FALLON COMMUNITY HEALTH PLAN INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
FALLON COMMUNITY HEALTH PLAN INC (EIN 23-7442369)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-13
IRS object ID
201513179349309336
Schema version
2014v5.0
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)
Return2015-11-13T17:10:41-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237442369EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Fallon Community Health Plan IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% CHANDRAKANT MODHAInCareOfNm
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
Signature2015-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERIN COUTUREPreparerPersonNm
PTINP01390592PTIN
Phone6175305000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerW Patrick HughesPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 Chestnut StreetAddressLine1Txt
CityWorcesterCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01608ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,263,749,519GrossReceiptsAmt
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 Employee1321TotalEmployeeCnt
Total Volunteers323TotalVolunteersCnt
Total Gross UBI$167,006TotalGrossUBIAmt
PY Contributions Grants$137,023PYContributionsGrantsAmt
CY Contributions Grants$138,959CYContributionsGrantsAmt
PY Program Service Revenue$1,195,381,487PYProgramServiceRevenueAmt
CY Program Service Revenue$1,103,651,702CYProgramServiceRevenueAmt
PY Investment Income$19,234,427PYInvestmentIncomeAmt
CY Investment Income$14,793,347CYInvestmentIncomeAmt
PY Other Revenue-$14,894,944PYOtherRevenueAmt
CY Other Revenue-$22,753,834CYOtherRevenueAmt
PY Total Revenue$1,199,857,993PYTotalRevenueAmt
CY Total Revenue$1,095,830,174CYTotalRevenueAmt
PY Grants And Similar Paid$630,523PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$850,620CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$1,058,839,167PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$952,355,355CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$82,285,522PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$86,217,217CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$44,863,213PYOtherExpensesAmt
CY Other Expenses$52,853,933CYOtherExpensesAmt
PY Total Expenses$1,186,618,425PYTotalExpensesAmt
CY Total Expenses$1,092,277,125CYTotalExpensesAmt
PY Revenues Less Expenses$13,239,568PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,553,049CYRevenuesLessExpensesAmt
Total Assets BOY$433,899,893TotalAssetsBOYAmt
Total Assets EOY$426,331,585TotalAssetsEOYAmt
Total Liabilities BOY$222,514,100TotalLiabilitiesBOYAmt
Total Liabilities EOY$210,179,455TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$211,385,793NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$216,152,130NetAssetsOrFundBalancesEOYAmt
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$966,685,333ExpenseAmt
Grant$850,620GrantAmt
Revenue$1,103,651,702RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$966,685,333TotalProgramServiceExpensesAmt
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 EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document5175IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1321EmployeeCnt
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)
PersonCHANDRAKANT MODHAPersonNm
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 (33 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
Chairman9.50.5Yes (X)$28,500$0$0
Christian W McCarthy
Treasurer/Clerk, ended 6/147.00.0Yes (X)$6,500$0$0
Lynda M Young MD
Vice Chair6.50.5Yes (X)$21,500$0$0
W Patrick Hughes
President & CEO49.01.0Yes (X)$1,016,519$0$107,512Yes (X)
FREDERICK MISILO ESQ
CLERK6.50.5Yes (X)$25,500$0$0
Joseph N Stolberg
Director4.00.0Yes (X)$18,000$0$0
Ann K Tripp
TREASURER6.50.5Yes (X)$22,500$0$0
KARIN LANDRY
DIRECTOR4.00.0Yes (X)$18,000$0$0
JAMES BUONOMO
DIRECTOR4.00.0Yes (X)$21,500$0$0
B JOHN DILL
DIRECTOR, EFF. 6/144.00.0Yes (X)$16,500$0$0
ALAN J GAYER
DIRECTOR, ended 1/144.00.0Yes (X)$2,000$0$0
DAVID R GRENON
DIRECTOR, ended 6/144.00.0Yes (X)$6,500$0$0
W THOMAS SPENCER
DIRECTOR, EFF. 6/144.00.0Yes (X)$18,500$0$0
Richard P Burke
Pres. Sr. Care Svc. & Gov PROG48.02.0$465,247$0$102,523Yes (X)
LINDA ST JOHN
Chief Human Resources Officer50.00.0$281,620$0$40,684Yes (X)
R Scott Walker
EVP, Chief Financial Officer48.02.0$469,925$0$93,563Yes (X)
Richard Commander
COO, ENDED 8/1449.01.0$535,134$0$15,022Yes (X)
David Przesiek
SVP, CHIEF SALES OFFICER50.00.0$431,395$0$85,014Yes (X)
Mary Ritter
EVP, COO EFFECTIVE 8/1450.00.0$348,500$0$35,245Yes (X)
SARIKA AGGARWAL MD
EVP, CHIEF MEDICAL OFFICER49.01.0$358,709$0$116,415Yes (X)
CHRISTINE CASSIDY
CHIEF COMM. OFFICER49.01.0$229,730$0$47,040Yes (X)
FRANK BARRESI
SVP, CHIEF INFORMATION OFFICER50.00.0$357,509$0$39,155Yes (X)
Todd Bailey
VP, Senior Care Services50.00.0$291,695$0$75,522Yes (X)
Eric Hall
VP, Network Development & Mgmt50.00.0$280,560$0$60,777Yes (X)
Kevin McGovern
VP, Treasurer & CAPITAL MGMT.50.00.0$262,497$0$75,546Yes (X)
Janis Liepins
VP, Marketing50.00.0$284,966$0$72,205Yes (X)
Kevin Grozio
VP, Underwriting & Actuarial50.00.0$338,676$0$93,542Yes (X)
MATTHEW COLLINS
SR. MEDICAL DIRECTOR49.01.0$266,487$0$54,363Yes (X)
Glenn Randall MD
Physician50.00.0$280,966$0$49,675Yes (X)
David Wilner MD
VP & Medical Director50.00.0$348,364$0$82,769Yes (X)
ANN MARIE SCIAMMACCO
VP, CLINICAL OPERATIONS50.00.0$307,963$0$24,205Yes (X)
ELIZABETH HELENIUS
VP, EMERGING MARKETS50.00.0$290,334$0$62,631Yes (X)
Karen Longo
VP,Exec. Dir,SE,ENDED 1/140.00.0$130,061$0$5,432Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,782,357TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,338,840TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K201IndivRcvdGreaterThan100KCnt
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
306 BELMONT STREETWORCESTERMA01604HOSPITAL SERVICES$90,709,024
VHS ACQUISITION SUBSIDIARY
P O BOX 3385BOSTONMA02241HOSPITAL SERVICES$68,842,573
RELIANT MEDICAL GROUP
630 PLANTATION STREETWORCESTERMA01605MEDICAL SERVICES$60,754,371
BEACON HEALTH STRATEGIES LLC
200 STATE ST SUITE 302BOSTONMA02109MENTAL HEALTH SVC.$27,644,452
UMASS MEMORIAL MEDICAL GROUP INC
306 BELMONT STREETWORCESTERMA01604MEDICAL SERVICES$20,689,842
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K688CntrctRcvdGreaterThan100KCnt
Fundraising$138,959FundraisingAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$679NoncashContributionsAmt
Total Contributions$138,959TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PREMIUM524114$1,103,492,602$1,103,492,602
ASO PREMIUM (INOVA)524292$159,100$159,100
FieldValueIRS element (for citing)
Total Program Service Revenue$1,103,651,702TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,685,701TotalRevenueColumnAmt
Exclusion$10,685,701ExclusionAmt

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$79,693RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$83,307RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$3,614RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,614TotalRevenueColumnAmt
Exclusion-$3,614ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$171,881,814SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$167,774,168SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,107,646SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,107,646TotalRevenueColumnAmt
Exclusion$4,107,646ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$64,270FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$138,959ContriRptFundraisingEventAmt
Fundraising Direct Expenses$61,870FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,400TotalRevenueColumnAmt
Exclusion$2,400ExclusionAmt

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 LOSS524130-$23,381,179-$23,381,179
MINORITY INTEREST900099$620,653$620,653
CONSULTING & HOME STAFF900099$7,906$7,906
FieldValueIRS element (for citing)
Other Revenue Total-$22,752,620OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,095,830,174TotalRevenueColumnAmt
Related Or Exempt Func Income$1,103,492,602RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$167,006UnrelatedBusinessRevenueAmt
Exclusion-$7,968,393ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$850,620TotalAmt
Program Services$850,620ProgramServicesAmt

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$952,355,355TotalAmt
Program Services$952,355,355ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,217,946TotalAmt
Management And General$7,217,946ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$140,493TotalAmt
Management And General$140,493ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$62,212,298TotalAmt
Program Services$155,307ProgramServicesAmt
Management And General$62,056,991ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,604,807TotalAmt
Management And General$2,604,807ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,613,959TotalAmt
Program Services$37,274ProgramServicesAmt
Management And General$8,576,685ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,427,714TotalAmt
Management And General$5,427,714ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,157,143TotalAmt
Management And General$1,157,143ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,072,777TotalAmt
Management And General$1,072,777ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$223,146TotalAmt
Program Services$223,146ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$957,497TotalAmt
Management And General$957,497ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,682,514TotalAmt
Management And General$6,682,514ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,085,674TotalAmt
Management And General$4,085,674ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,487,439TotalAmt
Management And General$6,487,439ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,079,326TotalAmt
Management And General$3,079,326ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,385,132TotalAmt
Management And General$4,385,132ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$218,622TotalAmt
Management And General$218,622ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$236,619TotalAmt
Management And General$236,619ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$61,748TotalAmt
Management And General$61,748ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,623,629TotalAmt
Management And General$9,623,629ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$625,643TotalAmt
Management And General$625,643ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
ACA TAXES$7,202,006$7,202,006
TRANSITIONAL REINSURANCE$5,861,625$5,861,625
DUES/SUBSCRIPTIONS$893,393$893,393

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,092,277,125TotalAmt
Program Services$966,685,333ProgramServicesAmt
Management And General$125,591,792ManagementAndGeneralAmt
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$14,872,946BOYAmt
EOY$7,978,499EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,166,576BOYAmt
EOY$12,948,528EOYAmt

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$1,429,627BOYAmt
EOY$1,378,216EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$81,176,070LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$42,380,351LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$43,283,827BOYAmt
EOY$38,795,719EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$346,052,770BOYAmt
EOY$366,475,931EOYAmt

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$10,094,147BOYAmt
EOY-$1,245,308EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$433,899,893BOYAmt
EOY$426,331,585EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$203,584,777BOYAmt
EOY$202,818,067EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$8,929,323BOYAmt
EOY$7,361,388EOYAmt

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$10,000,000BOYAmt
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$222,514,100BOYAmt
EOY$210,179,455EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$211,385,793BOYAmt
EOY$216,152,130EOYAmt

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$211,385,793BOYAmt
EOY$216,152,130EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$433,899,893BOYAmt
EOY$426,331,585EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,553,049ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,741,622NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$4,954,910OtherChangesInNetAssetsAmt
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$181,640CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$207,375CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$158,338CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$137,023CurrentTaxYearMinus1YearAmt
Current Tax Year$138,959CurrentTaxYearAmt
Total$823,335TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,090,378,600CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,096,296,327CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,107,494,266CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,195,287,317CurrentTaxYearMinus1YearAmt
Current Tax Year$1,103,492,602CurrentTaxYearAmt
Total$5,592,949,112TotalAmt

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$1,090,560,240CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,096,503,702CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,107,652,604CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,195,424,340CurrentTaxYearMinus1YearAmt
Current Tax Year$1,103,631,561CurrentTaxYearAmt
Total$5,593,772,447TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,848,092CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,931,238CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,214,255CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,285,754CurrentTaxYearMinus1YearAmt
Current Tax Year$2,255,901CurrentTaxYearAmt
Total$10,535,240TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$54,568,904CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$59,229,698CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$68,710,847CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$70,563,830CurrentTaxYearMinus1YearAmt
Current Tax Year$89,388,243CurrentTaxYearAmt
Total$342,461,522TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$56,416,996CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$61,160,936CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,925,102CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$72,849,584CurrentTaxYearMinus1YearAmt
Current Tax Year$91,644,144CurrentTaxYearAmt
Total$352,996,762TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$5,240,775,685PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,161,702CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,179,115CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,289,583CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,084,103CurrentTaxYearMinus1YearAmt
Current Tax Year$10,765,394CurrentTaxYearAmt
Total$49,479,897TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,161,702CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,179,115CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,289,583CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,084,103CurrentTaxYearMinus1YearAmt
Current Tax Year$10,765,394CurrentTaxYearAmt
Total$49,479,897TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$62,895CurrentTaxYearMinus1YearAmt
Current Tax Year$64,270CurrentTaxYearAmt
Total$127,165TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,100,721,942CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,107,682,817CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,116,942,187CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,203,571,338CurrentTaxYearMinus1YearAmt
Current Tax Year$1,114,461,225CurrentTaxYearAmt
Total$5,643,379,509TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.92866PublicSupportCY509Pct
Public Support PY5090.93511PublicSupportPY509Pct
Investment Income CY0.00877InvestmentIncomeCYPct
Investment Income PY0.00883InvestmentIncomePYPct
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 IIIExplanationTxt

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$329,298DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$329,298TotalLobbyingExpendituresAmt
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 $329,298 LOBBYING EXPENSES AS FOLLOWS: AHIP DUES (AMERICA'S HEALTH INS. PLANS) 39,595 ALLIANCE OF COMMUNITY HEALTH PLANS DUES 49,020 MAHP DUES (MASS ASSOC OF HEALTH PLANS) 83,171 NATIONAL PACE ASSOCIATION 3,360 SPILLANE & SPILLANE, LLP 48,000 _______ SUBTOTAL NON-EMPLOYEES 223,146 STAFF SALARIES ASSOCIATED WITH LOBBYING 106,152 _______ TOTAL OF ALL LOBBYING EXPENSES PAID 329,298 KEY LEGISLATIVE AND REGULATORY ISSUES IN 2014: AMERICA'S 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 2014, 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 - RATING FACTORS - 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 EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES - WORKED WITH MASSHEALTH ON MCO ISSUES, ONE CARE PROGRAM, PACE PROGRAMS ATTORNEY GENERAL'S OFFICE - DISCUSSIONS WITH THE AG'S OFFICE ON RECOMMENDATIONS TO ADDRESS HEALTHCARE COST INCREASESExplanationTxt

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$4,230,596OtherCostOrOtherBasisAmt
Depreciation$2,410,188DepreciationAmt
Book Value$1,820,408BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,474,305OtherCostOrOtherBasisAmt
Depreciation$6,789,732DepreciationAmt
Book Value$2,684,573BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$67,471,169OtherCostOrOtherBasisAmt
Depreciation$33,180,431DepreciationAmt
Book Value$34,290,738BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$38,795,719TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,275,637,000TotalRevEtcAuditedFinclStmtAmt
Other Revenue$180,902,068OtherRevenueAmt
Revenue Not Reported$180,902,068RevenueNotReportedAmt
Revenue Subtotal$1,094,734,932RevenueSubtotalAmt
Investment Expenses Not Incld$957,497InvestmentExpensesNotIncldAmt
Other Revenues Not Included$137,745OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,095,242RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,095,830,174TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,272,084,000TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$180,902,117OtherExpensesIncludedAmt
Expenses Not Reported$180,902,117ExpensesNotReportedAmt
Expenses Subtotal$1,091,181,883ExpensesSubtotalAmt
Investment Expenses Not Incld2$957,497InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$137,745OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,095,242ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,092,277,125TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART XI, LINE 2DFormAndLineReferenceDesc
ExplanationSUBSIDIARY ACTIVITIES & ELIMINATIONS $180,902,155 ROUNDING ON FINANCIALS ($87) --------------- TOTAL $180,902,068 SCHEDULE D, PART XI, LINE 4B CONTRA EXPENSE RECLASS TO FUNDRAISING REV $141,359 SUBLEASE LOSS RECLASS RENT EXP TO REV ($3,614) --------------- TOTAL $137,745 SCHEDULE D, PART XII, LINE 2D SUBSIDIARY ACTIVITIES & ELIMINATIONS $180,902,155 ROUNDING ON FINANCIALS ($38) --------------- TOTAL $180,902,117 SCHEDULE D, PART XII, LINE 4B CONTRA EXPENSE RECLASS TO FUNDRAISING REV $141,359 SUBLEASE LOSS RECLASS RENT EXP TO REV ($3,614) --------------- TOTAL $137,745ExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Licensed StatesMALicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Golf EventEvent1Nm
Gross Receipts Event1$203,229GrossReceiptsEvent1Amt
Charitable Contri Event1$138,959CharitableContriEvent1Amt
Gross Revenue Event1$64,270GrossRevenueEvent1Amt
Non Cash Prizes Event1$679NonCashPrizesEvent1Amt
Rent Facility Costs Event1$27,085RentFacilityCostsEvent1Amt
Food And Beverage Event1$16,993FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$17,113OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Other Events$0GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$0GrossRevenueOtherEventsAmt
Gross Receipts Total$203,229GrossReceiptsTotalAmt
Charitable Contributions Tot$138,959CharitableContributionsTotAmt
Gross Revenue Total Events$64,270GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$679NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$27,085RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$16,993FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$17,113OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$61,870DirectExpenseSummaryEventsAmt
Net Income Summary$2,400NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (40 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Worcester Regional Chamber of Commerce
446 Main StWorcesterMA01608041988780501(c)(6)$67,000GENERAL SUPPORT
Reliant Medical Group
100 Front St 14th flWorcesterMA01608222912515501(c)(3)$15,500GENERAL SUPPORT
Square One
1095 Main St fl 2SpringfieldMA01103042103855501(c)(3)$25,550GENERAL SUPPORT
YWCA OF CENTRAL MASS INC
3 Salem SquareWorcesterMA01608042105873501(c)(3)$8,205GENERAL SUPPORT
Old Sturbridge VillAGE
1 Old Sturbridge RdSturbridgeMA01566042104809501(c)(3)$10,000GENERAL SUPPORT
Worcester Regional Research Bureau
500 Salisbury StreetWorcesterMA01609042901298501(c)(3)$5,200GENERAL SUPPORT
WORCESTER COUNTY FOOD BANK INC
474 Boston Tpk RdShrewsburyMA01545043071457501(c)(3)$7,000GENERAL SUPPORT
Hanover Theatre
2 Southbridge StreetWorcesterMA01608050521735501(c)(3)$15,580GENERAL SUPPORT
Worcester Hibernian Cultural Centre
19 Temple StreetWorcesterMA01604202148447501(c)(3)$11,250GENERAL SUPPORT
Be Like Brit
24 Pommogusett RoadRutlandMA01543271857525501(c)(3)$5,400GENERAL SUPPORT
Boys and Girls Club of Worcester
65 Tainter StreetWorcesterMA01610042105851501(c)(3)$8,457GENERAL SUPPORT
United Way of Central MA
484 Main StreetWorcesterMA01608042104017501(C)(3)$9,624GENERAL SUPPORT
Harrington Memorial Hospital
100 South StreetSouthbridgeMA01550042103577501(C)(3)$10,000GENERAL SUPPORT
March of Dimes
112 Tpke Rd Ste 102WestboroughMA01581131846366501(C)(3)$10,250GENERAL SUPPORT
Alternatives Unlimited
50 Douglas RoadWhitinsvilleMA01588042587863501(C)(3)$7,500GENERAL SUPPORT
AMERICAN HEALTH RESOURCES INC
130 Liberty StreetBrocktonMA02301200753360501(C)(3)$23,657GENERAL SUPPORT
PROVIDENCE MINISTRIES FOR THE NEEDY
51 Hamilton StreetHolyokeMA01040042898893501(C)(3)$20,000GENERAL SUPPORT
BECKER COLLEGE
042108346501(C)(3)$25,000GENERAL SUPPORT
BERKSHIRE COUNTY ARC
395 South StreetPittsfieldMA01201042218928501(c)(3)$20,000GENERAL SUPPORT
Mill City Grows co YWCA of Lowell
97 Central St 302LowellMA01852042105876501(c)(3)$20,000GENERAL SUPPORT
BOTTOM LINE
500 Armory ST 3Jamaica PlainMA02130043351427501(c)(3)$17,500GENERAL SUPPORT
UMASS MEMORIAL FOUNDATION
333 South StreetShrewsburyMA01545043108190501(c)(3)$16,125GENERAL SUPPORT
WORCESTER ART MUSEUM
55 Salisbury StWorcesterMA01609041988530501(c)(3)$15,000GENERAL SUPPORT
STEPPINGSTONE INC
522 North Main StreetFall RiverMA02720043086666501(c)(3)$14,500GENERAL SUPPORT
MARY IMMACULATE HEALTHCARE SERVICES
172 Lawrence StreetLawrenceMA01841042857794501(c)(3)$12,500GENERAL SUPPORT
GREATER LAWRENCE COMMUNITY ACTION COUNCIL
305 Essex StreetLawrenceMA01840042397449501(c)(3)$11,000GENERAL SUPPORT
HOLY CROSS COLLEGE
One College StreetWorcesterMA01610042103558501(c)(3)$11,000GENERAL SUPPORT
QUINSIGAMOND COMMUNITY COLLEGE
670 West Boylston StWorcesterMA01606042897624501(c)(3)$10,250GENERAL 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
SpringfieldWorcesterMA01610300707429501(C)(3)$10,000GENERAL SUPPORT
DISMAS HOUSE OF MASSACHUSETTS
30 Richards StreetWORCESTERMA01603542075825501(C)(3)$10,000GENERAL SUPPORT
WORCESTER YOUTH CENTER
326 Chandler StreetWORCESTERMA01602043245867501(C)(3)$10,000GENERAL SUPPORT
NEW ENGLAND COUNCIL
98 N Washington St 201BOSTONMA02114041661090501(C)(6)$9,500GENERAL SUPPORT
WILBRAHAM & MONSON ACADEMY
423 Main StreetWilbrahamMA01095042105838501(C)(3)$7,800GENERAL SUPPORT
BOSTON TERRIERS FOOTBALL CORP
PO Box 15187BOSTONMA02215043400556501(C)(3)$7,500GENERAL SUPPORT
ABBY'S HOUSE
52 High StreetWORCESTERMA01609042648411501(C)(3)$7,000GENERAL SUPPORT
GIRLS INC OF WORCESTER
042123666501(C)(3)$5,500GENERAL SUPPORT
CHILDRENS FRIEND INC
21 Cedar StreetWORCESTERMA01609042105856501(C)(3)$5,250GENERAL SUPPORT
Sargent & Associates
20 Chelmsford StreetChelmsfordMA01824043373537501(C)(3)$5,116GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org38Total501c3OrgCnt
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 A 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 (21 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred 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
MATTHEW COLLINS
SR. MEDICAL DIRECTOR$229,109$0$36,478$900$50,863$0$3,500$0$320,850$0$36,478$0
W Patrick Hughes
President & CEO$603,059$0$229,440$184,020$88,000$0$19,512$0$1,124,031$0$229,440$0
Richard P Burke
Pres. Sr. Care Svc. & Gov PROG$333,157$0$96,910$35,180$77,278$0$25,245$0$567,770$0$96,910$0
LINDA ST JOHN
Chief Human Resources Officer$226,938$0$53,440$1,242$30,469$0$10,215$0$322,304$0$53,440$0
R Scott Walker
EVP, Chief Financial Officer$349,412$0$93,715$26,798$69,891$0$23,672$0$563,488$0$93,715$0
Richard Commander
COO, ENDED 8/14$165,132$0$76,480$293,522$13,000$0$2,022$550,156$0$76,480$0
David Przesiek
SVP, CHIEF SALES OFFICER$279,995$0$99,776$51,624$59,719$0$25,295$0$516,409$0$136,331$0
Mary Ritter
EVP, COO EFFECTIVE 8/14$281,963$0$65,129$1,408$13,000$0$22,245$0$383,745$0$65,129$0
Todd Bailey
VP, Senior Care Services$231,946$0$54,151$5,598$52,011$0$23,511$0$367,217$0$54,151$0
Eric Hall
VP, Network Development & Mgmt$223,943$0$50,837$5,780$59,681$0$1,096$0$341,337$0$50,837$0
Karen Longo
VP,Exec. Dir,SE,ENDED 1/14$23,579$0$106,482$2,353$0$3,079$0$135,493$0$83,610$0
Kevin McGovern
VP, Treasurer & CAPITAL MGMT.$214,335$0$41,593$6,569$53,805$0$21,741$0$338,043$0$41,593$0
Janis Liepins
VP, Marketing$226,589$0$51,596$6,781$55,844$0$16,361$0$357,171$0$51,596$0
Glenn Randall MD
Physician$254,664$0$22,263$4,039$29,198$0$20,477$0$330,641$0$22,263$0
David Wilner MD
VP & Medical Director$295,406$0$43,527$9,431$58,393$0$24,376$0$431,133$0$43,527$0
Kevin Grozio
VP, Underwriting & Actuarial$251,728$0$55,279$31,669$63,632$0$29,910$0$432,218$0$55,279$0
SARIKA AGGARWAL MD
EVP, CHIEF MEDICAL OFFICER$307,363$0$50,056$1,290$86,150$0$30,265$0$475,124$0$50,056$0
CHRISTINE CASSIDY
CHIEF COMM. OFFICER$189,842$0$38,646$1,242$24,058$0$22,982$0$276,770$0$38,646$0
FRANK BARRESI
SVP, CHIEF INFORMATION OFFICER$289,813$0$61,048$6,648$33,160$0$5,995$0$396,664$0$61,048$0
ANN MARIE SCIAMMACCO
VP, CLINICAL OPERATIONS$144,377$0$40,434$123,152$9,802$0$14,403$0$332,168$0$40,434$0
ELIZABETH HELENIUS
VP, EMERGING MARKETS$174,481$0$111,628$4,225$36,866$0$25,765$0$352,965$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, PRESIDENT OF SENIOR CARE SERVICES & GOVERNMENT PROGRAMS/CCO, EVP AND CFO, 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: KAREN LONGO, A FORMER KEY EMPLOYEE WAS PAID $83,610 FOR 24 WEEKS OF SEVERANCE PAY. THIS WAS PAID OVER 12 BIWEEKLY PAY PERIODS. RICHARD COMMANDER, AN OFFICER, WAS PAID A LUMP SUM PAYMENT OF $147,692 FOR 24 WEEKS OF SEVERANCE PAY. ANNMARIE SCIAMMACCO, ONE OF THE HIGHEST PAID EMPLOYEES, WAS PAID A LUMP SUM PAYMENT OF $112,563 FOR 30 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. FOR 2014, 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 W. PATRICK HUGHES $176,400 NONE RICHARD P. BURKE $32,600 $32,600 DAVID PRZESIEK $50,658 $14,104 R. SCOTT WALKER $26,258 $26,258 SARIKA AGGARWAL NONE $46,200 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. SCHEDULE J, PART III, LINE 8 FCHP ENTERED INTO EMPLOYMENT CONTRACT WITH FRANK BARRESI ON AUGUST 18, 2014. THE TERMS OF HIS CONTRACT INCLUDE BASE SALARY, INCENTIVE PROGRAM, RESTRICTED ACTIVITIES OUTSIDE WORK, 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$2,046,993SEE PART Vfalse
FAMILY MEMBER OF KEY EMPLOYEE
EMPLOYEE$95,794SEE PART Vfalse
COLEBROOK REALTY SERVICES
OWNERSHIP BY DIRECTOR$231,571SEE PART Vfalse
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR$1,140,331SEE 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 $22,663 TO ADCARE FOR SERVICES. ADCARE PAID $2,024,330 TO FCHP FOR HEALTH INSURANCE PREMIUMS. (2) NAME: LAURIE MCGOVERN RELATIONSHIP: FCHP EMPLOYEE WHO IS A FAMILY MEMBER OF FCHP KEY EMPLOYEE, KEVIN MCGOVERN. TOTAL COMPENSATION PAID DURING 2014 TO THE FAMILY MEMBER BY THE ORGANIZATION WAS $95,794. (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, AND COLEBROOK PURCHASED $231,571 OF HEALTH INSURANCE FROM FCHP IN 2014. (4) RELATIONSHIP: SUBSTANTIAL CONTRIBUTOR THE COMPANY PROVIDES LEGAL AND CONSULTING SERVICES TO FCHP. TOTAL PAYMENT WAS $1,140,331.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, 2014 WAS 225,830. FALLON COMMUNITY HEALTH PLAN MADE OVER $1,442,889 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 2014 Community Benefits Report Summary Narratives Community Benefits Mission Statement 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. Program Organization and Management In accordance with the Attorney General's Community Benefits Guidelines for Health Maintenance Organizations, Fallon's 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. The Committee is managed by the Director of Community Relations, and reports to the Senior Vice President and Chief Communications Officer. All grant applications are reviewed by the Committee and given final approval by the President and CEO before funds are distributed. This ensures regular evaluation and oversight of the program. Community Health Needs Assessment In 2013, Fallon undertook a review of its Community Benefits Program, assessing both its goals and its grant-making methods. Using community health data and other leading health indicator studies, Fallon convened a Needs Assessment committee to review this data, and data provided by other community agencies, to gain an understanding of the most critical issues affecting communities across Massachusetts and the populations that are most in need. In response to the information gathered during this process, the Community Benefits Program adopted two new areas of focus, which are: 1. 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. 2. 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. Fallon Health's Community Benefits Committee has adopted the following funding priorities for the next three years from 2013 - 2016 : (1) Good nutrition and physical activity; (2) Good health for seniors;(3) Promoting opportunities for at-risk/proven risk youth and young adults between the ages of 12-21 with a specific emphasis on youth preparing to age-out of the system and lose services; (4) 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. Community Benefits Plan The Community Benefits Committee meets two times per year and reviews grant applications once per year. A Request for Proposals for the Community Benefits Grants is mailed to organizations that have applied in previous years, a release is sent to all media outlets and it is also posted on the Fallon Health website. Fallon Health's Community Benefits Committee reviews all grants and selects those programs that align best and focus on at least one of the identified funding priorities to receive grants and support from the available funds. Key Accomplishments of the Reporting Year In 2014, Fallon Health made $1,442,889 available to programs that met the goals of Fallon's Community Benefits Program's areas of focus. This was accomplished through the distribution of over $780,000 in support of the Community Benefit program's area of focus that involved direct expenses, leveraged expenses, staff and volunteer time. We also supported other philanthropic initiatives totaling approximately $699,000 in community sponsorships. In 2014, Fallon Health hosted the ninth annual Golf & Gather FORE a Cause. This fundraising event raised approximately $203,229 in gross receipts, with net revenues exceeding $138,959 which were distributed to more than 100 food pantries, food banks and hunger relief programs throughout Massachusetts. An additional $10,000 was distributed directly through CVS Caremark Foundation resulting from their indirect support of the golf event. Plans for Next Reporting Year Fallon Health is committed to an ongoing re-evaluation of its funding priorities and assessment of the health needs across our service area. In 2016, we will re-conduct another full community needs assessment to determine any future health issues and/or new focuses for our Funding priorities that support our mission of making communities healthy.
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 2014: W. PATRICK HUGHES, RICHARD P. BURKE, AND TODD BAILY. FALLON HEALTH & LIFE ASSURANCE COMPANY, INC. (FHLAC), IS A WHOLLY-OWNED SUBSIDIARY OF FCHP. THE FOLLOWING FCHP BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES SERVED ON THE FHLAC BOARD OF DIRECTORS IN 2014: DAVID HILLIS, LYNDA YOUNG, ANN TRIPP, FREDERICK MISILO, W. PATRICK HUGHES, AND R. SCOTT WALKER. ULTRABENEFITS, INC. (UBI) IS A WHOLLY-OWNED SUBSIDIARY OF FHLAC. THE FOLLOWING FCHP BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES SERVED ON THE UBI BOARD OF DIRECTORS IN 2014: W. PATRICK HUGHES, R. SCOTT WALKER, AND DAVID PRZESIEK. PART VI, LINE 11B THE PROCESS USED BY MANAGEMENT AND GOVERNING BODY TO REVIEW FORM 990. A DRAFT OF THE FORM 990 WAS PREPARED BY FCHP'S PAID PREPARER USING INFORMATION PROVIDED BY THE ORGANIZATION. THIS DRAFT WAS REVIEWED BY FCHP'S VICE PRESIDENT OF ACCOUNTING OPERATIONS & FINANCIAL PLANNING ANALYSIS, AND SENIOR MANAGEMENT, INCLUDING THE CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER, CHIEF HUMAN RESOURCES OFFICER, AND CHIEF EXECUTIVE OFFICER. AFTER THIS REVIEW A FINAL FORM 990 WAS PREPARED, AND THE FINAL VERSION OF THE FORM 990 WAS PROVIDED TO EACH BOARD MEMBER FOR HIS OR HER REVIEW BEFORE THE FORM 990 WAS FILED 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 2014, THE COMMITTEE CONSISTED OF THREE 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 2014, 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 2014. 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 ADJUSTMENT TO NET ASSETS: ADJUSTMENT TO FHW BEGINNING BALANCE $5,575,559 NONCONTROLLING INTEREST FHW $(620,653) SYSTEM ROUNDING $4 __________ TOTAL ADJUSTMENT TO NET ASSETS $4,954,910 ***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 (2 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$48,698,975$32,420,8131.00000Yes (true)
ULTRABENEFITS INC
29 EAST MOUNTAIN STREETWORCESTERMA016060435257523RD PARTY ADMMAFHLACC CORP$11,967,300$1,758,0631.00000Yes (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 OrgYes (true)LoansOrGuaranteesFromOthOrgInd
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 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 OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ULTRABENEFITS INC
A IV$65,000CASH
FALLON HEALTH & LIFE ASSURANCE CO INC
B$12,950,000CASH
FALLON HEALTH WEINBERG INC
B$2,200,000CASH
FALLON TOTAL CARE INC
E$7,000,000CASH
FALLON TOTAL CARE INC
G$894,804CASH
ULTRABENEFITS INC
J$65,000CASH
FALLON TOTAL CARE INC
K$173,549CASH
ULTRABENEFITS INC
L$198,300CASH
FALLON HEALTH WEINBERG INC
L$1,362,701CASH
ULTRABENEFITS INC
M$278,794CASH
FALLON HEALTH & LIFE ASSURANCE CO INC
N$3,876,459CASH
FALLON HEALTH & LIFE ASSURANCE CO INC
O$5,814,688CASH
FALLON TOTAL CARE INC
O$3,307,903CASH

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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