FALLON COMMUNITY HEALTH PLAN INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- FALLON COMMUNITY HEALTH PLAN INC (EIN 23-7442369)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-14
- IRS object ID
- 201143189349301219
- Schema version
- 2010v3.4
- 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 | 2011-11-14T08:12:56-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | 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 | 200 CLARENDON STREET | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02116 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | 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) |
|---|---|---|
| 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 | R Scott Walker | Name |
| Title | CFO | Title |
| Date Signed | 2011-11-10 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6172662000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | 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 | 1375151528 | 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 | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1057 | TotalNbrEmployees |
| Total Nbr Volunteers | 129 | TotalNbrVolunteers |
| Total Gross UBI | 17379 | TotalGrossUBI |
| Contributions Grants Prior Year | 199123 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 181640 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1059414644 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1090378600 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 9148586 | InvestmentIncomePriorYear |
| Investment Income Current Year | 19904863 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 24532 | OtherRevenuePriorYear |
| Other Revenue Current Year | -12829907 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1068786885 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1097635196 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 510867 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 659952 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 1006012543 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 1006562694 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 56985122 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 60156727 | 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 | 34463290 | OtherExpensePriorYear |
| Other Expenses Current Year | 39061882 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1097971822 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1106441255 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -29184937 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -8806059 | RevenuesLessExpensesCY |
| Total Assets BOY | 311552127 | TotalAssetsBOY |
| Total Assets EOY | 337631320 | TotalAssetsEOY |
| Total Liabilities BOY | 171333827 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 202819067 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 140218300 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 134812253 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| 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. SINCE ITS INCEPTION IN 1977, FCHP HAS WORKED TO IMPROVE THE QUALITY OF LIFE AND HEALTH STATUS OF INDIVIDUALS BY OFFERING ACCESS TO HIGH QUALITY, AFFORDABLE COVERAGE. FCHP IS ALSO A PROVIDER OF CARE FOR FRAIL ELDERS THROUGH SUMMIT ELDERCARE, A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1007240662 | Expense |
| Grants | 659952 | Grants |
| Revenue | 1090378600 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 1007240662 | 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 | false | 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 | 8532 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1057 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | true | 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 | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | 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 | true | 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 | false | WhistleblowerPolicy |
| Document Retention Policy | false | 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 | KEVIN MCGOVERN | 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 |
|---|---|---|---|---|---|---|---|---|
| Christopher F Egan | ||||||||
| Director | 4.0 | X | 16175 | 0 | 0 | |||
| Karen H Green | ||||||||
| Secretary | 7.0 | X | 21375 | 0 | 0 | |||
| David R Grenon | ||||||||
| Director | 4.0 | X | 20450 | 0 | 0 | |||
| David W Hillis | ||||||||
| Chairman | 10.0 | X | 24350 | 0 | 0 | |||
| Richard P Houlihan Esq | ||||||||
| Vice Chairman | 7.0 | X | 22650 | 0 | 0 | |||
| Sandra L Kurtinitis PhD | ||||||||
| Director | 4.0 | X | 14900 | 0 | 0 | |||
| Christian W McCarthy | ||||||||
| Treasurer | 7.0 | X | 20100 | 0 | 0 | |||
| Charles F Monahan Jr | ||||||||
| Director | 4.0 | X | 16175 | 0 | 0 | |||
| Rev John J Paris SJ | ||||||||
| Director | 4.0 | X | 14900 | 0 | 0 | |||
| Lynda M Young MD | ||||||||
| Director | 4.0 | X | 13900 | 0 | 0 | |||
| Eric H Schultz 110 -210 | ||||||||
| President & CEO | 50.0 | X | 143060 | 0 | 43968 | X | ||
| W Patrick Hughes 210 -1210 | ||||||||
| President & CEO | 50.0 | X | 561293 | 0 | 158850 | X | ||
| Richard P Burke | ||||||||
| Division President, SR CARE | 50.0 | 276984 | 0 | 104662 | X | |||
| Anne E Doyle | ||||||||
| Chief Compliance Officer | 50.0 | 207916 | 0 | 29051 | X | |||
| Charles R Goheen 110 -1010 | ||||||||
| CFO | 50.0 | 359810 | 0 | 66436 | X | |||
| Elizabeth Malko MD | ||||||||
| SR VP, Chief Medical Officer | 50.0 | 305973 | 0 | 88084 | X | |||
| Christine Osgood | ||||||||
| Chief Human Resources Officer | 24.0 | 160743 | 0 | 44677 | X | |||
| R Scott Walker 1010 -1210 | ||||||||
| CFO | 50.0 | 73337 | 0 | 17452 | X | |||
| Todd Bailey | ||||||||
| Vice President, Underwriting | 50.0 | 190318 | 0 | 68188 | X | |||
| Richard Commander | ||||||||
| Chief operating Officer | 50.0 | 216643 | 0 | 29762 | X | |||
| Eric Hall | ||||||||
| VP Network Development & Mgmt | 50.0 | 181258 | 0 | 51136 | X | |||
| Karen Longo | ||||||||
| Executive Dr, Summit Eldercare | 50.0 | 159997 | 0 | 85572 | X | |||
| Kevin McGovern | ||||||||
| VP of Finance & Treasurer | 50.0 | 212293 | 0 | 96134 | X | |||
| Janis Liepins | ||||||||
| VP of Finance & Treasurer | 50.0 | 185861 | 0 | 52614 | X | |||
| David Przesiek | ||||||||
| SR VP Sales & Marketing | 50.0 | 161815 | 0 | 53894 | X | |||
| Mary Ritter | ||||||||
| VP of Strategy & Planning | 50.0 | 191809 | 0 | 57610 | X | |||
| Seth Lewin | ||||||||
| SR Medical Dr, Medical Affairs | 50.0 | 245171 | 0 | 47858 | X | |||
| John Monte | ||||||||
| VP, Business Solutions Support | 50.0 | 258885 | 0 | 38351 | X | |||
| Jean Politakis | ||||||||
| VP & CIO | 50.0 | 254021 | 0 | 156437 | X | |||
| Glenn Randall MD | ||||||||
| Physician, Summit Eldercare | 50.0 | 255500 | 0 | 26406 | X | |||
| David Wilner MD | ||||||||
| PACE Physician & Medical Dr | 50.0 | 274765 | 0 | 41818 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5062427 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1358960 | TotalOtherCompensation |
| Number Individuals GT100 K | 101 | 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 |
|---|---|---|---|---|---|
| FALLON CLINIC | |||||
| 630 PLANTATION ST | WORCESTER | MA | 01608 | MEDICAL SERVICES | 133658440 |
| VHS ACQUISITION SUBSIDIARY | |||||
| PO BOX 3385 | BOSTON | MA | 02241 | HOSPITAL SERVICES | 117324638 |
| UMASS MED CTR | |||||
| PO BOX 15492 | WORCESTER | MA | 01615 | HOSPITAL SERVICES | 96177535 |
| UMASS MEMORIAL MEDICAL GROUP | |||||
| PO BOX 62 | SHREWSBURY | MA | 01545 | MEDICAL SERVICES | 23718721 |
| HEALTH ALLIANCE | |||||
| DEPT 5204 PO BOX 3000 | HARTFORD | CT | 06150 | HOSPITAL SERVICES | 14610787 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 554 | NumberOfContractorsGT100K |
| Fundraising Events | 168520 | FundraisingEvents |
| All Other Contributions | 13120 | AllOtherContributions |
| Noncash Contributions | 6325 | NoncashContributions |
| Total Contributions | 181640 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROGRAM SERVICE REVENUE | Description |
| Business Code | 524114 | BusinessCode |
| Total Revenue Column | 1090378600 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1090378600 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1090378600 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10161702 | TotalRevenueColumn |
| Exclusion | $10,161,702 | 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 | 287246373 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 277503212 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9743161 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9743161 | TotalRevenueColumn |
| Exclusion | $9,743,161 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 13120 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 168520 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 13120 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Exclusion | $0 | 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 | -12847286 | -$12,847,286 | |
| MANAGEMENT FEE FOR INDEMNITY, COMPANION CARE | 561000 | 7574 | 7574 | |
| HOME STAFF INCOME-PERSONAL CARE SERVICES | 812900 | 9805 | 9805 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -12829907 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1097635196 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1090378600 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 17379 | UnrelatedBusinessRevenue |
| Exclusion | $7,057,577 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 659952 | Total |
| Program Services | 659952 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1006562694 | Total |
| Program Services | 1006562694 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4822175 | Total |
| Management And General | 4822175 | 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 | 43780975 | Total |
| Management And General | 43780975 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2295375 | Total |
| Management And General | 2295375 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5293689 | Total |
| Management And General | 5293689 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3964513 | Total |
| Management And General | 3964513 | 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 | 1325255 | Total |
| Management And General | 1325255 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 950430 | Total |
| Management And General | 950430 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 263545 | Total |
| Management And General | 263545 | 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 | 587389 | Total |
| Management And General | 587389 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12143426 | Total |
| Management And General | 12143426 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2734596 | Total |
| Management And General | 2734596 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3108153 | Total |
| Management And General | 3108153 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4013371 | Total |
| Management And General | 4013371 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4528859 | Total |
| Management And General | 4528859 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82680 | Total |
| Management And General | 82680 | 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 | 185536 | Total |
| Management And General | 185536 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 742818 | Total |
| Management And General | 742818 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5932716 | Total |
| Management And General | 5932716 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 608195 | Total |
| Management And General | 608195 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| TEMPORARY HELP CLERICAL | 832529 | 832529 | |
| DUES & SUBSCRIPTIONS | 620387 | 620387 | |
| RECRUITING | 134130 | 134130 | |
| CONMMUNITY BENEFIT-VOLUNTEER | 18016 | 18016 | |
| All other expenses | 249851 | 249851 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1106441255 | Total |
| Program Services | 1007240662 | ProgramServices |
| Management And General | 99200593 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1310963 | BOY |
| EOY | 17339389 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24110329 | BOY |
| EOY | 34592413 | 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 | 1716477 | BOY |
| EOY | 1878229 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 53394530 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 16969198 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38622012 | BOY |
| EOY | 36425332 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 216533857 | BOY |
| EOY | 234995427 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20838030 | BOY |
| EOY | 5838030 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8420459 | BOY |
| EOY | 6562500 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 311552127 | BOY |
| EOY | 337631320 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 149596296 | BOY |
| EOY | 188696047 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9237281 | BOY |
| EOY | 14123020 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12500250 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 171333827 | BOY |
| EOY | 202819067 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140040138 | BOY |
| EOY | 134808325 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 178162 | BOY |
| EOY | 3928 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140218300 | BOY |
| EOY | 134812253 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 311552127 | BOY |
| EOY | 337631320 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -8806059 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 3400012 | 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 | 115050 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 109700 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 187555 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 199123 | CurrentTaxYearMinus1Year |
| Current Tax Year | 181640 | CurrentTaxYear |
| Total | 793068 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 829910364 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 884935739 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 980912291 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1059414644 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1090378600 | CurrentTaxYear |
| Total | 4845551638 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 830025414 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 885045439 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 981099846 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1059613767 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1090560240 | CurrentTaxYear |
| Total | 4846344706 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 4846344706 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12520892 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12200590 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13282385 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10709853 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10161702 | CurrentTaxYear |
| Total | 58875422 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 350 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12292 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14235 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7806 | CurrentTaxYear |
| Total | 34683 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12520892 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12200940 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13294677 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10724088 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10169508 | CurrentTaxYear |
| Total | 58910105 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 842546306 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 897246379 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 994394523 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1070337855 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1100729748 | CurrentTaxYear |
| Total | 4905254811 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98799 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98804 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01201 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01196 | 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 CHAIRITY 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 | $263,545 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 263545 | 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 | SCHEDULE C, PART II-B, LINE 1G | ReturnReference |
| Explanation | FCHP PAID LOBBYING EXPENSES TO THE FOLLOWING: ASSOCIATION OF HEALTH INSURANCE PLANS 39,007 SPILLANE & SPILLANE, LLP 48,000 MASSACHUSETTS ASSOCIATION OF HEALTH PLANS 52,386 ALLIANCE OF COMMUNITY HEALTH PLANS 6,712 ------- TOTAL OUTSIDE VENDORS 146,105 EMPLOYEES OF FALLON COMMUNITY HEALTH PLAN, INC. RICHARD BURKE 18,809 CATHERYN COLIN MCEVOY-ZDONCZYK 52,000 ERIC SCHULTZ 1,188 PATRICK HUGHES 6,827 PATRICK JAMES FARRELL 38,616 ------- TOTAL FCHP EMPLOYEES 117,440 ------- TOTAL DIRECT LOBBYING EXPENSE 263,545 ======= ASSOCIATION OF HEALTH INSURANCE PLANS (AHIP) KEY LEGISLATIVE AND REGULATORY ISSUES IN 2010: - LEGISLATIVE ACTIVITY IN THE HOUSE AND THE SENATE PRECEDING 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. BOTH SPILLANE & SPILLANE, LLP AND MASSACHUSETTS ASSOCIATION OF HEALTH PLANS WORKED ON DIVISION OF INSURANCE MATTERS, OTHER REGULATORY HEARINGS, AND LEGISLATIVE MEETINGS THAT AFFECT HEALTHCARE POLICIES AND GUIDELINES. DURING 2010, FCHP WORKED WITH THESE REGULATORY AGENCIES: DEPARTMENT OF PUBLIC HEALTH - Interpreter Services Working Group & Report - 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 - Bundled Payments Survey - Hospital Financial Reports - Technical Advisory Group Meetings, - Consultative Sessions & Regulations DIVISION OF INSURANCE Special Sessions - 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 OTHER DIVISION OF INSURANCE ISSUES - One-Time Supplemental Funding Payments - Special Commission to Make an Investigation and Study Relative to the Impact of Reducing the Number of Health Benefit Plans - 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 | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land | |
| Buildings | Buildings |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3977887 | OtherCostOrOtherBasis |
| Depreciation | 1492640 | Depreciation |
| Book Value | 2485247 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8467271 | OtherCostOrOtherBasis |
| Depreciation | 7727738 | Depreciation |
| Book Value | 739533 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 40949372 | OtherCostOrOtherBasis |
| Depreciation | 7748820 | Depreciation |
| Book Value | 33200552 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 36425332 | TotalOfBookValueLandBuildings |
| Total Revenue | 1097635196 | TotalRevenue |
| Total Expenses | 1106441255 | TotalExpenses |
| Excess Or Deficit For Year | -8806059 | ExcessOrDeficitForYear |
| Other | $59 | OtherAmount |
| Total Adjustments | 59 | TotalAdjustments |
| Excess Or Deficit Per FS | -8806000 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1150069000 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 53202833 | OtherRevenues |
| Revenue Not Rptd F990 | 53202833 | RevenueNotRptdF990 |
| Revenue Subtotal | 1096866167 | RevenueSubtotal |
| Investment Expenses Not Included | 587389 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 181640 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 769029 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1097635196 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1158875000 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 53202774 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 53202774 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1105672226 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 587389 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 181640 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 769029 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1106441255 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FIN 48 FOOTNOTE | SCHEDULE D, PART X, LINE 2 | THE COMPANY ADOPTED FASB INTERPRETATION NO. 48, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB NO. 109, ACCOUNTING FOR INCOME TAXES" (FIN 48), EFFECTIVE DECEMBER 31, 2008, WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE INTERPRETATION REQUIRES THAT THE COMPANY RECOGNIZE IN THE FINANCIAL STATEMENTS THE IMPACT OF A TAX POSITION IF THAT POSITION WILL MORE LIKELY THAN NOT BE SUSTAINED IN AN AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. IN EVALUATING WHETHER A TAX POSITION HAS MET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE COMPANY SHOULD PRESUME THAT THE POSITION WILL BE EXAMINED BY THE APPROPRIATE TAXING AUTHORITY THAT HAS FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. A TAX POSITION THAT MEETS THE MORE-LIKELY-THAN-NOT THRESHOLD IS MEASURED TO DETERMINE THE AMOUNT OF BENEFIT THAT IS GREATER THAN 50 PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. INCOME TAX POSITIONS MUST MEET A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AT THE EFFECTIVE DATE TO BE RECOGNIZED UPON THE ADOPTION OF FIN 48 AND IN SUBSEQUENT PERIODS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON THE FINANCIAL POSITION OR RESULTS OF OPERATIONS OF THE COMPANY. |
| SUPPLEMENTAL INFORMATION | SCHEDULE D, SUPPLEMENTAL FINANCIAL STATEMENTS, PART XI-XIII | SCHEDULE D, PART XI: LINE 8 OTHER "IN THOUSANDS" AUDITED FINANCIALS ROUNDING $-59 SCHEDULE D, PART XII: LINE 2D RECLASS OF SUBSIDIARY INCOME & RELATED ELIMINATIONS $53,203,106 "IN THOUSANDS" AUDITED FINANCIALS ROUNDING -273 ---------- TOTAL OTHER, LINE 2D $53,202,833 SCHEDULE D, PART XII: LINE 4A RECLASS OF INVESTMENT FEES NETTED WITH REVENUE $587,389 INVESTMENT FEES ARE NETTED AGAINST THE INVESTMENT INCOME ON THE FINANCIALS, BUT SHOWN AS EXPENSE ON THE FORM 990. LINE 4B RECLASS OF FUNDRAISING EVENT $181,640 CONTRIBUTIONS ARE MADE TO THE COMMUNITY FROM THE FUNDRAISING EVENT. SCHEDULE D, PART XIII: LINE 2D RECLASS OF SUBSIDIARY INCOME & RELATED ELIMINATIONS $53,203,106 "IN THOUSANDS" AUDITED FINANCIALS ROUNDING -332 ---------- TOTAL OTHER, LINE 2D $53,202,774 LINE 4A RECLASS OF INVESTMENT FEES NETTED WITH REVENUE $587,389 INVESTMENT FEES ARE NETTED AGAINST THE INVESTMENT INCOME ON THE FINANCIALS, BUT SHOWN AS EXPENSE ON THE FORM 990. LINE 4B RECLASS OF FUNDRAISING EVENT $181,640 CONTRIBUTIONS ARE MADE TO THE COMMUNITY FROM THE FUNDRAISING EVENT. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | BUFFET DINNER | NameOfEvent1 |
| Gross Receipts Event1 | 181640 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 168520 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 13120 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 6325 | NonCashPrizesEvent1 |
| Food And Beverage Event1 | 6230 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 250 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 315 | OtherDirectExpensesEvent1 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 181640 | GrossReceiptsTotal |
| Charitable Contributions Total | 168520 | CharitableContributionsTotal |
| Gross Revenue Total Events | 13120 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 6325 | NonCashPrizesTotalEvents |
| Food And Beverage Total Events | 6230 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 250 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 315 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 13120 | DirectExpenseSummaryEvents |
| Net Income Summary | 0 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (18 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Meyers Primary Care Institute | |||||||
| 630 Plantation Street | Worcester | MA | 01605 | 043211678 | 501(c)(3) | 70000 | Research |
| Springfield Day Nursery Corp dba Square One | |||||||
| 947 Main Street | Springfield | MA | 01103 | 042103855 | 501(c)(3) | 35000 | Launching Healthy Habits |
| Regional Environmental Council Inc | |||||||
| PO Box 255 | Worcester | MA | 01613 | 046364350 | 501(c)(3) | 25000 | FOOD JUSTICE PROGRAM |
| United Way of Central MA | |||||||
| 484 Main St Ste 300 | Worcester | MA | 01608 | 042104017 | 501(c)(3) | 21000 | STEPPING UP FOR GIRLS RECEPTION |
| American Red Cross of Central MA | |||||||
| 2000 Century Drive | Worcester | MA | 01606 | 042141539 | 501(c)(3) | 18711 | DISASTER RESPONSE VEHICLE |
| Fallon Clinic Foundation | |||||||
| 100 Front St 14th fl | Worcester | MA | 01608 | 222912515 | 501(c)(3) | 18700 | GENERAL SUPPORT |
| American Heart Association | |||||||
| 20 Speen St | Framingham | MA | 01701 | 135613797 | 501(c)(3) | 15500 | GENERAL SUPPORT |
| UMass Medical School | |||||||
| 333 South Street | Shrewsbury | MA | 01545 | 043108190 | 501(c)(3) | 13445 | GENERAL SUPPORT |
| Franklin County Home Care Corporation | |||||||
| 330 Montague City Rd Suite 1 | Turners Falls | MA | 013762350 | 042542539 | 501(c)(3) | 11000 | MEALS ON WHEELS |
| Worcester Regional Research Bureau | |||||||
| 319 Main St | Worcester | MA | 01608 | 042901298 | 501(c)(3) | 10730 | GENERAL SUPPORT |
| Brain Injury Association of Massachusetts | |||||||
| 30 Lyman Street Suite 10 | Westborough | MA | 01581 | 042753269 | 501(c)(3) | 10000 | FALLS PREVENTION PROGRAM |
| Massachusetts Audubon Society Inc | |||||||
| 414 Massasoit Road | Worcester | MA | 01604 | 042104702 | 501(c)(3) | 10000 | COMMUNITY BENEFIT |
| Worcester Education Collaborative | |||||||
| 484 MAIN STREET | Worcester | MA | 01608 | 042100017 | 501(c)(3) | 10000 | FUNDING SURVEY |
| Worcester Art Museum | |||||||
| 55 Salisbury St | Worcester | MA | 01609 | 041988530 | 501(c)(3) | 9900 | ART/EXHIBIT |
| Mohegan Council BSA | |||||||
| 19 Harvard St | Worcester | MA | 01609 | 042105867 | 501(c)(3) | 6650 | GENERAL SUPPORT |
| YMCA of Central Mass | |||||||
| 766 Main St | Worcester | MA | 01610 | 042105885 | 501(c)(3) | 6229 | TEAM INITIATIVE |
| Bottom Line | |||||||
| 600 Main Street STE 110 | Worcester | MA | 01608 | 043351427 | 501(c)(3) | 5250 | GENERAL SUPPORT |
| WORCESTER REGIONAL CHAMBER OF COMMERCE | |||||||
| 446 MAIN STREET | WORCESTER | MA | 01608 | 42125 | INDEPENDENCE DAY CELEBRATION & OTHER | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 17 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | 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 (20 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | 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 Related OrgsCompReportPrior990RelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Eric H Schultz | |||||||||||||
| 66622 | 0 | 0 | 0 | 76438 | 0 | 40861 | 0 | 3107 | 0 | 187028 | 0 | 0 | |
| W Patrick Hughes | |||||||||||||
| 494125 | 0 | 0 | 0 | 67168 | 0 | 137379 | 0 | 21471 | 0 | 720143 | 0 | 0 | |
| Richard P Burke | |||||||||||||
| 246153 | 0 | 0 | 0 | 30831 | 0 | 81421 | 0 | 23241 | 0 | 381646 | 0 | 0 | |
| Anne E Doyle | |||||||||||||
| 194656 | 0 | 0 | 0 | 13260 | 0 | 22433 | 0 | 6618 | 0 | 236967 | 0 | 0 | |
| Charles R Goheen | |||||||||||||
| 318721 | 0 | 0 | 0 | 41089 | 0 | 41691 | 0 | 24745 | 0 | 426246 | 0 | 0 | |
| Elizabeth Malko MD | |||||||||||||
| 294543 | 0 | 10000 | 0 | 1430 | 0 | 62400 | 0 | 25684 | 0 | 394057 | 0 | 0 | |
| Christine Osgood | |||||||||||||
| 137187 | 0 | 7500 | 0 | 16056 | 0 | 40246 | 0 | 4431 | 0 | 205420 | 0 | 0 | |
| Todd Bailey | |||||||||||||
| 180815 | 0 | 0 | 0 | 9503 | 0 | 48615 | 0 | 19573 | 0 | 258506 | 0 | 0 | |
| Richard Commander | |||||||||||||
| 212426 | 0 | 0 | 0 | 4217 | 0 | 25913 | 0 | 3849 | 0 | 246405 | 0 | 0 | |
| Eric Hall | |||||||||||||
| 176683 | 0 | 0 | 0 | 4575 | 0 | 27458 | 0 | 23678 | 0 | 232394 | 0 | 0 | 0 |
| Karen Longo | |||||||||||||
| 152343 | 0 | 0 | 0 | 7654 | 0 | 65728 | 0 | 19844 | 0 | 245569 | 0 | 0 | 0 |
| Kevin McGovern | |||||||||||||
| 197809 | 0 | 0 | 0 | 14484 | 0 | 78390 | 0 | 17744 | 0 | 308427 | 0 | 0 | 0 |
| Janis Liepins | |||||||||||||
| 185011 | 0 | 0 | 0 | 850 | 0 | 35826 | 0 | 16788 | 0 | 238475 | 0 | 0 | 0 |
| David Przesiek | |||||||||||||
| 161420 | 0 | 0 | 0 | 395 | 0 | 46155 | 0 | 7739 | 0 | 215709 | 0 | 0 | 0 |
| Mary Ritter | |||||||||||||
| 180859 | 0 | 10000 | 0 | 950 | 0 | 33119 | 0 | 24491 | 0 | 249419 | 0 | 0 | 0 |
| Seth Lewin | |||||||||||||
| 241137 | 0 | 0 | 0 | 4034 | 0 | 21475 | 0 | 26383 | 0 | 293029 | 0 | 0 | 0 |
| John Monte | |||||||||||||
| 180913 | 0 | 77117 | 0 | 855 | 0 | 21179 | 0 | 17172 | 0 | 297236 | 0 | 0 | 0 |
| Jean Politakis | |||||||||||||
| 219306 | 0 | 0 | 0 | 34715 | 0 | 145764 | 0 | 10673 | 0 | 410458 | 0 | 0 | 0 |
| Glenn Randall MD | |||||||||||||
| 246409 | 0 | 6511 | 0 | 2580 | 0 | 7717 | 0 | 18689 | 0 | 281906 | 0 | 0 | 0 |
| David Wilner MD | |||||||||||||
| 262343 | 0 | 5149 | 0 | 7273 | 0 | 19071 | 0 | 22747 | 0 | 316583 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL COMPENSATION INFORMATION | Identifier |
| Return Reference | SCHEDULE J, PART I, LINE 1A | ReturnReference |
| Explanation | 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, THE ORGANIZATION PROVIDED TO THE PRESIDENT & CEO, THE DIVISION PRESIDENT OF HEALTH PLAN OPERATIONS, AND THE DIVISION PRESIDENT OF SENIOR CARE SERVICES, A PORTION OF MEMBERSHIP DUES AND FEES FOR THEIR BUSINESS USE (E.G., OFF-SITE MEETINGS) OF CERTAIN CLUB(S). 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. SCHEDULE J, PART I, 4B IN 2010, THE FOLLOWING OFFICERS PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN, 457(F). Officer Amount Paid Amount Deferred Richard Burke $20,450 $20,450 Anne Doyle $12,450 $12,450 W.Patrick Hughes $60,250 $60,250 Elizabeth Malko, M.D. NONE $30,750 Christine Osgood $6,200 $6,200 Compensation contingent on net earnings Schedule J Part I Question 6A 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 2010 and incentive payments were accrued in 2010. | Explanation |
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 | 36827 | SEE PART V | false |
| ADCARE HOSPITAL | |||
| OWNERSHIP BY DIRECTOR | 171514 | SEE PART V | false |
| SAINT VINCENT HOSPITAL | |||
| OVERLAPPING BOARD MEMBER | 117324638 | SEE PART V | false |
| CHANDLER PEDIATRICS | |||
| OWNERSHIP BY DIRECTOR | 181130 | SEE PART V | false |
| HOMESTAFF LLC | |||
| OVERLAPPING BOARD MEMBER | 1129886 | SEE PART V | false |
| VARIOUS BOARD MEMBERS OFC KEY | |||
| SEE PART V | false | ||
Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | FORM 990, PART IV, QUESTION 28 AND SCHEDULE L, PART IV | FCHP SHARE OF HOME STAFF 2010 EARNINGS WAS $250,000. KAREN H. GREEN FCHP DIRECTOR ERIC H. SCHULTZ FCHP DIRECTOR AND OFFICER W. PATRICK HUGHES FCHP DIRECTOR AND OFFICER RICHARD P.BURKE FCHP OFFICER CHARLES R. GOHEEN FCHP OFFICER TODD BAILEY FCHP KEY EMPLOYEE MS. GREEN, MR. SCHULTZ, MR. HUGHES, MR. BURKE, MR. GOHEEN, AND MR. BAILEY ALL SERVED DURING 2010 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. |
| DESCRIPTION OF TRANSACTIONS INVOLVING INTERESTED PERSONS | 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.: $36,827 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: $171,514 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: $117,324,638 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: CHANDLER PEDIATRICS RELATIONSHIP: ENTITY IN WHICH FCHP DIRECTOR LYNDA YOUNG, M.D. IS A PRINCIPAL. AMOUNT OF TRANSACTION BETWEEN FCHP AND CHANDLER PEDIATRICS: $181,130 DR. YOUNG IS A PRINCIPAL IN CHANDLER PEDAITRICS, WHICH CONTRACTS WITH FCHP TO PROVIDE HEALTHCARE SERVICES TO FCHP MEMBERS. 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: $1,129,886 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. 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 (11 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, 2010 WAS 169,692. IN 2010, FALLON COMMUNITY HEALTH PLAN MADE OVER $1,200,000 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 2010 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 REPORTS TO THE PRESIDENT & CEO. 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 JUST OVER $650,000 IN GRANTS, PROGRAMS AND OTHER SUPPORT TO ADDRESS NEEDS AFFECTING POPULATIONS INCLUDED IN THE COMMUNITY BENEFIT PROGRAM'S AREAS OF FOCUS. OTHER CHARITABLE SUPPORT TOTALED APPROXIMATELY $463,700. IN ADDITION, JUST UNDER $104,500 WAS GIVEN TO OUR COMMUNITIES THROUGH PROGRAMMING, SPONSORSHIPS, VOLUNTEER HOURS, AND OTHER SUPPORT. FALLON COMMUNITY HEALTH PLAN HOSTED THE GATHER FORE A GOAL RAISING APPROXIMATELY $182,000 IN GROSS RECEIPTS. NET PROCEEDS EXCEEDING $169,000 WERE DISTRIBUTED TO MORE THAN 90 FOOD PANTRIES AND HUNGER RELIEF PROGRAMS THROUGHOUT MASSACHUSETTS. IN 2010, THE SENIOR WELLNESS PROGRAM HELD MORE THAN 30 SESSIONS IN COLLABORATION WITH LOCAL SENIOR CENTERS, AND OVER 320 SENIORS ATTENDED THESE EVENTS. IN ADDITION, FCHP CONTINUED AND EXPANDED TWO SIGNATURE WELLNESS PROGRAMS: THE ROAD BOWL WALKING CHALLENGE AND COMMIT TO BE FIT. THESE PROGRAMS PROVIDE A WALKING CURRICULUM AND RELATED SUPPORTS THAT ARE TAILORED TO WORKPLACE AND SCHOOL-BASED SETTINGS. 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. |
| DESCRIPTION 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 2010: KAREN GREEN, ERIC SCHULTZ, CHARLES GOHEEN, RICHARD BURKE, PATRICK HUGHES AND TODD BAILEY. 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 2010: DAVID HILLIS, RICHARD HOULIHAN, CHRISTIAN MCCARTHY, KAREN GREEN, ERIC SCHULTZ, PATRICK HUGHES, CHARLES GOHEEN 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 2010: ERIC SCHULTZ, PATRICK HUGHES, CHARLES GOHEEN, SCOTT WALKER, AND DAVID PRZESIEK |
| SIGNIFICANT CHANGES TO ITS GOVERNING DOCUMENTS | FORM 990, PART VI, LINE 4 | FCHP'S BYLAWS WERE AMENDED IN 2010. MATERIAL CHANGES INCLUDED THE FOLLOWING: - THE AMENDMENT CLARIFIED QUORUM REQUIREMENTS. - THE AMENDMENT REVISED BOARD TERM LIMITS TO PERMIT ADDITIONAL BOARD TERMS FOR THE CHAIR AND VICE CHAIR. - THE AMENDMENT CLARIFIED THE PROCESSES FOR CALLING AND HOLDING ANNUAL AND REGULAR BOARD MEETINGS. - THE AMENDMENT REVISED THE NAME, AND INCREASED THE NUMBER OF DIRECTORS ELIGIBLE TO PARTICIPATE ON, THE GOVERNANCE AND NOMINATING COMMITTEE OF THE BOARD. - THE AMENDMENT CLARIFIED PROCEDURES TO FILL VACANCIES FROM A LIST PREPARED BY GOVERNANCE AND NOMINATION COMMITTEE - THE EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE (EECC) EXISTED AS A STANDING COMMITTEE OF THE BOARD, BUT WAS NOT PREVIOUSLY SPECIFICALLY IDENTIFIED IN THE BYLAWS. THE AMENDMENT SPECIFICALLY RECOGNIZES THE EECC IN THE BYLAWS. |
| MAILING ADDRESS OF PERSONS TO BE CONTACTED AT A DIFFERENT ADDRESS | FORM 990, PART VI, QUESTION 9 | ERIC H. SCHULTZ, 10 GABLE RIDGE ROAD, WESTBORO, MA 01581 CHARLES R. GOHEEN, 26 ATWOOD STREET, WELLESLEY, MA 02482 ANNE E. DOYLE, 85 SOUTH GREAT ROAD, LINCOLN, MA 01773 |
| DESCRIBE THE 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 CONTROLLER, VICE PRESIDENT OF FINANCE/TREASURER, 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 IN PAPER FORM FOR HIS OR HER REVIEW BEFORE THE 990 WAS FILED WITH THE IRS. EACH BOARD MEMBER WAS GIVEN THE OPPORTUNITY AT A BOARD MEETING, SCHEDULED BEFORE THE 990 WAS FILED WITH THE IRS, TO ASK QUESTIONS ABOUT THE FINAL 990. OPPORTUNITY AT A BOARD MEETING, SCHEDULED BEFORE THE 990 WAS FILED WITH THE IRS, TO ASK QUESTIONS ABOUT THE FINAL 990. |
| DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST | FORM 990, PART VI, QUESTION 12C | 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. |
| WRITTEN WHISTLEBLOWER, WRITTEN DOCUMENT RETENTION & DESTRUCTION POLICIES | FORM 990, PART VI, QUESTIONS 13 & 14 | FCHP CURRENTLY HAS WRITTEN WHISTLEBLOWER AND WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICIES, AND HAS HAD THESE POLICIES FOR A NUMBER OF YEARS. HOWEVER, THESE POLICIES HAD NOT PREVIOUSLY BEEN FORMALLY ADOPTED BY THE BOARD OF DIRECTORS OR A COMMITTEE SO DELEGATED, AND THE BOARD DID NOT HAVE THE OPPORTUNITY TO FORMALLY ADOPT THESE POLICIES BEFORE THE END OF 2010. THE BOARD HAS INITIATED THE PROCESS TO FORMALLY ADOPT THESE POLICIES IN 2011. |
| 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 2010, 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"), DIVISION PRESIDENTS, AND THE EXECUTIVE AND SENIOR VICE PRESIDENT POSITIONS THAT REPORT DIRECTLY TO THE CEO ("EXECUTIVE GROUP"). IN 2010, 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 2010. THIS PROCESS WAS NOT USED TO ESTABLISH COMPENSATION FOR THE "KEY EMPLOYEES" LISTED IN SCHEDULE J. |
| OFFICES & POSITIONS FOR WHICH PROCESS WAS USED | FORM 990, PART VI, QUESTION 16B | SINCE THIS JOINT VENTURE IS MADE UP OF TWO EXEMPT ORGANIZATIONS, 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 | Unrealized gain on investment $4,335,636 Change in pension plan liability -$935,624 ---------- Decrease in net assets $3,400,012 |
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 |
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 | 250000 | ShareOfTotalIncome |
| Share Of EOY Assets | 2538719 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | $9,805 | 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 | -13148678 | 16263537 | 1.00000 |
| Ultrabenefits Inc | |||||||||||
| 29 East Mountain Street | Worcester | MA | 01606 | 043525752 | 3rd Party Adm | MA | FHLAC | C Corp | -120894 | 1003062 | 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 |
|---|---|
| FALLON HEALTH AND LIFE ASSURANCE CO INC | |
| B | 11250000 |
| FALLON HEALTH AND LIFE ASSURANCE CO INC | |
| M | 2624405 |
| FALLON HEALTH AND LIFE ASSURANCE CO INC | |
| N | 4448909 |
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