Commonwealth Care Alliance Inc is a 501(c)(3) organization based in Boston, Massachusetts, registered in 2005, with $2,774,044,189 in FY2024 revenue. CharityIndex grades it C+, and it directs about 89% of spending to programs.
Revenue (FY2024)
$2.8B
▲ 8.2% vs prior year
Health median: $840K
Expenses (FY2024)
$2.9B
Net assets
-$52.0M
Employees
1,408
Rated on 4 of 4 criteria.
Held down by its weakest criterion — a strong score on one criterion can't hide a weak one.
How the rating works →Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Commonwealth Care Alliance Inc: 89% to programs earns a C+ on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Commonwealth Care Alliance Inc: 0 mo reserves · -5% margin earns a D on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Commonwealth Care Alliance Inc: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Commonwealth Care Alliance Inc: 5 of 5 disclosure signals earns a A+ on this criterion. See the exact thresholds →
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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.
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 emergency shelter related services to refugees in massachusetts.
Revenue grew from $297.7M (FY2013) to $2.8B (FY2024) across 12 reported years.
Financial snapshot
Operating margin
-5.1%
Spent more than it raised in the latest fiscal year.
Total assets
$538.4M
Total liabilities
$590.4M
Net assets
-$52.0M
Salaries & benefits
$181.1M
6% of expenses
Board members
16
15 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2024 | $2,774,044,189▲8.2% | $2,915,002,492▲10.9% | -$52,046,329▼129% | $538,382,343▼56.0% | 990 |
| 2023 | $2,562,786,714▲12.8% | $2,627,826,537▲18.4% | $176,827,639▼40.6% | $1,224,137,760▲7.1% | 990 |
| 2022 | $2,271,902,368▲11.1% | $2,218,731,029▲11.3% | $297,709,965▲25.3% | $1,143,237,549▲40.5% | 990 |
| 2021 | $2,044,170,517▲13.5% | $1,993,067,232▲14.9% | $237,613,354▲19.8% | $813,491,332▲39.0% | 990 |
| 2020 | $1,801,393,422▲16.6% | $1,734,499,179▲13.9% | $198,309,271▲53.7% | $585,038,382▲44.4% | 990 |
| 2019 | $1,544,782,061▲22.7% | $1,523,340,832▲22.5% | $128,988,986▲21.8% | $405,019,704▲33.9% | 990 |
| 2018 | $1,259,060,155▲22.2% | $1,243,493,757▲25.8% | $105,861,039▲17.2% | $302,580,294▲9.9% | 990 |
| 2017 | $1,030,095,777▲23.5% | $988,387,513▲22.5% | $90,294,641▲85.8% | $275,336,690▲26.2% | 990 |
| 2016 | $833,898,865▲9.3% | $807,000,014▲7.4% | $48,586,377▲11.7% | $218,197,004▲24.4% | 990 |
| 2015 | $762,738,084▲30.3% | $751,455,285▲31.0% | $43,511,362▲35.7% | $175,417,209▲9.5% | 990 |
| 2014 | $585,334,659▲96.6% | $573,576,241▲89.6% | $32,058,179▲64.8% | $160,138,570▲105% | 990 |
| 2013 | $297,678,898 | $302,591,709▲36.4% | $19,452,192▼22.0% | $78,088,226▲33.0% | 990 |
| 2012 | — | $221,802,103▲34.4% | $24,926,198▲17.3% | $58,691,238▲25.4% | 990 |
| 2011 | — | $164,975,562▲25.6% | $21,248,270▲107% | $46,812,237▲20.9% | 990 |
| 2010 | — | $131,319,216 | $10,264,614 | $38,712,777 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: Christopher Palmieri — $1,623,372 (0.06% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Christopher Palmieri | President & Ceo, Director | 16 | $1,623,372 |
| Courtney Murphy | Former President of Markets | 0 | $990,818 |
| Hany Abdelaal | President of Clinical Services | 36 | $911,545 |
| Sebastiaan Foppema General | Manager Insted (until 9/13/24) | 40 | $832,714 |
| Kerim C Turan Chief Risk | Compliance & Ethics Officer | 40 | $752,717 |
| Elizabeth Goodman Sec | & Clerk, Chief Legal Officer | 16 | $748,500 |
| Alfred Enagbare | Chief People Officer | 40 | $731,251 |
| Donald Stiffler Chief | Growth & Transformation Officer | 39 | $661,615 |
| Ayse Hagman | Chief Medical Officer | 40 | $564,902 |
| Mark Waggoner | General Manager Market Lead - Ma | 40 | $519,869 |
| Wilbur Yu General Manager | Market Lead - California | 40 | $505,732 |
| Corey Mccarthy Svp | Product and Provider Organization | 40 | $493,436 |
| Frank Scalise Treasurer Chief | Financial Officer (until 6/22/24) | 18 | $410,855 |
| Sesha Mudunuri Cheif | Operating Officer (until 1/15/24) | 40 | $175,255 |
| Mihir Shah Treas Chief Fin | & Strategy Officer (as of 10/1/24) | 19 | $125,039 |
| David Klein | Chair | 2 | $22,500 |
| Tejal Gandhi | Chair-elect | 2 | $17,850 |
| Carol Raphael | Director | 2 | $11,250 |
| Ira Gottlieb | Director | 2 | $11,250 |
| Joe Paduda | Director (until 12/4/24) | 3 | $11,250 |
| Contractor | Services | Paid |
|---|---|---|
| Navitus Health Solutions | Healthcare & Technology | $610,484,506 |
| Skygen USA LLC | Healthcare & Technology | $25,055,670 |
| Behavioral Health Network Inc | Healthcare & Technology | $11,944,984 |
| Nations Benefits LLC | Healthcare & Technology | $8,560,512 |
| Element Care Inc | Healthcare & Technology | $6,910,848 |
10 grants to Commonwealth Care Alliance Inc totaling $366K, reported by foundations on their Schedule I filings.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| Beth Israel Deaconess Medical Center Inc | Care access and/or to address other identified community health needs | 2022 | $50,000 |
| Beth Israel Deaconess Medical Center Inc | Community support | 2021 | $25,000 |
| Beth Israel Deaconess Medical Center Inc | Community support | 2020 | $25,000 |
| Beth Israel Deaconess Medical Center Inc | Access to care | 2018 | $11,900 |
| Beth Israel Deaconess Medical Center Inc | Primary care/ healthcare access | 2017 | $20,000 |
| Beth Israel Deaconess Medical Center Inc | Primary care/ healthcare access | 2016 | $74,140 |
| Trustees of Boston University | Research | 2016 | $42,261 |
| Trustees of Boston University | Research | 2015 | $84,522 |
| Beth Israel Deaconess Medical Center Inc | Primary care/ healthcare access | 2015 | $20,026 |
| Trustees of Boston University | Research | 2014 | $13,104 |
5 grants totaling $127K in FY2024. All grants made by Commonwealth Care Alliance Inc →
| Recipient | Purpose | Amount |
|---|---|---|
| Boston Center For Independent Living Inc | Host sponsorship | $31,091 |
| Health Care For All Inc | Host sponsorship | $30,000 |
| President and Fellows of Harvard College | Host sponsorship | $25,000 |
| Health Law Advocates Inc | Host sponsorship | $21,000 |
| Disability Policy Consortium | Host sponsorship | $20,000 |
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Data for Commonwealth Care Alliance Inc (EIN 04-3756900) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.