Fallon Total Care Inc.

Form 990, Part I, Line 1 & Part III, Line 1

“FALLON TOTAL CARE, INC. (FTC)'S MISSION. FTC'S MISSION IS TO MAKE A POSITIVE DIFFERENCE BY IMPROVING THE HEALTH AND WELLNESS OF OUR COMMUNITIES THROUGH THE DELIVERY OF HIGH QUALITY, ECONOMICAL HEALTHCARE SERVICES TO BOTH MEDICARE AND MEDICAID ELIGIBLE POPULATION FROM 21 TO 64 YEARS OF AGE. IN PRIOR YEARS, FTC'S PROGRAM ACTIVITIES CONSISTED OF PREPAID HEALTHCARE IN THE COMMONWEALTH OF MASSACHUSETTS. MEMBERS PAY NO PREMIUMS, CO-PAYMENTS, OR CO-INSURANCE WHILE PARTICIPATING IN THE PLAN. ALLPREMIUMS ARE PAID BY STATE AND FEDERAL AGENCIES TO COVER TRADITIONAL MEDICAID AND MEDICARE SERVICES. IN ADDITION TO THESE SERVICES, FTC PROVIDES COMPREHENSIVE CARE MANAGEMENT, DEDICATED NAVIGATORS, EXPANDED DENTAL AND LONG TERM SERVICE AND SUPPORT BENEFITS. THIS PROGRAM CEASED IN 2016 AND CURRENTLY HAS NO MEMBERS. THE ORGANIZATION IS CURRENTLY INACTIVE. FORM 990, PART VI, SECTION A, LINE 1B NONE OF THE VOTING MEMBERS ARE INDEPENDENT BECAUSE THE MEMBERS ARE EMPLOYEES OF THE PARENT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS - THE FOLLOWING INDIVIDUALS HAVE BUSINESS RELATIONSHIPS. THEY HOLD A POSITION OF OFFICER OR DIRECTOR IN ANOTHER ORGANIZATION: MICHAEL NICKEY, CHRISTINE CASSIDY AND R. SCOTT WALKER. FORM 990, PART VI, SECTION A, LINE 6 ORGANIZATION'S MEMBERS OR STOCKHOLDERS THE ORGANIZATION'S MEMBER IS FALLON COMMUNITY HEALTH PLAN, INC. (FCHP), THE PARENT COMPANY. FORM 990, PART VI, SECTION A, LINE 7A MEMBER'S POWER TO ELECT THE GOVERNING BODY THE PARENT COMPANY CAN ELECT THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS OF THE ORGANIZATION RESERVED TO MEMBERS OTHER THAN THE GOVERNING BODY FCHP MAY APPROVE THE DECISIONS OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED BY MANAGEMENT AND GOVERNING BODY TO REVIEW 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, SECTION B, LINE 12C DESCRIBE THE PROCESS TO MONITOR CONFLICTS OF INTEREST FTC'S PROCESS OF MONITORING CONFLICTS OF INTEREST IS SAME AS ITS PARENT ORGANIZATION, FCHP. FTC'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. 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. FTC ALSO REQUIRES ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO COMPLETE A WRITTEN DISCLOSURE STATEMENT DESIGNED TO IDENTIFY POTENTIAL CONFLICTS. FTC 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 OF THE PARENT. FORM 990, PART VI, LINES 18 AND 19 FTC'S FORM 990 AND ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. FTC'S FORM 990, FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY, ARE ALSO PROVIDED UPON REQUEST. FORM 990, PART XI, LINE 9 The organization returned 13,000,000 of the Paid In Capital to the parent company.”