTH CENTER INC 55 DIMOCK STREET BOSTON MA 02119 043487835 501(C)(3) 461229 DSRIP - ACO MODEL MANAGEMENT UPHAM'S CORNER HEALTH CENTER 547 COLUMBIA ROAD DORCHESTER MA 02125 237211732 501(C)(3) 310200 DSRIP - ACO MODEL MANAGEMENT COMMUNITY HEALTH CONNECTIONS 326 NICHOLS ROAD FITCHBURG MA 01420 043452697 501(C)(3) 235519 DSRIP - ACO MODEL MANAGEMENT SOUTH END COMMUNITY HEALTH CENTER 10 GOVE STREET BOSTON MA 02128 042456134 501(C)(3) 222699 DSRIP - ACO MODEL MANAGEMENT ISLAND HEALTH INC 245 EDGARTOWN-VINEYARD HAVEN ROAD WEST TISBURY MA 02539 470870772 501(C)(3) 36637 DSRIP - ACO MODEL MANAGEMENT 18 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 425229 0 0 0 0 0 11400 0 1601 0 438230 0 0 0 MATTHEW MULLANEY CHIEF FINANCE AND STRATEGY OFFICER 278863 0 0 0 0 0 11400 0 16617 0 306880 0 0 0 DEBORAH YOLIN CHIEF OF CLINICAL PERFORMANCE 244578 0 0 0 0 0 9619 0 15705 0 269902 0 0 0 LYNN BUDLONG COO 234065 0 0 0 0 0 0 0 23216 0 257281 0 0 0 JULITA MIR CMO 214031 0 0 0 0 0 7510 0 2166 0 223707 0 0 0 SHARON HANSON CHIEF PEOPLE OFFICER 161116 0 0 0 0 0 6760 0 9552 0 177428 0 0 0 AMANDA FRANK SENIOR DIRECTOR OF PRACTICE TRANSFOR 150572 0 0 0 0 0 5358 0 14657 0 170587 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 3,752,535. MANAGEMENT AND GENERAL EXPENSES 652,013. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,404,548. MARKETING: PROGRAM SERVICE EXPENSES 205,761. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 205,761. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.