FALLON COMMUNITY HEALTH PLAN INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
FALLON COMMUNITY HEALTH PLAN INC (EIN 23-7442369)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-14
IRS object ID
201613199349306891
Schema version
2015v2.1
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)
Return2016-11-14T13:26:21-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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% R SCOTT WALKERInCareOfNm
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)
PersonR SCOTT WALKERPersonNm
Person TitleCFOPersonTitleTxt
Phone5087992100PhoneNum
Signature2016-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERIN COUTUREPreparerPersonNm
PTINP01390592PTIN
Phone6175305000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
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$1,298,730,557GrossReceiptsAmt
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 Independent7VotingMembersIndependentCnt
Total Employee1355TotalEmployeeCnt
Total Volunteers174TotalVolunteersCnt
Total Gross UBI$19,142TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$4,350NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$138,959PYContributionsGrantsAmt
CY Contributions Grants$152,837CYContributionsGrantsAmt
PY Program Service Revenue$1,103,651,702PYProgramServiceRevenueAmt
CY Program Service Revenue$1,095,881,328CYProgramServiceRevenueAmt
PY Investment Income$14,793,347PYInvestmentIncomeAmt
CY Investment Income$10,883,851CYInvestmentIncomeAmt
PY Other Revenue-$22,753,834PYOtherRevenueAmt
CY Other Revenue-$15,469,457CYOtherRevenueAmt
PY Total Revenue$1,095,830,174PYTotalRevenueAmt
CY Total Revenue$1,091,448,559CYTotalRevenueAmt
PY Grants And Similar Paid$850,620PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$943,108CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$952,355,355PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$964,201,282CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$86,217,217PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$83,031,972CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$52,853,933PYOtherExpensesAmt
CY Other Expenses$50,034,611CYOtherExpensesAmt
PY Total Expenses$1,092,277,125PYTotalExpensesAmt
CY Total Expenses$1,098,210,973CYTotalExpensesAmt
PY Revenues Less Expenses$3,553,049PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,762,414CYRevenuesLessExpensesAmt
Total Assets BOY$426,331,585TotalAssetsBOYAmt
Total Assets EOY$390,921,976TotalAssetsEOYAmt
Total Liabilities BOY$210,179,455TotalLiabilitiesBOYAmt
Total Liabilities EOY$199,328,411TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$216,152,130NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$191,593,565NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFALLON COMMUNITY HEALTH PLAN'S MISSION IS MAKING OUR COMMUNITIES HEALTHY. FCHP IS COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF OUR COMMUNITIES THROUGH THE DELIVERY OF HIGH QUALITY, AFFORDABLE CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$975,980,213ExpenseAmt
Grant$943,108GrantAmt
Revenue$1,095,881,328RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$975,980,213TotalProgramServiceExpensesAmt
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 AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising 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 EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document5003IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1355EmployeeCnt
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 Member7IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonR SCOTT WALKERPersonNm
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 (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
David W Hillis
Chairman7.01.0Yes (X)$34,500$0$0
Lynda M Young MD
Vice Chair4.00.5Yes (X)$24,000$0$0
W Patrick Hughes
President & CEO, ENDED 10/1549.01.0Yes (X)$752,292$0$31,914Yes (X)
Richard P Burke
INTERIM PRES. & CEO, EFF. 9/1550.07.0Yes (X)$448,049$0$64,782Yes (X)
FREDERICK MISILO ESQ
CLERK4.00.5Yes (X)$18,000$0$0
Joseph N Stolberg
Director4.00.0Yes (X)$26,500$0$0
Ann K Tripp
TREASURER2.00.2Yes (X)$32,000$0$0
KARIN LANDRY
DIRECTOR2.00.0Yes (X)$21,500$0$0
JAMES BUONOMO
DIRECTOR4.00.0Yes (X)$23,500$0$0
B JOHN DILL
DIRECTOR4.00.5Yes (X)$25,500$0$0
W THOMAS SPENCER
DIRECTOR2.00.0Yes (X)$25,500$0$0
LINDA ST JOHN
Chief HR Officer, ENDED 6/1550.00.0$145,729$0$11,625Yes (X)
R Scott Walker
EVP, Chief Financial Officer40.08.0$458,106$0$59,331Yes (X)
David Przesiek
SVP, CHIEF SALES OFFICER48.02.0$332,637$0$42,808Yes (X)
Mary Ritter
EVP, COO, ENDED 2/1550.00.0$185,030$0$4,326Yes (X)
SARIKA AGGARWAL MD
EVP, CMO, ENDED 9/1550.05.0$320,111$0$36,904Yes (X)
CHRISTINE CASSIDY
CHIEF COMM. OFFICER50.01.0$252,703$0$39,241Yes (X)
FRANK BARRESI
SVP, CHIEF INFORMATION OFFICER50.00.0$328,292$0$45,090Yes (X)
EMILY WEST
SVP, COO, EFFECTIVE 2/1550.00.0$267,443$0$37,528Yes (X)
JILL LEBOW
SVP, CHRO, EFFECTIVE 10/1550.00.0$102,846$0$20,936Yes (X)
SCOTT BEAIRD
INTERIM CHRO, ENDED 10/1550.00.0$191,516$0$16,957Yes (X)
THOMAS EBERT
EVP, CMO, EFFECTIVE 11/1550.00.0$36,400$0$20,129Yes (X)
Todd Bailey
VP, SR. CARE SVC, ENDED 7/1550.00.0$220,262$0$23,305Yes (X)
Eric Hall
VP, Network Development & Mgmt50.00.0$284,300$0$35,068Yes (X)
KRISTINE BOSTEK
VP, SR. CARE SVC, EFF. 7/1550.00.0$233,326$0$35,756Yes (X)
Kevin McGovern
VP, Treasurer & CAPITAL MGMT.50.00.0$279,371$0$29,927Yes (X)
Janis Liepins
VP, PRODUCT MANAGEMENT50.00.0$291,620$0$27,605Yes (X)
Kevin Grozio
VP, Underwriting & Actuarial50.00.0$325,006$0$37,702Yes (X)
MICHAEL NICKEY
EXEC DIR. FTC & MH40.010.0$228,022$0$26,093Yes (X)
Glenn Randall MD
Physician50.00.0$257,737$0$33,216Yes (X)
David Wilner MD
VP & Medical Director50.00.0$371,525$0$35,392Yes (X)
ANTHONY PETISCE
VP, IT OPERATIONS50.00.0$256,288$0$23,130Yes (X)
ELIZABETH HELENIUS
VP, SALES50.00.0$249,843$0$46,872Yes (X)
ERIK HONG
VP, BUSINESS SOLUTIONS DELVERY50.00.0$252,406$0$32,454Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,301,860TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$818,091TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K228IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
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
306 BELMONT STWORCESTERMA01604HOSPITAL SERVICES$93,198,718
VHS ACQUISITION SUBSIDIARY
P O BOX 3385BOSTONMA02241HOSPITAL SERVICES$65,467,061
RELIANT MEDICAL GROUP
630 PLANTATION STREETWORCESTERMA01605MEDICAL SERVICES$64,258,893
BEACON HEALTH STRATEGIES LLC
200 STATE ST SUITE 302BOSTONMA02109MENTAL HEALTH SVC.$29,451,103
UMASS MEMORIAL MEDICAL GROUP INC
306 BELMONT STWORCESTERMA01604MEDICAL SERVICES$20,734,611
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K679CntrctRcvdGreaterThan100KCnt
Fundraising$152,837FundraisingAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$50NoncashContributionsAmt
Total Contributions$152,837TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PREMIUM524114$1,095,860,043$1,095,860,043
INOVA ASO PROCESSING INCOME524298$21,285$21,285
FieldValueIRS element (for citing)
Total Program Service Revenue$1,095,881,328TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,981,631TotalRevenueColumnAmt
Exclusion$8,981,631ExclusionAmt

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$178,387RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$178,387RealAmt

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$208,939,450SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$207,037,230SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,902,220SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,902,220TotalRevenueColumnAmt
Exclusion$1,902,220ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$58,863FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$152,837ContriRptFundraisingEventAmt
Fundraising Direct Expenses$66,381FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$7,518TotalRevenueColumnAmt
Exclusion-$7,518ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

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-$15,981,306-$15,981,306
MINORITY INTEREST900099$521,510$521,510
HOME STAFF900099-$2,143-$2,143
FieldValueIRS element (for citing)
Other Revenue Total-$15,461,939OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,091,448,559TotalRevenueColumnAmt
Related Or Exempt Func Income$1,095,860,043RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$19,142UnrelatedBusinessRevenueAmt
Exclusion-$4,583,463ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$943,108TotalAmt
Program Services$943,108ProgramServicesAmt

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$964,201,282TotalAmt
Program Services$964,201,282ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,561,088TotalAmt
Management And General$6,561,088ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$101,075TotalAmt
Management And General$101,075ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$59,570,310TotalAmt
Program Services$173,282ProgramServicesAmt
Management And General$59,397,028ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,526,144TotalAmt
Management And General$2,526,144ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,705,203TotalAmt
Program Services$43,294ProgramServicesAmt
Management And General$8,661,909ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,568,152TotalAmt
Management And General$5,568,152ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,073,685TotalAmt
Management And General$1,073,685ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$882,577TotalAmt
Management And General$882,577ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$232,787TotalAmt
Program Services$232,787ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$976,106TotalAmt
Management And General$976,106ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,236,383TotalAmt
Management And General$5,236,383ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,290,194TotalAmt
Management And General$3,290,194ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,401,859TotalAmt
Management And General$5,401,859ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,482,923TotalAmt
Management And General$5,482,923ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,772,489TotalAmt
Management And General$3,772,489ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$134,292TotalAmt
Management And General$134,292ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$219,467TotalAmt
Management And General$219,467ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$171,375TotalAmt
Management And General$171,375ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,229,163TotalAmt
Management And General$11,229,163ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$643,164TotalAmt
Management And General$643,164ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
ACA TAXES$6,551,750$6,551,750
TRANSITIONAL REINSURANCE$3,834,710$3,834,710
DUES/SUBSCRIPTIONS$702,016$702,016
RECRUITING EXPENSE$199,671$199,671

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,098,210,973TotalAmt
Program Services$975,980,213ProgramServicesAmt
Management And General$122,230,760ManagementAndGeneralAmt
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$7,978,499BOYAmt
EOY$6,012,408EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,948,528BOYAmt
EOY$21,960,195EOYAmt

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$1,378,216BOYAmt
EOY$1,887,492EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$82,960,702LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$51,384,481LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$38,795,719BOYAmt
EOY$31,576,221EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$366,475,931BOYAmt
EOY$311,809,661EOYAmt

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-$1,245,308BOYAmt
EOY$17,675,999EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$426,331,585BOYAmt
EOY$390,921,976EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$202,818,067BOYAmt
EOY$191,586,942EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$7,361,388BOYAmt
EOY$7,741,469EOYAmt

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$210,179,455BOYAmt
EOY$199,328,411EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$216,152,130BOYAmt
EOY$191,593,565EOYAmt

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$216,152,130BOYAmt
EOY$191,593,565EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$426,331,585BOYAmt
EOY$390,921,976EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$6,762,414ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$17,274,641NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$521,510OtherChangesInNetAssetsAmt
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$207,375CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$158,338CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$137,023CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$138,959CurrentTaxYearMinus1YearAmt
Current Tax Year$152,837CurrentTaxYearAmt
Total$794,532TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,096,296,327CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,107,494,266CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,195,287,317CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,103,492,602CurrentTaxYearMinus1YearAmt
Current Tax Year$1,095,860,043CurrentTaxYearAmt
Total$5,598,430,555TotalAmt

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$1,096,503,702CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,107,652,604CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,195,424,340CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,103,631,561CurrentTaxYearMinus1YearAmt
Current Tax Year$1,096,012,880CurrentTaxYearAmt
Total$5,599,225,087TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,931,238CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,214,255CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,285,754CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,255,901CurrentTaxYearMinus1YearAmt
Current Tax Year$2,252,979CurrentTaxYearAmt
Total$10,940,127TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$59,229,698CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$68,710,847CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,563,830CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$89,388,243CurrentTaxYearMinus1YearAmt
Current Tax Year$114,480,023CurrentTaxYearAmt
Total$402,372,641TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$61,160,936CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$70,925,102CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$72,849,584CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$91,644,144CurrentTaxYearMinus1YearAmt
Current Tax Year$116,733,002CurrentTaxYearAmt
Total$413,312,768TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$5,185,912,319PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,179,115CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,289,583CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,084,103CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,765,394CurrentTaxYearMinus1YearAmt
Current Tax Year$9,160,018CurrentTaxYearAmt
Total$48,478,213TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,179,115CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,289,583CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,084,103CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,765,394CurrentTaxYearMinus1YearAmt
Current Tax Year$9,160,018CurrentTaxYearAmt
Total$48,478,213TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$62,895CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$64,270CurrentTaxYearMinus1YearAmt
Current Tax Year$58,863CurrentTaxYearAmt
Total$186,028TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,107,682,817CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,116,942,187CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,203,571,338CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,114,461,225CurrentTaxYearMinus1YearAmt
Current Tax Year$1,105,231,761CurrentTaxYearAmt
Total$5,647,889,328TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.91820PublicSupportCY509Pct
Public Support PY5090.92866PublicSupportPY509Pct
Investment Income CY0.00858InvestmentIncomeCYPct
Investment Income PY0.00877InvestmentIncomePYPct
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$330,959DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$330,959TotalLobbyingExpendituresAmt
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 $330,959 LOBBYING EXPENSES AS FOLLOWS: AHIP DUES (AMERICA'S HEALTH INS. PLANS) 48,053 ALLIANCE OF COMMUNITY HEALTH PLANS DUES 52,515 MAHP DUES (MASS ASSOC OF HEALTH PLANS) 81,495 NATIONAL PACE ASSOCIATION 2,724 SPILLANE & SPILLANE, LLP 48,000 ------------- SUBTOTAL NON-EMPLOYEES $232,787 STAFF SALARIES ASSOCIATED WITH LOBBYING 98,172 ------------- TOTAL OF ALL LOBBYING EXPENSES PAID $330,959 KEY LEGISLATIVE AND REGULATORY ISSUES IN 2015: AMERICAS HEALTH INSURANCE PLANS (AHIP) AND ALLIANCE OF COMMUNITY HEALTH PLANS (ACHP) - 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, COBRA CONTINUATION COVERAGE, 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 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, MMP/ONE CARE PROGRAM, INCREASING MCO MEMBERSHIP, CHANGING PAYMENT MODELS, AND BETTER MANAGING OF MEMBERS. DURING 2015, FCHP WORKED WITH THESE REGULATORY AGENCIES: DEPARTMENT OF PUBLIC HEALTH - EARLY INTERVENTION PROGRAM - INSURANCE COORDINATORS MEETINGS - CHANGES TO HOSPITAL GUIDELINES - OFFICE OF PATIENT PROTECTION - OPEN ENROLLMENT WAIVER REGULATIONS HEALTHCARE POLICY COMMISSION - COST TRENDS - TOTAL MEDICAL EXPENSES & RELATIVE PRICES TECHNICAL ADVISORY GROUP MEETINGS, CONSULTATIVE SESSIONS & REGULATIONS - 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 EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES - WORKED WITH MASSHEALTH ON MANAGED CARE ORGANIZATION ISSUES, ONE CARE PROGRAM, DUAL MEDICARE/MEDICAID PROGRAMS, 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$4,279,154OtherCostOrOtherBasisAmt
Depreciation$2,750,616DepreciationAmt
Book Value$1,528,538BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,967,224OtherCostOrOtherBasisAmt
Depreciation$6,294,628DepreciationAmt
Book Value$1,672,596BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,714,324OtherCostOrOtherBasisAmt
Depreciation$42,339,237DepreciationAmt
Book Value$28,375,087BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$31,576,221TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,256,790,000TotalRevEtcAuditedFinclStmtAmt
Other Revenue$166,984,376OtherRevenueAmt
Revenue Not Reported$166,984,376RevenueNotReportedAmt
Revenue Subtotal$1,089,805,624RevenueSubtotalAmt
Investment Expenses Not Incld$976,106InvestmentExpensesNotIncldAmt
Other Revenues Not Included$666,829OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,642,935RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,091,448,559TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,264,074,000TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$166,984,452OtherExpensesIncludedAmt
Expenses Not Reported$166,984,452ExpensesNotReportedAmt
Expenses Subtotal$1,097,089,548ExpensesSubtotalAmt
Investment Expenses Not Incld2$976,106InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$145,319OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,121,425ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,098,210,973TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE D, PART XI, LINE 2D:FormAndLineReferenceDesc
ExplanationPART XI, LINE 2D: SUBSIDIARY ACTIVITIES & ELIMINATIONS (166,984,428) FINANCIAL STATEMENT ROUNDING 52 ---------------- SUBTOTAL (166,984,376) SCHEDULE D, PART XI, LINE 4B: CONTRIBUTION RECLASS FROM EXPENSE 152,837 NET LOSS, FROM FUNDRAISING ACTIVITIES (7,518) NON CONTROLLING INTEREST, BELOW LINE ON FS 521,510 ----------- SUBTOTAL 666,829 PART XII, LINE 2D: SUBSIDIARY ACTIVITIES & ELIMINATIONS (166,984,428) FINANCIAL STATEMENT ROUNDING (24) -------------- SUBTOTAL (166,984,452) CONTRA EXPENSE RECLASS TO REVENUE 152,837 NET LOSS, FROM FUNDRAISING, RECLASS TO REVENUE (7,518) ---------- SUBTOTAL 145,319ExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Licensed StatesMALicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF EVENTEvent1Nm
Gross Receipts Event1$211,700GrossReceiptsEvent1Amt
Charitable Contri Event1$152,837CharitableContriEvent1Amt
Gross Revenue Event1$58,863GrossRevenueEvent1Amt
Cash Prizes Event1$300CashPrizesEvent1Amt
Rent Facility Costs Event1$28,740RentFacilityCostsEvent1Amt
Food And Beverage Event1$18,225FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$19,116OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$211,700GrossReceiptsTotalAmt
Charitable Contributions Tot$152,837CharitableContributionsTotAmt
Gross Revenue Total Events$58,863GrossRevenueTotalEventsAmt
Cash Prizes Total Events$300CashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$28,740RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$18,225FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$19,116OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$66,381DirectExpenseSummaryEventsAmt
Net Income Summary-$7,518NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (44 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Worcester Regional Chamber of Commerce
446 Main StWorcesterMA01608041988780501(c)(6)$88,500GENERAL SUPPORT
Reliant Medical Group
100 Front St 14th flWorcesterMA01608222912515501(c)(3)$17,000GENERAL SUPPORT
YWCA OF CENTRAL MASS INC
3 Salem SquareWorcesterMA01608042105873501(c)(3)$5,960GENERAL SUPPORT
Old Sturbridge VillAGE
1 Old Sturbridge RdSturbridgeMA01566042104809501(c)(3)$12,500GENERAL SUPPORT
WORCESTER COUNTY FOOD BANK INC
474 Boston Tpk RdShrewsburyMA01545043071457501(c)(3)$6,500GENERAL SUPPORT
Hanover Theatre
2 Southbridge StreetWorcesterMA01608050521735501(c)(3)$15,400GENERAL SUPPORT
Worcester Hibernian Cultural Centre
PO Box 20276WorcesterMA01602202148447501(c)(3)$10,000GENERAL SUPPORT
BE LIKE BRIT FOUNDATION INC
66 Pullman StreetworcesterMA01606271857525501(c)(3)$7,500GENERAL SUPPORT
Boys and Girls Club of Worcester
65 Tainter StreetWorcesterMA01610042105851501(c)(3)$12,000GENERAL SUPPORT
United Way of Central MA
484 Main StreetWorcesterMA01608042104017501(C)(3)$20,750GENERAL SUPPORT
Harrington Memorial Hospital
100 South StreetSouthbridgeMA01550042103577501(C)(3)$35,000GENERAL SUPPORT
March of Dimes
112 Tpke Rd Ste 102WestboroughMA01581131846366501(C)(3)$10,000GENERAL SUPPORT
Alternatives Unlimited
50 Douglas RoadWhitinsvilleMA01588042587863501(C)(3)$20,000GENERAL SUPPORT
BECKER COLLEGE
61 Sever StreetWorcesterMA01609042108346501(C)(3)$55,000GENERAL SUPPORT
UMASS MEMORIAL MEDICAL CENTER
55 Lake Avenue NorthworcesterMA01655043358564501(c)(3)$20,750GENERAL SUPPORT
WORCESTER ART MUSEUM
55 Salisbury StWorcesterMA01609041988530501(c)(3)$20,000GENERAL SUPPORT
MARY IMMACULATE HEALTHCARE SERVICES
172 Lawrence StreetLawrenceMA01841042857794501(c)(3)$10,000GENERAL SUPPORT
NEW ENGLAND PUBLIC RADIO FOUNDATION
131 County CirAmherstMA01103046130523501(C)(3)$10,000GENERAL SUPPORT
SPRINGFIELD BOYS & GIRLS CLUB
481 Carew StreetSpringfieldMA01104041858620501(C)(3)$10,000GENERAL SUPPORT
STUDENTS HELPING CHILDREN ACROSS THE BORDERS
PO Box 2250WorcesterMA01610300707429501(C)(3)$10,000GENERAL SUPPORT
NEW ENGLAND COUNCIL
98 N Washington St 201BOSTONMA02114041661090501(C)(6)$6,500GENERAL SUPPORT
BOSTON TERRIERS FOOTBALL CORP
PO Box 15187BOSTONMA02215043400556501(C)(3)$7,500GENERAL SUPPORT
YMCA OF CENTRAL MASSACHUSETTS
766 Main StreetWorcesterMA01610042105885501(c)(3)$25,000GENERAL SUPPORT
WORCESTER PUBLIC LIBRARY FOUNDATION
3 Salem SquareWORCESTERMA01608200066770501(C)(3)$21,000GENERAL SUPPORT
APPALACHIAN MOUNTAIN CLUB
5 Joy StreetBOSTONMA02108046001677501(C)(3)$16,000GENERAL SUPPORT
COMMUNITY HEALTHLINK
72 Jaques AvenueWORCESTERMA01610042626179501(C)(3)$15,000GENERAL SUPPORT
THE BRIDGE OF CENTRAL MASS INC
4 Mann StreetWORCESTERMA01602042701581501(C)(3)$14,500GENERAL SUPPORT
CITY OF WORCESTER
20 IRVING STWORCESTERMA01608046001418501(C)(3)$12,933GENERAL SUPPORT
WAYSIDE YOUTH & FAMILY SUPPORT
1 Frederick Abbott WayFRAMINGHAMMA01701042630450501(C)(3)$12,500GENERAL SUPPORT
NEW ENGLAND PATRIOTS ALUMNI CLUB
One Patriots PlaceFoxboroMA02035061755647501(C)(3)$10,000GENERAL SUPPORT
DOC WAYNE YOUTH SERVICES
418 Commonwealth AveBOSTONMA02215274216064501(C)(3)$10,000GENERAL SUPPORT
ST PAULS CATHEDRAL
19 Chatham StreetWorcesterMA01609042106744501(C)(3)$10,000GENERAL SUPPORT
Curry College
1071 Blue Hill AvenueMILTONMA02186042199867501(C)(3)$10,000GENERAL SUPPORT
FATHER BILLS & MAIN SPRING
430 Belmont StreetBrocktonMA02301222538039501(C)(3)$10,000GENERAL SUPPORT
YOUTH OPPORTUNITIES UPHELD INC
81 Plantation StWORCESTERMA01604237112665501(C)(3)$10,000GENERAL SUPPORT
UTEC INC
15 Warren Street 13LowellMA01852383669532501(C)(3)$10,000GENERAL SUPPORT
BLESSED STEPHEN BELLESINI OSA
PO Box 1021LawrenceMA01840043585445501(C)(3)$10,000GENERAL SUPPORT
Central MA Regional Planning Commission
2 Washington SquareWORCESTERMA01604042318872501(C)(3)$7,500GENERAL SUPPORT
BOSTON HEALTH CARE FOR THE HOMELESS
780 Albany StreetBostonMA02118043160480501(C)(3)$7,500GENERAL SUPPORT
HEYWOOD MEMORIAL HOSPITAL
242 Green StGARDNERMA01440042103581501(C)(3)$7,250GENERAL SUPPORT
LAZARUS HOUSE
412 Hampshire STLawrenceMA01841042755382501(C)(3)$6,000GENERAL SUPPORT
Associated Industries of Mass
One Beacon Street 16th floorBostonMA02108041045830501(C)(6)$6,000GENERAL SUPPORT
FRIENDLY HOUSE INC
36 Wall StreetWORCESTERMA01609042104239501(C)(3)$5,500GENERAL SUPPORT
D YOUVILLE LIFE AND WELLNESS COMMUNITY
981 Varnum AvenueLowellMA01854912055004501(C)(3)$5,500GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org41Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
W Patrick Hughes
President & CEO, ENDED 10/15$531,988$0$75,000$0$145,304$0$11,925$0$19,989$0$784,206$0$75,000$0
Richard P Burke
INTERIM PRES. & CEO, EFF. 9/15$357,164$0$81,678$0$9,207$0$38,005$0$26,777$0$512,831$0$31,678$0
LINDA ST JOHN
Chief HR Officer, ENDED 6/15$109,958$0$17,469$0$18,302$0$6,609$0$5,016$0$157,354$0$17,469$0
R Scott Walker
EVP, Chief Financial Officer$370,963$0$80,634$0$6,509$0$34,098$0$25,233$0$517,437$0$30,634$0
David Przesiek
SVP, CHIEF SALES OFFICER$296,049$0$32,615$0$3,973$0$17,032$0$25,776$0$375,445$0$32,615$0
Mary Ritter
EVP, COO, ENDED 2/15$39,065$0$0$0$145,965$0$1,532$0$2,794$0$189,356$0$0$0
Todd Bailey
VP, SR. CARE SVC, ENDED 7/15$150,290$0$49,962$0$20,010$0$8,406$0$14,899$0$243,567$0$39,011$0
Eric Hall
VP, Network Development & Mgmt$231,752$0$46,681$0$5,867$0$9,979$0$25,089$0$319,368$0$46,681$0
KRISTINE BOSTEK
VP, SR. CARE SVC, EFF. 7/15$200,138$0$28,708$0$4,480$0$10,129$0$25,627$0$269,082$0$0$0
Kevin McGovern
VP, Treasurer & CAPITAL MGMT.$227,700$0$40,806$0$10,865$0$10,410$0$19,517$0$309,298$0$40,806$0
Janis Liepins
VP, PRODUCT MANAGEMENT$241,920$0$42,844$0$6,856$0$11,925$0$15,680$0$319,225$0$42,844$0
Glenn Randall MD
Physician$233,326$0$16,198$0$8,213$0$9,492$0$23,724$0$290,953$0$16,198$0
David Wilner MD
VP & Medical Director$310,942$0$45,393$0$15,190$0$11,925$0$23,467$0$406,917$0$45,393$0
Kevin Grozio
VP, Underwriting & Actuarial$273,647$0$50,632$0$727$0$11,925$0$25,777$0$362,708$0$50,632$0
SARIKA AGGARWAL MD
EVP, CMO, ENDED 9/15$208,951$0$26,950$0$84,210$0$11,441$0$25,463$0$357,015$0$26,950$0
CHRISTINE CASSIDY
CHIEF COMM. OFFICER$224,697$0$15,625$0$12,381$0$18,330$0$20,911$0$291,944$0$15,625$0
FRANK BARRESI
SVP, CHIEF INFORMATION OFFICER$302,415$0$20,160$0$5,717$0$23,944$0$21,146$0$373,382$0$20,160$0
ANTHONY PETISCE
VP, IT OPERATIONS$219,939$0$31,267$0$5,082$0$11,116$0$12,014$0$279,418$0$0$0
ELIZABETH HELENIUS
VP, SALES$179,640$0$65,872$0$4,331$0$22,326$0$24,546$0$296,715$0$23,866$0
EMILY WEST
SVP, COO, EFFECTIVE 2/15$225,058$0$36,061$0$6,324$0$19,191$0$18,337$0$304,971$0$0$0
SCOTT BEAIRD
INTERIM CHRO, ENDED 10/15$151,034$0$40,109$0$373$0$8,720$0$8,237$0$208,473$0$0$0
MICHAEL NICKEY
EXEC DIR. FTC & MH$197,879$0$29,606$0$537$0$8,176$0$17,917$0$254,115$0$25,806$0
ERIK HONG
VP, BUSINESS SOLUTIONS DELVERY$214,010$0$33,793$0$4,603$0$9,058$0$23,396$0$284,860$0$0$0

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. PART I, LINE 4A SEVERANCE PAYMENT FCHP PAID SEVERANCE PAYMENTS TO THE FOLLOWING INDIVIDUALS: W. PATRICK HUGHES, PRESIDENT & CEO, WAS PAID $93,785 IN 2015 FOR A PARTIAL PAYMENT OF THE FULL YEAR SEVERANCE THAT WAS TO START IN NOVEMBER 2015 AND END IN OCTOBER 2016. THE REMAINDER IS PAID IN 2016 OVER 22 BIWEEKLY PAY PERIODS. MARY RITTER, EVP, CHIEF OPERATING OFFICER, WAS PAID A LUMP SUM PAYMENT OF $136,154 FOR 24 WEEKS OF SEVERANCE PAY. 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. IN 2015, 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 $6,520 $26,080 THOMAS EBERT $4,875 $19,500 DAVID PRZESIEK $2,891 $11,565 R. SCOTT WALKER $5,543 $22,173 FRANK BARRESI $3,005 $12,019 JILL LEBOW $2,350 $9,400 EMILY WEST $2,300 $9,200 CHRISTINE CASSIDY $2,220 $8,880 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 CONTRACT WITH Emily West on February 27, 2015, Jill Lebow on October 5, 2015, and Tom Ebert on November 9, 2015. THE TERMS OF THESE CONTRACTS INCLUDE BASE SALARY, INCENTIVE PROGRAM, RESTRICTED ACTIVITIES OUTSIDE WORK, CONFIDENTIALITY, AND SEVERANCE PROVISION.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ADCARE HOSPITAL
OWNERSHIP BY DIRECTOR$2,097,846SEE PART Vfalse
FAMILY MEMBER OF KEY EMPLOYEE
EMPLOYEE$101,075SEE PART Vfalse
COLEBROOK REALTY SERVICES
OWNERSHIP BY DIRECTOR$191,365SEE PART Vfalse
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$948,287SEE PART Vfalse
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$2,593,969SEE 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 PRESIDENT, 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 $36,232 TO ADCARE FOR SERVICES. ADCARE PAID $2,061,614 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 $101,075 TO THE FAMILY MEMBER IN 2015. (3) NAME: COLEBROOK REALTY SERVICES, INC. RELATIONSHIP: B. JOHN DILL, FCHP DIRECTOR, IS PRESIDENT AND CEO OF COLEBROOK REALTY SERVICES. HE HOLDS 80% INTEREST IN THE ORGANIZATION. COLEBROOK PAID $191,365 TO FCHP FOR THE HEALTH INSURANCE IT PURCHASED FROM FCHP IN 2015. (4) RELATIONSHIP: SUBSTANTIAL CONTRIBUTOR THE COMPANY PROVIDES PROFESSIONAL AND CONSULTING SERVICES TO FCHP. FCHP PAID THE FIRM $948,287 IN 2015. (5) RELATIONSHIP: SUBSTANTIAL CONTRIBUTOR THE COMPANY PROVIDES PROFESSIONAL AND CONSULTING SERVICES TO FCHP. FCHP PAID THE FIRM $2,593,969 IN 2015.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ORGANIZATION MISSION AND PROGRAM ACTIVITIESFORM 990, PART I, LINE 1 FALLON HEALTH'S MISSION IS MAKING OUR COMMUNITIES HEALTHY. FALLON HEALTH IS COMMITTED TO IMPROVING THE HEALTH AND WELLNESS OF OUR COMMUNITIES THROUGH THE DELIVERY OF HIGH QUALITY, AFFORDABLE CARE. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A FALLON HEALTH'S PROGRAM ACTIVITIES CONSIST OF PREPAID HEALTHCARE IN THE COMMONWEALTH OF MASSACHUSETTS. THE COVERED POPULATION AT DECEMBER 31, 2015 WAS 222,328. FALLON COMMUNITY HEALTH PLAN MADE OVER $1,463,544 AVAILABLE TO PROGRAMS THAT MAKE OUR COMMUNITIES HEALTHY. THIS WAS ACCOMPLISHED THROUGH THE DISTRIBUTION OF GRANTS, CHARITABLE DONATIONS, COMMUNITY BENEFIT PROGRAMS, FUNDRAISING EVENTS, AND EMPLOYEE VOLUNTEERISM. FALLON COMMUNITY HEALTH PLAN I. COMMUNITY BENEFITS MISSION STATEMENTS Fallon Health is committed to the vision of creating healthier lives. Since its inception in 1977, Fallon has worked to improve the quality of life and the health status of individuals by offering access to high-quality, affordable medical care and services. Fallon Health will work cooperatively with health care and community service organizations, as well as state and federal agencies, to lead the creation of innovative health care solutions, to seek healthy outcomes, and to improve access to health care services. Fallon will make resources available to community organizations as appropriate in pursuit of these goals. II. Internal oversight and management of the community benefits program In 2013, Fallons Board of Directors and its President and CEO appointed Fallon staff and community representatives to serve a three-year term on the Community Benefits Committee to oversee the continued development and implementation of the Community Benefits Program. III. Community health needs assessment: In April 2013, several appointed members of the community and Fallon management were invited to participate in a process to assess health and community needs throughout Fallons service area, and to make recommendations to Fallons CEO of potential areas of focus for future Fallon Health philanthropic efforts. The Committee was identified and appointed in January of 2013. IV. Community participation In an effort to best utilize Fallon Community Benefits funds, Fallon continually assesses the needs of the community through informal processes. In 2013 a new committee assessed our community needs. The information used in this process encompassed both statewide and county/community-specific data sets, and included, community health status reports, community needs assessments, community indicators reports, and various other data available through service organizations. V. Community Benefits Plan In 2015, Fallon invested in a new online grant-making program. Now we are able to offer a more efficient, user-friendly experience for submitting, reviewing and evaluating grant applications. We increased accessibility, awareness and promoted better engagement and understanding of our funding priorities by moving our funding programs online. VI. Progress report Activity during the reporting year: Fallon Healths community focus is at the heart of all we do and something our employees enthusiastically support. Were very unique in this regard as 95% of Fallon employees say they are willing to go the extra mile to help Fallon succeed in carrying out its mission of making our communities healthy. Through our Community Relations Department and our caring employees, we continuously look for ways to make meaningful differences in peoples lives. In 2015, Fallon Health made $1,463,544 available to programs that met the goals of Fallons Community Benefits program. This was accomplished through the distribution of more than $870,288 in support of our funding priorities, including grants, direct expenses, leveraged expenses, staff and volunteer time. We also supported other philanthropic initiatives totaling approximately $397,815 in community sponsorships. 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 and Working for Worcester. Our employees sit on numerous boards and committees throughout the state, including The United Way, YWCA, Boys and Girls Clubs and March of Dimes. Fallon employees volunteer at events that bring the community together in healthy ways including Worcesters Independence Day Celebration, Worcesters St. Patricks Day parade and THE CANAL DIGGERS 5K. WE DONATE TO - AND PARTICIPATE IN - VARIOUS CHARITY walks including the Central MA Heart Walk, Walk for the Homeless and Step Out: Walk to Stop Diabetes. Last year, we grew our holiday giving program to ensure that even more families have holiday meals and extras that bring hope for a better tomorrow. Fallon employees adopted families from the Department of Children and Families, Burncoat High School, Elm Park Community School, Quinsigamond School, South High School, Sullivan Middle School and South Worcester Neighborhood Improvement Center. We supplied families with perishable and non-perishable items (gift cards) to enjoy a complete holiday meal. Fallon also donated holiday gifts to both the Department of Children and Families and South Worcester Neighborhood Improvement Center and then helped to close the gap for Square Ones holiday giving with a $2,500 donation and a $5,000 donation to the Boys & Girls Club of Worcester. Also in 2015, Fallon updated its employee giving program, Pay it Forward, to help employees make a bigger difference in the lives of people we serve. We asked employees to nominate a nonprofit organization in Massachusetts that is making a difference in the community and deserves our support. The organization must align with our mission and funding priorities. In 2015, 15 employees each gave $1,000 to nonprofits across the Commonwealth. 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 VARITY OF TOPICS INCLUDING CAREER, HEALTH CARE, HEALTH AND WELLNESS, AND LEADERSHIP * TICKETS TO EVENTS Reviewing, evaluating and updating the program After a thorough review of the Fallon Community Benefits Program in 2013, the following changes were made to the program: * MEMBERSHIP OF THE COMMUNITY BENEFITS COMMITTEE WAS ADJUSTED TO ENSURE EFFECTIVENESS. The committee retains representation from Fallon personnel. In addition, six committee seats are filled by persons from outside the Fallon Health system who shared their knowledge of a specific geography/community and/or a particular vulnerable population. THE COMMUNITY BENEFITS PROGRAM'S AREAS OF FOCUS WERE VALIDATED AS: o Programs that promote access to good nutrition and physical activity o Programs that promote and ensure good health for seniors o Promoting opportunities for at-risk/proven risk youth and young adults between the ages of 12 to 21 with a specific emphasis on youth preparing to age-out of the system and lose services o Providing services to support individuals with behavioral and/or mental health issues with a specific emphasis on addressing the needs of the most vulnerable groups by their ethnicity, age, demographics and risk-factors Each year, this process and the areas of focus are assessed using data from a variety of local, state and national resources including CHA (Community Health Assessment), CHIP (Community Health Improvement Plan) and HealthyPeople.gov. In 2015, Fallon recognizing that applying for grants can be time-consuming on organizations that already have limited resources, we invested in a simple way for organizations to express their needs and request resources. Now we are able to offer a more efficient, user-friendly experience for submitting, reviewing and evaluating grant applications. We increased accessibility, awareness and promoted engagement by moving our funding programs online.
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 BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES SERVED ON THE HOME STAFF BOARD OF DIRECTORS DURING 2015: RICHARD P. BURKE, TODD BAILY, 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 2015: DAVID HILLIS, LYNDA YOUNG, ANN TRIPP, FREDERICK MISILO, B. JOHN DILL, W. PATRICK HUGHES, 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 2015: RICHARD P. BURKE, W. PATRICK HUGHES, 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 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 2015, 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 PRESIDENT, EXECUTIVE VICE PRESIDENT, AND SENIOR VICE PRESIDENT POSITIONS THAT REPORT DIRECTLY TO THE CEO ("EXECUTIVE GROUP"). IN 2015, TO DETERMINE THE COMPENSATION STRUCTURE OF THE EXECUTIVE GROUP, THE COMMITTEE RELIED ON A WRITTEN COMPENSATION SURVEY PRODUCED IN 2014 BY AN INDEPENDENT CONSULTING FIRM THAT ASSESSES EXECUTIVE COMPENSATION AND BENEFITS AND REFRESHED IN 2015 BY FALLON HEALTHs COMPENSATION DEPARTMENT. THE COMMITTEE MET TO REVIEW THE COMPENSATION STRUCTURE OF THE EXECUTIVE GROUP AND REVIEWED THE COMPENSATION SURVEY PREPARED BY THE INDEPENDENT CONSULTING FIRM and updated by Fallon Health. 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 2015. 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 1,052,019 NONCONTROLLING INTEREST ENDING ($530,509) --------------------- CHANGE IN NONCONTROLLING INTEREST $(521,510) 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$46,484,250$35,750,3611.00000Yes (true)
ULTRABENEFITS INC
29 EAST MOUNTAIN STREETWORCESTERMA016060435257523RD PARTY ADMMAFHLACC CORP$11,961,293$5,574,0391.00000Yes (true)
GROUP INSURANCE SERVICE CENTER INC
20 WINTER STREET 1PEMBROKEMA023590432713043RD PARTY ADMMAUBIC CORP$396,289$1,431,8591.00000Yes (true)
GISC INSURANCE AGENCY INC
20 WINTER STREET 1PEMBROKEMA02359043273688INSURANCE AGENCYMAUBIC CORP$344,461$646,1251.00000Yes (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 OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
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 OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ULTRABENEFITS INC
A IV$90,227CASH
FALLON HEALTH & LIFE ASSURANCE CO INC
B$13,200,000CASH
FALLON TOTAL CARE INC
B$20,650,000CASH
FALLON HEALTH WEINBERG INC
B$3,400,000CASH
FALLON TOTAL CARE INC
G$580,012CASH
ULTRABENEFITS INC
G$134,422CASH
ULTRABENEFITS INC
J$90,227CASH
FALLON TOTAL CARE INC
K$264,775CASH
FALLON HEALTH WEINBERG INC
L$243,614CASH
ULTRABENEFITS INC
M$189,744CASH
FALLON HEALTH & LIFE ASSURANCE CO INC
N$3,746,012CASH
FALLON HEALTH & LIFE ASSURANCE CO INC
o$5,974,310CASH
FALLON TOTAL CARE INC
o$3,022,601CASH
ULTRABENEFITS INC
o$120,000CASH
FALLON TOTAL CARE INC
s$60,354NET BOOK VALUE

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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