Community Medical Alliance Inc

Nonprofit profile at a glance

EIN
043454185
IRS 990 coverage
2010–2018
Forms available
Form 990 2018
Location
Somerville, MA, USA
Phone
8572820747
Rating
72
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Community Coalitions

Official website

Reported finances

Revenue
$394,360
Expenses
$394,360
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2018. Amounts in USD.

Leadership & pay

3 people listed

Executive titles in this filing

  • DAVID SEGAL (PRESIDENT/CEO AND DIRECTOR)

Highest reported compensation

  • DAVID SEGAL (PRESIDENT/CEO AND DIRECTOR): $824,605 total reported compensation
  • ANTON DODEK MD (DIRECTOR): $583,944 total reported compensation
  • JAMES HELLINGER (DIRECTOR): $324,169 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2018. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Cma programs provide care and intensive care management to members with chronic illness such as advanced HIV/AIDS, severe physical disabilities, mental retardation and developmental disabilities. Every cma member has their own cma nurse practitioner or physical assistant who works with the primary care physician to manage and authorize care.

What it reported doing in 2018

Health care delivery: community medical alliance, inc. Promotes, operates and supports an integrated health care delivery system for the provision of efficient, cost effective, high quality medical care to patients. Patient members must be deemed disabled by Massachusetts department of health.

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 94% 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

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and program spending has declined or grown slowly.

Rating breakdown

  • Financial Efficiency: 85
  • Transparency & Controls: 94
  • Accountability: 42
  • Sustainability: 20
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 96.5%; rating input score 96
  • Program expense ratio: 96.5%; rating input score 96
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 0%; rating input score 0; 6th 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: 0%; rating input score 41; 41st percentile among comparable filings
  • Total-asset coverage ratio: 0; rating input score 1; 1st percentile among comparable filings
  • Liabilities to assets ratio: Limited
  • Officer compensation ratio: 45.6%; rating input score 4; 4th percentile among comparable filings

Growth

  • Program expense growth: -20.1% per year; rating input score 0; 7th percentile among comparable filings
  • Revenue growth: -8.6% per year; rating input score 0; 10th percentile among comparable filings
  • Asset growth: -16.7% per year; rating input score 0; 5th percentile among comparable filings

Details

  • Where the money goes: 96.5% of revenue deployed · 96.5% of spending went to programs
  • Governance: 0 of 3 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $380K in reported program spending
  • Leadership: top reported pay $825K · 3 people listed · 5 of 6 pay-setting controls reported
  • Consistency: 21 of 21 current checks pass
  • Schedules: 5 filed schedules · includes executive pay
  • Filing history: 8 filing years from 2010 to 2018
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • Related organizations: 73 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.

Key Signals

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

  • High — Accountability: Independent voting board scored 0/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 1/100.
  • Moderate — Sustainability: Operating margin scored 41/100.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 4/100.