FALLON COMMUNITY HEALTH PLAN INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- FALLON COMMUNITY HEALTH PLAN INC (EIN 23-7442369)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202223199349319972
- Schema version
- 2021v4.2
- 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 C
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T14:43:04-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SEAPORT BLVD | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237442369 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FALLON COMMUNITY HEALTH PLAN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ELIZABETH CREAVIN | InCareOfNm |
| Business Name Control | FALL | BusinessNameControlTxt |
| Phone | 5087992100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 Chestnut Street | AddressLine1Txt |
| City | Worcester | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01608 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TODD BAILEY | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5087992100 | PhoneNum |
| Signature | 2022-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TODD | PersonFirstNm |
| Person Last | BAILEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GWEN SPENCER | PreparerPersonNm |
| PTIN | P00641463 | PTIN |
| Phone | 6175305000 | PhoneNum |
| Preparation | 2022-11-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FALLON HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD P BURKE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 Chestnut Street | AddressLine1Txt |
| City | Worcester | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01608 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,015,519,340 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.fchp.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O Improving Health and Inspiring Hope | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1346 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,629,023,510 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,764,526,148 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,645,893 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,309,921 | CYInvestmentIncomeAmt |
| PY Other Revenue | $294,325 | PYOtherRevenueAmt |
| CY Other Revenue | $6,661,325 | CYOtherRevenueAmt |
| PY Total Revenue | $1,643,963,728 | PYTotalRevenueAmt |
| CY Total Revenue | $1,782,502,394 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $804,840 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $809,275 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $1,432,910,362 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $1,606,086,951 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $100,444,140 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $100,493,821 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $34,483,812 | PYOtherExpensesAmt |
| CY Other Expenses | $38,979,561 | CYOtherExpensesAmt |
| PY Total Expenses | $1,568,643,154 | PYTotalExpensesAmt |
| CY Total Expenses | $1,746,369,608 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $75,320,574 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $36,132,786 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $617,122,763 | TotalAssetsBOYAmt |
| Total Assets EOY | $712,896,484 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $347,691,090 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $407,624,403 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $269,431,673 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $305,272,081 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To be the leader in providing exceptional coordinated care and coverage that meets the unique, diverse and changing needs of our members. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $185,642,057 | ExpenseAmt |
| Revenue | $197,368,672 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,420,444,894 | ExpenseAmt |
| Revenue | $1,567,157,476 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $65,665,756 | ExpenseAmt |
| Grant | $809,275 | GrantAmt |
| Desc | SEE SCHEDULE O | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,671,752,707 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 4739 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1346 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELIZABETH CREAVIN | PersonNm |
| Phone | 5087992100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 CHESTNUT STREET | AddressLine1Txt |
| City | WORCESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01608 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD P BURKE | ||||||||||
| PRESIDENT & CEO | 44.0 | 6.0 | Yes (X) | Yes (X) | $1,383,462 | $0 | $581,626 | |||
| CAROLYN LANGER MD | ||||||||||
| SVP, CHIEF MED OFF UNTIL 7/21 | 50.0 | 0.0 | $799,752 | $0 | $13,267 | Yes (X) | ||||
| TODD BAILEY | ||||||||||
| SVP, CHIEF FINANCIAL OFFICER | 47.0 | 3.0 | Yes (X) | $609,202 | $0 | $177,086 | ||||
| EMILY WEST | ||||||||||
| SVP, CHIEF OPERATING OFFICER | 50.0 | 0.0 | $520,478 | $0 | $137,873 | Yes (X) | ||||
| MARY RITTER | ||||||||||
| SVP, CHIEF STRTGY & GOVT. PROG | 49.0 | 1.0 | $489,136 | $0 | $165,828 | Yes (X) | ||||
| JILL LEBOW | ||||||||||
| SVP, CHIEF HR OFFICER | 48.0 | 2.0 | $470,270 | $0 | $164,155 | Yes (X) | ||||
| ROBERT SCHREIBER MD | ||||||||||
| VP, MEDICAL DIRECTOR | 50.0 | 0.0 | $453,307 | $0 | $123,193 | Yes (X) | ||||
| DAVID BRUMLEY MD | ||||||||||
| SEE SCHEDULE O FOR TITLE | 50.0 | 0.0 | $425,358 | $0 | $118,022 | Yes (X) | ||||
| LINDA WEINREB MD | ||||||||||
| MEDICAL DIRECTOR, MCD ACO | 50.0 | 0.0 | $411,800 | $0 | $120,317 | Yes (X) | ||||
| JAMES GENTILE | ||||||||||
| SVP, CHIEF COMPLIANCE OFFICER | 50.0 | 0.0 | $371,704 | $0 | $121,544 | Yes (X) | ||||
| CHRISTINE CASSIDY | ||||||||||
| SVP, CHIEF COMM. OFFICER | 49.5 | 0.5 | $360,859 | $0 | $125,314 | Yes (X) | ||||
| JANIS LIEPINS | ||||||||||
| SEE SCHEDULE O FOR TITLE | 47.0 | 3.0 | $352,490 | $0 | $105,833 | Yes (X) | ||||
| KRISTINE BOSTEK | ||||||||||
| VP, SEC & FHW PACE | 49.5 | 0.5 | $344,272 | $0 | $104,365 | Yes (X) | ||||
| KEVIN MCGOVERN | ||||||||||
| VP, TREASURER | 50.0 | 0.0 | $322,085 | $0 | $93,148 | Yes (X) | ||||
| DEBORAH DAVIAU | ||||||||||
| MEDICARE & EXEC. DIR. NAVICARE | 50.0 | 0.0 | $242,441 | $0 | $56,763 | Yes (X) | ||||
| ELIZABETH HELENIUS | ||||||||||
| VP, SALES UNTIL 6/21 | 49.0 | 1.0 | $186,530 | $0 | $26,360 | Yes (X) | ||||
| LISA COHEN | ||||||||||
| INTERIM CFO, 6/11/19-8/25/19 | 49.0 | 1.0 | $190,531 | $0 | $9,103 | Yes (X) | ||||
| FREDERICK MISILO ESQ | ||||||||||
| CHAIR | 3.0 | 2.0 | Yes (X) | Yes (X) | $47,500 | $0 | $0 | |||
| JAMES BUONOMO | ||||||||||
| CLERK | 2.0 | 2.0 | Yes (X) | Yes (X) | $42,750 | $0 | $0 | |||
| ANN K TRIPP | ||||||||||
| TREASURER | 2.0 | 2.0 | Yes (X) | Yes (X) | $41,250 | $0 | $0 | |||
| B JOHN DILL | ||||||||||
| VICE CHAIR | 2.0 | 2.0 | Yes (X) | Yes (X) | $38,534 | $0 | $0 | |||
| DEBORAH ENOS | ||||||||||
| DIRECTOR | 1.0 | 0.5 | Yes (X) | $37,500 | $0 | $0 | ||||
| JANET S RICO | ||||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $37,250 | $0 | $0 | ||||
| JOSEPH N STOLBERG CPA | ||||||||||
| Director | 1.0 | 0.0 | Yes (X) | $31,750 | $0 | $0 | ||||
| PETER STRALEY | ||||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $31,750 | $0 | $0 | ||||
| ALICE BONNER | ||||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $31,750 | $0 | $0 | ||||
| KARIN LANDRY | ||||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $29,250 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,241,961 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,243,797 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 288 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COGNIZANT TRIZETTO SOFTWARE GROUP I | |||||
| STE 8001 200 SOMERSET CORPORATE BLV | BRIDGEWATER | NJ | 08807 | CONSULTING SERVICES | $2,649,547 |
| GALAXE HEALTHCARE SOLUTIONS INC | |||||
| 270 DAVIDSON AVE | SOMERSET | NJ | 08873 | IT CONSULTING SVC. | $2,112,248 |
| MILLIMAN INC | |||||
| 15800 W BLUEMOUND ROAD SUITE 100 | BROOKFIELD | WI | 53005 | ACTUARIAL CONSULTING | $1,652,488 |
| EPSTEIN BECKER AND GREEN PC | |||||
| PO BOX 30036 | NEW YORK | NY | 10087 | LEGAL SERVICES | $1,443,382 |
| CHANGE HEALTHCARE SOLUTIONS INC | |||||
| PO BOX 572490 | MURRAY | UT | 84157 | HEALTHCARE CONSULTG. | $1,101,197 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 72 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $5,000 | AllOtherContributionsAmt |
| Total Contributions | $5,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PREMIUM-GOVERNMENTAL | 524114 | $1,567,157,476 | $1,567,157,476 |
| PREMIUM-COMMERCIAL | 524114 | $197,368,672 | $197,368,672 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,764,526,148 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,509,137 | TotalRevenueColumnAmt |
| Exclusion | $10,509,137 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $71,124 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $71,124 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $233,746,606 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $232,945,822 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $800,784 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $800,784 | TotalRevenueColumnAmt |
| Exclusion | $800,784 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| SUBSIDIARY LOSS/GAIN | 524298 | $7,197,609 | $7,197,609 |
| MINORITY INTEREST | 900099 | -$721,296 | -$721,296 |
| CLASS ACTION LAWSUIT & MISC. | 900099 | $54,056 | $54,056 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $130,956 | TotalRevenueColumnAmt |
| Exclusion | $130,956 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,661,325 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,782,502,394 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,764,526,148 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $17,971,246 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $809,275 | TotalAmt |
| Program Services | $809,275 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,606,086,951 | TotalAmt |
| Program Services | $1,606,086,951 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,977,353 | TotalAmt |
| Program Services | $2,020,115 | ProgramServicesAmt |
| Management And General | $2,957,238 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,504,247 | TotalAmt |
| Program Services | $1,974,601 | ProgramServicesAmt |
| Management And General | $2,529,646 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,071,525 | TotalAmt |
| Program Services | $31,595,179 | ProgramServicesAmt |
| Management And General | $40,476,346 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,025,177 | TotalAmt |
| Program Services | $887,810 | ProgramServicesAmt |
| Management And General | $1,137,367 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,748,009 | TotalAmt |
| Program Services | $4,273,395 | ProgramServicesAmt |
| Management And General | $5,474,614 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,167,510 | TotalAmt |
| Program Services | $3,142,139 | ProgramServicesAmt |
| Management And General | $4,025,371 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,754,015 | TotalAmt |
| Management And General | $1,754,015 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,074,454 | TotalAmt |
| Management And General | $3,074,454 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,484 | TotalAmt |
| Program Services | $137,484 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,097,725 | TotalAmt |
| Management And General | $1,097,725 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,990,526 | TotalAmt |
| Program Services | $2,621,976 | ProgramServicesAmt |
| Management And General | $368,550 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,722,981 | TotalAmt |
| Program Services | $1,450,835 | ProgramServicesAmt |
| Management And General | $272,146 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,696,852 | TotalAmt |
| Program Services | $2,691,022 | ProgramServicesAmt |
| Management And General | $2,005,830 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,665,727 | TotalAmt |
| Program Services | $12,711,847 | ProgramServicesAmt |
| Management And General | $953,880 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,909,244 | TotalAmt |
| Program Services | $271,991 | ProgramServicesAmt |
| Management And General | $2,637,253 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,647 | TotalAmt |
| Program Services | $5,527 | ProgramServicesAmt |
| Management And General | $4,120 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,676 | TotalAmt |
| Program Services | $37,629 | ProgramServicesAmt |
| Management And General | $28,047 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,920 | TotalAmt |
| Management And General | $77,920 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,224,197 | TotalAmt |
| Program Services | $146,014 | ProgramServicesAmt |
| Management And General | $4,078,183 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,062,341 | TotalAmt |
| Management And General | $1,062,341 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DUES/SUBSCRIPTIONS | $1,035,206 | $670,322 | $364,884 |
| QUALITY IMPROVEMENTS | $380,833 | $218,195 | $162,638 |
| OTHER TAXES | $74,035 | $74,035 | |
| MEDICAL SUPPLIES | $698 | $400 | $298 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,746,369,608 | TotalAmt |
| Program Services | $1,671,752,707 | ProgramServicesAmt |
| Management And General | $74,616,901 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,524,310 | BOYAmt |
| EOY | $90,085,889 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,395,299 | BOYAmt |
| EOY | $92,139,634 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,447 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,128,764 | BOYAmt |
| EOY | $5,976,350 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $44,472,559 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $33,979,344 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,063,713 | BOYAmt |
| EOY | $10,493,215 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $366,549,810 | BOYAmt |
| EOY | $480,290,667 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,434,420 | BOYAmt |
| EOY | $33,910,729 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $617,122,763 | BOYAmt |
| EOY | $712,896,484 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,435,293 | BOYAmt |
| EOY | $401,392,953 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,255,797 | BOYAmt |
| EOY | $6,231,450 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $347,691,090 | BOYAmt |
| EOY | $407,624,403 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $269,431,673 | BOYAmt |
| EOY | $305,272,081 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $269,431,673 | BOYAmt |
| EOY | $305,272,081 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $617,122,763 | BOYAmt |
| EOY | $712,896,484 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $36,132,786 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,707,622 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$3,000,000 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $134,776 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $125,589 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,000 | CurrentTaxYearAmt |
| Total | $265,365 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,242,226,460 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,514,381,036 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,569,180,946 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,629,023,510 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,764,526,148 | CurrentTaxYearAmt |
| Total | $7,719,338,100 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,242,361,236 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,514,506,625 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,569,180,946 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,629,023,510 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,764,531,148 | CurrentTaxYearAmt |
| Total | $7,719,603,465 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $99,072,267 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $66,679,504 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,794,779 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,713,513 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,157,740 | CurrentTaxYearAmt |
| Total | $256,417,803 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $99,072,267 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $66,679,504 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,794,779 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,713,513 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,157,740 | CurrentTaxYearAmt |
| Total | $256,417,803 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $7,463,185,662 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,240,581 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,966,759 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,252,715 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,017,324 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,580,261 | CurrentTaxYearAmt |
| Total | $44,057,640 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,240,581 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,966,759 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,252,715 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,017,324 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,580,261 | CurrentTaxYearAmt |
| Total | $44,057,640 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $68,769 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $155,409 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $152,170 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $270,778 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $54,056 | CurrentTaxYearAmt |
| Total | $701,182 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,249,670,586 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,522,628,793 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,578,585,831 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,638,311,612 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,775,165,465 | CurrentTaxYearAmt |
| Total | $7,764,362,287 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96121 | PublicSupportCY509Pct |
| Public Support PY509 | 0.94736 | PublicSupportPY509Pct |
| Investment Income CY | 0.00567 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00571 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SUPPORT TEST | FormAndLineReferenceDesc |
| Explanation | FORM 990, SCHEDULE A, PART III THE ORGANIZATION'S IRS DETERMINATION LETTER INDICATES THAT THIS ORGANIZATION QUALIFIES AS A PUBLICLY SUPPORTED CHARITY UNDER SECTION 170(B)(1)(a)(vi); HOWEVER, THE ORGANIZATION QUALIFIES AS A 509(A)(2) ORGANIZATION. SCHEDULE A HAS BEEN COMPLETED IN ACCORDANCE WITH THE FORM INSTRUCTIONS UNDER THE 509(A)(2) TEST. | ExplanationTxt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Form4720 Filed | false | Form4720FiledInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $202,816 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $202,816 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Direct Lobbying Expense | FormAndLineReferenceDesc |
| Explanation | FORM 990, SCHEDULE C, PART IV SUPPLEMENTAL INFORMATION: FCHP PAID A TOTAL OF $202,816 LOBBYING EXPENSES AS FOLLOWS: MAHP DUES (MASS ASSOC OF HEALTH PLANS) 67,819 NATIONAL PACE ASSOCIATION 3,420 ALLIANCE OF COMMUNITY HEALTH PLANS 58,800 MASSPACE INC 7,445 ----------- SUBTOTAL NON-EMPLOYEES $137,484 STAFF SALARIES ASSOCIATED WITH LOBBYING 65,332 ------------ TOTAL OF ALL LOBBYING EXPENSES PAID $202,816 IN 2021, FALLON STAFF ENGAGED WITH VERIOUS REGULATORY AGENCIES ON HEALTHCARE POLICIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,928,342 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,535,688 | DepreciationAmt |
| Book Value | $392,653 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,128,307 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,622,899 | DepreciationAmt |
| Book Value | $2,505,408 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,415,910 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,820,757 | DepreciationAmt |
| Book Value | $7,595,154 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,493,215 | TotalBookValueLandBuildingsAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Worcester Regional Chamber of Commerce | |||||||
| 446 Main Street | Worcester | MA | 01608 | 041988780 | 501(c)(6) | $40,000 | GENERAL SUPPORT |
| WORCESTER COUNTY FOOD BANK | |||||||
| 474 BOSTON TURNPIKE | SHREWSBURY | MA | 01545 | 043071457 | 501(C)(3) | $55,000 | GENERAL SUPPORT |
| Boys and Girls Club of Worcester | |||||||
| 65 BoysGirls Club Way | Worcester | MA | 01610 | 042105851 | 501(c)(3) | $17,000 | GENERAL SUPPORT |
| United Way of Central MA | |||||||
| 484 Main Street | Worcester | MA | 01608 | 042104017 | 501(C)(3) | $27,500 | GENERAL SUPPORT |
| Town of Clinton | |||||||
| 200 West Boylston Street | Clinton | MA | 01510 | 046001118 | 501(C)(3) | $6,000 | GENERAL SUPPORT |
| Worcester Regional Research Bureau | |||||||
| 390 MAIN STREET | WORCESTER | MA | 01609 | 042901298 | 501(C)(3) | $9,000 | GENERAL SUPPORT |
| MERRIMACK VALLEY FOOD BANK INC | |||||||
| PO BOX 8638 | LOWELL | MA | 01853 | 223241609 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| REGIONAL ENVIRONMENTAL COUNCIL INC | |||||||
| 9 Castle Street | WORCESTER | MA | 01610 | 046364350 | 501(C)(3) | $7,500 | GENERAL SUPPORT |
| CENTRAL MA HOUSING ALLIANCE | |||||||
| 6 INSTITUTE ROAD | WORCESTER | MA | 01609 | 042791448 | 501(C)(3) | $12,500 | GENERAL SUPPORT |
| HEYWOOD MEMORIAL HOSPITAL | |||||||
| 242 GREEN STREET | Gardner | MA | 01440 | 042103581 | 501(C)(3) | $30,000 | GENERAL SUPPORT |
| UMASS MEMORIAL HEALTH CARE | |||||||
| 365 PLANTATION STREET | WORCESTER | MA | 01605 | 043358566 | 501(C)(3) | $15,000 | GENERAL SUPPORT |
| RON BURTON TRAINING VILLAGE | |||||||
| 55 MORGAN RD | HUBBARDSTON | MA | 01452 | 222570218 | 501(C)(3) | $25,000 | GENERAL SUPPORT |
| Saint Paul's Elder Outreach | |||||||
| 19 Chatham Street | Worcester | MA | 01609 | 042106744 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| PERNET FAMILY HEALTH SERVICES INC | |||||||
| 237 Millbury Street | WORCESTER | MA | 01610 | 042453851 | 501(C)(3) | $12,500 | GENERAL SUPPORT |
| AMERICAN HEART ASSOCIATION | |||||||
| 300 5TH AVENUE SUITE 6 | WALTHAM | MA | 02451 | 135613797 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| VETERANS INC | |||||||
| 69 Grove Street | WORCESTER | MA | 01605 | 043098024 | 501(C)(3) | $7,500 | GENERAL SUPPORT |
| Worcester Hibernian Cultural Foundation | |||||||
| 19 Temple Street | Worcester | MA | 01604 | 202148447 | 501(C)(3) | $12,000 | GENERAL SUPPORT |
| ELDER SERVICES OF BERKSHIRE COUNTY INC | |||||||
| 29 LEWIS AVENUE | GREAT BARRINGTON | MA | 01230 | 042542001 | 501(C)(3) | $10,000 | general support |
| Community Harvest Project | |||||||
| 37 Wheeler Road | North Grafton | MA | 01536 | 043424018 | 501(C)(3) | $10,000 | general support |
| CENTRAL MA AGENCY ON AGING | |||||||
| 330 SOUTHWEST CUTOFF | WORCESTER | MA | 01604 | 042547633 | 501(C)(3) | $7,500 | general support |
| CITY OF WORCESTER | |||||||
| 128 PROVIDENCE STREET | WORCESTER | MA | 01604 | 046001418 | 501(C)(3) | $200,000 | GENERAL SUPPORT |
| THE HEALTH FOUNDATION INC | |||||||
| 664 MAIN STREEET | WORCESTER | MA | 01610 | 042633274 | 501 (C)(4) | $25,000 | GENERAL SUPPORT |
| YWCA OF CENTERAL MASS INC | |||||||
| 1 SALEM SQUARE | WORCESTER | MA | 01608 | 042105873 | 501(C)(3) | $15,000 | GENERAL SUPPORT |
| SOUTH CONGREGATIONAL CHURCH | |||||||
| 110 SOUTH STREET | PITTSFIELD | MA | 01201 | 131957221 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| BERKSHIRE MEDICAL CENTER INC | |||||||
| 510 NORTH STREET | PITTSFIELD | MA | 01201 | 042791396 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| RISE ABOVE FOUNDATION INC | |||||||
| PO BOX 174 | NORTHBRIDGE | MA | 01534 | 271409946 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| NEW ENGLAND COUNCIL INC | |||||||
| 98 N WASHINGTON ST | BOSTON | MA | 02114 | 041661090 | 501(C)(6) | $10,000 | GENERAL SUPPORT |
| MILL CITY GROWS | |||||||
| 650 SUFFOLK STREET | LOWELL | MA | 01854 | 472096070 | 501(C)(3) | $7,500 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 25 | Total501c3OrgCnt |
| Total Other Org | 3 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Schedule I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | 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 FCHP GRANT HAS SPECIFIC INSTRUCTIONS TO BE FOLLOWED AS TO THE USE OF THE GRANT, AND THAT THE GRANT IS TO BE EXPENDED WITHIN 1 YEAR FROM THE AWARD. FOR ANY GRANTS IN EXCESS OF $10,000, fchp REQUESTS A GRANT REPORT DETAILING THE GRANT USES. THESE REPORTS ARE REVIEWED AND KEPT ON FILE AT FCHP. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD P BURKE | ||||||||||||||
| PRESIDENT & CEO | $786,505 | $0 | $400,400 | $0 | $196,557 | $0 | $541,070 | $0 | $40,556 | $0 | $1,965,088 | $0 | $527,433 | $0 |
| JAMES GENTILE | ||||||||||||||
| SVP, CHIEF COMPLIANCE OFFICER | $257,957 | $0 | $88,303 | $0 | $25,444 | $0 | $105,384 | $0 | $16,160 | $0 | $493,248 | $0 | $107,052 | $0 |
| KEVIN MCGOVERN | ||||||||||||||
| VP, TREASURER | $243,466 | $0 | $70,226 | $0 | $8,393 | $0 | $63,526 | $0 | $29,622 | $0 | $415,233 | $0 | $69,726 | $0 |
| JANIS LIEPINS | ||||||||||||||
| SEE SCHEDULE O FOR TITLE | $270,529 | $0 | $78,397 | $0 | $3,564 | $0 | $72,943 | $0 | $32,890 | $0 | $458,323 | $0 | $78,397 | $0 |
| CHRISTINE CASSIDY | ||||||||||||||
| SVP, CHIEF COMM. OFFICER | $243,520 | $0 | $86,830 | $0 | $30,509 | $0 | $98,919 | $0 | $26,395 | $0 | $486,173 | $0 | $105,931 | $0 |
| ELIZABETH HELENIUS | ||||||||||||||
| VP, SALES UNTIL 6/21 | $108,574 | $0 | $64,350 | $0 | $13,606 | $0 | $8,611 | $0 | $17,749 | $0 | $212,890 | $0 | $64,350 | $0 |
| EMILY WEST | ||||||||||||||
| SVP, CHIEF OPERATING OFFICER | $348,825 | $0 | $124,606 | $0 | $47,047 | $0 | $110,453 | $0 | $27,420 | $0 | $658,351 | $0 | $114,606 | $0 |
| JILL LEBOW | ||||||||||||||
| SVP, CHIEF HR OFFICER | $331,086 | $0 | $109,180 | $0 | $30,004 | $0 | $132,164 | $0 | $31,991 | $0 | $634,425 | $0 | $130,499 | $0 |
| KRISTINE BOSTEK | ||||||||||||||
| VP, SEC & FHW PACE | $261,547 | $0 | $76,226 | $0 | $6,499 | $0 | $68,424 | $0 | $35,941 | $0 | $448,637 | $0 | $75,726 | $0 |
| TODD BAILEY | ||||||||||||||
| SVP, CHIEF FINANCIAL OFFICER | $433,589 | $0 | $153,000 | $0 | $22,613 | $0 | $169,229 | $0 | $7,857 | $0 | $786,288 | $0 | $154,234 | $0 |
| DAVID BRUMLEY MD | ||||||||||||||
| SEE SCHEDULE O FOR TITLE | $331,990 | $0 | $89,804 | $0 | $3,564 | $0 | $80,864 | $0 | $37,158 | $0 | $543,380 | $0 | $89,804 | $0 |
| MARY RITTER | ||||||||||||||
| SVP, CHIEF STRTGY & GOVT. PROG | $336,901 | $0 | $126,188 | $0 | $26,047 | $0 | $133,874 | $0 | $31,954 | $0 | $654,964 | $0 | $131,905 | $0 |
| CAROLYN LANGER MD | ||||||||||||||
| SVP, CHIEF MED OFF UNTIL 7/21 | $252,038 | $0 | $148,665 | $0 | $399,049 | $0 | $9,941 | $0 | $3,326 | $0 | $813,019 | $0 | $216,310 | $0 |
| ROBERT SCHREIBER MD | ||||||||||||||
| VP, MEDICAL DIRECTOR | $344,193 | $0 | $98,670 | $0 | $10,444 | $0 | $88,395 | $0 | $34,798 | $0 | $576,500 | $0 | $98,670 | $0 |
| LINDA WEINREB MD | ||||||||||||||
| MEDICAL DIRECTOR, MCD ACO | $307,856 | $0 | $90,798 | $0 | $13,146 | $0 | $81,916 | $0 | $38,401 | $0 | $532,117 | $0 | $90,798 | $0 |
| DEBORAH DAVIAU | ||||||||||||||
| MEDICARE & EXEC. DIR. NAVICARE | $217,761 | $0 | $22,358 | $0 | $2,322 | $0 | $43,704 | $0 | $13,059 | $0 | $299,204 | $0 | $12,358 | $0 |
| LISA COHEN | ||||||||||||||
| INTERIM CFO, 6/11/19-8/25/19 | $113,608 | $0 | $65,315 | $0 | $11,608 | $0 | $5,311 | $0 | $3,792 | $0 | $199,634 | $0 | $65,315 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, Schedule J | FormAndLineReferenceDesc |
| Explanation | PART 1, LINE 3 THE FCHP BOARD HAS THE AUTHORITY AND DISCRETION TO DETERMINE COMPENSATION OF THE SENIOR EXECUTIVES AND EXECUTIVE INCENTIVES. THE DISCRETION IS TYPICALLY EXERCISED THROUGH THE BOARD'S EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE, WHICH HAS THE AUTHORITY TO DISCHARGE THE BOARD'S RESPONSIBILITIES FOR COMPENSATION AND EXECUTIVE INCENTIVES. HOWEVER, THE DISCRETIONARY COMPENSATION/INCENTIVES RECOMMENDED MUST BE WITHIN THE PARAMETERS OF THE STANDARDS THAT THE COMMITTEE HAS ESTABLISHED AND NEEDS TO BE CONSISTENT WITH THE IRS STANDARDS OF REASONABLENESS FOR SUCH INCENTIVES PROVIDED TO NONPROFIT EXECUTIVES. PART 1, LINE 4A FCHP PAID A SEVERANCE PAYMENT TO CAROLYN LANGER, SVP, CHIEF MEDICAL OFFICER (UNTIL JULY 22, 2021), FOR A TOTAL OF $329,250 ON OCTOBER 15, 2021. PART I, LINE 4B SEE ALSO PART I, LINE 7 SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THE ORGANIZATION HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT 457(F) PLAN (SERP), THAT COVERS CERTAIN EXECUTIVES OF THE ORGANIZATION. UNDER THE TERMS OF THE PLAN, INDIVIDUALS VEST AS PROVIDED, DEPENDING ON THE DATE OF ELIGIBILITY TO PARTICIPATE IN THE PLAN. SERP CONTRIBUTIONS MAY BE MADE ON BEHALF OF AN EMPLOYEE WHO IS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE DIVISION PRESIDENT, SENIOR CARE SERVICES, AN EXECUTIVE VICE PRESIDENT OR SENIOR VICE PRESIDENT. IN ADDITION, CONTRIBUTIONS MAY BE MADE ON BEHALF OF AN EMPLOYEE WHO IS DESIGNATED AS ELIGIBLE FOR A PLAN BY THE BOARD AT ITS DISCRETION. AS OF JANUARY 1,2022 THE BOARD WILL NO LONGER MAKE DISCRETIONARY CONTRIBUTIONS ON BEHALF OF ANY PARTICIPANT UNDER THE 457(F) PLAN. IN 2021, THE FOLLOWING INDIVIDUALS LISTED IN SCHEDULE J, PART II PARTICIPATED IN THE PLAN. AMOUNTS VESTED AND PAID UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B) (III) AND ARE LISTED BELOW. AMOUNTS DEFERRED IN PRIOR YEARS WERE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). CONTRIBUTIONS THAT WERE PREVIOUSLY REPORTED ON A PRIOR FORM 990, AND ARE PAID OUT IN THE CURRENT YEAR ARE REPORTED IN SCHEDULE J, PART II, COLUMN (F). NAME AMOUNT VESTED AND PAID RICHARD P. BURKE 169,533.00 TODD BAILEY 20,334.00 CHRISTINE CASSIDY 24,104.00 JAMES GENTILE 24,129.00 JILL LEBOW 28,879.00 MARY RITTER 22,757.00 EMILY WEST 37,000.00 CAROLYN LANGER 67,645.00 PART I, LINE 7 CORPORATE INCENTIVE PLAN FCHP HAS A CORPORATE INCENTIVE PLAN FOR CERTAIN EMPLOYEES TO REWARD ACHIEVEMENT OF FINANCIAL AND STRATEGIC GOALS OF THE ORGANIZATION. ON AN ANNUAL BASIS, THE ORGANIZATION PAYS ELIGIBLE PARTICIPANTS THEIR INCENTIVE COMPENSATION, PART OF WHICH IS BASED OFF OPERATING INCOME TARGETS. EMPLOYEES MUST BE EMPLOYED IN GOOD STANDING THROUGH THE TIME OF PAYOUT. INCENTIVE PAYMENTS ARE TYPICALLY PAID OUT THE FIRST PAY CYCLE IN APRIL FOR THE PRECEEDING YEAR. IN 2021 CERTAIN EMPLOYEES LISTED IN SCHEDULE J, PART II PARTICIPATED IN THE PLAN. AMOUNTS PAID BY THE ORGANIZATION UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(II). CONTRIBUTIONS THAT WERE PREVIOUSLY REPORTED ON A PRIOR FORM 990 IN SCHEDULE J, PART II, COLUMN (C) ARE PAID OUT IN THE CURRENT YEAR AND ARE REPORTED IN SCHEDULE J, PART II, COLUMN (F). SEE ALSO SCHEDULE J, PART 1, LINE 3. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURIE MCGOVERN | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | EMPLOYEE-FAMILY MEMBER OF KEY EMPLOYEE, KEVIN MCGOVERN | RelationshipDescriptionTxt |
| Transaction | $49,712 | TransactionAmt |
| Transaction | FCHP EMPLOYEE | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ORGANIZATION MISSION AND PROGRAM ACTIVITIES | FORM 990, PART I LINE 1 ORGANIZATION MISSION AND PROGRAM ACTIVITIES FOUNDED IN 1977, FALLON COMMUNITY HEALTH PLAN, INC. ("FALLON HEALTH") IS A LEADING HEALTH CARE SERVICES ORGANIZATION WITH A MISSION TO PROVIDE CARE, COVERAGE AND SERVICES DESIGNED TO MEET THE UNIQUE AND CHANGING NEEDS OF THE COMMUNITIES IT SERVES. IN ADDITION TO OFFERING INNOVATIVE HEALTH INSURANCE SOLUTIONS, FALLON HEALTH EXCELS AT CREATING UNIQUE HEALTH CARE PROGRAMS AND SERVICES THAT PROVIDE COORDINATED, INTEGRATED CARE FOR OLDER ADULTS AND INDIVIDUALS WITH COMPLEX HEALTH NEEDS. WITH A PREDOMINANT FOCUS ON GOVERNMENT SPONSORED HEALTH INSURANCE PROGRAMS, FALLON HEALTH'S PRODUCT PORTFOLIO INCLUDES A VARIETY OF MEDICAID AND MEDICARE ADVANTAGE PLANS. AS A PROVIDER OF CARE, FALLON OFFERS A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY. Schedule O FORM 990, PART III, LINE 3 AND LINE 4A COMMERCIAL PRODUCTS AND SERVICES ON MARCH 31, 2021, FALLON HEALTH ANNOUNCED THAT IT WOULD BEGIN PRIMARILY FOCUSING ITS RESOURCES ON SUPPORTING THE HEALTH CARE NEEDS OF INDIVIDUALS ENROLLED IN GOVERNMENT-SPONSORED HEALTH INSURANCE PROGRAMS. TO STRENGTHEN THIS FOCUS ON GOVERNMENT PROGRAMS, STARTING APRIL 1, 2021, IT BEGAN TO DISCONTINUE SELLING A SIGNIFICANT PORTION OF COMMERCIAL HEALTH INSURANCE COVERAGE TO EMPLOYER GROUPS AND SOME INDIVIDUALS. STARTING JULY 1, 2021, COVERAGE FOR MEMBERS IN THE COMMERCIAL PLANS NO LONGER BEING SOLD BEGAN TO BE DISCONTINUED. FALLON HEALTH CONTINUES TO SELL ITS COMMUNITY CARE PRODUCT ON THE HEALTH CONNECTOR. UP UNTIL THE DISCONTINUATION OF SALES BEGAN, FALLON HEALTH'S COMMERCIAL PLANS WERE OFFERED THROUGH EMPLOYER GROUPS AND, IN SOME CASES, AVAILABLE FOR PURCHASE DIRECTLY BY THE CONSUMER. COMMERCIAL PLANS COVERED ALL COUNTIES IN MASSACHUSETTS WITH THE EXCEPTION OF BARNSTABLE, DUKES AND NANTUCKET. FORM 990, PART III, LINE 4B GOVERNMENT PROGRAMS FROM ITS VERY START IN 1977, FALLON HEALTH HAS ALWAYS BEEN COMMITTED TO SERVING THE HEALTH CARE NEEDS OF INDIVIDUALS ENROLLED IN MEDICARE AND MEDICAID PROGRAMS. IT HAS WORKED TO EXPAND THOSE OFFERINGS OVER THE YEARS, ANNOUNCING IN 2021 THAT IT WOULD PRIMARILY FOCUS ITS RESOURCES ON GOVERNMENT-SPONSORED HEALTH INSURANCE PROGRAMS. LISTED BELOW IS THE COMPLETE LIST OF THE GOVERNMENT-SPONSORED PROGRAMS FALLON HEALTH OFFERED IN 2021 IN MASSACHUSETTS AND, THROUGH FALLON HEALTH WEINBERG, IN NEW YORK. . MEDICARE ADVANTAGE AND MEDICARE SUPPLEMENT (MASSACHUSETTS; THE GROUP MEDICARE SUPPLEMENT PLAN WAS INCLUDED IN THE COMMERCIAL SALES DISCONTINUATION THAT COMMENCED ON APRIL 1, 2021) . MASSHEALTH ACCOUNTABLE CARE ORGANIZATION PARTNERSHIP PLANS (MASSACHUSETTS) . MEDICARE ADVANTAGE SPECIAL NEEDS PLAN AND SENIOR CARE OPTIONS (MASSACHUSETTS) . PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) (MASSACHUSETTS AND NEW YORK) . SUBSIDIZED, LIMITED-NETWORK PLAN IN CENTRAL MASS. AND METRO WEST (MASSACHUSETTS) . MANAGED LONG TERM CARE (MLTC) PLAN (NEW YORK) THESE PROGRAMS ENABLE FALLON HEALTH TO SERVE MEMBERS OF ALL AGES, AT ALL INCOME LEVELS AND WITH ALL TYPES OF HEALTH NEEDS. THERE ARE SEVERAL NOTABLE FACTS WHEN IT COMES TO FALLON HEALTH'S HISTORY IN GOVERNMENT PROGRAMS: . IN 1979, FALLON HEALTH RECEIVED THE FIRST CONTRACT IN MASSACHUSETTS TO COVER MEDICAID BENEFICIARIES. . IN 1980, FALLON HEALTH WAS THE FIRST HEALTH PLAN IN THE COUNTRY TO OFFER A MEDICARE ADVANTAGE PLAN. . IN 1995, FALLON HEALTH STARTED ITS PACE IN MASSACHUSETTS, KNOWN AS SUMMIT ELDERCARE. IT IS THE LARGEST PACE PROGRAM IN NEW ENGLAND AND INCLUDES SIX PACE CENTERS - FIVE IN MASSACHUSETTS AND ONE IN WESTERN NEW YORK. . IN 2010, FALLON HEALTH LAUNCHED NAVICARE, A MEDICARE ADVANTAGE SPECIAL NEEDS PLAN AND SENIOR CARE OPTIONS PROGRAM IN MASSACHUSETTS. . IN 2017, FALLON HEALTH FORMED MASSHEALTH ACCOUNTABLE CARE ORGANIZATION PARTNERSHIP PLANS WITH THE FOLLOWING PROVIDER GROUPS: . BERKSHIRE HEALTH SYSTEMS AND COMMUNITY HEALTH PROGRAMS . RELIANT MEDICAL GROUP . WELLFORCE (NOW TUFTS MEDICINE) AND ITS PROVIDER ORGANIZATIONS |
| FORM 990, PART III, LINE 4c | COMMUNITY GIVING FALLON HEALTH'S COMMUNITY BENEFITS PROGRAM IS RUN IN ACCORDANCE WITH THE MASS. ATTORNEY GENERAL'S GUIDELINES FOR HEALTH MAINENANCE ORGANIZATIONS. OUR COMMITMENT TO THE ORGANIZATION'S MISSION GUIDES US IN THE WORK WE DO IN SUPPORT OF THE DIVERSE COMMUNITIES WE SERVE. THE GOALS OF THE FALLON HEALTH COMMUNITY BENEFITS PROGRAM ARE TO: . SUPPORT PROGRAMS THAT WILL IMPROVE THE HEALTH STATUS OF ECONOMICALLY UNDERSERVED OR AT-RISK POPULATIONS, CHILDREN, YOUTH AND ELDERS WITHIN OUR SERVICE AREA. . CONTINUE FALLON'S ROLE AS A HEALTH EDUCATOR BY PROVIDING RESOURCES, HOSTING HEALTH AND INFORMATION PROGRAMS AND BY BRINGING GENERAL INFORMATION TO THE PUBLIC THROUGH SPEAKING ENGAGEMENTS, PROGRAMS AND THE USE OF OUR COMMUNICATION PLATFORMS. . CONVENE KEY COMMUNITY STAKEHOLDERS, PROVIDERS, COMMUNITY-BASED ORGANIZATIONS AND INDIVIDUALS TO DISCUSS ESCALATING HEALTH ISSUES THAT HAVE A SIGNIFICANT EFFECT ON THE COMMUNITY'S POSITIVE HEALTH OUTCOMES AND OVERALL COST OF CARE. . WORK COLLABORATIVELY WITH OTHER HEALTH CARE PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS TO DEVELOP AND IMPLEMENT PROGRAMS TARGETING UNDERSERVED OR AT-RISK POPULATIONS AS DETERMINED BY THE NEEDS OF EACH OF THE COMMUNITIES WE SERVE. . PARTNER WITH BUSINESSES, COMMUNITY-BASED ORGANIZATIONS AND LOCAL CITIES, TOWNS AND STATE AGENCIES TO DEVELOP, SUPPORT AND/OR IMPLEMENT COMMUNITY HEALTH IMPROVEMENT PLANS AND PROGRAMS THAT ARE IDENTIFIED THROUGH LOCAL COMMUNITY HEALTH ASSESSMENTS AND ADDRESS THE BARRIERS THAT IMPACT POSITIVE HEALTH OUTCOMES. . CONTINUE TO FIND WAYS TO DELIVER OR PROVIDE ACCESS TO CULTURALLY COMPETENT, HIGH-QUALITY, LOW-COST HEALTH CARE COVERAGE TO PEOPLE OF ANY AGE, RACE, ETHNICITY, RELIGION, ABILITY, SEXUAL ORIENTATION, GENDER IDENTITY, HEALTH STATUS AND INCOME LEVEL. IN 2021, OUR LONG-STANDING COMMITMENT TO THE COMMUNITIES WE SERVE WAS DEMONSTRATED IN A NUMBER OF WAYS, INCLUDING: . SPONSORING FOOD INSECURITY INITIATIVES WITH COMMUNITY PARTNERS INCLUDING HOCKEY CHECKS HUNGER (WORCESTER RAILERS) AND STRIKE OUT HUNGER (WORCESTER RED SOX) . PARTNERING WITH THE CITY OF WORCESTER TO DONATE $200,000 TOWARDS FITNESS PROGRAMMING FOR OLDER ADULTS . AWARDING $110,000 IN COMMUNITY IMPACT GRANTS FOR PROJECTS TARGETING FOOD INSECURITY AND SOCIAL ISOLATION AMONG OLDER ADULTS . RAISING NEARLY $61,500 TO BENEFIT THE UNITED WAY OF CENTRAL MASS.' ANNUAL CAMPAIGN (EMPLOYEES) . COMPLETING MORE THAN 5,600 HOURS OF COMMUNITY SERVICE (EMPLOYEES) FALLON HEALTH'S FUNDING PRIORITY AREAS AFTER A COMPREHENSIVE REVIEW OF THE FINDINGS OF THE 2018 GREATER WORCESTER COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE IDENTIFIED OBJECTIVES AND STRATEGIES FROM THE GREATER WORCESTER COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) COMPLETED IN 2021, AND A REVIEW OF THE CHNAS CONDUCTED IN BERKSHIRE COUNTY, GREATER LOWELL, METRO WEST, NORTHERN WORCESTER COUNTY, SOUTH SHORE AND WESTERN MASS., THE FOLLOWING RECOMMENDATIONS WERE PRESENTED AS THE FUNDING PRIORITIES FOR FALLON'S COMMUNITY BENEFITS PROGRAM FOR 2019-2021: . FOOD INSECURITY - TO HELP MAINTAIN FOOD ASSISTANCE PROGRAMS FOR THOSE AREAS OR POPULATIONS THAT ARE PARTICULARLY VULNERABLE TO FOOD INSECURITY. IN ADDITION TO TRADITIONAL RESOURCES, FALLON SUPPORTS NEW, INNOVATIVE PROGRAMMING. . HEALTH INITIATIVES FOR OLDER ADULTS - TO SUPPORT OLDER ADULTS THROUGH PROGRAMS THAT PROVIDE ACCESS TO CARE INCLUDING BEHAVIORAL HEALTH RESOURCES, SAFETY MEASURES IN THEIR HOMES AND COMMUNITIES, AND ACCESS TO FOOD AND UTILITIES. . CHILDREN AND YOUTH HEALTH INITIATIVES - TO SUPPORT COMMUNITY-BASED PROGRAMS OR ORGANIZATIONS THAT PROVIDE ACCESS TO INITIATIVES THAT WRAP SERVICES AND RESOURCES AROUND CHILDREN AND YOUTH. THE FOCUS IS ON PROGRAMS THAT WORK COLLABORATIVELY TO ENGAGE THEIR COMMUNITIES AS KEY STAKEHOLDERS COMMITTED TO FINDING SOLUTIONS THAT POSITIVELY IMPACT THE CHILDREN AND YOUTH IN THE COMMUNITIES THEY SERVE, AND THAT UTILIZE BOTH EVIDENCE-BASED/INFORMED AND INNOVATIVE MODELS TO IMPACT CHANGE. THE COVID-19 PANDEMIC BROUGHT TO THE SURFACE MANY OF THE SOCIAL DETERMINANTS OF HEALTH IDENTIFIED IN THE MOST CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT. IN 2021, FALLON SPECIFICALLY SOUGHT OPPORTUNITIES TO PROVIDE FUNDING IN THE FOLLOWING AREAS: . FOOD INSECURITY: FOOD ASSISTANCE PROGRAMS FOR THOSE AREAS OR POPULATIONS THAT ARE PARTICULARLY VULNERABLE TO FOOD INSECURITY AS A RESULT OF THE COVID-19 PANDEMIC. . SUPPORT SERVICES FOR OLDER ADULTS: ORGANIZATIONS AND PROGRAMS THAT PROVIDE SERVICES THAT OVERCOME OR MITIGATE SOCIAL ISOLATION AND LONELINESS. IN 2021, FALLON HEALTH DISTRIBUTED $1,024,673 TO PROGRAMS THAT MET THE GOALS OF FALLON'S COMMUNITY BENEFITS PROGRAM. THIS WAS ACCOMPLISHED BY CONTRIBUTING $809,275 OF COMMUNITY GRANTS AND PARTICIPATING IN OTHER PROGRAMS, INCLUDING DIRECT EXPENSES, LEVERAGED EXPENSES, STAFF VOLUNTEER TIME, AND PHILANTHROPIC INITIATIVES THROUGH CORPORATE SPONSORSHIPS, TOTALLING $215,398. FALLON HEALTH'S EMPLOYEES ARE ALSO ENCOURAGED TO VOLUNTEER IN THE COMMUNITY. AND EACH INDIVIDUAL IS PROVIDED EIGHT HOURS OF PAID WORK TIME TO DO SO. IN 2021, OUR EMPLOYEES LOGGED 5,969 HOURS OF COMMUNITY SERVICE WITH 303 HOURS OF THAT PUT TOWARDS FALLON HEALTH DRIVEN INITIATIVES. FALLON HEALTH ALSO GIVES BACK THROUGH CORPORATE GIVING AND GENEROUS EMPLOYEE DONATIONS IN 2021, EMPLOYEES USED APPROXIMATELY 99 HOURS TO SUPPORT THE UNITED WAY'S CAMPAIGN ACTIVITIES. THESE EFFORTS HELPED TO RAISE APPROXIMATELY $61,442. THE MAJORITY OF THESE FUNDS WERE DISTRIBUTED TO THE UNITED WAY OF CENTRAL MASS. THE REMAINING FUNDS WERE DISTRIBUTED TO THE UNITED WAY OF TRI-COUNTY, INC., UNITED WAY OF MASS. BAY & MERRIMACK VALLEY, THE UNITED WAY OF NORTH CENTRAL MASS., UNITED WAY OF SOUTH CENTRAL MASS., UNITED WAY OF CENTRAL & NORTHEASTERN CONNECTICUT, THE UNITED WAY OF GREATER FALL RIVER, THE UNITED WAY OF BUFFALO & ERIE COUNTY, THE UNITED WAY OF GREATER MERCER COUNTY AND THE UNITED WAY OF RHODE ISLAND. IN 2021, WE CONTINUED OUR FOCUS ON SUPPORTING FOOD PANTRIES TO FEED UNDERSERVED OR AT-RISK OLDER ADULTS, FAMILIES AND CHILDREN, INCLUDING THE HOCKOMOCK AREA YMCA, WORCESTER FAMILIES FEEDING FAMILIES, AND THE BERKSHIRE MEDICAL CENTER'S FOOD AND FAMILIES PROGRAM. IN ADDITION, EMPLOYEES PROVIDED MEALS FOR 469 FAMILIES ACROSS OUR KEY SERVICE AREA WITH OUR FEED-A-FAMILY PROGRAM IN BERKSHIRE COUNTY, SPRINGFIELD, LEOMINSTER, LOWELL, WEBSTER AND WORCESTER TOTALING $28,100 IN FOOD DONATIONS. FOOD INSECURITY HAS LONG BEEN AN ISSUE NATIONALLY AND IN THE LOCAL COMMUNITY. FALLON HEALTH AND THE WORCESTER RED SOX PARTNERED TOGETHER TO RAISE CRITICAL FUNDS AND AWARENESS ON THE ISSUE. IN 2021, THE STRIKE OUT HUNGER CAMPAIGN CULMINATED IN A $50,000 DONATION TO THE WORCESTER COUNTY FOOD BANK. SIGNATURE HEALTH AND WELLNESS PROGRAMS ARE ALSO KEY TO OUR MISSION AT FALLON. IN 2021, WE REACHED 2,805 PEOPLE IN MASSACHUSETTS. THIS WAS ACHIEVED IN A VARIETY OF WAYS INCLUDING PROVIDING VIRTUAL SCREENINGS AND WELLNESS EMAIL COMMUNICATIONS TO UNDERSERVED POPULATIONS. |
| FORM 990, PART VI, LINE 2 | FAMILY OR BUSINESS RELATIONSHIP BETWEEN OFFICERS, DIRECTORS, AND KEY EMPLOYEES. FALLON HEALTH & LIFE ASSURANCE CO., INC. (FHLAC) IS A WHOLLY-OWNED SUBSIDIARY OF FCHP. THE FOLLOWING FCHP BOARD MEMBERS AND OFFICERS SERVED ON THE FHLAC BOARD OF DIRECTORS IN 2021: JAMES BUONOMO, B. JOHN DILL, ANN TRIPP, FREDERICK MISILO, JANET S. RICO, DEBORAH ENOS, AND RICHARD P. BURKE (EX OFFICIO). ULTRABENEFITS, INC. (UBI) IS A WHOLLY-OWNED SUBSIDIARY OF FHLAC. THE FOLLOWING FCHP OFFICERS AND KEY EMPLOYEE SERVED ON THE UBI BOARD OF DIRECTORS IN 2021: RICHARD P. BURKE, JANIS LIEPINS, TODD BAILEY, AND ELIZABETH HELENIUS (UNTIL JUNE 18, 2021). GROUP INSURANCE SERVICE CENTER AGENCY, INC. (GISC AGENCY), IS A WHOLLY-OWNED SUBSIDIARY OF UBI. THE FOLLOWING FCHP OFFICERS AND KEY EMPLOYEES SERVED ON THE BOARD OF GISC AGENCY IN 2021: RICHARD P. BURKE, JANIS LIEPINS, TODD BAILEY, AND ELIZABETH HELENIUS. FORM 990, PART VI, LINE 4 SIGNIFICANT CHANGES MADE TO GOVERNING DOCUMENTS. AT ITS JUNE 24, 2021 MEETING, THE FCHP BOARD OF DIRECTORS UNANIMOUSLY APPROVED AMENDING THE FCHP BYLAWS TO ADD AN IMMEDIATE PAST CHAIR OF THE BOARD OF DIRECTORS POSITION THAT UPON THE EXPIRATION OF THE FCHP BOARD CHAIR'S SERVICE AS CHAIR, THE DEPARTING CHAIR MAY, AT THE ELECTION OF THE BOARD OF DIRECTORS, SERVE FOR AN ADDITIONAL TERM OF ONE (1) YEAR AS IMMEDIATE PAST CHAIR FOR THAT ONE (1) YEAR IMMEDIATELY FOLLOWING THE DEPARTING CHAIR'S TERM ON THE BOARD. THE IMMEDIATE PAST CHAIR POSITION WAS CREATED TO PROVIDE CONTINUITY TO THE FCHP BOARD WHEN IT TRANSITIONS TO A NEW CHAIR, TO ASSIST AND WORK CLOSELY WITH THE NEW CHAIR AS NEEDED AND REQUESTED BY THE NEW CHAIR, AND TO PROVIDE HISTORICAL PERSPECTIVE TO THE FCHP BOARD DURING ITS TRANSITION TO A NEW CHAIR. FORM 990, PART VI, LINE 11B THE PROCESS USED BY MANAGEMENT AND GOVERNING BODY TO REVIEW FORM 990 A DRAFT OF THE FORM 990 IS PREPARED BY FCHP AND REVIEWED BY ITS TAX CONSULTING FIRM. THE FINAL VERSION OF THE FORM 990 IS PROVIDED TO BOARD MEMBERS FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, LINE 12C THE PROCESS USED TO MONITOR CONFLICTS OF INTEREST 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. FORM 990, PART VI, LINES 15A & 15B PROCESS OF DETERMINING COMPENSATION FOR CEO, TOP MANAGEMENT OFFICIALS, OFFICERS, AND KEY EMPLOYEES. 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 FCHP 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 2021, THE COMMITTEE CONSISTED OF FOUR MEMBERS OF FCHP'S BOARD OF DIRECTORS WHO ARE NOT EMPLOYED BY THE ORGANIZATION. FCHP'S CEO SERVED AS AN EX OFFICIO MEMBER OF THE COMMITTEE WITHOUT A VOTING RIGHT. THE EXECUTIVE OFFICERS OVER WHOSE COMPENSATION THE COMMITTEE IS RESPONSIBLE ARE COMPRISED OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER ("CEO"), AND THE EXECUTIVE VICE PRESIDENT, AND SENIOR VICE PRESIDENT POSITIONS THAT REPORT DIRECTLY TO THE CEO ("EXECUTIVE GROUP"). IN 2021, TO DETERMINE THE COMPENSATION STRUCTURE OF THE EXECUTIVE GROUP, THE COMMITTEE RELIED ON A WRITTEN COMPENSATION SURVEY PRODUCED BY AN INDEPENDENT CONSULTING FIRM THAT ASSESSES EXECUTIVE COMPENSATION AND BENEFITS. THE COMMITTEE MET TO REVIEW THE COMPENSATION STRUCTURE OF THE EXECUTIVE GROUP AND REVIEWED THE COMPENSATION SURVEY PREPARED BY THE INDEPENDENT CONSULTING FIRM. THE COMMITTEE THEN VOTED TO APPROVE THE COMPENSATION OF THE EXECUTIVE GROUP (OTHER THAN THE CEO). FOR THE CEO'S COMPENSATION THE COMMITTEE (MEETING WITHOUT THE CEO) RECOMMENDED A COMPENSATION STRUCTURE THAT WAS PRESENTED TO THE FCHP'S BOARD OF DIRECTORS. THE BOARD OF DIRECTORS (WITHOUT THE CEO PRESENT), VOTED TO APPROVE THE COMMITTEE'S RECOMMENDATION. ALL THESE DELIBERATIONS WERE CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES OF THE COMMITTEE AND BOARD OF DIRECTORS. FORM 990, PART VI, LINES 18 AND 19 HOW DOCUMENTS ARE MADE AVAILABLE TO PUBLIC FCHP'S FORM 990 AND ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. FCHP'S 990, FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ANNUAL REPORT ARE ALSO PROVIDED UPON REQUEST. |
| FORM 990, PART VII, SECTION A, COLUMN A: | NAME AND TITLE: THE FOLLOWING INDIVIDUAL'S TITLE CHANGED DURING THE YEAR: JANIS LIEPINS: FROM: VP, MASSHEALTH & COMMUNITY CARE, UNTIL 4/21. TO: VP, MEDICAID, EFFECTIVE 4/21. DAVID BRUMLEY MD: FROM: VP, MEDICAL AFFAIRS, UNTIL 7/21. TO: INTERIM CHIEF MEDICAL OFFICER, EFFECTIVE 7/21. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FCHP NEW YORK LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 CHESTNUT ST | AddressLine1Txt |
| City | WORCESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01608 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 464193932 | EIN |
| Primary Activities | HEALTH CARE | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FCHP | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| FALLON TOTAL CARE INC | ||||||||||
| 10 CHESTNUT STREET | WORCESTER | MA | 01608 | 455591420 | HEALTH CARE | MA | 501(C)(3) | 10 | FCHP | Yes (true) |
| FALLON HEALTH WEINBERG INC | ||||||||||
| 2700 NORTH FOREST RD | GETZVILLE | NY | 14068 | 161580245 | HEALTH CARE | NY | 501(C)(3) | 10 | FCHP | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FALLON HEALTH & LIFE ASSURANCE COinc | ||||||||||||
| 10 CHESTNUT STREET | WORCESTER | MA | 01608 | 043169246 | HEALTH INS. | MA | FCHP | C CORP | $32,419,965 | $27,329,175 | 1.00000 | Yes (true) |
| ULTRABENEFITS INC | ||||||||||||
| 22 ELM STREET | WORCESTER | MA | 01608 | 043525752 | 3RD PARTY ADM | MA | FHLAC | C CORP | $6,641,446 | $4,779,645 | 1.00000 | Yes (true) |
| GISC INSurance AGENCY INC | ||||||||||||
| 22 ELM STREET | WORCESTER | MA | 01608 | 043273688 | INSURANCE AGNCY | MA | UBI | C CORP | $2,367 | $2,457,278 | 1.00000 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ULTRABENEFITS INC | ||
| A,J | $71,124 | CASH |
| FALLON HEALTH & LIFE ASSURANCE CO INC | ||
| D | $406,047 | CASH |
| ULTRABENEFITS INC | ||
| D | $50,240 | CASH |
| FALLON HEALTH WEINBERG INC | ||
| D | $102,256 | CASH |
| FALLON HEALTH WEINBERG INC | ||
| L | $1,497,350 | CASH |
| ULTRABENEFITS INC | ||
| L | $144,000 | CASH |
| ULTRABENEFITS INC | ||
| M | $138,384 | CASH |
| FALLON HEALTH & LIFE ASSURANCE CO INC | ||
| N, O | $12,088,098 | CASH |
| ULTRABENEFITS INC | ||
| Q | $370,217 | CASH |