2012-06-21T13:58:51-05:00 2011-09-30 FEELEY & DRISCOLL PC 200 PORTLAND STREET BOSTON MA 02114 990 2010-10-01 043436352 FISHING PARTNERSHIP HEALTH PLAN CORPORATION FISH 6179283443 30 CHESTNUT AVENUE NO 2 BURLINGTON MA 01803 JOHN BARTLETT JR 6179283443 2012-06-19 1 JEFFREY T ROGERS 6177427788 2010 2016-02-24 21:20:13Z JOHN BARTLETT JR 30 CHESTNUT AVENUE NO 2 BURLINGTON MA 01803 16526247 0 X HTTP://WWW.FPHP.ORG/ X 1998 MA TO PROVIDE HEALTH COVERAGE, SERVICES, AND EDUCATION TO UNDER SERVED MEMBERS OF THE FISHING INDUSTRY AND THEIR FAMILY MEMBERS. 5 3 5 0 0 0 3858387 4000000 5985865 12517645 5528 3527 0 5075 9849780 16526247 0 0 0 0 469595 414052 0 0 0 9380200 7277194 9849795 7691246 -15 8835001 9935470 9064271 9935470 229270 0 8835001 X TO PROVIDE HEALTH COVERAGE, SERVICES, AND EDUCATION TO UNDER SERVED MEMBERS OF THE FISHING INDUSTRY AND THEIR FAMILY MEMBERS. 0 1 6718945 15517645 THE FISHING PARTNERSHIP HEALTH PLAN (FPHP) PROVIDED 7,181 SUBSCRIBER MONTHS HEALTH COVERAGE TO UNDER SERVED FISHING FAMILIES. THE FPHP REDUCED THE RATE OF UNINSURED FISHING FAMILIES IN MA BY 70%. THE FPHP STOPPED OFFERING HEALTH COVERAGE EFFECTIVE JULY 1, 2011. 525648 1000000 FPHP CONTINUED TO PROVIDE HEALTH-RELATED SERVICES AND EDUCATION TO FISHING FAMILIES. THE FPHP WILL CONTINUE TO PROVIDE SERVICES, INCLUDING HEALTH NAVIGATION, HEALTH SCREENINGS, WELLNESS PROGRAMS, AND SAFETY TRAINING. THE FISHING PARTNERSHIP HEALTH PLAN (FPHP) HIRES MEMBERS OF THE FISHING INDUSTRY TO PERFORM ALL OUTREACH SERVICES. THE OUTREACH COORDINATORS HAD OVER 13,000 CONTACTS WITH THE FISHING INDUSTRY DURING THE YEAR. IN ADDITION, THE FPHP PROMOTES HEALTH AND WELLNESS PROGRAMS SUCH AS DISEASE MANAGEMENT FOR THE SICKEST MEMBERS, SKIN CANCER SCREENINGS AT FISHING INDUSTRY EVENTS, CPR AND FIRST AID TRAINING FOR CAPTAINS AND CREW MEMBERS, ETC. 7244593 1 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 0 1 5 0 1 5 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 MA X JOHN BARTLETT JR 6179283443 30 CHESTNUT AVENUE SUITE 2 BURLINGTON MA 01803 ANGELA SANFILIPPO 32.00 X 0 0 0 STEVE TRINGALE 4.00 X X 0 0 0 DAVID CHICOINE 2.00 X X 0 0 0 KEVIN COUNIHAN 2.00 X X 0 0 0 ROBERT HUNTER RETIRED 9192011 2.00 X 0 0 0 JIM KENDALL 2.00 X 0 0 0 JOHN BARTLETT JR 40.00 X 189328 0 20418 DAVID BERGERON 40.00 X 65308 0 19025 254636 0 39443 1 0 1 0 HARVARD PILGRIM HEALTHCAREHEALTHPLANS 1500 WEST PARK DRIVE SUITE 330 WESTBOROUGH MA 01581 THIRD PARTY ADMINISTRATION 441696 MASSACHUSETTS FISHERMAN'S PARTNERSHIP 2 BLACKBURN CENTER GLOUCESTER MA 01930 OUTREACH AND HEALTH NAVIGATION 213580 2 4000000 4000000 HEALTHCARE, SERVICE, E 524114 8173566 8173566 PREMIUM REVENUE 524114 4344079 4344079 12517645 3527 3527 PRIOR YEAR PRESCRIPTIO 900099 3075 3075 WORKSITE WELLNESS STIP 900099 2000 2000 5075 16526247 12526247 0 0 209746 188771 20975 148388 133549 14839 32975 29677 3298 22943 20649 2294 14662 14662 96000 96000 432488 432488 38517 38517 20867 20867 8131 8131 3543 3543 4007 4007 14756 14756 CLAIMS EXPENSE 6169944 6169944 ADMINISTRATIVE SERVICES 269515 269515 204764 204764 7691246 7244593 446653 0 8783988 8054209 1034116 1000000 31489 27762 7734 3727 100719 8913 6335 9935470 9064271 104934 155270 9060536 770000 74000 9935470 229270 X 0 8835001 0 8835001 9935470 9064271 8835001 0 X 0 1 1 X 0 X 63600 2000 5000 3858387 4000000 7928987 8748959 10527113 9180086 5985865 12517645 46959668 8812559 10529113 9185086 9844252 16517645 54888655 0 0 0 54888655 356725 235618 62667 5528 3527 664065 356725 235618 62667 5528 3527 664065 9169284 10764731 9247753 9849780 16521172 55552720 0.98800 0.98030 0.01200 0.01970 X 0 1 0 0 0 0 1 96000 0 0 96000 0 31489 27762 3727 3727 CLAIMS PAYABLE 74000 74000 16526247 7691246 8835001 0 8835001 16526247 0 16526247 0 16526247 7691246 0 7691246 0 7691246 FISHING PARTNERSHIP HEALTH PLAN TRUST AND CORPORATION IS AUDITED BY AN INDEPENDENT ACCOUNTANT, DELOITTE AND TOUCHE LLP. FISHING PARTNERSHIP HEALTH PLAN TRUST AND CORPORATION HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW OF THE COMPILATION OF ITS FINANCAL STATEMENTS AND SELECTION OF AN INDENDENT AUDITOR. THE AUDIT OF FISHING PARTNERSHIP HEALTH PLAN IS CONSOLIDATED BY DELOITTE AND TOUCHE, LLP INTO THE ANNUAL AUDIT OF FISHING PARTNERSHP PLAN TRUST AND CORPORATION. THE COMBINED FINANCIAL STATEMENTS HAVE BEEN PRESENTED IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA ("GENERALLY ACCEPTED ACCOUNTING PRINCIPLES"). IN ACCORDANCE WITH THE AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS' AUDIT AND ACCOUNTING GUIDE, HEALTH CARE ORGANIZATIONS, AND OTHER PRONOUNCEMENTS APPLICABLE TO HEALTH CARE ORGANIZATIONS. X X X 0 0 0 0 0 0 0 0 0 JOHN BARTLETT JR 159928 0 29400 0 0 0 0 0 20418 0 209746 0 0 0 DAVID BERGERON 65308 0 0 0 0 0 0 0 19025 0 84333 0 0 0 SUPPLEMENTAL INFORMATION PART III COMPENSATION COMPENSATION OF OFFICERS IS FOR THE SERVICES OF OFFICERS OF THE FISHING PARTNERSHIP HEALTH PLAN. COMPENSATION PAID TO TRUSTEES OF THE FISHING PARTNERSHIP HEALTH PLAN IS COMPENSATION PAID FOR OTHER SERVICES. NO COMPENSATION WAS RECEIVED BY THE TRUSTEES FOR THEIR SERVICES AS TRUSTEES. ANGELA SANFILIPPO DIRECTOR 65807 COMPENSATION 0 VERNA KENDALL SPOUSE OF DIRECTOR 31488 COMPENSATION 0 SCHEDULE L DESCRIPTION OF TRANSACTION THE FPHP CONTRACTS WITH THE MASSACHUSETTS FISHERMEN'S PARTNERSHIP TO PROVIDE OUTREACH AND MARKETING SERVICES. ANGELA SANFILIPPO IS THE EXECUTIVE DIRECTOR OF THE MFP, AND JAMES KENDALL'S WIFE, VERNA KENDALL IS A MFP OUTREACH COORDINATOR. THE FPHP CONTRACTS WITH THE MFP ARE FOR OUTREACH AND MARKETING SERVICES.THE TOTAL FEES FOR THE YEAR WERE $213,580. THE MFP USES A PORTION OF THESE FEES TO PAY WAGES TO ANGELA SANFILIPPO (DIRECTOR) AND VERNA KENDALL (SPOUSE OF JIM KENDALL, DIRECTOR). THE ESTIMATED PORTION OF THE TOTAL MFP CONTRACT FOR SALARY POR ANGELA SANFILIPPO AND VERNA KENDALL FOR THE PERIOD ENDED 09/30/2011 WAS $65,807 AND $31,488 RESPECTIVELY. THE FPHP DOES NOT PAY ANGELA SANFILIPPO OR VERNA KENDALL DIRECTLY CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 PRIOR TO JULY 1, 2012, IN ADDITION TO OTHER HEALTH EDUCATION AND OUTREACH PROGRAMS, FPHP DIRECTLY PROVIDED A HEALTH PLAN COVERAGE OPTION TO FISHING FAMILIES IN MASSACHUSETTS IN ORDER TO ADDRESS GAPS IN ACCESS AND AFFORDABILITY . GIVEN THE FULL IMPLEMENTATION OF HEALTH CARE REFORM IN MASSACHUSETTS WHICH HAS RESULTED IN INCREASED AFFORDABLE INSURANCE OPTIONS TO FISHING FAMILIES THROUGH A HEALTH INSURANCE EXCHANGE, THE FPHP BOARD OF DIRECTORS VOTED IN DECEMBER 2010 TO DISCONTINUE THE FPHP HEALTH PLAN OPTION AS OF JULY 1, 2011. CONSISTENT WITH ITS CHARITABLE PURPOSES, THE FPHP CONTINUES TO FULFILL ITS MISSION BY PROVIDING HEALTH RELATED SERVICES AND HEALTH EDUCATION TO FISHING FAMILIES WHICH INCLUDE HEALTH NAVIGATION, HEALTH SCREENING, WELLNESS PROGRAMS AND SAFETY TRAINING. FORM 990, PART VI, SECTION A, LINE 2 ANGELA SANFILIPPO HAS A BUSINESS RELATIONSHIP AND JIM KENDALL HAS A FAMILY RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11 THE RETURNS ARE DISTRIBUTED TO THE FINANCE COMMITTEE. THE FINANCE COMMITTEE HAS THE OPPORTUNITY TO REVIEW THE RETURNS AND OFFER CHANGES. FORM 990, PART VI, SECTION B, LINE 12C THIS POLICY IS REVIEWED ANNUALLY AT A BOARD MEETING AND DISCLOSURES ARE MADE AT THIS TIME. THE BOARD REVIEWS THE DISCLOSURES PRIOR TO BOARD VOTES AND DIRECTORS WHO HAVE A CONFLICT ON THAT VOTE ARE REQUIRED TO RECUSE THEMSELVES. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST. FISHING PARTNERSHIP HEALTH PLAN TRUST 30 CHESTNUT AVENUE 2 BURLINGTON MA 01803 043402812 HEALTH COVERAGE, HEALTH EDUCATION, HEALTH SERVICES FOR FISHING FAMILIES MA 501(C)(3) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0