FALLON COMMUNITY HEALTH PLAN INC

EIN: 237442369 501(c)(3) Health Care

WORCESTER, MA

Total Revenue
$1,751,638,657
Total Expenses
$1,817,937,230
Total Assets
$759,646,277
Net Assets
$216,068,796
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Organization Details

Formation Year
1975
Legal Domicile
MA
Principal Officer
TODD BAILEY
Phone
5087992100
Tax Period
2023-01-01 to 2023-12-31

FALLON COMMUNITY HEALTH PLAN INC, founded in 1975, is a large national nonprofit in the Health Care sector that reported $1.8B in total revenue in fiscal year 2023.

Mission

TO BE THE LEADER IN PROVIDING EXCEPTIONAL COORDINATED CARE AND COVERAGE THAT MEETS THE UNIQUE, DIVERSE AND CHANGING NEEDS OF OUR MEMBERS.

Program Service Accomplishments

Program 1
Expenses: $1,653,274,959 Revenue: $1,731,530,749

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...

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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 2023 IN MASSACHUSETTS. . MEDICARE ADVANTAGE (MASSACHUSETTS) . 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) . SUBSIDIZED, LIMITED-NETWORK PLAN (MASSACHUSETTS) 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 PROGRAM IN MASSACHUSETTS, KNOWN TODAY AS SUMMIT ELDERCARE. IT IS THE LARGEST PACE PROGRAM IN NEW ENGLAND AND INCLUDES FIVE PACE CENTERS IN MASSACHUSETTS. . IN 2010, FALLON HEALTH LAUNCHED NAVICARE, A MEDICARE ADVANTAGE SPECIAL NEEDS PLAN AND SENIOR CARE OPTIONS PROGRAM IN MASSACHUSETTS. . IN 2017, FALLON HEALTH WAS SELECTED TO PARTICIPATE IN THE REDESIGN OF MASSACHUSETTS' MEDICAID PROGRAM AND FORMED THREE MASSHEALTH ACCOUNTABLE CARE ORGANIZATION PARTNERSHIP PLANS. 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. THESE ACTIONS RESULTED IN THE COMPLETE WITHDRAWAL FROM THE COMMERCIAL MARKET OF FALLON HEALTH'S SELECT CARE AND DIRECT CARE HMO PRODUCTS BY THE END OF AUGUST 2022. FALLON HEALTH CONTINUES TO SELL ITS COMMUNITY CARE PRODUCT ON THE HEALTH CONNECTOR. THE PRODUCT IS AVAILABLE TO INDIVIDUALS AND SMALL GROUPS IN SUFFOLK, BERKSHIRE, MIDDLESEX AND WORCESTER COUNTIES, PARTS OF NORFOLK COUNTY, AND IN ONE TOWN IN BRISTOL COUNTY (MANSFIELD). IN 2022, FALLON HEALTH WAS SELECTED TO CONTINUE ITS PARTICIPATION IN THE MASSHEALTH ACCOUNTABLE CARE PARTNERSHIP PROGRAM.

Program 2
Expenses: $114,605,723

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...

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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 2023, 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 512,350 TODD BAILEY 20,334 MARY RITTER 19,509 JILL GREEN LEBOW 19,098 JAMES GENTILE 15,159 CHRISTINE CASSIDY 14,719 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 12/31/2023, AS THE PLAN HAS A THREE-YEAR PERFORMANCE PERIOD WITH OVERLAPPING CYCLES WITH THE FIRST CYCLE COMMENCING JANUARY 1, 2022.

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

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Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $0
Program Service Revenue $1,731,530,749
Investment Income $14,690,098
Other Revenue $5,417,810
TOTAL REVENUE $1,751,638,657

Expense Breakdown

Grants Paid $888,536
Salaries & Benefits $117,484,945
Fundraising Expenses $0
Program Expenses $1,767,880,682
Other Expenses $46,288,790
TOTAL EXPENSES $1,817,937,230

Year-over-Year Comparison

2023 2022 Change
Revenue $1,751,638,657 $1,747,343,886 +0.0%
Expenses $1,817,937,230 $1,729,040,635 +0.1%
Net Income $-66,298,573 $18,303,251 -4.6%
Key Indicators
Grants to Organizations Grants to Individuals Lobbying Political Activity Foreign Activities Donor Advised Fund Schedule B Required
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Governance

Voting Members
11
Independent Members
10
Employees
1407
Volunteers
N/A

Governance Policies

Conflict of Interest Policy
Whistleblower Policy
Document Retention Policy

Special Practices & Reported Activities

Operated a School
Operated a Hospital
Provided First Class Travel
Reported Conflict of Interest
Reported Asset Diversion
Excess Benefit Transaction
Made Political Expenditures
Engaged in Lobbying
Operated Donor Advised Fund
Maintained Art Collections
Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers
6
$3,379,139
Total Directors
11
$2,886,357
Key Employees
4
$2,608,152
Highest Compensated
5
reported
Name Title Hours/Week Role Reportable Comp Other Comp Total
RICHARD P BURKE PRESIDENT & CEO 44.0
Officer Director
$2,063,580 $300,277 $2,363,857
TODD BAILEY SVP, CHIEF FINANCIAL OFFICER 47.0
Officer
$693,317 $70,715 $764,032
DAVID BRUMLEY MD SVP and Chief Medical Officer 50.0
Key Emp
$610,843 $90,026 $700,869
EMILY L WEST SVP, CHIEF OPERATING OFFICER 50.0
Key Emp
$593,098 $83,485 $676,583
JILL GREEN LEBOW SVP, CHIEF HR OFFICER 48.0
Highest
$570,576 $88,084 $658,660
MARY RITTER SVP, CHIEF STRTGY & GOVT. PROG 49.0
Key Emp
$563,884 $88,583 $652,467
MATTHEW HERNDON SVP, Chief State Prog. Officer 50.0
Key Emp
$496,743 $81,490 $578,233
LINDA WEINREB MEDICAL DIRECTOR, MCD ACO 50.0
Highest
$445,640 $96,077 $541,717
SEAN MURPHY CHIEF NETWORK STRATEGIST 45.0
Highest
$429,183 $96,372 $525,555
ELIZABETH CREAVIN VP, CORPORATE CONTROLLER 45.0
Highest
$428,932 $70,800 $499,732
JAMES GENTILE SVP, CHIEF COMPLIANCE OFFICER 48.0
Highest
$431,600 $63,644 $495,244
KRISTINE BOSTEK SVP, PACE Programs 35.0
$401,130 $76,853 $477,983
CHRISTINE CASSIDY SVP, CHIEF COMM. OFFICER 49.5
$396,155 $70,166 $466,321
DEBORAH DAVIAU VP,MEDICARE AND NAVICARE 50.0
$311,418 $20,551 $331,969
JANIS LIEPINS VP Medicaid 49.5
$263,303 $24,186 $287,489
FREDERICK MISILO ESQ CHAIR 3.0
Officer Director
$68,250 $0 $68,250
JAMES R BUONOMO CLERK 2.0
Officer Director
$62,000 $0 $62,000
B JOHN DILL VICE CHAIR 2.0
Officer Director
$61,250 $0 $61,250
JOSEPH N STOLBERG CPA TREASURER 1.5
Officer Director
$59,750 $0 $59,750
DEBORAH C ENOS DIRECTOR 1.0
Director
$59,500 $0 $59,500
PETER F STRALEY DIRECTOR 1.0
Director
$51,750 $0 $51,750
WANDA J MCCLAIN DIRECTOR 1.0
Director
$51,750 $0 $51,750
JANET S RICO DIRECTOR 1.0
Director
$40,250 $0 $40,250
VICTOR WOOLRIDGE DIRECTOR 1.0
Director
$34,250 $0 $34,250
ALICE BONNER DIRECTOR 1.0
Director
$33,750 $0 $33,750
Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year Revenue Expenses Assets Net Income
2024 No data No data No data No data
2023 $1,751,638,657 $1,817,937,230 $759,646,277 $-66,298,573
2022 $1,747,343,886 $1,729,040,635 $698,844,489 $18,303,251
2021 $1,782,502,394 $1,746,369,608 $712,896,484 $36,132,786
2020 $1,643,963,728 $1,568,643,154 $617,122,763 $75,320,574
2019 $1,580,533,789 $1,607,012,434 $461,233,945 $-26,478,645
2018 $1,517,437,991 $1,510,510,448 $430,103,303 $6,927,543
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