Commonwealth Care Alliance Inc: $2.6B Revenue, $2.6B Expenses

On the NonprofitTruth efficiency rubric, Commonwealth Care Alliance Inc pulls an A — the highest available grade. The 93/100 composite reflects strong financial reserves, controlled officer compensation, and the kind of multi-year financial discipline that grant-makers look for.

Commonwealth Care Alliance Inc operates at corporate scale — $2.6B in reported 2023 revenue. At over a billion in annual revenue, nonprofits typically run consolidated operations across multiple states or business lines, and the IRS Form 990 reflects a much larger operational footprint than a typical 501(c)(3). Financial health is a strength: Commonwealth Care Alliance Inc carries a healthy operating-reserve cushion against $2.6B in annual expenses, the kind of balance-sheet stability that helps an organization weather funding gaps without cutting programs.

Five-year revenue trajectory is strongly positive: Commonwealth Care Alliance Inc has grown materially in real terms, which usually signals successful fundraising and program expansion. Officer compensation is modest relative to organizational size: Commonwealth Care Alliance Inc reports $6.4M in total compensation for current officers and key employees (Form 990 Part IX, line 5) against $2.6B in revenue. The ratio is well within the bands third-party charity raters consider reasonable at this scale. Commonwealth Care Alliance Inc is categorized under Health — the largest segment of U.S. nonprofit revenue, dominated by hospitals, hospital systems, and health-research organizations. The financial profile in this category is capital-intensive, with large balance sheets and program service revenue that often dwarfs donations.