Commonwealth Care Alliance Inc
Overview
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.
What it reported doing in 2024
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.
Operating model
- Revenue model
- Earned-program. 100% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The nonprofit carried out 100% of its reported program work directly.
Nonprofit profile at a glance
- EIN
- 043756900
- IRS 990 coverage
- 2010–2024
- Website checked
- Jun 2026
- Forms available
- Form 990 2024
- Headquarters
- Boston, MA, USA
- Rating
- 80
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Health
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and available reserves provide a limited financial cushion.
Rating breakdown
- Financial Efficiency: 92
- Transparency & Controls: 67
- Accountability: 86
- Sustainability: 18
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 92.9%; rating input score 93
- Program expense ratio: 88.9%; rating input score 89
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 92.3%; rating input score 92; 14th percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Foreign activity oversight: Limited
- Grant itemization coverage: 89.4%; rating input score 89; 22nd percentile among comparable filings
- Major donor itemization: Limited
- Related-party transparency: Yes; rating input score 100
- Public monitoring controls: 0 of 8 controls in place; rating input score 0
- Public policy transparency: 0 of 7 controls in place; rating input score 0
- Public financial transparency: 0 of 5 controls in place; rating input score 0
- Impact reporting controls: 0 of 7 controls in place; rating input score 0
- Public relationship transparency: No; rating input score 0
Accountability
- Independent voting board: 93.8%; rating input score 94; 43rd percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Public governance controls: 0 of 4 controls in place; rating input score 0
- Zakat policy transparency: Limited
Sustainability
- Operating margin: -5.1%; rating input score 12; 12th percentile among comparable filings
- Operating reserve ratio: 0.18; rating input score 6; 6th percentile among comparable filings
- Liabilities to assets ratio: 1.1; rating input score 4; 4th percentile among comparable filings
- Officer compensation ratio: 0.4%; rating input score 85; 85th percentile among comparable filings
Growth
- Program expense growth: 16.1% per year; rating input score 100; 88th percentile among comparable filings
- Revenue growth: 17.1% per year; rating input score 100; 91st percentile among comparable filings
- Asset growth: 19.3% per year; rating input score 100; 92nd percentile among comparable filings
Details
- Where the money goes: 92.9% of revenue deployed · 88.9% of spending went to programs
- Governance: 15 of 16 board members independent · 9 of 9 filing controls reported
- Programs: 2 filed program accomplishments · $2.6B in reported program spending
- Leadership: top reported pay $2.8M · 33 people listed · 4 of 6 pay-setting controls reported
- Consistency: 35 of 36 current checks pass · 1 finding to review
- Schedules: 7 filed schedules · includes grants, executive pay, and related organizations
- Filing history: 14 annual filings from 2010 to 2024
- Money network: 33 filed money-flow records
- Related organizations: 35 filed related-organization links