2024-11-06T14:26:20-06:00 2023-12-31 PWC US TAX LLP 2001 MARKET STREET SUITE 1800 PHILADELPHIA PA 19103 990 2023-01-01 161580245 FALLON HEALTH WEINBERG INC % ANTHONY FERNANDES FALL 7164797276 2700 NORTH FOREST ROAD GETZVILLE NY 14068 ANTHONY FERNANDES DIRECTOR, FIN. REPOR 5083689959 2024-11-05 true true ERICA R MCREYNOLDS P00977806 2673303000 2024-10-30 2023 2024-10-15 13:58:12Z JILL GREEN LEBOW ONE MERCANTILE STREET WORCESTER MA 01608 45441224 false X WWW.FALLONWEINBERG.ORG X 1999 NY TO ADDRESS THE LONG-TERM CARE NEEDS OF INDIVIDUALS IN THE WESTERN NEW YORK COMMUNITY WHO ARE CHRONICALLY ILL OR WHO HAVE DISABILITIES THROUGH ITS MLTC AND PACE PROGRAMS. 6 2 76 2 0 0 0 0 34790206 45411231 7688 29993 0 0 34797894 45441224 0 0 28493043 33525827 5729171 6397407 0 0 0 2968473 3271134 37190687 43194368 -2392793 2246856 48035672 53699025 29947744 33318410 18087928 20380615 X FALLON HEALTH WEINBERG CONSISTS OF A MANAGED LONG-TERM CARE PROGRAM (MLTC) AND A PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). THE MISSION OF THE FALLON HEALTH WEINBERG PROGRAMS IS TO ADDRESS THE LONG-TERM CARE NEEDS FOR THOSE MEDICAID OR DUALLY ELIGIBLE (MEDICARE AND MEDICAID) INDIVIDUALS IN THE WESTERN NEW YORK COMMUNITY WHO ARE CHRONICALLY ILL OR WHO HAVE DISABILITIES. THE PROGRAMS ARE DESIGNED TO KEEP PARTICIPANTS LIVING SAFELY AND INDEPENDENTLY IN THE COMFORT OF THEIR OWN HOME AS LONG AS POSSIBLE. EACH PARTICIPANT'S HIGHLY TRAINED CARE TEAM COORDINATES A PLAN OF CARE THAT IS PERSONALIZED AND DEVELOPED TO MEET EACH PARTICIPANT'S SPECIFIC NEEDS. THE CARE TEAM CONTINUALLY MONITORS PARTICIPANT'S HEALTH STATUS TO UPDATE THE CARE PLAN TO ENSURE THE PARTICIPANT IS RECEIVING THE HIGHEST QUALITY OF CARE WHILE REMAINING IN THE COMMUNITY. false true 22636202 28109674 The MLTC program provides services to Medicaid eligible individuals in the Western New York community who are chronically ill or who have disabilities. The Fallon Health Weinberg MLTC program is designed to keep participants living safely at their highest level of independence and in the comfort of their own home as long as possible. Through the coordination of personalized care plans, a participant has access to an array of health care services that they receive either in their home or in a day care setting. A majority of the services provided to participants are at no cost to the participant and are covered either by the program or by Medicaid fee-for-service. The services provided by The Fallon Health Weinberg MLTC program include care management, nursing home care, private duty nursing, home health care, home care aide, physical, occupational, and speech therapy, home delivered meals, personal care, nutrition, audiology, dentistry, optometry, personal emergency response systems, and transportation. 15035560 17301557 THE PACE PROGRAM PROVIDES SERVICES TO MEDICAID, DUALLY ELIGIBLE (MEDICARE & MEDICAID), AND PRIVATE PAY INDIVIDUALS 55 AND OLDER WITHIN ERIE AND NIAGARA COUNTIES WHO ARE CHRONICALLY ILL OR WHO HAVE DISABILITIES. THE FALLON HEALTH WEINBERG PACE PROGRAM IS DESIGNED TO KEEP PARTICIPANTS LIVING SAFELY AT THEIR HIGHEST LEVEL OF INDEPENDENCE AND IN THE COMFORT OF THEIR OWN HOME AS LONG AS POSSIBLE. THROUGH THE COORDINATION OF PERSONALIZED CARE PLANS, A PARTICIPANT HAS ACCESS TO AN ARRAY OF HEALTH CARE SERVICES THAT THEY RECEIVE IN THEIR HOME AND IN THE PACE CENTER. A MAJORITY OF THE SERVICES PROVIDED TO PARTICIPANTS MAY BE AT NO COST TO THE PARTICIPANT. THE SERVICES PROVIDED BY THE FALLON HEALTH WEINBERG PACE PROGRAM INCLUDE BUT ARE NOT LIMITED TO THEIR MEDICAL CARE, PRESCRIPTION DRUG COVERAGE, CARE MANAGEMENT, HOME HEALTH CARE, PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, PERSONAL CARE, NUTRITION, AUDIOLOGY, DENTISTRY, OPTOMETRY, PERSONAL EMERGENCY RESPONSE SYSTEMS, AND TRANSPORTATION. 37671762 true false false true false false false false false false true false false false false false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 249 0 true 76 true false false false false false false false false false false false false X 6 2 false false false false true true false true true false false true true true true true true false true false NY X ANTHONY FERNANDES 5083689959 ONE MERCANTILE STREET WORCESTER MA 01608 X JILL GREEN LEBOW DIRECTOR - CHAIRPERSON 2.0 48.0 X X 0 570576 88084 KRISTINE BOSTEK DIRECTOR - SECRETARY 15.0 35.0 X X 0 401130 76853 ARUNAN THURAIRAJAH MEDICAL DIRECTOR 40.0 0.0 X 353858 0 73388 LINDA AIELLO DIRECTOR 1.0 49.0 X 0 291348 40872 CRAIG DLUGOSZ PROGRAM DIRECTOR, DSNP/MLTC 40.0 0.0 X 175372 0 31476 ANTHONY FERNANDES SEE SCHEDULE O FOR TITLE 5.0 45.0 X 0 173464 17944 WILLA ARNET JUNE NURSE PRACTITIONER 40.0 0.0 X 146364 0 22170 ELIZABETH SPENCER NURSE PRACTITIONER 40.0 0.0 X 132681 0 25224 MICHELLE CINQUINO PROGRAM MANAGER, PACE 40.0 0.0 X 121910 0 11025 KELLY VOIGT FINANCE DIRECTOR UNTIL 6/28/23 40.0 0.0 X 113869 0 11530 MARY KAY VAUSE SEE SCHEDULE O FOR TITLE 40.0 0.0 X 68823 0 2050 KENNETH ROGERS DIRECTOR 1.0 0.0 X 0 0 0 ROBERT MAYER DIRECTOR - TREASURER 1.0 0.0 X X 0 0 0 1112877 1436518 400616 8 false true false EDEN HEIGHTS OF WEST SENECA 3030 CLINTON STREET WEST SENECA NY 14224 HEALTHCARE SERVICES 497495 EDEN HEIGHTS OF EDEN OPERATING LLC 4071 HARDT ROAD EDEN NY 14057 HEALTHCARE SERVICES 274610 QUALITY CODING SOFTWARE SOLUTIONS L 625 MASSACHUSETTS AVE STE 200 CAMBRIDGE MA 10708 TECHNOLOGY PRODUCTS 143500 3 0 NET PREMIUM REVENUE - MLTC 524114 28109674 28109674 NET PREMIUM REVENUE - PACE 524114 17301398 17301398 OTHER - PACE 524114 159 159 45411231 29993 29993 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45441224 45411231 0 29993 0 0 0 33525827 33525827 196273 0 196273 0 0 5154174 3491376 1662798 0 106311 72837 33474 0 639278 243095 396183 0 301371 178731 122640 0 1440366 0 1440366 0 10986 0 10986 0 54468 0 54468 0 2264 0 2264 0 0 0 161902 8920 152982 35008 38 34970 0 207174 41091 166083 0 283130 0 283130 0 0 268453 60029 208424 0 5756 1109 4647 0 0 26583 14203 12380 0 2925 0 2925 0 0 111485 0 111485 0 58582 34506 24076 0 ASSOCIATION FEES 90258 0 90258 0 ADMINISTRATION FEES 199 0 199 0 OTHER 8468 0 8468 0 PENALTIES 503127 0 503127 0 43194368 37671762 5522606 0 X 38662034 45859603 285371 3 0 0 4095859 2885551 0 0 0 0 0 0 0 0 16148 16081 3842508 1192422 2764202 2650086 0 0 0 0 2212058 2287701 0 0 0 0 48035672 53699025 29931302 30492600 0 0 16442 2825810 0 0 0 0 0 0 0 0 0 0 0 0 29947744 33318410 X 18087928 20380615 0 0 18087928 20380615 48035672 53699025 2246856 45831 X false true X true false X 0 0 0 0 0 0 57273106 47242000 35888652 34790206 45411231 220605195 0 0 0 57273106 47242000 35888652 34790206 45411231 220605195 0 0 0 220605195 11231 7688 29993 48912 0 11231 7688 29993 48912 0 0 57273106 47242000 35899883 34797894 45441224 220654107 0.99978 0.99991 0.00022 0.00009 X false false false false false false false true 2264 false false 2264 false false Direct Lobbying Expense FORM 990, SCHEDULE C, PART IV SUPPLEMENTAL INFORMATION: FHW PAID A TOTAL OF $2,264 LOBBYING EXPENSES TO THE NATIONAL PACE ASSOCIATION. 272979 272979 3511879 1140908 2370971 57650 51514 6136 2650086 X true false true false false false false false true false ARUNAN THURAIRAJAH MEDICAL DIRECTOR 286952 0 64509 0 2397 0 48316 0 25072 0 427246 0 64509 0 CRAIG DLUGOSZ PROGRAM DIRECTOR, DSNP/MLTC 149464 0 25352 0 556 0 16599 0 14877 0 206848 0 0 0 JILL GREEN LEBOW DIRECTOR - CHAIRPERSON 0 403398 0 146660 0 20518 0 48832 0 39252 0 658660 0 155758 KRISTINE BOSTEK DIRECTOR - SECRETARY 0 289167 0 109069 0 2894 0 36857 0 39996 0 477983 0 109069 LINDA AIELLO DIRECTOR 0 224548 0 64478 0 2322 0 38789 0 2083 0 332220 0 64478 WILLA ARNET JUNE NURSE PRACTITIONER 131663 0 13359 0 1342 0 11833 0 10337 0 168534 0 13359 0 ELIZABETH SPENCER NURSE PRACTITIONER 127368 0 4453 0 860 0 6790 0 18434 0 157905 0 0 0 ANTHONY FERNANDES SEE SCHEDULE O FOR TITLE 0 152675 0 20555 0 234 0 16596 0 1348 0 191408 0 0 SCHEDULE J, PART 1, LINE 1A FHW AND FCHP HAVE 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 FHW AND FCHP EMPLOYEES. IN 2023, THE FOLLOWING INDIVIDUALS LISTED IN SCHEDULE J, PART II RECEIVED GIFT CARDS FROM FHW OR FCHP DURING THE YEAR. NAME AMOUNT PAID WILLA ARNET JUNE $100 ARUNAN THURAIRAJAH $75 ANTHONY FERNANDES $50 CRAIG DLUGOSZ $50 ELIZABETH SPENCER $50 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 2023, THE FOLLOWING INDIVIDUALS LISTED IN SCHEDULE J, PART II RECEIVED DISTRIBUTIONS FROM THE 457 (F) SEPR 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 JILL GREEN LEBOW 19,098 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 END OF THE APPLICABLE PERFORMANCE PERIOD, IN MARCH OR APRIL OF THE CALENDAR YEAR FOLLOWING THE LAST DAY OF APPLICABLE PERFORMANCE PERIOD. IF THE PARTICIPANT'S EMPLOYMENT TERMINATES OR HAS A SEPERATION 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. 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 PLANNED FOR MARCH OR APRIL. IN 2023 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). FORM 990, PART III, LINE 3 IN JUNE 2023, THE NEW YORK STATE BUDGET FOR FISCAL YEAR 2023-2024 CHANGED PUBLIC HEALTH LAW (HMH PART I) TO REQUIRE THAT MLTC PLANS CERTIFIED UNDER ARTICLE 4403-F MUST MEET NEW CRITERIA EFFECTIVE JANUARY 1, 2024. AS A RESULT OF THE STATE'S ACTIONS, THE COMPANY'S MLTC PLAN WAS FULLY DISCONTINUED BY DECEMBER 31, 2023, AS IT DID NOT MEET THE NEW REQUIRED CRITERIA. AS REQUIRED BY THE NEW YORK STATE DEPARTMENT OF HEALTH (DOH), FCHP SIGNED A CAPITAL SUPPORT RESOLUTION AGREEING TO CONDUCT AN ORDERLY WIND-DOWN OF FHW'S MLTC LINE OF BUSINESS. IN ADDITION, FCHP PLEDGED THAT ALL LIABILITIES OF FHW WILL BE MET AND MLTC MEMBERS WOULD CONTINUE TO RECEIVE APPROPRIATE CARE UNTIL THEIR TERMINATION FROM THE PLAN ON DECEMBER 31, 2023. THESE LEGISLATIVE ACTIONS BY THE STATE OF NEW YORK HAVE NO IMPACT ON THE COMPANY'S PACE PROGRAM. FORM 990, PART VI, SECTION A, LINES 6 & 7A ACCORDING TO THE MEMBER AGREEMENT BETWEEN FALLON COMMUNITY HEALTH PLAN AND MENORAH CAMPUS, INC., FALLON COMMUNITY HEALTH PLAN AND MENORAH CAMPUS, INC. SHALL BE THE ONLY MEMBERS OF FALLON HEALTH WEINBERG. THE MEMBERS SHALL HAVE THE SOLE AUTHORITY TO ELECT THE MEMBERS OF THE BOARD OF DIRECTORS. FALLON COMMUNITY HEALTH PLAN IS ENTITLED TO 4 VOTING MEMBERS AND MENORAH CAMPUS IS ENTITLED TO ELECT 2 VOTING MEMBERS OF THE COMPANY'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS USED BY MANAGEMENT AND GOVERNING BODY TO REVIEW FORM 990 A DRAFT OF THE FORM 990 IS PREPARED BY FALLON HEALTH WEINBERG 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, SECTION B, LINE 12C THE PROCESS USED TO MONITOR CONFLICTS OF INTEREST FHW'S BYLAWS REQUIRE A CONFLICT OF INTEREST PROCESS WHEREBY ALL DIRECTORS AND OFFICERS DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST. THIS IS ENFORCED BY THE REQUIREMENT THAT SUCH INDIVIDUALS ANNUALLY COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. FORM 990, PART VI, SECTION B, LINE 15 PROCESS OF DETERMINING COMPENSATION FOR CEO, TOP MANAGEMENT OFFICIALS, OFFICERS, AND KEY EMPLOYEES. THE TOP MANAGEMENT OFFICIAL OF FHW IS AN EMPLOYEE OF FCHP AND IS A MEMBER OF THE FCHP EXECUTIVE GROUP. THE FCHP EXECUTIVE GROUP COMPENSATION IS DETERMINED AS FOLLOWS: 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 2023, THE COMMITTEE CONSISTED OF THREE MEMBERS OF FCHP'S BOARD OF DIRECTORS WHO ARE NOT EMPLOYED BY THE ORGANIZATION. FCHP'S CEO SERVED AS AN EX OFFICIO MEMBER OF THE COMMITTEE WITHOUT A VOTING RIGHT. THE EXECUTIVE OFFICERS OVER WHOSE COMPENSATION THE COMMITTEE IS RESPONSIBLE ARE COMPRISED OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER ("CEO"), AND THE EXECUTIVE VICE PRESIDENT, AND SENIOR VICE PRESIDENT POSITIONS THAT REPORT DIRECTLY TO THE CEO ("EXECUTIVE GROUP"). IN 2023, 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. THROUGH JUNE 28, 2023, THE TOP FINANCIAL OFFICIAL OF THE ORGANIZATION WAS AN EMPLOYEE OF FHW. UPON HER DEPARTURE THIS RESPONSIBILITY WAS ASSUMED BY THE FCHP DIRECTOR OF FINANCIAL REPORTING ON JUNE 29, 2023. BOTH DIRECTORS REPORT DIRECTLY TO THE VP CORPORATE CONTROLLER OF FCHP. AS EMPLOYEES OF FHW AND FCHP, THEIR COMPENSATION IS BASED ON INDUSTRY SURVEYS AND MARKET ANALYSIS PERFORMED BY HR. ANNUAL MERIT INCREASES ARE BASED ON PERFORMANCE AND MARKET CONDITIONS. FORM 990, PART VI, SECTION C, LINES 18 & 19 HOW DOCUMENTS ARE MADE AVAILABLE TO PUBLIC FALLON HEALTH WEINBERG'S FORM 990 AND THE CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC ON THE WEBSITE WWW.GUIDESTAR.ORG AS WELL AS UPON REQUEST. THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ITS FINANCIAL STATEMENTS ARE ALSO PROVIDED UPON REQUEST. FORM 990, PART VII, SECTION A, COLUMN A NAME AND TITLE: THE FOLLOWING INDIVIDUALS' TITLES CHANGED DURING THE YEAR: MARY KAY VAUSE: DIRECTOR THROUGHOUT 2023 PER DIEM PROGRAM DIRECTOR, PACE EFFECTIVE 5/22/2023 ANTHONY FERNANDES: DIRECTOR FINANCIAL REPORTING EFFECTIVE 6/29/2023 Fallon Total Care Inc One Mercantile Street Worcester MA 01608 455591420 Healthcare MA 501(c)(3) PF FCHP false Fallon Community Health Plan One Mercantile Street Worcester MA 01608 237442369 Healthcare MA 501(c)(3) 10 NA false Fallon Health & Life Assurance Inc One Mercantile Street Worcester MA 01608 043169246 Healthcare MA FCHP C 0 0 0.00000 false Ultrabenefits Inc 22 Elm Street Worcester MA 01608 043525752 Third Party Admin MA FHLAC C 0 0 0.00000 false GISC Insurance Agency 22 ELM STREET WORCESTER MA 01608 043273689 Insurance Agency MA UBI C 0 0 0.00000 false false false false false true false false false false false false false true false true true false false false