COMMUNITY CARE COOPERATIVE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY CARE COOPERATIVE INC (EIN 81-3005904)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-09-23
IRS object ID: 202102669349300705
Schema version: 2020v4.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule I
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-09-23T08:32:25-05:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	042571780	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	AAFCPAS INC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	50 WASHINGTON STREET	AddressLine1Txt
City	WESTBOROUGH	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01581	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	813005904	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY CARE COOPERATIVE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	COMM	BusinessNameControlTxt
Phone	8666769226	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	75 FEDERAL STREET 7TH FLOOR	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02110	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHRISTINA SEVERIN	PersonNm
Person Title	PRESIDENT & CEO	PersonTitleTxt
Phone	8666769226	PhoneNum
Signature	2021-06-04	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	CHRISTINA	PersonFirstNm
Person Last	SEVERIN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	813005904	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MATTHEW HUTT CPA	PreparerPersonNm
PTIN	P01070603	PTIN
Phone	5083669100	PhoneNum
Preparation	2021-06-02	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	CHRISTINA SEVERIN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	75 FEDERAL STREET 7TH FLOOR	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02110	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$55,058,207	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.COMMUNITYCARECOOPERATIVE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2016	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	C3'S MISSION IS TO LEVERAGE THE COLLECTIVE STRENGTHS OF FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) TO IMPROVE THE HEALTH AND WELLNESS OF THE PEOPLE WE SERVE. WE ARE A 501(C)(3) ACCOUNTABLE CARE ORGANIZATION (ACO) GOVERNED BY FQHCS.	ActivityOrMissionDesc
Voting Members Governing Body	38	VotingMembersGoverningBodyCnt
Voting Members Independent	37	VotingMembersIndependentCnt
Total Employee	104	TotalEmployeeCnt
Total Volunteers	35	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$26,545,788	PYContributionsGrantsAmt
CY Contributions Grants	$37,177,921	CYContributionsGrantsAmt
PY Program Service Revenue	$10,948,059	PYProgramServiceRevenueAmt
CY Program Service Revenue	$17,575,745	CYProgramServiceRevenueAmt
PY Investment Income	$294,504	PYInvestmentIncomeAmt
CY Investment Income	$303,935	CYInvestmentIncomeAmt
PY Other Revenue	$183	PYOtherRevenueAmt
CY Other Revenue	$606	CYOtherRevenueAmt
PY Total Revenue	$37,788,534	PYTotalRevenueAmt
CY Total Revenue	$55,058,207	CYTotalRevenueAmt
PY Grants And Similar Paid	$10,453,127	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,807,466	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$6,874,982	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$9,475,245	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$11,508,543	PYOtherExpensesAmt
CY Other Expenses	$13,531,852	CYOtherExpensesAmt
PY Total Expenses	$28,836,652	PYTotalExpensesAmt
CY Total Expenses	$36,814,563	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,951,882	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$18,243,644	CYRevenuesLessExpensesAmt
Total Assets BOY	$26,233,865	TotalAssetsBOYAmt
Total Assets EOY	$45,400,666	TotalAssetsEOYAmt
Total Liabilities BOY	$4,361,191	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,989,599	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$21,872,674	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$40,411,067	NetAssetsOrFundBalancesEOYAmt
Mission	C3'S MISSION IS TO LEVERAGE THE COLLECTIVE STRENGTHS OF FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) TO IMPROVE THE HEALTH AND WELLNESS OF THE PEOPLE WE SERVE. WE ARE A 501(C)(3) ACCOUNTABLE CARE ORGANIZATION (ACO) GOVERNED BY FQHCS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$35,208,408	ExpenseAmt
Grant	$13,807,466	GrantAmt
Revenue	$17,575,745	RevenueAmt
Desc	C3 STARTED A FULL, FIVE-YEAR MASSHEALTH (MASSACHUSETTS MEDICAID) ACO PROGRAM ON MARCH 1, 2018. THE ACO IS MADE UP ENTIRELY OF 18 FEDERALLY QUALIFIED HEALTH CENTERS.	Desc
Total Program Service Expenses	$35,208,408	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	47	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	104	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	38	GoverningBodyVotingMembersCnt
Independent Voting Member	37	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MATTHEW MULLANEY CHIEF FINANCE AND STRATEGY OFFICER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7815404206	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	75 FEDERAL STREET 7TH FLOOR	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02110	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (49 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CHRISTINA SEVERIN
PRESIDENT & CEO	40.00	Yes (X)	Yes (X)	$425,229	$0	$13,001
MATTHEW MULLANEY
CHIEF FINANCE AND STRATEGY OFFICER	40.00		Yes (X)	$278,863	$0	$28,017
DEBORAH YOLIN
CHIEF OF CLINICAL PERFORMANCE	40.00			$244,578	$0	$25,324	Yes (X)
LYNN BUDLONG
COO	40.00			$234,065	$0	$23,216	Yes (X)
JULITA MIR
CMO	32.00			$214,031	$0	$9,676	Yes (X)
SHARON HANSON
CHIEF PEOPLE OFFICER	40.00			$161,116	$0	$16,312	Yes (X)
AMANDA FRANK
SENIOR DIRECTOR OF PRACTICE TRANSFORMATION	40.00			$150,572	$0	$20,015	Yes (X)
MANNY LOPES
CHAIR	2.00	Yes (X)	Yes (X)	$0	$0	$0
KAREN GARDNER
TREASURER	2.00	Yes (X)	Yes (X)	$0	$0	$0
MARGARET BRENNAN
CLERK	2.00	Yes (X)	Yes (X)	$0	$0	$0
HOLLY OH MD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
KIAME MAHANIAH MD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
DAMIAN ARCHER MD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
JACKIE FANTES MD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
JAY BREINES
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
ALEJANDRO ESPARAZA MD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
PABLO HERNANDEZ MD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
VALERIE PIETRY MD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
SUE JOSS
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
DAVID TAGER MD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
ALEX GONZALEZ MD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
ELIZABETH BROWNE
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
JAY TRIVEDI
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
ELIZA LAKE
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
JAMES E LUISI
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
ANNE MURRAY-CHIRIBOGA MD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
JOHN DEMALIA
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
JOE PANERIO-LANGER MD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
STEPHEN SEGATORE DNP
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
STEVE KERRIGAN
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
LOUIS BRADY
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
PAUL GELTMAN MD
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
CYNTHIA MITCHELL
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
GEOFF PECHINSKY
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
ALLISON VAN DER VELDEN
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
KHLEDA JABBER
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
CHARLES ANDERSON
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
ELLEN LAPOINTE
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
EUGENE FLAHERTY
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
MARISELA FERMIN-SCHON
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
MARK FRANCOISA
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
JAMES WOLFF
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
JONATHAN LIEBMAN
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
PETER GERONDEAU
BOARD MEMBER	2.00	Yes (X)		$0	$0	$0
EDWARD SAYER
BOARD MEMBER (UNTIL 7/2020)	2.00	Yes (X)		$0	$0	$0
KATHLEEN SWEENEY
BOARD MEMBER (UNTIL 10/2020)	2.00	Yes (X)		$0	$0	$0
JANE POWERS
BOARD MEMBER (UNTIL 3/2020)	2.00	Yes (X)		$0	$0	$0
GREESHMA NAINI
BOARD MEMBER (UNTIL 7/2020)	2.00	Yes (X)		$0	$0	$0
JUDY JONES
BOARD MEMBER (UNTIL 6/2020)	2.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,708,454	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$135,561	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	19	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
EVOLENT HEALTH
800 N GLEBE ROAD SUITE 500	ARLINGTON	VA	22203	POPULATION HEALTH SERVICES	$1,559,015
ARCADIA SOLUTIONS LLC
20 BLANCHARD ROAD	BURLINGTON	MA	01803	POPULATION HEALTH SERVICES	$1,112,455
INSOURCE SERVICES INC
148 LINDEN ST	WELLESLEY	MA	02482	IT, HR, AND FINANCIAL SERVICES	$859,012
MILLIMAN
201 EDGEWATER DRIVE SUITE 289	WAKEFIELD	MA	01880	MANAGEMENT CONSULTING	$458,694
OPTUM
1325 BOYLSTON STREET	BOSTON	MA	02215	CHART AUDITING	$221,225

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Government Grants	$31,785,002	GovernmentGrantsAmt
All Other Contributions	$5,392,919	AllOtherContributionsAmt
Total Contributions	$37,177,921	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	ADMINISTRATIVE REVENUE	Desc
Business	621498	BusinessCd
Total Revenue Column	$17,575,745	TotalRevenueColumnAmt
Related Or Exempt Func Income	$17,575,745	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$17,575,745	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$303,935	TotalRevenueColumnAmt
Exclusion	$303,935	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$606	TotalRevenueColumnAmt
Exclusion	$606	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$606	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$55,058,207	TotalRevenueColumnAmt
Related Or Exempt Func Income	$17,575,745	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$304,541	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$13,807,466	TotalAmt
Program Services	$13,807,466	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$743,360	TotalAmt
Program Services	$551,636	ProgramServicesAmt
Management And General	$191,724	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$7,802,848	TotalAmt
Program Services	$7,695,322	ProgramServicesAmt
Management And General	$107,526	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$213,995	TotalAmt
Program Services	$206,812	ProgramServicesAmt
Management And General	$7,183	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$103,567	TotalAmt
Program Services	$103,535	ProgramServicesAmt
Management And General	$32	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$611,475	TotalAmt
Program Services	$576,736	ProgramServicesAmt
Management And General	$34,739	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$511,549	TotalAmt
Program Services	$390,725	ProgramServicesAmt
Management And General	$120,824	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$26,502	TotalAmt
Management And General	$26,502	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$57,000	TotalAmt
Management And General	$57,000	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,610,309	TotalAmt
Program Services	$3,958,296	ProgramServicesAmt
Management And General	$652,013	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$113,483	TotalAmt
Management And General	$113,483	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$621,599	TotalAmt
Program Services	$599,215	ProgramServicesAmt
Management And General	$22,384	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$11,581	TotalAmt
Management And General	$11,581	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$67,535	TotalAmt
Program Services	$67,535	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$944,074	TotalAmt
Program Services	$820,193	ProgramServicesAmt
Management And General	$123,881	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
TELEHEALTH EXPENSE	$3,425,897	$3,425,897
FLEXIBLE SPENDING	$2,362,695	$2,362,695
MEMBER COMMUNICATION	$295,170	$295,170
SOFTWARE	$234,705	$234,705

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$249,753	TotalAmt
Program Services	$112,470	ProgramServicesAmt
Management And General	$137,283	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$36,814,563	TotalAmt
Program Services	$35,208,408	ProgramServicesAmt
Management And General	$1,606,155	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$193,760	BOYAmt
EOY	$2,645,497	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$23,806,166	BOYAmt
EOY	$26,446,589	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,670,712	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$136,632	BOYAmt
EOY	$1,058,720	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$1,000,000	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$183,591	BOYAmt
EOY	$366,282	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$269,876	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$72,969	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$243,004	BOYAmt
EOY	$196,907	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$13,686,671	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$26,233,865	BOYAmt
EOY	$45,400,666	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,247,869	BOYAmt
EOY	$4,603,596	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$113,322	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$386,003	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,361,191	BOYAmt
EOY	$4,989,599	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,111,896	BOYAmt
EOY	$35,194,329	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,760,778	BOYAmt
EOY	$5,216,738	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$21,872,674	BOYAmt
EOY	$40,411,067	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$26,233,865	BOYAmt
EOY	$45,400,666	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$18,243,644	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$294,749	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$7,972,485	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,609,749	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$34,725,273	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$26,545,788	CurrentTaxYearMinus1YearAmt
Current Tax Year	$37,177,921	CurrentTaxYearAmt
Total	$115,031,216	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$410,000	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years	$6,458,250	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$10,948,059	CurrentTaxYearMinus1YearAmt
Current Tax Year	$17,575,745	CurrentTaxYearAmt
Total	$35,392,054	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,382,485	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,609,749	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$41,183,523	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$37,493,847	CurrentTaxYearMinus1YearAmt
Current Tax Year	$54,753,666	CurrentTaxYearAmt
Total	$150,423,270	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$6,358,250	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$10,502,709	CurrentTaxYearMinus1YearAmt
Current Tax Year	$17,025,163	CurrentTaxYearAmt
Total	$33,886,122	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$6,358,250	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$10,502,709	CurrentTaxYearMinus1YearAmt
Current Tax Year	$17,025,163	CurrentTaxYearAmt
Total	$33,886,122	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$116,537,148	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$7,093	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$7,537	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$95,922	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$294,504	CurrentTaxYearMinus1YearAmt
Current Tax Year	$303,935	CurrentTaxYearAmt
Total	$708,991	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$7,093	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$7,537	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$95,922	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$294,504	CurrentTaxYearMinus1YearAmt
Current Tax Year	$303,935	CurrentTaxYearAmt
Total	$708,991	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$183	CurrentTaxYearMinus1YearAmt
Current Tax Year	$606	CurrentTaxYearAmt
Total	$789	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,389,578	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,617,286	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$41,279,445	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$37,788,534	CurrentTaxYearMinus1YearAmt
Current Tax Year	$55,058,207	CurrentTaxYearAmt
Total	$151,133,050	TotalAmt

Field	Value	IRS element (for citing)
First5 Years509	Yes (X)	First5Years509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III, LINE 1B:	THE ORGANIZATION FILED A SHORT YEAR RETURN FOR THE PERIOD 6/20/16 THROUGH 9/30/16.
PART III, LINE 1C:	THE ORGANIZATION FILED A SHORT YEAR RETURN FOR THE PERIOD 10/1/17 THROUGH 12/31/17.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$57,000	OtherActivitiesAmt
Total Lobbying Expenditures	$57,000	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION HAS RETAINED SANCHEZ STRATEGIES FOR LOBBYING TO THE MASSACHUSETTS STATE HOUSE.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Beginning Balance	$113,322	BeginningBalanceAmt
Distributions During Year	$113,322	DistributionsDuringYearAmt
Ending Balance	$0	EndingBalanceAmt
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$269,876	OtherCostOrOtherBasisAmt
Depreciation	$72,969	DepreciationAmt
Book Value	$196,907	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$196,907	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DEFERRED RENT	Desc
Amt	$386,003	Amt

Field	Value	IRS element (for citing)
Total Liability	$386,003	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$55,352,956	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$294,749	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$294,749	RevenueNotReportedAmt
Revenue Subtotal	$55,058,207	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$55,058,207	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$36,814,563	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$36,814,563	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$36,814,563	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART IV, LINE 2B:

AS A CONDITION OF THE ACO, CERTAIN ESCROWS HAVE BEEN SET ASIDE TO ACCOUNT FOR POTENTIAL FUTURE LOSSES. AS OF DECEMBER 31, 2020, ALL AMOUNTS WERE REPAID.

PART X, LINE 2:

THE ORGANIZATION 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. THE ORGANIZATION HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT DECEMBER 31, 2020. THE ORGANIZATION'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
BROCKTON NEIGHBORHOOD HEALTH CENTER INC
63 MAIN STREET	BROCKTON	MA	02301	043165044	501(C)(3)	$1,234,935	DSRIP - ACO MODEL MANAGEMENT
CHARLES RIVER COMMUNITY HEALTH INC
495 WESTERN AVENUE	BRIGHTON	MA	02135	237221597	501(C)(3)	$269,936	DSRIP - ACO MODEL MANAGEMENT
COMMUNITY HEALTH CENTER OF CAPE COD
107 COMMERCIAL STREET	MASHPEE	MA	02649	043370560	501(C)(3)	$329,380	DSRIP - ACO MODEL MANAGEMENT
COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INC
102 MAIN STREET	GREENFIELD	MA	01301	043312968	501(C)(3)	$149,418	DSRIP - ACO MODEL MANAGEMENT
EAST BOSTON NEIGHBORHOOD HEALTH CENTER INC
10 GOVE STREET	BOSTON	MA	02128	237425849	501(C)(3)	$1,794,039	DSRIP - ACO MODEL MANAGEMENT
EDWARD M KENNEDY HEALTH CENTER INC
650 LINCOLN STREET	WORCESTER	MA	01605	042513817	501(C)(3)	$1,013,385	DSRIP - ACO MODEL MANAGEMENT
FAMILY HEALTH CENTER OF WORCESTER INC
26 QUEEN STREET	WORCESTER	MA	01610	042485308	501(C)(3)	$788,629	DSRIP - ACO MODEL MANAGEMENT
FENWAY COMMUNITY HEALTH CENTER INC
1340 BOYLSTON STREET	BOSTON	MA	02215	042510564	501(C)(3)	$225,971	DSRIP - ACO MODEL MANAGEMENT
HILLTOWN COMMUNITY HEALTH CENTERS INC
58 OLD NORTH ROAD	WORTHINGTON	MA	01098	042161484	501(C)(3)	$47,461	DSRIP - ACO MODEL MANAGEMENT
HOLYOKE HEALTH CENTER INC
230 MAPLE STREET	HOLYOKE	MA	01040	042492730	501(C)(3)	$1,117,617	DSRIP - ACO MODEL MANAGEMENT
LYNN COMMUNITY HEALTH CENTER INC
269 UNION STREET	LYNN	MA	01901	042525066	501(C)(3)	$1,123,811	DSRIP - ACO MODEL MANAGEMENT
NORTH END COMMUNITY HEALTH COMMITTEE INC
332 HANOVER STREET	BOSTON	MA	02113	237089746	501(C)(3)	$95,505	DSRIP - ACO MODEL MANAGEMENT
NORTH SHORE COMMUNITY HEALTH INC
47 CONGRESS STREET	SALEM	MA	01970	042610447	501(C)(3)	$210,752	DSRIP - ACO MODEL MANAGEMENT
DIMOCK COMMUNITY HEALTH CENTER INC
55 DIMOCK STREET	BOSTON	MA	02119	043487835	501(C)(3)	$461,229	DSRIP - ACO MODEL MANAGEMENT
UPHAM'S CORNER HEALTH CENTER
547 COLUMBIA ROAD	DORCHESTER	MA	02125	237211732	501(C)(3)	$310,200	DSRIP - ACO MODEL MANAGEMENT
COMMUNITY HEALTH CONNECTIONS
326 NICHOLS ROAD	FITCHBURG	MA	01420	043452697	501(C)(3)	$235,519	DSRIP - ACO MODEL MANAGEMENT
SOUTH END COMMUNITY HEALTH CENTER
10 GOVE STREET	BOSTON	MA	02128	042456134	501(C)(3)	$222,699	DSRIP - ACO MODEL MANAGEMENT
ISLAND HEALTH INC
245 EDGARTOWN-VINEYARD HAVEN ROAD	WEST TISBURY	MA	02539	470870772	501(C)(3)	$36,637	DSRIP - ACO MODEL MANAGEMENT

Field	Value	IRS element (for citing)
Total501c3 Org	18	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	ALL GRANTS ARE SUBJECT TO A BOARD APPROVED POLICY. GRANTS ARE AWARDED BASED UPON CRITERIA AS DETERMINED BY THE BOARD OF DIRECTORS. ALL GRANTS ARE MONITORED AND TRACKED INTERNALLY AND ARE PERIODICALLY REVIEWED BY THE BOARD OF DIRECTORS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTINA SEVERIN
PRESIDENT & CEO	$425,229	$0	$0	$0	$0	$0	$11,400	$0	$1,601	$0	$438,230	$0	$0	$0
MATTHEW MULLANEY
CHIEF FINANCE AND STRATEGY OFFICER	$278,863	$0	$0	$0	$0	$0	$11,400	$0	$16,617	$0	$306,880	$0	$0	$0
DEBORAH YOLIN
CHIEF OF CLINICAL PERFORMANCE	$244,578	$0	$0	$0	$0	$0	$9,619	$0	$15,705	$0	$269,902	$0	$0	$0
LYNN BUDLONG
COO	$234,065	$0	$0	$0	$0	$0	$0	$0	$23,216	$0	$257,281	$0	$0	$0
JULITA MIR
CMO	$214,031	$0	$0	$0	$0	$0	$7,510	$0	$2,166	$0	$223,707	$0	$0	$0
SHARON HANSON
CHIEF PEOPLE OFFICER	$161,116	$0	$0	$0	$0	$0	$6,760	$0	$9,552	$0	$177,428	$0	$0	$0
AMANDA FRANK
SENIOR DIRECTOR OF PRACTICE TRANSFOR	$150,572	$0	$0	$0	$0	$0	$5,358	$0	$14,657	$0	$170,587	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION USED THE SERVICES OF AN INDEPENDENT CONSULTING COMPANY TO DETERMINE THE ADEQUACY AND REASONABLENESS OF THE EMPLOYEE COMPENSATION.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	C3'S MEMBER ORGANIZATIONS ARE MASSACHUSETTS-BASED COMMUNITY HEALTH CENTERS.
FORM 990, PART VI, SECTION A, LINE 7A	THE ORGANIZATIONS'S BOARD OF DIRECTORS IS MADE UP OF MANAGEMENT PERSONNEL OF MEMBER ORGANIZATIONS. THESE PERSONNEL LEAVE THE C3 BOARD OF DIRECTORS IF THEIR EMPLOYMENT WITH THE MEMBER ORGANIZATION ENDS.
FORM 990, PART VI, SECTION A, LINE 7B	ADMISSION OF NEW CORPORATE MEMBERS (FQHCS) IS RESERVED FOR THE EXISTING MEMBERS WHO GET ONE VOTE EACH.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION'S FORM 990 IS SHARED WITH THE BOARD OF DIRECTORS, BUT DOES NOT REQUIRE BOARD APPROVAL BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C	C3'S BOARD MEMEBERS ARE REQUIRED TO SIGN CONFLICT OF INTEREST DISCLOSURES ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15	C3 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	C3 MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONSULTING: PROGRAM SERVICE EXPENSES 3,752,535. MANAGEMENT AND GENERAL EXPENSES 652,013. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,404,548. MARKETING: PROGRAM SERVICE EXPENSES 205,761. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 205,761.
FORM 990, PART XII, LINE 2C:	THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.