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Massachusetts · Nonprofit

COMMONWEALTH CARE ALLIANCE INC

COMMONWEALTH CARE ALLIANCE INC (Massachusetts) receives grants from 3 organizations whose IRS filings report $3,304,299 to it, the largest being THE ROBERT WOOD JOHNSON FOUNDATION ($3,114,998). 2 of them have funded it in more than one year.

Revenue FY2024
$2.8B
Funders on record
3
Grants received
$3.3M
Net assets
$-52046329
2/3 repeat funderspeak grant-dependency 0%
01What it does

What Commonwealth Care Alliance Inc does

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.

As stated on its FY2024 Form 990.

Programs

On its FY2023 return the organization reported starting a significant new program.

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.

Its own explanation, from Schedule O of that return (Part III, line 2).

  1. 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.

    $2,257,303,051 spentof which $336,141 as grants$2,552,712,819 earned by the program
    100% of program spending
  2. 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.

    $2,808,535 spent$5,321,735 earned by the program
    0% of program spending

The 2 programs described on its FY2023 Form 990, listed largest first by expense. Program spending in total: $2,260,111,586.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($1.0B) Expenses 100 ($988M) Net assets 100 ($90M)2018 Revenue 122 ($1.3B) Expenses 126 ($1.2B) Net assets 117 ($106M)2019 Revenue 150 ($1.5B) Expenses 154 ($1.5B) Net assets 143 ($129M)2020 Revenue 175 ($1.8B) Expenses 175 ($1.7B) Net assets 220 ($198M)2021 Revenue 198 ($2.0B) Expenses 202 ($2.0B) Net assets 263 ($238M)2022 Revenue 221 ($2.3B) Expenses 224 ($2.2B) Net assets 330 ($298M)2023 Revenue 249 ($2.6B) Expenses 266 ($2.6B) Net assets 196 ($177M)2024 Revenue 269 ($2.8B) Expenses 295 ($2.9B) Net assets -58 ($-52046329)
'17'18'19'20'21'22'23'24
Revenue (269)Expenses (295)Net assets (-58)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2023 to 2024, from $1.2B to $538M (−56%).

$275M
$303M
$405M
$585M
$813M
$1.1B
$1.2B
$538M
'17'18'19'20'21'22'23'24
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
ContributionsProgram revenueInvestmentOther

0% of COMMONWEALTH CARE ALLIANCE INC’s revenue is contributions — more earned-revenue than three-quarters of its peers (1% for the typical peer).

This organization
Typical peer · 2,211 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 2 of the last 8 reported years ran a deficit.

$42M
’17
$16M
’18
$21M
’19
$67M
’20
$51M
’21
$53M
’22
−$65M
’23
−$141M
’24
0.1
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Christopher D Palmieri

President & CEO, director

Board chair

David Klein

Chair

As listed on its FY2024 Form 990.

'17'18'19'20'21'22'23'24
Listed3131262426313133
Joined·+7+0+5+8+10+12+12
No longer listed·757651210
03Who funds it

Who funds it, year by year

2017 → 2023: the base held at 2 funders, grant income rose $57k → $562k.

Funder
'17
'18
'19
'20
'21
'22
'23
total
funders
2
1
2
1
2
2
2

From the IRS filings of COMMONWEALTH CARE ALLIANCE INC’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

COMMONWEALTH CARE ALLIANCE INC leans on a few funders — its largest provides 94% of grant income and the top three 100%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

94%
largest funder
100%
top three
~1
effective funders

Largest funder’s share by year: 2017 74% · 2018 100% · 2019 99% · 2020 100% · 2021 94% · 2022 97% · 2023 91% — growing more concentrated.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

COMMONWEALTH CARE ALLIANCE INC draws 94% of its grant income from funders outside Massachusetts, across 2 states in all.

MA
NJ

In-state vs out-of-state, by year

’17
’18
’19
’20
’21
’22
’23
Massachusetts out of state home

Funder states come from each funder’s own filing. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

COMMONWEALTH CARE ALLIANCE INC has grown faster than three-quarters of the 2,075 health nonprofits its size.

Operating margin−5% · bottom quartile
Months of reserve0.1mo · below the median
Revenue growth (annualized)15% · top quartile

this organization peer median middle 50% of peers· 2,075 health nonprofits over $100M, FY2024

Government funding COMMONWEALTH CARE ALLIANCE INC receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $8.4B on record.

State$8.4B
17
18
19
20
21
22
23
24
25
Top programs
  • (RR) BENEFIT PROGRAMS$8.4B
  • (HH) CONSULTANT SVCS (TO DEPTS)$25.3M
  • (PP) STATE AID/POL SUB$598k
  • (JJ) OPERATIONAL SERVICES$1k

Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.

Organizations like COMMONWEALTH CARE ALLIANCE INC

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Massachusetts

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

89% of spending goes to programs.

Program 89%Management 11%Fundraising 0%

Governance

16
board members
94%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Public support

100%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Footprint & structure

Files a return copy in 1 state

MA

Part of a family of 30 related entities

  • Winter Street Ventures LLC · disregarded
  • 747 Cambridge Street LLC · disregarded
  • Insted LLC · disregarded
  • Cca Housing Solutions LLC · disregarded
  • Cca Home LLC · disregarded

Screen this organization

A dated, signed PDF of the compliance screen for COMMONWEALTH CARE ALLIANCE INC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds COMMONWEALTH CARE ALLIANCE INC?
COMMONWEALTH CARE ALLIANCE INC (Massachusetts) receives grants from 3 organizations whose IRS filings report $3,304,299 to it, the largest being THE ROBERT WOOD JOHNSON FOUNDATION ($3,114,998). 2 of them have funded it in more than one year.
How many funders does COMMONWEALTH CARE ALLIANCE INC have?
IRS filings report 3 organizations giving $3,304,299 in grants to COMMONWEALTH CARE ALLIANCE INC, 2 of which have funded it in more than one year.
Who is the largest funder of COMMONWEALTH CARE ALLIANCE INC?
THE ROBERT WOOD JOHNSON FOUNDATION is the largest funder on record, with $3,114,998 in grants. The full list of funders is on this page.
How can an organization like COMMONWEALTH CARE ALLIANCE INC find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Massachusetts. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2017–2024), and the filings of 3 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing