STRATEGY STUDIO / PUBLIC DATA EXPLORER

COMMONWEALTH CARE ALLIANCE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
COMMONWEALTH CARE ALLIANCE INC (EIN 04-3756900)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201723199349315052
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-15T16:03:46-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line180 CITY SQUAREAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021293742ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043756900EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMONWEALTH CARE ALLIANCE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone6174260600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line130 WINTER STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02108ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonERIC PRICEPersonNm
Person TitleCFOPersonTitleTxt
Phone6174260600PhoneNum
Signature2017-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLYNNE JOHNSONPreparerPersonNm
PTINP00757336PTIN
Phone6179129000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address108.171.131.189IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-15IPDt
IP Tm16:32:40IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id797C4527DD8FA635CA18458D5F36AC81F3168434AtSubmissionCreationDeviceId
At Submission Filing Device Id808B1D28703E5C3EA38D0C6AFAC88E3156F3957DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRISTOPHER PALMIERIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line130 WINTER STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02108ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$833,898,865GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COMMONWEALTHCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionCOMMONWEALTH CARE ALLIANCE INC.'S MISSION IS TO PROVIDE THE BEST POSSIBLE CARE TAILORED TO THE INDIVIDUAL'S NEEDS OF MEDICARE AND MEDICAID BENEFICIARIES THROUGHOUT THE COMMONWEALTH OF MASSACHUSETTS BY BRINGING TO SCALE PROVEN CLINICAL CARE STRATEGIES THAT IMPROVE THE CARE AND MANAGE COST.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee969TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$5,150CYContributionsGrantsAmt
PY Program Service Revenue$762,435,569PYProgramServiceRevenueAmt
CY Program Service Revenue$833,783,707CYProgramServiceRevenueAmt
PY Investment Income$302,515PYInvestmentIncomeAmt
CY Investment Income$100,258CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$9,750CYOtherRevenueAmt
PY Total Revenue$762,738,084PYTotalRevenueAmt
CY Total Revenue$833,898,865CYTotalRevenueAmt
PY Grants And Similar Paid$62,875PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$81,925CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$38,148,864PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$40,168,923CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$713,243,546PYOtherExpensesAmt
CY Other Expenses$766,749,166CYOtherExpensesAmt
PY Total Expenses$751,455,285PYTotalExpensesAmt
CY Total Expenses$807,000,014CYTotalExpensesAmt
PY Revenues Less Expenses$11,282,799PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$26,898,851CYRevenuesLessExpensesAmt
Total Assets BOY$175,417,209TotalAssetsBOYAmt
Total Assets EOY$218,197,004TotalAssetsEOYAmt
Total Liabilities BOY$131,905,847TotalLiabilitiesBOYAmt
Total Liabilities EOY$169,610,627TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$43,511,362NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$48,586,377NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCOMMONWEALTH CARE ALLIANCE INC.'S MISSION IS TO PROVIDE THE BEST POSSIBLE CARE TAILORED TO THE INDIVIDUAL'S NEEDS OF MEDICARE AND MEDICAID BENEFICIARIES THROUGHOUT THE COMMONWEALTH OF MASSACHUSETTS BY BRINGING TO SCALE PROVEN CLINICAL CARE STRATEGIES THAT IMPROVE THE CARE AND MANAGE COST.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$725,160,476ExpenseAmt
Grant$81,925GrantAmt
Revenue$833,793,457RevenueAmt
DescCOMMONWEALTH CARE ALLIANCE (CCA) HAS CONTRACTED WITH COMMUNITY BASED HEALTHCARE PRACTICES THAT HAVE DEMOSTRATED EXPERIENCE SERVING ADULTS IN A MANAGED FRAMEWORK. AS AN EXAMPLE OF THESE PRIMARY CARE SITES INCLUDING AFFILIATED PHYSICIANS GROUP OF JAMAICA PLAIN, BOSTON UNIVERSITY GERIATRICS, BOSTON'S COMMUNITY MEDICAL GROUP, BRIGHTWOOD HEALTH SERVICES, CAMBRIDGE HEALTH ALLIANCE, EAST BOSTON HEALTH CENTER, ELDER SERVICE PLAN OF THE NORTH SHORE, HARBOR HEALTH SERVICE, UPHAM'S CORNER HEALTH CENTER. CCA IS ONE OF MASSACHUSETTS SENIOR CARE OPTION OR "SCO ORGANIZATIONS: THE SCO PROGRAM IS A COMPREHENSIVE HEALTH PLAN THAT COVERS ALL SERVICES REIMBURSABLE UNDER A DELIVERY SYSTEM AND ITS PREFERRED NETWORK OF PROVIDERS TO MEDICARE AND MEDICAID BENEFICIARIES. CCA IS ALSO ONE OF TWO ONE CARE ORGANIZATIONS IN THE COMMONWEALTH.Desc
Total Program Service Expenses$725,160,476TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3457IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee969EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ERIC PRICE CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6174260600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line130 WINTER STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02108ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DEAN RICHLIN
BOARD CHAIR/DIRECTOR6.004.00Yes (X)$0$0$0
ALAN LONG
DIRECTOR3.002.00Yes (X)$0$0$0
CAROL RAPHAEL
DIRECTOR3.002.00Yes (X)$0$0$0
CHRIS KOLLER
DIRECTOR3.002.00Yes (X)$0$0$0
IRA GOTTLIEB
DIRECTOR3.002.00Yes (X)$0$0$0
LEN FISHMAN
DIRECTOR3.002.00Yes (X)$0$0$0
LISA IEZZONI
DIRECTOR3.002.00Yes (X)$0$0$0
MARK REYNOLDS
DIRECTOR3.002.00Yes (X)$0$0$0
NANCY TURNBULL
DIRECTOR3.002.00Yes (X)$0$0$0
ROB RESTUCCIA
DIRECTOR3.002.00Yes (X)$0$0$0
TOM LYNCH
DIRECTOR3.002.00Yes (X)$0$0$0
DAVID MARGULIES
DIRECTOR (UNTIL SEPT. 2016)3.000.00Yes (X)$0$0$0
FRANCES HUBBARD
DIRECTOR (UNTIL JAN. 2016)3.000.00Yes (X)$0$0$0
MARY LOU MALONEY
DIRECTOR (UNTIL DEC. 2016)3.000.00Yes (X)$0$0$0
PHILIP THOMPSON
DIRECTOR (UNTIL JAN. 2016)3.000.00Yes (X)$0$0$0
SERGIO GONCALVES
DIRECTOR (UNTIL DEC. 2016)3.000.00Yes (X)$0$0$0
SCOTT MIYAKE
DIRECTOR (UNTIL JUL. 2016)3.000.00Yes (X)$0$0$0
JEFFREY SCAVRON MD
DIRECTOR (UNTIL OCT. 2016)3.002.00Yes (X)$0$0$0
CHRISTOPHER PALMIERI
PRESIDENT & CEO20.0020.00$655,057$0$22,609Yes (X)
ERIC PRICE
CFO/TREASURER30.0010.00$157,328$0$17,862Yes (X)
CINDY NGUYEN
CFO (UNTIL SEPT. 2016)30.0010.00$342,189$0$9,081Yes (X)
COURTNEY MURPHY
COO40.000.00$226,539$0$19,553Yes (X)
NANCY ROACH
COO (UNTIL MAR. 2016)40.000.00$298,408$0$3,427Yes (X)
LISA FLEMING
GENERAL COUNSEL/SECRETARY & CLERK30.0010.00$402,355$0$41,603Yes (X)
LAWRENCE GOTTLIEB
VICE PRESIDENT40.000.00$374,590$0$46,830Yes (X)
JOHN LOUGHNANE
CMO40.000.00$335,751$0$16,899Yes (X)
OLUWATOYIN AJAYI
DOCTOR40.000.00$379,535$0$26,562Yes (X)
MARY GLOVER
DIRECTOR (UNTIL MAR. 2016)10.0030.00$312,555$0$3,316Yes (X)
PEGGY JOHNSON
DOCTOR40.000.00$303,344$0$23,000Yes (X)
VIRGIL PEREZ
DIRECTOR (UNTIL MAY 2016)40.000.00$270,070$0$18,610Yes (X)
MIRIAM MANNING
DIRECTOR40.000.00$248,714$0$53,187Yes (X)
LOIS SAULS
FORMER PRESIDENT40.000.00$332,724$0$5,701Yes (X)
ROBERT MASTER
FORMER CEO/CURRENT PHYSICIAN EMPLOYEE40.000.00$210,476$0$29,517Yes (X)
LEANNE BERGE
FORMER VICE PRESIDENT0.000.00$129,404$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,979,039TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$337,757TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K132IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NAVITUS HEALTH SOLUTIONS
2601 WEST BELTLINE HIGHWAYMADISONWI53713MEDICAL SUPPORT$128,775,018
BAYSTATE MEDICAL CENTER
795 CHESTNUT STREETSPRINGFIELDMA01199MEDICAL SUPPORT$34,548,918
BOSTON MEDICAL CENTER
PO BOX 845235BOSTONMA02284MEDICAL SUPPORT$22,252,242
STAVROS CENTER FOR INDEPENDENT LIVING0
210 OLD FARM ROADAMHERSTMA01004MEDICAL SUPPORT$20,639,403
CAMBRIDGE PUBLIC HEALTH COMMISSION
PO BOX 847438BOSTONMA02284MEDICAL SUPPORT$15,623,411
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K552CntrctRcvdGreaterThan100KCnt
All Other Contributions$5,150AllOtherContributionsAmt
Total Contributions$5,150TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ENROLLEE FEES621300$833,174,983$833,174,983
GRANT REVENUE900099$608,724$608,724
FieldValueIRS element (for citing)
Total Program Service Revenue$833,783,707TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$100,258TotalRevenueColumnAmt
Exclusion$100,258ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$9,750TotalRevenueColumnAmt
Related Or Exempt Func Income$9,750RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$9,750OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$833,898,865TotalRevenueColumnAmt
Related Or Exempt Func Income$833,793,457RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$100,258ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$81,925TotalAmt
Program Services$81,925ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,970,081TotalAmt
Management And General$2,970,081ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$29,835,080TotalAmt
Management And General$29,835,080ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$639,794TotalAmt
Management And General$639,794ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,312,505TotalAmt
Management And General$4,312,505ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,411,463TotalAmt
Management And General$2,411,463ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$191,908TotalAmt
Management And General$191,908ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$416,093TotalAmt
Management And General$416,093ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$18,781TotalAmt
Management And General$18,781ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,522,514TotalAmt
Management And General$11,522,514ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,878,289TotalAmt
Management And General$1,878,289ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,022,204TotalAmt
Management And General$1,022,204ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,150,895TotalAmt
Management And General$10,150,895ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,355,217TotalAmt
Management And General$3,355,217ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$266,266TotalAmt
Management And General$266,266ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$276,122TotalAmt
Management And General$276,122ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$100,057TotalAmt
Management And General$100,057ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,736,591TotalAmt
Management And General$1,736,591ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$520,057TotalAmt
Management And General$520,057ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL EXPENSES$569,530,854$569,530,854
CAPITATION EXPENSES$155,547,697$155,547,697
CLAIMS ADJUDICATION$8,696,937$8,696,937
DUES & SUBSCRIPTIONS$522,253$522,253

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$996,431TotalAmt
Management And General$996,431ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$807,000,014TotalAmt
Program Services$725,160,476ProgramServicesAmt
Management And General$81,839,538ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$36,372,196BOYAmt
EOY$118,152,504EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$55,175,711BOYAmt
EOY$65,218,536EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$45,588,299BOYAmt
EOY$18,022,053EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,670,615BOYAmt
EOY$1,689,060EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$16,524,498LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,567,730LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,072,064BOYAmt
EOY$6,956,768EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$29,538,324BOYAmt
EOY$8,158,083EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$175,417,209BOYAmt
EOY$218,197,004EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,639,021BOYAmt
EOY$13,282,141EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$100,000BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$119,166,826BOYAmt
EOY$156,328,486EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$131,905,847BOYAmt
EOY$169,610,627EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$43,511,362BOYAmt
EOY$48,586,377EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$43,511,362BOYAmt
EOY$48,586,377EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$175,417,209BOYAmt
EOY$218,197,004EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$26,898,851ReconcilationRevenueExpnssAmt
Prior Period Adjustments$6PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$21,823,842OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year$5,150CurrentTaxYearAmt
Total$5,150TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$224,867,049CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$297,069,494CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$585,654,491CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$762,435,569CurrentTaxYearMinus1YearAmt
Current Tax Year$833,793,457CurrentTaxYearAmt
Total$2,703,820,060TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$224,867,049CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$297,069,494CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$585,654,491CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$762,435,569CurrentTaxYearMinus1YearAmt
Current Tax Year$833,798,607CurrentTaxYearAmt
Total$2,703,825,210TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year$5,000CurrentTaxYearAmt
Total$5,000TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year$5,000CurrentTaxYearAmt
Total$5,000TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,703,820,210PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$844,744CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$806,116CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$296,021CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$319,060CurrentTaxYearMinus1YearAmt
Current Tax Year$100,258CurrentTaxYearAmt
Total$1,136,037TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$844,744CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$806,116CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$296,021CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$319,060CurrentTaxYearMinus1YearAmt
Current Tax Year$100,258CurrentTaxYearAmt
Total$1,136,037TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$225,711,793CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$297,875,610CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$585,358,470CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$762,116,509CurrentTaxYearMinus1YearAmt
Current Tax Year$833,898,865CurrentTaxYearAmt
Total$2,704,961,247TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99960PublicSupportCY509Pct
Public Support PY5090.99940PublicSupportPY509Pct
Investment Income CY0.00040InvestmentIncomeCYPct
Investment Income PY0.00050InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Total Lobbying Expenditures$0TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationCCA PAYS DUES TO CERTAIN MEMBERSHIP ORGANIZATIONS, A PIECE OF WHICH MAY BE USED BY SUCH ORGANIZATIONS FOR FEDERAL LOBBYING ACTIVITIES ON BEHALF OF CCA AND OTHER SIMILARLY SITUATED ORGANIZATIONS.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$269,083OtherCostOrOtherBasisAmt
Book Value$269,083BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,891,658OtherCostOrOtherBasisAmt
Depreciation$142,111DepreciationAmt
Book Value$2,749,547BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,163,798OtherCostOrOtherBasisAmt
Depreciation$656,294DepreciationAmt
Book Value$507,504BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,041,933OtherCostOrOtherBasisAmt
Depreciation$2,906,487DepreciationAmt
Book Value$1,135,446BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,158,026OtherCostOrOtherBasisAmt
Depreciation$5,862,838DepreciationAmt
Book Value$2,295,188BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,956,768TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
MEDICAL EXPENSE OBLIGATIONS$110,861,708
REFUNDABLE ADVANCES$40,425,556
DEFERRED RENT$958,088
DEFERRED FUNDRAISING$376,762
CAPITAL LEASE OBLIGATION PAYABLE$3,017,698
OTHER LIABILITIES$688,674
FieldValueIRS element (for citing)
Total Liability$156,328,486TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$833,898,865TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$833,898,865RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$833,898,865TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$807,000,014TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$807,000,014ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$807,000,014TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS REQUIRED TO ASSESS UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT THERE WERE NO SUCH POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
NAMI MASS
529 MAIN ST SUITE 1M17BOSTONMA02129042777012501(C)(3)$5,000HOST SPONSORSHIP
BOSTON CENTER FOR INDEPENDENT LIVING
60 TEMPLE PLACE 5TH FLOORBOSTONMA02111042546595501(C)(3)$20,000HOST SPONSORSHIP
MEDICARE RIGHTS CENTER
266 W 37TH STREETNEW YORKNY10018133505372501(C)(3)$15,000HOST SPONSORSHIP
EAST BOSTON NEIGHBORHOOD HEALTH CENTER
10 GROVE ST EASTBOSTONMA02128237425849501(C)(3)$5,000HOST SPONSORSHIP
HEALTH LAW ADVOCATES
1 FEDERAL STREET 5TH FLOORBOSTONMA02110043298116501(C)(3)$5,000HOST SPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PROVIDES GRANTS AND SUPPORT TO OTHER HUMAN SERVICE ORGANIZATIONS AND ORGANIZATIONS WITH SIMILAR MISSIONS. THE GOVERNING BODY AND TOP MANAGEMENT OFFICIALS MAKE DECISIONS OF THE SUPPORT AND MAINTAIN RECORDS TO SUBSTANTIATE THE AMOUNT OF GRANT AND ASSISTANCE TO THESE ORGANIZATIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTOPHER PALMIERI
PRESIDENT & CEO$606,397$0$0$0$48,660$0$6,742$0$15,867$0$677,666$0$0$0
ERIC PRICE
CFO/TREASURER$139,901$0$0$0$17,427$0$0$0$17,862$0$175,190$0$0$0
CINDY NGUYEN
CFO (UNTIL SEPT. 2016)$232,459$0$44,000$0$65,730$0$0$0$9,081$0$351,270$0$0$0
COURTNEY MURPHY
COO$226,133$0$0$0$406$0$0$0$19,553$0$246,092$0$0$0
NANCY ROACH
COO (UNTIL MAR. 2016)$106,704$0$0$0$191,704$0$0$0$3,427$0$301,835$0$0$0
LISA FLEMING
GENERAL COUNSEL/SECRETARY & CLERK$339,474$0$60,162$0$2,719$0$11,925$0$29,678$0$443,958$0$0$0
LAWRENCE GOTTLIEB
VICE PRESIDENT$300,873$0$69,525$0$4,192$0$11,925$0$34,905$0$421,420$0$0$0
JOHN LOUGHNANE
CMO$280,335$0$54,000$0$1,416$0$11,925$0$4,974$0$352,650$0$0$0
OLUWATOYIN AJAYI
DOCTOR$332,341$0$46,656$0$538$0$11,925$0$14,637$0$406,097$0$0$0
MARY GLOVER
DIRECTOR (UNTIL MAR. 2016)$118,203$0$0$0$194,352$0$0$0$3,316$0$315,871$0$0$0
PEGGY JOHNSON
DOCTOR$241,929$0$59,204$0$2,211$0$11,925$0$11,075$0$326,344$0$0$0
VIRGIL PEREZ
DIRECTOR (UNTIL MAY 2016)$125,800$0$41,200$0$103,070$0$0$0$18,610$0$288,680$0$0$0
MIRIAM MANNING
DIRECTOR$201,040$0$47,000$0$674$0$10,206$0$42,981$0$301,901$0$0$0
LOIS SAULS
FORMER PRESIDENT$99,510$0$0$0$233,214$0$0$0$5,701$0$338,425$0$0$0
ROBERT MASTER
FORMER CEO/CURRENT PHYSICIAN EMPLOYE$59,976$0$150,500$0$0$0$0$0$29,517$0$239,993$0$0$0
LEANNE BERGE
FORMER VICE PRESIDENT$8,379$0$0$0$121,025$0$0$0$0$0$129,404$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE ORGANIZATION HAS PROVIDED HOUSING ALLOWANCES TO CHRISTOPHER PALMIERI, PRESIDENT & CEO ($48,000) AND ERIC PRICE, CFO ($16,335). BOTH AMOUNTS ARE TAXABLE AND THEY HAVE BEEN REPORTED ON THEIR W-2S.
PART I, LINE 3THE PROVISION OF HOUSING ALLOWANCES ARE CONTAINED IN THE INDIVIDUALS' EMPLOYMENT CONTRACTS.
PART I, LINE 4AIN 2016, FOLLOWING A MANAGEMENT RESTRUCTURING, THE FOLLOWING MEMBERS OF SENIOR MANAGEMENT WERE TERMINATED FROM THE ORGANIZATION AND PAID SEVERANCE IN ACCORDANCE WITH THE COMPANY'S WRITTEN SEVERANCE GUIDELINES. IN THE INSTANCE OF LOIS SIMON, FORMER PRESIDENT OF THE COMPANY, SEVERANCE ($232,414) WAS PAID IN ACCORDANCE WITH HER WRITTEN EMPLOYMENT AND SEVERANCE AGREEMENT. CINDY NGUYEN, CFO ($65,308) NANCY ROACH, COO ($191,117) MARY GLOVER, DIRECTOR ($193,157) VIRGIL PEREZ, DIRECTOR ($102,208) LEANNE BERGE, FORMER VICE PRESIDENT ($121,025) ALL AMOUNTS ARE PROPERLY REPORTED ON FORM W-2, ON FORM 990, PART VII, AND ON FORM 990, SCH J, PART II.
PART I, LINE 7BONUSES REPORTED IN PART II, COLUMN (B)(II) WERE DETERMINED BY A FIXED FORMULA BASED ON ATTAINING BOTH COMPANY AND INDIVIDUAL PERFORMANCE GOALS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD OF DIRECTORS REVIEW THE FORM 990 BEFORE THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. THE BOARD ALSO REVIEWS THE FINANCIAL STATEMENTS ON A QUARTERLY BASIS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ANNUAL COMPLIANCE POLICY AND CONFLICT OF INTEREST FORMS ARE DISTRIBUTED TO THE BOARD AND OFFICERS AND THE COMPLIANCE DEPARTMENT MONITORS FOR COMPLETION ANNUALLY. THE BOARD AND OFFICERS ALSO RECEIVE ANNUAL TRAINING ON CONFLICT OF INTEREST. 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 B, LINE 15THE ORGANIZATION ENGAGED COMPENSATION CONSULTANTS TO PROVIDE A COMPREHENSIVE COMPENSATION ASSESSMENT AND RECOMMENDATIONS TO CREATE A REASONABLE COMPENSATION PACKAGE FOR TOP MANAGEMENT OFFICIAL. THE ORGANIZATION WORKED WITH THE COMPENSATION CONSULTANT DURING 2016. OTHER OFFICERS AND KEY EMPLOYEES ARE REVIEWED ANNUALLY AND ARE ADJUSTED BY MARKET VALUE OF SURVEY OF POSITIONS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). IN ADDITION, THE FORM 990 WITHOUT SCHEDULE B IS AVAILABLE VIA GUIDESTAR AND THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.
FORM 990, PART XI, LINE 9:TRANSFER TO AFFILIATE (BCMG) -21,823,842.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CCA CAPITAL LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line130 WINTER STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02108ZIPCd
FieldValueIRS element (for citing)
EIN999999999EIN
Primary ActivitiesBENEFICIARY OF A STANDBY LETTER OF CREDITPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1COMMONWEALTH CARE ALLIANCE INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
BOSTON'S COMMUNITY MEDICAL GROUP INC
30 NORTHAMPTON STREETBOSTONMA02118260100022MEDICAL SERVICEMA501(C)(3)LINE 3COMMONWEALTH CARE ALLIANCE INCYes (1)
COMMONWEALTH CLINICAL ALLIANCEINC
30 WINTER STREETBOSTONMA02108562382058MEDICAL SERVICEMA501(C)(3)LINE 10COMMONWEALTH CARE ALLIANCE INCYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMONWEALTH CLINICAL ALLIANCE
M$28,201,432FAIR MARKET VALUE
BOSTON'S COMMUNITY MEDICAL GROUP INC
M$13,136,606FAIR MARKET VALUE
BOSTON'S COMMUNITY MEDICAL GROUP INC
R$21,823,842BOOK VALUE