Commonwealth Care Alliance

Legal name: Commonwealth Care Alliance Inc

Nonprofit profile at a glance

EIN
043756900
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Boston, MA, USA
Phone
6174260600
Rating
83
Verdict
STRONG
Rating confidence
Moderate
Sector
Group Health Practice (Health Maintenance Organizations)

Official website

Reported finances

Revenue
$2,774,044,189
Expenses
$2,915,002,492
Assets
$538,382,343
Liabilities
$590,428,672

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

33 people listed

Executive titles in this filing

  • CHRISTOPHER PALMIERI (PRESIDENT & CEO, DIRECTOR)
  • HANY ABDELAAL (PRESIDENT OF CLINICAL SERVICES)
  • COURTNEY MURPHY (FORMER PRESIDENT OF MARKETS)

Highest reported compensation

  • CHRISTOPHER PALMIERI (PRESIDENT & CEO, DIRECTOR): $2,752,553 total reported compensation
  • HANY ABDELAAL (PRESIDENT OF CLINICAL SERVICES): $1,171,864 total reported compensation
  • COURTNEY MURPHY (FORMER PRESIDENT OF MARKETS): $990,818 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To improve the health and well-being of people with the most 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 filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

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 total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 81
  • Transparency & Controls: 85
  • Accountability: 96
  • 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; 12th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • 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

Accountability

  • Independent voting board: 93.8%; rating input score 94; 44th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -5.1%; rating input score 13; 13th percentile among comparable filings
  • Total-asset coverage ratio: 0.18; rating input score 5; 5th percentile among comparable filings
  • Liabilities to assets ratio: 1.1; rating input score 5; 5th 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

  • What they do: 4 programs and campaigns described on the official site · 1 operating location identified
  • 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
  • Highest-paid contractors: 5 contractors listed · $663M 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 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 33 filed money-flow records
  • Related organizations: 35 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Sustainability: Operating margin scored 13/100.
  • High — Sustainability: Total-asset coverage ratio scored 5/100.
  • High — Sustainability: Liabilities to assets ratio scored 5/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.