2018-08-15T07:15:23-05:00 2017-09-30 042571780 ALEXANDER ARONSON FINNING & CO PC 50 WASHINGTON STREET WESTBOROUGH MA 01581 990 2016-10-01 813005904 COMMUNITY CARE COOPERATIVE INC COMM 8666769226 ONE FEDERAL STREET BOSTON MA 02110 CHRISTINA SEVERIN PRESIDENT & CEO 8666769226 2018-08-15 1 MATTHEW HUTT CPA P01070603 5083669100 2018-08-14 2016 2022-09-23 18:48:47Z X CHRISTINA SEVERIN ONE FEDERAL STREET BOSTON MA 02110 7609578 0 X WWW.COMMUNITYCARECOOPERATIVE.ORG X 2016 MA COMMUNITY CARE COOPERATIVE, INC. ("C3") WAS ESTABLISHED FOR THE SOLE PURPOSE OF PARTICIPATING AS AN ACO IN THE EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES' (EOHHS) MASSHEALTH ACO PROGRAM. 30 29 1 29 0 0 0 7192485 370000 410000 0 1 0 7092 370000 7609578 0 2994534 0 0 33333 483978 0 0 0 140199 3530672 173532 7009184 196468 600394 350258 3588928 153790 2792066 196468 796862 X C3'S MISSION IS TO LEVERAGE THE COLLECTIVE STRENGTHS OF FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) TO IMPROVE HTE HEALTH AND WELLNESS OF THE PEOPLE WE SERVE. WE ARE A NEW, 501(C)(3) NOT-FOR-PROFIT, ACCOUNTABLE CARE ORGANIZATION (ACO) GOVENRED BY FQHCS. 1 0 6506580 2994534 410000 C3 MANAGED AN ACCOUNTABLE CARE ORGANIZATION PILOT PROGRAM FROM DECEMBER, 2016 THROUGH NOVEMBER 30, 2017. THE ACO IS MADE UP ENTIRELY OF 15 FEDERALLY QUALIFIED HEALTH CENTERS. 6506580 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 X 30 29 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MA X MATTHEW MULLANEY 8666769226 ONE FEDERAL STREET BOSTON MA 02110 MYECHIA MINTER-JORDAN BOARD MEMBER 2.00 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 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 ANTONIA MCGUIRE TREASURER 2.00 X X 0 0 0 PABLO HERNANDEZ MD BOARD MEMBER 2.00 X 0 0 0 FRANCES ANTHES 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 BEN LIGHTFOOT MD BOARD MEMBER 2.00 X 0 0 0 KAREN GARDNER 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 ELIZABETH MOLINA ORTIZ MD BOARD MEMBER 2.00 X 0 0 0 EDWARD SAYER BOARD MEMBER 2.00 X 0 0 0 MARIA HEIDENREICH FNP BOARD MEMBER 2.00 X 0 0 0 JAY TRIVEDI BOARD MEMBER 2.00 X 0 0 0 ELISE HENRICKS MD BOARD MEMBER 2.00 X 0 0 0 STEPHEN BOSWELL BOARD MEMBER 2.00 X 0 0 0 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 CHRISTINA SEVERIN PRESIDENT & CEO 40.00 X 76668 0 23332 MATTHEW MULLANEY CFO 40.00 X 0 0 0 76668 0 23332 0 0 0 0 HEALTH MANAGEMENT ASSOCIATES 31 ST JAMES AVENUE SUITE 920 BOSTON MA 02116 PROFESSIONAL CONSULTING SERVICES 166276 1 7167485 25000 7192485 ACO MEMBERSHIP DUES 900099 410000 410000 410000 1 1 7092 0 7092 7092 7092 7609578 410000 0 7093 X 2994534 2994534 423585 333416 90169 36139 36139 745 629 116 23509 19861 3648 68485 68485 3154448 2855777 298671 3519 2886 633 38530 32365 6165 2264 1902 362 3518 3518 165685 144054 21631 SOFTWARE 65176 64669 507 MISCELLANEOUS 29047 20348 8699 7009184 6506580 502604 0 89258 3504873 260000 37092 1000 46963 350258 3588928 153790 2289702 0 502364 153790 2792066 X 196468 796862 196468 796862 350258 3588928 600394 0 X X 0 1 X 1 0 X 7972485 7972485 7972485 7972485 0 0 0 7972485 7093 7093 7093 7093 7979578 7979578 X PART III, LINE 1E THE ORGANIZATION FILED A SHORT YEAR RETURN FOR THE PERIOD 6/20/16 THROUGH 9/30/16. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 UNSECURED LOANS PAYABLE FROM MEMBERS 502364 502364 X 7609578 0 7609578 0 7609578 7009184 0 7009184 0 7009184 PART X, LINE 2: CCC 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. CCC HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT SEPTEMBER 30, 2017. 0 BROCKTON NEIGHBORHOOD HEALTH CENTER INC 043165044 501(C)(3) 473293 DSRIP AND ICB FUNDING - ACO MODEL PREPARATION CHARLES RIVER COMMUNITY HEALTH INC 237221597 501(C)(3) 104513 DSRIP AND ICB FUNDING - ACO MODEL PREPARATION COMMUNITY HEALTH CENTER OF CAPE COD 043370560 501(C)(3) 110066 DSRIP AND ICB FUNDING - ACO MODEL PREPARATION COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INC 043312968 501(C)(3) 24248 DSRIP FUNDING - ACO MODEL PREPARATION EAST BOSTON NEIGHBORHOOD HEALTH CENTER INC 237425849 501(C)(3) 725950 DSRIP AND ICB FUNDING - ACO MODEL PREPARATION EDWARD M KENNEDY HEALTH CENTER INC 042513817 501(C)(3) 62626 ICB FUNDING - ACO MODEL PREPARATION FAMILY HEALTH CENTER OF WORCESTER INC 042485308 501(C)(3) 81766 ICB FUNDING - ACO MODEL PREPARATION FENWAY COMMUNITY HEALTH CENTER INC 042510564 501(C)(3) 60380 DSRIP FUNDING - ACO MODEL PREPARATION HILLTOWN COMMUNITY HEALTH CENTERS INC 042161484 501(C)(3) 20426 DSRIP FUNDING - ACO MODEL PREPARATION HOLYOKE HEALTH CENTER INC 042492730 501(C)(3) 421888 DSRIP AND ICB FUNDING - ACO MODEL PREPARATION LYNN COMMUNITY HEALTH CENTER INC 042525066 501(C)(3) 566087 DSRIP AND ICB FUNDING - ACO MODEL PREPARATION NORTH END COMMUNITY HEALTH COMMITTEE INC 237089746 501(C)(3) 16391 DSRIP FUNDING - ACO MODEL PREPARATION NORTH SHORE COMMUNITY HEALTH INC 042610447 501(C)(3) 88378 DSRIP AND ICB FUNDING - ACO MODEL PREPARATION DIMOCK COMMUNITY HEALTH CENTER INC 043487835 501(C)(3) 159482 DSRIP AND ICB FUNDING - ACO MODEL PREPARATION UPHAM'S CORNER HEALTH CENTER 237211732 501(C)(3) 79040 DSRIP FUNDING - ACO MODEL PREPARATION 15 BROCKTON NEIGHBORHOOD HEALTH CENTER INC C3 BOARD MEMBER IS AN EMPLOYEE OF THE MEMBER ORGANIZATION 100000 UNSECURED LOAN TO C3 1 COMMUNITY HEALTH CENTER OF CAPE COD C3 BOARD MEMBER IS AN EMPLOYEE OF THE MEMBER ORGANIZATION 100000 UNSECURED LOAN TO C3 1 EAST BOSTON NEIGHBORHOOD HEALTH CENTER INC C3 BOARD MEMBER IS AN EMPLOYEE OF THE MEMBER ORGANIZATION 102364 UNSECURED LOAN TO C3 1 HOLYOKE COMMUNITY HEALTH CENTER INC C3 BOARD MEMBER IS AN EMPLOYEE OF THE MEMBER ORGANIZATION 100000 UNSECURED LOAN TO C3 1 LYNN COMMUNITY HEALTH CENTER INC C3 BOARD MEMBER IS AN EMPLOYEE OF THE MEMBER ORGANIZATION 100000 UNSECURED LOAN TO C3 1 FORM 990, PART III, LINE 2 C3 MANAGED AN ACCOUNTABLE CARE ORGANIZATION PILOT PROGRAM FROM DECEMBER, 2016 THROUGH NOVEMBER 30, 2017. FORM 990, PART VI, SECTION A, LINE 6 CCC'S MEMBER ORGANIZATIONS ARE MASSACHUSETTS-BASED COMMUNITY HEALTH CENTERS. FORM 990, PART VI, SECTION A, LINE 7A CCC'S BOARD OF DIRECTORS IS MADE UP OF MANAGEMENT PERSONNEL OF MEMBER ORGANIZATIONS. THESE PERSONNEL LEAVE THE CCC BOARD OF DIRECTORS IF THEIR EMPLOYMENT WITH THE MEMBER ORGANIZATION ENDS. FORM 990, PART VI, SECTION B, LINE 11B CCC'S FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS AND APPROVED BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CCC'S BOARD MEMEBERS ARE REQUIRED TO SIGN CONFLICT OF INTEREST DISCLOSURES ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15A CCC 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 CCC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 760,152. MANAGEMENT AND GENERAL EXPENSES 298,671. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,058,823. SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 2,095,625. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,095,625. FORM 990 PART XII LINE 2C EXPLANATION CCC'S FINANCE & AUDIT COMMITTEE IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT AUDITOR.