WORCESTER, MA
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Sign In — Free (10 views/day)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.
TO BE THE LEADER IN PROVIDING EXCEPTIONAL COORDINATED CARE AND COVERAGE THAT MEETS THE UNIQUE, DIVERSE AND CHANGING NEEDS OF OUR MEMBERS.
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...
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.
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...
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.
Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency
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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)
Sign In — Free (10 views/day)| 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% |
Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics
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Liquidity & Cash Position
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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics
Sign In| 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 |
| 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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