FALLON COMMUNITY HEALTH PLAN INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- FALLON COMMUNITY HEALTH PLAN INC (EIN 23-7442369)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-13
- IRS object ID
- 201343179349302409
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-11-13T10:24:29-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237442369 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fallon Community Health Plan Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % CHANDRAKANT MODHA | InCareOfName |
| Name Control | FALL | NameControl |
| Phone | 5087992100 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | W PATRICK HUGHES | Name |
| Title | President & CEO | Title |
| Phone | 5088311137 | Phone |
| Date Signed | 2013-11-08 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6175305000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | W Patrick Hughes | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 1325849907 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.fchp.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1975 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1226 | TotalNbrEmployees |
| Total Nbr Volunteers | 230 | TotalNbrVolunteers |
| Total Gross UBI | 199545 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -157731 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 207375 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 158338 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1096296327 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1107509531 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 15007340 | InvestmentIncomePriorYear |
| Investment Income Current Year | 21420607 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -7714501 | OtherRevenuePriorYear |
| Other Revenue Current Year | -8281124 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1103796541 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1120807352 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 527958 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 936327 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 954294586 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 980540818 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 70950490 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 84771827 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 39562912 | OtherExpensePriorYear |
| Other Expenses Current Year | 39261274 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1065335946 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1105510246 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 38460595 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 15297106 | RevenuesLessExpensesCY |
| Total Assets BOY | 382846207 | TotalAssetsBOY |
| Total Assets EOY | 411842860 | TotalAssetsEOY |
| Total Liabilities BOY | 214091419 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 212953155 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 168754788 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 198889705 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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 FINANCING AND DELIVERY OF HIGH QUALITY, AFFORDABLE CARE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 981574314 | Expense |
| Grants | 936327 | Grants |
| Revenue | 1107509531 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 981574314 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 5200 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1226 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | true | NonDeductibleContributions |
| Non Deductible Disclosure | true | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
| Other Explain In Sch O | X | OtherExplainInSchO |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CHANDRAKANT MODHA | NamePerson |
| Telephone Number | 5087992100 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 CHESTNUT STREET | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01608 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Alan Gayer | ||||||||
| Director | 4.0 | X | 12500 | 0 | 0 | |||
| David R Grenon | ||||||||
| Director | 4.0 | X | 14000 | |||||
| David W Hillis | ||||||||
| Chairman | 10.0 | X | 18500 | |||||
| Richard P Houlihan Esq | ||||||||
| Vice Chairman | 7.0 | X | 13500 | |||||
| Christian W McCarthy | ||||||||
| Treasurer | 7.0 | X | 13000 | |||||
| Lynda M Young MD | ||||||||
| Director | 4.0 | X | 11500 | |||||
| W Patrick Hughes | ||||||||
| President & CEO | 50.0 | X | 1196483 | 197454 | X | |||
| FREDERICK MISILO ESQ | ||||||||
| Director (AS OF 6/2012) | 4.0 | X | 12500 | |||||
| Joseph N Stolberg | ||||||||
| Director (AS OF 6/2012) | 4.0 | X | 12500 | |||||
| Ann K Tripp | ||||||||
| Director (AS OF 11/2012) | 4.0 | X | 1000 | |||||
| Christopher F Egan | ||||||||
| Director (UNTIL 6/2012) | 4.0 | X | 0 | |||||
| Charles F Monahan JR | ||||||||
| Clerk (UNTIL 8/2012) | 7.0 | X | 0 | |||||
| REV JOHN PARIS SJ | ||||||||
| Director (UNTIL 6/2012) | 4.0 | X | 0 | |||||
| Richard P Burke | ||||||||
| President, Sr. Care Svc. & Gov | 50.0 | 402694 | 126461 | X | ||||
| Elizabeth Malko MD | ||||||||
| Chief Medical Officer | 50.0 | 418566 | 122926 | X | ||||
| Christine Osgood | ||||||||
| Chief Human Resources Officer | 24.0 | 215803 | 13320 | X | ||||
| R Scott Walker | ||||||||
| Chief Financial Officer | 50.0 | 388894 | 154318 | X | ||||
| Richard Commander | ||||||||
| Chief Operating Officer | 50.0 | 358017 | 119758 | X | ||||
| David Przesiek | ||||||||
| Sr VP Sales & Marketing | 50.0 | 336539 | 135920 | X | ||||
| Mary Ritter | ||||||||
| SR. VP OF STRATEGIC PLANNING | 50.0 | 365941 | 38011 | X | ||||
| Todd Bailey | ||||||||
| VP. Senior Care Services | 50.0 | 239817 | 85822 | X | ||||
| Eric Hall | ||||||||
| VP Network Development & Mgmt | 50.0 | 265617 | 63980 | X | ||||
| Karen Longo | ||||||||
| Exec. Dir, Summit Eldercare | 50.0 | 195863 | 72311 | X | ||||
| Kevin McGovern | ||||||||
| VP of Finance & Treasurer | 50.0 | 242301 | 78002 | X | ||||
| Janis Liepins | ||||||||
| VP Marketing | 50.0 | 242610 | 76211 | X | ||||
| Kevin Grozio | ||||||||
| VP, Underwriting & Actuarial | 50.0 | 251783 | 96925 | X | ||||
| Elizabeth Helenius | ||||||||
| VP Medicare Sales&Emerging Mkt | 50.0 | 246995 | 44561 | X | ||||
| Glenn Randall MD | ||||||||
| Physician, Summit ElderCare | 50.0 | 274864 | 54557 | X | ||||
| David Wilner MD | ||||||||
| VP & Medical Director | 50.0 | 313635 | 78812 | X | ||||
| Russell Munson | ||||||||
| Sr. Medical Director | 50.0 | 294115 | 86995 | X | ||||
| Param Singh | ||||||||
| Associate Medical Director | 50.0 | 230988 | 44721 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6590525 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1691065 | TotalOtherCompensation |
| Number Individuals GT100 K | 146 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Reliant Medical Group | |||||
| 630 plantation street | WORCESTER | MA | 01608 | MEDICAL SERVICES | 138698639 |
| VHS ACQUISITION SUBSIDIARY | |||||
| PO BOX 3385 | BOSTON | MA | 02241 | hospital services | 123010099 |
| UMASS Memorial Med Ctr | |||||
| PO BOX 415353 | BOSTON | MA | 02241 | HOSPITAL SERVICES | 96467184 |
| UMASS Memorial Med Group | |||||
| PO BOX 415348 | BOSTON | MA | 02241 | MEDICAL SERVICES | 24038056 |
| BEACON HEALTH STRATEGIES LLC | |||||
| 200 STATE ST SUITE 302 | HARTFORD | MA | 02109 | MENTAL HEALTH SVC. | 20252358 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 572 | NumberOfContractorsGT100K |
| Fundraising Events | 158338 | FundraisingEvents |
| Noncash Contributions | 100 | NoncashContributions |
| Total Contributions | 158338 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PREMIUM | 524114 | 1107494266 | 1107494266 | |
| ASO PREMIUM (INOVA) | 524292 | 15265 | 15265 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1107509531 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9289583 | TotalRevenueColumn |
| Exclusion | $9,289,583 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 217117090 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 204986066 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 12131024 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12131024 | TotalRevenueColumn |
| Exclusion | $12,131,024 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 40562 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 158338 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 56489 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -15927 | TotalRevenueColumn |
| Exclusion | -$15,927 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| SUBSIDIARY LOSS | 524114 | -8716780 | -$8,716,780 | |
| INOVA CONSULTING & IMPLEMENTATION | 561499 | 97707 | 97707 | |
| MANAGEMENT FEE, MED.SUPPORT | 561000 | 86573 | 86573 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 267303 | TotalRevenueColumn |
| Exclusion | $267,303 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -8265197 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1120807352 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1107494266 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 199545 | UnrelatedBusinessRevenue |
| Exclusion | $12,955,203 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 936327 | Total |
| Program Services | 936327 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 980540818 | Total |
| Program Services | 980540818 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6502347 | Total |
| Management And General | 6502347 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55866386 | Total |
| Management And General | 55866386 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10269971 | Total |
| Management And General | 10269971 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7318270 | Total |
| Management And General | 7318270 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4814853 | Total |
| Management And General | 4814853 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1100901 | Total |
| Management And General | 1100901 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1106688 | Total |
| Management And General | 1106688 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 332472 | Total |
| Management And General | 332472 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 840478 | Total |
| Management And General | 840478 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2354943 | Total |
| Management And General | 2354943 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5702980 | Total |
| Management And General | 5702980 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6055006 | Total |
| Management And General | 6055006 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7632816 | Total |
| Management And General | 7632816 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4885417 | Total |
| Management And General | 4885417 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190555 | Total |
| Management And General | 190555 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 338289 | Total |
| Management And General | 338289 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61804 | Total |
| Management And General | 61804 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6983659 | Total |
| Management And General | 6983659 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 586240 | Total |
| Management And General | 586240 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| DUES & SUBSCRIPTIONS | 693052 | 693052 | |
| INOVA ASO EXPENSE | 42858 | 42858 | |
| INOVA CONSULTG.& IMPLEMENT. | 232174 | 232174 | |
| MANAGEMENT FEE, MED SUPPORT | 82244 | 82244 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38698 | Total |
| Program Services | 54311 | ProgramServices |
| Management And General | -15613 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1105510246 | Total |
| Program Services | 981574314 | ProgramServices |
| Management And General | 123935932 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8526144 | BOY |
| EOY | 9185041 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26253547 | BOY |
| EOY | 25948210 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2336991 | BOY |
| EOY | 1609891 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 66125531 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 30440183 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33160437 | BOY |
| EOY | 35685348 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 304254690 | BOY |
| EOY | 328294778 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1383672 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6930726 | BOY |
| EOY | 11119592 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 382846207 | BOY |
| EOY | 411842860 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 198921288 | BOY |
| EOY | 204940716 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15170131 | BOY |
| EOY | 8012439 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 214091419 | BOY |
| EOY | 212953155 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 168754788 | BOY |
| EOY | 198889705 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 168754788 | BOY |
| EOY | 198889705 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 382846207 | BOY |
| EOY | 411842860 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 15297106 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 8981282 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 5856529 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 187555 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 199123 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 181640 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 207375 | CurrentTaxYearMinus1Year |
| Current Tax Year | 158338 | CurrentTaxYear |
| Total | 934031 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 980912291 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1059414644 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1090378600 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1096296327 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1107494266 | CurrentTaxYear |
| Total | 5334496128 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 981099846 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1059613767 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1090560240 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1096503702 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1107652604 | CurrentTaxYear |
| Total | 5335430159 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 5335430159 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13282385 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10709853 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10161702 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11179115 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9289583 | CurrentTaxYear |
| Total | 54622638 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12292 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14235 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7806 | CurrentTaxYearMinus2Years |
| Total | 34333 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13294677 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10724088 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10169508 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11179115 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9289583 | CurrentTaxYear |
| Total | 54656971 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 994394523 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1070337855 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1100729748 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1107682817 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1116942187 | CurrentTaxYear |
| Total | 5390087130 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98986 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98890 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01014 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01110 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General 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. | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $332,472 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 332472 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Direct Lobbying Expense | Identifier |
| Return Reference | Form 990, Schedule C, Part IV Supplemental Information | ReturnReference |
| Explanation | fchp paid a total of $332,472 lobbying expenses as follows: MAHP DUES (MASS ASSOC OF HEALTH PLANS) $89,227 SPILLANE & SPILLANE, LLP $48,000 AHIP DUES (AMERICA'S HEALTH INS. PLANS) $36,800 ALLIANCE OF COMMUNITY HEALTH PLANS DUES $41,668 NATIONAL PACE ASSOCIATION $7,520 ---------- SUBTOTAL NON-EMPLOYEES $223,215 EMPLOYEES: RICHARD P. BURKE $3,272 CHRISTIENNE BIK $71,250 W. PATRICK HUGHES $12,728 PATRICK JAMES FARRELL $20,220 MISC. LOBBYING RELATED REIMBURSEMENTS $1,787 -------- SUBTOTAL EMPLOYEES $109,257 -------- TOTAL OF ALL LOBBYING EXPENSES PAID $332,472 --------- KEY LEGISLATIVE AND REGULATORY ISSUES IN 2012: 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, MEDICAID, AND THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP). - PRODUCT-SPECIFIC ISSUES AFFECTING MEDIGAP/SUPPLEMENTAL POLICIES, LONG-TERM CARE INSURANCE, AND DISABILITY INCOME INSURANCE. - 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 2012, 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 DIVISION OF HEALTH CARE FINANCE AND POLICY - COST TRENDS - TOTAL MEDICAL EXPENSES & RELATIVE PRICES TECHNICAL ADVISORY GROUP MEETINGS, CONSULTATIVE SESSIONS & REGULATIONS - HEALTH SAFETY NET SURCHARGE PAYMENTS & FUNDING REGULATIONS - HEALTH SAFETY NET ELIGIBLE SERVICES REGULATIONS - PEDIATRIC ASSESSMENT REGULATIONS - FY12 VACCINE ASSESSMENT - 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 - PATIENT CENTERED MEDICAL HOME PILOT INITIATIVE - WORKED WITH MASSHEALTH ON DEVELOPING PRIMARY CARE PAYMENT REFORM ATTORNEY GENERAL'S OFFICE - DISCUSSIONS WITH THE AG'S OFFICE ON RECOMMENDATIONS TO ADDRESS NON-PROFIT BOARD COMPENSATION | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years | |
| Land | Land | |
| Buildings | Buildings |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4032485 | OtherCostOrOtherBasis |
| Depreciation | 2021693 | Depreciation |
| Book Value | 2010792 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10620055 | OtherCostOrOtherBasis |
| Depreciation | 9059424 | Depreciation |
| Book Value | 1560630 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 51472991 | OtherCostOrOtherBasis |
| Depreciation | 19359066 | Depreciation |
| Book Value | 32113926 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 35685348 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 1176985000 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 56320059 | OtherRevenues |
| Revenue Not Rptd F990 | 56320059 | RevenueNotRptdF990 |
| Revenue Subtotal | 1120664941 | RevenueSubtotal |
| Other Revenues Not Included | 142411 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 142411 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1120807352 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1161688000 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 57018232 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 57018232 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1104669768 | ExpensesSubtotal |
| Other Expenses Not Included | 840478 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 840478 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1105510246 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF REVENUE | FORM 990, SCHEDULE D, PART XI, LINE 2D | ITEMS ON FINANCIALS NOT ON FORM 990 SUBSIDIARY PREMIUM & ASO INCOME $47,803,394 SUBSIDIARY INVESTMENT INCOME $16,079 SUBSIDIARY OTHER INCOME & ELIMINATIONS $9,340,763 INVESTMENT FEE, SHOWN AS EXPENSE ($840,478) ROUNDING $301 ------------ SUBTOTAL, ON FINANCIALS NOT ON FORM 990 $56,320,059 FORM 990, SCHEDULE D, PART XI, LINE 4B ITEMS ON FORM 990, NOT ON FINANCIALS FUNDRAISING REVENUE RECLASSED FROM CONTRA EXP. $198,900 FUNDRAISING EXPENSES ON 990 NOT ON FS ($56,489) --------- SUBTOTAL, ON FORM 990 NOT ON FINANCIALS $142,411 |
| RECONCILIATION OF EXPENSES | FORM 990, SCHEDULE D, PART XII, LINE 2D | ITEMS ON FINANCIALS NOT ON FORM 990 SUBSIDIARY EXPENSES $57,160,237 NET FUNDRAISING ON FINANCIALS NOT ON 990 ($142,411) ROUNDING $406 ------------ SUBTOTAL, ON FINANCIALS NOT ON FORM 990 $57,018,232 FORM 990, SCHEDULE D, PART XII, LINE 4B INVESTMENT FEE, SHOWN AS EXPENSE $840,478 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Event | NameOfEvent1 |
| Gross Receipts Event1 | 198900 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 158338 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 40562 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 100 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 23020 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 15246 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 18123 | OtherDirectExpensesEvent1 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 198900 | GrossReceiptsTotal |
| Charitable Contributions Total | 158338 | CharitableContributionsTotal |
| Gross Revenue Total Events | 40562 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 100 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 23020 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 15246 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 18123 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 56489 | DirectExpenseSummaryEvents |
| Net Income Summary | -15927 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (39 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Worcester Public Library Foundation | |||||||
| 3 Salem Square | Worcester | MA | 01608 | 200066770 | 501(c)(3) | 46000 | GENERAL SUPPORT |
| Worcester Regional Chamber of Commerce | |||||||
| 446 Main St | Worcester | MA | 01608 | 041988780 | 501(c)(6) | 30525 | Independence Day Celebration - $20,000 Women's Leadership Conference - $10,000 |
| United Way of Central MA | |||||||
| 484 Main Street | Worcester | MA | 01608 | 042104017 | 501(c)(3) | 25750 | Stepping Up for Girls event - $750 Corporate donation - $25,000 |
| St John's Parish | |||||||
| 44 Temple St | Worcester | MA | 01604 | 042106729 | 501(c)(3) | 25000 | GENERAL SUPPORT |
| Worcester Art Museum | |||||||
| 55 Salisbury St | Worcester | MA | 01609 | 041988530 | 501(c)(3) | 22220 | GENERAL SUPPORT |
| Reliant Medical Group | |||||||
| 100 Front St 14th fl | Worcester | MA | 01608 | 222912515 | 501(c)(3) | 20500 | GENERAL SUPPORT |
| American Heart Association | |||||||
| 20 Speen St | Framingham | MA | 01701 | 135613797 | 501(c)(3) | 20250 | GENERAL SUPPORT |
| Square One | |||||||
| 1 Federal Sq | Springfield | MA | 01105 | 042103855 | 501(c)(3) | 20000 | Community Benefits Grant - LAUNCH Healthy Living for Disadvantaged Children & Families |
| UMass Medical School | |||||||
| 33 South Street | Shrewsbury | MA | 01545 | 043108190 | 501(c)(3) | 17500 | GENERAL SUPPORT |
| YMCA of Central MA | |||||||
| 766 Main Street | Worcester | MA | 01610 | 042105885 | 501(c)(3) | 16200 | GENERAL SUPPORT |
| United Way of Mass Bay & Merrimack Valley | |||||||
| 51 Sleeper Street | Boston | MA | 02210 | 042382233 | 501(c)(3) | 15000 | GENERAL SUPPORT |
| Hilltown Community Health Centers Inc | |||||||
| 58 Old North Road | Worthington | MA | 01098 | 042161484 | 501(c)(3) | 15000 | Community Benefits Grant - Hilltown Elder Care (HOPE and HEN collaboration) |
| Tri-Valley Inc | |||||||
| 10 Mill Street | Dudley | MA | 01571 | 042594201 | 501(c)(3) | 15000 | Community Benefits Grant - Nutrition Program |
| Regional Environmental Council Inc | |||||||
| PO Box 255 | Worcester | MA | 01613 | 046364350 | 501(c)(3) | 15000 | Community Benefits Grant - UGROW - Urban Garden Resources Worcester |
| Old Sturbridge VillAGE | |||||||
| 1 Old Sturbridge Rd | Sturbridge | MA | 01566 | 042104809 | 501(c)(3) | 13700 | GENERAL SUPPORT |
| Merrimack Valley Food Bank Inc | |||||||
| 735 Broadway Street | Lowell | MA | 01854 | 223241609 | 501(c)(3) | 12800 | Community Benefits Grant - Mobile Pantry - $10,000 Golf & Gather FORE a Cause proceeds donation - $2,500 Golf Tournament - $300 |
| Corrider Nine | |||||||
| 30 Lyman Street | Westborough | MA | 01581 | 223887369 | 501(c)(6) | 11658 | GENERAL SUPPORT |
| American Red Cross of Central MA | |||||||
| 2000 Century Drive | Worcester | MA | 01606 | 042141539 | 501(c)(3) | 11000 | Hurrican Sandy Relief - $5,000 Emergency Response Vehicle - $4,000 2012 Heroes Breakfast - $1,000 2013 Heroes Breakfast - $1,000 |
| Worcester Regional Research Bureau | |||||||
| 500 Salisbury Street | Worcester | MA | 01609 | 042901298 | 501(c)(3) | 11000 | GENERAL SUPPORT |
| Worcester County Food Bank | |||||||
| 474 Boston Tpke Rd | Shrewsbury | MA | 01545 | 043071457 | 501(c)(3) | 10500 | GENERAL SUPPORT |
| Community Harvest Project | |||||||
| 37 Wheeler Road | North Grafton | MA | 01536 | 043424018 | 501(c)(3) | 10500 | Community Benefits Grant - Volunteer Farming Project - $10,000 Pay It Forward Donation - $500 |
| Worcester Education Collaborative | |||||||
| 484 Main St | Worcester | MA | 01608 | 042100017 | 501(c)(3) | 10000 | GENERAL SUPPORT |
| Hanover Theatre | |||||||
| 2 Southbridge Street | Worcester | MA | 01608 | 050521735 | 501(c)(3) | 10000 | GENERAL SUPPORT |
| Worcester Hibernian Cultural Centre | |||||||
| PO Box 20276 | Worcester | MA | 01602 | 202148447 | 501(c)(3) | 10000 | GENERAL SUPPORT |
| Be Like Brit | |||||||
| PO Box 355 | Rutland | MA | 01543 | 271857525 | 501(c)(3) | 10000 | GENERAL SUPPORT |
| Elder Services of Berkshire County Inc | |||||||
| 66 Wendell Avenue | Pittsfield | MA | 01201 | 042542001 | 501(c)(3) | 10000 | Community Benefits Grant - Meals on Wheels Program |
| Lowell General Hospital | |||||||
| 295 Varnum Avenue | Lowell | MA | 01854 | 042103590 | 501(c)(3) | 10000 | GENERAL SUPPORT |
| Boys and Girls Club of Worcester | |||||||
| 65 Tainter Street | Worcester | MA | 01610 | 042105851 | 501(c)(3) | 8860 | Women's Leadership Breakfast - $1,000 Celebrity Sports Nite - $360 Community Benefits Grant - Healthy Habits to Grow - $5,000 Kids Caf - Golf & Gather FORE a Cause proceeds donation - $2,500 |
| New England Baptist Hospital | |||||||
| 125 Parker Hill Avenue | Boston | MA | 02120 | 042103612 | 501(c)(3) | 8300 | GENERAL SUPPORT |
| Bostonian Group | |||||||
| 4 Copley Place | Boston | MA | 02116 | 760788130 | 501(c)(3) | 7800 | GENERAL SUPPORT |
| Friends of the Pappas Recreation Complex | |||||||
| Town of Auburn | Auburn | MA | 01501 | 454146360 | 501(c)(3) | 7500 | GENERAL SUPPORT |
| South High Community School | |||||||
| 170 Apricot Street | Worcester | MA | 01603 | 046001418 | 501(c)(3) | 7500 | GENERAL SUPPORT |
| TEAM McCarthy | |||||||
| 253 Riverview Avenue | Newton | MA | 02466 | 032524240 | 501(c)(3) | 6555 | GENERAL SUPPORT |
| Springfield Jewish Community Center | |||||||
| 1160 Dickinson Street | Springfield | MA | 01108 | 042103802 | 501(c)(3) | 6150 | Youth Garden grant (mini grant) - $5,000 Community Center Program Guide - $1,150 |
| Stanley Street Treatment & Resources | |||||||
| 386 Stanley Street | Fall River | MA | 02720 | 042604426 | 501(c)(3) | 6000 | Community Benefits Grant - Girls on the Right Track |
| Bridge of Central MA | |||||||
| 4 Mann Street | Worcester | MA | 01605 | 042701581 | 501(c)(3) | 5750 | Community Benefits Grants - Making Choices through Healthy Eating & Activity - $5,000 BridgeFest 2012 - $500 Pay It Forward Donation - $250 |
| Genesis Club Inc | |||||||
| 274 Lincoln Street | Worcester | MA | 01605 | 042983234 | 501(c)(3) | 5500 | PROMTG. HEALTHY LS. Lifestyles (mini grant) - $5,000 Building Dreams Breakfast - $500 |
| Mass Audubon | |||||||
| 414 Massasoit Road | Worcester | MA | 01604 | 042104702 | 501(c)(3) | 5100 | Community Benefits Grant - Let's Go! - $5,000 Wachusett Meadow Sanctuary - $100 |
| Kidney Cancer Association | |||||||
| 85 Astor Avenue Suite 2 | Norwood | MA | 02062 | 042305643 | 501(c)(3) | 5025 | General Purpose |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 37 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 2 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990, Schedule I, PART I, LINE 2 | Identifier |
| Return Reference | Description of Organization's Procedures for Monitoring the Use of Grants | ReturnReference |
| Explanation | 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| W Patrick Hughes | |||||||||||
| President & CEO | 568942 | 216460 | 411081 | 174700 | 0 | 22754 | 0 | 1393937 | 0 | 216460 | 0 |
| Richard P Burke | |||||||||||
| President, Sr. Care Svc. & Gov | 318789 | 62053 | 21852 | 100950 | 0 | 25511 | 0 | 529155 | 0 | 62053 | 0 |
| Elizabeth Malko MD | |||||||||||
| Chief Medical Officer | 324938 | 66190 | 27438 | 101415 | 0 | 21511 | 0 | 541492 | 0 | 66190 | 0 |
| Christine Osgood | |||||||||||
| Chief Human Resources Officer | 142545 | 33345 | 39913 | 8980 | 0 | 4340 | 0 | 229123 | 0 | 29345 | 0 |
| R Scott Walker | |||||||||||
| Chief Financial Officer | 323619 | 64575 | 700 | 128450 | 0 | 25868 | 0 | 543212 | 0 | 64575 | 0 |
| Richard Commander | |||||||||||
| Chief Operating Officer | 303387 | 50119 | 4511 | 117500 | 0 | 2258 | 0 | 477775 | 0 | 50119 | 0 |
| David Przesiek | |||||||||||
| Sr VP Sales & Marketing | 265840 | 69729 | 970 | 111318 | 0 | 24602 | 0 | 472459 | 0 | 69729 | 0 |
| Mary Ritter | |||||||||||
| SR. VP OF STRATEGIC PLANNING | 232194 | 102230 | 31517 | 12500 | 0 | 25511 | 0 | 403952 | 0 | 42230 | 0 |
| Todd Bailey | |||||||||||
| VP. Senior Care Services | 201880 | 33000 | 4937 | 64940 | 0 | 20882 | 0 | 325639 | 0 | 33000 | 0 |
| Eric Hall | |||||||||||
| VP Network Development & Mgmt | 201129 | 59481 | 5007 | 63980 | 0 | 0 | 329597 | 0 | 32163 | 0 | |
| Karen Longo | |||||||||||
| Exec. Dir, Summit Eldercare | 164753 | 26369 | 4741 | 50141 | 0 | 22170 | 0 | 268174 | 0 | 25369 | 0 |
| Kevin McGovern | |||||||||||
| VP of Finance & Treasurer | 205669 | 31138 | 5494 | 57014 | 0 | 20988 | 0 | 320303 | 0 | 31138 | 0 |
| Janis Liepins | |||||||||||
| VP Marketing | 206924 | 33364 | 2322 | 60923 | 0 | 15288 | 0 | 318821 | 0 | 33364 | 0 |
| Elizabeth Helenius | |||||||||||
| VP Medicare Sales&Emerging Mkt | 151158 | 92694 | 3143 | 22690 | 0 | 21871 | 0 | 291556 | 0 | 34212 | 0 |
| Glenn Randall MD | |||||||||||
| Physician, Summit ElderCare | 256368 | 14536 | 3960 | 34839 | 0 | 19718 | 0 | 329421 | 0 | 14536 | 0 |
| David Wilner MD | |||||||||||
| VP & Medical Director | 283542 | 22421 | 7672 | 60235 | 0 | 18577 | 0 | 392447 | 0 | 21971 | 0 |
| Kevin Grozio | |||||||||||
| VP, Underwriting & Actuarial | 235243 | 16000 | 540 | 69916 | 0 | 27009 | 0 | 348708 | 0 | 16000 | 0 |
| Russell Munson | |||||||||||
| Sr. Medical Director | 274777 | 17016 | 2322 | 66071 | 0 | 20924 | 0 | 381110 | 0 | 17016 | 0 |
| Param Singh | |||||||||||
| Associate Medical Director | 211513 | 11112 | 8363 | 27487 | 0 | 17234 | 0 | 275709 | 0 | 11112 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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, CFO, and Senior VP of Sales and Marketing. Each executive is required to pay for their 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. |
| Supplemental Compensation Information | FORM 990, Schedule J, Part I, Line 4B | FALLON COMMUNITY HEALTH PLAN, INC. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ARTICLE III - ELIGIBILITY AN EMPLOYEE WHO IS ELIGIBLE FOR CONTRIBUTIONS TO A 457(F) ACCOUNT SHALL BE ELIGIBLE TO CONTRIBUTE ELECTIVE DEFERRALS TO A 457(B) ACCOUNT, AND ANY OTHER INDIVIDUAL DESIGNATED BY THE OFFICER OF THE HEALTH PLAN WHO IS IN CHARGE OF HUMAN RESOURCES SHALL ALSO BE ELIGIBLE TO CONTRIBUTE ELECTIVE DEFERRALS TO A 457(B) ACCOUNT. CONTRIBUTIONS SHALL BE MADE BY THE HEALTH PLAN TO A 457(F) ACCOUNT ESTABLISHED ON BEHALF OF AN EMPLOYEE WHO, AS OF JANUARY 2, 2007, IS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. CONTRIBUTIONS SHALL BE MADE BY THE HEALTH PLAN ON BEHALF OF AN EMPLOYEE WHO, AS OF DECEMBER 31, 2008 IS THE DIVISION PRESIDENT, SENIOR CARE SERVICES, THE EXECUTIVE VICE PRESIDENT AND CHIEF FINANCIAL OFFICER, THE EXECUTIVE VICE PRESIDENT AND CHIEF HUMAN RESOURCES OFFICER, THE DIVISION PRESIDENT, HEALTH PLAN OPERATIONS, OR THE EXECUTIVE VICE PRESIDENT AND CHIEF COMPLIANCE OFFICER. EFFECTIVE JULY 1, 2008, CONTRIBUTIONS SHALL BE MADE BY THE HEALTH PLAN PURSUANT TO A 457(F) ACCOUNT ESTABLISHED ON BEHALF OF ANY EMPLOYEE WHO IS NOT IDENTIFIED IN THE PARAGRAPH ABOVE AND IS A DIVISION PRESIDENT, AN EXECUTIVE VICE PRESIDENT OR A SENIOR VICE PRESIDENT. AN EMPLOYEE WHO BECOMES ELIGIBLE FOR THE PLAN SHALL BECOME COVERED UNDER THE PLAN ON THE FIRST JANUARY 1ST OR JULY 1ST FOLLOWING HIS OR HER DATE OF HIRE. FOR PARTICIPANTS WHO BECAME ELIGIBLE FOR THE PLAN ON OR BEFORE MARCH 1, 2007, 50% OF THE ANNUAL CONTRIBUTIONS IS IMMEDIATELY VESTED. FOR PARTICIPANTS WHO BECAME ELIGIBLE FOR THE PLAN AFTER MARCH 1, 2007, 50% OF EACH ANNUAL CONTRIBUTION IS VESTED AFTER WORKING 36 MONTHS. REMAINING CONTRIBUTION AMOUNTS ARE VESTED ON THE EARLIEST OF NORMAL RETIREMENT AGE 65, DEATH, DISABILITY, AND INVOLUNTARY SEPARATION FROM SERVICE (FOR A REASON OTHER THAN CAUSE). IN 2012, THE FOLLOWING OFFICERS PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN, 457(F): OFFICER AMOUNT PAID AMOUNT DEFERRED W. Patrick Hughes $405,381 NONE Christina Osgood $34,184 NONE Richard P. Burke $20,450 $20,450 Elizabeth Malko $24,615 $24,615 David Przesiek NONE $27,518 Richard Commander NONE $32,000 R. Scott Walker NONE $50,250 |
| FORM 990, SCHEDULE J, PART I LINE 6 | COMPENSATION CONTINGENT ON NET EARNINGS: | ALL EMPLOYEES IN CERTAIN JOB GRADES, WHICH INCLUDE EMPLOYEES LISTED ON SCHEDULE J-2, 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 2012 AND INCENTIVE PAYMENTS WERE ACCRUED IN 2012. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| 1 THE MONAHAN GROUP INC | |||
| FAMILY MEMBER OF DIRECTOR | 82705 | SEE PART V | false |
| 2 ADCARE HOSPITAL | |||
| OWNERSHIP BY DIRECTOR | 70586 | SEE PART V | false |
| 3 SAINT VINCENT HOSPITAL | |||
| OVERLAPPING BOARD MEMBER | 123010099 | SEE PART V | false |
| 4 HOMESTAFF LLC | |||
| OVERLAPPING BOARD MEMBER | 1770993 | SEE PART V | false |
| 5 FAMILY MEMBER OF KEY EE | |||
| EMPLOYEE | 86305 | SEE PART V | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | Identifier |
| Return Reference | FORM 990, SCHEDULE L, PART IV | ReturnReference |
| Explanation | NAME: THE MONAHAN GROUP, INC. RELATIONSHIP: ENTITY OWNED BY THE SISTER-IN-LAW OF FCHP DIRECTOR CHARLES F. MONAHAN MR. MONAHAN'S SISTER-IN-LAW IS A PRINCIPAL WITH THE MONAHAN GROUP, INC., A SECURITY CONSULTING FIRM THAT PROVIDES CONSULTING SERVICES TO FCHP. CHARLES F. MONAHAN HAS NO INTEREST IN THE MONAHAN GROUP, INC. FCHP'S BUSINESS RELATIONSHIP WITH THE MONAHAN GROUP, INC., PRE-DATES MR. MONAHAN'S SERVICE ON THE FCHP BOARD. 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. NAME: SAINT VINCENT HOSPITAL RELATIONSHIP: ENTITY IN WHICH FCHP DIRECTOR CHARLES F. MONAHAN SERVES AS AN UNCOMPENSATED BOARD MEMBER. MR. MONAHAN SERVES ON THE BOARD OF SAINT VINCENT HOSPITAL, WORCESTER, MA, WHICH PROVIDES HEALTH CARE SERVICES TO FCHP PLAN MEMBERS. MR. MONAHAN RECEIVES NO COMPENSATION FOR HIS SERVICE ON THE SAINT VINCENT HOSPITAL BOARD. 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. 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 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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, 2012 WAS 155,082. FALLON COMMUNITY HEALTH PLAN MADE OVER $1,500,000 AVAILABLE TO PROGRAMS THAT MAKE OUR COMMUNITIES HEALTHY. THIS WAS ACCOMPLISHED THROUGH THE FCHP COMMUNITY BENEFITS COMMITTEE'S DISTRIBUTION OF GRANTS, OTHER CHARITABLE DONATIONS, AND PROGRAMS THAT INVOLVED DIRECT EXPENSES AND STAFF TIME. FHCP'S REVENUE AND EXPENSES ARE NOT SEGREGABLE BY MAJOR EXPENSE CATEGORIES. FALLON COMMUNITY HEALTH PLAN 2012 COMMUNITY BENEFITS REPORT SUMMARY NARRATIVES Community Benefits Mission Statement Fallon Community Health Plan is committed to the vision of creating healthier lives. Fallon Community Health Plan 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. FCHP will develop and implement programs that will improve the health status of the economically disadvantaged, elders, and children aged 0-5 within our service area. Program Organization and Management In accordance with the Attorney General's Community Benefits Guidelines for Health Maintenance Organizations, the FCHP Board of Directors established the Community Benefits Committee. The Committee is managed by the Director of Community Relations, and reports to the Vice President of Corporate Communications. All grant applications are reviewed by the Committee and given final approval by senior management before funds are distributed. This ensures regular evaluation and oversight of the program. Community Health Needs Assessment In 2010, the Community Benefits Program conducted extensive review of the program, and a needs assessment of the communities served by the program. Changes to the giving program were made in order to better serve local needs. Each year, these areas of focus are reviewed with data from community agencies. Three new areas of focus were identified for the Community Benefits program. They are: promoting access to healthy nutrition and encouraging physical activity, particularly among vulnerable populations; promoting good health for seniors; and improving health for infants and children aged 0-5. Community Benefits Plan Fallon Community Health Plan awards grants and support to those programs that improve the health status of the economically disadvantaged, the elderly and children aged 0-5. Outcomes are measured each year against the goals stated in the funded programs' grant applications. These grant reports are essential in helping the Committee assess whether funds have indeed helped the identified population and therefore help to determine future funding. Key Accomplishments of the Reporting Year Fallon Community Health Plan invested over $1,500,000 in grants, programs and other supports to address needs affecting populations included in the Community Benefit program's areas of focus. Our support consists of direct funding, other costs, leveraged resources, staff hours (inclusive of paid volunteer hours) and employee non-paid volunteer hours. Approximately $202,700 of staff and volunteer time (both paid and non-paid) contributed to our efforts in the communities. Fallon Community Health Plan hosted the seventh annual Golf and Gather FOR a Goal charitable tournament, raising approximately $206,900 in gross receipts. Net proceeds exceeding $160,000 were distributed to more than 80 food pantries and hunger relief programs throughout Massachusetts. Due to the great need of the underserved population, FCHP donated an additional $10,000 towards the purchase of turkey and hams to the 4 major Massachusetts Food Banks and $24,000 year end to an additional 18 identified food pantries in MA. Plans for Next Reporting Year FCHP's Community Benefits program will conduct a needs assessment during 2013 to determine our focus for the next three years while maintaining our mission of making communities healthy. FORM 990, PART V, LINES 6A & 6B FCHP GROSS RECEIPTS FROM THE GOLF FUNDRAISING ARE GREATER THAN $100,000, AND THE DONOR CANNOT DEDUCT AS CHARITABLE FOR THE PORTION THAT THEY RECEIVED SOME BENEFIT, SUCH AS THE FMV OF THE GOLF TICKET. |
| DESCRIPTIONS OF RELATIONSHIPS | FORM 990, PART VI, QUESTION 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 2012: 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 2012: DAVID HILIS, RICHARD HOULIHAN, CHRISTIAN MCCARTHY, W. PATRICK HUGHES, AND 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 2012: W. PATRICK HUGHES, 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 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 990 WAS PROVIDED TO EACH BOARD MEMBER FOR HIS OR HER REVIEW BEFORE THE 990 WAS FILED WITH THE IRS. |
| DESCRIBE THE PROCESS TO MONITOR CONFLICTS OF INTERESTS | FORM 990, PART VI, QUESTION 12 A,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, QUESTIONS 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 OF FCHP'S 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 2012, 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 2012, 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 2012. 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, QUESTION 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 ON REQUEST. |
| FORM 990, PART VI, SECTION B, LINE 16B | JOINT VENTURE POLICY | FALLON COMMUNITY HEALTH PLAN, INC.'S JOINT VENTURE POLICY WAS ADOPTED ON DECEMBER 20, 2012. |
| OTHER CHANGES IN NET ASSETS OR FUND BALANCES | FORM 990, PART XI, LINE 9 | CHANGE IN MINIMUM PENSION $5,856,531 ROUNDING ADJUSTMENT ($2) ----------- OTHER CHANGES IN NET ASSETS $5,856,529 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUMMIT LIVING INC | BusinessNameLine1 |
Address US AddressUS
| 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 | 261836279 | EIN |
| Primary Activities | ASST LIVING | PrimaryActivities |
| Legal Domicile State | MA | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 9 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | true | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FALLON TOTAL CARE LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 NORTH PARKWAY SUITE 300 | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01653 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455591420 | EIN |
| Primary Activity | HEALTH CARE | PrimaryActivity |
| Legal Domicile State | MA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | EXCLUDED 512-514 | PredominantIncomeType |
| Disproportionate Allocations | true | DisproportionateAllocations |
| General Or Managing Partner | false | GeneralOrManagingPartner |
| Percentage Ownership | 0.51000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FALLON HEALTH & LIFE ASSURANCE COMPANY | ||||||||||||
| 10 CHESTNUT STREET | WORCESTER | MA | 01608 | 043169246 | HLTH & LIFE ASSUR | MA | FCHP | C CORP | -8716780 | 26031833 | 1.00000 | true |
| ULTRABENEFITS INC | ||||||||||||
| 29 EAST MOUNTAIN STREET | WORCESTER | MA | 01606 | 043525752 | 3RD PARTY ADMIN | MA | FHLAC | C CORP | 200241 | 1651515 | 1.00000 | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| FALLON HEALTH & LIFE ASSURANCE CO INC | ||
| B | 10600000 | CASH |
| FALLON TOTAL CARE LLC | ||
| B | 1275000 | CASH |
| ULTRABENEFITS INC | ||
| L | 52536 | CASH |
| ULTRABENEFITS INC | ||
| L | 173324 | CASH |
| ULTRABENEFITS INC | ||
| M | 84700 | CASH |
| ULTRABENEFITS INC | ||
| M | 53404 | CASH |
| FALLON HEALTH & LIFE ASSURANCE CO INC | ||
| N | 2724121 | CASH |
| FALLON HEALTH & LIFE ASSURANCE CO INC | ||
| O | 5705305 | CASH |
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