COMMONWEALTH CARE ALLIANCE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COMMONWEALTH CARE ALLIANCE INC (EIN 04-3756900)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-19
IRS object ID
201242939349300209
Schema version
2011v1.2
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)
Timestamp2012-10-19T10:34:02-04:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12 Jericho PlazaAddressLine1
CityJerichoCity
StateNYState
ZIP Code11753ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line130 WINTER STREET 11TH FLOORAddressLine1
CityBostonCity
StateMAState
ZIP Code02108ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRobert J MasterName
TitleCEOTitle
Phone6174260600Phone
Date Signed2012-11-01DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameChristine KaweckiName
Phone5169187000Phone
Date Prepared2012-10-19DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLOIS SIMONNameOfPrincipalOfficerPerson
Gross Receipts174146074GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COMMONWEALTHCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionCOMMONWEALTH CARE ALLIANCE INCS MISSION IS TO PROVIDE THE BEST POSSIBLE CARE TAILORED TO THE INDIVIDUALS NEEDS OF ALL ELDERS THROUGHOUT THE COMMONWEALTH OF MASSACHUSETTS BY BRINGING TO SCALE PROVEN CLINICAL CARE STRATEGIES THAT IMPROVE THE CARE AND MANAGE COSTActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees114TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2560ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year136585482ProgramServiceRevenuePriorYear
Program Service Revenue CY173962433ProgramServiceRevenueCY
Investment Income Prior Year26738InvestmentIncomePriorYear
Investment Income Current Year73920InvestmentIncomeCurrentYear
Other Revenue Prior Year22500OtherRevenuePriorYear
Other Revenue Current Year109721OtherRevenueCurrentYear
Total Revenue Prior Year136637280TotalRevenuePriorYear
Total Revenue Current Year174146074TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7093355SalariesEtcPriorYear
Salaries Etc Current Year8586408SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year124225861OtherExpensePriorYear
Other Expenses Current Year156389154OtherExpensesCurrentYear
Total Expenses Prior Year131319216TotalExpensesPriorYear
Total Expenses Current Year164975562TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5318064RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9170512RevenuesLessExpensesCY
Total Assets BOY38712777TotalAssetsBOY
Total Assets EOY46812237TotalAssetsEOY
Total Liabilities BOY28448163TotalLiabilitiesBOY
Total Liabilities EOY25563967TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10264614NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY21248270NetAssetsOrFundBalancesEOY
Mission DescriptionCOMMONWEALTH CARE ALLIANCE INCS MISSION IS TO PROVIDE THE BEST POSSIBLE CARE TAILORED TO THE INDIVIDUALS NEEDS OF ALL ELDERS THROUGHOUT THE COMMONWEALTH OF MASSACHUSETTS BY BRINGING TO SCALE PROVEN CLINICAL CARE STRATEGIES THAT IMPROVE THE CARE AND MANAGE COSTMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense146772403Expense
Revenue174072154Revenue
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 PHYSICANS GROUP OF JAMAICA PLAIN BOSTON UNIVERSITY GERIATRICS BOSTONS COMMUNITY MEDICAL GROUP BRIGHTWOOD HEALTH SERVICES CAMBRIDGE HEALTH ALLIANCE EAST BOSTON HEALTH CENTER ELDER SERVICE PLAN OF THE NORTH SHORE HARBOR HEALTH SERVICE UPHAMS CORNER HEALTH CENTER CCA I S 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 PROVIDERSDescription
Total Program Service Expense146772403TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10961021NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees114NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonEUGENE C WALLACE CFONamePerson
Telephone Number6174260600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line130 WINTER STREETAddressLine1
CityBostonCity
StateMAState
ZIP Code02108ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DEAN RICHLIN
CHAIRMAN OF THE BOARD10.00X000
FRANCES HUBBARD
DIRECTOR5.00X000
JEFFREY SCAVRON MD
DIRECTOR5.00X000
LISA IEZZONI
DIRECTOR5.00X000
MARK REYNOLDS
DIRECTOR5.00X000
MARY LOU MALONEY
DIRECTOR5.00X000
NANCY TURNBULL
DIRECTOR5.00X000
PHILIP THOMPSON
DIRECTOR5.00X000
ROBERT RESTUCCIA
DIRECTOR5.00X000
SERGIO GONCALVES
DIRECTOR5.00X000
SUSAN EPSTEIN
DIRECTOR5.00X000
THOMAS LYNCH
DIRECTOR5.00X000
JEFFERSON LETT
CHIEF INFORMATION OFFICER40.001648350397X
LAWRENCE GOTTLIEB MD
VICE PRESIDENT40.00332129022000X
LISA M FLEMING
CLERK VICE PRESIDENT40.0023599804387X
LOIS SIMON
CHIEF OPERATING OFFICER40.00292230025289X
ROBERT FALLON
CHIEF FINANCIAL OFFICER40.00234308016864X
ROBERT J MASTER MD
PRESIDENT AND CEO40.00362292429168000X
Nancy Roach
Director of Operations40.0012958401233X
ROBERT COHEN
CONTROLLER40.00154456026200X
BASEM SHEBIL
PHARMACY DIRECTOR40.001333760650X
GREGORY TOWNSEND
DIRECTOR OF QUALITY CONTROL40.0013118502782X
HUDSON HARDY III
IT DIRECTOR40.00130783016497X
JANET LEVINSON
DIRECTOR-CLINICAL SERVICES40.00126724023599X
KIMBERLY SHELLENBERGER
DIRECTOR OF NEW BUSINESS40.00130425010500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2558325TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs42916TotalReportableCompFrmRltdOrgs
Total Other Compensation158398TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BOSTON MEDICAL CENTER
1 BOSTON MEDICAL CENTERBostonMA02118MEDICAL SERVICES6607251
CEREBRAL PALSY OF MA
43 OLD COLONY AVENUEQuincyMA02169MEDICAL SERVICES6277419
NORTH SHORE ARC
64 HOLDEN STREETDanversMA01923MEDICAL SERVICES6127526
BAYSTATE HOME INFUSION
PO BOX 41BostonMA02241MEDICAL SERVICES5352556
CAMBRIDGE PUBLIC HEALTH
PO BOX 41BostonMA02241MEDICAL SERVICES5051009
FieldValueIRS element (for citing)
Number Of Contractors GT100 K142NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PROGRAM SERVICE REVENUE621300172839915172839915
Contract62130011225181122518
FieldValueIRS element (for citing)
Total Program Service Revenue173962433TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column73920TotalRevenueColumn
Exclusion$73,920ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code621300BusinessCode
Total Revenue Column109721TotalRevenueColumn
Related Or Exempt Function Income109721RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue109721TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column174146074TotalRevenueColumn
Related Or Exempt Function Income174072154RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$73,920ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1905832Total
Management And General1905832ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5010544Total
Management And General5010544ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total201878Total
Management And General201878ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total957701Total
Management And General957701ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total510453Total
Management And General510453ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2121404Total
Management And General2121404ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total33161Total
Management And General33161ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total111445Total
Management And General111445ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total23000Total
Management And General23000ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total9898Total
Management And General9898ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total34264Total
Management And General34264ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total72981Total
Management And General72981ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1278577Total
Management And General1278577ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total814106Total
Management And General814106ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total97378Total
Management And General97378ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total104961Total
Management And General104961ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total185112Total
Management And General185112ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1391075Total
Management And General1391075ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total62530Total
Management And General62530ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL EXPENSES146743386146743386
CLAIMS ADJUDICATION26301812630181
MEDICARE EDUCATION2901729017
PAYROLL SERVICE COST5106351063

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total595615Total
Management And General595615ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total164975562Total
Program Services146772403ProgramServices
Management And General18203159ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY31711360BOY
EOY11153180EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1457061BOY
EOY29830981EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3406525BOY
EOY2761603EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY112320BOY
EOY504142EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4232779LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3112895LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1593642BOY
EOY1119884EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY431869BOY
EOY1442447EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY38712777BOY
EOY46812237EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16825347BOY
EOY2304636EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11622816BOY
EOY23259331EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY28448163BOY
EOY25563967EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10264614BOY
EOY21248270EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10264614BOY
EOY21248270EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38712777BOY
EOY46812237EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses9170512ReconcilationRevenueExpenses
Reconcilation Other Changes1813144ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years500CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years100000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2560CurrentTaxYearMinus1Year
Total103060Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years64889115CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years99313601CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27760632CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year136588042CurrentTaxYearMinus1Year
Current Tax Year174011531CurrentTaxYear
Total502562921Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years64889115CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years99314101CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27860632CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year136590602CurrentTaxYearMinus1Year
Current Tax Year174011531CurrentTaxYear
Total502665981Total
FieldValueIRS element (for citing)
Public Support Total509502665981PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years287370CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years63075CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7421CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22354CurrentTaxYearMinus1Year
Current Tax Year73920CurrentTaxYear
Total454140Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years287370CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years63075CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7421CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22354CurrentTaxYearMinus1Year
Current Tax Year73920CurrentTaxYear
Total454140Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years54130CurrentTaxYearMinus4Years
Current Tax Year Minus1 Year22500CurrentTaxYearMinus1Year
Current Tax Year109721CurrentTaxYear
Total186351Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years65230615CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years99377176CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27868053CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year136635456CurrentTaxYearMinus1Year
Current Tax Year174195172CurrentTaxYear
Total503306472Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99870PublicSupportPercentage509
Prior Year Support Percentage0.99770PriorYearSupportPercentage
Investment Income Percentage0.00090InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00200PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$23,000OtherActivitiesAmount
Total Lobbying Expenditures IIB23000TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDirect and indirect political campaign activities Part I-A line 1Identifier
ExplanationCCA pays dues to certain membership organizations, a piece of which my be used by such organizations for lobbying activities on behalf of this institution and other similar situated organization and have been qualified here.Explanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis368349OtherCostOrOtherBasis
Depreciation268475Depreciation
Book Value99874BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis771611OtherCostOrOtherBasis
Depreciation208563Depreciation
Book Value563048BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3092819OtherCostOrOtherBasis
Depreciation2635857Depreciation
Book Value456962BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1119884TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionASSETS WITH LIMITED USESDescription
Book Value1442447BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1442447TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Medical Expense Obligations$15,616,544
Refundable advances$7,131,789
Due to Commonwealth Clinical A$349,923
Due to Boston s Community Medi$161,075
FieldValueIRS element (for citing)
Total Of Amounts23259331TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base 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
36229242916000000800003702924291600
LOIS SIMON
2922300000022000032890317519000
ROBERT FALLON
2343080000013000038640251172000
LISA M FLEMING
235998000001100032870240385000
LAWRENCE GOTTLIEB MD
3321290000022000000354129000
JEFFERSON LETT
16483500000003970165232000
ROBERT COHEN
1544560000018200080000180656000
JANET LEVINSON
1267240000015600079990150323000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
01. Form 990 governing body review (Part VI, line 11)PRIOR TO FILING FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE THEN THE BOARD OF DIRECTORS BOTH THE FINANCE SUBCOMMITTEE AND THE BOARD OF DIRECTORS REVIEW THE FINANCIAL STATEMENTS ON A QUARTERLY BASIS
02. Conflict of interest policy compliance (Part VI, line 12c)THE ORGANIZATION MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ITS COMPLIANCE DEPARTMENT THE COMPLIANCE DEPARTMENT CONSISTS OF FOUR STAFF MEMBERS THAT MONITORS AND ENFORCES THE CONFLICT OF INTEREST AND CODE OF CONDUCT POLICIES TO ENSURE THE POLICIES ARE PROPERLY UNDERSTOOD AND FOLLOWED THE COMPLIANCE DEPARTMENT CONDUCTS TRAINING COURSES FOR ALL EMPLOYEES AS PART OF THE AUDITED FINANCIAL STATEMENTS THE INTERNAL CONTROLS ARE REVIEWED UNDER THE GUILDLINES OF SARBANES-OXLEY ACT OF 2002
03. CEO, executive director, top management comp (Part VI, line 15a)AN OUTSIDE CONSULTING FIRM WELL KNOWN FOR ITS WORK IN DEVLOPING EXECUTIVE COMPENSATION PRACTICE WAS HIRED BY THE ORGANIZATION TO CREATE A REASONABLE COMPENSATION PACKAGE
04. Other officer or key employee compensation (Part VI, line 15bOTHER OFFICERS AND KEY EMPLOYEES ARE REVIEWED ANNUALLY AND ARE ADJUSTED EITHER BY MARKET VALUE OF SURVEY OF POSITIONS
05. Governing documents, etc, available to public (Part VI, line 19)The 990 and other documents can be viewed on the Attorney Gennerals website for Massachuetts as well on on other sites for free
06. Explanation of other changes in net assets or fund balances (Part XI, line 5)Transfer of prior net asset value eliminated from related companies and transferred to CCA 1905735 AND 92591 IN UNREALIZED NET LOSS OF 92581 or a net total of 1813144
07. Average hours per week devoted to related organizations (Part VII, Col B)Robert J Master MD is the CEO of Commonwealth Care Alliance Inc and works an average of 40 hours per week for this Company He also works an average of five hours per week as a staff physician for another related organization Robert Fallon as the CFO of Commonwealth Care Alliance Inc spends an average of 40 hours for this Company and 15 hours per week on two related organizations
08. General explanation attachmentTHE ORGANIZATION USES VARIOUS MEANS OF SENDING NOTICES AND OTHER REQUIRED DOCUMENTATION TO THE BOARD OFFICERS AND KEY EMPLOYEES WHETHER THE ADDRESS IS AT THE ORGANIZATION ADDRESS HOME ADDRESS E-MAIL ADDRESS BY WHAT EVER MEANS WILL GET THE REQUIRED INFORMATION OUT ON A TIMELY MATTER

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
COMMONWEALTH CLINICAL ALLIANCE
30 WINTER STREET BOSTON MABostonMA02108562382058MEDICAL SERVICEMA501C3CCAtrue
BOSTONS COMMUNITY MED GRP INC
1 BOSTON MED CTR PL 1508BostonMA02118260100022MEDICAL SERVICESMA501 C 3CCAtrue
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1COMMONWEALTH CLINICAL ALLIANCE INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeoTransactionType
Amount Involved1200000AmountInvolved
Method Of Amt Determinationcash transferredMethodOfAmtDetermination

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.