2021-11-15T14:43:10-06:00 2020-12-31 PricewaterhouseCoopers LLP 101 SEAPORT BLVD SUITE 500 BOSTON MA 02210 990 2020-01-01 042708004 HARVARD PILGRIM HEALTH CARE FOUNDATION INC % KEVIN O'CONNOR HARV 7812636000 1 WELLNESS WAY CANTON MA 020211166 ROLAND PRICE TREASURER 7812636000 2021-11-15 true ROLAND PRICE 999009999 GWEN SPENCER P00641463 6175305000 2021-11-12 2 2020 2022-09-23 18:48:47Z X NORA MORENO CARGIE 1 WELLNESS WAY CANTON MA 020211166 16748610 false X WWW.HARVARDPILGRIM.ORG/FOUNDATION X 1980 MA SEE SCHEDULE O 11 10 0 11 0 0 6341915 7730066 0 0 280981 247097 0 0 6622896 7977163 4399270 10677226 0 0 1099148 1114488 0 0 0 1325360 1246626 6823778 13038340 -200882 -5061177 13366573 7219205 2161422 959052 11205151 6260153 X SEE SCHEDULE O false false 12731656 10677226 0 HARVARD PILGRIM HEALTH CARE FOUNDATION, INC., (THE FOUNDATION), OPERATES EXCLUSIVELY IN CONNECTION WITH HARVARD PILGRIM HEALTH CARE, INC. IN 2020, THE FOUNDATION SUPPORTED HEALTH AND WELLNESS INITIATIVES IN CONNECTION WITH A NUMBER OF COMMUNITY ORGANIZATIONS THROUGH ITS EMPLOYEE MINI-GRANT AND COMMUNITY SERVICE PROGRAMS, AND THROUGH ITS GRANTS TO NON-PROFIT FOOD PROGRAMS. 12731656 true true false false false false false false false false false false false false true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true true false false false true 0 0 0 false false false false false false false false false false false false X 11 10 true false false false true true true true true false false true true true true true true false false false MA NH X KEVIN O'CONNOR 6175095697 1 WELLNESS WAY CANTON MA 020211166 X MICHAEL A CARSON CHAIRMAN/DIRECTOR 5.0 45.0 X X 0 2245553 483956 MICHELLE J CLAYMAN FORMER TREASURER 0.0 50.0 X 0 472496 62519 ELIZABETH CREAVIN TREASURER 5.0 45.0 X 0 372053 30285 KAREN VOCI PRESIDENT 40.0 0.0 X 0 318106 50406 SUZANNE M FINN CLERK 5.0 45.0 X 0 174975 43837 HEIDI BROOKS DIRECTOR 2.0 0.0 X 0 0 0 MARTIN COHEN DIRECTOR 2.0 0.0 X 0 0 0 LISA DESISTO DIRECTOR 2.0 0.0 X 0 0 0 MARIANNE E FELICE MD DIRECTOR (UNTIL 6/20/20) 2.0 0.0 X 0 0 0 LEN FISHMAN DIRECTOR 2.0 0.0 X 0 0 0 CHRIS KNOPF DIRECTOR 2.0 0.0 X 0 0 0 NANCY GARRABRANTS DIRECTOR 2.0 0.0 X 0 0 0 MICHAEL NORTON DIRECTOR 2.0 0.0 X 0 0 0 CATHLEEN SCHMIDT DIRECTOR 2.0 0.0 X 0 0 0 ROBERT LEWIS JR DIRECTOR 2.0 0.0 X 0 0 0 TRACIE SPONENBERG DIRECTOR 2.0 0.0 X 0 0 0 0 3583183 671003 0 true true false SEE SCHEDULE O 0 7727066 3000 7730066 0 247089 247089 0 0 0 0 0 8771455 8771447 8 8 8 0 0 0 0 0 0 0 0 0 0 7977163 0 247097 10677226 10677226 0 0 0 368512 294810 73702 0 511967 476872 35095 0 234009 217045 16964 0 0 0 0 0 0 0 146694 146694 0 30115 29363 752 0 0 60807 57579 3228 8957 8827 130 0 0 0 0 0 0 MANAGEMENT SERVICE EXPENSE 781446 625157 156289 VOLUNTEER EVENT EXPENSE 114940 114940 BUSINESS EXPENSE 56595 45276 11319 TRAINING AND EDUCATION 39239 31601 7638 7833 6266 1567 13038340 12731656 306684 0 0 0 5744279 335180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7589606 6854830 0 0 0 0 0 0 32688 29195 13366573 7219205 33688 57186 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2127734 901866 2161422 959052 X 11205151 6260153 0 0 11205151 6260153 13366573 7219205 -5061177 116179 X false true X true X X 1 HARVARD PILGRIM HEALTH CARE INC (HPHC) 042452600 10 true 10677226 0 1 10677226 0 true false false false false true false false false false false false false false false true false SCHEDULE A, PART IV, LINES 1 & 6 THE FOUNDATION CARRIES OUT THE CHARITABLE PURPOSE OF HPHC, INC., ITS CONTROLLING SUPPORTED ORGANIZATION, BY MAKING GRANTS TO ORGANIZATIONS.(PLEASE SEE SCHEDULE I). THESE GRANTS PROVIDE FINANCIAL ASSISTANCE TO SUPPORT SOCIALLY BENEFICIAL COMMUNITY ACTIVITIES FOR PREVENTION ORIENTED PROGRAMS THAT PROMOTE HEALTH AND WELLNESS. THE MISSION OF HPHC, INC., THE FOUNDATION'S SUPPORTED ORGANIZATION, IS TO IMPROVE THE QUALITY AND VALUE OF HEALTH CARE FOR THE COMMUNITIES IT SERVES. THE FOUNDATION'S GRANT PROGRAM HELPS TO ACCOMPLISH THIS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO HPHC, INC. 901866 901866 X SCHEDULE D, PART X, LINE 2: THE CONSOLIDATED FINANCIAL STATEMENTS OF HARVARD PILGRIM HEALTH CARE, INC. AND AFFILIATES INCLUDE THE FOLLOWING ENTITIES: HARVARD PILGRIM HEALTH CARE, INC. ("HPHC, INC."), HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND, INC. ("NEW ENGLAND"), HARVARD PILGRIM HEALTH CARE FOUNDATION, INC. (THE "FOUNDATION"), HARVARD PILGRIM HEALTH CARE INSTITUTE, LLC (THE "INSTITUTE"), HPHC INSURANCE AGENCY (THE "AGENCY"), HPHC INSURANCE COMPANY, INC. (THE "INSURANCE COMPANY"), NEW HPHC HOLDING CORPORATION ("NEWCO") AND HEALTH PLANS, INC. AND SUBSIDIARIES ("HPI"). FOLLOWING IS THE RELEVANT PORTION OF THE FIN 48 FOOTNOTE FROM HARVARD PILGRIM HEALTH CARE, INC. AND AFFILIATES CONSOLIDATED FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES THAT APPLIES TO THE FILING ORGANIZATION. HPHC, INC., NEW ENGLAND, AND THE FOUNDATION ARE TAX-EXEMPT ORGANIZATIONS UNDER INTERNAL REVENUE SERVICE REGULATIONS. THE INSTITUTE HAS NO TAX STATUS AND THEREFORE FOLLOWS THE TAX-EXEMPT STATUS OF HPHC, INC. AS ITS SOLE MEMBER, HARVARD PILGRIM DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS AS OF DECEMBER 31, 2020 AND 2019. true ABBY'S HOUSE 52 HIGH ST WORCESTER MA 01609 042648411 501(C)(3) 7600 N/A N/A SHELTER FOR HOMELESS WOMEN AND CHILDRED ACCESSPORT AMERICA 119 HIGH ST ACTON MA 01720 043265194 501(C)(3) 11750 N/A N/A SPORTS PROGRAMS FOR DISABLED YOUTH AND ADULTS ADOPT A BLOCK OF AROOSTOOK PO BOX 517 HOULTON ME 04730 273532809 501(C)(3) 10000 N/A N/A FOOD, CLOTHING AND FURNITURE ASSISTANCE FOR ALAN DAY COMMUNITY GARDEN 26 WHITMAN STREET NORWAY ME 04268 272720573 501(C)(3) 35000 N/A N/A FOOD ACCESS PROGRAM ALFOND YOUTH AND COMMUNITY CENTER 126 NORTH STREET WATERVILLE ME 04901 043341661 501(C)(3) 10550 N/A N/A SUPPORT YOUTH SPORTS AND COMMUNITY CENTER ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER INC 2095 MAIN STREET BREWSTER MA 02631 455545397 501(C)(3) 10000 N/A N/A SUPPORT FAMILIES WITH LOVED ONE WHO HAS AMERICAN RED CROSS 2 MAITLAND STREET CONCORD NH 03301 530196605 501(C)(3) 21000 N/A N/A DISASTER ASSISTANCE AND TRAINING AMOSKEAG HEALTH 145 HOLLIS STREET MANCHESTER NH 03101 020458174 501(C)(3) 233000 N/A N/A COMMUNITY HEALTH CENTER AMPLEHARVESTORG INC 24 CLOVER RD NEWFOUNDLAND NJ 07435 272433274 501(C)(3) 10000 N/A N/A FOOD ACCESS PROGRAM ARC OF MASSACHUSETTS 217 SOUTH STREET WALTHAM MA 02453 042223502 501(C)(3) 20000 N/A N/A SPECIAL NEEDS SUPPORT AROOSTOOK COUNTY ACTION PO BOX 1116 PRESQUE ISLE ME 04769 010315849 501(C)(3) 10000 N/A N/A SOCIAL SERVICE PROGRAM BACKYARD GROWERS 3 DUNCAN STREET GLOUCESTER MA 01930 471553021 501(C)(3) 10500 N/A N/A GARDENING EDUCATION & PROMOTION BANGOR REGION YMCA 17 SECOND STREET BANGOR ME 04401 010211485 501(C)(3) 10000 N/A N/A HEALTH AND FITNESS PRPGRAM BAY COVE HUMAN SERVICES INC 66 CANAL STREET BOSTON MA 02114 042518575 501(C)(3) 10000 N/A N/A MENTAL HEALTH SUPPORT BEHAVIORAL HEALTH & DEVEL SVCS OF STRAFFORD CNTY 113 CROSBY RD STE 1 DOVER NH 03820 020366120 501(C)(3) 20000 N/A N/A MENTAL HEALTH SUPPORT BERKSHIRE COUNTY ARC INC 395 SOUTH STREET PITTSFIELD MA 01201 042218928 501(C)(3) 10000 N/A N/A SUPPORT FOR DOWNS SYNDROME & OTHER DISABILITIES BETH ISRAEL DEACONESS MEDICAL CENTER 330 BROOKLINE AVENUE BOSTON MA 02215 042103881 501(C)(3) 10000 N/A N/A HOSPITAL SERVICES BIG BROTHERS BIG SISTERS OF MID-MAINE 66 ELM STREET SUITE 100 CAMDEN ME 04843 010384833 501(C)(3) 10000 N/A N/A YOUTH MENTOR PROGRAM BIG BROTHERS BIG SISTERS OF SOUTHERN MAINE 625 MAIN STREET WESTBROOK ME 04092 010475146 501(C)(3) 10000 N/A N/A YOUTH MENTOR PROGRAM BIG SISTER ASSOC OF GREATER BOSTON 20 PARK PLAZA SUITE 1420 BOSTON MA 02116 042150651 501(C)(3) 43639 N/A N/A YOUTH MENTORSHIP PROGRAM BOOTHBAY REGION YMCA 261 TOWNSEND AVE PO BOX 500 BOOTHBAY HARBOR ME 04538 010237912 501(C)(3) 10000 N/A N/A HEALTH AND FITNESS PROGRAM BOSTON AREA GLEANERS 240 BEAVER STREET WALTHAM MA 02452 300434755 501(C)(3) 36050 N/A N/A FOOD ACCESS PROGRAM BOSTON CHARITABLE TRUST FUND 1 CITY HALL SQUARE BOSTON MA 02201 046528581 501(C)(3) 251000 N/A N/A CITY OF BOSTON COVID RELIEF BOSTON CHINATOWN NEIGHBORHOOD CENTER INC 885 WASHINGTON STREET BOSTON MA 02111 237209691 501(C)(3) 16000 N/A N/A CHILDCARE AND SERVICES FOR CHINATOWN FAMILIES BOSTON MEDICAL CENTER ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 043314093 501(C)(3) 22500 N/A N/A HEALTH CARE SERVICES BOYS AND GIRLS CLUB OF LAWRENCE 136 WATER ST LAWRENCE MA 01841 042104377 501(C)(3) 10000 N/A N/A HEALTHY YOUTH PROGRAMMING BOYS AND GIRLS CLUB OF MANCHESTER 555 UNION STREET MANCHESTER NH 03104 020226033 501(C)(3) 11000 N/A N/A HEALTHY YOUTH PROGRAMMING BOYS AND GIRLS CLUB OF SOUTHERN MAINE 277 CUMBERLAND AVE PORTLAND ME 04112 010211543 501(C)(3) 10000 N/A N/A HEALTHY YOUTH PROGRAMMING BOYS AND GIRLS CLUB OF WORCESTER 65 TAINTER ST WORCESTER MA 01610 042105851 501(C)(3) 10500 N/A N/A HEALTHY YOUTH PROGRAMMING BOYS AND GIRLS CLUBS OF BOSTON 200 HIGH STREET BOSTON MA 02110 042103922 501(c)(3) 101006 N/A N/A HEALTHY YOUTH PROGRAMMING BREAD OF LIFE 54 EASTERN AVE MALDEN MA 02148 223199801 501(C)(3) 10000 N/A N/A FOOD PANTRY SUPPORT BRIDGTON ACADEMY 11 ACADEMY LANE NORTH BRIDGTON ME 04057 010221344 501(C)(3) 10000 N/A N/A HEALTHY YOUTH PROGRAMMING BROCKTON AREA MULTI SERVICES INC 10 CHRISTYS DRIVE BROCKTON MA 02301 042562377 501(C)(3) 10000 N/A N/A HUMAN SERVICE SUPPORT CAMBRIDGE HEALTH ALLIANCE 230 HIGHLAND AVE SOMERVILLE MA 02143 010676306 501(c)(3) 7500 N/A N/A HEALTH SERVICES CAPE VERDEAN COMMUNITY INC 242 BOWDOIN STREET DORCHESTER MA 02122 300774430 501(C)(3) 10000 N/A N/A SUPPORT FOR FAMILIES IN NEED CARDINAL CUSHING CENTERS INC 405 WASHINGTON STREET HANOVER MA 02339 042104871 501(C)(3) 10000 N/A N/A SUPPORT INDEPENDENT LIVING CARIBE COMMUNICATIONS & PUBLICATIONS INC 175 MCCLELLAN HIGHWAY SUITE 1A EAST BOSTON MA 02128 042530767 7500 N/A N/A COVID-19 SAFETY/EDUCATION CAMPAIGN CATHOLIC CHARITIES MAINE PO BOX 10660 PORTLAND ME 04104 010280225 501(C)(3) 50000 N/A N/A HUMAN SERVICES SUPPORT CENTER FOR LATINO PROGRESS-CPRF 95 PARK STREET HARTFORD CT 06106 061385027 501(C)(3) 10000 N/A N/A CULTURAL AND HUMAN SERVICES SUPPORT CENTRAL LINCOLN COUNTY YMCA 525 MAIN STREET PO BOX 787 DAMARISCOTTA ME 04543 012978129 501(C)(3) 10000 N/A N/A HEALTH AND FITNESS PROGRAMS CENTRAL MASSACHUSETTS AGENCY ON AGING INC 330 SOUTHWEST CUTOFF WORCESTER MA 01604 042547633 501(C)(3) 10000 N/A N/A AGING SUPPORT SERVICES CHARTER OAK HEALTH CENTER INC 21 GRAND STREET HARTFORD CT 06106 060986747 501(C)(3) 10000 N/A N/A FOOD ACCESS PROGRAM CHICA INC 98 NORTH WASHINGTON ST BOSTON MA 02114 453866647 501(C)(3) 16550 N/A N/A LATINA MENTORING PROGRAM CIFC COMMUNITY HEALTH CENTER 120 MAIN ST DANBURY CT 06810 912187143 501(C)(3) 10000 N/A N/A HEALTH SERVICES CITY MISSION INC 185 COLUMBIA RD BOSTON MA 02121 042104003 501(C)(3) 10000 N/A N/A HUMAN SERVICES SUPPORT CLIFFORD W BEERS GUIDANCE CLINIC INC 5 SCIENCE PARK NEW HAVEN CT 06511 060646757 501(C)(3) 25650 N/A N/A MENTAL HEALTH SUPPORT COASTAL FOODSHED INC 466 BROCK AVE NEW BEDFORD MA 02744 824559064 501(C)(3) 283304 N/A N/A FOOD ACCESS PROGRAM CODMAN SQUARE HEALTH INC PO BOX 845374 BOSTON MA 02284 042678774 501(C)(3) 10000 N/A N/A HEALTH SERVICES COLOR OF CHANGE EDUCATION FUND INC 1714 FRANKLIN ST OAKLAND CA 94612 455569879 501(C)(3) 27500 N/A N/A ANTI-RACISM TRAINING AND ADVOCACY COLUMBUS HOUSE INC 586 ELLA GRASSO BLVD NEW HAVEN CT 06519 222511873 501(C)(3) 10000 N/A N/A HOMELESS SERVICES SUPPORT COMMUNITY ACTION PROGRAM 2 INDUSTRIAL PARK DRIVE CONCORD NH 03302 020270376 501(c)(3) 10000 N/A N/A HUMAN SERVICE SUPPORT COMMUNITY CARE COOPERATIVE INC 75 FEDERAL STREET BOSTON MA 02110 813005904 501(C)(3) 1000000 N/A N/A HEALTH SERVICES SUPPORT COMMUNITY CLINICAL SERVICES INC 57 BIRCH ST STE 102 LEWISTON ME 04240 010409788 501(C)(3) 233000 N/A N/A HEALTH SERVICES COMMUNITY CONCEPTS INC 240 BATES STREET LEWISTON ME 04240 010424969 501(c)(3) 10000 N/A N/A HUMAN SERVICE SUPPORT COMMUNITY HARVEST PROJECT INC 37 WHEELER ROAD NORTH GRAFTON MA 01536 043424018 501(C)(3) 35781 N/A N/A FOOD ACCESS PROGRAM COMMUNITY HEALTH SERVICES 500 ALBANY AVE HARTFORD CT 06120 060863942 501(C)(3) 10000 N/A N/A HEALTH SERVICES COMMUNITY HLTH & WELLNESS CNTR OF GRTR TORRINGTON 469 MIGEON AVE TORRINGTON CT 06790 562286940 501(C)(3) 20000 N/A N/A HEALTH SERVICES COMMUNITY SERVINGS 179 AMORY STREET JAMAICA PLAIN MA 02130 223154028 501(C)(3) 16550 N/A N/A FOOD ACCESS PROGRAM CONNECTICUT FOOD BANK INC 2 RESEARCH PARKWAY WALLINGFORD CT 06492 061063025 501(C)(3) 50550 N/A N/A FOOD ACCESS SUPPORT CONSUMERS FOR AFFORDABLE HEALTH CARE 12 CHURCH STREET AUGUSTA ME 04330 043366975 501(C)(3) 10000 N/A N/A HEALTH CARE ADVOCACY COOS COUNTY FAMILY HEALTH SERVICES 133 PLEASANT ST BERLIN NH 03570 020350051 501(C)(3) 233000 N/A N/A HEALTH SERVICES SUPPORT CORNELL SCOTT HILL HEALTH CENTER 400 COLUMBUS AVE NEW HAVEN CT 06519 060870990 501(C)(3) 10000 N/A N/A HEALTH SERVICES COUNCIL OF CHURCHES OF GREATER BRIDGEPORT 1718 CAPITAL AVENUE BRIDGEPORT CT 06604 060647008 501(C)(3) 220000 N/A N/A FOOD ACCESS SUPPORT CRADLES TO CRAYONS 155 NORTH BEACON ST BRIGHTON MA 02135 043584367 501(C)(3) 12000 N/A N/A CHILDREN'S CLOTHING SUPPORT CROSSROADS FOR WOMEN 114 MAIN ST WINDHAM ME 04062 010473057 501(C)(3) 10000 N/A N/A ADDICTION TREATMENT SUPPORT CUMBERLAND COUNTY FOOD SECURITY COUNCIL 494 ROUTE 1 YARMOUTH ME 04096 822642533 501(C)(3) 35000 N/A N/A FOOD ACCESS SUPPORT DAMARISCOTTA RIVER ASSOCIATION PO BOX 333 DAMARISCOTTA ME 04543 237303162 501(C)(3) 35000 N/A N/A FOOD ACCESS SUPPORT DANIEL'S TABLE INC 10 PEARL ST FRAMINGHAM MA 01702 473166043 501(C)(3) 10550 N/A N/A FOOD ACCESS SUPPORT DCU CENTER FOR KIDS 220 DONALD LYNCH BLVD MIDDLEBOROUGH MA 01752 202184636 501(c)(3) 15000 N/A N/A CHILD SUPPORT SERVICES DIMOCK CENTER 55 DIMOCK STREET ROXBURY MA 02119 043487835 501(C)(3) 215881 N/A N/A HEALTH SERVICES DOVE INC PO BOX 690267 QUINCY MA 02269 042667808 501(C)(3) 9550 N/A N/A DOMESTIC VIOLENCE PREVENTION DOWN EAST AIDS NETWORK 5 LONG LANE ELLSWORTH ME 04605 010441229 501(C)(3) 11000 N/A N/A AIDS SUPPORT EASTER SEALS NEW HAMPSHIRE INC 555 AUBURN STREET MANCHESTER NH 03103 020272825 501(C)(3) 7250 N/A N/A SUPPORT FOR DISABLED EDWARD M KENNEDY COMMUNITY HEALTH CENTER 650 LINCOLN STREET WORCESTER MA 01605 042513817 501(C)(3) 20000 N/A N/A HEALTH SERVICES ELDER SERVICES OF THE MERRIMACK VALLEY INC 280 MERRIMACK STREET LAWRENCE MA 01843 042545136 501(C)(3) 187120 N/A N/A EDUCATIONAL PROGRAMS FOR OLDER ADULTS ELDER SERVICES OF WORCESTER AREA 67 MILLBROOK STREET WORCESTER MA 01606 042545221 501(C)(3) 10000 N/A N/A SUPPORT FOR OLDER ADULTS END HUNGER CT 65 HUNGERFORD STREET HARTFORD CT 06106 061545835 501(C)(3) 10000 N/A N/A HUNGER PREVENTION ADVOCACY FAIR HAVEN COMMUNITY HEALTH CLINIC 374 GRAND AVE NEW HAVEN CT 06513 060883545 501(C)(3) 160000 N/A N/A HEALTH SERVICES FAIRGATE FARM INC 40 CLINTON AVENUE STAMFORD CT 06901 300942697 501(C)(3) 32640 N/A N/A FOOD ACCESS SUPPORT FAMILIES IN TRANSITION 122 MARKET STREET MANCHESTER NH 03101 020475414 501(C)(3) 184040 N/A N/A HOMELESS SERVICES SUPPORT FIRST CHOICE HEALTH CENTERS INC 94 CONNECTICUT BLVD EAST HARTFORD CT 06108 061416492 501(C)(3) 150000 N/A N/A HEALTH SERVICES FOOD FOR FREE COMMITTEESINC 11 INMAN STREET CAMBRIDGE MA 02139 222561771 501(C)(3) 10550 N/A N/A FOOD ACCESS SUPPORT FOOD LINK INC 17 BRATTLE STREET ARLINGTON MA 02476 471840355 501(C)(3) 10000 N/A N/A FOOD ACCESS SUPPORT FOODSHARE INC 450 WOODLAND AVE BLOOMFIELD CT 06002 222474771 501(C)(3) 50000 N/A N/A FOOD ACCESS SUPPORT FOUNDATION FOR A STRONG MAINE ECONOMY 128 STATE STREET AUGUSTA ME 04330 300036992 501(C)(3) 50000 N/A N/A ECONOMIC SERVICES SUPPORT FRANNIE PEABODY CENTER 30 DANFORTH STREET PORTLAND ME 04102 010416974 501(C)(3) 10100 N/A N/A HIV SUPPORT SERVICES FREEPORT COMMUNITY SERVICES 53 DEPOT ST FREEPORT ME 04032 010332769 501(C)(3) 10000 N/A N/A HUMAN SERVICES SUPPORT FRIENDS OF THE MILLBURY SENIORS INC 1 RIVER STREET MILLBURY MA 01527 042741592 501(C)(3) 7700 N/A N/A SENIOR SERVICES SUPPORT SPONSOR FULL PLATES FULL POTENTIAL 188 STATE STREET PORTLAND ME 04101 822032867 501(C)(3) 10000 N/A N/A CHILD ANTI-HUNGER SUPPORT SPONSOR GATHER 210 WEST ROAD PORTSMOUTH NH 03801 020226943 501(C)(3) 35550 N/A N/A FOOD ACCESS SUPPORT SPONSOR GIFTS OF LOVE INC PO BOX 463 AVON CT 06001 061309318 501(C)(3) 10000 N/A N/A CRISIS FURNITURE/CLOTJHING SUPPORT SPONSOR GOOD SHEPHERD FOOD BANK P O BOX 1807 AUBURN ME 04211 222986809 501(C)(3) 164450 N/A N/A FOOD ACCESS SUPPORT SPONSOR GOOD WILL HOME ASSOCIATION 16 Prescott Drive HICKLEY ME 04944 010211508 501(C)(3) 6790 N/A N/A SUPPORT FOR AT RISK YOUTH GOODWILL INDUSTRIES OF NORTHERN NEW ENGLAND 34 HUTCHERSON DR GORHAM ME 04038 010284340 501(C)(3) 10000 N/A N/A SUPPORT PEOPLE WITH DIFFERENT CHALLENGES GRAFTON COUNTY SENIOR CITIZENS COUNCIL INC 10 CAMPBELL STREET LEBANON NH 03766 237248316 501(C)(3) 10000 N/A N/A SUPPORT FOR SENIORS GRANITE STATE INDEPENDENT LIVING 21 CHENELL DRIVE CONCORD NH 03301 020350170 501(C)(3) 10000 N/A N/A SUPPORT FOR DISABLED GRANITE UNITED WAY 22 CONCORD STREET MANCHESTER NH 03101 026006033 501(C)(3) 50000 N/A N/A COMMUNITY SUPPORT GREATER BOSTON CHINESE GOLDEN AGE CENTER 75 KNEELAND STREET Boston MA 02111 237181452 501(C)(3) 10000 N/A N/A SENIOR CULTURAL ORGANIZATION GREATER BOSTON FOOD BANK 70 SOUTH BAY AVE BOSTON MA 02118 042717782 501(C)(3) 20000 N/A N/A FOOD ACCESS SUPPORT GREATER SPRINGFIELD SENIOR SERVICES INC 66 INDUSTRY AVENUE SPRINGFIELD MA 01104 042510895 501(C)(3) 10000 N.A N/A SUPPORT FOR SENIORS GROUNDWORK LAWRENCE INC 50 ISLAND STREET LAWRENCE MA 01840 043546770 501(c)(3) 20000 N/A N/A FOOD ACCESS SUPPORT GROW FOOD NORTHAMPTON INC 221 PINE STREET FLORENCE MA 01062 010959428 501(C)(3) 35000 N/A N/A FOOD ACCESS SUPPORT GROWING PLACES GARDEN PROJECT INC 325 LINDELL AVE LEOMINSTER MA 01453 100004885 501(C)(3) 35000 N/A N/A FOOD ACCESS SUPPORT HANDS ON HARTFORD 55 BARTHOLOMEW AVE HARTFORD CT 06106 060861268 501(C)(3) 13250 N/A N/A HUMAN SERVICES SUPPORT HANOVER THEATER INC 2 SOUTHBRIDGE STREET WORCESTER MA 01608 050521735 501(C)(3) 10000 N/A N/A THEATER ARTS SUPPORT HARBOR 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TURNPIKE ROAD SHREWSBURY MA 01545 043071457 501(C)(3) 17650 N/A N/A FOOD ACCESS SUPPORT YMCA OF SOUTHERN MAINE 70 FOREST AVE PORTLAND ME 04101 010211568 501(C)(3) 93000 N/A N/A HEALTH AND FITNESS PROGRAMS YMCA OF THE NORTH SHORE 245 CABOT STREET BEVERLY MA 01915 042104913 501(C)(3) 10000 N/A N/A HEALTH AND FITNESS PROGRAMS YWCA CENTRAL MAINE 130 EAST AVENUE LEWISTON ME 04240 010211570 501(C)(3) 10000 N/A N/A HEALTH AND FITNESS PROGRAMS YWCA GREATER NEWBURYPORT 13 MARKETING ST NEWBURYPORT MA 01950 042123678 501(C)(3) 35000 N/A N/A FOOD ACCESS SUPPORT 265 8 MONITORING PROCEDURES - FORM 990, SCHEDULE I, PART I, LINE 2 MINI GRANTS OF $500 EACH ARE APPROVED BY AN APPOINTED COMMITTEE BEFORE THEY ARE ISSUED. MINI GRANTS OF $500 EACH ARE RECOMMENDED BY EMPLOYEES WHO FILL OUT A DETAILED APPLICATION REGARDING THE PURPOSE OF FUNDS, AND MUST PROVE THAT FUNDS WILL GO TO A LEGAL, NOT-FOR-PROFIT ORGANIZATION, WHERE THE EMPLOYEE LIVES OR WHERE HPHC DOES BUSINESS. FOUNDATION STAFF REVIEW THESE APPLICATIONS FOR ACCURACY OF PURPOSE AND LEGITIMACY OF THE ORGANIZATION. FOUNDATION STAFF RECOMMENDATIONS ARE REVIEWED BY A NON-STAFF APPOINTED COMMITTEE. REPORTS ON THESE GRANTS ARE COLLECTED FROM A SAMPLE OF THESE ORGANIZATIONS. FOUNDATION'S INTERNAL MANAGEMENT REPORTS A SUMMARY OF THIS INFORMATION TO THE FOUNDATION'S BOARD. OTHER MORE SIGNIFICANT COMMUNITY GRANTS REQUIRE A CONCEPT PROPOSAL TO BE SUBMITTED AND APPROVED BY AN APPOINTED COMMITTEE. ONCE THE GRANTS ARE APPROVED, THE FOUNDATION EMPLOYEES PERFORM SITE VISITS AND REGULAR EVALUATIONS OF THE GRANTS. IN ADDITION, THE FOUNDATION HIRES AN INDEPENDENT EVALUATION GROUP TO REVIEW GRANT RESULTS. ADDITIONALLY, FORMAL FISCAL REPORTING OF ALL GRANTS IS PERFORMED AND REVIEWED BY EMPLOYEES OF THE FOUNDATION. false true false false false false false false false MICHAEL A CARSON CHAIRMAN/DIRECTOR 0 1201911 0 1006704 0 36938 0 449070 0 34886 0 2729509 0 0 KAREN VOCI PRESIDENT 0 228704 0 78350 0 11052 0 22800 0 27606 0 368512 0 0 ELIZABETH CREAVIN TREASURER 0 271919 0 92369 0 7765 0 22800 0 7485 0 402338 0 0 SUZANNE M FINN CLERK 0 168300 0 5603 0 1072 0 11309 0 32528 0 218812 0 0 MICHELLE J CLAYMAN FORMER TREASURER 0 322200 0 137162 0 13134 0 22800 0 39719 0 535015 0 0 SCHEDULE J, PART I, LINE 3 HARVARD PILGRIM HEALTH CARE FOUNDATION, INC. (THE FOUNDATION) RELIED ON HARVARD PILGRIM HEALTH CARE, INC. (HPHC, INC.), A RELATED ORGANIZATION OF THE FOUNDATION, TO ESTABLISH ITS PRESIDENT'S COMPENSATION. THE METHODS USED BY HPHC, INC. ARE AS FOLLOWS: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SCHEDULE J, PART I, LINE 4B LONG TERM INCENTIVE PLAN HPHC, INC., A RELATED ORGANIZATION TO THE FOUNDATION, ADOPTED A LONG-TERM INCENTIVE PLAN FOR CERTAIN SENIOR EXECUTIVES FOR THE MEASUREMENT PERIOD 2019-2021. THE PLAN IS BASED ON MULTIPLE PERFORMANCE MEASURES. IN ANTICIPATION OF AND CONTINGENT UPON CLOSING THE CHANGE IN CONTROL TRANSACTION BETWEEN HARVARD PILGRIM HEALTH CARE AND TUFTS HEALTH PLAN IN EARLY 2021, THE PLAN WAS TERMINATED AND THE MEASUREMENT PERIOD WAS SHORTENED TO TWO YEARS (2019-2020), EFFECTIVE 12/31/2020. SUBJECT TO A PLAN PARTICIPANT'S EMPLOYMENT STATUS, EARNINGS BASED ON PLAN RESULTS AS OF THE END OF 2020 WILL BE PAID TO SUCH PARTICIPANT BY 3/15/2021. THE ANNUAL DEFERRED COMPENSATION ACCRUALS FOR 2020 ARE INCLUDED IN THE SCHEDULE J, PART II, COLUMN (C). PART I, LINE 1 AND PART III, LINE 1: ORGANIZATION'S MISSION The Harvard Pilgrim Health Care Foundation ("The Foundation") supports Harvard Pilgrim Health Care, Inc.'s ("HPHC, Inc.") mission to improve the quality and value of health care for the people and communities we serve. The Foundation provides the tools, training and leadership to build healthy communities throughout Massachusetts, Connecticut, Maine, and New Hampshire. In 2020, the Foundation awarded more than $10.7 million in grants to nearly 800 not-for-profit organizations in the region, including nearly $1 million in grants distributed through the Foundation's Healthy Food Fund. This Fund supports programs across the region that grow, glean and distribute fresh food for families and communities. Since its inception in 1980, the Foundation has awarded approximately $165 million in funds and resources throughout the four states. PART I, LINE 6: THE FOUNDATION'S VOLUNTEERS INCLUDE UNCOMPENSATED DIRECTORS WHO SERVE ON A VOLUNTARY BASIS. PART VI, LINE 2: BUSINESS RELATIONSHIP - THE FOLLOWING INDIVIDUALS SERVE ON THE BOARDS OF ONE OR MORE FOR PROFIT ORGANIZATIONS RELATED TO THE FOUNDATION, AND/OR ARE EMPLOYED BY AN ORGANIZATION (OTHER THAN THE FILING ORGANIZATION), FOR WHICH ANOTHER PERSON LISTED SERVES AS AN OFFICER OR DIRECTOR. KAREN VOCI - PRESIDENT MICHAEL A. CARSON - CHAIR ELIZABETH CREAVIN - TREASURER SUZANNE M. FINN - CLERK PART VI, LINE 6: HPHC, INC. IS THE PARENT AND SOLE MEMBER OF THE FOUNDATION. PART VI, LINE 7A: HPHC, INC. IS THE SOLE MEMBER OF THE FOUNDATION. THE HPHC, INC. BOARD OF DIRECTORS AT ITS ANNUAL MEETING RATIFIES THE SLATE OF ELECTED FOUNDATION DIRECTORS WHEN IT ELECTS THE DIRECTORS OF ITS SUBSIDIARIES. ANY VACANCY IN THE FOUNDATION'S BOARD OF DIRECTORS MAY BE FILLED BY THE HPHC, INC. BOARD OF DIRECTORS OR BY THE MAJORITY OF THE FOUNDATION DIRECTORS THEN IN OFFICE. PART VI, LINE 7B: THE FOUNDATION'S BYLAWS SET FORTH RESERVED POWERS OF THE SOLE MEMBER, HPHC, INC., WHICH INCLUDE THE POWER TO APPROVE CERTAIN ACTIONS, SUCH AS ANY AMENDMENT TO THE FOUNDATION'S ARTICLES OF ORGANIZATION OR BYLAWS; THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE FOUNDATION; AND THE SALE, LEASE, TRANSFER OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE FOUNDATION'S ASSETS. PART VI, LINE 11B: ONCE THE FOUNDATION'S FORM 990 IS COMPLETED WITH THE ASSISTANCE OF ITS OUTSIDE TAX ADVISORS, IT IS REVIEWED BY HPHC, INC.'S INTERNAL MANAGEMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS. PART VI, LINE 12C: THE FOUNDATION'S DIRECTORS AND OFFICERS ARE SUBJECT TO THE FOUNDATION'S CONFLICTS OF INTEREST POLICY AS SET FORTH IN THE FOUNDATION'S BYLAWS. THE CONFLICTS OF INTEREST POLICY REQUIRES DIRECTORS AND OFFICERS TO DISCLOSE ON AN ONGOING BASIS THE OCCURRENCE OF ANY SITUATION WHEN THEIR PERSONAL INTERESTS OR RELATIONSHIPS MIGHT INFLUENCE, OR APPEAR TO INFLUENCE, THEIR ABILITY TO MAKE OBJECTIVE DECISIONS IN THE COURSE OF PERFORMING THEIR FIDUCIARY RESPONSIBILITIES, ARE PREJUDICIAL TO THE LEGITIMATE INTERESTS OF THE FOUNDATION, OR CAUSE THE USE OF THE FOUNDATION RESOURCES FOR OTHER THAN FOUNDATION PURPOSES. IN ADDITION TO BEING SUBJECT TO THE FOUNDATION'S CONFLICTS OF INTEREST POLICY, THE FOUNDATION'S DIRECTORS AND OFFICERS ARE ANNUALLY REQUIRED TO COMPLETE AND SIGN A CONFLICTS OF INTEREST DISCLOSURE SURVEY, AND ANY DISCLOSED POTENTIAL CONFLICTS ARE REPORTED TO THE BOARD OF DIRECTORS, IN ACCORDANCE WITH THE DISCLOSURE AND REVIEW PROCESS SET FORTH IN THE FOUNDATION'S BYLAWS. IN ADDITION, THE FOUNDATION'S STAFF ARE SUBJECT TO HARVARD PILGRIM HEALTH CARE'S (SOLE MEMBER OF THE FOUNDATION) CODE OF CONDUCT WHICH INCLUDES A CONFLICTS OF INTEREST POLICY. THE CONFLICTS OF INTEREST POLICY REQUIRES EMPLOYEES TO DISCLOSE ON AN ONGOING BASIS THE OCCURRENCE OF ANY SITUATION WHEN THEIR OUTSIDE ACTIVITIES, PERSONAL INTERESTS OR RELATIONSHIPS MIGHT INFLUENCE, OR APPEAR TO INFLUENCE, THEIR ABILITY TO MAKE OBJECTIVE DECISIONS IN THE COURSE OF PERFORMING THEIR JOB RESPONSIBILITIES, ARE PREJUDICIAL TO THE LEGITIMATE INTERESTS OF THE FOUNDATION, OR CAUSE THE USE OF THE FOUNDATION RESOURCES FOR OTHER THAN FOUNDATION PURPOSES. EMPLOYEES COMMUNICATE DISCLOSURES TO THEIR SUPERVISORS AND TO THE COMPLIANCE PROGRAM OFFICE. THE COMPLIANCE PROGRAM OFFICE, IN COLLABORATION WITH THE LEGAL DEPARTMENT, MAKE A DETERMINATION IF SUCH DISCLOSURE IS MATERIAL AND NEEDS TO BE MANAGED, MITIGATED, OR ELIMINATED. PART VI, LINE 19: THE FOUNDATION FURNISHES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICTS OF INTEREST POLICY TO THE PUBLIC UPON REQUEST. PART VII, SECTION B, LINE 1: ANY INDEPENDENT CONTRACTORS ARE RETAINED BY THE PARENT COMPANY, HPHC, INC. 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