FALLON COMMUNITY HEALTH PLAN INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- FALLON COMMUNITY HEALTH PLAN INC (EIN 23-7442369)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-14
- IRS object ID
- 201243199349307104
- Schema version
- 2011v1.3
- 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 | 2012-11-14T17:52:44-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE STE 2600 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | 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 | % CHAN MODHA | InCareOfName |
| Name Control | FALL | NameControl |
| Phone | 5087992100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 CHESTNUT STREET | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01608 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PATRICK HUGHES | Name |
| Title | PRESIDENT & CEO | Title |
| Date Signed | 2012-11-13 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6172662000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | 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 Pres CEO | 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 | 1358429916 | 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 | FCHP'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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1142 | TotalNbrEmployees |
| Total Nbr Volunteers | 138 | TotalNbrVolunteers |
| Total Gross UBI | 307804 | TotalGrossUBI |
| Contributions Grants Prior Year | 181640 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 207375 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1090378600 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1096296327 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 19904863 | InvestmentIncomePriorYear |
| Investment Income Current Year | 15007340 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -12829907 | OtherRevenuePriorYear |
| Other Revenue Current Year | -7714501 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1097635196 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1103796541 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 659952 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 527958 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 1006562694 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 954294586 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 60156727 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 70950490 | 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 | 39061882 | OtherExpensePriorYear |
| Other Expenses Current Year | 39562912 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1106441255 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1065335946 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -8806059 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 38460595 | RevenuesLessExpensesCY |
| Total Assets BOY | 337631320 | TotalAssetsBOY |
| Total Assets EOY | 382846207 | TotalAssetsEOY |
| Total Liabilities BOY | 202819067 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 214091419 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 134812253 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 168754788 | 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 | 954854994 | Expense |
| Grants | 527958 | Grants |
| Revenue | 1096296327 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 954854994 | 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 | 5186 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1142 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| 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 | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | 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 | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CHAN 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 (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | OfficerOfficer | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Christopher F Egan | ||||||||
| Director | 4.0 | X | 1275 | 0 | ||||
| Alan Gayer | ||||||||
| Director | 4.0 | X | 0 | 0 | ||||
| Karen H Green | ||||||||
| Clerk | 7.0 | X | 1700 | 0 | ||||
| David R Grenon | ||||||||
| Director | 4.0 | X | 1275 | 0 | ||||
| David W Hillis | ||||||||
| Chairman | 10.0 | X | 1700 | 0 | ||||
| Richard P Houlihan Esq | ||||||||
| Vice Chairman | 7.0 | X | 2125 | 0 | ||||
| Sandra L Kurtinitis PhD | ||||||||
| Director | 4.0 | X | 850 | 0 | ||||
| Christian W McCarthy | ||||||||
| Treasurer | 7.0 | X | 1700 | 0 | ||||
| Charles F Monahan Jr | ||||||||
| Clerk | 7.0 | X | 850 | 0 | ||||
| Rev John J Paris SJ | ||||||||
| Director | 4.0 | X | 850 | 0 | ||||
| Lynda M Young MD | ||||||||
| Director | 4.0 | X | 850 | 0 | ||||
| W Patrick Hughes | ||||||||
| President & CEO | 50.0 | X | 690227 | 0 | X | 339000 | ||
| Richard P Burke | ||||||||
| President, Senior Care Srvcs | 50.0 | 317738 | 0 | X | 168556 | |||
| Elizabeth Malko MD | ||||||||
| Chief Medical Officer | 50.0 | 408369 | 0 | X | 122788 | |||
| Christine Osgood | ||||||||
| Chief Human Resources Officer | 24.0 | 167877 | 0 | X | 63960 | |||
| R Scott Walker | ||||||||
| Chief Financial Officer | 50.0 | 323778 | 0 | X | 148036 | |||
| Richard Commander | ||||||||
| Chief operating Officer | 50.0 | 296628 | 0 | X | 94492 | |||
| David Przesiek | ||||||||
| SR VP Sales & Marketing | 50.0 | 284570 | 0 | X | 118279 | |||
| Mary Ritter | ||||||||
| SR VP OF STRATEGIC PLANNING | 50.0 | 237577 | 0 | X | 100632 | |||
| Todd Bailey | ||||||||
| VP, Senior Care Srvcs | 50.0 | 211019 | 0 | 100420 | X | |||
| Eric Hall | ||||||||
| VP Network Development & Mgmt | 50.0 | 213083 | 0 | 51360 | X | |||
| Karen Longo | ||||||||
| Exec Dir, Summit Eldercare | 50.0 | 179960 | 0 | 127744 | X | |||
| Kevin McGovern | ||||||||
| VP OF FINANCE & TREASURER | 50.0 | 224720 | 0 | 149728 | X | |||
| Janis Liepins | ||||||||
| VP OF MARKETING | 50.0 | 216386 | 0 | 74951 | X | |||
| Elizabeth Helenius | ||||||||
| VP Medical Sales&Emerging MRKT | 50.0 | 238883 | 89421 | X | ||||
| Seth Lewin | ||||||||
| Sr Medical DR, Medical Affairs | 50.0 | 264377 | 0 | 35035 | X | |||
| Glenn Randall MD | ||||||||
| Physician, Summit ElderCare | 50.0 | 254464 | 0 | 45877 | X | |||
| Param Singh | ||||||||
| Associate Medical Director | 50.0 | 219590 | 84917 | X | ||||
| David Wilner MD | ||||||||
| PACE Physician & Medical Dr | 50.0 | 288595 | 0 | 53001 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5051016 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1968197 | TotalOtherCompensation |
| Number Individuals GT100 K | 108 | 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 ST | WORCESTER | MA | 01608 | MEDICAL SERVICES | 141856274 |
| VHS Acquisition Subsidiary | |||||
| PO BOX 3385 | BOSTON | MA | 02241 | HOSPITAL SERVICES | 113583405 |
| UMASS Memorial Med Ctr | |||||
| PO BOX 15492 | WORCESTER | MA | 01615 | HOSPITAL SERVICES | 90126144 |
| UMASS Memorial Med Group | |||||
| PO BOX 62 | SHREWSBURY | MA | 01545 | MEDICAL SERVICES | 22960360 |
| BEACON HEALTH STRATEGIES LLC | |||||
| 200 STATE ST SUITE 302 | HARTFORD | MA | 02109 | Mental Health Srvcs | 19506859 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 534 | NumberOfContractorsGT100K |
| Fundraising Events | 152792 | FundraisingEvents |
| All Other Contributions | 54583 | AllOtherContributions |
| Noncash Contributions | 3325 | NoncashContributions |
| Total Contributions | 207375 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROGRAM SERVICE REVENUE | Description |
| Business Code | 524114 | BusinessCode |
| Total Revenue Column | 1096296327 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1096296327 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1096296327 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11179115 | TotalRevenueColumn |
| Exclusion | $11,179,115 | 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 |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 258403017 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 254574792 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3828225 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3828225 | TotalRevenueColumn |
| Exclusion | $3,828,225 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 54583 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 152792 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 58583 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -4000 | TotalRevenueColumn |
| Exclusion | -$4,000 | 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 & OTHER MISC. | 524114 | -8022305 | -$8,022,305 | |
| PACE CONSULTING & ASO-INOVA | 561499 | 300612 | $4,000 | 296612 |
| MANAGEMENT FEE FOR INDEMNITY, COMPANION CARE | 561000 | 16280 | 16280 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -5088 | TotalRevenueColumn |
| Unrelated Business Revenue | -5088 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -7710501 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1103796541 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1096296327 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 307804 | UnrelatedBusinessRevenue |
| Exclusion | $6,985,035 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 527958 | Total |
| Program Services | 527958 | 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 | 954294586 | Total |
| Program Services | 954294586 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5445053 | Total |
| Management And General | 5445053 | 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 | 48201763 | Total |
| Management And General | 48201763 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7082748 | Total |
| Management And General | 7082748 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5995328 | Total |
| Management And General | 5995328 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4225598 | Total |
| Management And General | 4225598 | 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 | 966619 | Total |
| Management And General | 966619 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 924098 | Total |
| Management And General | 924098 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 247764 | Total |
| Management And General | 247764 | 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 | 646921 | Total |
| Management And General | 646921 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8394492 | Total |
| Management And General | 8394492 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3999705 | Total |
| Management And General | 3999705 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4606580 | Total |
| Management And General | 4606580 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5408684 | Total |
| Management And General | 5408684 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4834664 | Total |
| Management And General | 4834664 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 118424 | Total |
| Management And General | 118424 | 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 | 467606 | Total |
| Management And General | 467606 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 311113 | Total |
| Management And General | 311113 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6487325 | Total |
| Management And General | 6487325 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 615277 | Total |
| Management And General | 615277 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| DUES & SUBSCRIPTIONS | 754095 | 754095 | |
| RECRUITING | 383952 | 383952 | |
| CONMMUNITY BENEFIT-VOLUNTEER | 32450 | 32450 | |
| All other expenses | 363143 | 363143 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1065335946 | Total |
| Program Services | 954854994 | ProgramServices |
| Management And General | 110480952 | 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 | 17339389 | BOY |
| EOY | 8526144 | 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 | 34592413 | BOY |
| EOY | 26253547 | 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 | 1878229 | BOY |
| EOY | 2336991 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 56616961 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 23456524 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36425332 | BOY |
| EOY | 33160437 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 234995427 | BOY |
| EOY | 304254690 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5838030 | BOY |
| EOY | 1383672 | 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 | 6562500 | BOY |
| EOY | 6930726 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 337631320 | BOY |
| EOY | 382846207 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 188696047 | BOY |
| EOY | 198921288 | 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 | 14123020 | BOY |
| EOY | 15170131 | 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 | 202819067 | BOY |
| EOY | 214091419 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 134808325 | BOY |
| EOY | 168754788 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3928 | 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 | 134812253 | BOY |
| EOY | 168754788 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 337631320 | BOY |
| EOY | 382846207 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 38460595 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -4518060 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 | 109700 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 187555 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 199123 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 181640 | CurrentTaxYearMinus1Year |
| Current Tax Year | 207375 | CurrentTaxYear |
| Total | 885393 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 884935739 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 980912291 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1059414644 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1090378600 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1096296327 | CurrentTaxYear |
| Total | 5111937601 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 885045439 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 981099846 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1059613767 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1090560240 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1096503702 | CurrentTaxYear |
| Total | 5112822994 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 5112822994 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12200590 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13282385 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10709853 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10161702 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11179115 | CurrentTaxYear |
| Total | 57533645 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 350 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12292 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14235 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7806 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 34683 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12200940 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13294677 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10724088 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10169508 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11179115 | CurrentTaxYear |
| Total | 57568328 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 897246379 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 994394523 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1070337855 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1100729748 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1107682817 | CurrentTaxYear |
| Total | 5170391322 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98887 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98799 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01113 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01201 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | 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 | $247,764 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 247764 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DIRECT LOBBYING EXPENSE | SCHEDULE C, PART II-B, LINE 1G | FCHP PAID LOBBYING EXPENSES TO THE FOLLOWING: MASSACHUSETTS ASSOCIATION OF HEALTH PLANS 37,100 SPILLANE & SPILLANE, LLP 48,000 AMERICA'S HEALTH INSURANCE PLANS 34,027 ALLIANCE OF COMMUNITY HEALTH PLANS 7,652 ------ TOTAL OUTSIDE VENDORS 126,779 EMPLOYEES OF FALLON COMMUNITY HEALTH PLAN, INC. CATHERYN MCEVOY ZDONCZYK 26,500 W. PATRICK HUGHES 14,212 PATRICK JAMES FARRELL 40,949 RICHARD BURKE 10,418 CHRISTIENNE BIK 28,906 ------- TOTAL FCHP EMPLOYEES 120,985 ------- TOTAL DIRECT LOBBYING EXPENSE 247,764 ======== |
| FALLON COMMUNITY HEALTH PLAN, INC. | KEY LEGISLATIVE AND REGULATORY ISSUES IN 2011: | 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 - MEETINGS WITH MASSHEALTH AND MEDICAID OFFICIALS ON INCREASING MEMBERSHIP, CHANGING PAYMENT MODELS, AND BETTER MANAGING OF MEMBERS. - WORKING WITH CONGRESSIONAL MEMBERS AND CMS TO ADDRESS THE DECREASES IN PAYMENTS UNDER CHANGES MADE IN MEDICARE RURAL FLOOR DURING 2011, 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 - ALL-PAYER CLAIMS DATABASE IMPLEMENTATION - 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 - FY11 VACCINE ASSESSMENT - HOSPITAL FINANCIAL REPORTS - TECHNICAL ADVISORY GROUP MEETINGS, CONSULTATIVE SESSIONS & REGULATIONS DIVISION OF INSURANCE SPECIAL SESSIONS AND OTHER - AUTISM - 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 HEALTH CARE QUALITY AND COST COUNCIL - COMMITTEE ON THE STATUS OF PAYMENT REFORM LEGISLATION - END OF LIFE CARE ADVISORY PANEL REPORT - UNIFORM REPORTING SYSTEM FOR HEALTH CARE CLAIMS DATA SETS BULLETIN - REPEAL OF HCQCC DATA REGULATIONS ATTORNEY GENERAL'S OFFICE - DISCUSSIONS WITH THE AG'S OFFICE ON RECOMMENDATIONS TO ADDRESS PROVIDER MARKET POWER |
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 | |
| Land | Land | |
| Buildings | Buildings |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3946505 | OtherCostOrOtherBasis |
| Depreciation | 1778943 | Depreciation |
| Book Value | 2167562 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9088021 | OtherCostOrOtherBasis |
| Depreciation | 8222911 | Depreciation |
| Book Value | 865110 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 43582435 | OtherCostOrOtherBasis |
| Depreciation | 13454670 | Depreciation |
| Book Value | 30127765 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 33160437 | TotalOfBookValueLandBuildings |
| Total Revenue | 1103796541 | TotalRevenue |
| Total Expenses | 1065335946 | TotalExpenses |
| Excess Or Deficit For Year | 38460595 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 38460595 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1154811000 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 51868755 | OtherRevenues |
| Revenue Not Rptd F990 | 51868755 | RevenueNotRptdF990 |
| Revenue Subtotal | 1102942245 | RevenueSubtotal |
| Investment Expenses Not Included | 646921 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 207375 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 854296 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1103796541 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1116350000 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 51868350 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 51868350 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1064481650 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 646921 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 207375 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 854296 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1065335946 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE D, PART XII: | Line 2d | SUBSIDIARY INCOME & RELATED ELIMINATIONS $51,868,556 "IN THOUSANDS" AUDITED FINANCIALS ROUNDING 199 ---------- TOTAL LINE 2D $51,868,755 |
| LINE 4B | RECLASS OF FUNDRAISING EVENT $207,375 THE REVENUE PORTION OF THE COMMUNITY BENEFITS FUND IS RECLASSED TO REVENUE ON THE FORM 990. | |
| SCHEDULE D, PART XIII: | Line 2D | SUBSIDIARY EXPENSES & RELATED ELIMINATIONS $51,868,350 |
| Line 4B | RECLASS OF FUNDRAISING EVENT $207,375 THE REVENUE PORTION OF THE COMMUNITY BENEFITS FUND IS RECLASSED TO REVENUE ON THE FORM 990. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | BUFFET DINNER | NameOfEvent1 |
| Gross Receipts Event1 | 207375 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 152792 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 54583 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 3325 | NonCashPrizesEvent1 |
| Food And Beverage Event1 | 14245 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 250 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 40763 | OtherDirectExpensesEvent1 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 207375 | GrossReceiptsTotal |
| Charitable Contributions Total | 152792 | CharitableContributionsTotal |
| Gross Revenue Total Events | 54583 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 3325 | NonCashPrizesTotalEvents |
| Food And Beverage Total Events | 14245 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 250 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 40763 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 58583 | DirectExpenseSummaryEvents |
| Net Income Summary | -4000 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (22 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Address Line2AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|---|
| Worcester Regional Chamber of Commerce | ||||||||
| 339 Main St | Worcester | MA | 01608 | 041988780 | 501(c)(6) | 22500 | Independence Day Celebration ($20,000) Annual Meeting ($2,500) | |
| Town of Orange | ||||||||
| 6 Prospect Street | Orange | MA | 01364 | 046001257 | 501(c)(3) | 21500 | Community Benefits grant recipient ($20,000) Mini-grant recipient ($1,000) Mini-grant recipient ($500) | |
| Community Teamwork Inc | ||||||||
| 155 Merrimack Street | Lowell | MA | 01852 | 042382027 | 501(c)(3) | 20000 | Community Benefits grant recipient | |
| Fallon Clinic Foundation | ||||||||
| 100 Front St 14th fl | Worcester | MA | 01608 | 222912515 | 501(c)(3) | 20000 | Drive for a Difference Golf Classic | |
| Rachel's Table | ||||||||
| 633 Salisbury Street | Worcester | MA | 01609 | 042104363 | 501(c)(3) | 15200 | Pay It Forward donation ($200) Community Benefit grant recipient ($15,000) | |
| Community Action of Franklin Hampshire & N Quab | ||||||||
| 393 Main Street | Greenfield | MA | 01301 | 042384972 | 501(c)(3) | 12000 | Community Benefits grant recipient | |
| Worcester Regional Research Bureau | ||||||||
| 319 Main Street | Worcester | MA | 01608 | 042901298 | 501(c)(3) | 11000 | 2011 Series of Events ($5,000) Annual Due ($6,000) | |
| Genesis Club | ||||||||
| 274 Lincoln Street | Worcester | MA | 01605 | 042983234 | 501(c)(3) | 10500 | Community Benefits grant recipient ($10,000) Spring Benefit Concert ($500) | |
| American Heart Association | ||||||||
| 20 Speen St | Framingham | MA | 01701 | 135613797 | 501(c)(3) | 10000 | Central MA Heart & Stroke Ball ($7,500) Centarl MA Heart Walk ($2,500) | |
| St John's Parish | ||||||||
| 44 Temple St | Worcester | MA | 01604 | 042106729 | 501(c)(3) | 10000 | Gather FORE a Goal proceeds donation | |
| Worcester Art Museum | ||||||||
| 55 Salisbury St | Worcester | MA | 01609 | 041988530 | 501(c)(3) | 10000 | Art All State ($5,000) Art Since the Mid 20th Century ($5,000) | |
| Worcester Education Collaborative | ||||||||
| c/o United Way of Central MA | Worcester | MA | 01608 | 042100017 | 501(c)(3) | 10000 | Annual Support | 484 Main Street |
| Boys & Girls Club of Worcester | ||||||||
| 65 Tainter Street | Worcester | MA | 01610 | 042105851 | 501(c)(3) | 9000 | Heroes Day 2011 ($1,000) Pay It Forward Donation ($500) Community Benefits Grant recipient ($7,500) | |
| American Red Cross of Central Mass | ||||||||
| 2000 Century Drive | Worcester | MA | 01606 | 042151539 | 501(c)(3) | 8630 | Pay It Forward donation ($500) Japan Earthquake Relief ($4,130) Disaster Response Vehicle ($4,000) | |
| YMCA of Central MA | ||||||||
| 766 Main St | Worcester | MA | 01610 | 042105885 | 501(c)(3) | 7780 | 1st Annual Strong Kids Mission Partner Sponsor ($2,780) Strength of the Team Initiative ($5,000) | |
| Boys & Girls Club of Greater Lowell | ||||||||
| 657 Middlesex Street | Lowell | MA | 01850 | 042104396 | 501(c)(3) | 7500 | Community Benefits grant recipient | |
| Boys & Girls Club of Lawrence | ||||||||
| 136 Water Street | Lawrence | MA | 01841 | 042104377 | 501(c)(3) | 7500 | Community Benefits grant recipient | |
| Boys & Girls Club of North Central MA | ||||||||
| 65 Lindell Avenue | Leominster | MA | 01453 | 043576700 | 501(c)(3) | 7500 | Community Benefits grant recipient | |
| New England Council | ||||||||
| 98 North Washington St Ste 201 | Boston | MA | 02114 | 041661090 | 501(c)(6) | 6000 | Annual Dinner | |
| UMass Medical School College Publications Inc | ||||||||
| 210 Park Ave 690 | Worcester | MA | 01609 | 043108190 | 501(c)(3) | 5695 | Winter Ball ($5,000) UMass 2012 Yearbook ($695) | |
| Be Like Brit | ||||||||
| 47 Singletary Road | Millbury | MA | 01527 | 271857525 | 501(c)(3) | 5500 | 1st Annual Be Like Brit Golf Classic ($5,000) Pay It Forward donation ($500) | |
| YWCA of Central MA | ||||||||
| 1 Salem Square | Worcester | MA | 01608 | 042105873 | 501(c)(3) | 5200 | Katharine F. Erskine Awards ($200) 125th Anniversary ($5,000) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 20 | 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 | 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 BY EACH GRANT RECIPIENT SUCH AS THE SPECIFIC USE OF EACH 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 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 |
| Written Employment Contract | X | WrittenEmploymentContract |
| 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 (18 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|---|---|---|---|
| W Patrick Hughes | ||||||||
| 531465 | 0 | 66800 | 91962 | 316910 | 22090 | 1029227 | 0 | 66800 |
| Richard P Burke | ||||||||
| 270246 | 0 | 25800 | 21692 | 143848 | 24708 | 486294 | 0 | 15800 |
| Elizabeth Malko MD | ||||||||
| 312835 | 0 | 29400 | 66134 | 102080 | 20708 | 531157 | 0 | 19400 |
| Christine Osgood | ||||||||
| 139513 | 0 | 18600 | 9764 | 62702 | 1258 | 231837 | 0 | 8600 |
| R Scott Walker | ||||||||
| 301988 | 0 | 21250 | 540 | 122950 | 25086 | 471814 | 0 | 11250 |
| Todd Bailey | ||||||||
| 191045 | 0 | 15516 | 4458 | 80110 | 20310 | 311439 | 0 | 15516 |
| Richard Commander | ||||||||
| 271971 | 0 | 18312 | 6345 | 92234 | 2258 | 391120 | 0 | 18312 |
| Eric Hall | ||||||||
| 193011 | 0 | 15405 | 4667 | 51360 | 0 | 264443 | 0 | 15405 |
| Karen Longo | ||||||||
| 165344 | 0 | 13698 | 918 | 106146 | 21598 | 307704 | 0 | 13698 |
| Kevin McGovern | ||||||||
| 203082 | 0 | 16404 | 5234 | 131738 | 17990 | 374448 | 0 | 16404 |
| Janis Liepins | ||||||||
| 198498 | 0 | 16646 | 1242 | 59586 | 15365 | 291337 | 0 | 16646 |
| David Przesiek | ||||||||
| 244430 | 0 | 39330 | 810 | 94542 | 23737 | 402849 | 0 | 39330 |
| Mary Ritter | ||||||||
| 220003 | 0 | 16656 | 918 | 78424 | 22208 | 338209 | 0 | 16656 |
| Elizabeth Helenius | ||||||||
| 148155 | 87780 | 2948 | 68084 | 21337 | 328304 | 0 | ||
| Seth Lewin | ||||||||
| 246777 | 0 | 13838 | 3762 | 7945 | 27090 | 299412 | 0 | 13838 |
| Glenn Randall MD | ||||||||
| 247318 | 0 | 4566 | 2580 | 26786 | 19091 | 300341 | 0 | 4419 |
| Param Singh | ||||||||
| 206773 | 3735 | 9082 | 68168 | 16749 | 304507 | 0 | ||
| David Wilner MD | ||||||||
| 272682 | 0 | 8516 | 7397 | 34221 | 18780 | 341596 | 0 | 8516 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Supplemental Compensation Information | 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 & 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 & 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 | 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 CONTRIBUTION IS IMMEDIATELY VESTED. FOR PARTICIPANTS WHO BECAME ELIGIBLE FOR THE PLAN AFTER MARCH 1, 2007, 50% OF EACH ANNUAL CONTRIBUTION IS VESTED AFTER 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 2011, THE FOLLOWING OFFICERS PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN, 457(F). OFFICER AMOUNT PAID AMOUNT DEFERRED RICHARD BURKE $20,450 $20,450 W.PATRICK HUGHES $88,200 $88,200 ELIZABETH MALKO, M.D. $63,631 $23,640 CHRISTINE OSGOOD $6,200 $6,200 R. SCOTT WALKER NONE $46,125 OTHER OFFICERS (FORMERLY KEY EMPLOYEES) DAVID PRZESIEK NONE $12,563 MARY RITTER NONE $11,261 RICHARD COMMANDER NONE $13,365 SCHEDULE J PART I QUESTION 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, AND (III) MEMBER AND PROVIDER SATISFACTION. THESE TARGETS WERE MET IN 2011 AND INCENTIVE PAYMENTS WERE ACCRUED IN 2011. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| THE MONAHAN GROUP INC | |||
| FAMILY MEMBER OF DIRECTOR | 49540 | SEE PART V | false |
| ADCARE HOSPITAL | |||
| OWNERSHIP BY DIRECTOR | 109312 | SEE PART V | false |
| SAINT VINCENT HOSPITAL | |||
| OVERLAPPING BOARD MEMBER | 113583405 | SEE PART V | false |
| HOMESTAFF LLC | |||
| OVERLAPPING BOARD MEMBER | 2264543 | SEE PART V | false |
| FAMILY MEMBER OF KEY EE | |||
| EMPLOYEE | 83750 | SEE PART V | false |
| VARIOUS BOARD MEMEBERS OFC KEY | |||
| SEE PART V | false | ||
Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART IV: BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | FORM 990, PART IV, QUESTION 28 AND SCHEDULE L, PART IV | FCHP SHARE OF HOME STAFF 2011 EARNINGS WAS $(49,300). KAREN H. GREEN FCHP DIRECTOR W. PATRICK HUGHES FCHP DIRECTOR AND OFFICER RICHARD P.BURKE FCHP OFFICER TODD BAILEY FCHP KEY EMPLOYEE MS. GREEN, MR. HUGHES, MR. BURKE, AND MR. BAILEY ALL SERVED DURING 2011 ON THE BOARD OF DIRECTORS OF HOME STAFF, LLC, WORCESTER, MA, A JOINT VENTURE BETWEEN FCHP AND THE VNA CARE NETWORK & HOSPICE. NONE OF THESE INDIVIDUALS WERE COMPENSATED FOR THEIR BOARD SERVICE. HOME STAFF CONTRACTS WITH FCHP TO PROVIDE SERVICES TO CERTAIN FCHP PARTICIPANTS. EACH OFFICER AND KEY EMPLOYEE DEVOTES AN AVERAGE OF 5 HOURS PER WEEK TO THE RELATED ORGANIZATION. |
| Part IV: Business Transactions Involving Interested Persons | Form 990, Part IV, Question 28 and schedule L Part IV COLUMN (D) | NAME: THE MONAHAN GROUP, INC. RELATIONSHIP: ENTITY OWNED BY THE SISTER-IN-LAW OF FCHP DIRECTOR CHARLES F. MONAHAN AMOUNT OF TRANSACTION BETWEEN FCHP AND THE MONAHAN GROUP, INC.: $49,540. 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 AMOUNT OF TRANSACTION BETWEEN FCHP AND ADCARE HOSPITAL: $109,312. 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. AMOUNT OF TRANSACTION BETWEEN FCHP AND SAINT VINCENT HOSPITAL: $113,583,405. 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 ON WHICH FCHP DIRECTOR KAREN GREEN SERVES AS AN UNCOMPENSATED BOARD MEMBER. AMOUNT OF TRANSACTION BETWEEN FCHP AND HOME STAFF, LLC: $2,264,543. MS. GREEN SERVES ON THE BOARD OF DIRECTORS OF HOME STAFF, LLC, WORCESTER, MA, A JOINT VENTURE BETWEEN FCHP AND THE VNA CARE NETWORK AND HOSPICE. MS GREEN RECEIVES NO COMPENSATION FOR HER SERVICE ON THE HOME STAFF BOARD. HOME STAFF CONTRACTS WITH FCHP TO PROVIDE SERVICES TO CERTAIN FCHP PARTICIPANTS. NAME: LAURIE MCGOVERN RELATIONSHIP: FCHP EMPLOYEE WHO IS ALSO THE SISTER-IN-LAW OF FCHP KEY EMPLOYEE KEVIN MCGOVERN. AMOUNT OF TRANSACTION BETWEEN FCHP AND LAURIE MCGOVERN: $83,750. 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. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROGRAM SERVICE ACCOMPLISHMENTS | PART III, LINE 4A | FCHP'S PROGRAM ACTIVITIES CONSIST OF PREPAID HEALTHCARE IN THE COMMONWEALTH OF MASSACHUSETTS. THE COVERED POPULATION AT DECEMBER 31, 2011 WAS 155,689. IN 2011, FALLON COMMUNITY HEALTH PLAN MADE OVER $1,100,000 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. FCHP'S REVENUE AND EXPENSES ARE NOT SEGREGABLE BY MAJOR EXPENSE CATEGORIES. FALLON COMMUNITY HEALTH PLAN 2011 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 COMMUNITY BENEFITS COMMITTEE IS AN ENTITY COMPRISED OF MEMBERS OF FCHP LEADERSHIP AS WELL AS MEMBERS FROM THE COMMUNITIES WE SERVE WHO REPRESENT SPECIFIC GEOGRAPHIC REGIONS OR AREAS OF EXPERTISE. ALL MEMBERS ARE APPOINTED ANNUALLY BY FCHP'S PRESIDENT AND CEO. 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 2011, 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 JUST OVER $839,000 IN GRANTS, PROGRAMS AND OTHER SUPPORTS TO ADDRESS NEEDS AFFECTING POPULATIONS INCLUDED IN THE COMMUNITY BENEFIT PROGRAM'S AREAS OF FOCUS. OTHER CHARITABLE SUPPORT TOTALED APPROXIMATELY $327,000. IN ADDITION, $32,450 WAS GIVEN TO OUR COMMUNITIES THROUGH PROGRAMMING, SPONSORSHIPS, VOLUNTEER HOURS, AND OTHER SUPPORT. FALLON COMMUNITY HEALTH PLAN HOSTED THE SIXTH ANNUAL GOLF FORE A GOAL CHARITABLE TOURNAMENT, RAISING APPROXIMATELY $208,000 IN GROSS RECEIPTS. NET PROCEEDS EXCEEDING $150,000 WERE DISTRIBUTED TO MORE THAN 90 FOOD PANTRIES AND HUNGER RELIEF PROGRAMS THROUGHOUT MASSACHUSETTS. PLANS FOR NEXT REPORTING YEAR FCHP'S COMMUNITY BENEFITS PROGRAM WILL CONTINUE FOCUSING ON PROGRAMS THAT WILL IMPROVE THE HEALTH STATUS OF THE ECONOMICALLY DISADVANTAGED, ELDERS, AND CHILDREN AGED 0-5 WITHIN OUR SERVICE AREA. |
| 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 2011: KAREN GREEN, RICHARD BURKE, PATRICK HUGHES 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 2011: KAREN GREEN, DAVID HILLIS, RICHARD HOULIHAN, CHRISTIAN MCCARTHY, 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 2011: PATRICK HUGHES, SCOTT WALKER, AND DAVID PRZESIEK PROCESS USED BY MANAGEMENT AND GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B DESCRIBE THE PROCESS USED BY MANAGEMENT AND GOVERNING BODY TO REVIEW 990 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 2011, 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 2011, 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 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. THIS PROCESS WAS USED TO ESTABLISH THE COMPENSATION FOR THE EXECUTIVE GROUP IN 2011. THIS PROCESS WAS NOT USED TO ESTABLISH COMPENSATION FOR THE "KEY EMPLOYEES" LISTED IN SCHEDULE J. POLICIES IN REGARD TO JOINT VENTURES FORM 990, PART VI, QUESTION 16B SINCE THIS JOINT VENTURE IS MADE UP OF TWO EXEMPT ORGANIZATION, UNDER CODE SECTION 501(C)(3), THE POLICY IS NOT NECESSARILY RELEVANT AS THERE IS NO TAXABLE ENTITY INVOLVED AS A PARTNER. |
| AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC | FORM 990, PART VI, QUESTION 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 FORM 990, FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ANNUAL REPORT ARE ALSO PROVIDED ON REQUEST. |
| OTHER CHANGES IN NET ASSETS OR FUND BALANCES | Form 990, Part XI, Line 5 Other Changes in fund balance | Other changes in net assets of $(4,518,060) consists of the following items: Unrealized losses, $(7,015,876) Change in Minimum pension, $2,497,812 Rounding adjustment $4 |
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 | HOME STAFF LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 40 MILLBROOK STREET | AddressLine1 |
| City | Worcester | City |
| State | MA | State |
| ZIP Code | 01606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421757904 | EIN |
| Primary Activity | IN HOME SERVICE | 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 | Investment | PredominantIncomeType |
| Share Of Total Income | -49300 | ShareOfTotalIncome |
| Share Of EOY Assets | 2338594 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | -$5,088 | CodeVAmount |
| General Or Managing Partner | false | GeneralOrManagingPartner |
| Percentage Ownership | 0.50000 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FALLON HEALTH AND LIFE ASSURANCE COMPANY | |||||||||||
| 10 CHESTNUT STREET | WORCESTER | MA | 01608 | 043169246 | Hlth Life Assur | MA | FCHP | C Corp | -8017346 | 23564519 | 1.00000 |
| Ultrabenefits Inc | |||||||||||
| 29 East Mountain Street | Worcester | MA | 01606 | 043525752 | 3rd Party Adm | MA | FHLAC | C Corp | -27885 | 1360351 | 1.00000 |
| 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 |
| 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 | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | 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 (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| FALLON HEALTH AND LIFE ASSURANCE CO INC | ||
| B | 8400000 | cash |
| FALLON HEALTH AND LIFE ASSURANCE CO INC | ||
| M | 2820876 | cash |
| FALLON HEALTH AND LIFE ASSURANCE CO INC | ||
| N | 5132019 | cash |
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