FALLON COMMUNITY HEALTH PLAN INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
FALLON COMMUNITY HEALTH PLAN INC (EIN 23-7442369)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201713189349304631
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-14T12:44:54-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SEAPORT BOULEVARDAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237442369EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FALLON COMMUNITY HEALTH PLANBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% KEVIN GROZIOInCareOfNm
Business Name ControlFALLBusinessNameControlTxt
Phone5087992100PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN GROZIOPersonNm
Person TitleCFOPersonTitleTxt
Phone5087992100PhoneNum
Signature2017-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERIN COUTUREPreparerPersonNm
PTINP01390592PTIN
Phone6175305000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address155.201.188.2IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id04363820173185000009FederalOriginalSubmissionId
Federal Original Submission Id2017-11-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id004CE9C641D993D67005B0382213B8CCFA405266AtSubmissionCreationDeviceId
At Submission Filing Device Id00C87E99527E2332A8997F658CF042F3B5F40496AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICHARD P BURKEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 Chestnut StreetAddressLine1Txt
CityWorcesterCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01608ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,346,926,715GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.fchp.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee1274TotalEmployeeCnt
Total Volunteers230TotalVolunteersCnt
Total Gross UBI-$2,421TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$8,145NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$152,837PYContributionsGrantsAmt
CY Contributions Grants$154,942CYContributionsGrantsAmt
PY Program Service Revenue$1,095,881,328PYProgramServiceRevenueAmt
CY Program Service Revenue$1,148,972,862CYProgramServiceRevenueAmt
PY Investment Income$10,883,851PYInvestmentIncomeAmt
CY Investment Income$6,728,232CYInvestmentIncomeAmt
PY Other Revenue-$15,469,457PYOtherRevenueAmt
CY Other Revenue$1,130,550CYOtherRevenueAmt
PY Total Revenue$1,091,448,559PYTotalRevenueAmt
CY Total Revenue$1,156,986,586CYTotalRevenueAmt
PY Grants And Similar Paid$943,108PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$786,632CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$964,201,282PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$1,044,861,258CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$83,031,972PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$82,022,323CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$50,034,611PYOtherExpensesAmt
CY Other Expenses$49,411,828CYOtherExpensesAmt
PY Total Expenses$1,098,210,973PYTotalExpensesAmt
CY Total Expenses$1,177,082,041CYTotalExpensesAmt
PY Revenues Less Expenses-$6,762,414PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$20,095,455CYRevenuesLessExpensesAmt
Total Assets BOY$390,921,976TotalAssetsBOYAmt
Total Assets EOY$373,352,982TotalAssetsEOYAmt
Total Liabilities BOY$199,328,411TotalLiabilitiesBOYAmt
Total Liabilities EOY$196,129,314TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$191,593,565NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$177,223,668NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFallon Health'S MISSION IS TO MAKE Our communities healthy BY Improving the health and well-being of the diverse communities we serve.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$416,601,671ExpenseAmt
Grant$0GrantAmt
Revenue$438,163,158RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$628,259,583ExpenseAmt
Grant$0GrantAmt
Revenue$710,809,704RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$10,211,606ExpenseAmt
Grant$786,632GrantAmt
Revenue$0RevenueAmt
DescSEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,055,072,860TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document5969IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1274EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEVIN GROZIOPersonNm
Phone5087992100PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
David W Hillis
Chairman5.03.0Yes (X)$28,500$0$0
Lynda M Young MD
Vice Chair4.00.25Yes (X)$25,000$0$0
Richard P Burke
PRESIDENT & CEO45.05.0Yes (X)$503,977$0$205,302Yes (X)
FREDERICK MISILO ESQ
CLERK3.00.5Yes (X)$26,000$0$0
Joseph N Stolberg
Director2.00.0Yes (X)$23,500$0$0
Ann K Tripp
TREASURER2.00.25Yes (X)$25,500$0$0
KARIN LANDRY
DIRECTOR2.00.0Yes (X)$23,000$0$0
JAMES BUONOMO
DIRECTOR2.00.0Yes (X)$22,000$0$0
B JOHN DILL
DIRECTOR2.00.5Yes (X)$25,500$0$0
W THOMAS SPENCER
DIRECTOR2.00.0Yes (X)$24,000$0$0
R Scott Walker
EVP, Chief Financial Officer46.04.0$411,249$0$81,613Yes (X)
David Przesiek
SVP, CHIEF SALES OFFICER42.08.0$302,061$0$98,510Yes (X)
JAMES GENTILE
CHIEF COMPLIANCE OFF EFF 10/1650.00.0$186,212$0$33,338Yes (X)
CHRISTINE CASSIDY
SVP, CHIEF COMM. OFFICER49.50.5$234,198$0$67,461Yes (X)
FRANK BARRESI
SVP, CIO, ENDED 3/1650.00.0$315,501$0$8,783Yes (X)
EMILY WEST
SVP, CHIEF OPERATING OFFICER50.00.0$240,216$0$67,696Yes (X)
JILL LEBOW
SVP, CHIEF HR OFFICER50.00.0$240,906$0$71,626Yes (X)
THOMAS EBERT
EVP, CHIEF MEDICAL OFFICER48.02.0$342,050$0$93,581Yes (X)
Eric Hall
VP, Network DEVELOPMENT MGMT.50.00.0$240,621$0$64,698Yes (X)
KRISTINE BOSTEK
VP, SENIOR CARE SERVICES50.00.0$219,277$0$36,091Yes (X)
Kevin McGovern
VP, Treasurer & CAPITAL MGMT.50.00.0$229,854$0$60,567Yes (X)
Janis Liepins
VP, PRODUCT MANAGEMENT50.00.0$240,806$0$60,488Yes (X)
Kevin Grozio
VP, Underwriting & Actuarial50.00.0$276,854$0$75,912Yes (X)
MICHAEL NICKEY
EXEC. DIRECTOR, FTC & MH40.012.0$214,257$0$42,195Yes (X)
Glenn Randall MD
Physician50.00.0$288,867$0$46,794Yes (X)
David Wilner MD
VP & Medical Director50.00.0$312,434$0$34,592Yes (X)
ELIZABETH HELENIUS
VP, SALES50.00.0$253,769$0$61,984Yes (X)
PARAM SINGH
ASSOCIATE MEDICAL DIRECTOR50.00.0$244,646$0$39,330Yes (X)
RONALD VALLARIO
PACE ASSOCIATE MEDICAL DIR.50.00.0$226,708$0$52,379Yes (X)
W Patrick Hughes
FORMER President & CEO0.00.0$510,122$0$16,914Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,257,585TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,319,854TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K200IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UMASS MEMORIAL MEDICAL CENTER
55 N LAKE AVENUEWORCESTERMA01655HOSPITAL SERVICES$105,041,669
VHS ACQUISITION SUBSIDIARY
123 SUMMER STREETWORCESTERMA01608HOSPITAL SERVICES$67,078,165
RELIANT MEDICAL GROUP
630 PLANTATION STREETWORCESTERMA01605MEDICAL SERVICES$55,718,906
BEACON HEALTH STRATEGIES LLC
200 STATE STREETBOSTONMA02109MENTAL HEALTH SVC.$31,032,067
UMASS MEMORIAL MEDICAL GROUP INC
55 N LAKE AVENUEWORCESTERMA01655MEDICAL SERVICES$21,662,430
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K684CntrctRcvdGreaterThan100KCnt
Fundraising$154,942FundraisingAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$472NoncashContributionsAmt
Total Contributions$154,942TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PREMIUM-COMMERCIAL524114$438,163,158$438,163,158
PREMIUM-GOVERNMENTAL524114$710,809,704$710,809,704
FieldValueIRS element (for citing)
Total Program Service Revenue$1,148,972,862TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,171,190TotalRevenueColumnAmt
Exclusion$7,171,190ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$180,662RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$180,662RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$189,235,449SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$189,547,447SecuritiesAmt
Other$130,960OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$311,998SecuritiesAmt
Other-$130,960OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$442,958TotalRevenueColumnAmt
Exclusion-$442,958ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$69,310FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$154,942ContriRptFundraisingEventAmt
Fundraising Direct Expenses$81,060FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$11,750TotalRevenueColumnAmt
Exclusion-$11,750ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
SUBSIDIARY LOSS524298-$510,381-$510,381
MINORITY INTEREST900099$1,655,102$1,655,102
HOME STAFF900099-$2,421-$2,421
FieldValueIRS element (for citing)
Other Revenue Total$1,142,300OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,156,986,586TotalRevenueColumnAmt
Related Or Exempt Func Income$1,148,972,862RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$2,421UnrelatedBusinessRevenueAmt
Exclusion$7,861,203ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$786,632TotalAmt
Program Services$786,632ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$1,044,861,258TotalAmt
Program Services$1,044,861,258ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,488,899TotalAmt
Management And General$5,488,899ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$626,692TotalAmt
Management And General$626,692ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$60,118,771TotalAmt
Program Services$168,403ProgramServicesAmt
Management And General$59,950,368ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,182,599TotalAmt
Management And General$2,182,599ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,191,712TotalAmt
Program Services$3,552ProgramServicesAmt
Management And General$8,188,160ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,413,650TotalAmt
Management And General$5,413,650ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,535,157TotalAmt
Management And General$1,535,157ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$253,284TotalAmt
Management And General$253,284ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$184,152TotalAmt
Program Services$184,152ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$867,012TotalAmt
Management And General$867,012ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,088,735TotalAmt
Management And General$5,088,735ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,279,557TotalAmt
Management And General$2,279,557ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,035,294TotalAmt
Management And General$5,035,294ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,507,038TotalAmt
Management And General$7,507,038ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,118,688TotalAmt
Management And General$4,118,688ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$34,435TotalAmt
Management And General$34,435ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$57,351TotalAmt
Management And General$57,351ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$100,755TotalAmt
Management And General$100,755ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,824,026TotalAmt
Management And General$11,824,026ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$641,281TotalAmt
Management And General$641,281ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
ACA TAXES$7,096,435$7,096,435
TRANSITIONAL REINSURANCE$1,972,428$1,972,428
DUES/SUBSCRIPTIONS$717,588$717,588
RECRUITING EXPENSE$98,612$98,612

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,177,082,041TotalAmt
Program Services$1,055,072,860ProgramServicesAmt
Management And General$122,009,181ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,012,408BOYAmt
EOY$17,443,203EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$21,960,195BOYAmt
EOY$33,959,834EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,887,492BOYAmt
EOY$2,707,349EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$83,056,606LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$61,064,047LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$31,576,221BOYAmt
EOY$21,992,559EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$311,809,661BOYAmt
EOY$276,900,190EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$17,675,999BOYAmt
EOY$20,349,847EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$390,921,976BOYAmt
EOY$373,352,982EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$191,586,942BOYAmt
EOY$186,038,416EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$7,741,469BOYAmt
EOY$10,090,898EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$199,328,411BOYAmt
EOY$196,129,314EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$191,593,565BOYAmt
EOY$177,223,668EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$191,593,565BOYAmt
EOY$177,223,668EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$390,921,976BOYAmt
EOY$373,352,982EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$20,095,455ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,380,660NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,655,102OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$158,338CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$137,023CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$138,959CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$152,837CurrentTaxYearMinus1YearAmt
Current Tax Year$154,942CurrentTaxYearAmt
Total$742,099TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,107,494,266CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,195,287,317CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,103,492,602CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,095,860,043CurrentTaxYearMinus1YearAmt
Current Tax Year$1,148,972,862CurrentTaxYearAmt
Total$5,651,107,090TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,107,652,604CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,195,424,340CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,103,631,561CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,096,012,880CurrentTaxYearMinus1YearAmt
Current Tax Year$1,149,127,804CurrentTaxYearAmt
Total$5,651,849,189TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,214,255CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,285,754CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,255,901CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,252,979CurrentTaxYearMinus1YearAmt
Current Tax Year$1,518,073CurrentTaxYearAmt
Total$10,526,962TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$68,710,847CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$70,563,830CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$89,388,243CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$114,480,023CurrentTaxYearMinus1YearAmt
Current Tax Year$105,812,855CurrentTaxYearAmt
Total$448,955,798TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$70,925,102CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$72,849,584CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$91,644,144CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$116,733,002CurrentTaxYearMinus1YearAmt
Current Tax Year$107,330,928CurrentTaxYearAmt
Total$459,482,760TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$5,192,366,429PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,289,583CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,084,103CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,765,394CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,160,018CurrentTaxYearMinus1YearAmt
Current Tax Year$7,351,852CurrentTaxYearAmt
Total$44,650,950TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,289,583CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,084,103CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,765,394CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,160,018CurrentTaxYearMinus1YearAmt
Current Tax Year$7,351,852CurrentTaxYearAmt
Total$44,650,950TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$62,895CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$64,270CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$58,863CurrentTaxYearMinus1YearAmt
Current Tax Year$69,310CurrentTaxYearAmt
Total$255,338TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,116,942,187CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,203,571,338CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,114,461,225CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,105,231,761CurrentTaxYearMinus1YearAmt
Current Tax Year$1,156,548,966CurrentTaxYearAmt
Total$5,696,755,477TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.91146PublicSupportCY509Pct
Public Support PY5090.91820PublicSupportPY509Pct
Investment Income CY0.00784InvestmentIncomeCYPct
Investment Income PY0.00858InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
Form4720 FiledfalseForm4720FiledInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$257,869DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$257,869TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDirect Lobbying ExpenseFormAndLineReferenceDesc
ExplanationFORM 990, SCHEDULE C, PART IV SUPPLEMENTAL INFORMATION: FCHP PAID A TOTAL OF $257,869 LOBBYING EXPENSES AS FOLLOWS: AHIP DUES (AMERICA'S HEALTH INS. PLANS) 50,666 MAHP DUES (MASS ASSOC OF HEALTH PLANS) 82,762 NATIONAL PACE ASSOCIATION 2,724 SPILLANE & SPILLANE, LLP 48,000 ----------- SUBTOTAL NON-EMPLOYEES $184,152 STAFF SALARIES ASSOCIATED WITH LOBBYING 73,717 ------------ TOTAL OF ALL LOBBYING EXPENSES PAID $257,869 KEY LEGISLATIVE AND REGULATORY ISSUES IN 2016: AMERICAS HEALTH INSURANCE PLANS (AHIP) - LEGISLATIVE ACTIVITY IN THE HOUSE AND THE SENATE AFTER THE ENACTMENT OF THE AFFORDABLE CARE ACT (ACA) IN MARCH 2010. - REGULATORY ACTIVITY ADDRESSING IMPLEMENTATION OF NUMEROUS ACA PROVISIONS, INCLUDING INSURANCE MARKET REFORMS, RISK ADJUSTMENT, MEDICAL LOSS RATIO REQUIREMENTS, PREMIUM REVIEW, HEALTH INSURANCE EXCHANGES, DELIVERY SYSTEM REFORMS, ADMINISTRATIVE SIMPLIFICATION, HEALTH INFORMATION TECHNOLOGY, ACCOUNTABLE CARE ORGANIZATIONS (ACOS), AND THE COMMUNITY LIVING ASSISTANCE SERVICES AND SUPPORTS (CLASS) PROGRAM. - PUBLIC PROGRAM ISSUES AFFECTING MEDICARE ADVANTAGE, DUAL PROGRAMS, MEDICARE PART D, AND MEDICAID. - HEALTH ISSUES OUTSIDE OF THE HEALTH REFORM DEBATE INCLUDING ANTITRUST LEGISLATION, DATA SECURITY, MEDICAL LIABILITY REFORM, MEDICARE PHYSICIAN PAYMENT, AND THE ANNUAL APPROPRIATIONS PROCESS. SPILLANE & SPILLANE, LLP AND MASSACHUSETTS ASSOCIATION OF HEALTH PLANS (MAHP) -ANY NEW POLICIES IMPLEMENTED BY DIVISION OF INSURANCE THAT AFFECT FALLON HEALTH - OTHER REGULATORY HEARINGS AND LEGISLATIVE MEETINGS THAT AFFECT HEALTHCARE POLICIES AND GUIDELINES -LEGISLATIVE MEETINGS AND INTERNAL MEETINGS ON NEW LEGISLATION THAT WILL REFORM HEALTH CARE PAYMENTS AND QUALITY -MEETINGS WITH MASSHEALTH AND MEDICAID OFFICIALS ON DUALS PROGRAMS, INCREASING MEDICAID MANAGED CARE ORGANIZATIONS MEMBERSHIP AND MASSHEALTH REDESIGN WITH ACCOUNTABLE CARE ORGANIZATIONS, CHANGING PAYMENT MODELS, AND BETTER MANAGING OF MEMBERS. DURING 2016, FALLON HEALTH WORKED WITH THESE REGULATORY AGENCIES: DEPARTMENT OF PUBLIC HEALTH - EARLY INTERVENTION PROGRAM - INSURANCE COORDINATORS MEETINGS - 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 - ONE-TIME SUPPLEMENTAL FUNDING PAYMENTS - TRANSPARENCY INFORMATIONAL HEARING - ADMINISTRATIVE SIMPLIFICATION PROVISIONS IN CHAPTER 288 (LEGISLATIVE AND REGULATORY ISSUE) - CODING COMMISSION MASSACHUSETTS CONNECTOR -RATING FACTORS -RISK ADJUSTMENT -RISK CORRIDORS -SEAL OF APPROVALS FOR CONNECTOR PLANS -OPEN ENROLLMENT EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES - WORKED WITH MASSHEALTH ON MANAGED CARE ORGANIZATION ISSUES, MASSHEALTH REDESIGN OF ACCOUNTABLE CARE ORGANIZATIONS, DUAL MEDICARE/MEDICAID PROGRAMS (SENIOR CARE OPTIONS), PACE PROGRAMS ATTORNEY GENERAL'S OFFICE - DISCUSSIONS WITH THE AG'S OFFICE ON RECOMMENDATIONS TO ADDRESS HEALTHCARE COST INCREASES AND PROVIDER CONSOLIDATIONSExplanationTxt

Schedule D IRS990ScheduleD

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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,222,237OtherCostOrOtherBasisAmt
Depreciation$2,980,945DepreciationAmt
Book Value$1,241,291BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,288,810OtherCostOrOtherBasisAmt
Depreciation$6,744,066DepreciationAmt
Book Value$1,544,745BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,545,559OtherCostOrOtherBasisAmt
Depreciation$51,339,036DepreciationAmt
Book Value$19,206,523BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$21,992,559TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
INVESTMENT IN HOMESTAFF$1,437,861
INVESTMENT IN FTC$13,434,637
INVESTMENT IN FHW$5,477,349
FieldValueIRS element (for citing)
Total Book Value Other Assets$20,349,847TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$1,221,402,000TotalRevEtcAuditedFinclStmtAmt
Other Revenue$67,118,547OtherRevenueAmt
Revenue Not Reported$67,118,547RevenueNotReportedAmt
Revenue Subtotal$1,154,283,453RevenueSubtotalAmt
Investment Expenses Not Incld$867,012InvestmentExpensesNotIncldAmt
Other Revenues Not Included$1,836,121OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,703,133RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,156,986,586TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,243,153,000TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$67,118,990OtherExpensesIncludedAmt
Expenses Not Reported$67,118,990ExpensesNotReportedAmt
Expenses Subtotal$1,176,034,010ExpensesSubtotalAmt
Investment Expenses Not Incld2$867,012InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$181,019OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,048,031ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,177,082,041TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART XI, LINE 2D:FormAndLineReferenceDesc
ExplanationSUBSIDIARY ACTIVITIES & ELIMINATIONS (67,118,935) FINANCIAL STATEMENT ROUNDING 388 ---------------- TOTAL (67,118,547) SCHEDULE D, PART XI, LINE 4B: CONTRIBUTION INCOME RC 154,942 NET LOSS, FROM FUNDRAISING ACTIVITIES (11,750) LINE OF CREDIT INTEREST EXPENSE 37,827 NON CONTROLLING INTEREST, BELOW LINE ON FS 1,655,102 ---------------- TOTAL 1,836,121 SCHEDULE D, PART XII, LINE 2D: SUBSIDIARY ACTIVITIES & ELIMINATIONS (67,118,935) FINANCIAL STATEMENT ROUNDING (55) ----------------- TOTAL (67,118,990) SCHEDULE D, PART XII, LINE 4B: CONTRIBUTION INCOME RC TO REVENUE 154,942 NET LOSS, FROM FUNDRAISING, RC TO REVENUE (11,750) LINE OF CREDIT INTEREST EXPENSE 37,827 ----------------- TOTAL 181,019ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF EVENTEvent1Nm
Gross Receipts Event1$224,252GrossReceiptsEvent1Amt
Charitable Contri Event1$154,942CharitableContriEvent1Amt
Gross Revenue Event1$69,310GrossRevenueEvent1Amt
Non Cash Prizes Event1$422NonCashPrizesEvent1Amt
Rent Facility Costs Event1$28,940RentFacilityCostsEvent1Amt
Food And Beverage Event1$20,115FoodAndBeverageEvent1Amt
Entertainment Event1$505EntertainmentEvent1Amt
Other Direct Expenses Event1$31,078OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$224,252GrossReceiptsTotalAmt
Charitable Contributions Tot$154,942CharitableContributionsTotAmt
Gross Revenue Total Events$69,310GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$422NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$28,940RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$20,115FoodAndBeverageTotalEventsAmt
Entertainment Total Events$505EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$31,078OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$81,060DirectExpenseSummaryEventsAmt
Net Income Summary-$11,750NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (35 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
Worcester Regional Chamber of Commerce
446 Main StWorcesterMA01608041988780501(c)(6)$29,000GENERAL SUPPORT GENERAL SUPPORT
Reliant Medical Group FOUNDATION
100 Front St 14th flWorcesterMA01608222912515501(c)(3)$15,817GENERAL SUPPORT
Old Sturbridge VillAGE
1 Old Sturbridge RdSturbridgeMA01566042104809501(c)(3)$11,600GENERAL SUPPORT
Hanover Theatre
2 Southbridge StreetWorcesterMA01608050521735501(c)(3)$18,200GENERAL SUPPORT
Worcester Hibernian Cultural Centre
19 Temple StreetWorcesterMA01604202148447501(c)(3)$12,000GENERAL SUPPORT
Boys and Girls Club of Worcester
65 Tainter StreetWorcesterMA01610042105851501(c)(3)$16,566GENERAL SUPPORT
United Way of Central MA
484 Main StreetWorcesterMA01608042104017501(C)(3)$70,291GENERAL SUPPORT
Harrington Memorial Hospital
12 MILL STSouthbridgeMA01550042103577501(C)(3)$25,000GENERAL SUPPORT
March of Dimes
112 Tpke Rd Ste 102WestboroughMA01581131846366501(C)(3)$5,250GENERAL SUPPORT
UMASS MEDICAL SCHOOL
333 SOUTH STSHREWSBURYMA01545043108190501(c)(3)$20,000GENERAL SUPPORT
NEW ENGLAND PUBLIC RADIO FOUNDATION
1525 Main StreetSPRINGFIELDMA01103046130523501(C)(3)$10,000GENERAL SUPPORT
WORCESTER PUBLIC LIBRARY FOUNDATION
3 Salem SquareWORCESTERMA01608200066770501(C)(3)$11,000GENERAL SUPPORT
CITY OF WORCESTER
20 IRVING STWORCESTERMA01608046001418501(C)(3)$10,558GENERAL SUPPORT
YOUTH OPPORTUNITIES UPHELD INC
81 Plantation StWORCESTERMA01604237112665501(C)(3)$7,500GENERAL SUPPORT
UTEC INC
15 Warren Street 13LowellMA01852383669532501(C)(3)$10,000GENERAL SUPPORT
CHILDRENS FRIEND INC
21 Cedar StreetWORCESTERMA01609042105856501(C)(3)$25,000GENERAL SUPPORT
HOPE COALITION
C/O UMASS MEMORIAL MEDICAL CENTERWORCESTERMA01655043358564501(C)(3)$17,500GENERAL SUPPORT55 LAKE AVE
JESSE BURKETT LITTLE LEAGUE
POBox 20790WorcesterMA01602900042651501(C)(3)$15,125GENERAL SUPPORT
Venture Community Services Inc
1 Picker RoadSturbridgeMA01566042593315501(C)(3)$12,500GENERAL SUPPORT
Girls Inc Of Worcester
125 Providence StreetWORCESTERMA01604042123666501(C)(3)$12,400GENERAL SUPPORT
Bottom Line - Worcester
500 Armory StreetBOSTONMA02130043351427501(C)(3)$12,500GENERAL SUPPORT
Worcester Regional Research Bureau
500 Salisbury StreetWORCESTERMA01609042901298501(C)(3)$11,500GENERAL SUPPORT
Working for Worcester
1 College StreetWORCESTERMA01610300707429501(C)(3)$10,000GENERAL SUPPORT
COMMUNITY TEAMWORK INC
155 Merrimack StreetLOWELLMA01852042382027501(C)(3)$10,000GENERAL SUPPORT
Dana Farber Cancer Institute
PO Box 839EAST DENNISMA10000042263040501(C)(3)$10,000GENERAL SUPPORT
Discover Central MA
446 Main StreetWORCESTERMA01608474881059501(C)(3)$10,000GENERAL SUPPORT
Springfield Day Nursery
1095 Main StreetspringfieldMA01103042103855501(C)(3)$10,000GENERAL SUPPORT
Saint John Paul II Parish Food
263 Hamilton StSOUTHBRIDGEMA01550530196617501(C)(3)$9,500GENERAL SUPPORT
United Way Of Tri-County
46 Park StreetFRAMINGHAMMA01702042104231501(C)(3)$7,500GENERAL SUPPORT
MAB Community Services
200 Ivy StreetBROOKLINEMA02740042109859501(C)(3)$7,500GENERAL SUPPORT
FOOD BANK OF WESTERN MA
97 North Hatfield RoadHATFIELDMA01038042751023501(C)(3)$7,500GENERAL SUPPORT
HEALTHCARE OPTIONS INC
10 EMORY STATTLEBOROMA02703222543620501(C)(3)$7,500GENERAL SUPPORT
SAMARITANS INC
41 WEST STBOSTONMA02111042643466501(C)(3)$7,500GENERAL SUPPORT
LOWELL GENERAL HOSPITAL
295 Varnum AvenueLOWELLMA01854042103590501(C)(3)$7,500GENERAL SUPPORT
TOWN OF AUBURN
14 CENTRAL STAUBURNMA01501046001076115$5,200GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org33Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionYes (true)InitialContractExceptionInd
Rebuttable Presumption ProcYes (true)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmt
W Patrick Hughes
FORMER President & CEO$0$0$0$510,122$0$0$0$16,914$0$527,036$0$0$0
Richard P Burke
PRESIDENT & CEO$0$0$0$33,842$0$179,425$0$25,877$0$709,279$0$6,520$0$470,135
R Scott Walker
EVP, Chief Financial Officer$0$25,000$0$17,817$0$57,380$0$24,233$0$492,862$0$5,543$0$368,432
David Przesiek
SVP, CHIEF SALES OFFICER$0$0$0$10,260$0$72,633$0$25,877$0$400,571$0$2,891$0$291,801
JAMES GENTILE
CHIEF COMPLIANCE OFF EFF 10/16$0$0$0$2,085$0$23,826$0$9,512$0$219,550$0$0$0$184,127
Eric Hall
VP, Network DEVELOPMENT MGMT.$0$4,672$0$3,902$0$39,509$0$25,189$0$305,319$0$0$0$232,047
KRISTINE BOSTEK
VP, SENIOR CARE SERVICES$0$0$0$5,211$0$10,224$0$25,867$0$255,368$0$0$0$214,066
Kevin McGovern
VP, Treasurer & CAPITAL MGMT.$0$0$0$6,897$0$41,050$0$19,517$0$290,421$0$0$0$222,957
Janis Liepins
VP, PRODUCT MANAGEMENT$0$0$0$2,422$0$43,571$0$16,917$0$301,294$0$0$0$238,384
Glenn Randall MD
Physician$0$0$0$3,564$0$23,970$0$22,824$0$335,661$0$0$0$285,303
David Wilner MD
VP & Medical Director$0$0$0$9,491$0$11,925$0$22,667$0$347,026$0$0$0$302,943
Kevin Grozio
VP, Underwriting & Actuarial$0$0$0$6,069$0$50,035$0$25,877$0$352,766$0$0$0$270,785
CHRISTINE CASSIDY
SVP, CHIEF COMM. OFFICER$0$0$0$9,297$0$47,612$0$19,849$0$301,659$0$2,220$0$224,901
FRANK BARRESI
SVP, CIO, ENDED 3/16$0$0$0$253,578$0$3,848$0$4,935$0$324,284$0$0$0$61,923
ELIZABETH HELENIUS
VP, SALES$0$69,768$0$4,398$0$39,505$0$22,479$0$315,753$0$14,179$0$179,603
EMILY WEST
SVP, CHIEF OPERATING OFFICER$0$0$0$10,779$0$49,309$0$18,387$0$307,912$0$2,300$0$229,437
JILL LEBOW
SVP, CHIEF HR OFFICER$0$0$0$7,849$0$49,725$0$21,901$0$312,532$0$2,350$0$233,057
THOMAS EBERT
EVP, CHIEF MEDICAL OFFICER$0$0$0$21,785$0$72,020$0$21,561$0$435,631$0$4,875$0$320,265
MICHAEL NICKEY
EXEC. DIRECTOR, FTC & MH$0$20,000$0$640$0$21,774$0$20,421$0$256,452$0$0$0$193,617
PARAM SINGH
ASSOCIATE MEDICAL DIRECTOR$0$0$0$14,154$0$21,913$0$17,417$0$283,976$0$0$0$230,492
RONALD VALLARIO
PACE ASSOCIATE MEDICAL DIR.$0$4,424$0$3,564$0$25,733$0$26,646$0$279,087$0$0$0$218,720

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, Schedule JFormAndLineReferenceDesc
ExplanationPART I, LINE 1 & 2 HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES. PURSUANT TO A POLICY ADOPTED AND APPROVED BY THE EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE (EECC) OF THE BOARD OF DIRECTORS, A PORTION OF THE DUES AND FEES FOR THE BUSINESS USE OF THE WORCESTER CLUB ARE PAID BY THE ORGANIZATION FOR THE FOLLOWING INDIVIDUALS: PRESIDENT & CEO, EVP AND CFO, EVP and CMO AND SENIOR VP, CHIEF SALES OFFICER. EACH EXECUTIVE IS REQUIRED TO PAY FOR HIS OR HER OWN PERSONAL USE EXPENSES, AS WELL AS A PERSONAL USE PORTION OF THE MEMBERSHIP DUES AND FEES AS DETERMINED BY THE EECC. 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. AN OFFICER RECEIVED OUTPLACEMENT SERVICES IN CONNECTION WITH HIS DEPARTURE. THE VALUE OF THESE SERVICES WERE TREATED AS NON-TAXABLE TO THE OFFICER. PART I, LINE 4A SEVERANCE PAYMENT FCHP PAID SEVERANCE PAYMENTS TO THE FOLLOWING INDIVIDUALS: W. PATRICK HUGHES, FORMER PRESIDENT & CEO, WAS PAID $510,122 IN 2016 FOR the remaining PAYMENT OF THE FULL YEAR SEVERANCE THAT WAS TO START IN NOVEMBER 2015 AND END IN OCTOBER 2016. Frank Barresi, SVP, CHIEF Information OFFICER, WAS PAID nine months severance in 2016 for a total of $231,132, which is included in Schedule J, Part II, Column B(iii). The one year severance payment began in March 2016 and will end in March 2017. 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 a Senior Vice President. In addition, contributions may be made on behalf of an employee who is designated as eligible for a plan year 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. If a participant separates from service for any reason, prior to the last day of the fifth year for which the contribution is credited, he or she will forfeit the non-vested portion of the contribution that has been credited, except that a participant automatically becomes vested upon death, disability or attainment of normal retirement age. 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 plan 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 and a denominator equal to 12. If a Participant who 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 Cause, including involuntary Separation from Service for a reason other than Cause following a Change in Control. IN 2016, 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 AMOUNT PAID AMOUNT DEFERRED RICHARD P. BURKE $31,520 $100,000 THOMAS EBERT $14,727 $39,410 DAVID PRZESIEK $8,818 $23,708 R. SCOTT WALKER $16,907 $45,455 JILL LEBOW $7,109 $19,035 EMILY WEST $7,015 $18,860 CHRISTINE CASSIDY $6,775 $18,220 JAMES GENTILE $1,075 $4,300 ERIC HALL $2,460 $9,840 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 EMPLOYMENT CONTRACTs WITH Eric Hall on July 11, 2016, and Jim Gentile on October 4, 2016. THE TERMS OF their CONTRACTs INCLUDE BASE SALARY, INCENTIVE PROGRAM, RESTRICTED ACTIVITIES, CONFIDENTIALITY, AND SEVERANCE PROVISION.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ADCARE HOSPITAL
OWNERSHIP BY DIRECTOR$1,581,236SEE PART Vfalse
FAMILY MEMBER OF KEY EMPLOYEE
EMPLOYEE$99,636SEE PART Vfalse
FAMILY MEMBER OF OFFICER
EMPLOYEE$50,529SEE PART Vfalse
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$1,556,916SEE PART Vfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSFormAndLineReferenceDesc
Explanation(1) NAME: ADCARE HOSPITAL RELATIONSHIP: ENTITY OWNED BY FCHP DIRECTOR, DAVID W. HILLIS, AND FAMILY MEMBERS. MR. HILLIS IS CHAIRMAN, CEO AND HOLDS MAJORITY INTEREST IN ADCARE HOSPITAL OF WORCESTER, INC., A SUBSTANCE ABUSE HOSPITAL THAT PROVIDES HEALTH CARE SERVICES TO FCHP PLAN MEMBERS. MR. HILLIS ALSO HAS FAMILY MEMBERS WHO HOLD OWNERSHIP IN ADCARE HOSPITAL. FCHP PAID $63,163 TO ADCARE FOR SERVICES. ADCARE PAID $1,518,073 TO FCHP FOR HEALTH INSURANCE PREMIUMS. (2) NAME: LAURIE MCGOVERN RELATIONSHIP: FCHP EMPLOYEE WHO IS A FAMILY MEMBER OF AN FCHP KEY EMPLOYEE, KEVIN MCGOVERN. FCHP PAID COMPENSATION TOTALING $99,636 TO THE FAMILY MEMBER IN 2016. (3) NAME: JUNE COMTOIS RELATIONSHIP: FCHP EMPLOYEE WHO IS A FAMILY MEMBER OF AN FCHP OFFICER, JILL LEBOW. FCHP PAID COMPENSATION TOTALING $50,529 TO THE FAMILY MEMBER IN 2016. (4) RELATIONSHIP: SUBSTANTIAL CONTRIBUTOR THE COMPANY PROVIDES PROFESSIONAL AND CONSULTING SERVICES TO FCHP. FCHP PAID THE FIRM $1,556,916 IN 2016.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ORGANIZATION MISSION AND PROGRAM ACTIVITIESFORM 990, PART I, LINE 1 Founded in 1977, Fallon Health 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, Fallon works to deliver high-quality, affordable care. Fallon is the only health care services organization in Massachusetts to offer a full range of commercial health insurance products, along with most government-sponsored programs. This enables us to serve members of all ages, at all income levels and with all types of health needs. 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/events; grants; corporate sponsorships; hunger relief; in-kind donations; advocacy and volunteer hours. FORM 990, PART III, LINE 4a Commercial programs Fallon Health commercial plans are offered through employer groups and, in some cases, can be purchased directly by the consumer. These plans account for 36.4% of Fallons business and covers all counties in Massachusetts with the exception of Barnstable, Duke and Nantucket. Regardless of how they get their coverage, members of Fallons 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 our members manage their health care costs, Fallon offers a unique choice of provider networks. Fallon Health also offers a wide range of care management programs for those with acute, chronic or complex health conditions. These free, voluntary programs are designed to help members improve both their health and quality of life. Theyre available to members of all Fallon plans (with the exception of our Summit ElderCare participants, who have separate care teams to provide similar services). Fallons approach emphasizes the importance of careful coordination of resources for people with these types of conditions. Our participating members have fewer and shorter hospital stays - while nationally these rates are increasing. We have found that the money spent on outpatient care management programs in turn saves more money in health care expenditures. Most importantly, our members quality of life improves. To best support the changing needs of those we serve, Fallon 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, BEFORE IT BECAME REQUIRED BY THE ACA - 2005 - OFFERED THE FIRST QUALIFIED HIGH-DEDUCTIBLE HMO PLANS IN MASSACHUSETTS - 2015 - INTRODUCED THE HEALTH HEALTH PLAN, A PROGRAM TO HELP MEMBERS MEET HEALTH AND WELLNESS GOALS - 2016 - DEVELOPED NEW HYBRID PLANS FOR PEOPLE WITH CHRONIC CONDITIONS LIKE ASTHMA, DIABETES, AND CORONARY ARTERY DISEASE FORM 990, PART III, LINE 4b Government programs Fallon 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 32.8% of Fallons total membership. - Medicare - Medicaid - Medicare Advantage Special Needs Plan and Senior Care Options program - 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 and a Medicare Advantage Special Needs Plan (HMO SNP) in western New York These programs enable Fallon to serve members of all ages, at all income levels and with all types of health needs. There are several notables when it comes to Fallons government programs: - The Fallon MassHealth plan is one of the highest-rated Medicaid plans in the country. - Fallon is the largest provider of PACE in New England and the fifth LARGEST IN THE COUNTRY. FALLON HAS SEVEN PACE SITES - SIX IN MASSACHUSETTS AND ONE IN WESTERN NEW YORK. - With its PACE program, Fallon Health is the only health plan in Massachusetts that is also a provider of care. - Fallon Health was the first HMO in the country to receive a Medicare Advantage contract with the Centers for Medicare & Medicaid Services (CMS). Fallons plan, Fallon Senior Plan, has served as a national model for other health care programs for the elderly. - Only plans that have received the states seal of approval can be offered through the Massachusetts Health Connector, the state-based health insurance marketplace Connector. Fallon provides options on the Connector for individuals who cant afford to buy health insurance.
FORM 990, PART III, LINE 4cCommunity giving: Fallon Health started out as a Worcester company, serving the needs of the people in the city and the towns nearby. Our success led to expansion. Today we bring our mission of making our communities healthy to all parts of Massachusetts and western New York State. We are a forward-thinking, cohesive group and work with local providers and leaders in the communities we serve to improve residents health and well-being, regardless of whether they are Fallon members. We help build healthy communities through our products and services but ALSO OUR CORPORATE DONATIONS - AND THROUGH THE TREMENDOUS SUPPORT, BOTH IN-KIND and monetary, of our employees. Our community giving includes grants and sponsorships as well as in-kind donations, advocacy and volunteering. We are guided by funding priorities that have been determined in collaboration with our provider partners and other community stakeholders. Through a comprehensive community health needs assessment, the following four funding priorities drove giving in 2016: - "AT-RISK"PROVEN-RISK" YOUTH - improved access to nutrition and/or physical activity - HEALTH AND SOCIAL SERVICES FOR SENIORS - INDIVIDUALS WITH BEHAVIORAL/MENTAL HEALTH ISSUES In 2016, Fallon Health provided $1,209,490 in charitable resources throughout Massachusetts. More than $751,101 of this giving was in grants, direct expenses, leveraged expenses, staff and volunteer time. We also supported other philanthropic initiatives totaling approximately $304,744 in community sponsorships. We personally visited the organizations who serve our most vulnerable citizens to distribute funds and learn more about the regions needs and how we can work together to be a continued resource. This spirit of giving back to the community has been an important feature of Fallon Healths corporate identity for 39 years. 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 Day of Caring, hunger relief and Working for Worcester. Our employees volunteered 7,337 HOURS OF THEIR TIME IN 2016 - 1,777 HOURS WERE FOR FALLON INITIATIVES. Examples of giving include: - IN 2016, WE PARTNERED WITH THE WORCESTER PUBLIC SCHOOLS TO SUPPORT THEIR MASSACHUSETTS College Access Celebration day (MCAC), providing volunteers to assist high school seniors in navigating the process of applying to college. - OUR EMPLOYEES SIT ON NUMEROUS BOARDS AND COMMITTEES THROUGHOUT THE STATE, including The Ascentria Care Alliance, Boys and Girls Clubs Girls Inc., Greater Lowell Health Alliance, the Lowell Plan, the United Way of Central MA, YWCA of Central MA and the Worcester Education Development Fund. - FALLON EMPLOYEES VOLUNTEER AT EVENTS THAT BRING THE COMMUNITY TOGETHER IN healthy ways including Worcesters Independence Day Celebration, WORCESTER'S ST. PATRICK'S DAY PARADE AND THE CANAL DIGGERS 5K - ALL OF WHICH FALLON SPONSORS. - WE DONATE TO AND PARTICIPATE IN VARIOUS CHARITY WALKS INCLUDING THE CENTRAL MA Heart Walk, the March for Babies: March of Dimes, Walk for the Homeless and Step Out: Walk to Stop Diabetes. In addition, Fallon made in-kind donations to extend our resources including the following: * CONSULTING * EMPLOYEE DRIVES FOR BACK-TO-SCHOOL, FOOD AND CLOTHING * GENTLY-USED COMPUTERS * MEETING SPACE AT THE FALLON INFORMATION CENTER IN SHREWSBURY * PRESENTATIONS AND SPEAKERS ON A VARIETY OF TOPICS INCLUDING CAREER, HEALTH CARE, HEALTH AND WELLNESS, AND LEADERSHIP * TICKETS TO EVENTS AT THE DCU CENTER AND HANOVER THEATRE Fallon also continued its signature health and wellness programs. In 2016, we reached 7,525 people in Massachusetts. Many of our programs were held at no cost at the Fallon Information Center in White City Shopping Plaza in Shrewsbury which include smoking cessation and stress management. Everyone in the community was welcome to attend including those who are not Fallon Health members.
FORM 990, PART VI, LINE 2FAMILY OR BUSINESS RELATIONSHIP BETWEEN OFFICERS, DIRECTORS, AND KEY EMPLOYEES. HOME STAFF LLC IS A JOINT VENTURE OF FCHP AND THE VNA CARE NETWORK & HOSPICE. THE FOLLOWING FCHP OFFICERS SERVED ON THE HOME STAFF BOARD OF DIRECTORS DURING 2016: DAVID PRZESIEK, AND R. SCOTT WALKER. FALLON HEALTH & LIFE ASSURANCE COMPANY, INC. (FHLAC), IS A WHOLLY-OWNED SUBSIDIARY OF FCHP. THE FOLLOWING FCHP BOARD MEMBERS AND OFFICERS SERVED ON THE FHLAC BOARD OF DIRECTORS IN 2016: DAVID HILLIS, LYNDA YOUNG, ANN TRIPP, FREDERICK MISILO, B. JOHN DILL, AND R. SCOTT WALKER. ULTRABENEFITS, INC. (UBI) IS A WHOLLY-OWNED SUBSIDIARY OF FHLAC. THE FOLLOWING FCHP BOARD MEMBERS AND OFFICERS SERVED ON THE UBI BOARD OF DIRECTORS IN 2016: RICHARD P. BURKE, R. SCOTT WALKER, AND DAVID PRZESIEK. 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 BOARD MEMBERS AND OFFICERS SERVED ON THE BOARD THESE TWO CORPORATIONS IN 2015: RICHARD P. BURKE, DAVID PRZESIEK, AND R. SCOTT WALKER. PART VI, LINE 4 On April 28, 2016, the FCHP Board of Directors unanimously voted to amend the FCHP Bylaws to include, among other things, additional language that would require a super majority or two-thirds vote of the Board members to approve certain proposed consequential actions by FCHP or FCHPs affiliates. Examples of such actions requiring a super majority vote include FCHPs or FCHPs affiliates sale of all or substantially all its assets, or such entitys sale of an operating division or product line, and acquisitions of or by FCHP or one of its affiliated companies. Additionally, the Board vote included approval of an expanded description in the Bylaws of the Governance and Nominating Committee responsibilities as well as the inclusion of descriptions of the Finance and Audit and Compliance committees. 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 ensuring 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 2016, 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 2016, 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 2016. THIS PROCESS WAS NOT USED TO ESTABLISH COMPENSATION FOR THE "KEY EMPLOYEES" LISTED IN SCHEDULE J. FORM 990, PART VI, LINES 18 AND 19 HOW DOCUMENTS ARE MADE AVAILABLE TO PUBLIC FCHP'S FORM 990 AND ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. FCHP'S ANNUAL REPORT IS AVAILABLE ON ITS OWN WEBSITE. FCHP'S 990, FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ANNUAL REPORT ARE ALSO PROVIDED UPON REQUEST. FORM 990, PART XI, LINE 9 NONCONTROLLING INTEREST BEGINNING $(530,509) NONCONTROLLING INTEREST ENDING $(1,124,593) ---------------- CHANGE IN NONCONTROLLING INTEREST $(1,655,102) FCHP OWNS 70% OF FHW, AND USES EQUITY METHOD OF RECORDING THE INVESTMENT. 100% OF THE LOSS WAS RECORDED DURING THE YEAR, AND EXCLUDING THE MINORITY INTEREST WILL SHOW FCHP'S SHARE OF THE LOSS. ***FALLON HEALTH WEINBERG, INC. (FHW) IS A JOINT VENTURE BETWEEN FCHP, its SUBSIDIARY, FCHP NEW YORK, LLC AND MENORAH CAMPUS, INC., ANOTHER TAX EXEMPT ORGANIZATION.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1FCHPBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SUMMIT LIVING INC
10 CHESTNUT STREETWORCESTERMA01608261836279ASST LIVINGMA501(C)(3)11AfchpYes (true)
FALLON TOTAL CARE INC
10 CHESTNUT STREETWORCESTERMA01608455591420HEALTH CAREMA501(C)(3)9FCHPYes (true)
FALLON HEALTH WEINBERG INC
2700 NORTH FOREST RDGETZVILLENY14068161580245HEALTH CARENY501(C)(3)9FCHPYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
FALLON HEALTH & LIFE ASSURANCE COMPANY
10 CHESTNUT STREETWORCESTERMA01608043169246HLTH & LIFEMAFCHPC CORP$40,648,864$30,663,6001.00000Yes (true)
ULTRABENEFITS INC
29 EAST MOUNTAIN STREETWORCESTERMA016060435257523RD PARTY ADMMAFHLACC CORP$4,656,678$5,586,3631.00000Yes (true)
GROUP INSURANCE SERVICE CENTER INC
20 WINTER STREET 1PEMBROKEMA023590432713043RD PARTY ADMMAUBIC CORP$1,848,599$1,491,8901.00000Yes (true)
GISC INSurance AGENCY INC
20 WINTER STREET 1PEMBROKEMA02359043273688INSURANCE AGEncyMAUBIC CORP$2,135,363$1,417,0361.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgYes (true)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ULTRABENEFITS INC
A,J$92,502CASH
FALLON HEALTH & LIFE ASSURANCE CO INC
B$800,000CASH
FALLON TOTAL CARE INC
B$2,050,000CASH
FALLON HEALTH WEINBERG INC
B$3,626,000CASH
ULTRABENEFITS INC
G$137,032CASH
FALLON HEALTH WEINBERG INC
L$602,819CASH
ULTRABENEFITS INC
L$120,000CASH
ULTRABENEFITS INC
M$157,943CASH
FALLON HEALTH & LIFE ASSURANCE CO INC
N$3,825,549CASH
FALLON HEALTH & LIFE ASSURANCE CO INC
o$6,141,051CASH

Supplemental Information Detail SupplementalInformationDetail

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

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