2014-11-17T12:18:57-06:00 2013-12-31 420714325 MCGLADREY LLP 80 CITY SQUARE BOSTON MA 02129 990 2013-01-01 043756900 COMMONWEALTH CARE ALLIANCE INC COMM 6174260600 30 WINTER STREET 11TH FL BOSTON MA 02108 LOIS S SAULS PRESIDENT 6174260600 2014-11-14 1 KAREN LO P01434915 6129129000 2013 2015-11-30 17:44:51Z LOIS S SAULS 30 WINTER STREET 11TH FL BOSTON MA 02108 303992879 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 ALL ADULTS THROUGHOUT THE COMMONWEALTH OF MASSACHUSETTS BY BRINGING TO SCALE PROVEN CLINICAL CARE STRATEGIES THAT IMPROVE THE CARE AND MANAGE COST. 13 13 622 13 0 0 0 0 224851049 297056587 783091 609404 16000 12907 225650140 297678898 82085 84205 0 0 13378540 21108563 0 0 0 208341478 281398941 221802103 302591709 3848037 -4912811 58691238 78088226 33765040 58636034 24926198 19452192 COMMONWEALTH CARE ALLIANCE INC.'S MISSION IS TO PROVIDE THE BEST POSSIBLE CARE TAILORED TO THE INDIVIDUAL'S NEEDS OF ALL ADULTS THROUGHOUT THE COMMONWEALTH OF MASSACHUSETTS BY BRINGING TO SCALE PROVEN CLINICAL CARE STRATEGIES THAT IMPROVE THE CARE AND MANAGE COST. 0 0 261621537 84205 297069494 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 OPTIONS 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 THE THREE ONE CARE OPTION ORGANIZATIONS IN THE COMMONWEALTH. 261621537 1 0 0 1 0 0 0 0 0 0 1 1 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 1575 0 1 622 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X EUGENE C WALLACE 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 SCOTT GERON 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 EUGENE WALLACE CFO 20.00 20.00 X 333191 0 43767 LOIS S SAULS PRESIDENT 40.00 0.00 X 430127 0 34555 ROBERT J MASTER MD CEO 20.00 20.00 X 464055 0 45545 JEFFERSON LETT CIO 40.00 0.00 X 281957 0 17456 LARRY GOTTLIEB VICE PRESIDENT 40.00 0.00 X 367796 0 36894 LEANNE BERGE VICE PRESIDENT 40.00 0.00 X 303119 0 34409 LISA FLEMING GENERAL COUNSEL 40.00 0.00 X 311899 0 38110 NANCY ROACH COO 40.00 0.00 X 287867 0 20977 JANET LEVINSON VICE PRESIDENT 40.00 0.00 X 210234 0 33553 JOHN LOUGHNANE DOCTOR 40.00 0.00 X 250689 0 17905 MARC EMMERICH DOCTOR 40.00 0.00 X 192939 0 28752 MARGARET ACKERMAN DIRECTOR 40.00 0.00 X 194422 0 21163 MARY GLOVER VICE PRESIDENT 5.00 35.00 X 230784 0 19659 3859079 0 392745 57 0 1 0 CATAMARANRX PO BOX 27275 NEW YORK NY 10087 MEDICAL SUPPORT 26000780 BAYSTATE HOME INFUSION AND RESPIRATORY PO BOX 414051 BOSTON MA 02241 MEDICAL SUPPORT 12846814 ELDERS SERVICE PLAN OF THE NORTH SHORE 37 FRIEND STREET LYNN MA 01901 MEDICAL SUPPORT 11918369 NORTH EAST ARC 6 SOUTHSIDE ROAD DANVERS MA 01923 MEDICAL SUPPORT 11651031 CEREBRAL PALSY OF MASSACHUSETTS INC 43 OLD COLONY AVENUE QUINCY MA 02170 MEDICAL SUPPORT 9960842 249 ENROLLEE FEES 621300 296993133 296993133 GRANT REVENUE 900099 63454 63454 297056587 806116 806116 6117269 6313981 -196712 -196712 -196712 MISCELLANEOUS 621300 12907 12907 12907 297678898 297069494 0 609404 81135 81135 3070 3070 3015687 3015687 14400384 14400384 745053 745053 1675019 1675019 1272420 1272420 3459304 3459304 318380 318380 300501 300501 71783 71783 2462931 2462931 1997151 1997151 1985457 1985457 1907381 1907381 1296445 1296445 170053 170053 229701 229701 255834 255834 931839 931839 167625 167625 MEDICAL EXPENSES 219123422 219123422 CAPITATION EXPENSES 42413910 42413910 CLAIMS ADJUDICATION 3933452 3933452 RECRUITING FEES 231737 231737 142035 142035 302591709 261621537 40970172 0 15542292 20205891 405731 1485851 4401507 9219652 1325309 720326 9906349 4713155 1165710 5193194 34951532 33938374 899157 7324938 58691238 78088226 5387671 14065776 28377369 44570258 33765040 58636034 X 24926198 19452192 24926198 19452192 58691238 78088226 -4912811 -561195 0 X 0 1 X 1 1 1 X 100000 2560 102560 27760632 136588042 174011531 224867049 297069494 860296748 27860632 136590602 174011531 224867049 297069494 860399308 0 0 0 860399308 7421 22354 73920 844744 806116 1754555 7421 22354 73920 844744 806116 1754555 22500 109721 132221 27868053 136635456 174195172 225711793 297875610 862286084 0.99780 0.99830 0.00200 0.00150 X 0 0 0 0 0 0 1 0 1 0 0 PART II-B, LINE 1: ROBERT J. MASTER, M.D., CEO, TESTIFIED ON ONE PIECE OF STATE LEGISLATION IN 2013 REGARDING THE SCOPE OF PRACTICE OF NURSE PRACTITIONERS. EMPLOYEES OF CCA EDUCATED FEDERAL AND STATE LEGISLATORS ABOUT ITS PROGRAMS AND SERVICES IN 2013, BUT DID NOT ADVOCATE FOR A POSITION ON ANY SPECIFIC PIECE OF LEGISLATION, OTHER THAN THE ONE NOTED. 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. 593441 387454 205987 2418763 1261554 1157209 6894145 3064147 3829998 5193194 CORPORATE BONDS 11290198 F GOVERNMENT AND AGENCY BONDS 18895380 F INTERNATIONAL BONDS 2014145 F MORTGAGE AND ASSET BACKED BONDS 1738651 F 33938374 ASSETS WITH LIMITED USES 232653 DUE FROM BOSTON COMMUNITY MEDICAL GROUP 7092285 7324938 MEDICAL EXPENSE OBLIGATIONS 38238269 REFUNDABLE ADVANCES 5567283 DUE TO COMMONWEALTH CLINICAL ALLIANCE 187224 DEFERRED RENT 577482 44570258 297678898 0 297678898 0 297678898 303152904 561195 561195 302591709 0 302591709 1 NAMI MASS 400 WEST CUMMINGS PARK SUITE 6550 WOBURN MA 01801 042777012 501(C)(3) 10000 NAMI WALKS SPONSORSHIP AND OTHER SPONSORSHIPS BOSTON CENTER FOR INDEPENDENT LIVING 60 TEMPLE PLACE 5TH FLOOR BOSTON MA 02111 042546595 501(C)(3) 20000 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 1 0 1 0 0 0 EUGENE WALLACE CFO 221295 0 34500 0 77396 0 11475 0 32292 0 376958 0 0 0 LOIS S SAULS PRESIDENT 265323 0 55852 0 108952 0 11475 0 23080 0 464682 0 0 0 ROBERT J MASTER MD CEO 373916 0 80250 0 9889 0 11475 0 34070 0 509600 0 0 0 JEFFERSON LETT CIO 197461 0 27810 0 56686 0 11475 0 5981 0 299413 0 0 0 LARRY GOTTLIEB VICE PRESIDENT 256780 0 108952 0 2064 0 11475 0 25419 0 404690 0 0 0 LEANNE BERGE VICE PRESIDENT 217305 0 83750 0 2064 0 0 0 34409 0 337528 0 0 0 LISA FLEMING GENERAL COUNSEL 210173 0 37822 0 63904 0 11475 0 26635 0 350009 0 0 0 NANCY ROACH COO 195519 0 36000 0 56348 0 11475 0 9502 0 308844 0 0 0 JANET LEVINSON VICE PRESIDENT 158119 0 16000 0 36115 0 9498 0 24055 0 243787 0 0 0 JOHN LOUGHNANE DOCTOR 206837 0 1186 0 42666 0 11393 0 6512 0 268594 0 0 0 MARC EMMERICH DOCTOR 190046 0 1172 0 1721 0 8720 0 20032 0 221691 0 0 0 MARGARET ACKERMAN DIRECTOR 146893 0 1239 0 46290 0 8857 0 12306 0 215585 0 0 0 MARY GLOVER VICE PRESIDENT 181671 0 1092 0 48021 0 10372 0 9287 0 250443 0 0 0 PART I, LINE 5 THE CEO'S BONUS IS TIED TO MEETING ANNUAL COMPANY FINANCIAL GOALS. OTHER EMPLOYEES' BONUSES ARE NOT EXPRESSLY TIED TO ANNUAL FINANCIAL GOALS. PART I, LINE 6 THE CEO'S BONUS IS TIED TO MEETING ANNUAL COMPANY FINANCIAL GOALS. OTHER EMPLOYEES' BONUSES ARE NOT EXPRESSLY TIED TO ANNUAL FINANCIAL GOALS. 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 FIVE 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. FORM 990, PART VI, SECTION B, LINE 15 AN OUTSIDE CONSULTING FIRM WELL KNOWN FOR ITS WORK IN DEVELOPING EXECUTIVE COMPENSATION PRACTICE WAS HIRED BY THE ORGANIZATION IN 2009 TO CREATE A REASONABLE COMPENSATION PACKAGE. 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 IS AVAILABLE VIA GUIDESTAR AND THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. CCA CAPITAL LLC 30 WINTER STREET 11TH FLR BOSTON MA 02108 999999999 BENEFICIARY OF A STANDBY LETTER OF CREDIT MA 0 0 COMMONWEALTH CARE ALLIANCE INC BOSTON'S COMMUNITY MEDICAL GROUP INC ONE BOSTON MEDICAL CTR PL SUITE 150 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 15340197 FAIR MARKET VALUE BOSTON'S COMMUNITY MEDICAL GROUP M 321721 FAIR MARKET VALUE