COMMONWEALTH CARE ALLIANCE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COMMONWEALTH CARE ALLIANCE INC (EIN 04-3756900)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201323189349303092
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T11:38:22-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420714325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line180 CITY SQUAREAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02129ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043756900EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMONWEALTH CARE ALLIANCE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone6174260600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line130 WINTER STREET 11TH FLAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02108ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT J MASTER MDName
TitleCEOTitle
Phone6174260600Phone
Date Signed2013-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLYNNE JOHNSONName
PTINP00757336PTIN
Phone6129129000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLOIS S SAULSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line130 WINTER STREET 11TH FLAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02108ZIPCode
FieldValueIRS element (for citing)
Gross Receipts231793025GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COMMONWEALTHCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionCOMMONWEALTH CARE ALLIANCE INC.'S MISSION IS TO PROVIDE THE BEST POSSIBLE CARE TAILORED TO THE INDIVIDUAL'S NEEDS OF ALL ELDERS THROUGHOUT THE COMMONWEALTH OF MASSACHUSETTS BY BRINGING TO SCALE PROVEN CLINICAL CARE STRATEGIES THAT IMPROVE THE CARE AND MANAGE COST.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees331TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year173962433ProgramServiceRevenuePriorYear
Program Service Revenue CY224851049ProgramServiceRevenueCY
Investment Income Prior Year73920InvestmentIncomePriorYear
Investment Income Current Year783091InvestmentIncomeCurrentYear
Other Revenue Prior Year109721OtherRevenuePriorYear
Other Revenue Current Year16000OtherRevenueCurrentYear
Total Revenue Prior Year174146074TotalRevenuePriorYear
Total Revenue Current Year225650140TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY82085GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8586408SalariesEtcPriorYear
Salaries Etc Current Year13378540SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year156389154OtherExpensePriorYear
Other Expenses Current Year208341478OtherExpensesCurrentYear
Total Expenses Prior Year164975562TotalExpensesPriorYear
Total Expenses Current Year221802103TotalExpensesCurrentYear
Revenues Less Expenses Prior Year9170512RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3848037RevenuesLessExpensesCY
Total Assets BOY46812237TotalAssetsBOY
Total Assets EOY58691238TotalAssetsEOY
Total Liabilities BOY25563967TotalLiabilitiesBOY
Total Liabilities EOY33765040TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY21248270NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24926198NetAssetsOrFundBalancesEOY
Mission DescriptionCOMMONWEALTH CARE ALLIANCE INC.'S MISSION IS TO PROVIDE THE BEST POSSIBLE CARE TAILORED TO THE INDIVIDUAL'S NEEDS OF ALL ELDERS THROUGHOUT THE COMMONWEALTH OF MASSACHUSETTS BY BRINGING TO SCALE PROVEN CLINICAL CARE STRATEGIES THAT IMPROVE THE CARE AND MANAGE COST.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense197557760Expense
Grants82085Grants
Revenue224867049Revenue
DescriptionCOMMONWEALTH CARE ALLIANCE (CCA) HAS CONTRACTED 21 COMMUNITY BASED HEALTHCARE PRACTICES THAT HAVE DEMOSTRATED EXPERIENCE SERVING ELDERS 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.Description
Total Program Service Expense197557760TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961322NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees331NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1EUGENE C WALLACE CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6174260600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line130 WINTER STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02108ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DEAN RICHLIN
CHAIRMAN OF THE BOARD10.000.00X000
FRANCES HUBBARD
DIRECTOR5.000.00X000
JEFFREY SCAVRON MD
DIRECTOR5.005.00X000
LISA IEZZONI
DIRECTOR5.000.00X000
MARK REYNOLDS
DIRECTOR5.000.00X000
MARY LOU MALONEY
DIRECTOR5.000.00X000
NANCY TURNBULL
DIRECTOR5.000.00X000
PHILIP THOMPSON
DIRECTOR5.000.00X000
ROBERT RESTUCCIA
DIRECTOR5.000.00X000
SERGIO GONCALVES
DIRECTOR5.005.00X000
SCOTT GERON
DIRECTOR5.000.00X000
DAVID MARGULIES
DIRECTOR5.000.00X000
ROBERT J MASTER MD
CEO20.0020.003457964291645399X
LOIS S SAULS
PRESIDENT40.000.00468621031697X
EUGENE WALLACE
CFO25.0015.0034017002029X
JEFFERSON LETT
CIO40.000.00282990032746X
NANCY ROACH
COO40.000.00232898018518X
LISA FLEMING
GENERAL COUNSEL40.000.00304497031697X
LARRY GOTTLIEB
VICE PRESIDENT40.000.00247769031697X
JANET LEVINSON
VICE PRESIDENT40.000.00178433037731X
BASEM SHEBLI
DIRECTOR40.000.00157301032933X
ROBERT COHEN
CONTROLLER40.000.00172720037250X
SHONA GIBSON
CLINICAL DIRECTOR0.5040.00148377028506X
GREG TOWNSEND
DIRECTOR40.000.00144429028900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3024001TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs42916TotalReportableCompFrmRltdOrgs
Total Other Compensation359103TotalOtherCompensation
Number Individuals GT100 K34NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BAYSTATE HOME INFUSION AND RESPIRATORY
PO BOX 414051BOSTONMA02241MEDICAL SUPPORT9248495
NORTH SHORE ARC
64 HOLTEN STREETDANVERSMA01923MEDICAL SUPPORT8303161
CEREBRAL PALSY OF MASSACHUSETTS INC
43 OLD COLONY AVENUEQUINCYMA02170MEDICAL SUPPORT7669906
CAMBRIDGE HEALTH ALLIANCE
PO BOX 414006BOSTONMA02241MEDICAL SUPPORT6982338
BOSTON MEDICAL CENTER
PO BOX 845235BOSTONMA02284MEDICAL SUPPORT6590046
FieldValueIRS element (for citing)
Number Of Contractors GT100 K185NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ENROLLEE FEES621300224831049224831049
CONSULTING FEES6213002000020000
FieldValueIRS element (for citing)
Total Program Service Revenue224851049TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column844744TotalRevenueColumn
Exclusion$844,744ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6081232Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6142885Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-61653Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-61653TotalRevenueColumn
Exclusion-$61,653ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code621300BusinessCode
Total Revenue Column16000TotalRevenueColumn
Related Or Exempt Function Income16000RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue16000TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column225650140TotalRevenueColumn
Related Or Exempt Function Income224867049RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$783,091ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total82085Total
Program Services82085ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2416524Total
Management And General2416524ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8930880Total
Management And General8930880ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total210522Total
Management And General210522ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1095354Total
Management And General1095354ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total725260Total
Management And General725260ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2142833Total
Management And General2142833ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total79960Total
Management And General79960ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total292485Total
Management And General292485ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total72876Total
Management And General72876ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total818078Total
Management And General818078ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total44004Total
Management And General44004ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total481586Total
Management And General481586ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total930823Total
Management And General930823ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1025244Total
Management And General1025244ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total135187Total
Management And General135187ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total182422Total
Management And General182422ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total205195Total
Management And General205195ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total742825Total
Management And General742825ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total113988Total
Management And General113988ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL EXPENSES169870530169870530
CAPITATION EXPENSES2760514527605145
CLAIMS ADJUDICATION32656313265631
RECRUITING FEES249724249724

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total82942Total
Management And General82942ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total221802103Total
Program Services197557760ProgramServices
Management And General24244343ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11153180BOY
EOY15542292EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY29830981BOY
EOY405731EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2761603BOY
EOY4401507EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY504142BOY
EOY1325309EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4947026LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3781316LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1119884BOY
EOY1165710EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY34951532EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1442447BOY
EOY899157EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY46812237BOY
EOY58691238EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2304636BOY
EOY5387671EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY23259331BOY
EOY28377369EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY25563967BOY
EOY33765040EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY21248270BOY
EOY24926198EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21248270BOY
EOY24926198EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY46812237BOY
EOY58691238EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3848037ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-170109ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years100000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2560CurrentTaxYearMinus2Years
Total103060Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years99313601CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27760632CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years136588042CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year174011531CurrentTaxYearMinus1Year
Current Tax Year224867049CurrentTaxYear
Total662540855Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years99314101CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27860632CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years136590602CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year174011531CurrentTaxYearMinus1Year
Current Tax Year224867049CurrentTaxYear
Total662643915Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509662643915PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years63075CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7421CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22354CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year73920CurrentTaxYearMinus1Year
Current Tax Year844744CurrentTaxYear
Total1011514Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years63075CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7421CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22354CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year73920CurrentTaxYearMinus1Year
Current Tax Year844744CurrentTaxYear
Total1011514Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years22500CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year109721CurrentTaxYearMinus1Year
Total132221Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years99377176CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27868053CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years136635456CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year174195172CurrentTaxYearMinus1Year
Current Tax Year225711793CurrentTaxYear
Total663787650Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99830PublicSupportPercentage509
Prior Year Support Percentage0.99870PriorYearSupportPercentage
Investment Income Percentage0.00150InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00090PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2010 AMOUNT: $ 22,500. 2011 AMOUNT: $ 109,721.GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Total Lobbying Expenditures IIB0TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationCCA PAYS DUES TO CERTAIN MEMBERSHIP ORGANIZATIONS, A PIECE OF WHICH MAY BE USED BY SUCH ORGANIZATIONS FOR LOBBYING ACTIVITIES ON BEHALF OF THIS INSTITUTION AND OTHER SIMILARLY SITUATED ORGANIZATIONS.Explanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis523264OtherCostOrOtherBasis
Depreciation317684Depreciation
Book Value205580BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1296989OtherCostOrOtherBasis
Depreciation752218Depreciation
Book Value544771BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3126773OtherCostOrOtherBasis
Depreciation2711414Depreciation
Book Value415359BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1165710TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CORPORATE BONDS11265454F
GOVERNMENT AND AGENCY BONDS18023943F
INTERNATIONAL BONDS2076420F
MORTGAGE AND ASSET BACKED BONDS3585715F
FieldValueIRS element (for citing)
Total Of Book Value Securities34951532TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
MEDICAL EXPENSE OBLIGATIONS$24,924,033
REFUNDABLE ADVANCES$3,124,617
DUE TO COMMONWEALTH CLINICAL ALLIANCE$128,467
DEFERRED RENT$200,252
FieldValueIRS element (for citing)
Total Of Amounts28377369TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt225650140TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal225650140RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990225650140TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt221802103TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal221802103ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990221802103TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
HEALTH CARE FOR ALL
30 WINTER STREET SUITE 1010BOSTONMA02108043071598501(C)(3)7500SPONSORSHIP SUPPORT FOR THE PEOPLE - A CELEBRATION OF HEALTH CARE LEADERS.
NAMI MASS
400 WEST CUMMINGS PARK SUITE 6550WOBURNMA01801042777012501(C)(3)10000NAMI WALKS SPONSORSHIP
BAY COVE HUMAN SERVICES
66 CANAL STREET 2ND FLOORBOSTONMA02114042518575501(C)(3)7500SPONSORSHIP SUPPORT TO THE PEARL 2012 AND THE ELSIE FRANK WALK.
BOSTON CENTER FOR INDEPENDENT LIVING
60 TEMPLE PLACE 5TH FLOORBOSTONMA02111042546595501(C)(3)20000CONTRIBUTION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT J MASTER MD
CEO26584642916749500500001125003414903911954291600
LOIS S SAULS
PRESIDENT2778550188686020800112500204470500318000
EUGENE WALLACE
CFO21728201173000558800020290342199000
JEFFERSON LETT
CIO188275092800019150105000222460315736000
NANCY ROACH
COO1572150750000683010799077190251416000
LISA FLEMING
GENERAL COUNSEL1998440103200014530112500204470336194000
LARRY GOTTLIEB
VICE PRESIDENT24550500022640112500204470279466000
JANET LEVINSON
VICE PRESIDENT14404903246901915086600290710216164000
BASEM SHEBLI
DIRECTOR1231200339460235075860253470190234000
ROBERT COHEN
CONTROLLER1688450003875081790290710209970000
SHONA GIBSON
CLINICAL DIRECTOR1187130292380426070600214460176883000
GREG TOWNSEND
DIRECTOR143146010000283061540227460173329000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 5THE 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 6THE CEO'S BONUS IS TIED TO MEETING ANNUAL COMPANY FINANCIAL GOALS. OTHER EMPLOYEES' BONUSES ARE NOT EXPRESSLY TIED TO ANNUAL FINANCIAL GOALS.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CTHE 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 15AN 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. IN ADDITION, THE FORM 990 IS AVAILABLE VIA GUIDESTAR AND THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BOSTON'S COMMUNITY MEDICAL GROUP INC
ONE BOSTON MEDICAL CTR PL SUITE 150BOSTONMA02118260100022MEDICAL SERVICEMA501(C)(3)LINE 3COMMONWEALTH CARE ALLIANCE INC1
COMMONWEALTH CLINICAL ALLIANCEINC
30 WINTER STREETBOSTONMA02108562382058MEDICAL SERVICEMA501(C)(3)LINE 9COMMONWEALTH CARE ALLIANCE INC1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COMMONWEALTH CLINICAL ALLIANCE
L12115557FAIR MARKET VALUE
BOSTON'S COMMUNITY MEDICAL GROUP
L182305FAIR MARKET VALUE

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