Form 990 for tax year 2022
Filed by FALLON COMMUNITY HEALTH PLAN INC.
Totals
- Total revenue
- $1,747,343,886
- Total expenses
- $1,729,040,635
- Contributions and grants received
- $0
- Grants paid
- $1,056,023
- Program service revenue
- $1,739,420,952
- Investment income
- $7,960,215
- Other revenue
- -$37,281
- Total assets, end of year
- $698,844,489
- Total liabilities, end of year
- $442,003,253
- Net assets or fund balances, end of year
- $256,841,236
- Program services expenses (Part IX)
- $1,674,885,300
- Management and general expenses
- $54,155,335
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $1,674,885,300
Program services were 96.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
2a · Program service revenue: PREMIUM-GOVERNMENTAL
total $1,708,969,648 · related or exempt $1,708,969,648 · unrelated business $0 · excluded $0
-
2b · Program service revenue: PREMIUM-COMMERCIAL
total $30,451,304 · related or exempt $30,451,304 · unrelated business $0 · excluded $0
-
3 · Investment income
total $14,216,018 · related or exempt $0 · unrelated business $0 · excluded $14,216,018
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6a · Gross rents
real property $61,030
-
6b · Less rental expenses
real property $61,030
-
6c · Rental income or loss
real property $0 · personal property $0
-
6d · Net rental income or loss
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
7a · Gross sales of assets other than inventory
securities $150,358,732
-
7b · Less cost or other basis and sales expenses
securities $156,614,535
-
7c · Gain or loss
securities -$6,255,803
-
7d · Net gain or loss
total -$6,255,803 · related or exempt $0 · unrelated business $0 · excluded -$6,255,803
-
8a · Fundraising events: gross income
$0
-
8b · Fundraising events: direct expenses
$0
-
8c · Net income from fundraising events
total $0
-
9a · Gaming: gross income
$0
-
9b · Gaming: direct expenses
$0
-
9c · Net income from gaming
total $0
-
10a · Gross sales of inventory
$0
-
10b · Cost of goods sold
$0
-
10c · Net income from sales of inventory
total $0
-
11a · Other revenue: SUBSIDIARY LOSS/GAIN
total -$925,355 · related or exempt $0 · unrelated business $0 · excluded -$925,355
-
11b · Other revenue: MINORITY INTEREST
total $725,886 · related or exempt $0 · unrelated business $0 · excluded $725,886
-
11c · Other revenue: CLASS ACTION LAWSUIT & MISC.
total $157,188 · related or exempt $0 · unrelated business $0 · excluded $157,188
-
11d · All other revenue
total $5,000 · related or exempt $0 · unrelated business $0 · excluded $5,000
-
11e · Other revenue, total
-$37,281
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $1,056,023 · program services $1,056,023
-
2 · Grants to domestic individuals
total $0
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $1,564,698,348 · program services $1,564,698,348
-
5 · Compensation of officers, directors and key employees
total $5,971,062 · program services $3,897,429 · management and general $2,073,633 · fundraising $0
-
6 · Compensation of disqualified persons
total $3,414,266 · program services $2,373,325 · management and general $1,040,941 · fundraising $0
-
7 · Other salaries and wages
total $84,365,919 · program services $58,644,445 · management and general $25,721,474 · fundraising $0
-
8 · Pension plan contributions
total $1,277,727 · program services $888,174 · management and general $389,553 · fundraising $0
-
9 · Other employee benefits
total $10,932,757 · program services $7,599,579 · management and general $3,333,178 · fundraising $0
-
10 · Payroll taxes
total $8,188,008 · program services $5,691,649 · management and general $2,496,359 · fundraising $0
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $2,224,548 · program services $0 · management and general $2,224,548 · fundraising $0
-
11c · Fees: accounting
total $1,607,784 · program services $0 · management and general $1,607,784 · fundraising $0
-
11d · Fees: lobbying
total $159,447 · program services $159,447 · management and general $0 · fundraising $0
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $1,115,996 · program services $0 · management and general $1,115,996 · fundraising $0
-
11g · Fees: other
total $7,501,212 · program services $5,559,143 · management and general $1,942,069
-
12 · Advertising and promotion
total $3,064,935 · program services $2,389,801 · management and general $675,134 · fundraising $0
-
13 · Office expenses
total $5,897,003 · program services $4,598,031 · management and general $1,298,972 · fundraising $0
-
14 · Information technology
total $16,663,168 · program services $15,682,589 · management and general $980,579 · fundraising $0
-
15 · Royalties
total $0
-
16 · Occupancy
total $4,249,042 · program services $235,672 · management and general $4,013,370 · fundraising $0
-
17 · Travel
total $68,369 · program services $53,309 · management and general $15,060 · fundraising $0
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $312,179 · program services $243,413 · management and general $68,766 · fundraising $0
-
20 · Interest
total $109,477 · program services $0 · management and general $109,477 · fundraising $0
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $3,940,950 · program services $148,621 · management and general $3,792,329 · fundraising $0
-
23 · Insurance
total $1,037,359 · program services $0 · management and general $1,037,359 · fundraising $0
-
24a · Other expenses: DUES/SUBSCRIPTIONS
total $1,075,923 · program services $963,247 · management and general $112,676 · fundraising $0
-
24b · Other expenses: OTHER TAXES
total $106,078 · program services $0 · management and general $106,078 · fundraising $0
-
24c · Other expenses: BAD DEBT EXPENSES
total $3,055 · program services $3,055 · management and general $0 · fundraising $0
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $0 · end of year $0
-
2 · Savings and temporary cash investments
beginning of year $90,085,889 · end of year $60,971,299
-
3 · Pledges and grants receivable
beginning of year $0 · end of year $0
-
4 · Accounts receivable
beginning of year $92,139,634 · end of year $129,743,675
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0 · end of year $0
-
7 · Other notes and loans receivable
beginning of year $0 · end of year $0
-
8 · Inventories for sale or use
beginning of year $0 · end of year $0
-
9 · Prepaid expenses and deferred charges
beginning of year $5,976,350 · end of year $6,665,677
-
10a · Land, buildings and equipment: cost or other basis
$44,900,509
-
10b · Land, buildings and equipment: accumulated depreciation
$36,211,725
-
10c · Land, buildings and equipment, net
beginning of year $10,493,215 · end of year $8,688,784
-
11 · Investments: publicly traded securities
beginning of year $480,290,667 · end of year $439,738,109
-
12 · Investments: other securities
beginning of year $0 · end of year $0
-
13 · Investments: program-related
beginning of year $0 · end of year $0
-
14 · Intangible assets
beginning of year $0 · end of year $0
-
15 · Other assets
beginning of year $33,910,729 · end of year $53,036,945
-
17 · Accounts payable and accrued expenses
beginning of year $401,392,953 · end of year $440,783,190
-
18 · Grants payable
beginning of year $0 · end of year $0
-
19 · Deferred revenue
beginning of year $6,231,450 · end of year $1,220,063
-
20 · Tax-exempt bond liabilities
beginning of year $0 · end of year $0
-
21 · Escrow or custodial account liability
beginning of year $0 · end of year $0
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
23 · Secured mortgages and notes payable
beginning of year $0 · end of year $0
-
24 · Unsecured notes and loans payable
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $0 · end of year $0
-
27 · Net assets without donor restrictions
beginning of year $305,272,081 · end of year $256,841,236
-
28 · Net assets with donor restrictions
beginning of year $0 · end of year $0
Mission and programs · 2022
Mission
TO BE THE LEADER IN PROVIDING EXCEPTIONAL COORDINATED CARE AND COVERAGE THAT MEETS THE UNIQUE, DIVERSE AND CHANGING NEEDS OF OUR MEMBERS.
Activities or mission (Part I)
SEE SCHEDULE O Improving Health and Inspiring Hope
-
SEE SCHEDULE O
Expenses $1,542,791,252 · Revenue $1,708,969,648
-
SEE SCHEDULE O
Expenses $21,907,097 · Revenue $30,451,304
-
SEE SCHEDULE O
Expenses $110,186,951 · Grants $1,056,023
As filed on the 2022 return.
Listed in Part VII
-
Richard P BurkeRICHARD P BURKE
PRESIDENT & CEO
- Total calculated
- $2,158,200
- From this org
- $1,419,791
- From related orgs
- $0
- Other
- $738,409
- Hours/week
- 44 + 6 related
Schedule J breakdown matched by us
- Base
- $892,714
- Bonus
- $358,020
- Other
- $169,057
- Deferred
- $692,878
- Nontaxable benefits
- $45,531
- Filer's total
- $2,158,200
-
Todd BaileyTODD BAILEY
SVP, CHIEF FINANCIAL OFFICER
- Total calculated
- $828,391
- From this org
- $607,232
- From related orgs
- $0
- Other
- $221,159
- Hours/week
- 47 + 3 related
Schedule J breakdown matched by us
- Base
- $462,481
- Bonus
- $119,779
- Other
- $24,972
- Deferred
- $212,624
- Nontaxable benefits
- $8,535
- Filer's total
- $828,391
-
David Brumley MDDAVID BRUMLEY MD
SVP and Chief Medical Officer
- Total calculated
- $727,720
- From this org
- $495,972
- From related orgs
- $0
- Other
- $231,748
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $423,343
- Bonus
- $67,814
- Other
- $4,815
- Deferred
- $190,248
- Nontaxable benefits
- $41,500
- Filer's total
- $727,720
-
Emily L WestEMILY L WEST
SVP, CHIEF OPERATING OFFICER
- Total calculated
- $713,595
- From this org
- $500,698
- From related orgs
- $0
- Other
- $212,897
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $391,235
- Bonus
- $97,403
- Other
- $12,060
- Deferred
- $184,475
- Nontaxable benefits
- $28,422
- Filer's total
- $713,595
-
Mary RitterMARY RITTER
SVP, CHIEF STRTGY & GOVT. PROG
- Total calculated
- $698,144
- From this org
- $483,743
- From related orgs
- $0
- Other
- $214,401
- Hours/week
- 49 + 1 related
Schedule J breakdown matched by us
- Base
- $362,802
- Bonus
- $92,664
- Other
- $28,277
- Deferred
- $175,757
- Nontaxable benefits
- $38,644
- Filer's total
- $698,144
-
Jill Green LebowJILL GREEN LEBOW
SVP, CHIEF HR OFFICER
- Total calculated
- $673,630
- From this org
- $469,876
- From related orgs
- $0
- Other
- $203,754
- Hours/week
- 48 + 2 related
Schedule J breakdown matched by us
- Base
- $351,689
- Bonus
- $92,927
- Other
- $25,260
- Deferred
- $165,921
- Nontaxable benefits
- $37,833
- Filer's total
- $673,630
-
Linda WeinrebLINDA WEINREB
MEDICAL DIRECTOR, MCD ACO
- Total calculated
- $554,259
- From this org
- $404,566
- From related orgs
- $0
- Other
- $149,693
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $322,318
- Bonus
- $68,866
- Other
- $13,382
- Deferred
- $112,586
- Nontaxable benefits
- $37,107
- Filer's total
- $554,259
-
James GentileJAMES GENTILE
SVP, CHIEF COMPLIANCE OFFICER
- Total calculated
- $536,261
- From this org
- $379,978
- From related orgs
- $0
- Other
- $156,283
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $286,639
- Bonus
- $70,814
- Other
- $22,525
- Deferred
- $139,222
- Nontaxable benefits
- $17,061
- Filer's total
- $536,261
-
Kristine BostekKRISTINE BOSTEK
SVP, PACE Programs eff. 5/9/22
- Total calculated
- $512,633
- From this org
- $345,464
- From related orgs
- $0
- Other
- $167,169
- Hours/week
- 49.5 + 0.5 related
Schedule J breakdown matched by us
- Base
- $286,490
- Bonus
- $57,574
- Other
- $1,400
- Deferred
- $129,314
- Nontaxable benefits
- $37,855
- Filer's total
- $512,633
-
Randi BerkowitzRANDI BERKOWITZ
VP, Medical Director
- Total calculated
- $512,221
- From this org
- $359,974
- From related orgs
- $0
- Other
- $152,247
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $327,063
- Bonus
- $31,669
- Other
- $1,242
- Deferred
- $118,538
- Nontaxable benefits
- $33,709
- Filer's total
- $512,221
-
Mark DichterMARK DICHTER
VP, Medical Director for UM
- Total calculated
- $509,179
- From this org
- $366,512
- From related orgs
- $0
- Other
- $142,667
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $312,294
- Bonus
- $50,654
- Other
- $3,564
- Deferred
- $108,110
- Nontaxable benefits
- $34,557
- Filer's total
- $509,179
-
Christine CassidyCHRISTINE CASSIDY
SVP, CHIEF COMM. OFFICER
- Total calculated
- $507,505
- From this org
- $352,546
- From related orgs
- $0
- Other
- $154,959
- Hours/week
- 49.5 + 0.5 related
Schedule J breakdown matched by us
- Base
- $263,383
- Bonus
- $65,856
- Other
- $23,307
- Deferred
- $127,113
- Nontaxable benefits
- $27,846
- Filer's total
- $507,505
-
Janis LiepinsJANIS LIEPINS
VP Medicaid
- Total calculated
- $503,263
- From this org
- $347,663
- From related orgs
- $0
- Other
- $155,600
- Hours/week
- 47 + 3 related
Schedule J breakdown matched by us
- Base
- $280,912
- Bonus
- $59,893
- Other
- $6,858
- Deferred
- $121,200
- Nontaxable benefits
- $34,400
- Filer's total
- $503,263
-
Matthew HerndonMATTHEW HERNDON
SVP, Chief State Prog. Officer
- Total calculated
- $481,763
- From this org
- $308,589
- From related orgs
- $0
- Other
- $173,174
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $305,515
- Bonus
- $0
- Other
- $3,074
- Deferred
- $145,769
- Nontaxable benefits
- $27,405
- Filer's total
- $481,763
-
Deborah DaviauDEBORAH DAVIAU
MEDICARE & EXEC. DIR. NAVICARE
- Total calculated
- $355,626
- From this org
- $260,677
- From related orgs
- $0
- Other
- $94,949
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $220,167
- Bonus
- $38,188
- Other
- $2,322
- Deferred
- $77,033
- Nontaxable benefits
- $17,916
- Filer's total
- $355,626
-
Kevin McGovernKEVIN MCGOVERN
VP, TREASURER
- Total calculated
- $259,768
- From this org
- $230,399
- From related orgs
- $0
- Other
- $29,369
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $175,322
- Bonus
- $52,884
- Other
- $2,193
- Deferred
- $10,400
- Nontaxable benefits
- $18,969
- Filer's total
- $259,768
-
Frederick Misilo EsqFREDERICK MISILO ESQ
CHAIR
- Total calculated
- $46,250
- From this org
- $46,250
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3 + 2 related
-
John B DillJOHN B DILL
VICE CHAIR
- Total calculated
- $41,000
- From this org
- $41,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 2 + 2 related
-
James R BuonomoJAMES R BUONOMO
CLERK
- Total calculated
- $40,250
- From this org
- $40,250
- From related orgs
- $0
- Other
- $0
- Hours/week
- 2 + 2 related
-
Janet S RicoJANET S RICO
DIRECTOR
- Total calculated
- $37,750
- From this org
- $37,750
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1 + 1 related
-
Deborah C EnosDEBORAH C ENOS
DIRECTOR
- Total calculated
- $37,250
- From this org
- $37,250
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1 + 0.5 related
-
Joseph N Stolberg CPAJOSEPH N STOLBERG CPA
TREASURER beginning 6/24/22
- Total calculated
- $37,250
- From this org
- $37,250
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1.5 + 0.5 related
-
Peter F StraleyPETER F STRALEY
Director
- Total calculated
- $30,750
- From this org
- $30,750
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Alice BonnerALICE BONNER
DIRECTOR
- Total calculated
- $28,250
- From this org
- $28,250
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Victor WoolridgeVICTOR WOOLRIDGE
DIRECTOR
- Total calculated
- $24,750
- From this org
- $24,750
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Wanda J McClainWANDA J MCCLAIN
DIRECTOR
- Total calculated
- $24,750
- From this org
- $24,750
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Ann K TrippANN K TRIPP
TREASURER ended 6/24/22
- Total calculated
- $8,250
- From this org
- $8,250
- From related orgs
- $0
- Other
- $0
- Hours/week
- 2 + 2 related
-
Karin LandryKARIN LANDRY
Director ended 6/24/22
- Total calculated
- $6,750
- From this org
- $6,750
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 1a · Tax indemnification and gross-up payments
- 1b · Written policy on the line-1a expenses
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 4b · Supplemental nonqualified retirement plan
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
- 9 · Followed the rebuttable-presumption procedure
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
The filer's explanations (Part III)
- SCHEDULE J, PART I, 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.
- SCHEDULE J, PART I, LINE 4B:
- SEE ALSO PART I, LINE 7 SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FCHP OFFERED A SUPPLEMENTAL EXECUTIVE RETIREMENT 457(F) PLAN (SERP), THAT COVERED CERTAIN EXECUTIVES IN THE ORGANIZATION. PARTICIPANTS IN THIS PLAN VESTED ANNUALLY AND RECEIVED DISTRIBUTIONS ONCE VESTING REQUIREMENTS WERE MET. SERP CONTRIBUTIONS COULD BE MADE ON BEHALF OF AN EMPLOYEE WHO WAS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE DIVISION PRESIDENT, SENIOR CARE SERVICES, AN EXECUTIVE OR SENIOR VICE PRESIDENT. IN ADDITION, CONTRIBUTIONS COULD BE MADE ON BEHALF OF ANY EMPLOYEE WHO WAS DESIGNATED AS ELIGIBLE FOR A PLAN BY THE BOARD AT ITS DISCRETION. THE 457 (F) PLAN SERP WAS FROZEN ON DECEMBER 31, 2021 AND THE BOARD DECIDED IT WOULD NO LONGER MAKE DISCRETIONARY CONTRIBUTIONS ON BEHALF OF ANY PARTICIPANT FOR THE YEARS 2018 - 2021. IN 2022, THE FOLLOWING INDIVIDUALS LISTED IN SCHEDULE J, PART II RECEIVED DISTRUBTIONS FROM THE 457 (F) SERP PLAN FOR YEARS 2018 - 2021. AMOUNTS 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 142,033 TODD BAILEY 20,334 CHRISTINE CASSIDY 19,458 JAMES GENTILE 19,743 JILL LEBOW 24,025 MARY RITTER 22,757 FCHP ESTABLISHED A NEW NON-QUALIFIED DEFERRED COMPENSATION PLAN (THE "PLAN"), WHICH PROVIDES DISCRETIONARY INCENTIVE AWARDS TO EXECUTIVE OFFICERS AND OTHER SELECTED EMPLOYEES OF THE COMPANY TO INCENTIVIZE THEM TO REINFORCE CRITICAL LONG-TERM STRATEGIC GOALS AND ENCOURAGE SUSTAINED YEAR-TO-YEAR PERFORMANCE RELATIVE TO KEY FINANCIAL AND STRATEGIC INDICATORS. THE PLAN REPLACED THE AFOREMENTIONED 457 (F) PLAN (SERP), EFFECTIVE JANUARY 1, 2022. THIS LONG-TERM INCENTIVE PLAN QUALIFIES AS 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THE PARTICIPANT WILL RECEIVE A CASH DISTRIBUTION AFTER THE END OF THE APPLICABLE PERFORMANCE PERIOD, IN MARCH OR APRIL OF THE CALENDAR YEAR FOLLOWING THE LAST DAY OF THE APPLICABLE PERFORMANCE PERIOD. IF THE PARTICIPANT'S EMPLOYMENT TERMINATES OR HAS A SEPARATION FROM SERVICE FOR ANY REASON OTHER THAN IN THE EVENT OF DEATH, DISABILITY, RETIREMENT OR CHANGE OF CONTROL PRIOR TO THE DATE OF THE CASH DISTRIBUTION, THE PARTICIPANT WILL NOT BE ELIGIBLE TO RECEIVE PAYMENT AND THE AWARD WILL BE CANCELLED AND FORFEITED IN ITS ENTIRETY. AMOUNTS DEFERRED UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). THESE AMOUNTS WOULD NOT BE CONSIDERED VESTED AS OF 12/31/2022, AS THE PLAN'S FIRST PERFORMANCE PERIOD IS EFFECTIVE JANUARY 1, 2022 THROUGH DECEMBER 31, 2024.
- SCHEDULE J, 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 2022 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.
- SCHEDULE J, PART I, LINES 8 AND 9:
- MATTHEW HERNDON, SVP, CHIEF STATE PROGRAM OFFICER, HAS AN INITIAL EMPLOYMENT CONTRACT THAT DESCRIBES HIS INITIAL COMPENSATION AND BENEFITS.
- SCHEDULE J, PART I, LINE 1A
- FCHP HAS A GIFT CARD POLICY THAT THE COMPANY PAYS ALL APPLICABLE TAXES ON BEHALF OF THE EMPLOYEE. THE VALUE OF THE GIFT CARD IS INCLUDED IN THE EMPLOYEE'S TAXABLE INCOME. THIS POLICY APPLIES TO ALL FCHP EMPLOYEES. IN 2022, THE FOLLOWING INDIVIDUALS LISTED IN SCHEDULE J, PART II RECEIVED GIFT CARDS FROM FCHP DURING THE YEAR. NAME AMOUNT PAID EMILY WEST $100 CHRISTINE CASSIDY $100 DAVID BRUMLEY MD $50
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
Open Sky Community Services Inc
$95,500
GENERAL SUPPORT
-
$59,500
GENERAL SUPPORT
-
Boys and Girls Club of Worcester
$49,039
GENERAL SUPPORT
-
GENERAL SUPPORT
-
$31,547
GENERAL SUPPORT
-
$30,831
GENERAL SUPPORT
-
$28,793
GENERAL SUPPORT
-
$25,000
GENERAL SUPPORT
-
$25,000
GENERAL SUPPORT
-
$25,000
GENERAL SUPPORT
The 10 largest by cash amount. The API serves every itemized grant.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · HEALTH CARE · MA · controlled entity
Directly controlled by FCHP
-
501(C)(3) · HEALTH CARE · NY · controlled entity
Directly controlled by FCHP
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Disregarded entities
Part I: entities that legally are the filer and file no return of their own.
-
FCHP NEW YORK LLC
HEALTH CARE · NY · income $0 · assets $0
Directly controlled by FCHP
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
FALLON HEALTH & LIFE ASSURANCE COinc
C CORP · HEALTH INS. · MA · 100% owned · share of income $11,186,677 · share of assets $27,722,513 · controlled entity
Directly controlled by FCHP
-
ULTRABENEFITS INC
C CORP · 3RD PARTY ADM · MA · 100% owned · share of income $7,397,318 · share of assets $5,093,842 · controlled entity
Directly controlled by FHLAC
-
GISC INSurance AGENCY INC
C CORP · INSURANCE AGENCY · MA · 100% owned · share of income $0 · share of assets $0 · controlled entity
Directly controlled by UBI
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 8 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202303139349303800
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.