FALLON COMMUNITY HEALTH PLAN INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
FALLON COMMUNITY HEALTH PLAN INC (EIN 23-7442369)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202113169349313351
Schema version
2020v4.1
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)
Return2021-11-12T18:20:00-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SEAPORT BLVDAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

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% TODD BAILEYInCareOfNm
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
Signature2021-11-11SignatureDt
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 PersonGWEN SPENCERPreparerPersonNm
PTINP00641463PTIN
Phone6175305000PhoneNum
Preparation2021-11-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1FALLON HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRICHARD P BURKEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 Chestnut StreetAddressLine1Txt
CityWorcesterCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01608ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,842,363,743GrossReceiptsAmt
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 making our communities healthyActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1274TotalEmployeeCnt
Total Volunteers77TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$6,568NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,569,180,946PYProgramServiceRevenueAmt
CY Program Service Revenue$1,629,023,510CYProgramServiceRevenueAmt
PY Investment Income$18,648,246PYInvestmentIncomeAmt
CY Investment Income$14,645,893CYInvestmentIncomeAmt
PY Other Revenue-$7,295,403PYOtherRevenueAmt
CY Other Revenue$294,325CYOtherRevenueAmt
PY Total Revenue$1,580,533,789PYTotalRevenueAmt
CY Total Revenue$1,643,963,728CYTotalRevenueAmt
PY Grants And Similar Paid$708,084PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$804,840CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$1,483,013,757PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$1,432,910,362CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$91,003,613PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$100,444,140CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$32,286,980PYOtherExpensesAmt
CY Other Expenses$34,483,812CYOtherExpensesAmt
PY Total Expenses$1,607,012,434PYTotalExpensesAmt
CY Total Expenses$1,568,643,154CYTotalExpensesAmt
PY Revenues Less Expenses-$26,478,645PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$75,320,574CYRevenuesLessExpensesAmt
Total Assets BOY$461,233,945TotalAssetsBOYAmt
Total Assets EOY$617,122,763TotalAssetsEOYAmt
Total Liabilities BOY$282,934,744TotalLiabilitiesBOYAmt
Total Liabilities EOY$347,691,090TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$178,299,201NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$269,431,673NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFALLON HEALTH'S MISSION IS TO MAKE OUR COMMUNITIES HEALTHY BY IMPROVING THE HEALTH AND WELL-BEING OF THE DIVERSE COMMUNITIES WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$205,295,985ExpenseAmt
Revenue$242,610,339RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,227,614,377ExpenseAmt
Revenue$1,386,413,171RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,093,547ExpenseAmt
Grant$804,840GrantAmt
DescSEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,434,003,909TotalProgramServiceExpensesAmt
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 AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
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 MemYes (true)BusinessRlnWithFamMemInd
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 Document6547IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1274EmployeeCnt
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 PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
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)
PersonTODD BAILEYPersonNm
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 (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Richard P Burke
PRESIDENT & CEO45.05.0Yes (X)Yes (X)$844,594$0$586,407
CAROLYN LANGER MD
SVP, CHIEF MED OFFICER50.00.0Yes (X)$455,229$0$197,005
TODD BAILEY
SVP, CHIEF FINANCIAL OFFICER47.03.0Yes (X)$431,626$0$190,556
EMILY WEST
SVP, CHIEF OPERATING OFFICER50.00.0Yes (X)$423,641$0$150,913
MARY RITTER
See Schedule O for title48.02.0Yes (X)$347,733$0$188,195
JILL LEBOW
SVP, CHIEF HR OFFICER48.02.0Yes (X)$336,735$0$171,311
LINDA WEINREB MD
MEDICAL DIRECTOR, MCD ACO50.00.0$350,992$0$138,482Yes (X)
mark dichter md
vp, med.dir util.mgmt/cl. info50.00.0$321,787$0$142,558Yes (X)
ROBERT SCHREIBER MD
VP, MEDICAL DIRECTOR50.00.0$320,404$0$135,811Yes (X)
CHRISTINE CASSIDY
SVP, CHIEF COMM. OFFICER49.01.0Yes (X)$279,910$0$141,478
JAMES GENTILE
SVP, CHIEF COMPLIANCE OFFICER50.00.0Yes (X)$273,034$0$130,731
Janis Liepins
See Schedule O for title48.02.0$280,043$0$120,288Yes (X)
DAVID BRUMLEY MD
VP, MEDICAL AFFAIRS50.00.0$298,942$0$84,239Yes (X)
PERRY FARB MD
PACE ASSOCIATE MEDICAL DIR.50.00.0$278,273$0$100,366Yes (X)
Kevin McGovern
VP, Treasurer50.00.0$259,961$0$106,510Yes (X)
KRISTINE BOSTEK
VP, SEC & FHW PACE EFF. 4/2049.01.0$247,604$0$118,491Yes (X)
ELIZABETH HELENIUS
VP, SALES48.02.0$226,822$0$106,909Yes (X)
LISA COHEN
INTERIM CFO, 6/11/19-8/25/1948.02.0$230,785$0$79,488Yes (X)
David Przesiek
SVP, CHIEF SALES OFF UNTL 3/2045.05.0Yes (X)$271,648$0$15,724
DEBORAH DAVIAU
See Schedule O for title50.00.0$219,360$0$31,811Yes (X)
ANDRE GABRYJELSKI
DIR, MEDICARE ADV. UNTL 9/2050.00.0$140,291$0$24,788Yes (X)
FREDERICK MISILO ESQ
CHAIR3.02.0Yes (X)$42,000$0$0
JAMES BUONOMO
CLERK2.02.0Yes (X)$39,500$0$0
Ann K Tripp
TREASURER2.02.0Yes (X)$37,250$0$0
B JOHN DILL
VICE CHAIR2.02.0Yes (X)$37,250$0$0
JANET S RICO
DIRECTOR2.01.0Yes (X)$36,500$0$0
deborah enos
DIRECTOR2.00.0Yes (X)$34,250$0$0
KARIN LANDRY
DIRECTOR2.00.0Yes (X)$29,250$0$0
Joseph N Stolberg CPA
Director2.00.0Yes (X)$27,000$0$0
PETER STRALEY
DIRECTOR2.00.0Yes (X)$27,000$0$0
alice bonner
director, effective 6/202.00.0Yes (X)$21,000$0$0
DAVID FRIEND MD
director until 6/202.00.0Yes (X)$6,750$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,995,414TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,962,061TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K255IndivRcvdGreaterThan100KCnt
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
VHS ACQUISITION SUBSIDIARY
123 SUMMER STREETWORCESTERMA01608HOSPITAL SERVICES$52,050,442
LOWELL GENERAL HOSPITAL
295 Varnum StreetLOWELLMA01854MEDICAL SERVICES$41,238,798
BEACON HEALTH STRATEGIES LLC
200 STATE STREETBOSTONMA02109MENTAL HEALTH SVC.$118,992,661
UMASS MEMORIAL MEDICAL CENTER
55 N LAKE AVENUEWORCESTERMA01655MEDICAL SERVICES$84,306,783
Reliant Medical Group
630 Plantation STREETWORCESTERMA01605MEDICAL SERVICES$66,501,273
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K724CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PREMIUM-COMMERCIAL524114$242,610,339$242,610,339
PREMIUM-GOVERNMENTAL524114$1,386,413,171$1,386,413,171
FieldValueIRS element (for citing)
Total Program Service Revenue$1,629,023,510TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,950,919TotalRevenueColumnAmt
Exclusion$8,950,919ExclusionAmt

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$66,405RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$66,405RealAmt

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$204,028,584SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$198,333,610SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,694,974SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,694,974TotalRevenueColumnAmt
Exclusion$5,694,974ExclusionAmt
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 ColumnTotalRevenueColumnAmtExclusionExclusionAmt
SUBSIDIARY LOSS/GAIN524298$2,091,946$2,091,946
MINORITY INTEREST900099-$2,068,399-$2,068,399
MEDICAL CONSULTING900099$267,117$267,117

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,661TotalRevenueColumnAmt
Exclusion$3,661ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$294,325OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,643,963,728TotalRevenueColumnAmt
Related Or Exempt Func Income$1,629,023,510RelatedOrExemptFuncIncomeAmt
Exclusion$14,940,218ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$804,840TotalAmt
Program Services$804,840ProgramServicesAmt

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$1,432,910,362TotalAmt
Program Services$1,432,910,362ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,657,098TotalAmt
Management And General$7,657,098ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$410,142TotalAmt
Management And General$410,142ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$70,753,505TotalAmt
Program Services$68,861ProgramServicesAmt
Management And General$70,684,644ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,904,102TotalAmt
Program Services$2,914ProgramServicesAmt
Management And General$2,901,188ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,352,462TotalAmt
Program Services$22,306ProgramServicesAmt
Management And General$11,330,156ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,366,831TotalAmt
Management And General$7,366,831ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,006,134TotalAmt
Management And General$2,006,134ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,373,658TotalAmt
Management And General$2,373,658ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$193,996TotalAmt
Program Services$193,996ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$883,382TotalAmt
Management And General$883,382ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$843,974TotalAmt
Management And General$843,974ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,328,296TotalAmt
Management And General$1,328,296ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,116,953TotalAmt
Management And General$5,116,953ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,708,334TotalAmt
Management And General$12,708,334ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,504,979TotalAmt
Management And General$2,504,979ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,518TotalAmt
Management And General$6,518ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$51,088TotalAmt
Management And General$51,088ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$94,881TotalAmt
Management And General$94,881ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,794,007TotalAmt
Management And General$4,794,007ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$690,196TotalAmt
Management And General$690,196ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
DUES/SUBSCRIPTIONS$882,716$882,716
MEDICAL SUPPLIES$630$630
OTHER TAXES$4,070$4,070

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,568,643,154TotalAmt
Program Services$1,434,003,909ProgramServicesAmt
Management And General$134,639,245ManagementAndGeneralAmt
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$23,402,979BOYAmt
EOY$145,524,310EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$79,025,948BOYAmt
EOY$58,395,299EOYAmt

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$26,612BOYAmt
EOY$26,447EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,391,131BOYAmt
EOY$6,128,764EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$43,092,867LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$33,029,154LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,706,579BOYAmt
EOY$10,063,713EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$314,369,822BOYAmt
EOY$366,549,810EOYAmt

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$24,310,874BOYAmt
EOY$30,434,420EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$461,233,945BOYAmt
EOY$617,122,763EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$271,753,335BOYAmt
EOY$329,435,293EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$11,181,409BOYAmt
EOY$18,255,797EOYAmt

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$282,934,744BOYAmt
EOY$347,691,090EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$178,299,201BOYAmt
EOY$269,431,673EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$178,299,201BOYAmt
EOY$269,431,673EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$461,233,945BOYAmt
EOY$617,122,763EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$75,320,574ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$15,811,898NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
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$154,942CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$134,776CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$125,589CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$415,307TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,148,972,862CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,242,226,460CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,514,381,036CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,569,180,946CurrentTaxYearMinus1YearAmt
Current Tax Year$1,629,023,510CurrentTaxYearAmt
Total$7,103,784,814TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,149,127,804CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,242,361,236CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,514,506,625CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,569,180,946CurrentTaxYearMinus1YearAmt
Current Tax Year$1,629,023,510CurrentTaxYearAmt
Total$7,104,200,121TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,518,073CurrentTaxYearMinus4YearsAmt
Total$1,518,073TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$105,812,855CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$99,072,267CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,679,504CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,794,779CurrentTaxYearMinus1YearAmt
Current Tax Year$33,713,513CurrentTaxYearAmt
Total$333,072,918TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$107,330,928CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$99,072,267CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,679,504CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,794,779CurrentTaxYearMinus1YearAmt
Current Tax Year$33,713,513CurrentTaxYearAmt
Total$334,590,991TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$6,769,609,130PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,351,852CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,240,581CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,966,759CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,252,715CurrentTaxYearMinus1YearAmt
Current Tax Year$9,017,324CurrentTaxYearAmt
Total$40,829,231TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,351,852CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,240,581CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,966,759CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,252,715CurrentTaxYearMinus1YearAmt
Current Tax Year$9,017,324CurrentTaxYearAmt
Total$40,829,231TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$69,310CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$68,769CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$155,409CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$152,170CurrentTaxYearMinus1YearAmt
Current Tax Year$270,778CurrentTaxYearAmt
Total$716,436TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,156,548,966CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,249,670,586CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,522,628,793CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,578,585,831CurrentTaxYearMinus1YearAmt
Current Tax Year$1,638,311,612CurrentTaxYearAmt
Total$7,145,745,788TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.94736PublicSupportCY509Pct
Public Support PY5090.93058PublicSupportPY509Pct
Investment Income CY0.00571InvestmentIncomeCYPct
Investment Income PY0.00620InvestmentIncomePYPct
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$259,844DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$259,844TotalLobbyingExpendituresAmt
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 $259,844 LOBBYING EXPENSES AS FOLLOWS: AHIP DUES (AMERICA'S HEALTH INS. PLANS) 44,017 MAHP DUES (MASS ASSOC OF HEALTH PLANS) 82,315 NATIONAL PACE ASSOCIATION 3,822 ALLIANCE OF COMMUNITY HEALTH PLANS 58,800 MASSPACE INC 5,042 ----------- SUBTOTAL NON-EMPLOYEES $193,996 STAFF SALARIES ASSOCIATED WITH LOBBYING 65,848 ------------ TOTAL OF ALL LOBBYING EXPENSES PAID $259,844 KEY LEGISLATIVE AND REGULATORY ISSUES IN 2020: AMERICA'S HEALTH INSURANCE PLANS (AHIP) - LEGISLATIVE ACTIVITY IN THE HOUSE AND THE SENATE REGARDING THE AFFORDABLE CARE ACT (ACA), DRUG PRICING, SURPRISE BILLING, COVID-19 RELATED HEALTH ISSUES - REGULATORY ACTIVITY ADDRESSING IMPLEMENTATION OF NUMEROUS ACA PROVISIONS HEALTH INSURANCE EXCHANGES, DELIVERY SYSTEM REFORMS, ADMINISTRATIVE SIMPLIFICATION, HEALTH INFORMATION TECHNOLOGY, ACCOUNTABLE CARE ORGANIZATIONS (ACOS), COVID-19 RELATED HEALTH ISSUES - PUBLIC PROGRAM ISSUES AFFECTING MEDICARE ADVANTAGE, DUAL PROGRAMS, MEDICARE PART D, AND MEDICAID MASSACHUSETTS ASSOCIATION OF HEALTH PLANS (MAHP) -ANY NEW POLICIES IMPLEMENTED BY DIVISION OF INSURANCE THAT AFFECT FALLON HEALTH - OTHER REGULATORY HEARINGS AND LEGISLATIVE MEETINGS THAT AFFECT HEALTHCARE POLICIES AND GUIDELINES -LEGISLATIVE MEETINGS AND INTERNAL MEETINGS ON NEW LEGISLATION THAT WILL REFORM AND/OR AFFECT HEALTH CARE -MEETINGS WITH MASSHEALTH AND MEDICAID OFFICIALS ON DUALS PROGRAMS INCLUDING SENIOR CARE OPTIONS AND PACE -MEETINGS WITH MASSHEALTH ON ACCOUNTABLE CARE ORGANIZATIONS, CHANGING PAYMENT MODELS, AND BETTER MANAGING THE CARE OF OUR MEMBERS. IN 2020, FALLON HEALTH WORKED WITH THESE REGULATORY AGENCIES ON: DEPARTMENT OF PUBLIC HEALTH - EARLY INTERVENTION PROGRAM - CHANGES TO HOSPITAL GUIDELINES HEALTHCARE POLICY COMMISSION - COST TRENDS - TOTAL MEDICAL EXPENSES & RELATIVE PRICES TECHNICAL ADVISORY GROUP MEETINGS, CONSULTATIVE SESSIONS & REGULATIONS - CONSULTATIVE SESSIONS & REGULATIONS CENTER FOR HEALTH INFORMATION AND ANALYSIS - HOSPITAL FINANCIAL REPORTS - TECHNICAL ADVISORY GROUP MEETINGS, - CONSULTATIVE SESSIONS & REGULATIONS DIVISION OF INSURANCE - SPECIAL SESSIONS AND OTHER - MEDICAL LOSS RATIO - SESSIONS AND REGULATIONS - FINANCIAL REPORTING - LIMITED & TIERED NETWORKS - OPEN ENROLLMENT - PLAN TERMINATION - PROVIDER DIRECTORIES - PROVIDER CONTRACTING - SMALL GROUP RATE REVIEWS - CREDENTIALING - ADMINISTRATIVE SIMPLIFICATION PROVISIONS - CODING COMMISSION MASSACHUSETTS CONNECTOR - RISK ADJUSTMENT - SEAL OF APPROVALS FOR CONNECTOR PLANS - OPEN ENROLLMENT EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES - WORKED ON MANAGED CARE ORGANIZATION ISSUES - DUAL MEDICARE/MEDICAID PROGRAMS (SENIOR CARE OPTIONS), - PACE PROGRAMS - WORKED WITH EOHHS STAFF ON NEW LEGISLATIVE APPROACHES TO COST, ACCESS AND COVID-19 ISSUES ATTORNEY GENERAL'S OFFICE - RECOMMENDATIONS TO ADDRESS HEALTHCARE COST INCREASES - CONVERSATIONS AROUND MENTAL HEALTH PARITY - PROVIDER CONSOLIDATIONSExplanationTxt

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$1,928,342OtherCostOrOtherBasisAmt
Depreciation$1,407,132DepreciationAmt
Book Value$521,210BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,076,056OtherCostOrOtherBasisAmt
Depreciation$4,694,141DepreciationAmt
Book Value$2,381,915BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,088,469OtherCostOrOtherBasisAmt
Depreciation$26,927,881DepreciationAmt
Book Value$7,160,588BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,063,713TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,750,136,000TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$15,812,000NetUnrealizedGainsInvstAmt
Other Revenue$91,254,358OtherRevenueAmt
Revenue Not Reported$107,066,358RevenueNotReportedAmt
Revenue Subtotal$1,643,069,642RevenueSubtotalAmt
Investment Expenses Not Incld$883,382InvestmentExpensesNotIncldAmt
Other Revenues Not Included$10,704OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$894,086RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,643,963,728TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,659,003,000TotExpnsEtcAuditedFinclStmtAmt
Losses Reported$91,253,932LossesReportedAmt
Expenses Not Reported$91,253,932ExpensesNotReportedAmt
Expenses Subtotal$1,567,749,068ExpensesSubtotalAmt
Investment Expenses Not Incld2$883,382InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$10,704OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$894,086ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,568,643,154TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART XI, LINE 2D:FormAndLineReferenceDesc
ExplanationSUBSIDIARY ACTIVITIES & ELIMINATIONS 91,253,435 FINANCIAL STATEMENT ROUNDING 923 ---------------- TOTAL 91,254,358 SCHEDULE D, PART XI, LINE 4B: LINE OF CREDIT INTEREST RE-CLASS TO EXPENSE 10,704 ---------------- TOTAL 10,704 SCHEDULE D, PART XII, LINE 2C: SUBSIDIARY ACTIVITIES & ELIMINATIONS 91,253,435 FINANCIAL STATEMENT ROUNDING 497 ----------------- TOTAL 91,253,932 SCHEDULE D, PART XII, LINE 4B: Line of credit INTEREST re-class TO EXPENSE 10,704 ----------------- TOTAL 10,704ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (41 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Worcester Regional Chamber of Commerce
446 Main Street Suite 200WorcesterMA01608041988780501(c)(6)$35,000GENERAL SUPPORT
WORCESTER COUNTY FOOD BANK
474 BOSTON TURNPIKESHREWSBURYMA01545043071457501(c)(3)$50,000GENERAL SUPPORT
THE FOOD BANK OF WESTERN MA
97 NORTH HATFIELD RD PO BOX 160HATFIELDMA01038042751023501(c)(3)$31,000GENERAL SUPPORT
Boys and Girls Club of Worcester
65 Boys Girls Club WayWorcesterMA01610042105851501(c)(3)$13,500GENERAL SUPPORT
United Way of Central MA
484 Main StreetWorcesterMA01608042104017501(C)(3)$17,500GENERAL SUPPORT
Greater Boston Food Bank
70 South Bay AvenueBostonMA02118042717782501(C)(3)$10,000GENERAL SUPPORT
Lovin' Spoonfuls
1304 Commonwealth Avenue Suite EBostonMA02134271810597501(C)(3)$10,000GENERAL SUPPORT
Genesis Club House
274 Lincoln StreetWorcesterMA01605042983234501(c)(3)$10,000GENERAL SUPPORT
Community Health Programs
444 Stockbridge RoadGreat BarringtonMA01230042582119501(C)(3)$7,500GENERAL SUPPORT
Town of Clinton
200 West Boylston StreetClintonMA01510046001118501(C)(3)$6,000GENERAL SUPPORT
Worcester Regional Research Bureau
500 Salisbury StreetWORCESTERMA01609042901298501(C)(3)$9,000GENERAL SUPPORT
MERRIMACK VALLEY FOOD BANK INC
PO BOX 8638LOWELLMA01853223241609501(C)(3)$30,000GENERAL SUPPORT GENERAL SUPPORT
MEYERS PRIMARY CARE INSTITUTE
385 GROVE STREETWORCESTERMA01605043211678501(C)(3)$15,000GENERAL SUPPORT
REGIONAL ENVIRONMENTAL COUNCIL INC
9 Castle Street 1WORCESTERMA01610046364350501(C)(3)$7,500GENERAL SUPPORT
CENTRAL MA HOUSING ALLIANCE
6 INSTITUTE ROADWORCESTERMA01609042791448501(C)(3)$10,000GENERAL SUPPORT
WORCESTER ART MUSEUM
55 SALISBURY STREETWORCESTERMA01609041988530501(C)(3)$10,000GENERAL SUPPORT
HEYWOOD MEMORIAL HOSPITAL
242 GREEN STREETGardnerMA01440042103581501(C)(3)$26,200GENERAL SUPPORT
UMASS MEMORIAL HEALTH CARE
365 PLANTATION STREETWORCESTERMA01605043358566501(C)(3)$15,000GENERAL SUPPORT
RON BURTON TRAINING VILLAGE
PO BOX 2HUBBARDSTONMA01452222570218501(C)(3)$25,000GENERAL SUPPORT
GREATER WORCESTER COMMUNITY FOUNDATION
370 MAIN STREET SUITE 650WORCESTERMA01608042572276501(C)(3)$25,000GENERAL SUPPORT
Catholic Charities of the Diocese of Worcester
10 Hammond StreetWorcesterMA01610042103979501(C)(3)$17,000GENERAL SUPPORT
Friendly House
36 Wall StreetWORCESTERMA01604042104239501(C)(3)$16,000GENERAL SUPPORT
The Open Pantry of Greater Lowell
13 Hurd Street PO Box 7258LowellMA01852222474729501(C)(3)$14,000GENERAL SUPPORT
Saint Paul's Elder Outreach
19 Chatham StreetWorcesterMA01609042106744501(C)(3)$13,000GENERAL SUPPORT
PERNET FAMILY HEALTH SERVICES INC
237 Millbury StreetWORCESTERMA01610042453851501(C)(3)$10,000GENERAL SUPPORT
Open Sky
4 Mann StreetWorcesterMA01602042701581501(C)(3)$12,500GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
300 5TH AVENUE SUITE 6WALTHAMMA02451135613797501(C)(3)$10,000GENERAL SUPPORT
MASSACHUSETTS TAXPAYERS FOUNDATION
333 Washington Street Ste 853BOSTONMA02108041590310501(C)(3)$14,000GENERAL SUPPORT
Centro
11 Sycamore StreetWORCESTERMA01608042714991501(C)(3)$12,500GENERAL SUPPORT
VETERANS INC
69 Grove StreetWORCESTERMA01605043098024501(C)(3)$24,000GENERAL SUPPORT
Worcester Hibernian Cultural Foundation
19 Temple StreetWorcesterMA01604202148447501(C)(3)$12,000general support
Worcester Center for Performing Arts (the Hanover
2 Southbridge StreetworcesterMA01608050521735501(C)(3)$11,400general support
Spanish American Center
112 Spruce StreetLeominsterMA01453042761759501(C)(3)$11,040general support
Elder Services of the Berkshires
877 South Street Suite 4EPittsfieldMA01201042542001501(C)(3)$11,000general support
Elder Services of the Merrimack Valley
280 Merrimack Street Suite 400LawrenceMA01843042545136501(C)(3)$11,000general support
Community Harvest Project
37 Wheeler RoadNorth GraftonMA01536043424018501(C)(3)$11,000general support
Coastline Elderly Services
1646 Purchase StreetNew BedfordMA02740042622121501(C)(3)$11,000general support
Take & Eat
69 Stryker RoadFloridaMA01247841620450501(C)(3)$10,000general support
Net of Compassion
674 Main StreetWorcesterMA01610475387634501(C)(3)$10,000general support
United Way of Tri-County
46 Park StreetFraminghamMA01702042104231501(C)(3)$10,000general support
Roots Rising
437 North StreetPittsfieldMA01201832950864501(C)(3)$10,000general support
FieldValueIRS element (for citing)
Total501c3 Org40Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

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)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
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 ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus 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 OrgsCompReportPrior990RltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmount
Richard P Burke
PRESIDENT & CEO$684,995$0$0$159,599$0$553,225$0$33,182$0$1,431,001$0$117,033$0
David Przesiek
SVP, CHIEF SALES OFF UNTL 3/20$92,161$0$0$179,487$0$4,361$0$11,363$0$287,372$0$0$0$0
JAMES GENTILE
SVP, CHIEF COMPLIANCE OFFICER$241,121$0$0$21,073$0$117,886$0$12,845$0$403,765$0$25,724$0$10,840
Kevin McGovern
VP, Treasurer$238,534$0$0$8,262$0$80,532$0$25,978$0$366,471$0$13,165$0$13,165
Janis Liepins
See Schedule O for title$261,967$0$0$3,564$0$91,222$0$29,066$0$400,331$0$14,512$0$14,512
CHRISTINE CASSIDY
SVP, CHIEF COMM. OFFICER$241,789$0$0$27,240$0$118,744$0$22,734$0$421,388$0$29,679$0$10,881
ELIZABETH HELENIUS
VP, SALES$208,975$0$0$1,242$0$74,957$0$31,952$0$333,731$0$16,605$0$16,605
EMILY WEST
SVP, CHIEF OPERATING OFFICER$311,407$0$0$98,353$0$127,431$0$23,482$0$574,554$0$71,211$0$13,881
JILL LEBOW
SVP, CHIEF HR OFFICER$295,798$0$0$27,591$0$144,039$0$27,272$0$508,046$0$33,843$0$13,346
mark dichter md
vp, med.dir util.mgmt/cl. info$298,121$0$0$6,858$0$103,623$0$38,935$0$464,345$0$16,808$0$16,808
KRISTINE BOSTEK
VP, SEC & FHW PACE EFF. 4/20$241,898$0$0$1,242$0$86,382$0$32,109$0$366,095$0$0$0$4,464
TODD BAILEY
SVP, CHIEF FINANCIAL OFFICER$392,484$0$0$13,261$0$187,825$0$2,731$0$622,182$0$19,115$0$25,881
ANDRE GABRYJELSKI
DIR, MEDICARE ADV. UNTL 9/20$97,230$0$0$9,582$0$6,430$0$18,358$0$165,079$0$33,479$0$33,479
DAVID BRUMLEY MD
VP, MEDICAL AFFAIRS$284,195$0$0$6,908$0$55,173$0$29,066$0$383,181$0$7,839$0$7,839
PERRY FARB MD
PACE ASSOCIATE MEDICAL DIR.$269,130$3,574$65,699$34,667$378,639$0$5,569
MARY RITTER
See Schedule O for title$305,650$0$0$18,712$0$155,013$0$33,182$0$535,928$0$22,588$0$23,371
CAROLYN LANGER MD
SVP, CHIEF MED OFFICER$411,923$0$0$25,041$0$194,758$0$2,247$0$652,234$0$31,377$0$18,265
ROBERT SCHREIBER MD
VP, MEDICAL DIRECTOR$300,207$0$0$3,574$0$102,629$0$33,182$0$456,215$0$16,623$0$16,623
LINDA WEINREB MD
MEDICAL DIRECTOR, MCD ACO$330,412$0$0$3,564$0$111,495$0$26,987$0$489,474$0$17,016$0$17,016
DEBORAH DAVIAU
See Schedule O for title$191,224$0$0$1,025$0$21,883$0$9,928$0$251,171$0$0$0$27,111
LISA COHEN
INTERIM CFO, 6/11/19-8/25/19$218,625$0$0$820$0$75,073$0$4,415$0$310,273$0$11,340$0$11,340

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, Schedule JFormAndLineReferenceDesc
ExplanationPART I, LINE 1 & 2 HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES PURSUANT TO A POLICY ADOPTED AND APPROVED BY THE EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE (EECC) OF THE BOARD OF DIRECTORS, A PORTION OF THE DUES AND FEES FOR THE BUSINESS USE OF A SOCIAL CLUB ARE PAID BY THE ORGANIZATION FOR THE FOLLOWING INDIVIDUALS: President and Chief Executive Officer and the Senior Vice President, Chief Strategy and Government Programs Officer. EACH EXECUTIVE IS REQUIRED TO PAY FOR HIS OR HER OWN PERSONAL USE EXPENSES, AS WELL AS A PERSONAL USE PORTION OF THE MEMBERSHIP DUES AND FEES AS DETERMINED BY THE EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE. SOCIAL CLUB DUES ARE NOT REPORTED AS TAXABLE COMPENSATION TO THE LISTED PERSONS SINCE FALLON COMMUNITY HEALTH PLAN ONLY PAYS FOR THE PORTION USED FOR BUSINESS PURPOSES. PART 1, LINE 4A FCHP PAID SEVERANCE PAYMENTs TO DAVID Przesiek, SVP, Chief Sales Officer (until March 30, 2020), FOR A TOTAL OF $179,004. THE PERIODIC PAYMENTs BEGAN ON APRIL 2, 2020 AND ENDED ON OCTOBER 16, 2020. PART I, LINE 4B SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THE ORGANIZATION HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT 457(F) PLAN THAT COVERS CERTAIN EXECUTIVES OF THE ORGANIZATION. UNDER THE TERMS OF THE PLAN, INDIVIDUALS VEST AS PROVIDED, DEPENDING ON THE DATE OF ELIGIBILITY TO PARTICIPATE IN THE PLAN. FOR INDIVIDUALS LISTED WHO WERE ELIGIBLE ON OR BEFORE MARCH 1, 2007, 50% OF THE YEARLY CONTRIBUTION VESTS IMMEDIATELY WITH THE REMAINING CONTRIBUTION SUBJECT TO VESTING UPON NORMAL RETIREMENT AGE, OR IF EARLIER, UPON DEATH, DISABILITY, OR INVOLUNTARY SEPARATION FROM SERVICE FOR A REASON OTHER THAN CAUSE, INCLUDING INVOLUNTARY SEPARATION FROM SERVICE FOR A REASON OTHER THAN CAUSE FOLLOWING A CHANGE IN CONTROL. FOR INDIVIDUALS LISTED WHO WERE ELIGIBLE ON OR BEFORE DECEMBER 31, 2012, 50% OF THE YEARLY CONTRIBUTION VESTS IMMEDIATELY IF THE PARTICIPANT HAS BEEN COVERED FOR AT LEAST 36 MONTHS, WITH THE REMAINING CONTRIBUTION SUBJECT TO VESTING UPON NORMAL RETIREMENT AGE, OR IF EARLIER, UPON DEATH, DISABILITY, OR INVOLUNTARY SEPARATION FROM SERVICE FOR A REASON OTHER THAN CAUSE, INCLUDING INVOLUNTARY SEPARATION FROM SERVICE FOR A REASON OTHER THAN CAUSE FOLLOWING A CHANGE IN CONTROL. FOR INDIVIDUALS WHO FIRST BECOME ELIGIBLE FOR A PLAN YEAR THAT BEGINS IN 2013 OR 2014, 50% OF THE YEARLY CONTRIBUTIONS VEST IMMEDIATELY IF THE PARTICIPANT HAS BEEN COVERED FOR AT LEAST 60 MONTHS, WITH THE REMAINING CONTRIBUTIONS SUBJECT TO VESTING UPON THE EARLIEST OF NORMAL RETIREMENT AGE, DEATH, DISABILITY OR INVOLUNTARY SEPARATION FROM SERVICE FOR A REASON OTHER THAN CAUSE, INCLUDING INVOLUNTARY SEPARATION FROM SERVICE FOR A REASON OTHER THAN CAUSE FOLLOWING A CHANGE IN CONTROL. Effective January 1, 2015, SERP Contributions may be made on behalf of an employee who is the President and Chief Executive Officer, the Division President, Senior Care Services, an Executive Vice President or Senior Vice President. In addition, contributions may be made on behalf of an employee who is designated as eligible for a plan by the board at its discretion. The SERP contribution made for an employee for the 2015 Plan year or a later plan year will vest 20% each year beginning in the year of the contribution and ending on the last day of the fifth plan year. Effective January 1, 2016, an employee will not have contributions made to a post 457(F) account if becoming first eligible for the plan in November or December of that same year. An employee who is eligible for a post 457(f) account for the plan year in which they are first employed by the health plan and has a date of hire that is after January 31st of such plan year, the contribution for the employee for such plan year shall be a portion of the amount that would otherwise have been contributed on their behalf for that plan year. This portion shall be determined on their behalf for the Plan year of their initial employment by a fraction with a numerator equal to the number of months in the plan year during which they are employed by the Health Plan in the eligible position and denominator equal to 12. If a participant incurs a separation from service prior to normal retirement age and prior to the last day of the fifth plan year for which their contribution for a plan year has been credited, the entire amount of the unvested contribution for such plan year shall be forfeited, provided that they shall become vested in such contribution upon the earliest of death, disability, or involuntary separation from service for a reason other than for cause, including involuntary separation from service for reason other than cause, following a change in control. In 2020, THE FOLLOWING INDIVIDUALS LISTED IN SCHEDULE J, PART II PARTICIPATED IN THE PLAN. AMOUNTS VESTED AND PAID UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B) (III). AMOUNTS DEFERRED ARE 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). OFFICER/KEY EE AMOUNT PAID AMOUNT DEFERRED RICHARD P. BURKE $152,033 $140,000 TODD BAILEY $11,234 $32,000 CHRISTINE CASSIDY $23,656 $19,430 James Gentile $19,824 $19,760 CAROLYN LANGER $21,429 $33,268 JILL LEBOW $26,577 $24,320 MARY RITTER $15,717 $26,000 EMILY WEST $89,387 $0 PART I, LINE 7 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.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonLAURIE MCGOVERNPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionEMPLOYEE-FAMILY MEMBER OF KEY EMPLOYEE, KEVIN MCGOVERNRelationshipDescriptionTxt
Transaction$99,870TransactionAmt
TransactionFCHP EMPLOYEETransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ORGANIZATION MISSION AND PROGRAM ACTIVITIESFORM 990, Part I line 1 Founded in 1977, Fallon Community Health Plan, INC. (FCHP) is a leading health care services organization with a simple but powerful mission: Making our communities healthy. With a focus on improving the health and well-being of the diverse communities we serve, FCHP works to deliver high-quality, affordable care. In 2020, FCHP offered a full range of commercial products and a wide variety of government programs, including the most options for seniors than any other health plan in Massachusetts. This enables FCHP to serve members of all ages, at all income levels and with all types of health needs. Offerings and activities include innovative health insurance solutions; a variety of Medicaid and Medicare products; unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs; health and wellness programs and events; a community benefits grants program designed to target unmet community health needs; corporate sponsorships; in-kind donations; advocacy and volunteer hours. FORM 990, Part III, Line 4A COMMERCIAL PRODUCTS AND SERVICES FCHP commercial plans are offered through employer groups and, in some cases, can be purchased directly by the consumer. Commercial plans cover all counties in Massachusetts with the exception of Barnstable, Dukes and Nantucket. Regardless of how they get their coverage, members of FCHP's commercial plans have access to a variety of providers, including individual physicians, group practices, community hospitals and large medical facilities throughout Massachusetts and southern New Hampshire. To help members manage their health care costs, FCHP offers a unique choice of provider networks, including a lower cost limited network, which was the first of its kind in Massachusetts. FCHP also offers a wide range of care management programs for those with acute, chronic or complex health conditions. These voluntary programs are designed to help members improve both their health and quality of life. To best support the changing needs of those we serve, FCHP has a history of offering innovations to commercial members including the following: . 2002: Introduced Direct Care, the first limited network product in Massachusetts . 2004: Began reimbursing members for fitness-related activity fees through the It Fits! program - the first health plan in Massachusetts to do so . 2005: Eliminated copays for adult and pediatric preventive care, years before it became required by the ACA . 2005: Offered the first qualified high-deductible HMO plans in Massachusetts . 2013: Launched "The Healthy Health Plan," making FCHP the first plan in Massachusetts to include a wellness incentive as part of its standard benefit package . 2016: Developed new specialized plans for people with chronic conditions such as asthma, diabetes and coronary artery disease . 2017: Expanded access to care with telemedicine, allowing members to receive adult and pediatric care over the phone or by video FORM 990, PART III, LINE 4B GOVERNMENT PROGRAMS From its very start in 1977, FCHP 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. Listed below is the complete list of the government-sponsored programs FCHP offers in Massachusetts and 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 in Central Mass. and Metro West (Massachusetts) . Managed Long Term Care (MLTC) plan (New York) These programs enable FCHP 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 FCHP's government programs: . In 1979, FCHP receives the first contract in Massachusetts to cover Medicaid beneficiaries. . In 1980, FCHP was the first HMO in the country to receive a Medicare risk contract. Today, FCHP's Medicare Advantage plans continue to serve the needs of seniors across the Commonwealth of Massachusetts. . In 1995, FCHP started its PACE in Massachusetts. Called Summit ElderCare, it is the largest PACE program in New England. FCHP has six PACE sites - five in Massachusetts and one in western New York. Through its PACE program, FCHP is also a provider of care. . In 2010, FCHP launched NaviCare, a Medicare Advantage Special Needs Plan and Senior Care Options program in Massachusetts. . In 2017, FCHP formed MassHealth Accountable Care Organization Partnership Plans with the following provider groups: . Berkshire Health Systems and Community Health Programs . Reliant Medical Group . Wellforce and its provider organizations . In 2019, FCHP opened a new, state-of-the-art PACE site in Worcester. . In 2020, FCHP celebrated 25 years as a PACE provider.
FORM 990, PART III, LINE 4cCommunity giving Fallon Community Health Plan, Inc. is a not-for-profit health care services organization headquartered in Worcester, Massachusetts. Our mission guides us in the work we do directly in the communities we serve in addressing health care barriers that impact positive health outcomes. Today we spread our mission across Massachusetts and western New York State. We are a forward-thinking, cohesive group that works with local providers and leaders in the communities we serve to improve residents' health and well-being, regardless of whether they are Fallon members. In addition to our products and services, Fallon provides corporate donations, and our employees contribute both in-kind and monetary donations to help build and sustain healthy communities. Community focus is core to who we are as an organization and with a highly engaged and committed workforce, we are able to make a meaningful difference at the grassroots level and beyond. Our community giving programs include grants, sponsorships, in-kind donations, advocacy and volunteering. As partners, advocates and volunteers, Fallon has a long history of leadership in addressing health care barriers that have a real impact on the health and well-being of underserved communities. The two main ways we address these barriers is through grant-making and community engagement. Some examples include: Building and stocking food pantries, helping first-generation students complete their college applications, supporting programs that help to keep older adults safe, and providing holiday meals for those in need. We are guided by our funding priorities that have been determined in collaboration with our provider partners and other key community stakeholders. Through a comprehensive community health needs assessment, the following three funding priorities drove giving in 2020: . Senior health initiatives: With a focus on those most impacted by the pandemic, Fallon aimed to support organizations and programs that provide services to seniors that overcome or mitigate social isolation and loneliness. Particular attention was paid to programs that ensure access to care including behavioral health resources, safety in homes and communities, and access to food and utilities. Examples include: . Caregiver support services . Transportation to medical appointments . Healthy living programs . Falls/community/home safety . Access to nutritious foods/mobile pantries and markets/Meals on Wheels . Children and youth health initiatives: Fallon supported community-based programs or organizations that provide access to programs that wrap services and resources around children and youth. These programs work collaboratively to engage other community partners that are committed to finding solutions that will positively impact children and youth directly in their neighborhood, schools and communities in a positive and progressive manner utilizing both evidence based/informed and innovative models to impact change. . Food insecurity: Fallon's goal was to help maintain food assistance programs for those areas or populations that are particularly vulnerable to food insecurity as a result of the COVID-19 pandemic. In 2020, FCHP distributed $1,003,746 to programs that met the goals of Fallon's Community Benefits Programs. This was accomplished through the distribution of $804,840 through our Community Benefits grants and Corporate Sponsorship programs. In addition, we provided $198,906 in direct expenses, leveraged expenses, staff hours and volunteer time along with our Fallon Health Feed a Family Initiative and food pantry builds. We personally visit the organizations who serve our most vulnerable communities to distribute funds and learn more about the region's needs and how we can work together to be a continued resource. Fallon's employees throughout the organization are encouraged to volunteer in the community where they work or live and are provided eight hours of paid work time to do so. Employees volunteer thousands of hours for initiatives such as the United Way's "Day of Caring" as well as building and stocking food pantries in local public schools or community-based agencies. Our employees volunteered 2,897 hours of their time in 2020 with 421.5 hours for Fallon-driven initiatives.
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 OFFICER SERVED ON THE FHLAC BOARD OF DIRECTORS IN 2020: JAMES BUONOMO, B. JOHN DILL, ANN TRIPP, FREDERICK MISILO, JANET S. RICO, deborah enos, 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 2020: RICHARD P. BURKE, DAVID PRZESIEK, TODD BAILEY, AND ELIZABETH HELENIUS. GROUP INSURANCE SERVICE CENTER, INC. (GISC), (UNTIL 11/30/20) AND GROUP INSURANCE SERVICE CENTER AGENCY, INC. (GISC AGENCY), ARE WHOLLY-OWNED SUBSIDIARIES OF UBI. UBI ACQUIRED GISC AND GISC AGENCY IN September 2015. THE FOLLOWING FCHP OFFICERS AND KEY EMPLOYEES SERVED ON THE BOARD OF THESE TWO CORPORATIONS IN 2020: RICHARD P. BURKE, DAVID PRZESIEK, TODD BAILEY, AND ELIZABETH HELENIUS. FORM 990, PART VI, LINE 11B THE 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 12C THE 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 & 15b PROCESS 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 2020, THE COMMITTEE CONSISTED OF FOUR 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 2020, 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. The process was used to establish the compensation for the executive group in 2020. FORM 990, PART VI, LINES 18 AND 19 HOW 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 ANNUAL REPORT IS AVAILABLE ON ITS OWN 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 A:NAME AND TITLE: THE FOLLOWING INDIVIDUALS' TITLES CHANGED DURING THE YEAR: JANIS LIEPINS: FROM: VP, PRODUCT MANAGEMENT, UNTIL 4/20. TO: VP, MASSHEALTH & COMMUNITY CARE, EFFECTIVE 4/20. MARY RITTER: FROM: SVP, STRATEGY & BUSINESS DEVELOPMENT, UNTIL 4/20. TO: SVP, CHIEF STRATEGY & GOVERNMENT PROGRAMS OFFICER, EFFECTIVE 4/20. DEBORAH DAVIAU: FROM: EXECUTIVE DIRECTOR NAVICARE, UNTIL 9/20. TO: VP, MEDICARE AND EXECUTIVE DIRECTOR NAVICARE, EFFECTIVE 9/20.

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)10FCHPYes (true)
FALLON HEALTH WEINBERG INC
2700 NORTH FOREST RDGETZVILLENY14068161580245HEALTH CARENY501(C)(3)10FCHPYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 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$34,601,730$28,508,5121.00000Yes (true)
ULTRABENEFITS INC
22 ELM STREETWORCESTERMA016080435257523RD PARTY ADMMAFHLACC CORP$5,578,283$5,352,4231.00000Yes (true)
GROUP INSURANCE SVC CTR INC UNTL 1120
20 WINTER STREET 1PEMBROKEMA023590432713043RD PARTY ADMMAUBIC CORP$2,158,058$837,2631.00000Yes (true)
GISC INSurance AGENCY INC
20 WINTER STREET 1PEMBROKEMA02359043273688INSURANCE AGNMAUBIC CORP$1,270,716$2,466,0111.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
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 OrgYes (true)AssetSaleToOtherOrgInd
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 OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ULTRABENEFITS INC
A,J$66,405CASH
FALLON HEALTH & LIFE ASSURANCE CO INC
B$6,100,000CASH
ULTRABENEFITS INC
G$292,328CASH
FALLON HEALTH WEINBERG INC
L$1,658,790CASH
ULTRABENEFITS INC
L$105,636CASH
ULTRABENEFITS INC
M$176,060CASH
FALLON HEALTH & LIFE ASSURANCE CO INC
N$3,344,761CASH
GROUP INSURANCE SERVICE CENTER INC
L$57,634CASH
FALLON HEALTH & LIFE ASSURANCE CO INC
O$9,519,706CASH

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part VFormAndLineReferenceDesc
ExplanationLINE 1D FALLON COMMUNITY HEALTH PLAN, INC., (FCHP) IS THE GUARANTOR OF FALLON TOTAL CARE INC., (FTC). THE AGREEMENT WAS COMPLETED IN ORDER TO MEET THE FINANCIAL SOLVENCY REQUIREMENT OF FTC, WHICH WAS REQUIRED BY THE COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES (EOHHS) AS PART OF THE FTC DEMONSTRATION PROGRAM APPLICATION PROCESS. FCHP UNCONDITIONALLY GUARANTEES THE UNMET FINANCIAL OBLIGATIONS, AND NO DOLLAR AMOUNTS ARE SPECIFIED.ExplanationTxt

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