FURP.ORG / PUBLIC DATA EXPLORER

FALLON COMMUNITY HEALTH PLAN INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
FALLON COMMUNITY HEALTH PLAN INC (EIN 23-7442369)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-09
IRS object ID
202303139349303800
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-09T13:14:26-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PWC US TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET STREET SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237442369EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FALLON COMMUNITY HEALTH PLAN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% ELIZABETH CREAVINInCareOfNm
Business Name ControlFALLBusinessNameControlTxt
Phone5087992100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 Chestnut StreetAddressLine1Txt
CityWorcesterCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01608ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTODD BAILEYPersonNm
Person TitleCFOPersonTitleTxt
Phone5087992100PhoneNum
Signature2023-11-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTODDPersonFirstNm
Person LastBAILEYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERICA R MCREYNOLDSPreparerPersonNm
PTINP00977806PTIN
Phone2673303000PhoneNum
Preparation2023-11-03PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1FALLON HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerTODD BAILEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 Chestnut StreetAddressLine1Txt
CityWorcesterCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01608ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,904,019,451GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.fchp.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE O Improving Health and Inspiring HopeActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1452TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,000PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,764,526,148PYProgramServiceRevenueAmt
CY Program Service Revenue$1,739,420,952CYProgramServiceRevenueAmt
PY Investment Income$11,309,921PYInvestmentIncomeAmt
CY Investment Income$7,960,215CYInvestmentIncomeAmt
PY Other Revenue$6,661,325PYOtherRevenueAmt
CY Other Revenue-$37,281CYOtherRevenueAmt
PY Total Revenue$1,782,502,394PYTotalRevenueAmt
CY Total Revenue$1,747,343,886CYTotalRevenueAmt
PY Grants And Similar Paid$809,275PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,056,023CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$1,606,086,951PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$1,564,698,348CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$100,493,821PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$114,149,739CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$38,979,561PYOtherExpensesAmt
CY Other Expenses$49,136,525CYOtherExpensesAmt
PY Total Expenses$1,746,369,608PYTotalExpensesAmt
CY Total Expenses$1,729,040,635CYTotalExpensesAmt
PY Revenues Less Expenses$36,132,786PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$18,303,251CYRevenuesLessExpensesAmt
Total Assets BOY$712,896,484TotalAssetsBOYAmt
Total Assets EOY$698,844,489TotalAssetsEOYAmt
Total Liabilities BOY$407,624,403TotalLiabilitiesBOYAmt
Total Liabilities EOY$442,003,253TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$305,272,081NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$256,841,236NetAssetsOrFundBalancesEOYAmt
MissionTO BE THE LEADER IN PROVIDING EXCEPTIONAL COORDINATED CARE AND COVERAGE THAT MEETS THE UNIQUE, DIVERSE AND CHANGING NEEDS OF OUR MEMBERS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,542,791,252ExpenseAmt
Revenue$1,708,969,648RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$21,907,097ExpenseAmt
Revenue$30,451,304RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$110,186,951ExpenseAmt
Grant$1,056,023GrantAmt
DescSEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,674,885,300TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document4407IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1452EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonELIZABETH CREAVINPersonNm
Phone5087992100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 CHESTNUT STREETAddressLine1Txt
CityWORCESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01608ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RICHARD P BURKE
PRESIDENT & CEO44.06.0Yes (X)Yes (X)$1,419,791$0$738,409
TODD BAILEY
SVP, CHIEF FINANCIAL OFFICER47.03.0Yes (X)$607,232$0$221,159
DAVID BRUMLEY MD
SVP and Chief Medical Officer50.00.0$495,972$0$231,748Yes (X)
EMILY L WEST
SVP, CHIEF OPERATING OFFICER50.00.0$500,698$0$212,897Yes (X)
MARY RITTER
SVP, CHIEF STRTGY & GOVT. PROG49.01.0$483,743$0$214,401Yes (X)
JILL GREEN LEBOW
SVP, CHIEF HR OFFICER48.02.0$469,876$0$203,754Yes (X)
LINDA WEINREB
MEDICAL DIRECTOR, MCD ACO50.00.0$404,566$0$149,693Yes (X)
JAMES GENTILE
SVP, CHIEF COMPLIANCE OFFICER50.00.0$379,978$0$156,283Yes (X)
KRISTINE BOSTEK
SVP, PACE Programs eff. 5/9/2249.50.5$345,464$0$167,169Yes (X)
RANDI BERKOWITZ
VP, Medical Director50.00.0$359,974$0$152,247Yes (X)
MARK DICHTER
VP, Medical Director for UM50.00.0$366,512$0$142,667Yes (X)
CHRISTINE CASSIDY
SVP, CHIEF COMM. OFFICER49.50.5$352,546$0$154,959Yes (X)
JANIS LIEPINS
VP Medicaid47.03.0$347,663$0$155,600Yes (X)
MATTHEW HERNDON
SVP, Chief State Prog. Officer50.00.0$308,589$0$173,174Yes (X)
DEBORAH DAVIAU
MEDICARE & EXEC. DIR. NAVICARE50.00.0$260,677$0$94,949Yes (X)
KEVIN MCGOVERN
VP, TREASURER50.00.0$230,399$0$29,369Yes (X)
FREDERICK MISILO ESQ
CHAIR3.02.0Yes (X)Yes (X)$46,250$0$0
JOHN B DILL
VICE CHAIR2.02.0Yes (X)Yes (X)$41,000$0$0
JAMES R BUONOMO
CLERK2.02.0Yes (X)Yes (X)$40,250$0$0
JANET S RICO
DIRECTOR1.01.0Yes (X)$37,750$0$0
DEBORAH C ENOS
DIRECTOR1.00.5Yes (X)$37,250$0$0
JOSEPH N STOLBERG CPA
TREASURER beginning 6/24/221.50.5Yes (X)Yes (X)$37,250$0$0
PETER F STRALEY
Director1.00.0Yes (X)$30,750$0$0
ALICE BONNER
DIRECTOR1.00.0Yes (X)$28,250$0$0
VICTOR WOOLRIDGE
DIRECTOR1.00.0Yes (X)$24,750$0$0
WANDA J MCCLAIN
DIRECTOR1.00.0Yes (X)$24,750$0$0
ANN K TRIPP
TREASURER ended 6/24/222.02.0Yes (X)Yes (X)$8,250$0$0
KARIN LANDRY
Director ended 6/24/221.00.0Yes (X)$6,750$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,657,180TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$3,198,478TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K296IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EPSTEIN BECKER AND GREEN PC
1227 25TH ST NW STE 700WASHINGTONDC20037Legal Services$1,506,945
SAFEWAY LUXURY TRANSPORTATION
112 GROVE ST REARWORCESTERMA01605Transportation Servi$1,287,280
CHANGE HEALTHCARE LLC
5995 WINDWARD PARKWAYALPHARETTAGA30005Healthcare Consultin$1,069,973
CDW DIRECT LLC
PO BOX 75723CHICAGOIL60675Technology products$992,106
MDX MEDICAL LLC
160 CHUBB AVE STE 301 ACCOUNTS RECELYNDHURSTNJ07071Healthcare Software$711,150
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K34CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PREMIUM-GOVERNMENTAL524114$1,708,969,648$1,708,969,648$0$0
PREMIUM-COMMERCIAL524114$30,451,304$30,451,304$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$1,739,420,952TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,216,018TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$14,216,018ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$61,030RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$61,030RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$150,358,732SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$156,614,535SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$6,255,803SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,255,803TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$6,255,803ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
SUBSIDIARY LOSS/GAIN524298-$925,355$0$0-$925,355
MINORITY INTEREST900099$725,886$0$0$725,886
CLASS ACTION LAWSUIT & MISC.900099$157,188$0$0$157,188

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,000TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,000ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$37,281OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,747,343,886TotalRevenueColumnAmt
Related Or Exempt Func Income$1,739,420,952RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,922,934ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,056,023TotalAmt
Program Services$1,056,023ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$1,564,698,348TotalAmt
Program Services$1,564,698,348ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,971,062TotalAmt
Program Services$3,897,429ProgramServicesAmt
Management And General$2,073,633ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$3,414,266TotalAmt
Program Services$2,373,325ProgramServicesAmt
Management And General$1,040,941ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$84,365,919TotalAmt
Program Services$58,644,445ProgramServicesAmt
Management And General$25,721,474ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,277,727TotalAmt
Program Services$888,174ProgramServicesAmt
Management And General$389,553ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,932,757TotalAmt
Program Services$7,599,579ProgramServicesAmt
Management And General$3,333,178ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,188,008TotalAmt
Program Services$5,691,649ProgramServicesAmt
Management And General$2,496,359ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,224,548TotalAmt
Program Services$0ProgramServicesAmt
Management And General$2,224,548ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,607,784TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,607,784ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$159,447TotalAmt
Program Services$159,447ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,115,996TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,115,996ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,501,212TotalAmt
Program Services$5,559,143ProgramServicesAmt
Management And General$1,942,069ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,064,935TotalAmt
Program Services$2,389,801ProgramServicesAmt
Management And General$675,134ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,897,003TotalAmt
Program Services$4,598,031ProgramServicesAmt
Management And General$1,298,972ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,663,168TotalAmt
Program Services$15,682,589ProgramServicesAmt
Management And General$980,579ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,249,042TotalAmt
Program Services$235,672ProgramServicesAmt
Management And General$4,013,370ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$68,369TotalAmt
Program Services$53,309ProgramServicesAmt
Management And General$15,060ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$312,179TotalAmt
Program Services$243,413ProgramServicesAmt
Management And General$68,766ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$109,477TotalAmt
Program Services$0ProgramServicesAmt
Management And General$109,477ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,940,950TotalAmt
Program Services$148,621ProgramServicesAmt
Management And General$3,792,329ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,037,359TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,037,359ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DUES/SUBSCRIPTIONS$1,075,923$963,247$112,676$0
OTHER TAXES$106,078$0$106,078$0
BAD DEBT EXPENSES$3,055$3,055$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,729,040,635TotalAmt
Program Services$1,674,885,300ProgramServicesAmt
Management And General$54,155,335ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$90,085,889BOYAmt
EOY$60,971,299EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$92,139,634BOYAmt
EOY$129,743,675EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,976,350BOYAmt
EOY$6,665,677EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$44,900,509LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$36,211,725LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,493,215BOYAmt
EOY$8,688,784EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$480,290,667BOYAmt
EOY$439,738,109EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$33,910,729BOYAmt
EOY$53,036,945EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$712,896,484BOYAmt
EOY$698,844,489EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$401,392,953BOYAmt
EOY$440,783,190EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$6,231,450BOYAmt
EOY$1,220,063EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$407,624,403BOYAmt
EOY$442,003,253EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$305,272,081BOYAmt
EOY$256,841,236EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$305,272,081BOYAmt
EOY$256,841,236EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$712,896,484BOYAmt
EOY$698,844,489EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$18,303,251ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$66,734,096NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$125,589CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,000CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$130,589TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,514,381,036CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,569,180,946CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,629,023,510CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,764,526,148CurrentTaxYearMinus1YearAmt
Current Tax Year$1,739,420,952CurrentTaxYearAmt
Total$8,216,532,592TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,514,506,625CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,569,180,946CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,629,023,510CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,764,531,148CurrentTaxYearMinus1YearAmt
Current Tax Year$1,739,420,952CurrentTaxYearAmt
Total$8,216,663,181TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$66,679,504CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,794,779CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,713,513CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,157,740CurrentTaxYearMinus1YearAmt
Current Tax Year$19,369,922CurrentTaxYearAmt
Total$176,715,458TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$66,679,504CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,794,779CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,713,513CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,157,740CurrentTaxYearMinus1YearAmt
Current Tax Year$19,369,922CurrentTaxYearAmt
Total$176,715,458TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$8,039,947,723PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,966,759CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,252,715CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,017,324CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,580,261CurrentTaxYearMinus1YearAmt
Current Tax Year$14,277,048CurrentTaxYearAmt
Total$51,094,107TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,966,759CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,252,715CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,017,324CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,580,261CurrentTaxYearMinus1YearAmt
Current Tax Year$14,277,048CurrentTaxYearAmt
Total$51,094,107TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$155,409CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$152,170CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$270,778CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$54,056CurrentTaxYearMinus1YearAmt
Current Tax Year$162,188CurrentTaxYearAmt
Total$794,601TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,522,628,793CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,578,585,831CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,638,311,612CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,775,165,465CurrentTaxYearMinus1YearAmt
Current Tax Year$1,753,860,188CurrentTaxYearAmt
Total$8,268,551,889TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97235PublicSupportCY509Pct
Public Support PY5090.96121PublicSupportPY509Pct
Investment Income CY0.00618InvestmentIncomeCYPct
Investment Income PY0.00567InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPORT TESTFormAndLineReferenceDesc
ExplanationFORM 990, SCHEDULE A, PART III THE ORGANIZATION'S IRS DETERMINATION LETTER INDICATES THAT THIS ORGANIZATION QUALIFIES AS A PUBLICLY SUPPORTED CHARITY UNDER SECTION 170(B)(1)(a)(vi); HOWEVER, THE ORGANIZATION QUALIFIES AS A 509(A)(2) ORGANIZATION. SCHEDULE A HAS BEEN COMPLETED IN ACCORDANCE WITH THE FORM INSTRUCTIONS UNDER THE 509(A)(2) TEST.ExplanationTxt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
Form4720 FiledfalseForm4720FiledInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$225,544DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$225,544TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDirect Lobbying ExpenseFormAndLineReferenceDesc
ExplanationFORM 990, SCHEDULE C, PART IV SUPPLEMENTAL INFORMATION: FCHP PAID A TOTAL OF $225,544 LOBBYING EXPENSES AS FOLLOWS: MAHP DUES (MASS ASSOC OF HEALTH PLANS) 72,846 ASSOCIATION FOR COMM AFFILIATED PLANS 5,075 NATIONAL PACE ASSOCIATION 3,430 ALLIANCE OF COMMUNITY HEALTH PLANS 61,740 MASSPACE INC 16,356 ----------- SUBTOTAL NON-EMPLOYEES $159,447 STAFF SALARIES ASSOCIATED WITH LOBBYING 66,097 ------------ TOTAL OF ALL LOBBYING EXPENSES PAID $225,544 IN 2022, FALLON STAFF ENGAGED WITH VERIOUS REGULATORY AGENCIES ON HEALTHCARE POLICIES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,890,814OtherCostOrOtherBasisAmt
Depreciation$1,578,593DepreciationAmt
Book Value$312,221BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,681,407OtherCostOrOtherBasisAmt
Depreciation$5,705,939DepreciationAmt
Book Value$1,975,468BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,328,288OtherCostOrOtherBasisAmt
Depreciation$28,927,193DepreciationAmt
Book Value$6,401,095BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,688,784TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
INVESTMENT IN FHLAC$20,615,074
INVESTMENT IN FTC$434,636
INVESTMENT IN FHW$12,661,550
OPERATING LEASE ROU ASSET$19,325,685
FieldValueIRS element (for citing)
Total Book Value Other Assets$53,036,945TotalBookValueOtherAssetsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (51 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
Worcester Regional Chamber of Commerce
311 Main St Ste 200WorcesterMA01608041988780501(c)(6)$47,050GENERAL SUPPORT
WORCESTER COUNTY FOOD BANK
474 BOSTON TURNPIKESHREWSBURYMA01545043071457501(C)(3)$59,500GENERAL SUPPORT
Boys and Girls Club of Worcester
65 BoysGirls Club WayWorcesterMA01610042105851501(c)(3)$49,039GENERAL SUPPORT
United Way of Central MA
18 Chestnut St Ste 530WorcesterMA01608042104017501(C)(3)$30,831GENERAL SUPPORT
Worcester Regional Research Bureau
390 Main St Ste 208WORCESTERMA01609042901298501(C)(3)$7,000GENERAL SUPPORT
MERRIMACK VALLEY FOOD BANK INC
735 Broadway StreetLOWELLMA01854223241609501(C)(3)$17,500GENERAL SUPPORT
CENTRAL MA HOUSING ALLIANCE
6 INSTITUTE ROADWORCESTERMA01609042791448501(C)(3)$14,500GENERAL SUPPORT
HEYWOOD MEMORIAL HOSPITAL
242 GREEN STREETGardnerMA01440042103581501(C)(3)$25,000GENERAL SUPPORT
RON BURTON TRAINING VILLAGE
55 MORGAN RDHUBBARDSTONMA01452222570218501(C)(3)$25,000GENERAL SUPPORT
Saint Paul's Elder Outreach
19 Chatham StreetWorcesterMA01609042106744501(C)(3)$17,749GENERAL SUPPORT
PERNET FAMILY HEALTH SERVICES INC
237 Millbury StreetWORCESTERMA01610042453851501(C)(3)$9,000GENERAL SUPPORT
VETERANS INC
69 Grove StreetWORCESTERMA01605043098024501(C)(3)$11,548GENERAL SUPPORT
Worcester Hibernian Cultural Foundation
19 Temple StreetWorcesterMA01604202148447501(C)(3)$12,000GENERAL SUPPORT
ELDER SERVICES OF BERKSHIRE COUNTY INC
877 South St Ste 4EPittsfieldMA01201042542001501(C)(3)$10,000GENERAL SUPPORT
Community Harvest Project
37 Wheeler RoadNorth GraftonMA01536043424018501(C)(3)$19,500GENERAL SUPPORT
THE HEALTH FOUNDATION INC
664 Main St fl 20WORCESTERMA01608042633274501 (C)(4)$25,000GENERAL SUPPORT
Be Like Brit Foundation
66 Pullman StreetWorcesterMA01606271857525501(c)(3)$6,000GENERAL SUPPORT
Boston Area Gleaners Inc
91 Martin StreetActonMA01720300434755501(c)(3)$10,000GENERAL SUPPORT
Catholic Charities
10 Hammond StreetWorcesterMA01610042103979501(c)(3)$31,547GENERAL SUPPORT
Cheshire Pantry
PO Box KCheshireMA01225842607415501(c)(3)$7,000GENERAL SUPPORT
City of Worcester
75 Lovell StreetWorcesterMA01603046001418501(c)(3)$2,500GENERAL SUPPORT$7,460FMVFURNITURE DONATION
Coastline Elderly Services Inc
863 Belleville AvenueNew BedfordMA02745042622121501(c)(3)$12,760GENERAL SUPPORT
Discover Central MA
311 Main StreetWorcesterMA01608474881059501(c)(6)$25,000GENERAL SUPPORT
D'Youville Life and Wellness Community
981 Varnum AvenueLowellMA01879912055004501(c)(3)$5,250GENERAL SUPPORT
Edward M Kennedy Health Care Center
042513817501(c)(3)$16,450GENERAL SUPPORT
El Buen Samaritano Food Program
39 Piedmont StreetWorcesterMA01610043117161501(c)(3)$16,500GENERAL SUPPORT
Family Health Center Worcester
26 Queen StreetWorcesterMA01610042485308501(c)(3)$10,500GENERAL SUPPORT
Food Link Inc
108 Summer StreetArlingtonMA02474471840355501(c)(3)$10,000GENERAL SUPPORT
Friendly House
36 Wall StreetWorcesterMA01604042104239501(c)(3)$10,000GENERAL SUPPORT
Growing Places
325 Lindell AvenueLeominsterMA01453100004885501(c)(3)$15,000GENERAL SUPPORT
Latin American Business Organization (LABO)
33 Highland StreetWorcesterMA01602810824363501(c)(3)$7,000GENERAL SUPPORT
Lorraine's Soup Kitchen
170 Pendexter AvenueChicopeeMA01013042616751501(c)(3)$7,500GENERAL SUPPORT
Lovin' Spoonfuls
189 Wells AvenueNewtonMA02459271810597501(c)(3)$10,000GENERAL SUPPORT
Massachusetts Taxpayers Foundation
333 Washington St Ste 853BostonMA02108041590310501(c)(3)$7,000GENERAL SUPPORT
Mustard Seed Catholic Worker Community Inc
93 Piedmont StreetWorcesterMA01609473600849501(c)(3)$7,000GENERAL SUPPORT
Nativity School of Worcester
67 Lincoln StreetWorcesterMA01605030385377501(c)(3)$19,902GENERAL SUPPORT
Net of Compassion Corp
674 Main StreetWorcesterMA01610475387634501(c)(3)$5,500GENERAL SUPPORT
Open Sky Community Services Inc
4 Mann StreetWorcesterMA01602042587863501(c)(3)$95,500GENERAL SUPPORT
Pakachoag School Auburn
203 Pakachoag StreetAuburnMA01501043029253501(c)(3)FURNITURE DONATION$5,850FMVFURNITURE
Southeast Asian Coalition
484 Main St Ste 400WorcesterMA01608043393955501(c)(3)$28,793GENERAL SUPPORT
The Journey Community Church
27 Belmont StreetWorcesterMA01605464261664501(c)(3)$9,000GENERAL SUPPORT
The Nutrition Center (fiscal agent for Western MA
205 N Plain RdGreat BarringtonMA01230061812530501(c)(3)$9,500GENERAL SUPPORT
The Open Pantry of Greater Lowell
13 Hurd StLowellMA01852222474729501(c)(3)$8,500GENERAL SUPPORT
United Way of Tri-County
46 Park StreetFraminghamMA01702042104231501(c)(3)$20,000GENERAL SUPPORT
Why Me
1152 Pleasant StreetWorcesterMA01602042880644501(c)(3)$14,416GENERAL SUPPORT
WooSox Foundation
100 Madison StreetWorcesterMA01608844493574501(c)(3)$7,000GENERAL SUPPORT
Worcester Center for Performing Arts (the Hanover
2 Southbridge StWorcesterMA01608050521735501(c)(3)$6,700GENERAL SUPPORT
Worcester Community Action Council
18 Chestnut St Ste 500WorcesterMA01608042382160501(c)(3)$4,500GENERAL SUPPORT$5,248FMVFURNITURE
Worcester County Senior Athletic Association
13 Harberton DrLeicesterMA01524820713031501(c)(3)$5,500GENERAL SUPPORT
Worcester Railers HC Charitable Foundation
112 Harding StreetWorcesterMA01604811645767501(c)(3)$9,000GENERAL SUPPORT
Yes We Care
55 Illinois StreetWorcesterMA01610272939066501(c)(3)$10,000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org48Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationDescription of Organization's Procedures for Monitoring the Use of Grants FCHP GRANTS ARE CLASSIFIED EITHER AS A COMMUNITY BENEFIT GRANT OR A COMMUNITY RELATIONS GRANT. THE COMMUNITY BENEFIT GRANTS ARE VERIFIED TO ENSURE THAT EACH RECIPIENT IS A 501(C)(3) ORGANIZATION. THE COMMUNITY RELATIONS GRANTS ARE VERIFIED TO ENSURE THAT THE RECIPIENT ORGANIZATION'S IRS STATUS IS LISTED AS A TAX-EXEMPT ORGANIZATION IN THE INTERNAL REVENUE CODE SECTION 501(C). EACH RECIPIENT OF FCHP GRANT HAS SPECIFIC INSTRUCTIONS TO BE FOLLOWED AS TO THE USE OF THE GRANT, AND THAT THE GRANT IS TO BE EXPENDED WITHIN 1 YEAR FROM THE AWARD. FOR ANY GRANTS IN EXCESS OF $10,000, fchp REQUESTS A GRANT REPORT DETAILING THE GRANT USES. THESE REPORTS ARE REVIEWED AND KEPT ON FILE AT FCHP.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionYes (true)InitialContractExceptionInd
Rebuttable Presumption ProcYes (true)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTINE CASSIDY
SVP, CHIEF COMM. OFFICER$263,383$0$65,856$0$23,307$0$127,113$0$27,846$0$507,505$0$85,314$0
DAVID BRUMLEY MD
SVP and Chief Medical Officer$423,343$0$67,814$0$4,815$0$190,248$0$41,500$0$727,720$0$67,814$0
DEBORAH DAVIAU
MEDICARE & EXEC. DIR. NAVICARE$220,167$0$38,188$0$2,322$0$77,033$0$17,916$0$355,626$0$38,188$0
EMILY L WEST
SVP, CHIEF OPERATING OFFICER$391,235$0$97,403$0$12,060$0$184,475$0$28,422$0$713,595$0$97,403$0
JAMES GENTILE
SVP, CHIEF COMPLIANCE OFFICER$286,639$0$70,814$0$22,525$0$139,222$0$17,061$0$536,261$0$90,557$0
JANIS LIEPINS
VP Medicaid$280,912$0$59,893$0$6,858$0$121,200$0$34,400$0$503,263$0$59,893$0
JILL GREEN LEBOW
SVP, CHIEF HR OFFICER$351,689$0$92,927$0$25,260$0$165,921$0$37,833$0$673,630$0$116,952$0
KEVIN MCGOVERN
VP, TREASURER$175,322$0$52,884$0$2,193$0$10,400$0$18,969$0$259,768$0$52,884$0
KRISTINE BOSTEK
SVP, PACE Programs eff. 5/9/22$286,490$0$57,574$0$1,400$0$129,314$0$37,855$0$512,633$0$57,574$0
LINDA WEINREB
MEDICAL DIRECTOR, MCD ACO$322,318$0$68,866$0$13,382$0$112,586$0$37,107$0$554,259$0$68,866$0
MARK DICHTER
VP, Medical Director for UM$312,294$0$50,654$0$3,564$0$108,110$0$34,557$0$509,179$0$0$0
MARY RITTER
SVP, CHIEF STRTGY & GOVT. PROG$362,802$0$92,664$0$28,277$0$175,757$0$38,644$0$698,144$0$115,421$0
MATTHEW HERNDON
SVP, Chief State Prog. Officer$305,515$0$0$0$3,074$0$145,769$0$27,405$0$481,763$0$0$0
RANDI BERKOWITZ
VP, Medical Director$327,063$0$31,669$0$1,242$0$118,538$0$33,709$0$512,221$0$0$0
RICHARD P BURKE
PRESIDENT & CEO$892,714$0$358,020$0$169,057$0$692,878$0$45,531$0$2,158,200$0$500,053$0
TODD BAILEY
SVP, CHIEF FINANCIAL OFFICER$462,481$0$119,779$0$24,972$0$212,624$0$8,535$0$828,391$0$140,113$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3:THE FCHP BOARD HAS THE AUTHORITY AND DISCRETION TO DETERMINE COMPENSATION OF THE SENIOR EXECUTIVES AND EXECUTIVE INCENTIVES. THE DISCRETION IS TYPICALLY EXERCISED THROUGH THE BOARD'S EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE, WHICH HAS THE AUTHORITY TO DISCHARGE THE BOARD'S RESPONSIBILITIES FOR COMPENSATION AND EXECUTIVE INCENTIVES. HOWEVER, THE DISCRETIONARY COMPENSATION/INCENTIVES RECOMMENDED MUST BE WITHIN THE PARAMETERS OF THE STANDARDS THAT THE COMMITTEE HAS ESTABLISHED AND NEEDS TO BE CONSISTENT WITH THE IRS STANDARDS OF REASONABLENESS FOR SUCH INCENTIVES PROVIDED TO NONPROFIT EXECUTIVES.
SCHEDULE J, PART I, LINE 4B:SEE ALSO PART I, LINE 7 SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FCHP OFFERED A SUPPLEMENTAL EXECUTIVE RETIREMENT 457(F) PLAN (SERP), THAT COVERED CERTAIN EXECUTIVES IN THE ORGANIZATION. PARTICIPANTS IN THIS PLAN VESTED ANNUALLY AND RECEIVED DISTRIBUTIONS ONCE VESTING REQUIREMENTS WERE MET. SERP CONTRIBUTIONS COULD BE MADE ON BEHALF OF AN EMPLOYEE WHO WAS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE DIVISION PRESIDENT, SENIOR CARE SERVICES, AN EXECUTIVE OR SENIOR VICE PRESIDENT. IN ADDITION, CONTRIBUTIONS COULD BE MADE ON BEHALF OF ANY EMPLOYEE WHO WAS DESIGNATED AS ELIGIBLE FOR A PLAN BY THE BOARD AT ITS DISCRETION. THE 457 (F) PLAN SERP WAS FROZEN ON DECEMBER 31, 2021 AND THE BOARD DECIDED IT WOULD NO LONGER MAKE DISCRETIONARY CONTRIBUTIONS ON BEHALF OF ANY PARTICIPANT FOR THE YEARS 2018 - 2021. IN 2022, THE FOLLOWING INDIVIDUALS LISTED IN SCHEDULE J, PART II RECEIVED DISTRUBTIONS FROM THE 457 (F) SERP PLAN FOR YEARS 2018 - 2021. AMOUNTS PAID UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B) (III) AND ARE LISTED BELOW. AMOUNTS DEFERRED IN PRIOR YEARS WERE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). CONTRIBUTIONS THAT WERE PREVIOUSLY REPORTED ON A PRIOR FORM 990 AND ARE PAID OUT IN THE CURRENT YEAR ARE REPORTED IN SCHEDULE J, PART II, COLUMN (F). NAME AMOUNT VESTED AND PAID RICHARD P. BURKE 142,033 TODD BAILEY 20,334 CHRISTINE CASSIDY 19,458 JAMES GENTILE 19,743 JILL LEBOW 24,025 MARY RITTER 22,757 FCHP ESTABLISHED A NEW NON-QUALIFIED DEFERRED COMPENSATION PLAN (THE "PLAN"), WHICH PROVIDES DISCRETIONARY INCENTIVE AWARDS TO EXECUTIVE OFFICERS AND OTHER SELECTED EMPLOYEES OF THE COMPANY TO INCENTIVIZE THEM TO REINFORCE CRITICAL LONG-TERM STRATEGIC GOALS AND ENCOURAGE SUSTAINED YEAR-TO-YEAR PERFORMANCE RELATIVE TO KEY FINANCIAL AND STRATEGIC INDICATORS. THE PLAN REPLACED THE AFOREMENTIONED 457 (F) PLAN (SERP), EFFECTIVE JANUARY 1, 2022. THIS LONG-TERM INCENTIVE PLAN QUALIFIES AS 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PARTICIPANT WILL RECEIVE A CASH DISTRIBUTION AFTER THE END OF THE APPLICABLE PERFORMANCE PERIOD, IN MARCH OR APRIL OF THE CALENDAR YEAR FOLLOWING THE LAST DAY OF THE APPLICABLE PERFORMANCE PERIOD. IF THE PARTICIPANT'S EMPLOYMENT TERMINATES OR HAS A SEPARATION FROM SERVICE FOR ANY REASON OTHER THAN IN THE EVENT OF DEATH, DISABILITY, RETIREMENT OR CHANGE OF CONTROL PRIOR TO THE DATE OF THE CASH DISTRIBUTION, THE PARTICIPANT WILL NOT BE ELIGIBLE TO RECEIVE PAYMENT AND THE AWARD WILL BE CANCELLED AND FORFEITED IN ITS ENTIRETY. AMOUNTS DEFERRED UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). THESE AMOUNTS WOULD NOT BE CONSIDERED VESTED AS OF 12/31/2022, AS THE PLAN'S FIRST PERFORMANCE PERIOD IS EFFECTIVE JANUARY 1, 2022 THROUGH DECEMBER 31, 2024.
SCHEDULE J, PART I, LINE 7:CORPORATE INCENTIVE PLAN FCHP HAS A CORPORATE INCENTIVE PLAN FOR CERTAIN EMPLOYEES TO REWARD ACHIEVEMENT OF FINANCIAL AND STRATEGIC GOALS OF THE ORGANIZATION. ON AN ANNUAL BASIS, THE ORGANIZATION PAYS ELIGIBLE PARTICIPANTS THEIR INCENTIVE COMPENSATION, PART OF WHICH IS BASED OFF OPERATING INCOME TARGETS. EMPLOYEES MUST BE EMPLOYED IN GOOD STANDING THROUGH THE TIME OF PAYOUT. INCENTIVE PAYMENTS ARE TYPICALLY PAID OUT THE FIRST PAY CYCLE IN APRIL FOR THE PRECEEDING YEAR. IN 2022 CERTAIN EMPLOYEES LISTED IN SCHEDULE J, PART II PARTICIPATED IN THE PLAN. AMOUNTS PAID BY THE ORGANIZATION UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(II). CONTRIBUTIONS THAT WERE PREVIOUSLY REPORTED ON A PRIOR FORM 990 IN SCHEDULE J, PART II, COLUMN (C) ARE PAID OUT IN THE CURRENT YEAR AND ARE REPORTED IN SCHEDULE J, PART II, COLUMN (F). SEE ALSO SCHEDULE J, PART 1, LINE 3.
SCHEDULE J, PART I, LINES 8 AND 9:MATTHEW HERNDON, SVP, CHIEF STATE PROGRAM OFFICER, HAS AN INITIAL EMPLOYMENT CONTRACT THAT DESCRIBES HIS INITIAL COMPENSATION AND BENEFITS.
SCHEDULE J, PART I, LINE 1AFCHP HAS A GIFT CARD POLICY THAT THE COMPANY PAYS ALL APPLICABLE TAXES ON BEHALF OF THE EMPLOYEE. THE VALUE OF THE GIFT CARD IS INCLUDED IN THE EMPLOYEE'S TAXABLE INCOME. THIS POLICY APPLIES TO ALL FCHP EMPLOYEES. IN 2022, THE FOLLOWING INDIVIDUALS LISTED IN SCHEDULE J, PART II RECEIVED GIFT CARDS FROM FCHP DURING THE YEAR. NAME AMOUNT PAID EMILY WEST $100 CHRISTINE CASSIDY $100 DAVID BRUMLEY MD $50

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ORGANIZATION MISSION AND PROGRAM ACTIVITIESFORM 990, PART I LINE 1 ORGANIZATION MISSION AND PROGRAM ACTIVITIES FOUNDED IN 1977, FALLON COMMUNITY HEALTH PLAN, INC. ("FALLON HEALTH") IS A LEADING HEALTH CARE SERVICES ORGANIZATION WITH A MISSION TO PROVIDE CARE, COVERAGE AND SERVICES DESIGNED TO MEET THE UNIQUE AND CHANGING NEEDS OF THE COMMUNITIES IT SERVES. IN ADDITION TO OFFERING INNOVATIVE HEALTH INSURANCE SOLUTIONS, FALLON HEALTH EXCELS AT CREATING UNIQUE HEALTH CARE PROGRAMS AND SERVICES THAT PROVIDE COORDINATED, INTEGRATED CARE FOR OLDER ADULTS AND INDIVIDUALS WITH COMPLEX HEALTH NEEDS. WITH A PREDOMINANT FOCUS ON GOVERNMENT SPONSORED HEALTH INSURANCE PROGRAMS, FALLON HEALTH'S PRODUCT PORTFOLIO INCLUDES A VARIETY OF MEDICAID AND MEDICARE ADVANTAGE PLANS. AS A PROVIDER OF CARE, FALLON OFFERS A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY.
FORM 990, PART III, LINE 4AGOVERNMENT PROGRAMS FROM ITS VERY START IN 1977, FALLON HEALTH HAS ALWAYS BEEN COMMITTED TO SERVING THE HEALTH CARE NEEDS OF INDIVIDUALS ENROLLED IN MEDICARE AND MEDICAID PROGRAMS. IT HAS WORKED TO EXPAND THOSE OFFERINGS OVER THE YEARS, ANNOUNCING IN 2021 THAT IT WOULD PRIMARILY FOCUS ITS RESOURCES ON GOVERNMENT-SPONSORED HEALTH INSURANCE PROGRAMS. LISTED BELOW IS THE COMPLETE LIST OF THE GOVERNMENT-SPONSORED PROGRAMS FALLON HEALTH OFFERED IN 2022 IN MASSACHUSETTS AND, THROUGH FALLON HEALTH WEINBERG, IN NEW YORK. . MEDICARE ADVANTAGE AND MEDICARE SUPPLEMENT (MASSACHUSETTS) . MASSHEALTH ACCOUNTABLE CARE ORGANIZATION PARTNERSHIP PLANS (MASSACHUSETTS) . MEDICARE ADVANTAGE SPECIAL NEEDS PLAN AND SENIOR CARE OPTIONS (MASSACHUSETTS) . PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) (MASSACHUSETTS AND NEW YORK) . SUBSIDIZED, LIMITED-NETWORK PLAN (MASSACHUSETTS) . MANAGED LONG TERM CARE (MLTC) PLAN (NEW YORK) THESE PROGRAMS ENABLE FALLON HEALTH TO SERVE MEMBERS OF ALL AGES, AT ALL INCOME LEVELS AND WITH ALL TYPES OF HEALTH NEEDS. THERE ARE SEVERAL NOTABLE FACTS WHEN IT COMES TO FALLON HEALTH'S HISTORY IN GOVERNMENT PROGRAMS: . IN 1979, FALLON HEALTH RECEIVED THE FIRST CONTRACT IN MASSACHUSETTS TO COVER MEDICAID BENEFICIARIES. . IN 1980, FALLON HEALTH WAS THE FIRST HEALTH PLAN IN THE COUNTRY TO OFFER A MEDICARE ADVANTAGE PLAN. . IN 1995, FALLON HEALTH STARTED ITS PACE PROGRAM IN MASSACHUSETTS, KNOWN TODAY AS SUMMIT ELDERCARE. IT IS THE LARGEST PACE PROGRAM IN NEW ENGLAND AND INCLUDES SIX PACE CENTERS - FIVE IN MASSACHUSETTS AND ONE IN WESTERN NEW YORK. . IN 2010, FALLON HEALTH LAUNCHED NAVICARE, A MEDICARE ADVANTAGE SPECIAL NEEDS PLAN AND SENIOR CARE OPTIONS PROGRAM IN MASSACHUSETTS. . IN 2017, FALLON HEALTH FORMED MASSHEALTH ACCOUNTABLE CARE ORGANIZATION PARTNERSHIP PLANS WITH THE FOLLOWING PROVIDER GROUPS: . BERKSHIRE HEALTH SYSTEMS AND COMMUNITY HEALTH PROGRAMS . RELIANT MEDICAL GROUP . WELLFORCE (NOW TUFTS MEDICINE) AND ITS PROVIDER ORGANIZATIONS
FORM 990, PART III, LINE 4BCOMMERCIAL PRODUCTS AND SERVICES ON MARCH 31, 2021, FALLON HEALTH ANNOUNCED THAT IT WOULD BEGIN PRIMARILY FOCUSING ITS RESOURCES ON SUPPORTING THE HEALTH CARE NEEDS OF INDIVIDUALS ENROLLED IN GOVERNMENT-SPONSORED HEALTH INSURANCE PROGRAMS. THESE ACTIONS RESULTED IN THE COMPLETE WITHDRAWAL FROM THE COMMERCIAL MARKET OF FALLON HEALTH'S SELECT CARE AND DIRECT CARE HMO PRODUCTS BY THE END OF AUGUST 2022. FALLON HEALTH CONTINUES TO SELL ITS COMMUNITY CARE PRODUCT ON THE HEALTH CONNECTOR. THE PRODUCT IS AVAILABLE TO INDIVIDUALS AND SMALL GROUPS IN MIDDLESEX COUNTY, PARTS OF NORFOLK AND WORCESTER COUNTIES, AND IN ONE TOWN IN BRISTOL COUNTY (MANSFIELD).
FORM 990, PART III, LINE 4CCOMMUNITY GIVING FALLON HEALTH'S COMMUNITY BENEFITS PROGRAM IS RUN IN ACCORDANCE WITH THE MASS. ATTORNEY GENERAL'S GUIDELINES FOR HEALTH MAINENANCE ORGANIZATIONS. OUR COMMITMENT TO THE ORGANIZATION'S MISSION GUIDES US IN THE WORK WE DO IN SUPPORT OF THE DIVERSE COMMUNITIES WE SERVE. THE GOALS OF THE FALLON HEALTH COMMUNITY BENEFITS PROGRAM ARE TO: . SUPPORT PROGRAMS THAT WILL IMPROVE THE HEALTH STATUS OF ECONOMICALLY UNDERSERVED OR AT-RISK POPULATIONS, CHILDREN, YOUTH AND ELDERS WITHIN OUR SERVICE AREA. . CONTINUE FALLON'S ROLE AS A HEALTH EDUCATOR BY PROVIDING RESOURCES, HOSTING HEALTH AND INFORMATION PROGRAMS AND BY BRINGING GENERAL INFORMATION TO THE PUBLIC THROUGH SPEAKING ENGAGEMENTS, PROGRAMS AND THE USE OF OUR COMMUNICATION PLATFORMS. . CONVENE KEY COMMUNITY STAKEHOLDERS, PROVIDERS, COMMUNITY-BASED ORGANIZATIONS AND INDIVIDUALS TO DISCUSS ESCALATING HEALTH ISSUES THAT HAVE A SIGNIFICANT EFFECT ON THE COMMUNITY'S POSITIVE HEALTH OUTCOMES AND OVERALL COST OF CARE. . WORK COLLABORATIVELY WITH OTHER HEALTH CARE PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS TO DEVELOP AND IMPLEMENT PROGRAMS TARGETING UNDERSERVED OR AT-RISK POPULATIONS AS DETERMINED BY THE NEEDS OF EACH OF THE COMMUNITIES WE SERVE. . PARTNER WITH BUSINESSES, COMMUNITY-BASED ORGANIZATIONS AND LOCAL CITIES, TOWNS AND STATE AGENCIES TO DEVELOP, SUPPORT AND/OR IMPLEMENT COMMUNITY HEALTH IMPROVEMENT PLANS AND PROGRAMS THAT ARE IDENTIFIED THROUGH LOCAL COMMUNITY HEALTH ASSESSMENTS AND ADDRESS THE BARRIERS THAT IMPACT POSITIVE HEALTH OUTCOMES. . CONTINUE TO FIND WAYS TO DELIVER OR PROVIDE ACCESS TO CULTURALLY COMPETENT, HIGH-QUALITY, LOW-COST HEALTH CARE COVERAGE TO PEOPLE OF ANY AGE, RACE, ETHNICITY, RELIGION, ABILITY, SEXUAL ORIENTATION, GENDER IDENTITY, HEALTH STATUS AND INCOME LEVEL. IN 2022, OUR LONG-STANDING COMMITMENT TO THE COMMUNITIES WE SERVE WAS DEMONSTRATED IN A NUMBER OF WAYS, INCLUDING: . SPONSORING FOOD INSECURITY INITIATIVES WITH COMMUNITY PARTNERS INCLUDING HOCKEY CHECKS HUNGER (WORCESTER RAILERS) AND STRIKE OUT HUNGER (WORCESTER RED SOX) . AWARDING $150,000 IN COMMUNITY IMPACT GRANTS FOR PROJECTS TARGETING FOOD INSECURITY AND SOCIAL ISOLATION AMONG OLDER ADULTS . RAISING MORE THAN $64,000 TO BENEFIT THE UNITED WAY OF CENTRAL MASS.' ANNUAL CAMPAIGN (EMPLOYEES) . COMPLETING MORE THAN 12,000 HOURS OF COMMUNITY SERVICE (EMPLOYEES) FALLON HEALTH'S FUNDING PRIORITY AREAS AFTER A COMPREHENSIVE REVIEW OF THE FINDINGS OF THE 2021 GREATER WORCESTER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE IDENTIFIED OBJECTIVES AND STRATEGIES FROM THE GREATER WORCESTER COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) COMPLETED IN 2022, AND A REVIEW OF THE CHNAS CONDUCTED IN BERKSHIRE COUNTY, GREATER LOWELL, METRO WEST, NORTHERN WORCESTER COUNTY, SOUTH SHORE AND WESTERN MASS., THE FOLLOWING RECOMMENDATIONS WERE PRESENTED AS THE FUNDING PRIORITIES FOR FALLON'S COMMUNITY BENEFITS PROGRAM FOR 2021-2023: . FOOD INSECURITY - TO HELP MAINTAIN FOOD ASSISTANCE PROGRAMS FOR THOSE AREAS OR POPULATIONS THAT ARE PARTICULARLY VULNERABLE TO FOOD INSECURITY. IN ADDITION TO TRADITIONAL RESOURCES, FALLON SUPPORTS NEW, INNOVATIVE PROGRAMMING. . HEALTH INITIATIVES FOR OLDER ADULTS - TO SUPPORT OLDER ADULTS THROUGH PROGRAMS THAT PROVIDE ACCESS TO CARE INCLUDING BEHAVIORAL HEALTH RESOURCES, SAFETY MEASURES IN THEIR HOMES AND COMMUNITIES, AND ACCESS TO FOOD AND UTILITIES. IN 2022, FALLON HEALTH DISTRIBUTED $1,280,924.70 TO PROGRAMS THAT MET THE GOALS OF FALLON'S COMMUNITY BENEFITS PROGRAM. THIS WAS ACCOMPLISHED BY CONTRIBUTING $494,546 OF COMMUNITY GRANTS AND PARTICIPATING IN OTHER PROGRAMS, INCLUDING DIRECT EXPENSES, LEVERAGED EXPENSES, STAFF VOLUNTEER TIME, AND PHILANTHROPIC INITIATIVES THROUGH CORPORATE SPONSORSHIPS, TOTALLING $786,378. FALLON HEALTH'S EMPLOYEES ARE ALSO ENCOURAGED TO VOLUNTEER IN THE COMMUNITY. AND EACH INDIVIDUAL IS PROVIDED EIGHT HOURS OF PAID WORK TIME TO DO SO. IN 2022, OUR EMPLOYEES LOGGED 12,300 HOURS OF COMMUNITY SERVICE WITH 676 HOURS OF THAT PUT TOWARDS FALLON HEALTH DRIVEN INITIATIVES. FALLON HEALTH ALSO GIVES BACK THROUGH CORPORATE GIVING AND GENEROUS EMPLOYEE DONATIONS IN 2022, EMPLOYEES USED APPROXIMATELY 161 HOURS TO SUPPORT THE UNITED WAY'S CAMPAIGN ACTIVITIES. THESE EFFORTS HELPED TO RAISE APPROXIMATELY $64,605. THE MAJORITY OF THESE FUNDS WERE DISTRIBUTED TO THE UNITED WAY OF CENTRAL MASS. THE REMAINING FUNDS WERE DISTRIBUTED TO THE UNITED WAY OF TRI-COUNTY, INC., UNITED WAY OF MASS. BAY & MERRIMACK VALLEY, THE UNITED WAY OF NORTH CENTRAL MASS., UNITED WAY OF SOUTH CENTRAL MASS., THE UNITED WAY OF GREATER FALL RIVER, BERKSHIRE COUNTY UNITED WAY, UNITED WAY OF FRANKLIN COUNTY, UNITED WAY OF GREATER PLYMOUTH COUNTY AND THE UNITED WAY OF PIONEER VALLEY. IN 2022, WE CONTINUED OUR FOCUS ON SUPPORTING FOOD PANTRIES TO FEED UNDERSERVED OR AT-RISK OLDER ADULTS, FAMILIES AND CHILDREN, INCLUDING THE HOCKOMOCK AREA YMCA, THE ELDER SERVICES OF THE BERKSHRIES, THE OPEN DOOR/CAPE ANN FOOD PANTRY AND THE BOYS & GIRLS CLUB OF WORCESTER. IN ADDITION, EMPLOYEES PROVIDED MEALS FOR 472 FAMILIES ACROSS OUR KEY SERVICE AREA WITH OUR FEED-A-FAMILY PROGRAM IN BERKSHIRE COUNTY, SPRINGFIELD, LEOMINSTER, LOWELL, WEBSTER AND WORCESTER TOTALING $28,320 IN FOOD DONATIONS. FOOD INSECURITY HAS LONG BEEN AN ISSUE NATIONALLY AND IN THE LOCAL COMMUNITY. FALLON HEALTH AND THE WORCESTER RED SOX PARTNERED TOGETHER TO RAISE CRITICAL FUNDS AND AWARENESS ON THE ISSUE. IN 2022, THE STRIKE OUT HUNGER CAMPAIGN CULMINATED IN A $50,000 DONATION TO THE WORCESTER COUNTY FOOD BANK. SIGNATURE HEALTH AND WELLNESS PROGRAMS ARE ALSO KEY TO OUR MISSION AT FALLON. IN 2022, WE REACHED 2,173 PEOPLE IN MASSACHUSETTS. THIS WAS ACHIEVED IN A VARIETY OF WAYS INCLUDING PROVIDING SCREENINGS AND WELLNESS PRESENTATIONS TO UNDERSERVED POPULATIONS.
FORM 990, PART VI, LINE 2FAMILY OR BUSINESS RELATIONSHIP BETWEEN OFFICERS, DIRECTORS, AND KEY EMPLOYEES. FALLON HEALTH & LIFE ASSURANCE CO., INC. (FHLAC) IS A WHOLLY-OWNED SUBSIDIARY OF FCHP. THE FOLLOWING FCHP BOARD MEMBERS AND OFFICERS SERVED ON THE FHLAC BOARD OF DIRECTORS IN 2022: JAMES R. BUONOMO, JOHN B. DILL, ANN K. TRIPP (UNTIL JUNE 24, 2022), FREDERICK MISILO, ESQ., JANET S. RICO, DEBORAH C. ENOS, JOSEPH N. STOLBERG, CPA(STARTING JUNE 24, 2022), AND RICHARD P. BURKE (EX OFFICIO). ULTRABENEFITS, INC. (UBI) IS A WHOLLY-OWNED SUBSIDIARY OF FHLAC. THE FOLLOWING FCHP OFFICERS AND KEY EMPLOYEE SERVED ON THE UBI BOARD OF DIRECTORS IN 2022: RICHARD P. BURKE, JANIS LIEPINS, AND TODD BAILEY. GROUP INSURANCE SERVICE CENTER AGENCY, INC. (GISC AGENCY), IS A WHOLLY-OWNED SUBSIDIARY OF UBI. THE FOLLOWING FCHP OFFICERS AND KEY EMPLOYEES SERVED ON THE BOARD OF GISC AGENCY IN 2022: RICHARD P. BURKE, JANIS LIEPINS, AND TODD BAILEY.
FORM 990, PART VI, LINE 11BTHE PROCESS USED BY MANAGEMENT AND GOVERNING BODY TO REVIEW FORM 990 A DRAFT OF THE FORM 990 IS PREPARED BY FCHP AND REVIEWED BY ITS TAX CONSULTING FIRM. THE FINAL VERSION OF THE FORM 990 IS PROVIDED TO BOARD MEMBERS FOR REVIEW PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, LINE 12CTHE PROCESS USED TO MONITOR CONFLICTS OF INTEREST FCHP'S BYLAWS REQUIRE ALL DIRECTORS AND OFFICERS TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AS DEFINED IN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY RELATING TO DIRECTORS, OFFICERS AND MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS. THIS IS ENFORCED BY THE REQUIREMENT THAT SUCH INDIVIDUALS ANNUALLY COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. EACH YEAR THE COMPLETED CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD WHICH REPORTS ANY ACTUAL OR POTENTIAL CONFLICTS TO THE FULL BOARD. ANY BOARD MEMBER OR OFFICER WITH A CONFLICT OF INTEREST IS PROHIBITED FROM PARTICIPATING IN ANY DISCUSSION OF, OR VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. TWO INDEPENDENT BOARD MEMBERS ALSO CONDUCT AN ANNUAL REVIEW OF ANY BUSINESS TRANSACTIONS INVOLVING THE ORGANIZATION THAT COULD POTENTIALLY BENEFIT A BOARD MEMBER OR OFFICER, TO ENSURE THAT THE TRANSACTIONS DO NOT INVOLVE ANY UNDUE INFLUENCE, ARE AT FAIR MARKET VALUE, AND ARE IN THE ORGANIZATION'S BEST INTEREST. THE REVIEWING BOARD MEMBERS REPORT THEIR FINDINGS TO THE FULL BOARD. FURTHERMORE, AT BOARD MEETINGS, INDIVIDUAL BOARD MEMBERS ARE ASKED TO IDENTIFY, AND RECUSE THEMSELVES FROM ANY DISCUSSION AND VOTE ON ANY MATTER BEFORE THE BOARD IN WHICH THEY MAY HAVE A CONFLICT. FCHP ALSO REQUIRES ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO COMPLETE A WRITTEN DISCLOSURE STATEMENT DESIGNED TO IDENTIFY POTENTIAL CONFLICTS. FCHP ALSO HAS GENERAL CORPORATE-WIDE CONFLICT OF INTEREST POLICIES THAT REQUIRE REPORTING OF POTENTIAL CONFLICTS AND MANAGEMENT APPROVAL OF CERTAIN TRANSACTIONS, AND PROHIBITS CERTAIN SPECIFIC TRANSACTIONS. THESE POLICIES ARE ENFORCED BY SENIOR MANAGEMENT, INCLUDING THE CHIEF COMPLIANCE OFFICER.
FORM 990, PART VI, LINES 15A & 15BPROCESS OF DETERMINING COMPENSATION FOR CEO, TOP MANAGEMENT OFFICIALS, OFFICERS, AND KEY EMPLOYEES. FCHP HAS ESTABLISHED AN EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE (THE "COMMITTEE") OF THE BOARD OF DIRECTORS THAT ESTABLISHES POLICIES AND THE COMPENSATION STRUCTURE OF CERTAIN FCHP EXECUTIVE OFFICERS. THIS COMMITTEE IS RESPONSIBLE FOR ASSURING THAT THE TOTAL COMPENSATION PROVIDED TO THESE EXECUTIVE OFFICERS IS DETERMINED BY A FAIR AND EQUITABLE PROCESS, INFORMED BY CURRENT AND CREDIBLE MARKET PRACTICE INFORMATION, AND COMPLIANT WITH APPLICABLE LEGAL AND REGULATORY GUIDELINES. IN 2022, THE COMMITTEE CONSISTED OF THREE MEMBERS OF FCHP'S BOARD OF DIRECTORS WHO ARE NOT EMPLOYED BY THE ORGANIZATION. FCHP'S CEO SERVED AS AN EX OFFICIO MEMBER OF THE COMMITTEE WITHOUT A VOTING RIGHT. THE EXECUTIVE OFFICERS OVER WHOSE COMPENSATION THE COMMITTEE IS RESPONSIBLE ARE COMPRISED OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER ("CEO"), AND THE EXECUTIVE VICE PRESIDENT, AND SENIOR VICE PRESIDENT POSITIONS THAT REPORT DIRECTLY TO THE CEO ("EXECUTIVE GROUP"). IN 2022, TO DETERMINE THE COMPENSATION STRUCTURE OF THE EXECUTIVE GROUP, THE COMMITTEE RELIED ON A WRITTEN COMPENSATION SURVEY PRODUCED BY AN INDEPENDENT CONSULTING FIRM THAT ASSESSES EXECUTIVE COMPENSATION AND BENEFITS. THE COMMITTEE MET TO REVIEW THE COMPENSATION STRUCTURE OF THE EXECUTIVE GROUP AND REVIEWED THE COMPENSATION SURVEY PREPARED BY THE INDEPENDENT CONSULTING FIRM. THE COMMITTEE THEN VOTED TO APPROVE THE COMPENSATION OF THE EXECUTIVE GROUP (OTHER THAN THE CEO). FOR THE CEO'S COMPENSATION THE COMMITTEE (MEETING WITHOUT THE CEO) RECOMMENDED A COMPENSATION STRUCTURE THAT WAS PRESENTED TO THE FCHP'S BOARD OF DIRECTORS. THE BOARD OF DIRECTORS (WITHOUT THE CEO PRESENT), VOTED TO APPROVE THE COMMITTEE'S RECOMMENDATION. ALL THESE DELIBERATIONS WERE CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES OF THE COMMITTEE AND BOARD OF DIRECTORS.
FORM 990, PART VI, LINES 18 AND 19HOW DOCUMENTS ARE MADE AVAILABLE TO PUBLIC FCHP'S FORM 990 AND ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. FCHP'S 990, FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ANNUAL REPORT ARE ALSO PROVIDED UPON REQUEST.
FORM 990, PART VII, SECTION A, COLUMN ANAME AND TITLE: THE FOLLOWING INDIVIDUAL'S TITLE CHANGED DURING THE YEAR: KRISTINE BOSTEK: FROM: VP, SUMMIT ELDERCARE AND FALLON HEALTH WEINBERG PACE, UNTIL 5/22. TO: SVP, PACE PROGRAMS, EFFECTIVE 5/22. DAVID BRUMLEY MD: FROM: INTERIM CHIEF MEDICAL OFFICER, UNTIL 5/22. TO: SVP AND CHIEF MEDICAL OFFICER, EFFECTIVE 5/22.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1FCHP NEW YORK LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 CHESTNUT STAddressLine1Txt
CityWORCESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01608ZIPCd
FieldValueIRS element (for citing)
EIN464193932EIN
Primary ActivitiesHEALTH CAREPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1FCHPBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
FALLON TOTAL CARE INC
10 CHESTNUT STREETWORCESTERMA01608455591420HEALTH CAREMA501(C)(3)PFFCHPYes (true)
FALLON HEALTH WEINBERG INC
2700 NORTH FOREST RDGETZVILLENY14068161580245HEALTH CARENY501(C)(3)10FCHPYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
FALLON HEALTH & LIFE ASSURANCE COinc
10 CHESTNUT STREETWORCESTERMA01608043169246HEALTH INS.MAFCHPC CORP$11,186,677$27,722,5131.00000Yes (true)
ULTRABENEFITS INC
22 ELM STREETWORCESTERMA016080435257523RD PARTY ADMMAFHLACC CORP$7,397,318$5,093,8421.00000Yes (true)
GISC INSurance AGENCY INC
22 ELM STREETWORCESTERMA01608043273688INSURANCE AGENCYMAUBIC CORP$0$01.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ULTRABENEFITS INC
A,J$67,718CASH
FALLON HEALTH & LIFE ASSURANCE CO INC
D$170,715CASH
ULTRABENEFITS INC
D$56,113CASH
FALLON HEALTH WEINBERG INC
L$1,484,819CASH
ULTRABENEFITS INC
L$144,000CASH
ULTRABENEFITS INC
M$51,246CASH
FALLON HEALTH & LIFE ASSURANCE CO INC
N, O$3,972,385CASH