FALLON COMMUNITY HEALTH PLAN INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- FALLON COMMUNITY HEALTH PLAN INC (EIN 23-7442369)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-14
- IRS object ID
- 201413189349305356
- Schema version
- 2013v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-14T13:07:23-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 High Street | AddressLine1 |
| City | Boston | City |
| State | MA | State |
| ZIP Code | 02110 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237442369 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fallon Community Health Plan Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CHANDRAKANT MODHA | InCareOfNm |
| Business Name Control | FALL | BusinessNameControlTxt |
| Phone | 5087992100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 Chestnut Street | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Worcester | City |
| State | MA | State |
| ZIP Code | 01608 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | R SCOTT WALKER | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 5087992100 | PhoneNum |
| Signature | 2014-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ERIN COUTURE | PreparerPersonNm |
| PTIN | P01390592 | PTIN |
| Phone | 5087992100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | W Patrick Hughes | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 Chestnut Street | AddressLine1 |
| City | Worcester | City |
| State | MA | State |
| ZIP Code | 01608 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,435,241,584 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.fchp.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 1301 | TotalEmployeeCnt |
| Total Volunteers | 263 | TotalVolunteersCnt |
| Total Gross UBI | $1,001,791 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$37,721 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $158,338 | PYContributionsGrantsAmt |
| CY Contributions Grants | $137,023 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,107,509,531 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,195,381,487 | CYProgramServiceRevenueAmt |
| PY Investment Income | $21,420,607 | PYInvestmentIncomeAmt |
| CY Investment Income | $19,234,427 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$8,281,124 | PYOtherRevenueAmt |
| CY Other Revenue | -$14,894,944 | CYOtherRevenueAmt |
| PY Total Revenue | $1,120,807,352 | PYTotalRevenueAmt |
| CY Total Revenue | $1,199,857,993 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $936,327 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $630,523 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $980,540,818 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $1,058,839,167 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $84,771,827 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $82,285,522 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $39,261,274 | PYOtherExpensesAmt |
| CY Other Expenses | $44,863,213 | CYOtherExpensesAmt |
| PY Total Expenses | $1,105,510,246 | PYTotalExpensesAmt |
| CY Total Expenses | $1,186,618,425 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $15,297,106 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $13,239,568 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $411,842,860 | TotalAssetsBOYAmt |
| Total Assets EOY | $433,899,893 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $212,953,155 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $222,514,100 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $198,889,705 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $211,385,793 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | FALLON 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,060,649,136 | ExpenseAmt |
| Grant | $630,523 | GrantAmt |
| Revenue | $1,195,381,487 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $1,060,649,136 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 5234 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1301 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHANDRAKANT MODHA | PersonNm |
| Phone | 5087992100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 CHESTNUT STREET | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01608 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Alan Gayer | |||||||||
| Director | 4.0 | 0.0 | Yes (X) | $19,500 | $0 | $0 | |||
| David R Grenon | |||||||||
| Director | 4.0 | 0.0 | Yes (X) | $21,000 | $0 | $0 | |||
| David W Hillis | |||||||||
| Chairman | 10.0 | 0.0 | Yes (X) | $26,000 | $0 | $0 | |||
| Richard P Houlihan Esq | |||||||||
| Vice Chairman (UNTIL 6/13) | 7.0 | 0.0 | Yes (X) | $21,500 | $0 | $0 | |||
| Christian W McCarthy | |||||||||
| Treasurer/Clerk | 7.0 | 0.0 | Yes (X) | $21,000 | $0 | $0 | |||
| Lynda M Young MD | |||||||||
| Vice Chair (AS OF 6/13) | 7.0 | 0.0 | Yes (X) | $20,500 | $0 | $0 | |||
| W Patrick Hughes | |||||||||
| President & CEO | 50.0 | 0.0 | Yes (X) | $938,363 | $0 | $265,919 | Yes (X) | ||
| FREDERICK MISILO ESQ | |||||||||
| Director | 4.0 | 0.0 | Yes (X) | $18,000 | $0 | $0 | |||
| Joseph N Stolberg | |||||||||
| Director (UNTIL 6/13) | 4.0 | 0.0 | Yes (X) | $7,000 | $0 | $0 | |||
| Ann K Tripp | |||||||||
| Director | 4.0 | 0.0 | Yes (X) | $19,000 | $0 | $0 | |||
| KARIN LANDRY | |||||||||
| DIRECTOR (AS OF 6/13) | 4.0 | 0.0 | Yes (X) | $14,500 | $0 | $0 | |||
| JAMES BUONOMO | |||||||||
| DIRECTOR (AS OF 9/13) | 4.0 | 0.0 | Yes (X) | $8,500 | $0 | $0 | |||
| Richard P Burke | |||||||||
| President, Sr. Care Svc. & Gov | 48.0 | 2.0 | $434,177 | $0 | $166,077 | Yes (X) | |||
| Elizabeth Malko MD | |||||||||
| Chief Medical Off (UNTIL 5/13) | 50.0 | 0.0 | $227,243 | $0 | $20,855 | Yes (X) | |||
| LINDA ST JOHN | |||||||||
| Chief Human Resources Officer | 50.0 | 0.0 | $281,614 | $0 | $75,259 | Yes (X) | |||
| R Scott Walker | |||||||||
| Chief Financial Officer | 48.0 | 2.0 | $480,814 | $0 | $159,951 | Yes (X) | |||
| Richard Commander | |||||||||
| Chief Operating Officer | 49.0 | 1.0 | $394,837 | $0 | $123,416 | Yes (X) | |||
| David Przesiek | |||||||||
| Sr VP, Sales & Marketing | 50.0 | 0.0 | $350,428 | $0 | $165,356 | Yes (X) | |||
| Mary Ritter | |||||||||
| CHIEF STRATEGY OFFICER | 15.0 | 35.0 | $74,621 | $213,570 | $101,207 | Yes (X) | |||
| Russell Munson | |||||||||
| INTERIM CMO (FROM 5/13-8/13) | 50.0 | $288,060 | $0 | $29,472 | Yes (X) | ||||
| SARIKA AGGARWAL MD | |||||||||
| CHIEF MEDICAL OFF (AS OF 8/13) | 50.0 | $316,639 | $0 | $90,182 | Yes (X) | ||||
| CHRISTINE CASSIDY | |||||||||
| CHIEF COMM. OFF. (AS OF 5/13) | 49.0 | 1.0 | $201,904 | $0 | $70,004 | Yes (X) | |||
| Todd Bailey | |||||||||
| VP, Senior Care Services | 50.0 | 0.0 | $280,956 | $0 | $88,933 | Yes (X) | |||
| Eric Hall | |||||||||
| VP, Network Development & Mgmt | 50.0 | 0.0 | $270,949 | $0 | $63,587 | Yes (X) | |||
| Karen Longo | |||||||||
| Exec. Dir, Summit Eldercare | 50.0 | 0.0 | $216,538 | $0 | $117,637 | Yes (X) | |||
| Kevin McGovern | |||||||||
| VP, Treasurer & CAPITAL MGMT. | 50.0 | 0.0 | $264,390 | $0 | $73,320 | Yes (X) | |||
| Janis Liepins | |||||||||
| VP, Marketing | 50.0 | 0.0 | $267,688 | $0 | $80,227 | Yes (X) | |||
| Kevin Grozio | |||||||||
| VP, Underwriting & Actuarial | 50.0 | 0.0 | $300,914 | $0 | $97,736 | Yes (X) | |||
| Glenn Randall MD | |||||||||
| Physician, Summit ElderCare | 50.0 | 0.0 | $292,149 | $0 | $52,013 | Yes (X) | |||
| David Wilner MD | |||||||||
| VP & Medical Director | 50.0 | 0.0 | $349,509 | $0 | $80,980 | Yes (X) | |||
| FRANK BARRESI | |||||||||
| VP, CHIEF INFORMATION OFFICER | 50.0 | 0.0 | $279,109 | $0 | $99,298 | Yes (X) | |||
| SUSAN HARDY | |||||||||
| ASSOCIATE MEDICAL DIRECTOR | 50.0 | 0.0 | $263,492 | $0 | $41,201 | Yes (X) | |||
| ANN MARIE SCIAMMACCO | |||||||||
| VP, CLINICAL OPERATIONS | 50.0 | 0.0 | $256,615 | $0 | $72,768 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,227,509 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $213,570 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,135,398 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 188 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Reliant Medical Group | |||||
| 630 plantation street | WORCESTER | MA | 01605 | MEDICAL SERVICES | $127,364,550 |
| VHS ACQUISITION SUBSIDIARY | |||||
| 123 SUMMER STREET | WORCESTER | MA | 01608 | hospital services | $123,422,629 |
| UMASS Memorial Med Ctr | |||||
| 55 N LAKE AVE | WORCESTER | MA | 01608 | HOSPITAL SERVICES | $98,568,982 |
| UMASS Memorial Med GROUP | |||||
| 55 N LAKE AVE | WORCESTER | MA | 01655 | MEDICAL SERVICES | $23,170,960 |
| BEACON HEALTH STRATEGIES LLC | |||||
| 200 STATE ST SUITE 302 | HARTFORD | MA | 02109 | MENTAL HEALTH SVC. | $21,184,446 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 648 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $137,023 | FundraisingAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $2,118 | NoncashContributionsAmt |
| Total Contributions | $137,023 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PREMIUM | 524114 | $1,195,287,317 | $1,195,287,317 | |
| ASO PREMIUM (INOVA) | 524292 | $94,170 | $94,170 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,195,381,487 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,084,103 | TotalRevenueColumnAmt |
| Exclusion | $8,084,103 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $246,473,562 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $235,323,238 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,150,324 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,150,324 | TotalRevenueColumnAmt |
| Exclusion | $11,150,324 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $62,895 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $137,023 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $60,353 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,542 | TotalRevenueColumnAmt |
| Exclusion | $2,542 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| SUBSIDIARY LOSS | 524114 | -$15,565,925 | -$15,565,925 | |
| INOVA DUAL, FHLAC MANAGEMENT FEE | 561499 | $897,877 | $897,877 | |
| CONSULTING & HOME STAFF | 561000 | $9,744 | $9,744 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$239,182 | TotalRevenueColumnAmt |
| Exclusion | -$239,182 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$14,897,486 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,199,857,993 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,195,287,317 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,001,791 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,431,862 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $630,523 | TotalAmt |
| Program Services | $630,523 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,058,839,167 | TotalAmt |
| Program Services | $1,058,839,167 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,988,842 | TotalAmt |
| Management And General | $7,988,842 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,726,191 | TotalAmt |
| Program Services | $140,548 | ProgramServicesAmt |
| Management And General | $58,585,643 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,016,859 | TotalAmt |
| Management And General | $3,016,859 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,061,553 | TotalAmt |
| Program Services | $33,310 | ProgramServicesAmt |
| Management And General | $7,028,243 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,492,077 | TotalAmt |
| Management And General | $5,492,077 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,207,273 | TotalAmt |
| Management And General | $1,207,273 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $980,641 | TotalAmt |
| Management And General | $980,641 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,303 | TotalAmt |
| Management And General | $220,303 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $891,979 | TotalAmt |
| Management And General | $891,979 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,868,847 | TotalAmt |
| Management And General | $4,868,847 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,053,244 | TotalAmt |
| Management And General | $3,053,244 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,764,182 | TotalAmt |
| Management And General | $7,764,182 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,360,778 | TotalAmt |
| Management And General | $10,360,778 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,722,528 | TotalAmt |
| Management And General | $4,722,528 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,481 | TotalAmt |
| Management And General | $183,481 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,213 | TotalAmt |
| Management And General | $230,213 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,071 | TotalAmt |
| Management And General | $60,071 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,785,819 | TotalAmt |
| Management And General | $7,785,819 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $566,402 | TotalAmt |
| Management And General | $566,402 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| DUES & SUBSCRIPTIONS | $927,783 | $927,783 | |
| INOV ASO & DUAL | $819,651 | $819,651 | |
| MANAGEMENT FEE | $185,937 | $185,937 | |
| CONSULTING | $34,081 | $34,081 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,186,618,425 | TotalAmt |
| Program Services | $1,060,649,136 | ProgramServicesAmt |
| Management And General | $125,969,289 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,185,041 | BOYAmt |
| EOY | $14,872,946 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,948,210 | BOYAmt |
| EOY | $18,166,576 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,609,891 | BOYAmt |
| EOY | $1,429,627 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $80,505,572 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $37,221,745 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,685,348 | BOYAmt |
| EOY | $43,283,827 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $328,294,778 | BOYAmt |
| EOY | $346,052,770 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,119,592 | BOYAmt |
| EOY | $10,094,147 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $411,842,860 | BOYAmt |
| EOY | $433,899,893 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $204,940,716 | BOYAmt |
| EOY | $203,584,777 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,012,439 | BOYAmt |
| EOY | $8,929,323 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $10,000,000 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,953,155 | BOYAmt |
| EOY | $222,514,100 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $198,889,705 | BOYAmt |
| EOY | $211,385,793 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $198,889,705 | BOYAmt |
| EOY | $211,385,793 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $411,842,860 | BOYAmt |
| EOY | $433,899,893 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $13,239,568 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$743,480 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $199,123 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $181,640 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $207,375 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $158,338 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $137,023 | CurrentTaxYearAmt |
| Total | $883,499 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,059,414,644 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,090,378,600 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,096,296,327 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,107,494,266 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,195,287,317 | CurrentTaxYearAmt |
| Total | $5,548,871,154 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,059,613,767 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,090,560,240 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,096,503,702 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,107,652,604 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,195,424,340 | CurrentTaxYearAmt |
| Total | $5,549,754,653 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,641,832 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,848,092 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,931,238 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,214,255 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,285,754 | CurrentTaxYearAmt |
| Total | $9,921,171 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50,844,519 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,568,904 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $59,229,698 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $68,710,847 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $70,563,830 | CurrentTaxYearAmt |
| Total | $303,917,798 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $52,486,351 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $56,416,996 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $61,160,936 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $70,925,102 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $72,849,584 | CurrentTaxYearAmt |
| Total | $313,838,969 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $5,235,915,684 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,709,853 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,161,702 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,179,115 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,289,583 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,084,103 | CurrentTaxYearAmt |
| Total | $49,424,356 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,235 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,806 | CurrentTaxYearMinus3YearsAmt |
| Total | $22,041 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,724,088 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,169,508 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,179,115 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,289,583 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,084,103 | CurrentTaxYearAmt |
| Total | $49,446,397 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $62,895 | CurrentTaxYearAmt |
| Total | $62,895 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,070,337,855 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,100,729,748 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,107,682,817 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,116,942,187 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,203,571,338 | CurrentTaxYearAmt |
| Total | $5,599,263,945 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.93511 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98986 | PublicSupportPY509Pct |
| Investment Income CY | 0.00883 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01014 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part IV Form990ScheduleAPartIVGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SUPPORT TEST | FormAndLineReferenceDesc |
| Explanation | FORM 990, SCHEDULE A, PART III THE ORGANIZATION'S IRS DETERMINATION LETTER INDICATES THAT THIS ORGANIZATION QUALIFIES AS A PUBLICLY SUPPORTED CHARITY UNDER SECTION 170(B)(1)(a)(vi); HOWEVER, THE ORGANIZATION QUALIFIES AS A 509(A)(2) ORGANIZATION. SCHEDULE A HAS BEEN COMPLETED IN ACCORDANCE WITH THE FORM INSTRUCTIONS UNDER THE 509(A)(2) TEST. FORM 990, SCHEDULE A, PART III, LINE 12, COLUMN (E) FUNDRAISING REVENUE $62,895 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $325,986 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $325,986 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Direct Lobbying Expense | FormAndLineReferenceDesc |
| Explanation | Form 990, Schedule C, Part IV Supplemental Information fchp paid a total of $325,986 lobbying expenses as follows: MAHP DUES (MASS ASSOC OF HEALTH PLANS) $82,648 SPILLANE & SPILLANE, LLP $48,000 AHIP DUES (AMERICA'S HEALTH INS. PLANS) $40,545 ALLIANCE OF COMMUNITY HEALTH PLANS DUES $45,510 NATIONAL PACE ASSOCIATION $3,600 ---------- SUBTOTAL NON-EMPLOYEES $220,303 STAFF SALARIES ASSOCIATED WITH LOBBYING $105,683 -------- TOTAL OF ALL LOBBYING EXPENSES PAID $325,986 --------- KEY LEGISLATIVE AND REGULATORY ISSUES IN 2013: 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, 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, 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 INCREASING MEMBERSHIP, CHANGING PAYMENT MODELS, AND BETTER MANAGING OF MEMBERS. DURING 2013, FCHP WORKED WITH THESE REGULATORY AGENCIES: DEPARTMENT OF PUBLIC HEALTH - EARLY INTERVENTION PROGRAM - INSURANCE COORDINATORS MEETINGS - UNIVERSAL NEWBORN HEARING SCREENING PROGRAM ADVISORY COMMITTEE - CHANGES TO HOSPITAL GUIDELINES - OFFICE OF PATIENT PROTECTION - OPEN ENROLLMENT WAIVER REGULATIONS HEALTHCARE POLICY COMMISSION - COST TRENDS - TOTAL MEDICAL EXPENSES & RELATIVE PRICES - 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 DEVELOPING PRIMARY CARE PAYMENT REFORM INITIATIVE ATTORNEY GENERAL'S OFFICE - DISCUSSIONS WITH THE AG'S OFFICE ON RECOMMENDATIONS TO ADDRESS HEALTHCARE COST INCREASES | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,176,097 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,282,354 | DepreciationAmt |
| Book Value | $1,893,743 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,707,016 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,176,867 | DepreciationAmt |
| Book Value | $2,530,149 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $64,622,459 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,762,524 | DepreciationAmt |
| Book Value | $38,859,935 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $43,283,827 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $1,270,748,000 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $72,859,172 | OtherRevenueAmt |
| Revenue Not Reported | $72,859,172 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,197,888,828 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $891,979 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $1,077,186 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,969,165 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,199,857,993 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,257,509,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $72,859,740 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $72,859,740 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,184,649,260 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $891,979 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $1,077,186 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,969,165 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,186,618,425 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF EVENT | NameOfEvent1Amt |
| Gross Receipts Event1 | $199,918 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $137,023 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $62,895 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $2,073 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $26,060 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $15,774 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $16,446 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $199,918 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $137,023 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $62,895 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $2,073 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $26,060 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $15,774 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $16,446 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $60,353 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $2,542 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (31 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Worcester Regional Chamber of Commerce | |||||||
| 446 Main St | Worcester | MA | 01608 | 041988780 | 501(c)(6) | $39,550 | GENERAL SUPPORT |
| Reliant Medical Group | |||||||
| 100 Front St 14th fl | Worcester | MA | 01608 | 222912515 | 501(c)(3) | $15,500 | GENERAL SUPPORT |
| UMass Medical School | |||||||
| 33 South Street | Shrewsbury | MA | 01545 | 043108190 | 501(c)(3) | $17,225 | GENERAL SUPPORT |
| YMCA of Central MA | |||||||
| 766 Main Street | Worcester | MA | 01610 | 042105885 | 501(c)(3) | $7,000 | GENERAL SUPPORT |
| Old Sturbridge VillAGE | |||||||
| 1 Old Sturbridge Rd | Sturbridge | MA | 01566 | 042104809 | 501(c)(3) | $11,200 | GENERAL SUPPORT |
| Corrider Nine | |||||||
| 30 Lyman Street | Westborough | MA | 01581 | 223887369 | 501(c)(6) | $6,280 | GENERAL SUPPORT |
| Worcester Regional Research Bureau | |||||||
| 500 Salisbury Street | Worcester | MA | 01609 | 042901298 | 501(c)(3) | $11,500 | GENERAL SUPPORT |
| Hanover Theatre | |||||||
| 2 Southbridge Street | Worcester | MA | 01608 | 050521735 | 501(c)(3) | $10,000 | GENERAL SUPPORT |
| Worcester Hibernian Cultural Centre | |||||||
| PO Box 20276 | Worcester | MA | 01602 | 202148447 | 501(c)(3) | $10,420 | GENERAL SUPPORT |
| Be Like Brit | |||||||
| PO Box 355 | Rutland | MA | 01543 | 271857525 | 501(c)(3) | $10,000 | GENERAL SUPPORT |
| Boys and Girls Club of Worcester | |||||||
| 65 Tainter Street | Worcester | MA | 01610 | 042105851 | 501(c)(3) | $13,500 | GENERAL SUPPORT |
| Veterans Inc | |||||||
| 69 Grove Street | Worcester | MA | 01605 | 043098024 | 501(C)(3) | $25,000 | GENERAL SUPPORT |
| HOPE COALITIONUMASS INJURY PREV | |||||||
| 16 Shaffner Street | WORCESTER | MA | 01605 | 043358564 | 501(C)(3) | $22,500 | GENERAL SUPPORT |
| United Way of Central MA | |||||||
| 484 Main Street | Worcester | MA | 01608 | 042104017 | 501(C)(3) | $20,750 | GENERAL SUPPORT |
| United Teen Equality Center Inc | |||||||
| 34 Hurd Street | Lowell | MA | 01852 | 383669532 | 501(C)(3) | $15,000 | GENERAL SUPPORT |
| ONE FUND BOSTON INC | |||||||
| PO Box 990009 | Boston | MA | 02199 | 462347157 | 501(C)(3) | $14,552 | GENERAL SUPPORT |
| Nativity School of Worcester | |||||||
| 67 Lincoln Street | Worcester | MA | 01605 | 030385377 | 501(C)(3) | $11,250 | GENERAL SUPPORT |
| Harrington Memorial Hospital | |||||||
| 100 South Street | Southbridge | MA | 01550 | 042103577 | 501(C)(3) | $10,500 | GENERAL SUPPORT |
| March of Dimes | |||||||
| 112 Tpke Rd Ste 102 | Westborough | MA | 01581 | 131846366 | 501(C)(3) | $10,500 | GENERAL SUPPORT |
| Worcester Public Library Foundation | |||||||
| 3 Salem Square | Worcester | MA | 01608 | 200066770 | 501(C)(3) | $10,200 | GENERAL SUPPORT |
| Major David Brodeur Foundation | |||||||
| PO Box 124 | auburn | MA | 01501 | 453036811 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| Rachel's Table | |||||||
| 1160 Dickinson Street | Springfield | MA | 01106 | 042127023 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| Gandara Center Adolescent Family Services | |||||||
| 147 Norman St | West Springfield | MA | 01089 | 042622756 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| Take & Eat Inc | |||||||
| 69 Stryker Road | Florida | MA | 01247 | 841620450 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| Wayside Youth & Family Support Network | |||||||
| 1 Frederick Abbott Way | Framingham | MA | 01701 | 042630450 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| Alternatives Unlimited | |||||||
| 50 Douglas Road | Whitinsville | MA | 01588 | 042587863 | 501(C)(3) | $7,500 | GENERAL SUPPORT |
| Boston Terrier Football | |||||||
| 44 Oriole Drive | Andover | MA | 01810 | 275515550 | 501(C)(3) | $7,500 | GENERAL SUPPORT |
| Massachusetts Health Council Inc | |||||||
| 200 Reservoir St Ste 101 | Needham | MA | 02494 | 042296739 | 501(C)(3) | $6,700 | GENERAL SUPPORT |
| Health Care for All | |||||||
| 30 Winter St 10th fl | Boston | MA | 02108 | 043071589 | 501(C)(3) | $5,500 | GENERAL SUPPORT |
| Guild of St Agnes | |||||||
| 405 Grove Street | Worcester | MA | 01605 | 042104267 | 501(C)(3) | $5,250 | GENERAL SUPPORT |
| New England Employee Benefit Council | |||||||
| 240 Bear Hill Road | Waltham | MA | 02454 | 042725284 | 501(C)(3) | $5,050 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 29 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Schedule I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | Description of Organization's Procedures for Monitoring the Use of Grants FCHP GRANTS ARE CLASSIFIED EITHER AS A COMMUNITY BENEFIT GRANT OR A COMMUNITY RELATIONS GRANT. THE COMMUNITY BENEFIT GRANTS ARE VERIFIED TO ENSURE THAT EACH RECIPIENT IS A 501(C)(3) ORGANIZATION. THE COMMUNITY RELATIONS GRANTS ARE VERIFIED TO ENSURE THAT THE RECIPIENT ORGANIZATION'S IRS STATUS IS LISTED AS A TAX-EXEMPT ORGANIZATION IN THE INTERNAL REVENUE CODE SECTION 501(C). EACH RECIPIENT OF 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| W Patrick Hughes | ||||||||||||||
| President & CEO | $594,033 | $0 | $162,200 | $182,130 | $242,190 | $0 | $23,729 | $0 | $1,204,282 | $0 | $162,200 | $0 | ||
| Richard P Burke | ||||||||||||||
| President, Sr. Care Svc. & Gov | $331,255 | $0 | $68,000 | $34,922 | $142,260 | $0 | $23,817 | $0 | $600,254 | $0 | $68,000 | $0 | ||
| Elizabeth Malko MD | ||||||||||||||
| Chief Medical Off (UNTIL 5/13) | $146,835 | $0 | $64,300 | $16,108 | $11,470 | $0 | $9,385 | $0 | $248,098 | $0 | $64,300 | $0 | ||
| LINDA ST JOHN | ||||||||||||||
| Chief Human Resources Officer | $224,364 | $0 | $56,440 | $810 | $66,190 | $0 | $9,069 | $0 | $356,873 | $0 | $0 | $0 | ||
| R Scott Walker | ||||||||||||||
| Chief Financial Officer | $341,435 | $0 | $65,700 | $73,679 | $132,723 | $0 | $27,228 | $0 | $640,765 | $0 | $112,581 | $0 | ||
| Richard Commander | ||||||||||||||
| Chief Operating Officer | $325,607 | $0 | $63,500 | $5,730 | $121,230 | $0 | $2,186 | $0 | $518,253 | $0 | $56,000 | $0 | ||
| David Przesiek | ||||||||||||||
| Sr VP, Sales & Marketing | $278,318 | $0 | $71,300 | $810 | $140,734 | $0 | $24,622 | $0 | $515,784 | $0 | $71,300 | $0 | ||
| Mary Ritter | ||||||||||||||
| CHIEF STRATEGY OFFICER | $74,242 | $192,493 | $0 | $379 | $1,336 | $76,054 | $6,393 | $17,424 | $82,350 | $307,048 | $0 | $0 | $21,077 | |
| Todd Bailey | ||||||||||||||
| VP, Senior Care Services | $222,913 | $0 | $52,668 | $5,375 | $66,901 | $0 | $22,032 | $0 | $369,889 | $0 | $52,668 | $0 | ||
| Eric Hall | ||||||||||||||
| VP, Network Development & Mgmt | $213,877 | $0 | $51,480 | $5,592 | $63,587 | $0 | $0 | $0 | $334,536 | $0 | $51,480 | $0 | ||
| Karen Longo | ||||||||||||||
| Exec. Dir, Summit Eldercare | $171,602 | $0 | $40,045 | $4,891 | $94,739 | $0 | $22,898 | $0 | $334,175 | $0 | $40,045 | $0 | ||
| Kevin McGovern | ||||||||||||||
| VP, Treasurer & CAPITAL MGMT. | $213,201 | $0 | $44,683 | $6,506 | $54,343 | $0 | $18,977 | $0 | $337,710 | $0 | $44,683 | $0 | ||
| Janis Liepins | ||||||||||||||
| VP, Marketing | $216,279 | $0 | $49,087 | $2,322 | $64,346 | $0 | $15,881 | $0 | $347,915 | $0 | $48,812 | $0 | ||
| Glenn Randall MD | ||||||||||||||
| Physician, Summit ElderCare | $265,771 | $0 | $22,339 | $4,039 | $35,013 | $0 | $17,000 | $0 | $344,162 | $0 | $22,339 | $0 | ||
| David Wilner MD | ||||||||||||||
| VP & Medical Director | $290,099 | $0 | $50,117 | $9,293 | $56,277 | $0 | $24,703 | $0 | $430,489 | $0 | $47,735 | $0 | ||
| Kevin Grozio | ||||||||||||||
| VP, Underwriting & Actuarial | $242,958 | $0 | $57,416 | $540 | $68,029 | $0 | $29,707 | $0 | $398,650 | $0 | $57,416 | $0 | ||
| Russell Munson | ||||||||||||||
| INTERIM CMO (FROM 5/13-8/13) | $206,755 | $0 | $53,571 | $27,734 | $12,750 | $0 | $16,722 | $0 | $317,532 | $0 | $53,571 | $0 | ||
| SARIKA AGGARWAL MD | ||||||||||||||
| CHIEF MEDICAL OFF (AS OF 8/13) | $282,533 | $0 | $33,296 | $810 | $62,806 | $0 | $27,376 | $0 | $406,821 | $0 | $0 | $0 | $0 | $0 |
| CHRISTINE CASSIDY | ||||||||||||||
| CHIEF COMM. OFF. (AS OF 5/13) | $167,587 | $0 | $33,075 | $1,242 | $47,450 | $0 | $22,554 | $0 | $271,908 | $0 | $0 | $0 | ||
| FRANK BARRESI | ||||||||||||||
| VP, CHIEF INFORMATION OFFICER | $272,763 | $0 | $0 | $6,346 | $69,651 | $0 | $29,647 | $0 | $378,407 | $0 | $0 | $0 | ||
| SUSAN HARDY | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $163,866 | $0 | $0 | $99,626 | $29,181 | $0 | $12,020 | $0 | $304,693 | $0 | $0 | $0 | ||
| ANN MARIE SCIAMMACCO | ||||||||||||||
| VP, CLINICAL OPERATIONS | $207,228 | $0 | $41,766 | $7,621 | $53,184 | $0 | $19,584 | $0 | $329,383 | $0 | $0 | $0 | ||
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Supplemental Compensation Information | FORM 990, Schedule J, Part I, Line 1A 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 AND MARKETING 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. |
| FORM 990, Schedule J, 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 2013, 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 NONE $28,208 Richard Commander NONE $32,000 R. Scott Walker $73,139 $26,258 FORM 990, SCHEDULE J, PART I LINE 6 COMPENSATION CONTINGENT ON NET EARNINGS: ALL EMPLOYEES IN CERTAIN JOB GRADES, WHICH INCLUDES EMPLOYEES LISTED IN PART VII, ARE ELIGIBLE FOR AN INCENTIVE PLAN PAYMENT. THE INCENTIVE PLAN PAYMENT IS DETERMINED BY WHETHER CERTAIN CORPORATE, DEPARTMENT, AND/OR INDIVIDUAL TARGETS ARE MET. THE CORPORATE TARGETS INCLUDE (I) NET OPERATING INCOME, (II) MEMBERSHIP GROWTH, (III) MEMBER AND PROVIDER SATISFACTION, (IV) STRATEGY EXECUTION, (V) EMPLOYEE ENGAGEMENT, AND (VI) QUALITY. THESE TARGETS WERE MET IN 2013 AND INCENTIVE PAYMENTS WERE ACCRUED IN 2013 and are reflected in Schedule J, Part II, column (C). Incentive amounts that were accrued in 2012 and paid in 2013 are reflected in Schedule J, Part II, column (B)(ii) and column (F). |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ADCARE HOSPITAL | |||
| OWNERSHIP BY DIRECTOR | $1,944,279 | SEE PART V | false |
| HOME STAFF LLC | |||
| OVERLAPPING BOARD MEMBER | $2,330,967 | SEE PART V | false |
| FAMILY MEMBER OF KEY EMPLOYEE | |||
| EMPLOYEE | $94,373 | SEE PART V | false |
| FALLON HEALTH LIFE ASSURANCE COMP | |||
| OVERLAPPING BOARD MEMBER | $9,231,116 | SEE PART V | false |
| ULTRABENEFITS INC | |||
| OVERLAPPING BOARD MEMBER | $340,284 | SEE PART V | false |
| FLETCHER TILTON PC | |||
| DIRECTOR IS OFFICER | $402,735 | SEE PART V | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | FormAndLineReferenceDesc |
| 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 $61,260 TO ADCARE FOR SERVICES. ADCARE PAID $1,883,019 TO FCHP FOR HEALTH INSURANCE PREMIUMS. (2) NAME: HOME STAFF, LLC RELATIONSHIP: JOINT VENTURE BETWEEN FCHP AND THE VNA CARE NETWORK AND HOSPICE. THE FOLLOWING FCHP EMPLOYEES ARE UNCOMPENSATED MEMBERS OF THE HOME STAFF BOARD OF DIRECTORS: W. PATRICK HUGHES, PRESIDENT & CEO, RICHARD P. BURKE, PRESIDENT, SENIOR CARE SERVICES & GOVERNMENT PROGRAMS, TODD BAILEY, VICE PRESIDENT, SENIOR CARE SERVICES. HOME STAFF CONTRACTS WITH FCHP TO PROVIDE SERVICES TO CERTAIN FCHP PARTICIPANTS. FCHP PAID $2,140,463 TO HOME STAFF FOR SERVICES. HOME STAFF PAID $190,504 TO FCHP FOR HEALTH INSURANCE PREMIUMS. (3) NAME: LAURIE MCGOVERN RELATIONSHIP: FCHP EMPLOYEE WHO IS THE SISTER-IN-LAW OF FCHP KEY EMPLOYEE KEVIN MCGOVERN. COMPENSATION PAYMENTS BY THE ORGANIZATION PAID TO A FAMILY MEMBER (4) NAME: FALLON HEALTH & LIFE ASSURANCE COMPANY, INC. (FHLAC) RELATIONSHIP: WHOLLY-OWNED SUBSIDIARY OF FCHP. THE FOLLOWING FCHP DIRECTORS AND EMPLOYEES ARE MEMBERS OF FHLAC'S BOARD OF DIRECTORS: DAVID HILLIS, CHAIRMAN, LYNDA YOUNG MD, VICE CHAIR, CHRISTIAN MCCARTHY, TREASURER, RICHARD BURKE, CLERK, W. PATRICK HUGHES, PRESIDENT & CEO, AND R. SCOTT WALKER, CHIEF FINANCIAL OFFICER. MANAGEMENT FEES ALLOCATED TO FHLAC FOR FACILITIES AND EMPLOYEE SHARING WERE $2,879,776 AND $6,351,340, RESPECTIVELY. (5) NAME: ULTRABENEFITS, INC. RELATIONSHIP: WHOLLY-OWNED SUBSIDIARY OF FALLON HEALTH & LIFE ASSURANCE COMPANY. THE FOLLOWING FCHP EMPLOYEES ARE MEMBERS OF ULTRABENEFITS, INC.'S BOARD OF DIRECTORS: W. PATRICK HUGHES, PRESIDENT & CEO, R. SCOTT WALKER, CHIEF FINANCIAL OFFICER, AND DAVID PRZESIEK, SR VP SALES & MARKETING. FCHP PAID $196,185 TO ULTRABENEFITS FOR SERVICES. ULTRABENEFITS PAID $144,099 TO FCHP FOR HEALTH INSURANCE PREMIUMS. (6)NAME: FLETCHER TILTON PC RELATIONSHIP: ENTITY OF WHICH FCHP DIRECTOR, FREDERICK MISILO, JR., IS AN OFFICER. MR. MISILO IS AN OFFICER OF FLETCHER TILTON PC, A LAW FIRM WHICH PURCHASED GROUP HEALTH INSURANCE FOR ITS EMPLOYEES FROM FCHP. VARIOUS BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES HAVE HEALTH INSURANCE PURCHASED BY THEIR EMPLOYERS FROM FCHP, OR ARE AFFILATED WITH ORGANIZATIONS THAT PURCHASE THEIR HEALTH INSURANCE FROM FCHP. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART I, LINE 1 FALLON 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. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A FCHP'S PROGRAM ACTIVITIES CONSIST OF PREPAID HEALTHCARE IN THE COMMONWEALTH OF MASSACHUSETTS. THE COVERED POPULATION AT DECEMBER 31, 2013 WAS 155,395. FALLON COMMUNITY HEALTH PLAN MADE OVER $1,432,734 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 2013 Community Benefits Report Summary Narratives Community Benefits Mission Statement February 2, 2014, Fallon Community Health Plan officially announced our rebrand to Fallon Health. This reflects our evolving business in the rapidly changing health care industry. 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 2013, Fallon Health made $1,432,734 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 $733,000 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 2013, Fallon Health hosted the eighth annual Golf & Gather FORE a Cause. This fundraising event raised approximately $199,918 in gross receipts, with net revenues exceeding $137,000 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. |
| DESCRIPTIONS OF RELATIONSHIPS | FORM 990, PART VI, LINE 2 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 2013: 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 2013: DAVID HILLIS, LYNDA YOUNG, CHRISTIAN MCCARTHY, RICHARD BURKE, 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 2013: W. PATRICK HUGHES, R. SCOTT WALKER, AND DAVID PRZESIEK. PROCESS USED BY MANAGEMENT AND GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B 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. |
| DESCRIBE THE PROCESS TO MONITOR CONFLICTS OF INTERESTS | FORM 990, PART VI, LINES 12A, B, C 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. |
| OFFICES & POSITIONS FOR WHICH PROCESS WAS USED | FORM 990, PART VI, LINES 15A & 15b 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 2013, 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 2013, 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 2013. THIS PROCESS WAS NOT USED TO ESTABLISH COMPENSATION FOR THE "KEY EMPLOYEES" LISTED IN SCHEDULE J. |
| AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC | FORM 990, PART VI, LINES 18 AND 19 FCHP'S FORM 990 AND ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. FCHP'S ANNUAL REPORT IS AVAILABLE ON ITS OWN WEBSITE. FCHP'S 990, FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ANNUAL REPORT ARE ALSO PROVIDED UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FALLON TOTAL CARE LLC (SEE PART VII) | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 CHESTNUT STREET | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01608 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455591420 | EIN |
| Primary Activities | HEALTH CARE | PrimaryActivitiesTxt |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FCHP | BusinessNameLine1 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SUMMIT LIVING INC | ||||||||||
| 10 CHESTNUT STREET | WORCESTER | MA | 01608 | 261836279 | ASST LIVING | MA | 501(C)(3) | 11A | fchp | Yes (true) |
| FALLON TOTAL CARE INC (SEE PART VII) | ||||||||||
| 10 CHESTNUT STREET | WORCESTER | MA | 01608 | 455591420 | HEALTH CARE | MA | 501(C)(3) | OPEN | FCHP | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FALLON TOTAL CARE LLC | |||||||||||||||
| 10 CHESTNUT STREET | WORCESTER | MA | 01608 | 455591420 | HEALTH CARE | MA | FCHP | EXCLUDED | $3,387,650 | $0 | Yes (true) | $0 | Yes (true) | 0.51000 | |
| SEE PART VII | |||||||||||||||
| N/A | |||||||||||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FALLON HEALTH & LIFE ASSURANCE COMPANY | ||||||||||||
| 10 CHESTNUT STREET | WORCESTER | MA | 01608 | 043169246 | HLTH & LIFE | MA | FCHP | C CORP | -$8,751,167 | $31,575,429 | 1.00000 | Yes (true) |
| ULTRABENEFITS INC | ||||||||||||
| 29 EAST MOUNTAIN STREET | WORCESTER | MA | 01606 | 043525752 | 3RD PARTY ADM | MA | FHLAC | C CORP | $552,419 | $1,648,744 | 1.00000 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FALLON HEALTH & LIFE ASSURANCE CO INC | ||
| B | $8,500,000 | CASH |
| FALLON TOTAL CARE INC | ||
| B | $6,075,087 | CASH |
| ULTRABENEFITS INC | ||
| L | $144,099 | CASH |
| FALLON TOTAL CARE INC | ||
| L | $91,150 | CASH |
| ULTRABENEFITS INC | ||
| M | $196,185 | CASH |
| FALLON HEALTH & LIFE ASSURANCE CO INC | ||
| N | $2,879,776 | CASH |
| FALLON HEALTH & LIFE ASSURANCE CO INC | ||
| O | $6,351,340 | CASH |
| FALLON TOTAL CARE INC | ||
| O | $388,295 | CASH |
| SUMMIT LIVING INC | ||
| S | $66,133 | CASH |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE R, PARTS I, II, and III | Fallon Total Care, LLC and Fallon Total Care, Inc. The reason for listing Fallon Total Care on PART I, Part II, and Part III of Schedule R is as follows: The partnership, Fallon Total Care, LLC was termINATED on June 20, 2013. IT WAS TREATED AS A SINGLE MEMBER LLC, DISREGARDED ENTITY WITH RESPECT TO FALLON COMMUNITY HEALTH PLAN, INC. UNTIL SEPTEMBER 20, 2013. The LLC was converted to a nonprofit corporation, Fallon Total Care, Inc. on September 20, 2013. |
| Schedule R, Part V, Line 1d | Fallon Community Health Plan, Inc., (fchp) is the guarantor of Fallon Total Care Inc., (FTC). The agreement was completed in order to meet the financial solvency requirement of FTC, which was required by the Commonwealth of Massachusetts Executive Office of Health and Human Services (EOHHS) as part of the FTC demonstration program application process. fchp unconditionally guarantees the unmet financial obligations, and no dollar amounts are specified. |
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