2011-11-14T08:12:56-05:00 2010-12-31 ERNST & YOUNG US LLP 200 CLARENDON STREET BOSTON MA 02116 990 2010-01-01 237442369 Fallon Community Health Plan Inc FALL 5087992100 10 CHESTNUT STREET WORCESTER MA 01608 R Scott Walker 2011-11-10 6172662000 2010 2016-02-24 21:20:13Z W PATRICK HUGHES Pres CEO 10 CHESTNUT STREET WORCESTER MA 01608 1375151528 false X www.fchp.org X 1975 MA 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. 11 6 1057 129 17379 199123 181640 1059414644 1090378600 9148586 19904863 24532 -12829907 1068786885 1097635196 510867 659952 1006012543 1006562694 56985122 60156727 0 0 0 34463290 39061882 1097971822 1106441255 -29184937 -8806059 311552127 337631320 171333827 202819067 140218300 134812253 X 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. false false 1007240662 659952 1090378600 SEE SCHEDULE O 1007240662 true true false true false false false false false false true false false false false false false true false false false false false false true false false true false true false false false false false false false true false false false false false true true true false false true 8532 0 true 1057 true true true true CJ false false true true true true false false false false X 11 6 true false true false false false false true true true false true true true true false false true true false MA X KEVIN MCGOVERN 5087992100 10 CHESTNUT STREET WORCESTER MA 01608 Christopher F Egan 4.0 X 16175 0 0 Karen H Green 7.0 X 21375 0 0 David R Grenon 4.0 X 20450 0 0 David W Hillis 10.0 X 24350 0 0 Richard P Houlihan Esq 7.0 X 22650 0 0 Sandra L Kurtinitis PhD 4.0 X 14900 0 0 Christian W McCarthy 7.0 X 20100 0 0 Charles F Monahan Jr 4.0 X 16175 0 0 Rev John J Paris SJ 4.0 X 14900 0 0 Lynda M Young MD 4.0 X 13900 0 0 Eric H Schultz 110 -210 50.0 X X 143060 0 43968 W Patrick Hughes 210 -1210 50.0 X X 561293 0 158850 Richard P Burke 50.0 X 276984 0 104662 Anne E Doyle 50.0 X 207916 0 29051 Charles R Goheen 110 -1010 50.0 X 359810 0 66436 Elizabeth Malko MD 50.0 X 305973 0 88084 Christine Osgood 24.0 X 160743 0 44677 R Scott Walker 1010 -1210 50.0 X 73337 0 17452 Todd Bailey 50.0 X 190318 0 68188 Richard Commander 50.0 X 216643 0 29762 Eric Hall 50.0 X 181258 0 51136 Karen Longo 50.0 X 159997 0 85572 Kevin McGovern 50.0 X 212293 0 96134 Janis Liepins 50.0 X 185861 0 52614 David Przesiek 50.0 X 161815 0 53894 Mary Ritter 50.0 X 191809 0 57610 Seth Lewin 50.0 X 245171 0 47858 John Monte 50.0 X 258885 0 38351 Jean Politakis 50.0 X 254021 0 156437 Glenn Randall MD 50.0 X 255500 0 26406 David Wilner MD 50.0 X 274765 0 41818 5062427 0 1358960 101 false true false 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 554 168520 13120 6325 181640 PROGRAM SERVICE REVENUE 524114 1090378600 1090378600 1090378600 10161702 10161702 0 0 287246373 277503212 9743161 9743161 9743161 13120 168520 13120 0 0 0 0 SUBSIDIARY LOSS & OTHER MISC. 524114 -12847286 -12847286 MANAGEMENT FEE FOR INDEMNITY, COMPANION CARE 561000 7574 7574 HOME STAFF INCOME-PERSONAL CARE SERVICES 812900 9805 9805 -12829907 1097635196 1090378600 17379 7057577 659952 659952 0 0 0 0 1006562694 1006562694 4822175 4822175 0 43780975 43780975 2295375 2295375 5293689 5293689 3964513 3964513 0 1325255 1325255 950430 950430 263545 263545 0 587389 587389 12143426 12143426 2734596 2734596 3108153 3108153 4013371 4013371 0 4528859 4528859 82680 82680 0 185536 185536 742818 742818 0 5932716 5932716 608195 608195 TEMPORARY HELP CLERICAL 832529 832529 DUES & SUBSCRIPTIONS 620387 620387 RECRUITING 134130 134130 CONMMUNITY BENEFIT-VOLUNTEER 18016 18016 All other expenses 249851 249851 1106441255 1007240662 99200593 0 1310963 17339389 24110329 34592413 0 0 1716477 1878229 53394530 16969198 38622012 36425332 216533857 234995427 20838030 5838030 8420459 6562500 311552127 337631320 149596296 188696047 9237281 14123020 12500250 0 171333827 202819067 X 140040138 134808325 178162 3928 140218300 134812253 311552127 337631320 X -8806059 3400012 X false true true X false X 115050 109700 187555 199123 181640 793068 829910364 884935739 980912291 1059414644 1090378600 4845551638 830025414 885045439 981099846 1059613767 1090560240 4846344706 4846344706 12520892 12200590 13282385 10709853 10161702 58875422 350 12292 14235 7806 34683 12520892 12200940 13294677 10724088 10169508 58910105 842546306 897246379 994394523 1070337855 1100729748 4905254811 0.98799 0.98804 0.01201 0.01196 X 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 263545 false false 263545 false false DIRECT LOBBYING EXPENSE SCHEDULE C, PART II-B, LINE 1G 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 3977887 1492640 2485247 8467271 7727738 739533 40949372 7748820 33200552 36425332 1097635196 1106441255 -8806059 59 59 -8806000 1150069000 53202833 53202833 1096866167 587389 181640 769029 1097635196 1158875000 53202774 53202774 1105672226 587389 181640 769029 1106441255 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. BUFFET DINNER 181640 168520 13120 6325 6230 250 315 0 181640 168520 13120 6325 6230 250 315 13120 0 true 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 17 1 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants FCHP GRANTS ARE CLASSIFIED EITHER AS A COMMUNITY BENEFIT GRANT OR A COMMUNITY RELATIONS GRANT. THE COMMUNITY BENEFIT GRANTS ARE VERIFIED TO ENSURE THAT EACH RECIPIENT IS A 501( C)(3) ORGANIZATION. THE COMMUNITY RELATIONS GRANTS ARE VERIFIED TO ENSURE THAT THE RECIPIENT ORGANIZATION'S IRS STATUS IS LISTED AS A TAX-EXEMPT ORGANIZATION IN THE INTERNAL REVENUE CODE SECTION 501( C). EACH RECIPIENT OF A FCHP GRANT HAS SPECIFIC INSTRUCTIONS TO BE FOLLOWED 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. X true true X X X X X false true false false false true false false false 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 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, 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. 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 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. 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 SUMMIT LIVING INC 10 CHESTNUT STREET WORCESTER MA 01608 261836279 Asst Living MA 501(c)(3) 9 na HOME STAFF LLC 40 MILLBROOK STREET Worcester MA 01606 421757904 IN HOME SERVICE MA na Investment 250000 2538719 false 9805 false 0.50000 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 false true false false false false false false false false false false true true false false false false 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