COMMONWEALTH CARE ALLIANCE INC

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2003

Legal Domicile

Principal Officer

CHRISTOPHER D PALMIERI

Phone

6174260600

Tax Period

2023-01-01 to 2023-12-31

COMMONWEALTH CARE ALLIANCE INC, founded in 2003, is a large national nonprofit in the Health Care sector that reported $2.6B in total revenue in fiscal year 2023. Revenue grew 13% year-over-year, indicating healthy expansion.

Mission

COMMONWEALTH CARE ALLIANCE, INC.'S MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE WITH SIGNIFICANT NEEDS BY INNOVATING, COORDINATING AND PROVIDING THE HIGHEST QUALITY, INDIVIDUALIZED CARE.

Program Service Accomplishments

Program 1

Expenses: $2,257,303,051 Revenue: $2,552,712,819

COMMONWEALTH CARE ALLIANCE (CCA) HAS CONTRACTED WITH COMMUNITY BASED PRIMARY CARE PRACTICES THAT HAVE DEMONSTRATED EXPERIENCE SERVING ADULTS IN A MANAGED CARE NETWORK. EXAMPLES OF THESE PRIMARY CARE SITES INCLUDE AFFILIATED PHYSICIANS GROUP OF JAMAICA PLAIN, BOSTON UNIVERSITY GERIATRICS, 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 THE SIX SENIOR CARE OPTION OR "SCO ORGANIZATIONS IN THE COMMONWEALTH: THE SCO PROGRAM IS A COMPREHENSIVE HEALTH PLAN THAT COVERS ALL SERVICES REIMBURSABLE UNDER A DELIVERY SYSTEM AND ITS PREFERRED NETWORK OF PROVIDERS. CCA IS ALSO ONE OF THREE ORGANIZATIONS THAT OFFERS ONE CARE TO INDIVIDUALS AGED 18 TO 64 RESIDENT IN THE COMMONWEALTH OF MASSACHUSETTS.

Program 2

Expenses: $2,808,535 Revenue: $5,321,735

CCA HOUSING SOLUTIONS, LLC, A DISREGARDED ENTITY TO CCA, WAS CREATED IN 2023 TO CONTRACT WITH THE EXECUTIVE OFFICE OF HOUSING AND LIVABLE COMMUNITIES OF THE COMMONWEALTH OF MASSACHUSETTS TO PROVIDE...

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $0

Program Service Revenue $2,554,231,693

Investment Income $4,752,160

Other Revenue $3,802,861

TOTAL REVENUE $2,562,786,714

Expense Breakdown

Grants Paid $336,141

Salaries & Benefits $198,874,100

Fundraising Expenses $0

Program Expenses $2,260,111,586

Other Expenses $2,428,616,296

TOTAL EXPENSES $2,627,826,537

Year-over-Year Comparison

	2023	2022	Change
Revenue	$2,562,786,714	$2,271,902,368	+0.1%
Expenses	$2,627,826,537	$2,218,731,029	+0.2%
Net Income	$-65,039,823	$53,171,339	-2.2%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

2374

Volunteers

N/A

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$4,235,013

Total Directors

$3,136,596

Key Employees

$4,366,298

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
CHRISTOPHER D PALMIERI	PRESIDENT & CEO, DIRECTOR	15.00	Officer Director	$1,981,900	$754,490	$2,736,390
DAVID KLEIN	CHAIR	3.00	Director	$67,500	$0	$67,500
TEJAL GANDHI MD	CHAIR-ELECT	3.00	Director	$52,500	$0	$52,500
CAROL RAPHAEL	DIRECTOR	3.00	Director	$33,750	$0	$33,750
PETER ANDRUSZKIEWICZ	DIRECTOR (AS OF 3/3/23)	3.00	Director	$10,416	$0	$10,416
CHARLES CARR	DIRECTOR	3.00	Director	$33,750	$0	$33,750
ANDREA GELZER	DIRECTOR	3.00	Director	$18,750	$0	$18,750
ROBERT GITTENS	DIRECTOR	3.00	Director	$18,750	$0	$18,750
THOMAS GLYNN	DIRECTOR (AS OF 7/25/23)	3.00	Director	$5,208	$0	$5,208
IRA GOTTLIEB	DIRECTOR	3.00	Director	$33,750	$0	$33,750
RIZAL HAMDALLAH	DIRECTOR	3.00	Director	$18,750	$0	$18,750
FAZLE HUSAIN	DIRECTOR	3.00	Director	$18,750	$0	$18,750
LESLIE KIRWAN	DIRECTOR	3.00	Director	$33,750	$0	$33,750
LARRY NEITERMAN	DIRECTOR (AS OF 3/3/23)	3.00	Director	$10,416	$0	$10,416
JOSEPH PADUDA	DIRECTOR	3.00	Director	$33,750	$0	$33,750
KAREN SHIELDS	DIRECTOR (AS OF 3/3/23)	3.00	Director	$10,416	$0	$10,416
ELIZABETH GOODMAN SEC CLERK	CHIEF LEGAL OFFICER	15.00	Officer	$630,281	$181,194	$811,475
MARY HAMILTON INTERIM	FINANCE LEAD (UNTIL 7/07/23)	15.00	Officer	$321,481	$8,225	$329,706
FRANK SCALISE CHIEF	FINANCIAL OFFICER (AS OF 6/5/23)	15.00	Officer	$267,100	$90,342	$357,442
COURTNEY MURPHY	PRESIDENT OF MARKETS (UNTIL 12/15/23)	40.00	Key Emp	$888,538	$57,452	$945,990
ALFRED ENAGBARE	CHIEF PEOPLE OFFICER	40.00	Key Emp	$585,271	$222,391	$807,662
ROBERT MACARTHUR	CHIEF MEDICAL OFFICER(UNTIL 2/13/23)	35.00	Key Emp	$580,133	$12,833	$592,966
SESHA MUDUNURI	CHIEF OPERATING OFFICER	40.00	Key Emp	$544,068	$217,775	$761,843
DONALD STIFFLER	CHIEF DEVELOPMENT OFFICER	40.00	Key Emp	$545,211	$195,749	$740,960
AYSE HAGMANN	CHIEF MEDICAL OFFICER(AS OF 6/18/23)	40.00	Key Emp	$427,646	$89,231	$516,877
KERIM C TURAN CHIEF RISK	COMPLIANCE & ETHICS OFFICER	40.00	Highest	$587,033	$137,745	$724,778
LISA FLEMING	SPECIAL COUNSEL, CCA (UNTIL 12/29/23)	40.00	Highest	$447,708	$47,275	$494,983
MELISSA KUBILUS	SENIOR VP MARKETING	40.00	Highest	$445,256	$125,533	$570,789
SEBASTIAAN FOPPEMA	GENERAL MANAGER INSTED	40.00	Highest	$450,658	$81,738	$532,396
MARK WAGGONER	GENERAL MANAGER MARKET LEAD	40.00	Highest	$423,532	$121,870	$545,402
SARAH GARRITY	FORMER CHIEF MARKETING OFFICER	40.00		$286,901	$0	$286,901

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$2,562,786,714	$2,627,826,537	$1,224,137,760	$-65,039,823
2022	$2,271,902,368	$2,218,731,029	$1,143,237,549	$53,171,339
2021	$2,044,170,517	$1,993,067,232	$813,491,332	$51,103,285
2020	$1,801,393,422	$1,734,499,179	$585,038,382	$66,894,243
2019	$1,544,782,061	$1,523,340,832	$405,019,704	$21,441,229
2018	$1,259,060,155	$1,243,493,757	$302,580,294	$15,566,398