FALLON COMMUNITY HEALTH PLAN INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: FALLON COMMUNITY HEALTH PLAN INC (EIN 23-7442369)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-13
IRS object ID: 202033189349312663
Schema version: 2019v5.1
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-13T17:00:47-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 SEAPORT BLVD SUITE 500	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02210	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	237442369	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FALLON COMMUNITY HEALTH PLAN INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% TODD BAILEY	InCareOfNm
Business Name Control	FALL	BusinessNameControlTxt
Phone	5087992100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10 Chestnut Street	AddressLine1Txt
City	Worcester	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01608	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TODD BAILEY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5087992100	PhoneNum
Signature	2020-11-05	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	GWEN SPENCER	PreparerPersonNm
PTIN	P00641463	PTIN
Phone	6175305000	PhoneNum
Preparation	2020-11-02	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	155.201.35.69	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	50354920203185000007	FederalOriginalSubmissionId
Federal Original Submission Id	2020-11-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B47CCF04BD3B2E015E6960197D502E2208D5D56B	AtSubmissionCreationDeviceId
At Submission Filing Device Id	EF1072450F0F741895684F37E73F23BFD826A89D	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	FALLON HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	RICHARD P BURKE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10 Chestnut Street	AddressLine1Txt
City	Worcester	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01608	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,847,074,151	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.fchp.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1975	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O making our communities healthy	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1387	TotalEmployeeCnt
Total Volunteers	213	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$6,377	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$125,589	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$1,514,381,036	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,569,180,946	CYProgramServiceRevenueAmt
PY Investment Income	$4,690,659	PYInvestmentIncomeAmt
CY Investment Income	$18,648,246	CYInvestmentIncomeAmt
PY Other Revenue	-$1,759,293	PYOtherRevenueAmt
CY Other Revenue	-$7,295,403	CYOtherRevenueAmt
PY Total Revenue	$1,517,437,991	PYTotalRevenueAmt
CY Total Revenue	$1,580,533,789	CYTotalRevenueAmt
PY Grants And Similar Paid	$750,431	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$708,084	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$1,379,331,366	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$1,483,013,757	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$86,777,196	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$91,003,613	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$43,651,455	PYOtherExpensesAmt
CY Other Expenses	$32,286,980	CYOtherExpensesAmt
PY Total Expenses	$1,510,510,448	PYTotalExpensesAmt
CY Total Expenses	$1,607,012,434	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,927,543	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$26,478,645	CYRevenuesLessExpensesAmt
Total Assets BOY	$430,103,303	TotalAssetsBOYAmt
Total Assets EOY	$461,233,945	TotalAssetsEOYAmt
Total Liabilities BOY	$240,740,401	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$282,934,744	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$189,362,902	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$178,299,201	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	FALLON 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 Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$249,380,857	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$270,952,082	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,233,632,899	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,298,228,864	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,150,644	ExpenseAmt
Grant	$708,084	GrantAmt
Desc	SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,484,164,400	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	4870	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1387	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd
Other	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TODD BAILEY	PersonNm
Phone	5087992100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10 CHESTNUT STREET	AddressLine1Txt
City	WORCESTER	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01608	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
Richard P Burke
PRESIDENT & CEO	45.0	5.0	Yes (X)	Yes (X)	$949,774	$0	$184,072
CAROLYN LANGER MD
SVP, CHIEF MED OFFICER	50.0	0.0		Yes (X)	$454,506	$0	$65,727
David Przesiek
SVP, CHIEF SALES OFFICER	45.0	5.0		Yes (X)	$441,042	$0	$71,067
EMILY WEST
SVP, CHIEF OPERATING OFFICER	50.0	0.0		Yes (X)	$375,272	$0	$73,156
JILL LEBOW
SVP, CHIEF HR OFFICER	48.0	2.0		Yes (X)	$345,271	$0	$72,479
ROBERT SCHREIBER MD
VP, MEDICAL DIRECTOR	50.0	0.0			$347,939	$0	$57,497	Yes (X)
MARY RITTER
SVP, STRAT & BUS DEVELOPMENT	48.0	2.0			$323,413	$0	$77,320		Yes (X)
LINDA WEINREB MD
MEDICAL DIRECTOR, MCD ACO	50.0	0.0			$334,484	$0	$65,750	Yes (X)
DAVID BRUMLEY MD
VP, MEDICAL AFFAIRS	50.0	0.0			$336,860	$0	$60,695	Yes (X)
CHRISTINE CASSIDY
SVP, CHIEF COMM. OFFICER	49.0	1.0		Yes (X)	$302,707	$0	$64,008
PERRY FARB MD
PACE ASSOCIATE MEDICAL DIR.	50.0	0.0			$304,144	$0	$48,037	Yes (X)
Janis Liepins
VP, PRODUCT MANAGEMENT	48.0	2.0			$296,928	$0	$51,090		Yes (X)
ELIZABETH HELENIUS
VP, SALES	49.0	1.0			$284,785	$0	$58,234		Yes (X)
JAMES GENTILE
SVP, CHIEF COMPLIANCE OFFICER	50.0	0.0		Yes (X)	$288,208	$0	$51,871
Kevin McGovern
VP, Treasurer	50.0	0.0			$276,726	$0	$47,950		Yes (X)
JOHN BUDAJ
VP, INFORMATION TECHNOLOGY	50.0	0.0			$272,114	$0	$25,455	Yes (X)
MICHAEL NICKEY
VP, STATE PROG. UNTIL 11/29/19	47.0	3.0			$257,279	$0	$34,564		Yes (X)
LISA COHEN
INTERIM CFO, 6/11/19-8/25/19	48.0	2.0		Yes (X)	$253,395	$0	$25,315
ANDRE GABRYJELSKI
DIR, MEDICARE ADVANTAGE	50.0	0.0			$208,837	$0	$64,194		Yes (X)
KEVIN GROZIO
CFO UNTIL 6/10/19	45.0	5.0		Yes (X)	$212,899	$0	$23,854
DEBORAH DAVIAU
EXECUTIVE DIRECTOR, NAVICARE	50.0	0.0			$174,457	$0	$42,308		Yes (X)
TODD BAILEY
SVP, CFO, EFFECTIVE 8/25/19	47.0	3.0		Yes (X)	$144,269	$0	$32,815
FREDERICK MISILO ESQ
CHAIR	3.0	2.0	Yes (X)		$54,500	$0	$0
B JOHN DILL
VICE CHAIR	2.0	2.0	Yes (X)		$40,750	$0	$0
JAMES BUONOMO
CLERK	2.0	2.0	Yes (X)		$40,000	$0	$0
Ann K Tripp
TREASURER	2.0	2.0	Yes (X)		$39,250	$0	$0
JANET S RICO
DIRECTOR	2.0	1.0	Yes (X)		$37,250	$0	$0
Joseph N Stolberg CP
Director	2.0	0.0	Yes (X)		$27,750	$0	$0
PETER STRALEY
DIRECTOR	2.0	0.0	Yes (X)		$27,750	$0	$0
DAVID FRIEND MD
director	2.0	0.0	Yes (X)		$27,750	$0	$0
KARIN LANDRY
DIRECTOR	2.0	0.0	Yes (X)		$26,750	$0	$0
deborah enos
DIRECTOR, EFFECTIVE 6/27/19	2.0	0.0	Yes (X)		$21,250	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,320,559	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,297,458	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	246	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
VHS ACQUISITION SUBSIDIARY
123 SUMMER STREET	WORCESTER	MA	01608	HOSPITAL SERVICES	$62,280,718
LOWELL GENERAL HOSPITAL
295 Varnum Street	LOWELL	MA	01854	MEDICAL SERVICES	$48,915,660
BEACON HEALTH STRATEGIES LLC
200 STATE STREET	BOSTON	MA	02109	MENTAL HEALTH SVC.	$107,414,141
UMASS MEMORIAL MEDICAL CENTER
55 N LAKE AVENUE	WORCESTER	MA	01655	MEDICAL SERVICES	$99,405,034
Reliant Medical Group
630 Plantation STREET	WORCESTER	MA	01605	MEDICAL SERVICES	$58,276,292

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	771	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PREMIUM-COMMERCIAL	524114	$270,952,082	$270,952,082
PREMIUM-GOVERNMENTAL	524114	$1,298,228,864	$1,298,228,864

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,569,180,946	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,190,500	TotalRevenueColumnAmt
Exclusion	$9,190,500	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$62,215	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$62,215	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$275,935,893	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$266,478,147	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$9,457,746	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,457,746	TotalRevenueColumnAmt
Exclusion	$9,457,746	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
SUBSIDIARY LOSS/GAIN	524298	-$5,950,406	-$5,950,406
MINORITY INTEREST	900099	-$1,497,167	-$1,497,167
MEDICAL CONSULTING	900099	$84,255	$84,255

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$67,915	TotalRevenueColumnAmt
Exclusion	$67,915	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$7,295,403	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,580,533,789	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,569,180,946	RelatedOrExemptFuncIncomeAmt
Exclusion	$11,352,843	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$708,084	TotalAmt
Program Services	$708,084	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$1,483,013,757	TotalAmt
Program Services	$1,483,013,757	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,972,785	TotalAmt
Management And General	$6,972,785	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$131,162	TotalAmt
Management And General	$131,162	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$66,326,464	TotalAmt
Program Services	$189,499	ProgramServicesAmt
Management And General	$66,136,965	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,661,290	TotalAmt
Program Services	$8,883	ProgramServicesAmt
Management And General	$2,652,407	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,248,770	TotalAmt
Program Services	$47,357	ProgramServicesAmt
Management And General	$8,201,413	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,663,142	TotalAmt
Management And General	$6,663,142	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,265,878	TotalAmt
Management And General	$2,265,878	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,163,498	TotalAmt
Management And General	$1,163,498	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$191,390	TotalAmt
Program Services	$191,390	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$792,144	TotalAmt
Management And General	$792,144	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$294,380	TotalAmt
Management And General	$294,380	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,511,912	TotalAmt
Management And General	$1,511,912	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,115,930	TotalAmt
Management And General	$5,115,930	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,666,945	TotalAmt
Management And General	$9,666,945	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,796,005	TotalAmt
Management And General	$2,796,005	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$109,843	TotalAmt
Management And General	$109,843	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$102,669	TotalAmt
Management And General	$102,669	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$166,107	TotalAmt
Management And General	$166,107	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,031,228	TotalAmt
Management And General	$6,031,228	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$678,628	TotalAmt
Management And General	$678,628	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
DUES/SUBSCRIPTIONS	$1,394,993	$1,394,993
ACA TAXES	$5,328		$5,328
MEDICAL SUPPLIES	$102		$102

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,607,012,434	TotalAmt
Program Services	$1,484,164,400	ProgramServicesAmt
Management And General	$122,848,034	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$65,993,120	BOYAmt
EOY	$23,402,979	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$49,709,416	BOYAmt
EOY	$79,025,948	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,731	BOYAmt
EOY	$26,612	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,273,115	BOYAmt
EOY	$8,391,131	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$86,471,298	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$74,764,719	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$14,148,512	BOYAmt
EOY	$11,706,579	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$272,309,963	BOYAmt
EOY	$314,369,822	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$20,658,446	BOYAmt
EOY	$24,310,874	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$430,103,303	BOYAmt
EOY	$461,233,945	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$221,678,250	BOYAmt
EOY	$271,753,335	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$19,062,151	BOYAmt
EOY	$11,181,409	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$240,740,401	BOYAmt
EOY	$282,934,744	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$189,362,902	BOYAmt
EOY	$178,299,201	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$189,362,902	BOYAmt
EOY	$178,299,201	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$430,103,303	BOYAmt
EOY	$461,233,945	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$26,478,645	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$15,478,103	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$63,159	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$152,837	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$154,942	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$134,776	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$125,589	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$568,144	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,095,860,043	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,148,972,862	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,242,226,460	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,514,381,036	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,569,180,946	CurrentTaxYearAmt
Total	$6,570,621,347	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,096,012,880	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,149,127,804	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,242,361,236	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,514,506,625	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,569,180,946	CurrentTaxYearAmt
Total	$6,571,189,491	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,252,979	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,518,073	CurrentTaxYearMinus3YearsAmt
Total	$3,771,052	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$114,480,023	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$105,812,855	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$99,072,267	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$66,679,504	CurrentTaxYearMinus1YearAmt
Current Tax Year	$27,794,779	CurrentTaxYearAmt
Total	$413,839,428	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$116,733,002	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$107,330,928	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$99,072,267	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$66,679,504	CurrentTaxYearMinus1YearAmt
Current Tax Year	$27,794,779	CurrentTaxYearAmt
Total	$417,610,480	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$6,153,579,011	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$9,160,018	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$7,351,852	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,240,581	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,966,759	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,252,715	CurrentTaxYearAmt
Total	$40,971,925	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$9,160,018	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$7,351,852	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,240,581	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,966,759	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,252,715	CurrentTaxYearAmt
Total	$40,971,925	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$58,863	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$69,310	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$68,769	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$155,409	CurrentTaxYearMinus1YearAmt
Current Tax Year	$152,170	CurrentTaxYearAmt
Total	$504,521	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,105,231,761	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,156,548,966	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,249,670,586	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,522,628,793	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,578,585,831	CurrentTaxYearAmt
Total	$6,612,665,937	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.93058	PublicSupportCY509Pct
Public Support PY509	0.91468	PublicSupportPY509Pct
Investment Income CY	0.00620	InvestmentIncomeCYPct
Investment Income PY	0.00695	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SUPPORT TEST	FormAndLineReferenceDesc
Explanation	FORM 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

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Form4720 Filed	false	Form4720FiledInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$258,002	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$258,002	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Direct Lobbying Expense	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE C, PART IV SUPPLEMENTAL INFORMATION: FCHP PAID A TOTAL OF $258,002 LOBBYING EXPENSES AS FOLLOWS: AHIP DUES (AMERICA'S HEALTH INS. PLANS) 42,293 MAHP DUES (MASS ASSOC OF HEALTH PLANS) 81,182 NATIONAL PACE ASSOCIATION 2,724 ALLIANCE OF COMMUNITY HEALTH PLANS 53,900 MASS. LEAGUE OF COMMUNITY HEALTH CENTERS 11,291 ----------- SUBTOTAL NON-EMPLOYEES $191,390 STAFF SALARIES ASSOCIATED WITH LOBBYING 66,612 ------------ TOTAL OF ALL LOBBYING EXPENSES PAID $258,002 KEY LEGISLATIVE AND REGULATORY ISSUES IN 2019: AMERICA'S HEALTH INSURANCE PLANS (AHIP) - LEGISLATIVE ACTIVITY IN THE HOUSE AND THE SENATE REGARDING THE AFFORDABLE CARE ACT (ACA) - REGULATORY ACTIVITY ADDRESSING IMPLEMENTATION OF NUMEROUS ACA PROVISIONS HEALTH INSURANCE EXCHANGES, DELIVERY SYSTEM REFORMS, ADMINISTRATIVE SIMPLIFICATION, HEALTH INFORMATION TECHNOLOGY, ACCOUNTABLE CARE ORGANIZATIONS (ACOS). - 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 2019, FALLON HEALTH WORKED WITH THESE REGULATORY AGENCIES ON: DEPARTMENT OF PUBLIC HEALTH - EARLY INTERVENTION PROGRAM - CHANGES TO HOSPITAL GUIDELINES - OFFICE OF PATIENT PROTECTION 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 - MEDICAID REDESIGN OF ACCOUNTABLE CARE ORGANIZATIONS - DUAL MEDICARE/MEDICAID PROGRAMS (SENIOR CARE OPTIONS), - PACE PROGRAMS - WORKED WITH EOHHS STAFF ON NEW LEGISLATIVE APPROACHES TO COST CONTAINMENT ATTORNEY GENERAL'S OFFICE - RECOMMENDATIONS TO ADDRESS HEALTHCARE COST INCREASES - CONVERSATIONS AROUND MENTAL HEALTH PARITY - PROVIDER CONSOLIDATIONS	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp
Land		LandGrp
Buildings		BuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,814,613	OtherCostOrOtherBasisAmt
Depreciation	$3,096,824	DepreciationAmt
Book Value	$717,789	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,415,163	OtherCostOrOtherBasisAmt
Depreciation	$6,263,560	DepreciationAmt
Book Value	$2,151,603	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$74,241,522	OtherCostOrOtherBasisAmt
Depreciation	$65,404,335	DepreciationAmt
Book Value	$8,837,187	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$11,706,579	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN FHLAC	$13,030,239
INVESTMENT IN FTC	$434,637
INVESTMENT IN FHW	$10,845,998

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$24,310,874	TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt	$1,702,636,000	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$10,274,340	NetUnrealizedGainsInvstAmt
Other Revenue	$111,147,517	OtherRevenueAmt
Revenue Not Reported	$121,421,857	RevenueNotReportedAmt
Revenue Subtotal	$1,581,214,143	RevenueSubtotalAmt
Investment Expenses Not Incld	$792,144	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$1,472,498	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$680,354	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,580,533,789	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,718,903,000	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$112,707,379	OtherExpensesIncludedAmt
Expenses Not Reported	$112,707,379	ExpensesNotReportedAmt
Expenses Subtotal	$1,606,195,621	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$792,144	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$24,669	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$816,813	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,607,012,434	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART XI, LINE 2D:	FormAndLineReferenceDesc
Explanation	SUBSIDIARY ACTIVITIES & ELIMINATIONS 111,210,225 UNREALIZED LOSS, DISPOSAL OF FIXED ASSETS (63,159) FINANCIAL STATEMENT ROUNDING 451 ---------------- TOTAL 111,147,517 SCHEDULE D, PART XI, LINE 4B: LINE OF CREDIT INTEREST RE-CLASS TO EXPENSE 24,669 NON CONTROLLING INTEREST (1,497,167) ---------------- TOTAL (1,472,498) SCHEDULE D, PART XII, LINE 2D: SUBSIDIARY ACTIVITIES & ELIMINATIONS 111,210,226 NON CONTROLLING INTEREST 1,497,167 FINANCIAL STATEMENT ROUNDING (14) ----------------- TOTAL 112,707,379 SCHEDULE D, PART XII, LINE 4B: Line of credit INTEREST re-class TO EXPENSE 24,669 ----------------- TOTAL 24,669	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (34 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Worcester Regional Chamber of Commerce
311 Main Street suite 200	Worcester	MA	01608	041988780	501(c)(6)	$25,000	GENERAL SUPPORT GENERAL SUPPORT
THE Hanover Theatre
2 Southbridge Street	Worcester	MA	01608	050521735	501(c)(3)	$15,000	GENERAL SUPPORT
Worcester Hibernian Cultural CLUB
19 TEMPLE STREET	Worcester	MA	01604	202148447	501(c)(3)	$12,000	GENERAL SUPPORT
Boys and Girls Club of Worcester
65 Boys Girls Club Way	Worcester	MA	01610	042105851	501(c)(3)	$16,000	GENERAL SUPPORT
United Way of Central MA
484 Main Street	Worcester	MA	01608	042104017	501(C)(3)	$21,500	GENERAL SUPPORT
Harrington Memorial Hospital
12 Mill Rd	SOUTHBRIDGE	MA	01550	042103577	501(C)(3)	$25,000	GENERAL SUPPORT
STUDENTS HELPING CHILDREN ACROSS THE BORDERS
1 Holy Cross Street	Worcester	MA	01610	300707429	501(C)(3)	$10,000	GENERAL SUPPORT
YwCA OF CENTRAL MASSACHUSETTS
1 Salem Square	Worcester	MA	01608	042105873	501(c)(3)	$9,750	GENERAL SUPPORT
THE BRIDGE OF CENTRAL MASS INC
65 BRIARWOOD CIRCLE	WORCESTER	MA	01606	042701581	501(C)(3)	$16,500	GENERAL SUPPORT
YOUTH OPPORTUNITIES UPHELD INC
81 Plantation St	WORCESTER	MA	01604	237112665	501(C)(3)	$11,500	GENERAL SUPPORT
Girls Inc Of Worcester
125 Providence Street	WORCESTER	MA	01604	042123666	501(C)(3)	$10,600	GENERAL SUPPORT
Worcester Regional Research Bureau
500 Salisbury Street	WORCESTER	MA	01609	042901298	501(C)(3)	$11,500	GENERAL SUPPORT
Discover Central MA
446 Main Street	WORCESTER	MA	01608	474881059	501(C)(6)	$25,000	GENERAL SUPPORT
LOWELL GENERAL PHO
295 Varnum Avenue	LOWELL	MA	01854	042103590	501(C)(3)	$10,000	GENERAL SUPPORT
BeRKSHIRE HEALTH SYSTEMS
725 NORTH STREET	PITTSFIELD	MA	01201	042791396	501(c)(3)	$15,000	GENERAL SUPPORT GENERAL SUPPORT
MERRIMACK VALLEY FOOD BANK INC
PO BOX 8638	LOWELL	MA	01853	223241609	501(C)(3)	$12,500	GENERAL SUPPORT GENERAL SUPPORT
MEYERS PRIMARY CARE INSTITUTE
385 GROVE STREET	WORCESTER	MA	01605	043211678	501(C)(3)	$15,000	GENERAL SUPPORT
LOWELL COMMUNITY HEALTH CENTER
161 JACKSON STREET	LOWELL	MA	01852	042881348	501(C)(3)	$16,500	GENERAL SUPPORT
REGIONAL ENVIRONMENTAL COUNCIL INC
9 Castle Street	WORCESTER	MA	01610	046364350	501(C)(3)	$10,000	GENERAL SUPPORT
CENTRAL MA HOUSING ALLIANCE
6 INSTITUTE ROAD	WORCESTER	MA	01609	042791448	501(C)(3)	$12,500	GENERAL SUPPORT
WORCESTER ART MUSEUM
55 SALISBURY STREET	WORCESTER	MA	01609	041988530	501(C)(3)	$12,889	GENERAL SUPPORT
HEYWOOD MEMORIAL HOSPITAL
242 GREEN STREET	Gardner	MA	01440	042103581	501(C)(3)	$27,400	GENERAL SUPPORT
UMASS MEMORIAL FOUNDATION INC
333 SOUTH ST	SHREWSBURY	MA	01545	043108190	501(C)(3)	$19,000	GENERAL SUPPORT
JOHN SNOW INC
44 FARNSWORTH STREET	BOSTON	MA	02210	042578580	501(C)(3)	$8,333	GENERAL SUPPORT
GIRLS INC OF GREATER LOWELL
220 WORTHEN STREET	LOWELL	MA	01852	042104401	501(C)(3)	$20,000	GENERAL SUPPORT
VOLUNTEERS IN MEDICINE BERKSHIRE INC
777 MAIN STREET	GREAT BARRINGTON	MA	01230	900140004	501(C)(3)	$12,500	GENERAL SUPPORT
SEVEN HILLS FOUNDATION
81 HOPE AVENUE	WORCESTER	MA	01603	043293659	501(C)(3)	$6,000	GENERAL SUPPORT
ALZHEIMERS ASSOCIATION
480 PLEASANT STREET	WATERTOWN	MA	02472	133039601	501(C)(3)	$7,000	GENERAL SUPPORT
PERNET FAMILY HEALTH SERVICES INC
237 Millbury Street	WORCESTER	MA	01610	042453851	501(C)(3)	$11,000	GENERAL SUPPORT
MASSACHUSETTS MUNICIPAL ASSOCIATION
1 WINTHROP SQUARE	BOSTON	MA	02110	042958688	501(C)(3)	$10,167	GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
300 5TH AVENUE SUITE 6	WALTHAM	MA	02451	135613797	501(C)(3)	$10,000	GENERAL SUPPORT
MASSACHUSETTS TAXPAYERS FOUNDATION
333 Washington Street Ste 853	BOSTON	MA	02108	041590310	501(C)(3)	$7,000	GENERAL SUPPORT
AIDS PROJECT WORCESTER INC
85 GREEN STREET	WORCESTER	MA	01604	042970467	501(C)(3)	$6,000	GENERAL SUPPORT
VETERANS INC
69 Grove Street	WORCESTER	MA	01605	043098024	501(C)(3)	$5,525	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	32	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990, Schedule I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	Description 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

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (true)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (true)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Richard P Burke
PRESIDENT & CEO	$665,125	$0	$153,572	$0	$131,077	$0	$152,600	$0	$31,472	$0	$1,133,846	$0	$242,125	$0
David Przesiek
SVP, CHIEF SALES OFFICER	$333,229	$0	$77,780	$0	$30,033	$0	$40,595	$0	$30,472	$0	$512,109	$0	$99,088	$0
JAMES GENTILE
SVP, CHIEF COMPLIANCE OFFICER	$234,842	$0	$37,240	$0	$16,126	$0	$39,698	$0	$12,173	$0	$340,079	$0	$47,284	$0
Kevin McGovern
VP, Treasurer	$237,259	$0	$30,845	$0	$8,622	$0	$23,557	$0	$24,393	$0	$324,676	$0	$30,845	$0
Janis Liepins
VP, PRODUCT MANAGEMENT	$259,772	$0	$33,592	$0	$3,564	$0	$27,112	$0	$23,978	$0	$348,018	$0	$33,592	$0
KEVIN GROZIO
CFO UNTIL 6/10/19	$156,749	$0	$55,615	$0	$535	$0	$9,790	$0	$14,064	$0	$236,753	$0	$55,615	$0
CHRISTINE CASSIDY
SVP, CHIEF COMM. OFFICER	$240,862	$0	$38,505	$0	$23,340	$0	$42,813	$0	$21,195	$0	$366,715	$0	$54,666	$0
ELIZABETH HELENIUS
VP, SALES	$194,199	$0	$89,344	$0	$1,242	$0	$27,993	$0	$30,241	$0	$343,019	$0	$89,344	$0
EMILY WEST
SVP, CHIEF OPERATING OFFICER	$297,113	$0	$45,218	$0	$32,941	$0	$51,270	$0	$21,886	$0	$448,428	$0	$63,363	$0
JILL LEBOW
SVP, CHIEF HR OFFICER	$281,469	$0	$40,030	$0	$23,772	$0	$47,975	$0	$24,504	$0	$417,750	$0	$56,919	$0
JOHN BUDAJ
VP, INFORMATION TECHNOLOGY	$240,891	$0	$29,981	$0	$1,242	$0	$25,455	$0	$0	$0	$297,569	$0	$0	$0
MICHAEL NICKEY
VP, STATE PROG. UNTIL 11/29/19	$220,425	$0	$30,680	$0	$6,174	$0	$9,642	$0	$24,922	$0	$291,843	$0	$30,680	$0
TODD BAILEY
SVP, CFO, EFFECTIVE 8/25/19	$125,534	$0	$15,000	$0	$3,735	$0	$32,815	$0	$0	$0	$177,084	$0	$0	$0
ANDRE GABRYJELSKI
DIR, MEDICARE ADVANTAGE	$136,387	$0	$69,560	$0	$2,890	$0	$42,038	$0	$22,156	$0	$273,031	$0	$69,560	$0
DAVID BRUMLEY MD
VP, MEDICAL AFFAIRS	$294,367	$0	$38,929	$0	$3,564	$0	$29,223	$0	$31,472	$0	$397,555	$0	$0	$0
PERRY FARB MD
PACE ASSOCIATE MEDICAL DIR.	$278,964	$0	$18,322	$0	$6,858	$0	$20,439	$0	$27,598	$0	$352,181	$0	$18,322	$0
MARY RITTER
SVP, STRAT & BUS DEVELOPMENT	$285,079	$0	$26,391	$0	$11,943	$0	$49,848	$0	$27,472	$0	$400,733	$0	$29,639	$0
CAROLYN LANGER MD
SVP, CHIEF MED OFFICER	$397,579	$0	$40,284	$0	$16,643	$0	$63,480	$0	$2,247	$0	$520,233	$0	$45,242	$0
ROBERT SCHREIBER MD
VP, MEDICAL DIRECTOR	$304,799	$0	$39,566	$0	$3,574	$0	$29,616	$0	$27,881	$0	$405,436	$0	$39,566	$0
LINDA WEINREB MD
MEDICAL DIRECTOR, MCD ACO	$291,910	$0	$39,000	$0	$3,574	$0	$28,644	$0	$37,106	$0	$400,234	$0	$39,000	$0
DEBORAH DAVIAU
EXECUTIVE DIRECTOR, NAVICARE	$171,258	$0	$2,630	$0	$569	$0	$33,385	$0	$8,923	$0	$216,765	$0	$0	$0
LISA COHEN
INTERIM CFO, 6/11/19-8/25/19	$201,024	$0	$51,541	$0	$830	$0	$21,150	$0	$4,165	$0	$278,710	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, Schedule J	FormAndLineReferenceDesc
Explanation	PART 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 THE WORCESTER CLUB ARE PAID BY THE ORGANIZATION FOR THE FOLLOWING INDIVIDUALS: President and Chief Executive Officer, Senior Vice President, Chief Sales Officer, Senior Vice President, Strategy and Business Development. 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 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 he or she is 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 his or her behalf for that plan year. This portion shall be determined on his or her behalf for the Plan year of his or her initial employment by a fraction with a numerator equal to the number of months in the plan year during which he or she is 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 his or her contribution for a plan year has been credited, the entire amount of the unvested contribution for such plan year shall be forfeited, provided that he or she 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 2019, 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 $123,553 $140,000 TODD BAILEY $3,234 $12,936 CHRISTINE CASSIDY $21,018 $19,430 James Gentile $14,884 $19,358 CAROLYN LANGER $13,112 $32,615 JILL LEBOW $22,847 $23,832 DAVID PRZESIEK $28,307 $27,995 MARY RITTER $9,217 $23,877 EMILY WEST $24,343 $24,788 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. part I, line 8 FCHP ENTERED INTO an EMPLOYMENT CONTRACT WITH THE NEW CHIEF FINANCIAL OFFICER on August 16, 2019.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LAURIE MCGOVERN
EMPLOYEE-FAMILY MEMBER OF KEY EMPLOYEE, KEVIN MCGOVERN	$113,047	FCHP EMPLOYEE	false
JUNE COMTOIS
EMPLOYEE UNTIL 4/19-FAMILY MEMBER OF OFFICER, JILL LEBOW	$18,115	FCHP EMPLOYEE	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ORGANIZATION MISSION AND PROGRAM ACTIVITIES	FORM 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. FCHP offers 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 continues to offer 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 FCHP offers a full range of commercial health insurance products along with most government-sponsored programs listed below. . Medicare Advantage and Medicare Supplement . Medicaid (MassHealth Accountable Care Organization Partnership Plans) . Medicare Advantage Special Needs Plan and Senior Care Options . Program of All-Inclusive Care for the Elderly (PACE) . Subsidized, limited-network plan in Central Mass. and Metro West . Managed Long Term Care (MLTC) plan in western 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 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. . FCHP's Summit ElderCare is the largest PACE program in New England and the sixth largest in the country. FCHP has seven PACE sites - six in Massachusetts and one in western New York. Through its PACE program, FCHP is also a provider of care. . 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
FORM 990, PART III, LINE 4c	Community giving FCHP is a not-for-profit health care services organization headquartered in Worcester, Massachusetts. Our mission- Making our communities healthy - 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, FCHP provides corporate donations and our employees contribute both in-kind and monetary donations to help build 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, FCHP 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, donating vans to support our elders' transportation needs and helping first-generation students complete their college applications. 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 2019: . Senior health initiatives: Programs that support seniors living safely in their homes and communities, providing access to care, behavioral health resources, and access to food and utilities. . Children and youth health initiatives: FCHP supports 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: FCHP supports programs that help to address food insecurity for all individuals impacted by this issue. Our focus is on programs that provide access and educational resources on healthy eating, community gardens, financial literacy, food preparation, vocational training and access to food in the most underserved and underrepresented communities. In 2019, FCHP distributed $1,042,057 to programs that met the goals of Fallon's Community Benefits program. This was accomplished through the distribution of more than $648,363 in support of our funding priorities, including grants, direct expenses, leveraged expenses, staff and volunteer time. We also supported other philanthropic initiatives totaling approximately $393,694 in community sponsorships. 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. FCHP's employees throughout the organization are encouraged to volunteer in the community 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 7,190 hours of their time in 2019 with 1,501 hours for Fallon driven initiatives.
FORM 990, PART VI, LINE 2	FAMILY 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 2019: JAMES BUONOMO, B. JOHN DILL, ANN TRIPP, FREDERICK MISILO, JANET S. RICO, 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 2019: RICHARD P. BURKE, KEVIN GROZIO, DAVID PRZESIEK, TODD BAILEY, AND ELIZABETH HELENIUS. GROUP INSURANCE SERVICE CENTER, (GISC) 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 SERVED ON THE BOARD OF THESE TWO CORPORATIONS IN 2019: RICHARD P. BURKE, DAVID PRZESIEK, TODD BAILEY, AND kevin grozio. 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 2019, 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 2019, 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 2019. This process was not used to establish compensation for the key employees listed in schedule J except for the two key employees who are senior vice presidents and part of the executive group. 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 XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES RETIRED FIXED ASSET COST 260,359 RETIRED FIXED ASSET NET BOOK VALUE (197,200) --------------- GAIN RECORDED ON BOOKS 63,159

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	FCHP NEW YORK LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10 CHESTNUT ST	AddressLine1Txt
City	WORCESTER	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01608	ZIPCd

Field	Value	IRS element (for citing)
EIN	464193932	EIN
Primary Activities	HEALTH CARE	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	FCHP	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
FALLON TOTAL CARE INC
10 CHESTNUT STREET	WORCESTER	MA	01608	455591420	HEALTH CARE	MA	501(C)(3)	10	FCHP	Yes (true)
FALLON HEALTH WEINBERG INC
2700 NORTH FOREST RD	GETZVILLE	NY	14068	161580245	HEALTH CARE	NY	501(C)(3)	10	FCHP	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
FALLON HEALTH & LIFE ASSURANCE COinc
10 CHESTNUT STREET	WORCESTER	MA	01608	043169246	HEALTH INS.	MA	FCHP	C CORP	$39,312,883	$31,935,714	1.00000	Yes (true)
ULTRABENEFITS INC
22 ELM STREET	WORCESTER	MA	01608	043525752	3RD PARTY ADMN.	MA	FHLAC	C CORP	$6,743,937	$7,993,520	1.00000	Yes (true)
GROUP INSURANCE SERVICE CENTER INC
20 WINTER STREET 1	PEMBROKE	MA	02359	043271304	3RD PARTY ADMN.	MA	UBI	C CORP	$1,840,642	$1,262,798	1.00000	Yes (true)
GISC INSurance AGENCY INC
20 WINTER STREET 1	PEMBROKE	MA	02359	043273688	INSURANCE AGNCY.	MA	UBI	C CORP	$2,954,979	$2,776,210	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (true)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ULTRABENEFITS INC
A,J	$62,215	CASH
FALLON HEALTH & LIFE ASSURANCE CO INC
B	$11,100,000	CASH
ULTRABENEFITS INC
G	$224,265	CASH
FALLON HEALTH WEINBERG INC
L	$1,585,095	CASH
ULTRABENEFITS INC
L	$201,996	CASH
ULTRABENEFITS INC
M	$175,759	CASH
FALLON HEALTH & LIFE ASSURANCE CO INC
N	$3,490,957	CASH
ULTRABENEFITS INC
N	$52,797	CASH
FALLON HEALTH & LIFE ASSURANCE CO INC
O	$9,438,514	CASH

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part V	FormAndLineReferenceDesc
Explanation	LINE 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