2016-11-15T09:43:42-06:00 2015-12-31 420714325 RSM US LLP 80 CITY SQUARE BOSTON MA 021293742 990 2015-01-01 043756900 COMMONWEALTH CARE ALLIANCE INC COMM 6174260600 30 WINTER STREET BOSTON MA 02108 ERIC PRICE CFO 6174260600 2016-11-15 1 LYNNE JOHNSON P00757336 6179129000 2015 2017-02-10 21:41:12Z CHRISTOPHER PALMIERI 30 WINTER STREET BOSTON MA 02108 809417329 0 X WWW.COMMONWEALTHCARE.ORG X 2003 MA COMMONWEALTH CARE ALLIANCE INC.'S MISSION IS TO PROVIDE THE BEST POSSIBLE CARE TAILORED TO THE INDIVIDUAL'S NEEDS OF MEDICALLY COMPLEX POPULATIONS THROUGHOUT THE COMMONWEALTH OF MASSACHUSETTS BY BRINGING TO SCALE PROVEN CLINICAL CARE STRATEGIES THAT IMPROVE THE CARE AND MANAGE COST. 13 13 908 13 0 0 0 0 585643670 762435569 -319832 302515 10821 0 585334659 762738084 99697 62875 0 0 31209967 38148864 0 0 0 542266577 713243546 573576241 751455285 11758418 11282799 160138570 175417209 128080391 131905847 32058179 43511362 X COMMONWEALTH CARE ALLIANCE INC.'S MISSION IS TO PROVIDE THE BEST POSSIBLE CARE TAILORED TO THE INDIVIDUAL'S NEEDS OF MEDICALLY COMPLEX POPULATIONS THROUGHOUT THE COMMONWEALTH OF MASSACHUSETTS BY BRINGING TO SCALE PROVEN CLINICAL CARE STRATEGIES THAT IMPROVE THE CARE AND MANAGE COST. 0 0 676424822 62875 762435569 COMMONWEALTH CARE ALLIANCE (CCA) HAS CONTRACTED 21 COMMUNITY BASED HEALTHCARE PRACTICES THAT HAVE DEMONSTRATED EXPERIENCE SERVING ADULTS IN A MANAGED FRAMEWORK. AS AN EXAMPLE OF THESE PRIMARY CARE SITES INCLUDING AFFILIATED PHYSICIANS GROUP OF JAMAICA PLAIN, BOSTON UNIVERSITY GERIATRICS, BOSTON'S COMMUNITY MEDICAL GROUP, 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 FOUR 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 ONE CARE ORGANIZATIONS IN THE COMMONWEALTH. 676424822 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 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 1 1 1 0 0 1 3279 0 1 908 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X ERIC PRICE CFO 6174260600 30 WINTER STREET BOSTON MA 02108 DAVID MARGULIES DIRECTOR 5.00 0.00 X 0 0 0 DEAN RICHLIN CHAIRMAN OF THE BOARD 10.00 0.00 X 0 0 0 FRANCES HUBBARD DIRECTOR 5.00 0.00 X 0 0 0 JEFFREY SCAVRON MD DIRECTOR 5.00 5.00 X 0 0 0 LISA IEZZONI DIRECTOR 5.00 0.00 X 0 0 0 MARK REYNOLDS DIRECTOR 5.00 0.00 X 0 0 0 MARY LOU MALONEY DIRECTOR 5.00 0.00 X 0 0 0 NANCY TURNBULL DIRECTOR 5.00 0.00 X 0 0 0 PHILIP THOMPSON DIRECTOR 5.00 0.00 X 0 0 0 ROBERT RESTUCCIA DIRECTOR 5.00 0.00 X 0 0 0 SERGIO GONCALVES DIRECTOR 5.00 5.00 X 0 0 0 THOMAS LYNCH DIRECTOR 5.00 0.00 X 0 0 0 SCOTT MIYAKE DIRECTOR 5.00 0.00 X 0 0 0 EUGENE WALLACE CFO & TREASURER (UNTIL FEB. 2015) 20.00 20.00 X 173090 0 20379 LOIS S SAULS PRESIDENT (UNTIL NOV. 2015) 40.00 0.00 X 355047 0 42271 ROBERT J MASTER MD CEO (UNTIL OCT. 2015) 20.00 20.00 X 440738 0 50744 CHRISTOPHER PALMIERI PRESIDENT & CEO (BEGIN NOV. 2015) 20.00 20.00 X 80530 0 2410 CINDY NGUYEN CFO & TREASURER (BEGIN FEB. 2015) 20.00 20.00 X 216557 0 10409 LAWRENCE GOTTLIEB VICE PRESIDENT 40.00 0.00 X 353897 0 43443 LEANNE BERGE VICE PRESIDENT 40.00 0.00 X 282516 0 40432 LISA FLEMING GENERAL COUNSEL & CLERK 40.00 0.00 X 284942 0 41756 NANCY ROACH COO 40.00 0.00 X 270676 0 20775 JANET LEVINSON VICE PRESIDENT 40.00 0.00 X 238991 0 38076 JOHN LOUGHNANE DOCTOR 20.00 20.00 X 372747 0 17155 MARY GLOVER VICE PRESIDENT 10.00 30.00 X 299901 0 21133 PEGGY JOHNSON DOCTOR 40.00 0.00 X 295767 0 10440 OLUWATOYIN AJAYI DOCTOR 5.00 35.00 X 255391 0 13897 3920790 0 373320 101 0 1 0 CATAMARANRX PO BOX 27275 NEW YORK NY 10087 MEDICAL SUPPORT 144568075 BAYSTATE MEDICAL CENTER 795 CHESTNUT STREET SPRINGFIELD MA 01199 MEDICAL SUPPORT 30677099 BOSTON MEDICAL CENTER 4199 WASHINGTON STREET ROSLINDALE MA 02131 MEDICAL SUPPORT 20673356 CAMBRIDGE PUBLIC HEALTH COMMISSION PO BOX 847438 BOSTON MA 02284 MEDICAL SUPPORT 14231223 BETH ISRAEL DEACONESS MEDICAL CENTER PO BOX 3153 BOSTON MA 02241 MEDICAL SUPPORT 11778219 517 ENROLLEE FEES 621300 761998547 761998547 GRANT REVENUE 900099 437022 437022 762435569 -319060 -319060 47300820 46679245 621575 621575 621575 762738084 762435569 0 302515 62875 62875 2730612 2730612 28647758 28647758 865256 865256 3649560 3649560 2255678 2255678 232704 232704 100069 100069 66181 66181 9093022 9093022 1865852 1865852 1478063 1478063 6897595 6897595 2762269 2762269 423253 423253 72378 72378 225000 225000 1969194 1969194 358738 358738 MEDICAL EXPENSES 562597097 562597097 CAPITATION EXPENSES 113764850 113764850 CLAIMS ADJUDICATION 9557580 9557580 IMPAIRMENT LOSS ON FIXE 696905 696905 1082796 1082796 751455285 676424822 75030463 0 26235694 36372196 163902 55175711 63019551 45588299 1222230 1670615 14908203 7836139 5917853 7072064 45320706 18258634 29538324 160138570 175417209 26315760 12639021 10000000 100000 91764631 119166826 128080391 131905847 X 32058179 43511362 32058179 43511362 160138570 175417209 11282799 170384 0 X 0 1 X 1 1 1 X 174011531 224867049 297069494 585654491 762435569 2044038134 174011531 224867049 297069494 585654491 762435569 2044038134 0 0 0 2044038134 73920 844744 806116 -296021 -319060 1109699 73920 844744 806116 -296021 -319060 1109699 109721 109721 174195172 225711793 297875610 585358470 762116509 2045257554 0.99940 0.99890 0.00050 0.00100 X 0 0 0 0 0 0 1 0 1 0 0 PART II-B, LINE 1: CCA 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. 857411 536200 321211 3371160 2277215 1093945 10679632 5022724 5656908 7072064 ASSETS LIMITED AS TO USE 2191511 DUE FROM BOSTON COMMUNITY MEDICAL GROUP 26269529 DEPOSITS 66244 DEFERRED FINANCING COSTS, NET 245000 DUE FROM COMMONWEALTH CLINICAL ALLIANCE, INC 766040 29538324 MEDICAL EXPENSE OBLIGATIONS 107836925 REFUNDABLE ADVANCES 7009824 DEFERRED RENT 828531 DEFERRED FUNDRAISING 398117 CAPITAL LEASE OBLIGATION PAYABLE 3093429 119166826 762908468 170384 170384 762738084 0 762738084 751455285 0 751455285 0 751455285 1 NAMI MASS 400 WEST CUMMINGS PARK SUITE 6550 WOBURN MA 01801 042777012 501(C)(3) 10100 HOST SPONSORSHIP BOSTON CENTER FOR INDEPENDENT LIVING 60 TEMPLE PLACE 5TH FLOOR BOSTON MA 02111 042546595 501(C)(3) 27344 HOST SPONSORSHIP 2 PART I, LINE 2: THE ORGANIZATION PROVIDES GRANTS AND SUPPORT TO OTHER HUMAN SERVICE ORGANIZATIONS AND ORGANIZATIONS WITH SIMILAR MISSIONS. THE GOVERNING BODY AND TOP MANAGEMENT OFFICIALS MAKE DECISIONS OF THE SUPPORT AND MAINTAIN RECORDS TO SUBSTANTIATE THE AMOUNT OF GRANT AND ASSISTANCE TO THESE ORGANIZATIONS. X X X 0 0 0 0 0 0 0 0 0 EUGENE WALLACE CFO & TREASURER (UNTIL FEB. 2015) 125141 0 46000 0 1949 0 10599 0 9780 0 193469 0 0 0 LOIS S SAULS PRESIDENT (UNTIL NOV. 2015) 279775 0 71212 0 4060 0 11700 0 30571 0 397318 0 0 0 ROBERT J MASTER MD CEO (UNTIL OCT. 2015) 426618 0 0 0 14120 0 11700 0 39044 0 491482 0 0 0 CINDY NGUYEN CFO & TREASURER (BEGIN FEB. 2015) 216102 0 0 0 455 0 0 0 10409 0 226966 0 0 0 LAWRENCE GOTTLIEB VICE PRESIDENT 285095 0 64980 0 3822 0 11700 0 31743 0 397340 0 0 0 LEANNE BERGE VICE PRESIDENT 245335 0 35000 0 2181 0 11700 0 28732 0 322948 0 0 0 LISA FLEMING GENERAL COUNSEL & CLERK 240645 0 42024 0 2273 0 9455 0 32301 0 326698 0 0 0 NANCY ROACH COO 228819 0 40000 0 1857 0 9000 0 11775 0 291451 0 0 0 JANET LEVINSON VICE PRESIDENT 202758 0 32000 0 4233 0 7754 0 30322 0 277067 0 0 0 JOHN LOUGHNANE DOCTOR 317382 0 54000 0 1365 0 11700 0 5455 0 389902 0 0 0 MARY GLOVER VICE PRESIDENT 296020 0 0 0 3881 0 10508 0 10625 0 321034 0 0 0 PEGGY JOHNSON DOCTOR 232392 0 61250 0 2125 0 0 0 10440 0 306207 0 0 0 OLUWATOYIN AJAYI DOCTOR 225010 0 30000 0 381 0 3469 0 10428 0 269288 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS HAVE BEEN AMENDED DURING 2015 TO ELIMINATE THE REQUIREMENT OF MEMBER ORGANIZATIONS AND TO REPLACE IT WITH A SELF-PERPETUATING BOARD WITH MEMBERS OF THE NOMINATING AND GOVERNANCE COMMITTEE BEING REPRESENTATIVES OF THE PRIOR MEMBER ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 CCA HAS TWO CORPORATE MEMBERS WHICH ARE BOTH NON-PROFIT MASSACHUSETTS CORPORATIONS. THOSE TWO ORGANIZATIONS ARE HEALTH CARE FOR ALL (HCFA) AND BOSTON'S CENTER FOR INDEPENDENT LIVING (BCIL). FORM 990, PART VI, SECTION A, LINE 7A IN ACCORDANCE WITH CCA'S BYLAWS, THE TWO CORPORATE MEMBERS HAVE THE POWERS AND AUTHORITY TO APPOINT ADDITIONAL MEMBERS UP TO FIFTEEN IN NUMBER AND ELECT CCA'S DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B IN ACCORDANCE WITH CCA'S BYLAWS, THE TWO CORPORATE MEMBERS HAVE THE POWERS AND AUTHORITY TO ADOPT AND APPROVE BYLAWS AND AMENDMENTS TO THE ARTICLES OF ORGANIZATION OR BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF DIRECTORS REVIEW THE FORM 990 BEFORE THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. THE BOARD ALSO REVIEWS THE FINANCIAL STATEMENTS ON A QUARTERLY BASIS. FORM 990, PART VI, SECTION B, LINE 12C THE ANNUAL COMPLIANCE POLICY AND CONFLICT OF INTEREST FORMS ARE DISTRIBUTED TO THE BOARD AND OFFICERS AND THE COMPLIANCE DEPARTMENT MONITORS FOR COMPLETION ANNUALLY. THE BOARD AND OFFICERS ALSO RECEIVE ANNUAL TRAINING ON CONFLICT OF INTEREST. THE COMPANY'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 FOR EMPLOYEES OF DIRECTOR LEVEL AND ABOVE (DIRECTOR, SENIOR DIRECTOR, VICE PRESIDENT, SENIOR VICE PRESIDENT). WHERE AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST INVOLVING A TRANSACTION IS DETERMINED, THE EMPLOYEE IS PROHIBITED FROM PARTICIPATING IN EITHER MANAGEMENT'S OR THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION ENGAGED COMPENSATION CONSULTANTS IN NOVEMBER 2013 TO PROVIDE A COMPREHENSIVE COMPENSATION ASSESSMENNT AND RECOMMENDATIONS TO CREATE A REASONABLE COMPENSATION PACKAGE FOR TOP MANAGEMENT OFFICIAL. THE ORGANIZATION WORKED WITH THE COMPENSATION CONSULTANT DURING 2014 AND 2015. OTHER OFFICERS AND KEY EMPLOYEES ARE REVIEWED ANNUALLY AND ARE ADJUSTED BY MARKET VALUE OF SURVEY OF POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 THE 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. CCA CAPITAL LLC 30 WINTER STREET BOSTON MA 02108 999999999 BENEFICIARY OF A STANDBY LETTER OF CREDIT MA COMMONWEALTH CARE ALLIANCE INC BOSTON'S COMMUNITY MEDICAL GROUP INC 30 NORTHAMPTON STREET BOSTON MA 02118 260100022 MEDICAL SERVICE MA 501(C)(3) LINE 3 COMMONWEALTH CARE ALLIANCE INC 1 COMMONWEALTH CLINICAL ALLIANCEINC 30 WINTER STREET BOSTON MA 02108 562382058 MEDICAL SERVICE MA 501(C)(3) LINE 9 COMMONWEALTH CARE ALLIANCE INC 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 COMMONWEALTH CLINICAL ALLIANCE M 23403209 FAIR MARKET VALUE BOSTON'S COMMUNITY MEDICAL GROUP M 741036 FAIR MARKET VALUE