2020-11-13T08:09:28-06:00 2019-12-31 PricewaterhouseCoopers LLP 101 SEAPORT BLVD SUITE 500 BOSTON MA 02210 990 2019-01-01 042708004 HARVARD PILGRIM HEALTH CARE FOUNDATION INC % BETH CREAVIN HARV 7812636000 93 WORCESTER STREET WELLESLEY MA 024819181 ELIZABETH CREAVIN TREASURER 7812636000 2020-11-10 true GWEN SPENCER P00641463 6175305000 2020-11-09 155.201.35.58 04363820203185000002 2020-11-13 P B47CCF04BD3B2E015E6960197D502E2208D5D56B DE212994CC427EF67BDB5B2B6C2540CA263F8E91 2019 2021-01-29 14:40:06Z KAREN VOCI 93 WORCESTER STREET WELLESLEY MA 024819181 6622896 false X WWW.HARVARDPILGRIM.ORG/FOUNDATION X 1980 MA SEE SCHEDULE O 12 11 0 11 0 0 14337472 6341915 0 0 73323 280981 0 0 14410795 6622896 3551612 4399270 0 0 1086862 1099148 0 0 0 1273623 1325360 5912097 6823778 8498698 -200882 11603971 13366573 509862 2161422 11094109 11205151 X SEE SCHEDULE O false false 6510796 4399270 0 HARVARD PILGRIM HEALTH CARE FOUNDATION, INC., (THE FOUNDATION), OPERATES EXCLUSIVELY IN CONNECTION WITH HARVARD PILGRIM HEALTH CARE, INC. IN 2019, 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. 6510796 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 12 11 true false true false true true true true true false false true true true true true true false false false MA NH X BETH CREAVIN 6175095692 93 WORCESTER STREET WELLESLEY MA 024819181 X MICHAEL A CARSON CHAIRMAN/DIRECTOR 5.0 45.0 X X 0 1968850 589377 MICHELLE J CLAYMAN FORMER TREASURER 0.0 50.0 X 0 403699 60451 ELIZABETH CREAVIN TREASURER 5.0 45.0 X 0 341331 29152 KAREN VOCI PRESIDENT 40.0 0.0 X 0 301961 46555 SUZANNE M FINN CLERK 5.0 45.0 X 0 162775 43164 JOSEPH F O'DONNELL M DIRECTOR (UNTIL 06/19) 2.0 3.0 X 0 33800 0 HEIDI BROOKS DIRECTOR 2.0 0.0 X 0 0 0 MARTIN COHEN VICE CHAIR/DIRECTOR 2.0 0.0 X X 0 0 0 LISA DESISTO DIRECTOR 2.0 0.0 X 0 0 0 MARIANNE E FELICE M DIRECTOR 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 JOSHUA KRAFT DIRECTOR (UNTIL 06/19) 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 LAUREN SMITH DIRECTOR (UNTIL 06/19) 2.0 0.0 X 0 0 0 CATHLEEN SCHMIDT DIRECTOR 2.0 0.0 X 0 0 0 ROBERT LEWIS JR DIRECTOR (AS OF 06/19) 2.0 0.0 X 0 0 0 TRACIE SPONENBERG DIRECTOR (AS OF 06/19) 2.0 0.0 X 0 0 0 0 3212416 768699 0 true true false SEE SCHEDULE O 0 6338844 3071 6341915 0 280981 280981 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6622896 280981 4399270 4399270 0 0 0 352665 282132 70533 0 521907 481094 40813 0 224576 207014 17562 0 0 0 0 0 0 0 165526 165526 0 40575 37985 2590 0 0 65213 60971 4242 41040 39956 1084 0 30328 24634 5694 0 0 0 0 MANAGEMENT SERVICE EXPENSE 813706 650965 162741 VOLUNTEER EVENT EXPENSE 130358 130358 BUSINESS EXPENSE 26841 21473 5368 TRAINING AND EDUCATION 8826 7061 1765 2947 2357 590 6823778 6510796 312982 0 0 0 9273152 5744279 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2311632 7589606 0 0 0 0 0 0 19187 32688 11603971 13366573 120741 33688 0 0 0 0 0 0 0 0 0 0 0 0 0 0 389121 2127734 509862 2161422 X 11094109 11205151 0 0 11094109 11205151 11603971 13366573 -200882 311924 X false true X true X X 1 HARVARD PILGRIM HEALTH CARE INC (HPHC) 042452600 10 true 4399270 0 1 4399270 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. 2127734 2127734 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 OF CONNECTICUT, INC. ("HPHC OF CT"), 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, HPHC OF CT, 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, 2019 AND 2018. true ABBY KELLEY FOUNDATION 52 HIGH STREET WORCESTER MA 01609 042648411 501(C)(3) 9000 N/A N/A WOMEN'S HOMELESS SERVICES ALAN DAY COMMUNITY GARDEN 26 WHITMAN STREET NORWAY ME 04268 272720573 501(C)(3) 25000 N/A N/A FOOD ACCESS ALZHEIMER ASSOCIATION 309 WAVERLY OAKS RD WALTHAM MA 02452 133039601 501(C)(3) 7500 N/A N/A ALZHEIMERS EDUCATION AND SUPPORT AMERICAN FARMLAND TRUST 1150 CONNECTICUT AVE WASHINGTON DC 20036 521190211 501(C)(3) 47500 N/A N/A ADVOCACY TRAINING TOOLKIT AMERICAN HEART ASSOCIATION 51 US ROUTE 1 SCARBOROUGH ME 04074 135613797 501(C)(3) 48000 N/A N/A HEART HEALTH EDUCATION AMERICAN RED CROSS 431 18TH STREET NW WASHINGTON DC 20006 530196605 501(C)(3) 11880 N/A N/A DISASTER ASSISTANCE PARTNERSHIP AMOSKEAG HEALTH 145 HOLLIS STREET MANCHESTER NH 03101 020458174 501(C)(3) 10000 N/A N/A COMMUNITY HEALTH CENTER SUPPORT ARC OF MASSACHUSETTS 217 SOUTH STREET WALTHAM MA 02453 042223502 501(C)(3) 20750 N/A N/A SPECIAL NEEDS SUPPORT BABSON COLLEGE 231 FOREST ST RM 161 WELLESLEY MA 02481 042103544 501(C)(3) 36000 N/A N/A MOBILE MARKET THINK TANK BASE THE 11 WALNUT PARK ROXBURY MA 02119 461856641 501(C)(3) 36250 N/A N/A SUPPORT FOR URBAN CHILDREN BETH ISRAEL DEACONESS PLYMOUTH 275 SANDWICH STREET PLYMOUTH MA 02360 222667354 501(C)(3) 10000 N/A N/A HEALTH CARE SERVICES BIG SISTER ASSOC OF GREATER BOSTON 20 PARK PLAZA SUITE 1420 BOSTON MA 02116 042150651 501(C)(3) 18000 N/A N/A GIRL MENTORSHIP BOSTON AREA GLEANERS 240 BEAVER STREET WALTHAM MA 02452 300434755 501(C)(3) 25000 N/A N/A FOOD ACCESS BOSTON BRUINS FOUNDATION ONE HUNDRED LEGENDS WAY BOSTON MA 02114 200172439 501(C)(3) 34000 N/A N/A COMMUNITY NEEDS SUPPORT BOSTON CHILDRENS HOSPITAL 401 PARK DRIVE SUITE 602 BOSTON MA 02215 042774441 501(C)(3) 27662 N/A N/A CHILD HEALTH BOSTON COLLEGE CAMPUS SCHOOL COMMONWEALTH AVE CHESTNUT HILL MA 02467 042103545 501(C)(3) 13000 N/A N/A EDUCATIONAL SERVICES BOSTON FOUNDATION THE 75 ARLINGTON STREET BOSTON MA 02116 042104021 501(C)(3) 10000 N/A N/A CIVIC LEADERSHIP PROMOTION BOSTON MED FLIGHT HANSCOM AF BASE BEDFORD MA 01730 222582060 501(C)(3) 7500 N/A N/A MEDICAL TRANSPORTATION SERVICES BOSTON MEDICAL CENTER 801 MASS AVE BOSTON MA 02118 043314093 501(C)(3) 19000 N/A N/A HEALTH CARE SERVICES BOYS AND GIRLS CLUBS OF BOSTON 200 HIGH STREET BOSTON MA 02110 042103922 501(c)(3) 141482 N/A N/A CHILD DEVELOPMENT BRIDGE OVER TROUBLED WATER INC 47 WEST STREET BOSTON MA 02111 042472126 501(C)(3) 6000 N/A N/A HOMELESS YOUTH SERVICES CAMP COURANT INC 285 BROAD STREET HARTFORD CT 06115 061018155 501(C)(3) 18000 N/A N/A YOUTH SUMMER RECREATION PROGRAM CARDINAL CUSHING CENTERS INC WASHINGTON ST HANOVER MA 02339 042104871 501(C)(3) 7000 N/A N/A DISABLED SUPPORT SERVICES CASA OF NH PO BOX 1327 MANCHESTER NH 03105 020432242 501(C)(3) 7000 N/A N/A CHILD ADVOCACY CHILDRENS MUSEUM & THEATRE OF MAINE 142 FREE STREET PORTLAND ME 04101 010352258 501(C)(3) 10000 N/A N/A FAMILY EDUCATION CITY OF BOSTON 1 CITY HALL SQUARE BOSTON MA 02201 043290071 115 22500 N/A N/A MUNICIPAL SERVICES CITY YEAR INC 287 COLUMBUS AVE BOSTON MA 02116 222882549 501(c)(3) 52500 N/A N/A SCHOOL DROPOUT PREVENTION CITY YEAR NEW HAMPSHIRE 848 ELM STSUITE 201 MANCHESTER NH 03101 222882549 501(C)(3) 20800 N/A N/A SCHOOL DROPOUT PREVENTION COASTAL FOODSHED INC 466 BROCK AVE NEW BEDFORD MA 02744 824559064 501(C)(3) 63000 N/A N/A FOOD ACCESS COMMON IMPACT INC 195 MONTAGUE STREET BROOKLYN NY 11201 300440394 501(C)(3) 20000 N/A N/A CORPORATE SOCIAL RESPONSIBILITY CONSULTING COMMUNITY CONCEPTS INC 17 MARKET SQUARE SOUTH PARIS ME 04281 010424969 501(c)(3) 7000 N/A N/A FOOD ACCESS COMMUNITY HARVEST PROJECT INC 37 WHEELER ROAD NORTH GRAFTON MA 01536 043424018 501(C)(3) 25000 N/A N/A FAMILY SUPPORT SERVICES CONNECTICUT FORUM INC THE 750 MAIN STREET HARTFORD CT 06103 061343149 501(c)(3) 20000 N/A N/A COMMUNITY DEVELOPMENT COUNCIL OF CHURCHES OF GREATER BRIDGEPORT 1718 CAPITAL AVE BRIDGEPORT CT 06604 060647008 501(C)(3) 60500 N/A N/A FOOD ACCESS CRADLES TO CRAYONS 155 NORTH BEACON ST BRIGHTON MA 02135 043584367 501(C)(3) 5350 N/A N/A CHILD RESOURCES CUMBERLAND COUNTY FOOD SECURITY COUNCIL 494 ROUTE 1 YARMOUTH ME 04096 822642533 501(C)(3) 25000 N/A N/A FOOD ACCESS DAMARISCOTTA RIVER ASSOCIATION PO BOX 333 DAMARISCOTTA ME 04543 237303162 501(C)(3) 25000 N/A N/A FOOD ACCESS DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE BOSTON MA 02215 042263040 501(C)(3) 5750 N/A N/A CANCER TREATMENT AND PREVENTION DCU CENTER FOR KIDS DONALD LYNCH BLVD MIDDLEBOROUGH MA 01752 202184636 501(c)(3) 12500 N/A N/A CHILD SUPPORT SERVICES DIMOCK CENTER 55 DIMOCK STREET ROXBURY MA 02119 043487835 501(C)(3) 70000 N/A N/A COMMUNITY HEALTH CENTER SUPPORT DIOCESE OF WORCESTER 49 ELM STREET WORCESTER MA 01609 042106686 501(C)(3) 10000 N/A N/A COMMUNITY SUPPORT DOVE INC PO BOX 690267 QUINCY MA 02269 042667808 501(C)(3) 12500 N/A N/A DOMESTIC VIOLENCE PREVENTION EASTER SEALS NEW HAMPSHIRE INC 555 AUBURN STREET MANCHESTER NH 03103 020272825 501(C)(3) 11000 N/A N/A SUPPORT FOR DISABLED ELDER SERVICES OF THE MERRIMACK VALLEY INC 280 MERRIMACK STREET LAWRENCE MA 01843 042545136 501(C)(3) 150526 N/A N/A EDUCATIONAL PROGRAMS FOR OLDER ADULTS FAIRGATE FARM INC 40 CLINTON AVENUE STAMFORD CT 06901 300942697 501(C)(3) 22640 N/A N/A FOOD ACCESS FAMILIES IN TRANSITION 122 MARKET STREET MANCHESTER NH 03101 020475414 501(C)(3) 11500 N/A N/A HOMELESS SERVICES FENWAY HEALTH 1340 BOYLSTON STREET BOSTON MA 02215 042510564 501(C)(3) 7000 N/A N/A GLBTQ HEALTH SERVICES FOOD PROJECT INC 10 LEWIS STREET LINCOLN MA 01773 043262532 501(C)(3) 11250 N/A N/A FOOD ACCESS FOODSHARE INC 450 WOODLAND AVE BLOOMFIELD CT 06002 222474771 501(C)(3) 7500 N/A N/A FOOD ACCESS FRANCIS OUIMET SCHOLARSHIP FUND 300 ARNOLD PALMER BLVD NORTON MA 02766 042234126 501(C)(3) 10000 N/A N/A ACEDEMIC SCHOLARSHIP FOR GOLF STUDENT GATHER 210 WEST ROAD PORTSMOUTH NH 03801 020226943 501(C)(3) 25000 N/A N/A FOOD ACCESS GLBTQ LEGAL ADVOCATED & DEFENDERS INC 18 TREMONT STREET BOSTON MA 02108 042660498 501(C)(3) 5500 N/A N/A GLBTQ LEGAL SERVICES GOOD SHEPHERD FOOD BANK PO BOX 1807 AUBURN ME 04211 222986809 501(c)(3) 15000 N/A N/A FOOD ACCESS GRANITE PATHWAYS 865 ISLINGTON ST PORTSMOUTH NH 03801 270327352 501(C)(3) 10000 N/A N/A SUBSTANCE ABUSE SERVICES GRANTMAKERS IN AGING JEFFERSON DAVIS HW ARLINGTON MA 22202 134014982 501(C)(3) 5900 N/A N/A PHILANTHROPY TRADE ORGANIZATION GRANTMAKERS IN HEALTH CONNECTICUT AVE WASHINGTON DC 20036 133206571 501(C)(3) 11500 N/A N/A HEALTH PHILANTHROPY TRADE ORGANIZATION GREATER HARTFORD COMMUNITY FOUNDATION INC 90 STATEHOUSE SQ HARTFORD CT 06103 421684133 501(C)(3) 8525 N/A N/A COMMUNITY SUPPORT SERVICES GROUNDWORK LAWRENCE INC 50 ISLAND STREET LAWRENCE MA 01840 043546770 501(c)(3) 25000 N/A N/A FOOD ACCESS GROW FOOD NORTHAMPTON INC 221 PINE STREET FLORENCE MA 01062 010959428 501(C)(3) 25000 N/A N/A FOOD ACCESS GROWING PLACES GARDEN PROJECT INC 325 LINDELL AVE LEOMINSTER MA 01453 100004885 501(C)(3) 25000 N/A N/A FOOD ACCESS HANOVER THEATRE INC 2 SOUTHBRIDGE STREET WORCESTER MA 01608 050521735 501(C)(3) 10000 N/A N/A THEATRE ARTS SUPPORT HARBOR HOMES INC 77 NORTHEASTERN BLVD NASHUA NH 03062 020351932 501(C)(3) 7684 N/A N/A SUBSTANCE ABUSE SERVICES HARTFORD BUSINESS IMPROVEMENT DISTRICT 31 PRATT ST 5TH FL HARTFORD CT 06103 412229120 501(C)(3) 8500 N/A N/A CITY IMPROVEMENT SERVICES HARTFORD FOOD SYSTEM INC 190 WETHERSFIELD AVE HARTFORD CT 06114 060991880 501(C)(3) 33900 N/A N/A FOOD ACCESS HARTFORD MARATHON FOUNDATION INC 41 SEQUIN DRIVE GLASTONBURY CT 06033 061415320 501(C)(3) 17500 N/A N/A RACE SPONSORSHIP HARTFORD PROMISE 750 MAIN STREET HARTFORD CT 06103 810924703 501(C)(3) 15825 N/A N/A YOUTH DEVELOPMENT HEAD OF THE CHARLES REGATTA INC PO BOX 380052 CAMBRIDGE MA 02238 043317489 501(C)(3) 25000 N/A N/A RACE SPONSORSHIP HEALTH CARE FOR ALL INC 1 FEDERAL STREET BOSTON MA 02110 043071598 501(C)(3) 25500 N/A N/A HEALTH CARE SUPPORT HEALTH RESOURCES IN ACTION INC 95 BERKELEY STREET BOSTON MA 02116 042229839 501(c)(3) 51000 N/A N/A EVALUATION SERVICES HEALTHY ACADIA 140 STATE ST STE 1 ELLSWORTH ME 04605 270548057 501(C)(3) 25000 N/A N/A FOOD ACCESS HOME FOR LITTLE WANDERERS 10 GUEST STREET BOSTON MA 02135 042104764 501(c)(3) 11500 N/A N/A HOMELESS SERVICES HORACE BUSHNELL MEMORIAL HALL CORPORATION 166 CAPITOL AVENUE HARTFORD CT 06106 060662112 501(C)(3) 9380 N/A N/A THEATRE ARTS SUPPORT INSTITUTE FOR FAMILY-OWNED BUSINESS PO BOX 3364 PORTLAND ME 04104 262428220 501(c)(3) 7950 N/A N/A BUSINESS SUPPORT SERVICES JUST ROOTS INC 34 GLENBROOK DRIVE GREENFIELD MA 01301 371637062 501(C)(3) 25020 N/A N/A FOOD ACCESS JUVENILE DIABETES RESEARCH FOUNDATION INC 175 AMMON DR MANCHESTER NH 03103 231907729 501(C)(3) 11000 N/A N/A DIABETES EDUCATION AND SUPPORT KENEY PARK SUSTAINABILITY PROJECT INC 183 WINDSOR AVE WINDSOR CT 06095 061536163 501(C)(3) 30000 N/A N/A FOOD ACCESS LAHEY CLINIC HOSPITAL INCORPORATED 41 MALL ROAD BURLINTON MA 01805 042704686 501(C)(3) 11000 N/A N/A HEALTH CARE SERVICES MADISON PARK DEVELOPMENT CORPORATION 184 DUDLEY ST ROXBURY MA 02119 237164223 501(C)(3) 25233 N/A N/A FOOD ACCESS MAINE FARMLAND TRUST INC 97 MAIN STREET BELFAST ME 04915 010528014 501(C)(3) 25000 N/A N/A FOOD ACCESS MAINE MEDICAL CENTER 22 BRAMHALL ST PORTLAND ME 04102 010238552 501(C)(3) 510000 N/A N/A MEDICAL STUDENT SCHOLARSHIP MAINE PUBLIC BROADCASTING 1450 LISBON STREET LEWISTON ME 04240 223171529 501(C)(3) 21250 N/A N/A EDUCATION AND INFORMATION MANCHESTER POLICE ATHLETIC LEAGUE 409 BEECH ST MANCHESTER NH 03103 020459470 501(C)(3) 6000 N/A N/A YOUTH DEVELOPMENT MASSACHUSETTS ASSOCIATION FOR MENTAL HEALTH INC 50 FEDERAL ST 6TH FL BOSTON MA 02110 042104711 501(C)(3) 10000 N/A N/A MENTAL HEALTH SUPPORT MASSACHUSETTS HEALTH COUNCIL INC 200 RESEVIOR ST NEEDHAM MA 02494 042296739 501(C)(3) 7500 N/A N/A HEALTH SERVICES SUPPORT MASSACHUSETTS MILITARY SUPPORT FOUNDATION MEETINGHOUSE WAY W BARNSTABLE MA 02668 821605363 501(C)(3) 10000 N/A N/A MILITARY SERVICE SUPPORT MASSACHUSETTS WOMENS POLITICAL CAUCUS 89 SOUTH STREET STE 603 BOSTON MA 02111 042738443 501(c)(3) 7500 N/A N/A WOMENS DEVELOPMENT MENTAL HEALTH CENTER OF GREATER MANCHESTER 401 CYPRESS STREET MANCHESTER NH 03103 020258994 501(C)(3) 7500 N/A N/A MENTAL HEALTH SUPPORT MERRIMACK COLLEGE 315 TURNPIKE ST NORTH ANDOVER MA 01845 042103731 501(c)(3) 6000 N/A N/A EDUCATIONAL SERVICES MUSEUM OF SCIENCE 1 SCIENCE PARK BOSTON MA 02114 042103916 501(C)(3) 7500 N/A N/A SCIENCE EDUCATION NAMI MASSACHUSETTS 529 MAIN ST BOSTON MA 02129 042777012 501(C)(3) 21000 N/A N/A MENTAL HEALTH SUPPORT NASHUA SOUP KITCHEN & SHELTER INC PO BOX 3116 NASHUA NH 03061 020359239 501(C)(3) 20250 N/A N/A HOMELESS AND HUNGER SERVICES NATIONAL MULTIPLE SCLEROSIS SOCIETY 101A FIRST AVENUE WALTHAM MA 02451 135661935 501(C)(3) 6500 N/A N/A MS EDUCATION AND SUPPORT NETWORK FOR EXCELLENCE IN HEALTH INNOVATION 133 FEDERAL ST 9TH FL BOSTON MA 02210 010624865 501(C)(3) 10000 N/A N/A HEALTH INNOVATION NEW BRITAIN ROOTS INC PO BOX 853 NEW BRITAIN CT 06050 464350118 501(C)(3) 15087 N/A N/A FOOD ACCESS NEW ENGLAND BAPTIST HOSPITAL 125 PARKER HILL AVE BOSTON MA 02120 042103612 501(C)(3) 10000 N/A N/A MEDICAL SERVICES NEW ENGLAND EMPLOYEE BENEFITS COUNCIL 240 BEAR HILL ROAD WALTHAM MA 02451 042725284 501(C)(3) 10125 N/A N/A EMPLOYEE BENEFIT SUPPORT NEW ENGLAND PATRIOTS CHARITABLE FOUNDATION ONE PATRIOT PLACE FOXBOROUGH MA 02035 043244069 501(C)(3) 65000 N/A N/A COMMUNITY SUPPORT SERVICES NEW HAMPSHIRE CATHOLIC CHARITIES 215 MYRTLE ST MANCHESTER NH 03104 020222163 501(C)(3) 12500 N/A N/A COMMUNTIY SUPPORT SERVICES NEW HAMPSHIRE FOOD BANK E INDUSTRIAL PARK DR MANCHESTER NH 03109 020222163 501(C)(3) 27900 N/A N/A HUNGER RELIEF SERVICES NEW HAVEN FARMS PO BOX 8953 NEW HAVEN CT 06532 451794893 501(C)(3) 25000 N/A N/A FOOD ACCESS NH CENTER FOR NONPROFITS 194 PLEASANT ST STE 14 CONCORD NH 03301 810555176 501(C)(3) 7500 N/A N/A NON-PROFIT EDUCATION AND SUPPORT NORWOOD PUBLIC SCHOOLS 245 NICHOLS STREET NORWOOD MA 02062 042774441 115 5750 N/A N/A EDUCATIONAL SERVICES OGUNQUIT PLAYHOUSE FOUNDATION 42 MAIN STREET OGUNQUIT ME 03907 010490316 501(C)(3) 10082 N/A N/A THEATRE ARTS SUPPORT OLYMPIA SNOWE WOMENS LEADERSHIP INSTITUTE ONE CANAL PLAZA PORTLAND ME 04101 461398374 501(C)(3) 10000 N/A N/A GIRL MENTORSHIP ORGANIZATION FOR REFUGEE & IMMIGRANT SUCCESS 434 LAKE AVENUE MANCHESTER NH 03103 760826598 501(C)(3) 60500 N/A N/A FOOD ACCESS PALACE THEATER 100 E MAIN ST WATERBBURY CT 06702 020620399 501(C)(3) 5250 N/A N/A THEATRE ARTS SUPPORT PENQUIS CAP INC 262 HARLOW ST BANGOR ME 04402 016023748 501(C)(3) 25000 N/A N/A FOOD ACCESS PORTLAND SYMPHONY ORCHESTRA 50 MONUMENT SQ PORTLAND ME 04101 016006058 501(C)(3) 6000 N/A N/A MUSIC ARTS SUPPORT REALITY CHECK INC 17 TURNPIKE RD JAFREY NH 03452 263344553 501(C)(3) 10000 N/A N/A ADDICTION SERVICES RED SOX FOUNDATION 4 YAWKEY WAY BOSTON MA 02215 331007984 501(C)(3) 10000 N/A N/A COMMUNITY SUPPORT REGIONAL ENVIRONMENTAL COUNCIL INC PO BOX 255 WORCESTER MA 01613 046364350 501(C)(3) 25750 N/A N/A FOOD ACCESS REGIS COLLEGE ANNUAL FUND 235 WELLESLEY ST BOX 30 WESTON MA 02493 042104451 501(C)(3) 10500 N/A N/A EDUCATIONAL SERVICES RIVERSIDE INDUSTRIES INC 1 COTTAGE STREET EAST HAMPTON MA 01027 042438444 501(C)(3) 6000 N/A N/A DISABILITY SUPPORT SERVICES ROSIE'S PLACE 889 HARRISON AVENUE BOSTON MA 02118 042582187 501(C)(3) 7550 N/A N/A WOMEN'S HOMELESS SERVICES SAINT ANSELM COLLEGE 100 SAINT ANSELM DR MANCHESTER NH 03102 020222182 501(c)(3) 10000 N/A N/A EDUCATIONAL SERVICES SCHWARTZ CTR FOR COMPASSIONATE CARE PO BOX 417597 BOSTON MA 02241 041564655 501(C)(3) 40000 N/A N/A HEALTH CARE STAFF SUPPORT SERVICES SHINE INITIATIVE THE 44 PORTLAND STREET WORCESTER MA 01608 043537449 501(C)(3) 5015 N/A N/A MENTAL HEALTH SUPPORT SPANISH AMERICAN CENTER INC 112 SPRUCE ST LEOMINSTER MA 01453 042761759 501(C)(3) 10000 N/A N/A LATINO SUPPORT SERVICES TAPROOT FARM & ENVIRONMENTAL EDUCATION CENTER PO BOX 245 LANCASTER NH 03584 473594106 501(C)(3) 25000 N/A N/A FOOD ACCESS TD BEACH TO BEACON 10K PO BOX 6252 CAPE ELIZABETH ME 04107 010514334 501(C)(3) 30000 N/A N/A FITNESS PROMOTION THE MUSIC HALL CHESTNUT STREET PORTSMOUTH NH 03801 020403452 501(C)(3) 15000 N/A N/A THEATRE ART SUPPORT THIRD SECTOR NEW ENGLAND INC 89 SOUTH STREET STE 700 BOSTON MA 02111 042261109 501(C)(3) 25450 N/A N/A NONPROFIT EDUCATION AND SUPPORT TOWN OF BRAINTREE 1 JFK MEMORIAL DR BRAINTREE MA 02184 046001097 115 5500 N/A N/A MUNICIPAL SERVICES TRUSTEES OF BOSTON UNIVERSITY 881 COMMONWEALTH AVE BOSTON MA 02215 042103547 501(C)(3) 20500 N/A N/A EDUCATIONAL SERVICES TUFTS UNIVERSITY 419 BOSTON AVE MEDFORD MA 02155 042103634 501(C)(3) 5746 N/A N/A EDUCATIONAL SERVICES UMASS MEMORIAL FOUNDATION 333 SOUTH STREET SHREWSBURY MA 01545 043108190 501(c)(1) 14400 N/A N/A MEDICAL SERVICES UNITED WAY OF MASS BAY AND MERRIMACK VALLEY 51 SLEEPER STREET BOSTON MA 02210 042382233 501(C)(3) 8900 N/A N/A COMMUNITY SUPPORT UNIVERSARY AT BUFFALO FOUNDATION INC PO BOX 900 BUFFALO NY 14226 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GREATER BOSTON 316 HUNTINGTON AVE BOSTON MA 02115 042103551 501(C)(3) 7500 N/A N/A FAMILY FITNESS SUPPORT YWCA GREATER NEWBURYPORT 13 MARKETING STREET NEWBURYPORT MA 01950 042123678 501(C)(3) 25000 N/A N/A FOOD ACCESS 137 1 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 953149 0 992213 0 23488 0 568900 0 20477 0 2558227 0 275550 KAREN VOCI PRESIDENT 0 203872 0 69418 0 28671 0 20450 0 26105 0 348516 0 0 ELIZABETH CREAVIN TREASURER 0 253464 0 81766 0 6101 0 22400 0 6752 0 370483 0 0 SUZANNE M FINN CLERK 0 155860 0 5921 0 994 0 12275 0 30889 0 205939 0 0 MICHELLE J CLAYMAN FORMER TREASURER 0 291493 0 105096 0 7110 0 22263 0 38188 0 464150 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 CHAIRMAN AND 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 2016-2018 THAT PAID OUT IN 2019. HPHC, INC. ADOPTED A SIMILAR PLAN FOR 2019-2021. THE PLAN IS BASED ON A VARIETY OF PERFORMANCE MEASURES AND AMOUNTS ARE EARNED OVER A THREE YEAR PERIOD. SOME OR ALL OF THE DEFERRED COMPENSATION AMOUNTS REPORTED HEREIN FOR THE POTENTIAL EARNINGS UNDER THE PLAN MAY OR MAY NOT BE PAID TO THE EXECUTIVES BASED ON THE EXECUTIVE'S EMPLOYMENT STATUS AND THE ACTUAL RESULTS OF THE PERFORMANCE MEASURES AS DETERMINED AT THE END OF THE APPLICABLE THREE YEAR PERIOD. ANNUAL ACCRUALS ARE INCLUDED IN THE SCHEDULE J, PART II, COLUMN (C). THE FOLLOWING INDIVIDUALS WERE PAID THE FOLLOWING AMOUNTS FROM THE 2016-2018 PLAN DURING THE CALENDAR YEAR 2019: MICHAEL A. CARSON - $275,550 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 2019, the Foundation awarded approximately $4.4 million in grants to more than 990 not-for-profit organizations in the region, including nearly $0.9 million in grants distributed through the Foundation's Healthy Food Fund. This Fund supports programs across the region that grow and distribute fresh food for families and communities. Since its inception in 1980, the Foundation has awarded approximately $155 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 4 THE FOUNDATION AMENDED ITS BY-LAWS TO UPDATE THE QUALIFICATION OF ITS OFFICERS TO INCLUDE THE POSITION OF VICE CHAIR, EFFECTIVE JUNE 2019. 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 FIRST REVIEWED BY HPHC, INC.'S INTERNAL MANAGEMENT AND THEN BY HPHC, INC.'S AUDIT COMMITTEE CHAIRPERSON (AN INDEPENDENT MEMBER OF THE BOARD OF DIRECTORS OF HPHC, INC.). FOLLOWING THAT REVIEW, HPHC, INC. AND OUTSIDE TAX ADVISORS PRESENT THE FORM 990 TO THE AUDIT COMMITTEE. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE HPHC, INC. BOARD OF DIRECTORS AS WELL AS THE FOUNDATION 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 FOUNDATIONS 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 CARES (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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