FALLON COMMUNITY HEALTH PLAN INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- FALLON COMMUNITY HEALTH PLAN INC (EIN 23-7442369)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-14
- IRS object ID
- 201933189349314308
- Schema version
- 2018v3.1
- 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 B
- Schedule C
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-14T17:35:02-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | 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 | 2018-01-01 | 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 | 2019-11-13 | 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 | 2019-11-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.125.77 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 50354920193185000017 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-11-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 502E9D7DF2DC237FB1436A97DBD0F14D19F2DD5A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | AC896450502CEB966939E8BE4E31B85B24D0B522 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | 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 | $1,652,844,109 | 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 | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1412 | TotalEmployeeCnt |
| Total Volunteers | 230 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $216,567 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $134,776 | PYContributionsGrantsAmt |
| CY Contributions Grants | $125,589 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,242,226,460 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,514,381,036 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,961,786 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,690,659 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$9,894,144 | PYOtherRevenueAmt |
| CY Other Revenue | -$1,759,293 | CYOtherRevenueAmt |
| PY Total Revenue | $1,245,428,878 | PYTotalRevenueAmt |
| CY Total Revenue | $1,517,437,991 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $906,955 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $750,431 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $1,119,409,151 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $1,379,331,366 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $82,397,929 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $86,777,196 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $34,812,405 | PYOtherExpensesAmt |
| CY Other Expenses | $43,651,455 | CYOtherExpensesAmt |
| PY Total Expenses | $1,237,526,440 | PYTotalExpensesAmt |
| CY Total Expenses | $1,510,510,448 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,902,438 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,927,543 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $411,987,684 | TotalAssetsBOYAmt |
| Total Assets EOY | $430,103,303 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $217,867,796 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $240,740,401 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $194,119,888 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $189,362,902 | 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 | $307,210,987 | ExpenseAmt |
| Revenue | $359,730,895 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,072,120,379 | ExpenseAmt |
| Revenue | $1,154,650,141 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,802,120 | ExpenseAmt |
| Grant | $750,431 | GrantAmt |
| Desc | SEE SCHEDULE O | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,388,133,486 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | 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 | Yes (true) | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | 5129 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1412 | 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 | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| David W Hillis | |||||||||
| Chairman until 6/18 | 3.0 | 1.0 | Yes (X) | $5,000 | $0 | $0 | |||
| Lynda M Young MD | |||||||||
| director UNTIL 6/18 | 2.0 | 1.0 | Yes (X) | $6,500 | $0 | $0 | |||
| Richard P Burke | |||||||||
| PRESIDENT & CEO | 45.0 | 5.0 | Yes (X) | $903,007 | $0 | $312,890 | Yes (X) | ||
| FREDERICK MISILO ESQ | |||||||||
| VICE CHAIR TO CHAIR EFF. 6/18 | 3.0 | 1.0 | Yes (X) | $27,000 | $0 | $0 | |||
| Joseph N Stolberg CPA | |||||||||
| Director | 2.0 | 0.0 | Yes (X) | $23,000 | $0 | $0 | |||
| Ann K Tripp | |||||||||
| TREASURER | 3.0 | 1.0 | Yes (X) | $26,000 | $0 | $0 | |||
| KARIN LANDRY | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $22,500 | $0 | $0 | |||
| JAMES BUONOMO | |||||||||
| CLERK, EFF. 6/18 | 3.0 | 1.0 | Yes (X) | $24,500 | $0 | $0 | |||
| B JOHN DILL | |||||||||
| CLERK TO VICE CHAIR 6/18 | 3.0 | 1.0 | Yes (X) | $25,500 | $0 | $0 | |||
| PETER STRALEY | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $21,500 | $0 | $0 | |||
| JANET S RICO | |||||||||
| DIRECTOR | 2.0 | 1.0 | Yes (X) | $22,000 | $0 | $0 | |||
| DAVID FRIEND MD | |||||||||
| director | 2.0 | 0.0 | Yes (X) | $17,000 | $0 | $0 | |||
| David Przesiek | |||||||||
| SVP, CHIEF SALES OFFICER | 43.0 | 7.0 | $456,942 | $0 | $144,742 | Yes (X) | |||
| JAMES GENTILE | |||||||||
| SVP, CHIEF COMPLIANCE OFFICER | 50.0 | 0.0 | $300,934 | $0 | $76,518 | Yes (X) | |||
| KEVIN GROZIO | |||||||||
| CHIEF FINANCIAL OFFICER | 45.0 | 5.0 | $428,556 | $0 | $124,181 | Yes (X) | |||
| CHRISTINE CASSIDY | |||||||||
| SVP, CHIEF COMM. OFFICER | 48.0 | 2.0 | $313,195 | $0 | $88,289 | Yes (X) | |||
| EMILY WEST | |||||||||
| SVP, CHIEF OPERATING OFFICER | 50.0 | 0.0 | $377,183 | $0 | $99,025 | Yes (X) | |||
| JILL LEBOW | |||||||||
| SVP, CHIEF HR OFFICER | 48.0 | 2.0 | $319,475 | $0 | $96,792 | Yes (X) | |||
| THOMAS EBERT MD | |||||||||
| EVP, CHIEF MED OFF UNTIL 3/18 | 48.0 | 2.0 | $285,721 | $0 | $13,199 | Yes (X) | |||
| CAROLYN LANGER MD | |||||||||
| SVP, CHIEF MED OFF EFF. 5/18 | 50.0 | 0.0 | $233,439 | $0 | $63,366 | Yes (X) | |||
| Eric Hall | |||||||||
| SVP, Prov. Mgmt. until 5/18 | 50.0 | 0.0 | $299,811 | $0 | $3,387 | Yes (X) | |||
| Kevin McGovern | |||||||||
| VP, Treasurer | 50.0 | 0.0 | $291,970 | $0 | $63,887 | Yes (X) | |||
| Janis Liepins | |||||||||
| VP, PRODUCT MANAGEMENT | 50.0 | 0.0 | $315,152 | $0 | $67,319 | Yes (X) | |||
| ELIZABETH HELENIUS | |||||||||
| VP, SALES | 49.0 | 1.0 | $249,028 | $0 | $126,378 | Yes (X) | |||
| MICHAEL NICKEY | |||||||||
| VP, STATE PROGRAMS | 47.0 | 3.0 | $246,697 | $0 | $64,897 | Yes (X) | |||
| ANDRE GABRYJELSKI | |||||||||
| DIR, MEDICARE ADVANTAGE | 50.0 | 0.0 | $180,824 | $0 | $98,441 | Yes (X) | |||
| MARY RITTER | |||||||||
| SVP, STRAT & BUS DEV EFF. 6/18 | 48.0 | 2.0 | $155,163 | $0 | $52,871 | Yes (X) | |||
| PARAM SINGH MD | |||||||||
| ASSOCIATE MEDICAL DIRECTOR | 50.0 | 0.0 | $270,748 | $0 | $42,393 | Yes (X) | |||
| DAVID BRUMLEY MD | |||||||||
| VP, MEDICAL AFFAIRS | 50.0 | 0.0 | $362,527 | $0 | $80,215 | Yes (X) | |||
| PERRY FARB MD | |||||||||
| PACE ASSOCIATE MEDICAL DIR. | 50.0 | 0.0 | $308,526 | $0 | $56,718 | Yes (X) | |||
| ROBERT SCHREIBER MD | |||||||||
| VP, MEDICAL DIRECTOR | 50.0 | 0.0 | $321,953 | $0 | $70,387 | Yes (X) | |||
| LINDA WEINREB MD | |||||||||
| MEDICAL DIRECTOR, MCD ACO | 50.0 | 0.0 | $278,703 | $0 | $71,943 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,120,054 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,817,838 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 232 | 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 | $63,858,608 |
| LOWELL GENERAL HOSPITAL | |||||
| 295 Varnum Street | LOWELL | MA | 01854 | MEDICAL SERVICES | $40,736,895 |
| BEACON HEALTH STRATEGIES LLC | |||||
| 200 STATE STREET | BOSTON | MA | 02109 | MENTAL HEALTH SVC. | $86,046,810 |
| UMASS MEMORIAL MEDICAL CENTER | |||||
| 55 N LAKE AVENUE | WORCESTER | MA | 01655 | MEDICAL SERVICES | $98,280,002 |
| Reliant Medical Group | |||||
| 630 Plantation STREET | WORCESTER | MA | 01605 | MEDICAL SERVICES | $57,431,337 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 802 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $125,589 | FundraisingAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $703 | NoncashContributionsAmt |
| Total Contributions | $125,589 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PREMIUM-COMMERCIAL | 524114 | $359,730,895 | $359,730,895 |
| PREMIUM-GOVERNMENTAL | 524114 | $1,154,650,141 | $1,154,650,141 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,514,381,036 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,869,707 | TotalRevenueColumnAmt |
| Exclusion | $7,869,707 | 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 | $97,052 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $97,052 | 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 | $131,730,150 | SecuritiesAmt |
| Other | $319,230 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $134,914,431 | SecuritiesAmt |
| Other | $313,997 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$3,184,281 | SecuritiesAmt |
| Other | $5,233 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,179,048 | TotalRevenueColumnAmt |
| Exclusion | -$3,179,048 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $81,389 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $125,589 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $80,638 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $751 | TotalRevenueColumnAmt |
| Exclusion | $751 | ExclusionAmt |
| 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 | 524298 | -$788,744 | -$788,744 |
| MINORITY INTEREST | 900099 | -$1,045,320 | -$1,045,320 |
| QUIT SMOKING/YOGA FEES | 900099 | $74,020 | $74,020 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$1,760,044 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,517,437,991 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,514,381,036 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,931,366 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $750,431 | TotalAmt |
| Program Services | $750,431 | 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 | $1,379,331,366 | TotalAmt |
| Program Services | $1,379,331,366 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,083,780 | TotalAmt |
| Management And General | $7,083,780 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,410 | TotalAmt |
| Management And General | $163,410 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,637,380 | TotalAmt |
| Program Services | $184,408 | ProgramServicesAmt |
| Management And General | $62,452,972 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,686,887 | TotalAmt |
| Program Services | $11,511 | ProgramServicesAmt |
| Management And General | $1,675,376 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,961,400 | TotalAmt |
| Program Services | $45,942 | ProgramServicesAmt |
| Management And General | $8,915,458 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,244,339 | TotalAmt |
| Management And General | $6,244,339 | 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 | $1,327,198 | TotalAmt |
| Management And General | $1,327,198 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,151,930 | TotalAmt |
| Management And General | $1,151,930 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $227,424 | TotalAmt |
| Program Services | $227,424 | 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 | $805,627 | TotalAmt |
| Management And General | $805,627 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,201,184 | TotalAmt |
| Management And General | $4,201,184 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,527,741 | TotalAmt |
| Management And General | $1,527,741 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,234,784 | TotalAmt |
| Management And General | $6,234,784 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,616,506 | TotalAmt |
| Management And General | $7,616,506 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,782,569 | TotalAmt |
| Management And General | $3,782,569 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,289 | TotalAmt |
| Management And General | $55,289 | 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 | $129,700 | TotalAmt |
| Management And General | $129,700 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,679 | TotalAmt |
| Management And General | $24,679 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,273,560 | TotalAmt |
| Management And General | $7,273,560 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $639,094 | TotalAmt |
| Management And General | $639,094 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| DUES/SUBSCRIPTIONS | $766,956 | $766,956 | |
| RECRUITING EXPENSE | $304,810 | $304,810 | |
| ACA TAXES | $7,582,404 | $7,582,404 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,510,510,448 | TotalAmt |
| Program Services | $1,388,133,486 | ProgramServicesAmt |
| Management And General | $122,376,962 | 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 | $66,654,340 | BOYAmt |
| EOY | $65,993,120 | 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 | $23,652,954 | BOYAmt |
| EOY | $49,709,416 | 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 | $0 | BOYAmt |
| EOY | $10,731 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,168,712 | BOYAmt |
| EOY | $7,273,115 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $88,092,593 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $73,944,081 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,452,402 | BOYAmt |
| EOY | $14,148,512 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,026,766 | BOYAmt |
| EOY | $272,309,963 | 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 | $19,032,510 | BOYAmt |
| EOY | $20,658,446 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $411,987,684 | BOYAmt |
| EOY | $430,103,303 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,226,647 | BOYAmt |
| EOY | $221,678,250 | 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 | $15,641,149 | BOYAmt |
| EOY | $19,062,151 | 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 | $217,867,796 | BOYAmt |
| EOY | $240,740,401 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,119,888 | BOYAmt |
| EOY | $189,362,902 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| 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 | $194,119,888 | BOYAmt |
| EOY | $189,362,902 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $411,987,684 | BOYAmt |
| EOY | $430,103,303 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $6,927,543 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$11,684,529 | NetUnrlzdGainsLossesInvstAmt |
| 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 | $138,959 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $152,837 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $154,942 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $134,776 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $125,589 | CurrentTaxYearAmt |
| Total | $707,103 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,103,492,602 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,095,860,043 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,148,972,862 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,242,226,460 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,514,381,036 | CurrentTaxYearAmt |
| Total | $6,104,933,003 | 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 | $1,103,631,561 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,096,012,880 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,149,127,804 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,242,361,236 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,514,506,625 | CurrentTaxYearAmt |
| Total | $6,105,640,106 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,255,901 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,252,979 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,518,073 | CurrentTaxYearMinus2YearsAmt |
| Total | $6,026,953 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $89,388,243 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $114,480,023 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $105,812,855 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $99,072,267 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,679,504 | CurrentTaxYearAmt |
| Total | $475,432,892 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $91,644,144 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $116,733,002 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $107,330,928 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $99,072,267 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,679,504 | CurrentTaxYearAmt |
| Total | $481,459,845 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $5,624,180,261 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,765,394 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,160,018 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,351,852 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,240,581 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,966,759 | CurrentTaxYearAmt |
| Total | $42,484,604 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $241,988 | CurrentTaxYearAmt |
| Total | $241,988 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,765,394 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,160,018 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,351,852 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,240,581 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,208,747 | CurrentTaxYearAmt |
| Total | $42,726,592 | 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 | $64,270 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $58,863 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $69,310 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $68,769 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $155,409 | CurrentTaxYearAmt |
| Total | $416,621 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,114,461,225 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,105,231,761 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,156,548,966 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,249,670,586 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,522,870,781 | CurrentTaxYearAmt |
| Total | $6,148,783,319 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.91468 | PublicSupportCY509Pct |
| Public Support PY509 | 0.90899 | PublicSupportPY509Pct |
| Investment Income CY | 0.00695 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00731 | 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 B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | $244,287 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $244,287 | 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 $244,287 LOBBYING EXPENSES AS FOLLOWS: AHIP DUES (AMERICA'S HEALTH INS. PLANS) 37,903 MAHP DUES (MASS ASSOC OF HEALTH PLANS) 88,071 NATIONAL PACE ASSOCIATION 2,724 SPILLANE & SPILLANE, LLP 48,000 ----------- SUBTOTAL NON-EMPLOYEES $176,698 STAFF SALARIES ASSOCIATED WITH LOBBYING 67,589 ------------ TOTAL OF ALL LOBBYING EXPENSES PAID $244,287 KEY LEGISLATIVE AND REGULATORY ISSUES IN 2018: 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 SPILLANE & SPILLANE, LLP - ANY NEW POLICIES IMPLEMENTED BY DIVISION OF INSURANCE THAT AFFECT FCHP - OTHER REGULATORY HEARINGS AND LEGISLATIVE MEETINGS THAT AFFECT HEALTHCARE POLICIES AND GUIDELINES - LEGISLATIVE MEETINGS AND INTERNAL MEETINGS ON NEW LEGISLATION THAT WILL REFORM HEALTH CARE PAYMENTS AND QUALITY - SPILLANE AND SPILLANE WORKED VERY CLOSELY WITH OUR OTHER STATE LOBBYIST GROUP, MASSACHUSETTS ASSOCIATION OF HEALTH PLANS MASSACHUSETTS ASSOCIATION OF HEALTH PLANS (MAHP) - ANY NEW POLICIES IMPLEMENTED BY DIVISION OF INSURANCE THAT AFFECT FCHP - OTHER REGULATORY HEARINGS AND LEGISLATIVE MEETINGS THAT AFFECT HEALTHCARE POLICIES AND GUIDELINES - LEGISLATIVE MEETINGS AND INTERNAL MEETINGS ON NEW LEGISLATION THAT WILL REFORM HEALTH CARE PAYMENTS AND QUALITY - MEETINGS WITH MASSHEALTH AND MEDICAID OFFICIALS ON DUALS PROGRAMS - MASSHEALTH REDESIGN WITH ACCOUNTABLE CARE ORGANIZATIONS, CHANGING PAYMENT MODELS, AND BETTER MANAGING OF MEMBERS. IN 2018, FCHP 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 - GROUP PURCHASING COOPERATIVES - 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 - 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 | $3,749,730 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,920,783 | DepreciationAmt |
| Book Value | $828,947 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,283,935 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,806,838 | DepreciationAmt |
| Book Value | $1,477,097 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,058,928 | OtherCostOrOtherBasisAmt |
| Depreciation | $63,216,460 | DepreciationAmt |
| Book Value | $11,842,468 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,148,512 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $1,607,425,000 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $89,873,656 | OtherRevenueAmt |
| Revenue Not Reported | $89,873,656 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,517,551,344 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $805,627 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$918,980 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$113,353 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,517,437,991 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,599,453,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $89,874,519 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $89,874,519 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,509,578,481 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $805,627 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $126,340 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $931,967 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,510,510,448 | 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 89,874,552 FINANCIAL STATEMENT ROUNDING (896) ---------------- TOTAL 89,873,656 SCHEDULE D, PART XI, LINE 4B: CONTRIBUTION INCOME RECLASS 125,589 NET INCOME, FROM FUNDRAISING ACTIVITIES 751 NON CONTROLLING INTEREST (1,045,320) ---------------- TOTAL (918,980) SCHEDULE D, PART XII, LINE 2D: SUBSIDIARY ACTIVITIES & ELIMINATIONS 89,874,552 FINANCIAL STATEMENT ROUNDING (33) ----------------- TOTAL 89,874,519 SCHEDULE D, PART XII, LINE 4B: CONTRIBUTION INCOME RECLASS TO REVENUE 125,589 NET INCOME, FROM FUNDRAISING, RECLASS TO REVENUE 751 ----------------- TOTAL 126,340 | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF EVENT | Event1Nm |
| Gross Receipts Event1 | $206,978 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $125,589 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $81,389 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $653 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $29,920 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $25,829 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $24,236 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $206,978 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $125,589 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $81,389 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $653 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $29,920 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $25,829 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $24,236 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $80,638 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $751 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (38 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 | |||||||
| 446 MAIN ST STE 200 | Worcester | MA | 01608 | 041988780 | 501(c)(6) | $25,000 | GENERAL SUPPORT GENERAL SUPPORT |
| Reliant Medical GrouP | |||||||
| 100 Front St 6th fl | Worcester | MA | 01608 | 222912515 | 501(c)(3) | $15,000 | GENERAL SUPPORT |
| THE Hanover Theatre | |||||||
| 2 Southbridge Street | Worcester | MA | 01608 | 050521735 | 501(c)(3) | $10,160 | 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 Tainter Street | Worcester | MA | 01610 | 042105851 | 501(c)(3) | $11,000 | GENERAL SUPPORT |
| United Way of Central MA | |||||||
| 484 Main Street | Worcester | MA | 01608 | 042104017 | 501(C)(3) | $21,500 | GENERAL SUPPORT |
| Harrington Memorial Hospital | |||||||
| 100 SOUTH ST | BOUTHBRIDGE | MA | 01550 | 042103577 | 501(C)(3) | $25,000 | GENERAL SUPPORT |
| NEW ENGLAND PUBLIC RADIO FOUNDATION | |||||||
| 131 COUNTY CIRCLE | AMHERST | MA | 01003 | 046130523 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| STUDENTS HELPING CHILDREN ACROSS THE BORDERS | |||||||
| 1 COLLEGE ST | Worcester | MA | 01610 | 300707429 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| NEW ENGLAND COUNCIL | |||||||
| 98 N Washington STREET | BOSTON | MA | 02114 | 041661090 | 501(C)(6) | $9,000 | GENERAL SUPPORT |
| YMCA OF CENTRAL MASSACHUSETTS | |||||||
| 766 Main Street | Worcester | MA | 01610 | 042105885 | 501(c)(3) | $5,500 | GENERAL SUPPORT |
| THE BRIDGE OF CENTRAL MASS INC | |||||||
| 4 Mann Street | WORCESTER | MA | 01602 | 042701581 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| ST PAULS CATHEDRAL | |||||||
| 19 Chatham Street | Worcester | MA | 01609 | 042106744 | 501(C)(3) | $11,500 | GENERAL SUPPORT |
| YOUTH OPPORTUNITIES UPHELD INC | |||||||
| 81 Plantation St | WORCESTER | MA | 01604 | 237112665 | 501(C)(3) | $17,500 | GENERAL SUPPORT |
| Girls Inc Of Worcester | |||||||
| 125 Providence Street | WORCESTER | MA | 01604 | 042123666 | 501(C)(3) | $12,600 | 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) | $35,000 | 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) | $15,000 | GENERAL SUPPORT GENERAL SUPPORT |
| MEYERS PRIMARY CARE INSTITUTE | |||||||
| 385 GROVE STREET | WORCESTER | MA | 01605 | 043211678 | 501(C)(3) | $15,000 | GENERAL SUPPORT |
| WORCESTER ART MUSEUM | |||||||
| 55 SALISBURY STREET | WORCESTER | MA | 01609 | 041988530 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| ALTERNATIVES UNLIMITED INC | |||||||
| 50 DOUGLAS ROAD | WHITINSVILLE | MA | 01588 | 042587863 | 501(C)(3) | $6,500 | 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 | 043167352 | 501 (C)(1) | $19,250 | GENERAL SUPPORT |
| JOHN SNOW INC | |||||||
| 44 FARNSWORTH STREET | BOSTON | MA | 02210 | 042578580 | 501(C)(3) | $16,667 | GENERAL SUPPORT |
| THE SHINE INITIATIVE | |||||||
| 9 LEOMINSTER CONNECTOR | LEOMINSTER | MA | 01453 | 043537449 | 501(C)(3) | $11,250 | GENERAL SUPPORT |
| GENESIS CLUB INC | |||||||
| 274 LINCOLN STREET | WORCESTER | MA | 01605 | 042983234 | 501(c)(3) | $11,000 | GENERAL SUPPORT |
| NATIVITY SCHOOL OF WORCESTER | |||||||
| 67 LINCOLN STREET | WORCESTER | MA | 01605 | 030385377 | 501(C)(3) | $11,000 | GENERAL SUPPORT |
| ST JOHNS HIGH SCHOOL OF WORCESTER | |||||||
| 378 MAIN STREET | SHREWSBURY | MA | 01545 | 042178893 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| SOUTH WORCESTER NEIGHBORHOOD IMPROVEMENT CORP | |||||||
| 47 CAMP STREET | WORCESTER | MA | 01603 | 042529221 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| BAKER POLITO INAUGURAL COMMITTEE | |||||||
| 500 LINCOLN | ALLSTON | MA | 02134 | 832477767 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| GIRLS INC OF GREATER LOWELL | |||||||
| 220 WORTHEN STREET | LOWELL | MA | 01852 | 042104401 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| QUABOAG VALLEY COMMUNITY | |||||||
| 23 WEST MAIN STREET | WARE | MA | 01082 | 043370097 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| VOLUNTEERS IN MEDICINE | |||||||
| 777 MAIN STREET | GREAT BARRINGTON | MA | 01230 | 900140004 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| SEVEN HILLS FOUNDATION | |||||||
| 81 HOPE AVENUE | WORCESTER | MA | 01603 | 043293659 | 501(C)(3) | $6,000 | GENERAL SUPPORT |
| CITY OF WORCESTER | |||||||
| MAIN STREET | WORCESTER | MA | 01608 | 452814264 | 501(C)(4) | $6,000 | GENERAL SUPPORT |
| ALZHEIMERS ASSOC MA NH CHAPTER | |||||||
| 100 NORTH PARKWAY 105 | WORCESTER | MA | 01605 | 133039601 | 501(C)(3) | $5,350 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 33 | Total501c3OrgCnt |
| Total Other Org | 5 | 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 |
| Personal Services | Yes (X) | PersonalServicesInd |
| 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 | Yes (true) | 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 (21 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 | $570,150 | $0 | $236,780 | $0 | $96,077 | $0 | $284,079 | $0 | $28,811 | $0 | $1,215,897 | $0 | $295,800 | $0 |
| David Przesiek | ||||||||||||||
| SVP, CHIEF SALES OFFICER | $308,677 | $0 | $125,372 | $0 | $22,893 | $0 | $115,931 | $0 | $28,811 | $0 | $601,684 | $0 | $135,236 | $0 |
| JAMES GENTILE | ||||||||||||||
| SVP, CHIEF COMPLIANCE OFFICER | $222,833 | $0 | $66,815 | $0 | $11,286 | $0 | $64,947 | $0 | $11,571 | $0 | $377,452 | $0 | $67,276 | $0 |
| Eric Hall | ||||||||||||||
| SVP, Prov. Mgmt. until 5/18 | $94,568 | $0 | $61,083 | $0 | $144,160 | $0 | $3,387 | $0 | $0 | $0 | $303,198 | $0 | $61,083 | $0 |
| Kevin McGovern | ||||||||||||||
| VP, Treasurer | $231,260 | $0 | $52,583 | $0 | $8,127 | $0 | $41,030 | $0 | $22,857 | $0 | $355,857 | $0 | $52,583 | $0 |
| Janis Liepins | ||||||||||||||
| VP, PRODUCT MANAGEMENT | $251,013 | $0 | $60,525 | $0 | $3,614 | $0 | $45,967 | $0 | $21,352 | $0 | $382,471 | $0 | $60,525 | $0 |
| KEVIN GROZIO | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $331,537 | $0 | $87,701 | $0 | $9,318 | $0 | $95,370 | $0 | $28,811 | $0 | $552,737 | $0 | $89,412 | $0 |
| CHRISTINE CASSIDY | ||||||||||||||
| SVP, CHIEF COMM. OFFICER | $235,184 | $0 | $59,529 | $0 | $18,482 | $0 | $68,454 | $0 | $19,835 | $0 | $401,484 | $0 | $70,950 | $0 |
| ELIZABETH HELENIUS | ||||||||||||||
| VP, SALES | $188,963 | $0 | $59,205 | $0 | $860 | $0 | $97,798 | $0 | $28,580 | $0 | $375,406 | $0 | $22,636 | $0 |
| EMILY WEST | ||||||||||||||
| SVP, CHIEF OPERATING OFFICER | $272,876 | $0 | $78,435 | $0 | $25,872 | $0 | $78,444 | $0 | $20,581 | $0 | $476,208 | $0 | $91,015 | $0 |
| JILL LEBOW | ||||||||||||||
| SVP, CHIEF HR OFFICER | $239,855 | $0 | $62,191 | $0 | $17,429 | $0 | $72,112 | $0 | $24,680 | $0 | $416,267 | $0 | $74,154 | $0 |
| THOMAS EBERT MD | ||||||||||||||
| EVP, CHIEF MED OFF UNTIL 3/18 | $76,794 | $0 | $0 | $0 | $208,927 | $0 | $7,159 | $0 | $6,040 | $0 | $298,920 | $0 | $0 | $0 |
| MICHAEL NICKEY | ||||||||||||||
| VP, STATE PROGRAMS | $208,140 | $0 | $37,747 | $0 | $810 | $0 | $40,054 | $0 | $24,843 | $0 | $311,594 | $0 | $37,747 | $0 |
| PARAM SINGH MD | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $241,853 | $0 | $19,183 | $0 | $9,712 | $0 | $22,464 | $0 | $19,929 | $0 | $313,141 | $0 | $19,183 | $0 |
| ANDRE GABRYJELSKI | ||||||||||||||
| DIR, MEDICARE ADVANTAGE | $132,998 | $0 | $45,021 | $0 | $2,805 | $0 | $77,821 | $0 | $20,620 | $0 | $279,265 | $0 | $6,471 | $0 |
| DAVID BRUMLEY MD | ||||||||||||||
| VP, MEDICAL AFFAIRS | $287,711 | $71,202 | $3,614 | $51,304 | $28,911 | $442,742 | $66,202 | |||||||
| PERRY FARB MD | ||||||||||||||
| PACE ASSOCIATE MEDICAL DIR. | $270,510 | $0 | $31,158 | $0 | $6,858 | $0 | $30,697 | $0 | $26,021 | $0 | $365,244 | $0 | $31,158 | $0 |
| MARY RITTER | ||||||||||||||
| SVP, STRAT & BUS DEV EFF. 6/18 | $146,036 | $0 | $5,000 | $0 | $4,127 | $0 | $43,556 | $0 | $9,315 | $0 | $208,034 | $0 | $0 | $0 |
| CAROLYN LANGER MD | ||||||||||||||
| SVP, CHIEF MED OFF EFF. 5/18 | $226,664 | $0 | $0 | $0 | $6,775 | $0 | $61,906 | $0 | $1,460 | $0 | $296,805 | $0 | $0 | $0 |
| ROBERT SCHREIBER MD | ||||||||||||||
| VP, MEDICAL DIRECTOR | $295,956 | $0 | $22,433 | $0 | $3,564 | $0 | $44,307 | $0 | $26,080 | $0 | $392,340 | $0 | $22,433 | $0 |
| LINDA WEINREB MD | ||||||||||||||
| MEDICAL DIRECTOR, MCD ACO | $255,426 | $0 | $20,000 | $0 | $3,277 | $0 | $39,000 | $0 | $32,943 | $0 | $350,646 | $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, Executive Vice President and Chief Medical 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. A KEY EMPLOYEE WAS PROVIDED WITH OUTPLACEMENT SERVICES. THE VALUE OF THE SERVICES WAS NOT INCLUDED IN TAXABLE INCOME. PART I, LINE 4A SEVERANCE OR CHANGE-OF CONTROL PAYMENTS ERIC HALL: RECEIVED SIX MONTHS SEVERANCE OF $115,809. THE PAYMENT WAS EFFECTIVE 6/1/18 AND ENDED ON 11/1/18. MR. HALL WAS ALSO PROVIDED WITH OUTPLACEMENT SERVICES. THOMAS EBERT: RECEIVED SIX MONTHS SEVERANCE OF $124,779. THE PAYMENT WAS EFFECTIVE 3/22/18 AND ENDED ON 8/9/18. 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 2018, 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 $88,553 $118,132 DAVID PRZESIEK $21,308 $25,777 JILL LEBOW $16,889 $19,707 EMILY WEST $18,145 $22,261 CHRISTINE CASSIDY $16,160 $18,956 James Gentile $10,044 $18,334 Kevin Grozio $8,556 $27,380 CAROLYN LANGER $4,958 $19,832 MARY RITTER $3,248 $12,992 Thomas Ebert $80,287 $0 ERIC HALL $27,454 $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. part I, line 8 FCHP ENTERED INTO an EMPLOYMENT CONTRACT WITH Carolyn Langer on April 3, 2018 and Mary Ritter on May 1, 2018. THE TERMS OF their CONTRACTs INCLUDE BASE SALARY, INCENTIVE PROGRAM, RESTRICTED ACTIVITIES, CONFIDENTIALITY, AND a SEVERANCE PROVISION. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| LAURIE MCGOVERN | |||
| EMPLOYEE-FAMILY MEMBER OF KEY EMPLOYEE, KEVIN MCGOVERN | $108,003 | FCHP EMPLOYEE | false |
| JUNE COMTOIS | |||
| EMPLOYEE-FAMILY MEMBER OF OFFICER, JILL LEBOW | $55,408 | FCHP EMPLOYEE | false |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $1,103,801 | PROF/CONSULTING SERVICES | 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; grants; corporate sponsorships; hunger relief support; 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 account for 50% of total membership and 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 is the only organization in Massachusetts to offer a full range of commercial health insurance products along with most government-sponsored programs. These government programs, listed below, account for 50% of FCHP's total membership. . 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 2018: . 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 2018, FCHP distributed $1,224,030 to programs that met the goals of Fallon's Community Benefits program. This was accomplished through the distribution of more than $850,600 in support of our funding priorities, including grants, direct expenses, leveraged expenses, staff and volunteer time. We also supported other philanthropic initiatives totaling approximately $373,430 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 CaringWorking for Worcester's "Community Build Day". Our employees volunteered 5,370.5 hours of their time in 2018 with 1,723.5 hours for Fallon driven initiatives. Some highlights of FCHP's giving, whether through grants or employee engagement, include: Our commitment to hunger We understand that one of the most basic barriers preventing people from positive health outcomes is not being able to access food. For the last 13 years, we've hosted an annual golf tournament to raise funds for hunger relief programs throughout the state. In 2018, we distributed one hundred percent of the net proceeds of $125,589 to organizations that applied to receive these grants through our online application process. More than 60 hunger relief organizations received funding (staff and volunteer support for this event exceeded 900 hours). In 2018, FCHP's Senior Leadership started the year serving and preparing dinner for approximately 350 children at the Boys & Girls Club of Worcester. With an ongoing commitment to address hunger, they saw first-hand how food insecurity takes a toll on our young children and their families. Fallon employees returned in the spring to completely restock the food pantry that we built the previous year at the Club. In the spring of 2018 our employees went to the Elm Park Community School to build out several new spaces, including a food pantry, a multi-space classroom and a clothing boutique. Then later in the fall our employees built out and fully re-stocked a new food pantry at the Abby Kelley Foster Charter School in Worcester to welcome the students and their families back for the new school year. In May of 2018, Fallon delivered a 2017 Nissan NV200 van to St. John's Food for the Poor in Worcester. This program serves up to 700 hot nutritious meals a day to low-income families, children, seniors, homeless individuals and the working poor. They depend on their vans for their extensive food rescue efforts. St. John's has well over 20 established food insecure resource programs to fight hunger in Worcester. United Way campaign at FCHP Fallon has been a community leader in the United Way campaign for many years. In 2018, employees planned a full calendar of activities so that everyone could participate at different levels. Employees organized a bake sale, holiday shopping bazaar and the opportunity for employees to win a variety of raffled items and dress down days. The campaign culminated with a company-wide holiday basket raffle. Fallon employees used approximately 617 hours to support the United Way's campaign activities that encompassed their participation in the Day of Caring community volunteer program. These efforts, along with a corporate donation, helped to raise approximately $60,744 for the local Central Mass United Way. FCHP addressing barriers in the Berkshires Region In 2018, we increased our Community Benefits grants, sponsorships and hunger relief efforts in Berkshire County. We kicked off this initiative with public presentations of both grants and vehicles. We invited all of our partnering provider groups, community based organizations and key community stakeholders together for a community presentation. The event included the presentation of two SUVs donated by FCHP to elder services agencies in the Berkshires to enhance vital transportation services for seniors. This opportunity also helped to strengthen our commitment and understanding of the key social determinants and health care barriers in this county. We increased our commitments and identified new community partner organizations that align with our Accountable Care Organization Partnership Plan, Senior Care Options program and Medicare Advantage product. We also ended the year with direct support for the holidays with our "Feed a Family" food distribution program by delivering to elder services agencies 25 bags of food and grocery story gift certificates. Fallon partnering in addressing barriers in Middlesex County/Merrimack Valley Region We've continued to work closely with key strategic community and provider partners in the Merrimack Valley region. In May 2018, Fallon hosted its second annual caregiving symposium in Lowell, which focused on creating awareness about the financial, emotional and physical costs of being a caregiver. The community event was well attended with positive feedback provided on post event surveys showing that the event was well regarded and offered important and timely content. |
| In addition, we formally presented major grants to the Lowell Community | Health Center, Merrimack Valley Food Bank and Mill City Grows for the development of a food pantry resource center at the health center. We are working closely with the health center on the development and planned build out of the resource center. We ended the year with direct support for the holidays with our "Feed a Family" food distribution program delivering to the Lowell Senior Center 25 bags of food and grocery store gift certificates. In addition, we increased our Community Benefits grants, sponsorships and hunger relief efforts in this market. The Greater Lowell Health Alliance (GLHA) will be working on their Community Health Needs Assessment in 2019. Several members of FCHP's outreach and community relations staff are participating in this effort which will help us better understand and respond to key social determinants of health and leading health barriers that exist in the region. 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 2018: JAMES BUONOMO, B. JOHN DILL, DAVID HILLIS, LYNDA YOUNG, 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 2018: RICHARD P. BURKE, KEVIN GROZIO, DAVID PRZESIEK, 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 THESE TWO CORPORATIONS IN 2018: RICHARD P. BURKE, DAVID PRZESIEK, 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 2018, 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 2018, 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 2018. 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. |
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 (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| SUMMIT LIVING INC | ||||||||||
| 10 CHESTNUT STREET | WORCESTER | MA | 01608 | 261836279 | ASST LIVING | MA | 501(C)(3) | 12A-I | fchp | Yes (true) |
| 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 INSURANCE | MA | FCHP | C CORP | $37,920,952 | $24,870,204 | 1.00000 | Yes (true) |
| ULTRABENEFITS INC | ||||||||||||
| 100 North Parkway Suite 302 | WORCESTER | MA | 01605 | 043525752 | 3RD PARTY ADM | MA | FHLAC | C CORP | $5,989,076 | $7,516,864 | 1.00000 | Yes (true) |
| GROUP INSURANCE SERVICE CENTER INC | ||||||||||||
| 20 WINTER STREET 1 | PEMBROKE | MA | 02359 | 043271304 | 3RD PARTY ADM | MA | UBI | C CORP | $2,284,582 | $2,170,987 | 1.00000 | Yes (true) |
| GISC INSurance AGENCY INC | ||||||||||||
| 20 WINTER STREET 1 | PEMBROKE | MA | 02359 | 043273688 | INSURANCE AGE | MA | UBI | C CORP | $2,783,645 | $2,125,857 | 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 | Yes (true) | 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 | $97,052 | CASH |
| FALLON HEALTH & LIFE ASSURANCE CO INC | ||
| B | $5,000,000 | CASH |
| FALLON HEALTH WEINBERG INC | ||
| c | $2,200,000 | CASH |
| ULTRABENEFITS INC | ||
| G | $166,201 | CASH |
| FALLON HEALTH WEINBERG INC | ||
| L | $1,306,090 | CASH |
| ULTRABENEFITS INC | ||
| L | $96,000 | CASH |
| ULTRABENEFITS INC | ||
| M | $137,548 | CASH |
| FALLON HEALTH & LIFE ASSURANCE CO INC | ||
| N | $3,869,322 | CASH |
| FALLON HEALTH & LIFE ASSURANCE CO INC | ||
| o | $7,424,587 | 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 |
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