2020-11-12T17:59:51-06:00 2019-12-31 042571780 AAFCPAS INC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2019-01-01 813005904 COMMUNITY CARE COOPERATIVE INC COMM 8666769226 75 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 CHRISTINA SEVERIN PRESIDENT & CEO 8666769226 2020-11-11 1 MATTHEW HUTT CPA P01070603 5083669100 2020-11-11 40.70.31.102 2020-11-11 17:01:56 ES P 67FD54DCEB6CBC14265FA3262D2D1D14C69EA041 2A9010E3A6A0BB3B06F86C59D67A72AD6F64F0F5 2019 2021-01-29 14:40:06Z X CHRISTINA SEVERIN 75 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 37788534 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. 36 35 75 35 0 0 34745273 26545788 6458250 10948059 89254 294504 6668 183 41299445 37788534 13165121 10453127 0 0 2901958 6874982 0 0 0 16532063 11508543 32599142 28836652 8700303 8951882 16287652 26233865 3366860 4361191 12920792 21872674 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 27583772 10453127 10948059 C3 STARTED A FULL, FIVE-YEAR MASSHEALTH (MASSACHUSETTS MEDICAID) ACO PROGRAM ON MARCH 1, 2018. THE ACO IS MADE UP ENTIRELY OF 19 FEDERALLY QUALIFIED HEALTH CENTERS. 27583772 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 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 17 0 1 75 1 0 0 0 0 0 0 0 0 0 0 0 0 X 36 35 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X MATTHEW MULLANEY CFO 7815404206 75 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 HOLLY OH MD BOARD MEMBER 2.00 X 0 0 0 KIAME MAHANIAH MD BOARD MEMBER 2.00 X 0 0 0 MARGARET BRENNAN CLERK 2.00 X X 0 0 0 DAMIAN ARCHER MD BOARD MEMBER 2.00 X 0 0 0 MANNY LOPES CHAIR 2.00 X 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 KAREN GARDNER TREASURER 2.00 X 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 EDWARD SAYER BOARD MEMBER 2.00 X 0 0 0 JAY TRIVEDI BOARD MEMBER 2.00 X 0 0 0 CHRISTINA SEVERIN PRESIDENT & CEO 40.00 X X 481420 0 12611 ELIZA LAKE BOARD MEMBER 2.00 X 0 0 0 JONATHAN LIEBMAN MD 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 JACKALYNN HOOKER BOARD MEMBER 2.00 X 0 0 0 JOHN DEMALIA BOARD MEMBER 2.00 X 0 0 0 KATHLEEN SWEENEY BOARD MEMBER 2.00 X 0 0 0 JANE POWERS 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 GREESHMA NAINI MD BOARD MEMBER 2.00 X 0 0 0 PETER GERONDEAU 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 JUDY JONES DNP FNP BOARD MEMBER 2.00 X 0 0 0 GEOFF PECHINSKY BOARD MEMBER 2.00 X 0 0 0 MATTHEW MULLANEY CHIEF FINANCIAL OFFICER 40.00 X 276284 0 33399 JULITA MIR CMO 32.00 X 210670 0 9725 LAUREN FALLS SENIOR DIRECTOR BEHAVIORAL 40.00 X 174884 0 25288 SUSAN KAUFMAN CHIEF OF PRACTICE TRANSFORMATION AND QUALITY 40.00 X 225279 0 6882 AMY TRAVERS DIRECTOR OF MEDICAL ECONOMICS AND PERFORMANCE ANAL 40.00 X 161318 0 15965 LYNN BUDLONG COO 40.00 X 141337 0 16134 SHARON HANSON SENIOR ADVISOR - COMPLIANCE 25.00 X 141607 0 7978 1812799 0 127982 15 0 1 0 EVOLENT HEALTH 800 N GLEBE ROAD SUITE 500 ARLINGTON VA 22203 POPULATION HEALTH SERVICES 8305983 INSOURCE SERVICES 148 LINDEN ST WELLESLEY MA 02482 IT, HR AND FINANCIAL SERVICES 520796 MILLIMAN 201 EDGEWATER DRIVE SUITE 289 WAKEFIELD MA 01880 MANAGEMENT CONSULTING 336043 THE CHARTIS GROUP 120 E 23RD STREET NEW YORK NY 10010 PHM TECHNOLOGY PLATFORM 306608 ALEXANDRA SCHWEITZER 75 FEDERAL STREET BOSTON MA 02110 CONSULTING 149342 5 26219255 326533 26545788 ADMINISTRATIVE REVENUE 900009 10880594 10880594 ACO MEMBERSHIP DUES 900009 50000 50000 CONSULTING 900009 17465 17465 10948059 294504 294504 OTHER REVENUE 900099 183 183 183 37788534 10948059 0 294687 X 10453127 10453127 1005672 785944 219728 4923965 4896009 27956 125106 124723 383 403350 382451 20899 416889 394300 22589 184540 59218 125322 13288 13288 8933134 8403547 529587 106167 106167 180564 170780 9784 56168 56168 5434 5434 1296502 1206826 89676 MEMBER COMMUNICATION 442710 442710 SOFTWARE 221935 221935 MISCELLANEOUS 42713 11380 31333 DUES 25388 25388 28836652 27583772 1252880 0 11821019 193760 3922948 23806166 249987 1670712 264199 136632 29499 183591 248438 5434 0 243004 16287652 26233865 3253934 4247869 112926 113322 3366860 4361191 X 4216558 14111896 8704234 7760778 12920792 21872674 16287652 26233865 8951882 0 X X 0 1 X 1 0 X 7972485 8609749 34725273 26545788 77853295 410000 6458250 10948059 17816309 8382485 8609749 41183523 37493847 95669604 0 6358250 10502709 16860959 6358250 10502709 16860959 78808645 7093 7537 95922 294504 405056 7093 7537 95922 294504 405056 183 183 8389578 8617286 41279445 37788534 96074843 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 ORGANIATION FILED A SHORT YEAR RETURN FOR THE PERIOD 10/1/17 THROUGH 12/31/17. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 112926 396 113322 1 X 248438 5434 243004 243004 X 37788534 0 37788534 0 37788534 28836652 0 28836652 0 28836652 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, 2019, THE ORGANIZATION HELD ESCROWS FROM FIVE MEMBER HEALTH CENTERS TOTALING $113,322. 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, 2019. 1 BROCKTON NEIGHBORHOOD HEALTH CENTER INC 63 MAIN STREET BROCKTON MA 02301 043165044 501(C)(3) 1525345 DSRIP - ACO MODEL MANAGEMENT CHARLES RIVER COMMUNITY HEALTH INC 495 WESTERN AVENUE BRIGHTON MA 02135 237221597 501(C)(3) 318884 DSRIP - ACO MODEL MANAGEMENT COMMUNITY HEALTH CENTER OF CAPE COD 107 COMMERCIAL STREET MASHPEE MA 02649 043370560 501(C)(3) 450321 DSRIP - ACO MODEL MANAGEMENT COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INC 102 MAIN STREET GREENFIELD MA 01301 043312968 501(C)(3) 48395 DSRIP - ACO MODEL MANAGEMENT EAST BOSTON NEIGHBORHOOD HEALTH CENTER INC 10 GOVE STREET BOSTON MA 02128 237425849 501(C)(3) 1502159 DSRIP - ACO MODEL MANAGEMENT EDWARD M KENNEDY HEALTH CENTER INC 650 LINCOLN STREET WORCESTER MA 01605 042513817 501(C)(3) 694320 DSRIP - ACO MODEL MANAGEMENT FAMILY HEALTH CENTER OF WORCESTER INC 26 QUEEN STREET WORCESTER MA 01610 042485308 501(C)(3) 1475781 DSRIP - ACO MODEL MANAGEMENT FENWAY COMMUNITY HEALTH CENTER INC 1340 BOYLSTON STREET BOSTON MA 02215 042510564 501(C)(3) 68450 DSRIP - ACO MODEL MANAGEMENT HILLTOWN COMMUNITY HEALTH CENTERS INC 58 OLD NORTH ROAD WORTHINGTON MA 01098 042161484 501(C)(3) 74844 DSRIP - ACO MODEL MANAGEMENT HOLYOKE HEALTH CENTER INC 230 MAPLE STREET HOLYOKE MA 01040 042492730 501(C)(3) 1245419 DSRIP - ACO MODEL MANAGEMENT LYNN COMMUNITY HEALTH CENTER INC 269 UNION STREET LYNN MA 01901 042525066 501(C)(3) 1707691 DSRIP - ACO MODEL MANAGEMENT NORTH END COMMUNITY HEALTH COMMITTEE INC 332 HANOVER STREET BOSTON MA 02113 237089746 501(C)(3) 40658 DSRIP - ACO MODEL MANAGEMENT NORTH SHORE COMMUNITY HEALTH INC 47 CONGRESS STREET SALEM MA 01970 042610447 501(C)(3) 249222 DSRIP - ACO MODEL MANAGEMENT DIMOCK COMMUNITY HEALTH CENTER INC 55 DIMOCK STREET BOSTON MA 02119 043487835 501(C)(3) 364090 DSRIP - ACO MODEL MANAGEMENT UPHAM'S CORNER HEALTH CENTER 547 COLUMBIA ROAD DORCHESTER MA 02125 237211732 501(C)(3) 387740 DSRIP - ACO MODEL MANAGEMENT COMMUNITY HEALTH CONNECTIONS 326 NICHOLS ROAD FITCHBURG MA 01420 043452697 501(C)(3) 296496 DSRIP - ACO MODEL MANAGEMENT 16 0 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 481420 0 0 0 0 0 10585 0 2026 0 494031 0 0 0 MATTHEW MULLANEY CHIEF FINANCIAL OFFICER 276284 0 0 0 0 0 12936 0 20463 0 309683 0 0 0 JULITA MIR CMO 210670 0 0 0 0 0 7121 0 2604 0 220395 0 0 0 LAUREN FALLS SENIOR DIRECTOR BEHAVIORAL 174884 0 0 0 0 0 6430 0 18858 0 200172 0 0 0 SUSAN KAUFMAN CHIEF OF PRACTICE TRANSFORMATION AND 225279 0 0 0 0 0 4500 0 2382 0 232161 0 0 0 AMY TRAVERS DIRECTOR OF MEDICAL ECONOMICS AND PE 161318 0 0 0 0 0 5609 0 10356 0 177283 0 0 0 LYNN BUDLONG COO 141337 0 0 0 0 0 0 0 16134 0 157471 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 7,971,060. MANAGEMENT AND GENERAL EXPENSES 529,587. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,500,647. MARKETING: PROGRAM SERVICE EXPENSES 432,487. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 432,487. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.