COMMUNITY CARE COOPERATIVE INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY CARE COOPERATIVE INC (EIN 81-3005904)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-12
- IRS object ID
- 202003179349309455
- Schema version
- 2019v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-12T17:59:51-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | 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 | 2019-01-01 | 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 | 2020-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MATTHEW HUTT CPA | PreparerPersonNm |
| PTIN | P01070603 | PTIN |
| Phone | 5083669100 | PhoneNum |
| Preparation | 2020-11-11 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 40.70.31.102 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-11 | IPDt |
| IP Tm | 17:01:56 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 67FD54DCEB6CBC14265FA3262D2D1D14C69EA041 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2A9010E3A6A0BB3B06F86C59D67A72AD6F64F0F5 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| 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 | $37,788,534 | 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 | 36 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 35 | VotingMembersIndependentCnt |
| Total Employee | 75 | TotalEmployeeCnt |
| Total Volunteers | 35 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $34,745,273 | PYContributionsGrantsAmt |
| CY Contributions Grants | $26,545,788 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,458,250 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,948,059 | CYProgramServiceRevenueAmt |
| PY Investment Income | $89,254 | PYInvestmentIncomeAmt |
| CY Investment Income | $294,504 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,668 | PYOtherRevenueAmt |
| CY Other Revenue | $183 | CYOtherRevenueAmt |
| PY Total Revenue | $41,299,445 | PYTotalRevenueAmt |
| CY Total Revenue | $37,788,534 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $13,165,121 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $10,453,127 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,901,958 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,874,982 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,532,063 | PYOtherExpensesAmt |
| CY Other Expenses | $11,508,543 | CYOtherExpensesAmt |
| PY Total Expenses | $32,599,142 | PYTotalExpensesAmt |
| CY Total Expenses | $28,836,652 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,700,303 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,951,882 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $16,287,652 | TotalAssetsBOYAmt |
| Total Assets EOY | $26,233,865 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,366,860 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,361,191 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,920,792 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $21,872,674 | 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 | $27,583,772 | ExpenseAmt |
| Grant | $10,453,127 | GrantAmt |
| Revenue | $10,948,059 | RevenueAmt |
| Desc | C3 STARTED A FULL, FIVE-YEAR MASSHEALTH (MASSACHUSETTS MEDICAID) ACO PROGRAM ON MARCH 1, 2018. THE ACO IS MADE UP ENTIRELY OF 19 FEDERALLY QUALIFIED HEALTH CENTERS. | Desc |
| Total Program Service Expenses | $27,583,772 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | 0 | 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 | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 75 | 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 | 36 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 35 | 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 CFO | 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 (43 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| HOLLY OH MD | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KIAME MAHANIAH MD | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MARGARET BRENNAN | |||||||
| CLERK | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DAMIAN ARCHER MD | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MANNY LOPES | |||||||
| CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| 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 | ||
| KAREN GARDNER | |||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| 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 | ||
| EDWARD SAYER | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JAY TRIVEDI | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTINA SEVERIN | |||||||
| PRESIDENT & CEO | 40.00 | Yes (X) | $481,420 | $0 | $12,611 | Yes (X) | |
| ELIZA LAKE | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JONATHAN LIEBMAN MD | |||||||
| 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 | ||
| JACKALYNN HOOKER | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN DEMALIA | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHLEEN SWEENEY | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JANE POWERS | |||||||
| 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 | ||
| GREESHMA NAINI MD | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| PETER GERONDEAU | |||||||
| 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 | ||
| JUDY JONES DNP FNP | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| GEOFF PECHINSKY | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MATTHEW MULLANEY | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $276,284 | $0 | $33,399 | Yes (X) | ||
| JULITA MIR | |||||||
| CMO | 32.00 | $210,670 | $0 | $9,725 | Yes (X) | ||
| LAUREN FALLS | |||||||
| SENIOR DIRECTOR BEHAVIORAL | 40.00 | $174,884 | $0 | $25,288 | Yes (X) | ||
| SUSAN KAUFMAN | |||||||
| CHIEF OF PRACTICE TRANSFORMATION AND QUALITY | 40.00 | $225,279 | $0 | $6,882 | Yes (X) | ||
| AMY TRAVERS | |||||||
| DIRECTOR OF MEDICAL ECONOMICS AND PERFORMANCE ANAL | 40.00 | $161,318 | $0 | $15,965 | Yes (X) | ||
| LYNN BUDLONG | |||||||
| COO | 40.00 | $141,337 | $0 | $16,134 | Yes (X) | ||
| SHARON HANSON | |||||||
| SENIOR ADVISOR - COMPLIANCE | 25.00 | $141,607 | $0 | $7,978 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,812,799 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $127,982 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | 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 | $8,305,983 |
| INSOURCE SERVICES | |||||
| 148 LINDEN ST | WELLESLEY | MA | 02482 | IT, HR AND FINANCIAL SERVICES | $520,796 |
| MILLIMAN | |||||
| 201 EDGEWATER DRIVE SUITE 289 | WAKEFIELD | MA | 01880 | MANAGEMENT CONSULTING | $336,043 |
| THE CHARTIS GROUP | |||||
| 120 E 23RD STREET | NEW YORK | NY | 10010 | PHM TECHNOLOGY PLATFORM | $306,608 |
| ALEXANDRA SCHWEITZER | |||||
| 75 FEDERAL STREET | BOSTON | MA | 02110 | CONSULTING | $149,342 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $26,219,255 | GovernmentGrantsAmt |
| All Other Contributions | $326,533 | AllOtherContributionsAmt |
| Total Contributions | $26,545,788 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ADMINISTRATIVE REVENUE | 900009 | $10,880,594 | $10,880,594 |
| ACO MEMBERSHIP DUES | 900009 | $50,000 | $50,000 |
| CONSULTING | 900009 | $17,465 | $17,465 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,948,059 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $294,504 | TotalRevenueColumnAmt |
| Exclusion | $294,504 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $183 | TotalRevenueColumnAmt |
| Exclusion | $183 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $183 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,788,534 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,948,059 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $294,687 | 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 | $10,453,127 | TotalAmt |
| Program Services | $10,453,127 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,005,672 | TotalAmt |
| Program Services | $785,944 | ProgramServicesAmt |
| Management And General | $219,728 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,923,965 | TotalAmt |
| Program Services | $4,896,009 | ProgramServicesAmt |
| Management And General | $27,956 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,106 | TotalAmt |
| Program Services | $124,723 | ProgramServicesAmt |
| Management And General | $383 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $403,350 | TotalAmt |
| Program Services | $382,451 | ProgramServicesAmt |
| Management And General | $20,899 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $416,889 | TotalAmt |
| Program Services | $394,300 | ProgramServicesAmt |
| Management And General | $22,589 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,540 | TotalAmt |
| Program Services | $59,218 | ProgramServicesAmt |
| Management And General | $125,322 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,288 | TotalAmt |
| Management And General | $13,288 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,933,134 | TotalAmt |
| Program Services | $8,403,547 | ProgramServicesAmt |
| Management And General | $529,587 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,167 | TotalAmt |
| Management And General | $106,167 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,564 | TotalAmt |
| Program Services | $170,780 | ProgramServicesAmt |
| Management And General | $9,784 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,168 | TotalAmt |
| Management And General | $56,168 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,434 | TotalAmt |
| Program Services | $5,434 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,296,502 | TotalAmt |
| Program Services | $1,206,826 | ProgramServicesAmt |
| Management And General | $89,676 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEMBER COMMUNICATION | $442,710 | $442,710 | |
| SOFTWARE | $221,935 | $221,935 | |
| MISCELLANEOUS | $42,713 | $11,380 | $31,333 |
| DUES | $25,388 | $25,388 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,836,652 | TotalAmt |
| Program Services | $27,583,772 | ProgramServicesAmt |
| Management And General | $1,252,880 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,821,019 | BOYAmt |
| EOY | $193,760 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,922,948 | BOYAmt |
| EOY | $23,806,166 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $249,987 | BOYAmt |
| EOY | $1,670,712 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,199 | BOYAmt |
| EOY | $136,632 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,499 | BOYAmt |
| EOY | $183,591 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $248,438 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,434 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $243,004 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,287,652 | BOYAmt |
| EOY | $26,233,865 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,253,934 | BOYAmt |
| EOY | $4,247,869 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,926 | BOYAmt |
| EOY | $113,322 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,366,860 | BOYAmt |
| EOY | $4,361,191 | 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 | $4,216,558 | BOYAmt |
| EOY | $14,111,896 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,704,234 | BOYAmt |
| EOY | $7,760,778 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,920,792 | BOYAmt |
| EOY | $21,872,674 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,287,652 | BOYAmt |
| EOY | $26,233,865 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $8,951,882 | ReconcilationRevenueExpnssAmt |
| 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 Minus3 Years | $7,972,485 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,609,749 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,725,273 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,545,788 | CurrentTaxYearAmt |
| Total | $77,853,295 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $410,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $6,458,250 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,948,059 | CurrentTaxYearAmt |
| Total | $17,816,309 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $8,382,485 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,609,749 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $41,183,523 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $37,493,847 | CurrentTaxYearAmt |
| Total | $95,669,604 | 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 Minus1 Year | $6,358,250 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,502,709 | CurrentTaxYearAmt |
| Total | $16,860,959 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $6,358,250 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,502,709 | CurrentTaxYearAmt |
| Total | $16,860,959 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $78,808,645 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $7,093 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,537 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $95,922 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $294,504 | CurrentTaxYearAmt |
| Total | $405,056 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $7,093 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,537 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $95,922 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $294,504 | CurrentTaxYearAmt |
| Total | $405,056 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $183 | CurrentTaxYearAmt |
| Total | $183 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $8,389,578 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,617,286 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $41,279,445 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $37,788,534 | CurrentTaxYearAmt |
| Total | $96,074,843 | 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 ORGANIATION 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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Beginning Balance | $112,926 | BeginningBalanceAmt |
| Additions During Year | $396 | AdditionsDuringYearAmt |
| Ending Balance | $113,322 | 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 | $248,438 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,434 | DepreciationAmt |
| Book Value | $243,004 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $243,004 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $37,788,534 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $37,788,534 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $37,788,534 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $28,836,652 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $28,836,652 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $28,836,652 | 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, 2019, THE ORGANIZATION HELD ESCROWS FROM FIVE MEMBER HEALTH CENTERS TOTALING $113,322. |
| 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, 2019. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (16 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) | $1,525,345 | DSRIP - ACO MODEL MANAGEMENT |
| CHARLES RIVER COMMUNITY HEALTH INC | |||||||
| 495 WESTERN AVENUE | BRIGHTON | MA | 02135 | 237221597 | 501(C)(3) | $318,884 | DSRIP - ACO MODEL MANAGEMENT |
| COMMUNITY HEALTH CENTER OF CAPE COD | |||||||
| 107 COMMERCIAL STREET | MASHPEE | MA | 02649 | 043370560 | 501(C)(3) | $450,321 | DSRIP - ACO MODEL MANAGEMENT |
| COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INC | |||||||
| 102 MAIN STREET | GREENFIELD | MA | 01301 | 043312968 | 501(C)(3) | $48,395 | DSRIP - ACO MODEL MANAGEMENT |
| EAST BOSTON NEIGHBORHOOD HEALTH CENTER INC | |||||||
| 10 GOVE STREET | BOSTON | MA | 02128 | 237425849 | 501(C)(3) | $1,502,159 | DSRIP - ACO MODEL MANAGEMENT |
| EDWARD M KENNEDY HEALTH CENTER INC | |||||||
| 650 LINCOLN STREET | WORCESTER | MA | 01605 | 042513817 | 501(C)(3) | $694,320 | DSRIP - ACO MODEL MANAGEMENT |
| FAMILY HEALTH CENTER OF WORCESTER INC | |||||||
| 26 QUEEN STREET | WORCESTER | MA | 01610 | 042485308 | 501(C)(3) | $1,475,781 | DSRIP - ACO MODEL MANAGEMENT |
| FENWAY COMMUNITY HEALTH CENTER INC | |||||||
| 1340 BOYLSTON STREET | BOSTON | MA | 02215 | 042510564 | 501(C)(3) | $68,450 | DSRIP - ACO MODEL MANAGEMENT |
| HILLTOWN COMMUNITY HEALTH CENTERS INC | |||||||
| 58 OLD NORTH ROAD | WORTHINGTON | MA | 01098 | 042161484 | 501(C)(3) | $74,844 | DSRIP - ACO MODEL MANAGEMENT |
| HOLYOKE HEALTH CENTER INC | |||||||
| 230 MAPLE STREET | HOLYOKE | MA | 01040 | 042492730 | 501(C)(3) | $1,245,419 | DSRIP - ACO MODEL MANAGEMENT |
| LYNN COMMUNITY HEALTH CENTER INC | |||||||
| 269 UNION STREET | LYNN | MA | 01901 | 042525066 | 501(C)(3) | $1,707,691 | DSRIP - ACO MODEL MANAGEMENT |
| NORTH END COMMUNITY HEALTH COMMITTEE INC | |||||||
| 332 HANOVER STREET | BOSTON | MA | 02113 | 237089746 | 501(C)(3) | $40,658 | DSRIP - ACO MODEL MANAGEMENT |
| NORTH SHORE COMMUNITY HEALTH INC | |||||||
| 47 CONGRESS STREET | SALEM | MA | 01970 | 042610447 | 501(C)(3) | $249,222 | DSRIP - ACO MODEL MANAGEMENT |
| DIMOCK COMMUNITY HEALTH CENTER INC | |||||||
| 55 DIMOCK STREET | BOSTON | MA | 02119 | 043487835 | 501(C)(3) | $364,090 | DSRIP - ACO MODEL MANAGEMENT |
| UPHAM'S CORNER HEALTH CENTER | |||||||
| 547 COLUMBIA ROAD | DORCHESTER | MA | 02125 | 237211732 | 501(C)(3) | $387,740 | DSRIP - ACO MODEL MANAGEMENT |
| COMMUNITY HEALTH CONNECTIONS | |||||||
| 326 NICHOLS ROAD | FITCHBURG | MA | 01420 | 043452697 | 501(C)(3) | $296,496 | DSRIP - ACO MODEL MANAGEMENT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 16 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
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 | $481,420 | $0 | $0 | $0 | $0 | $0 | $10,585 | $0 | $2,026 | $0 | $494,031 | $0 | $0 | $0 |
| MATTHEW MULLANEY | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $276,284 | $0 | $0 | $0 | $0 | $0 | $12,936 | $0 | $20,463 | $0 | $309,683 | $0 | $0 | $0 |
| JULITA MIR | ||||||||||||||
| CMO | $210,670 | $0 | $0 | $0 | $0 | $0 | $7,121 | $0 | $2,604 | $0 | $220,395 | $0 | $0 | $0 |
| LAUREN FALLS | ||||||||||||||
| SENIOR DIRECTOR BEHAVIORAL | $174,884 | $0 | $0 | $0 | $0 | $0 | $6,430 | $0 | $18,858 | $0 | $200,172 | $0 | $0 | $0 |
| SUSAN KAUFMAN | ||||||||||||||
| CHIEF OF PRACTICE TRANSFORMATION AND | $225,279 | $0 | $0 | $0 | $0 | $0 | $4,500 | $0 | $2,382 | $0 | $232,161 | $0 | $0 | $0 |
| AMY TRAVERS | ||||||||||||||
| DIRECTOR OF MEDICAL ECONOMICS AND PE | $161,318 | $0 | $0 | $0 | $0 | $0 | $5,609 | $0 | $10,356 | $0 | $177,283 | $0 | $0 | $0 |
| LYNN BUDLONG | ||||||||||||||
| COO | $141,337 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,134 | $0 | $157,471 | $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 7,971,060. MANAGEMENT AND GENERAL EXPENSES 529,587. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,500,647. MARKETING: PROGRAM SERVICE EXPENSES 432,487. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 432,487. |
| FORM 990, PART XII, LINE 2C | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |