2021-11-15T08:55:39-06:00 2020-12-31 420714325 RSM US LLP 80 CITY SQUARE BOSTON MA 02129 990 2020-01-01 260100022 BOSTON'S COMMUNITY MEDICAL GROUP INC BOST 6176387062 30 NORTHAMPTON STREET BOSTON MA 02118 MIHIR SHAH TREASURER & CFO 6176387062 2021-11-15 1 MIHIR SHAH 999009999 LYNNE JOHNSON P00757336 6179129000 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z COMMONWEALTH COMMUNITY CARE INC CHRISTOPHER D PALMIERI 30 NORTHAMPTON STREET BOSTON MA 02118 28684028 0 X WWW.COMMONWEALTHCOMMUNITYCARE.ORG X 2004 MA BOSTON'S COMMUNITY MEDICAL GROUP, INC. (BCMG) IS A MEDICAL PRACTICE THAT BRINGS MEDICAL CARE TO INDIVIDUALS WITH COMPLEX AND SEVERE PHYSICAL DISABILITIES AND/OR SERIOUS MENTAL ILLNESS. 11 10 0 12 0 0 0 0 10727526 28629305 0 0 54740 54723 10782266 28684028 0 0 0 0 10729482 11518565 0 0 0 2660865 15823358 13390347 27341923 -2608081 1342105 10074786 27242280 20970896 36796285 -10896110 -9554005 X BOSTON'S COMMUNITY MEDICAL GROUP, INC. (BCMG) IS A MEDICAL PRACTICE THAT BRINGS MEDICAL CARE TO INDIVIDUALS WITH COMPLEX AND SEVERE PHYSICAL DISABILITIES AND/OR SERIOUS MENTAL ILLNESS. 0 0 27341923 28684028 BOSTON'S COMMUNITY MEDICAL GROUP, INC. (BCMG) IS A MEDICAL GROUP PRACTICE THAT SERVES A POPULATION OF MEDICAID-SUPPORTED INDIVIDUALS WITH COMPLEX AND SEVERE PHYSICAL DISABILITY AND/OR SERIOUS MENTAL ILLNESS. THIS INCLUDES AN AGREEMENT WITH NEIGHBORHOOD HEALTH PLAN AND A SUB-CONTRACT WITH COMMONWEALTH CARE ALLIANCE TO PROVIDE PRIMARY CARE TO SENIORS WITH SERIOUS DISABILITIES AND PRIMARY CARE/OR CARE MANAGEMENT SERVICES TO PEOPLE ENROLLED IN A DEMONSTRATION PROGRAM THAT PROVIDES INTENSIVE MULTIDISCIPLINARY CARE MANAGEMENT INDIVIDUALS WHO ARE ENROLLED IN BOTH MEDICAID AND MEDICARE DUE TO SERIOUS DISABILITIES. BCMG'S NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, PHYSICIANS, OCCUPATIONAL AND PHYSICAL THERAPISTS, SOCIAL WORKERS AND BEHAVIORAL HEALTH SPECIALISTS MAKE HOME VISITS TO THESE PATIENTS, PROVIDING PRIMARY CARE, COUNSELING, MANAGEMENT OF LONG TERM SERVICES AND SUPPORTS, HOME EVALUATIONS AND ADAPTIVE EQUIPMENT, AND OCCUPATIONAL THERAPY, AND CLOSELY COORDINATES CARE WITH SPECIALISTS AND OTHER PROVIDERS. 27341923 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 13 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MA X LISA FLEMING SECRETARY & CLERK CHIEF LEGAL OFFICER 6174260600 30 WINTER STREET BOSTON MA 02108 CHRISTOPHER PALMIERI PRESIDENT & CEO 10.00 30.00 X X 0 2292378 161205 CHARLES CARR DIRECTOR 1.00 4.00 X 0 0 0 LEN FISHMAN DIRECTOR 1.00 4.00 X 0 0 0 TEJAL GANDHI MD DIRECTOR 1.00 4.00 X 0 0 0 ROBERT GITTENS DIRECTOR 1.00 4.00 X 0 0 0 IRA GOTTLIEB DIRECTOR 1.00 4.00 X 0 0 0 LESLIE KIRWAN DIRECTOR 1.00 4.00 X 0 0 0 DAVID KLEIN DIRECTOR 1.00 4.00 X 0 0 0 CHRISTOPHER KOLLER DIRECTOR 1.00 4.00 X 0 0 0 JOSEPH PADUDA DIRECTOR 1.00 4.00 X 0 0 0 J GARRETT PARKER JR DIRECTOR (UNTIL OCT. 2020) 1.00 4.00 X 0 0 0 NANCY TURNBULL DIRECTOR (UNTIL DEC. 2020) 1.00 4.00 X 0 0 0 CAROL RAPHAEL VICE CHAIR 1.00 4.00 X 0 0 0 LISA FLEMING SECRETARY & CLERK, CHIEF LEGAL OFFICER 10.00 30.00 X 0 519022 67954 MIHIR SHAH TREASURER & CFO 10.00 30.00 X 0 683545 51939 0 3494945 281098 0 0 1 0 MCKESSON MEDICAL-SURGICAL INC 8741 LANDMARK ROAD RICHMOND VA 23228 HEALTHCARE & TECHNOLOGY 178463 EVANS MEDICAL FOUNDATION INC 88 E NEWTON ST 107 BOSTON MA 02118 HEALTHCARE & TECHNOLOGY 152733 2 ENROLLEE FEES 621300 28629305 28629305 28629305 MISCELLANEOUS 900099 54723 54723 54723 28684028 28684028 0 0 8842929 8842929 2675636 2675636 403311 403311 339983 339983 2043 2043 1325805 1325805 52481 52481 4116 4116 229026 229026 89536 89536 MEDICAL CARE EXPENSES 13065700 13065700 MEDICAL SUPPLIES 268469 268469 DUES AND SUBSCRIPTIONS 29078 29078 EDUCATION & TRAINING 10710 10710 3100 3100 27341923 27341923 0 0 -2397 89387 133040 30974 93620 2442093 2281458 331819 160635 9622606 26857382 10074786 27242280 124243 172062 20846653 36624223 20970896 36796285 X -10896110 -9554005 -10896110 -9554005 10074786 27242280 1342105 0 X 0 1 X 1 0 X 1046917 944684 102233 804556 804556 0 590620 532218 58402 160635 ASSETS LIMITED AS TO USE 991 DEPOSITS 27040 DUE FROM COMMONWEALTH CARE ALLIANCE 26818662 DUE FROM COMMONWEALTH CLINICAL ALLIANCE 10689 26857382 DEFERRED RENT 284917 DUE TO COMMONWEALTH CLINICAL ALLIANCE 898392 DUE TO COMMONWEALTH CARE ALLIANCE 35402016 OTHER LIABILITIES 38898 36624223 X PART X, LINE 2: THE ORGANIZATION IS REQUIRED TO ASSESS UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT THERE WERE NO SUCH POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. 0 0 0 0 0 0 0 0 0 CHRISTOPHER PALMIERI PRESIDENT & CEO 0 1016221 0 340848 0 935309 0 125325 0 35880 0 2453583 0 833333 MIHIR SHAH TREASURER & CFO 0 514148 0 168686 0 711 0 46576 0 5363 0 735484 0 0 LISA FLEMING SECRETARY & CLERK, CHIEF LEGAL OFFIC 0 381113 0 133385 0 4524 0 39502 0 28452 0 586976 0 0 PART I, LINE 3: THE ORGANIZATION RELIED ON COMMONWEALTH CARE ALLIANCE, A RELATED ORGANIZATION, THAT USED ONE OR MORE OF THE METHODS TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. FORM 990, PART I, ITEM C DBA: COMMONWEALTH COMMUNITY CARE, INC. DBA: COMMONWEALTH COMMUNITY CARE, INC. FORM 990, PART VI, SECTION A, LINE 6 BCMG HAS ONE CORPORATE MEMBER WHO IS COMMONWEALTH CARE ALLIANCE, INC. FORM 990, PART VI, SECTION A, LINE 7A IN ACCORDANCE WITH THE BCMG'S BYLAWS, THE CORPORATE MEMBER HAS THE POWERS AND AUTHORITY TO APPOINT ADDITIONAL MEMBERS AND ELECT BCMG'S DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B IN ACCORDANCE WITH THE BCMG'S BYLAWS, THE CORPORATE MEMBER HAS THE POWERS AND AUTHORITY TO ADOPT AND APPROVE BYLAWS AND AMENDMENTS TO THE ARTICLES OF ORGANIZATION OR BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEW THE FORM 990 BEFORE THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. THE BOARD ALSO REVIEWS THE FINANCIAL STATEMENTS ON A QUARTERLY BASIS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF BOSTON'S COMMUNITY MEDICAL GROUP FOLLOWS THE CONFLICT OF INTEREST POLICY OF COMMONWEALTH CARE ALLIANCE ("CCA"), A RELATED ORGANIZATION. THE FOLLOWING ARE THE PROCEDURES THAT CCA TAKES TO MONITOR AND ENFORCE COMPLIANCE WITH THE POLICY. THE ANNUAL COMPLIANCE POLICY AND CONFLICT OF INTEREST FORMS ARE DISTRIBUTED TO THE BOARD AND OFFICERS AND THE COMPLIANCE DEPARTMENT MONITORS FOR COMPLETION ANNUALLY. THE BOARD AND OFFICERS ALSO RECEIVE ANNUAL TRAINING ON CONFLICT OF INTEREST. THE COMPANY'S CONFLICT OF INTEREST POLICY COVERS CCA EMPLOYEES, OFFICERS AND DIRECTORS. THE POLICY CALLS FOR CONFLICT OF INTEREST ANALYSIS AND ACTUAL CONFLICTS ARE REVIEWED AND CONFLICTS DETERMINATIONS ARE MADE FOR EMPLOYEES OF DIRECTOR LEVEL AND ABOVE (DIRECTOR, SENIOR DIRECTOR, VICE PRESIDENT, SENIOR VICE PRESIDENT). WHERE AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST INVOLVING A TRANSACTION IS DETERMINED, THE EMPLOYEE IS PROHIBITED FROM PARTICIPATING IN EITHER MANAGEMENT'S OR THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). IN ADDITION, THE FORM 990 WITHOUT SCHEDULE B IS AVAILABLE VIA GUIDSTAR AND THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. COMMONWEALTH CARE ALLIANCE 30 WINTER ST BOSTON MA 02108 043756900 SUPPORT FOR CARE DELIVERANCY MA 501(C)(3) LINE 10 N/A 0 COMMONWEALTH CLINICAL ALLIANCE 30 WINTER ST BOSTON MA 02108 562382058 CLINCAL SERVICES MA 501(C)(3) LINE 10 COMMONWEALTH CARE ALLIANCE 0 THE CENTER TO ADVANCE CONSUMER PARTNERSHIP INC 30 WINTER ST BOSTON MA 02108 822810261 NATIONAL INNOVATION HUB FOR DEVELOPMENT IN THE QUALITY OF CARE AND HEALTH MA 501(C)(3) LINE 12A, I COMMONWEALTH CARE ALLIANCE 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1