Community Care Cooperative

What Community Care Cooperative does

Community Care Cooperative (C3) is a Boston-based non-profit, FQHC-governed Accountable Care Organization founded in 2016 by a group of Federally Qualified Health Centers. Its core function is to aggregate FQHCs at scale to participate in value-based payment and care models under Medicare (ACO REACH, MSSP) and Medicaid (MassHealth ACO) programs, providing the contracting, data, actuarial, and population health capabilities that individual community health centers lack. C3 manages care for approximately 240,000 beneficiaries across 47 FQHCs in six states as of January 2026, and has cumulatively earned more than $152 million in shared savings since 2018.

The organization's technology and service platform extends beyond core ACO services through two affiliated cooperatives: Community Technology Cooperative (CTC), which implements and operates Epic EHR and other technologies for member FQHCs, and Community Pharmacy Cooperative (CPC), which operates on-site pharmacies and manages 340B drug pricing program revenue and compliance. C3 also co-founded the FQHC Telehealth Consortium in March 2020 with the Massachusetts League of Community Health Centers and developed a Telehealth Navigator Program placing community health workers in FQHCs to assist patients with virtual care and remote monitoring. The organization holds NCQA Health Equity Accreditation and is ACO-certified.

C3 operates a community-led go-to-market where it does not sell directly to end consumers; instead, it recruits and onboards additional FQHCs into its accountable care network. Revenue flows through shared-savings distributions under value-based contracts with public payers, supplemented by revenue streams generated through CTC's Epic services and CPC's 340B pharmacy operations. Pricing is not publicly disclosed. The cooperative's 2026 strategic priorities include the January expansion to 47 FQHCs and a March 2026 partnership with OCHIN to launch a new Medicare ACO solution targeting approximately 250,000 Medicare patients and over 300 rural and community health organizations.

Name

Community Care Cooperative

Legal name

Community Care Cooperative

Website

https://communitycarecooperative.org

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

101–250 employees

Short description

Community Care Cooperative (C3) is a non-profit, FQHC-governed Accountable Care Organization that unites 47 Federally Qualified Health Centers across six states to participate in Medicare and Medicaid value-based care contracts, managing care for approximately 240,000 beneficiaries and operating affiliated Epic EHR and 340B pharmacy cooperatives.

Ownership category

akta.pro rank

Product category

Accountable Care Organization Services

NAICS

Offices of Physicians (62111), Ambulatory Health Care Services (621)

SIC

Hospital & Medical Service Plans (6324), Services-Health Services (8000)

akta.pro primary industry

Community Health Centers (FQHCs & Look-Alikes) (HLAFAGAB)

Keywords

• Value-based care
• Accountable care organization
• Community health centers
• Medicaid Medicare ACO
• Shared savings programs

Headquarters

HQ city

Boston

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Others

Revenue model

1. Value-Based Care / ACO Shared Savings: C3 brings FQHCs together to participate in value-based payment and care models that reward their level of care. The cooperative has earned more than $152 million in shared savings since 2018. Revenue comes from managing care for Medicaid and Medicare beneficiaries under value-based agreements.
2. Medicare ACO Solutions: Partnership with OCHIN to offer new Medicare ACO solution targeting about 250,000 Medicare patients and over 300 rural and community health organizations.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

Community Care Cooperative (C3) operates a non-profit, FQHC-governed Accountable Care Organization that brings Federally Qualified Health Centers together to participate in value-based payment and care models under Medicaid (MassHealth) and Medicare (ACO REACH and MSSP). It also operates affiliated technology and pharmacy cooperatives—Community Technology Cooperative (Epic EHR) and Community Pharmacy Cooperative (on-site 340B pharmacies)—to deliver integrated services to FQHCs and the Medicaid and Medicare beneficiaries they serve.

Product overview

Community Care Cooperative (C3) is a non-profit, FQHC-governed Accountable Care Organization (ACO) that serves as a unified platform connecting Federally Qualified Health Centers. The organization operates through its core ACO services plus two key affiliates: Community Technology Cooperative (CTC) for Epic EHR implementation and Community Pharmacy Cooperative (CPC) for on-site pharmacy operations. C3 also supports the FQHC Telehealth Consortium and offers specialized programs including MassHealth ACO, Medicare ACO REACH, and MSSP programs. The cooperative manages care for over 240,000 beneficiaries and has earned more than $152 million in shared savings since 2018.

Differentiator

Problem solved

Functional benefit

Products and services

• MassHealth ACO Accountable Care Organization services for MassHealth (Massachusetts Medicaid) members, delivered through C3's FQHC network.
• Medicare ACO REACH Accountable Care Organization services for Medicare beneficiaries under the REACH (Realizing Equity, Access, and Community Health) model, delivered through C3's FQHC network.
• Medicare Shared Savings Program (MSSP)

Quantifiable outcome

• 31.4 percentage point increase in likelihood of controlled blood pressure among Black patients with hypertension at FQHCs
• +1 more outcomes

Named customers2 records

Segments3 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature1 record

Partnerships

Four partnerships are on record, tiered core and minor.

• OCHINcoreStrategic or Co-development Partner · 17 March 2026OCHIN and Community Care Cooperative (C3) partnered to offer a new Medicare ACO solution that aims to improve care quality and financial sustainability for about 250,000 Medicare patients and over 300 rural and community health organizations. The partnership combines OCHIN's Epic EHR insights with C3's value-based care expertise.
• Massachusetts League of Community Health CenterscoreStrategic or Co-development PartnerCo-founded the FQHC Telehealth Consortium in March 2020 to help health centers across Massachusetts pivot to sustainable models of telehealth, integrate them into their primary and behavioral care practices, and ensure financial viability.
• Thundermist Health CenterminorChannel Partner/ Reseller/ DistributorThundermist Health Center joined Community Care Cooperative (C3), becoming one of 10 health centers nationwide to participate in the nonprofit accountable care organization's most recent expansion.
• Federally Qualified Health Centers (FQHCs)coreStrategic or Co-development PartnerC3 is an FQHC-governed ACO that unites FQHCs at scale to strengthen primary care, improve financial performance, and advance racial justice. The organization has expanded to collaborate with 47 FQHCs across six states.

Scale indicators5 records

Recent moves9 records

Expansion highlights5 records

Direct peers

• Aledade: Aledade partners with independent primary care physicians and FQHCs to form ACOs and participate in Medicare Shared Savings and other value-based programs. It is the most direct competitor to C3's FQHC-governed ACO model.
• Privia Health: Privia Health operates a national medical group and ACO platform serving independent primary care and specialty practices in value-based arrangements. It competes for the same FQHC and community health center relationships as C3.
• Agilon Health: Agilon Health partners with primary care physicians to manage Medicare Advantage populations under full-risk value-based contracts. It overlaps with C3 in providing ACO infrastructure for community-based primary care providers.
• UpStream Health: UpStream Health provides technology-enabled value-based care services to FQHCs and safety-net providers, enabling participation in ACO and risk-bearing arrangements. It directly competes with C3's ACO infrastructure for the same FQHC customer base.
• Caravan Health: Caravan Health (now part of Signify Health / CVS Health) provides ACO formation, population health, and value-based care services to community health systems and FQHCs. It is a direct historical peer in the FQHC ACO enablement market.

Broad incumbents

• Evolent Health: Evolent Health provides value-based specialty care management and ACO enablement services to health plans and provider networks. It overlaps with C3 in population health and ACO support but operates as a broader, publicly traded incumbent.
• VillageMD: VillageMD operates value-based primary care clinics and risk-bearing arrangements serving Medicare and ACO populations. While primarily a clinic operator rather than an ACO enabler, it overlaps with C3 in community-based value-based primary care.
• Included Health: Included Health (formerly Doctor On Demand / Grand Rounds) provides integrated virtual care, navigation, and value-based care services for health plans and providers. It competes with C3 in telehealth navigation and value-based care enablement.

Emerging players

• Cityblock Health: Cityblock Health provides value-based primary care, behavioral health, and social services to Medicaid and dual-eligible populations in underserved communities. It overlaps with C3's focus on Medicaid value-based care for safety-net populations.

Others

• OCHIN: OCHIN is a nonprofit health IT and research network that operates Epic EHR for community health centers and partners with C3 on Medicare ACO services. Listed as an ecosystem partner rather than direct competitor due to its collaboration with C3.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks2 records

Key highlights7 records

Customer concentration

• Xx.com/C3aco
• LinkedInlinkedin.com/company/communitycarecooperative

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Subsidiaries3 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Community Care Cooperative