2019-11-14T11:15:41-06:00 2018-12-31 PricewaterhouseCoopers LLP 101 SEAPORT BLVD SUITE 500 BOSTON MA 02210 990 2018-01-01 042708004 HARVARD PILGRIM HEALTH CARE FOUNDATION INC % BETH CREAVIN HARV 7812636000 93 WORCESTER STREET WELLESLEY MA 024819181 ELIZABETH CREAVIN TREASURER 7812636000 2019-11-13 true GWEN SPENCER P00641463 6175305000 2019-11-12 167.68.125.77 04363820193185000006 2019-11-14 P 502E9D7DF2DC237FB1436A97DBD0F14D19F2DD5A F456C520C4F0493F307ED3F1DC1F0DE42227702A 2018 2020-03-31 21:24:44Z KAREN VOCI 93 WORCESTER STREET WELLESLEY MA 024819181 14410795 false X WWW.HARVARDPILGRIM.ORG/FOUNDATION X 1980 MA SEE SCHEDULE O 13 12 0 12 0 0 6397125 14337472 0 0 52608 73323 0 0 6449733 14410795 3910381 3551612 0 0 1148845 1086862 0 0 0 1261909 1273623 6321135 5912097 128598 8498698 2918477 11603971 266555 509862 2651922 11094109 X SEE SCHEDULE O false false 5609229 3551612 HARVARD PILGRIM HEALTH CARE FOUNDATION, INC., (THE FOUNDATION), OPERATES EXCLUSIVELY IN CONNECTION WITH HARVARD PILGRIM HEALTH CARE, INC. IN 2018, 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. 5609229 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 13 12 true false false false true true true true true false false true true true true true true false false false MA X BETH CREAVIN 6175095692 93 WORCESTER STREET WELLESLEY MA 024819181 X MICHAEL A CARSON CHAIRMAN/DIRECTOR (AS OF 6/18) 5.0 45.0 X X 0 862964 427200 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 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 2.0 0.0 X 0 0 0 JOSEPH F O'DONNELL MD DIRECTOR 2.0 3.0 X 0 54400 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 2.0 0.0 X 0 0 0 CATHLEEN SCHMIDT DIRECTOR 2.0 0.0 X 0 0 0 ERIC H SCHULTZ CHAIRMAN/DIRECTOR (UNTIL 6/18) 5.0 45.0 X X 0 1273961 33387 KAREN VOCI PRESIDENT 40.0 0.0 X 0 278150 46566 ELIZABETH CREAVIN TREASURER 5.0 45.0 X 0 311436 31235 SUZANNE M FINN CLERK 5.0 45.0 X 0 154782 42297 MICHELLE J CLAYMAN FORMER TREASURER 0.0 40.0 X 0 331206 55253 0 3266899 635938 0 true true false SEE SCHEDULE O 0 14332601 4871 14337472 0 73323 73323 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14410795 0 73323 3551612 3551612 0 0 0 324716 259772 64944 0 537873 492061 45812 0 224273 205171 19102 0 0 0 0 0 0 0 175450 175450 0 41923 40821 1102 0 0 62370 58694 3676 31454 30367 1087 0 36171 31606 4565 0 0 0 0 MANAGEMENT SERVICE EXPENSE 775351 620281 155070 VOLUNTEER EVENT EXPENSE 113350 113350 BUSINESS EXPENSE 27602 22082 5520 MEMBERSHIPS AND DUES 1400 1120 280 8552 6842 1710 5912097 5609229 302868 0 0 0 358867 9273152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2544600 2311632 0 0 0 0 0 0 15010 19187 2918477 11603971 42409 120741 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224146 389121 266555 509862 X 2651922 11094109 0 0 0 0 2651922 11094109 2918477 11603971 8498698 -56511 X false true X true X X 1 HARVARD PILGRIM HEALTH CARE INC (HPHC) 042452600 10 true 3551612 0 1 3551612 true false false false false true false false false false false false false false false true false SCHEDULE A, PART IV, LINE 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. 389121 389121 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"), HPHC HOLDING CORPORATION AND SUBSIDIARY ("HOLDINGS"), 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, 2018 AND 2017. true ACCESSPORTAMERICA 119 HIGH ST ACTON MA 01720 043265194 501(C)(3) 22500 N/A N/A DISABILITY SUPPORT AIDS ACTION COMMITTEE OF MASSACHUSETTS 75 ARMORY ST BOSTON MA 02119 222707246 501(C)(3) 10000 N/A N/A HIV PREVENTION AIDS PROJECT WORCESTER 85 GREEN STREET WORCESTER MA 01604 042970467 501(C)(3) 6000 N/A N/A HIV PREVENTION AMERICAN CANCER SOCIETY 30 SPEEN STREET FRAMINGHAM MA 01701 131788491 501(c)(3) 5500 N/A N/A CANCER PREVENTION SUPPORT AMERICAN FARMLAND TRUST 1150 CONNECTICUT AVE WASHINGTON DC 20036 521190211 501(C)(3) 37500 N/A N/A FARMLAND PRESERVATION AMERICAN HEART ASSOCIATION 51 US ROUTE 1 SCARBOROUGH ME 04074 135613797 501(C)(3) 42500 N/A N/A HEART DISEASE PREVENTION AND SUPPORT AMERICAN RED CROSS 101 STATION LANDING MEDFORD MA 02155 530196605 501(C)(3) 18013 N/A N/A DISASTER ASSISTANCE ANDROSCOGGIN HOME CARE & HOSPICE 15 STRAWBERRY AVE LEWISTON ME 04240 010227184 501(C)(3) 8000 N/A N/A HOSPICE CARE ARC OF MASSACHUSETTS 217 SOUTH STREET WALTHAM MA 02453 042223502 501(C)(3) 14000 N/A N/A SPECIAL NEEDS SUPPORT BAY COVE HUMAN SERVICES INC 66 CANAL STREET BOSTON MA 02114 042518575 501(C)(3) 5500 N/A N/A MENTAL HEALTH SUPPORT BIG SISTER ASSOC OF GREATER BOSTON 20 PARK PLAZA SUITE 1420 BOSTON MA 02116 042150651 501(C)(3) 28600 N/A N/A FEMALE YOUTH DEVELOPMENT BOSTON AREA GLEANERS 240 BEAVER STREET WALTHAM MA 02452 300434755 501(C)(3) 25500 N/A N/A FOOD ACCESS SUPPORT BOSTON CHINATOWN NEIGHBORHOOD CENTER INC 885 WASHINGTON STREET BOSTON MA 02111 237209691 501(C)(3) 37000 N/A N/A CULTURAL SUPPORT BOSTON CLUB INC PO BOX 1126 MARBLEHEAD MA 01945 042605110 501(C)(6) 8000 N/A N/A WOMENS DEVELOPMENT BOSTON FOUNDATION THE 75 ARLINGTON STREET BOSTON MA 02116 042104021 501(C)(3) 5157 N/A N/A CIVIL RIGHTS SUPPORT BOSTON HEALTH CARE FOR THE HOMELESS 780 ALBANY ST BOSTON MA 02118 043160480 501(C)(3) 6500 N/A N/A EVENT SPONSORSHIP BOSTON MEDICAL CENTER 801 MASS AVE BOSTON MA 02118 043314093 501(C)(3) 15500 N/A N/A HEALTH CARE SUPPORT BOSTON PUBLIC MARKET PO BOX 130457 BOSTON MA 02113 043556884 501(C)(3) 5200 N/A N/A FOOD ACCESS SUPPORT BOYS AND GIRLS CLUBS OF BOSTON 200 HIGH STREET BOSTON MA 02110 042103922 501(c)(3) 118031 N/A N/A YOUTH DEVELOPMENT BRAIN INJURY ASSOCIATION OF NEW HAMPSHIRE 52 PLEASANT STREET CONCORD NH 03301 020397683 501(C)(3) 9000 N/A N/A BRAIN INJURY PREVENTION BRASS CITY HARVEST PO BOX 11115 WATERBURY CT 06703 753263005 501(C)(3) 22349 N/A N/A FOOD ACCESS SUPPORT BRIDGE OVER TROUBLED WATER INC 47 WEST STREET BOSTON MA 02111 042472126 501(C)(3) 10000 N/A N/A MENTAL HEALTH SUPPORT CAREGIVERS INC THE 1 PERIMETER ROAD 900 MANCHESTER NH 03103 020395429 501(c)(3) 10000 N/A N/A CAREGIVING SUPPORT CENTER FOR GRIEVING CHILDREN 555 FOREST AVE PORTLAND ME 04101 010431501 501(C)(3) 6000 N/A N/A SUPPORT FOR GRIEVING CHILDREN CHILDRENS MUSEUM & THEATRE OF MAINE 142 FREE STREET PORTLAND ME 04101 010352258 501(C)(3) 11000 N/A N/A CHILD EDUCATION CITY OF WORCESTER 1 SKYLINE DRIVE WORCESTER MA 01605 046001418 115 6500 N/A N/A OLDER ADULT SUPPORT CITY SCHOOL INC THE 614 COLUMBIA RD DORCHESTER MA 02125 020532474 501(C)(3) 5500 N/A N/A EVENT SPONSORSHIP CITY YEAR INC 287 COLUMBUS AVE BOSTON MA 02116 222882549 501(c)(3) 32500 N/A N/A EDUCATION PROVIDER CODMAN SQUARE HEALTH INC 637 WASHINGTON STREET BOSTON MA 02124 042678774 501(C)(3) 25000 N/A N/A HEALTH CARE SUPPORT COMMON IMPACT INC 195 MONTAGUE STREET BROOKLYN NY 11201 300440394 501(C)(3) 20505 N/A N/A COMMUNITY SUPPORT COMMUNITY CONCEPTS INC 240 BATES STREET LEWISTON ME 04240 010424969 501(c)(3) 5500 N/A N/A COMMUNITY DEVELOPMENT COMMUNITY HARVEST PROJECT INC 37 WHEELER ROAD NORTH GRAFTON MA 01536 043424018 501(C)(3) 21000 N/A N/A FOOD ACCESS SUPPORT COMMUNITY SERVINGS 18 MARBURY TERRACE JAMAICA PLAIN MA 02130 223154028 501(C)(3) 13000 N/A N/A FOOD ACCESS SUPPORT CONNECTICUT FOOD BANK INC 2 RESEARCH PARKWAY WALLINGFORD CT 06492 061063025 501(C)(3) 20000 N/A N/A FOOD ACCESS SUPPORT CONNECTICUT FORUM INC THE 750 MAIN STREET HARTFORD CT 06103 061343149 501(c)(3) 34000 N/A N/A EDUCATION AND INFORMATION CRADLES TO CRAYONS 155 NORTH BEACON STREET BRIGHTON MA 02135 043584367 501(C)(3) 7000 N/A N/A SUPPORT CHILDREN'S NEEDS CULTIVATING COMMUNITY PO BOX 3792 PORTLAND ME 04104 043607322 501(C)(3) 49362 N/A N/A FOOD ACCESS SUPPORT DCU CENTER FOR KIDS DONALD LYNCH BLVD MIDDLEBOROUGH MA 01752 202184636 501(c)(3) 10000 N/A N/A EDUCATION AND INFORMATION DIMOCK CENTER 55 DIMOCK STREET ROXBURY MA 02119 043487835 501(C)(3) 21000 N/A N/A HEALTH PROVIDER DIOCESE OF WORCESTER 49 ELM STREET WORCESTER MA 01609 042106686 501(C)(3) 11000 N/A N/A EVENT SPONSORSHIP DOVE INC PO BOX 690267 QUINCY MA 02269 042667808 501(C)(3) 7500 N/A N/A DOMESTIC VIOLENCE PREVENTION PROGRAM EDUCATE MAINE 482 CONGRESS STREET PORTLAND ME 04101 203559947 501(C)(3) 7500 N/A N/A EDUCATION ELDER SERVICES OF THE MERRIMACK VALLEY INC 280 MERRIMACK STREET LAWRENCE MA 01843 042545136 501(C)(3) 34393 N/A N/A ELDER SERVICES ESSEX COUNTY COMMUNITY FOUNDATION 175 ANDOVER STREET DANVERS MA 01923 043407816 501(C)(3) 13270 N/A N/A COMMUNITY DEVELOPMENT FAMILIES IN TRANSITION 122 MARKET STREET MANCHESTER NH 03101 020475414 501(C)(3) 11000 N/A N/A HOMELESSNESS PREVENTION FAMILY SERVICES OF CENTRAL MASS 31 HARVARD STREET WORCESTER MA 01609 042103767 501(C)(3) 7000 N/A N/A FAMILY SUPPORT SERVICE FENWAY HEALTH 1340 BOYLSTON STREET BOSTON MA 02215 042510564 501(C)(3) 20250 N/A N/A HIV AND HEALTH SERVICES FOOD PROJECT INC 10 LEWIS STREET LINCOLN MA 01773 043262532 501(C)(3) 20000 N/A N/A FOOD ACCESS SUPPORT FOODSHARE INC 450 WOODLAND AVE BLOOMFIELD CT 06002 222474771 501(C)(3) 5500 N/A N/A FOOD ACCESS SUPPORT FRANCIS OUIMET SCHOLARSHIP FUND 300 ARNOLD PALMER BLVD NORTON MA 02766 042234126 501(C)(3) 10000 N/A N/A ACADEMIC SCHOLARSHIPS FOR PROMISING GOLF STUDENTS FRIENDS OF NORWOOD SEPAC 275 PROSPECT STREET NORWOOD MA 02062 811287778 501(C)(3) 6500 N/A N/A EDUCATION SUPPORT GATE CITY STRIDERS PO BOX 3692 NASHUA NH 03061 020427572 501(C)(3) 9000 N/A N/A PHYSICAL EDUCATION GRANITE UNITED WAY 22 CONCORD STREET MANCHESTER NH 03101 026006033 501(C)(3) 25000 N/A N/A COMMUNITY DEVELOPMENT GREATER BOSTON CONVENTION & VISITORS BUREAU 2 COPLEY PLACE BOSTON MA 02116 042554943 501(C)(6) 25000 N/A N/A ECONOMIC DEVELOPMENT GREATER BOSTON FOOD BANK 70 SOUTH BAY AVE BOSTON MA 02118 042717782 501(C)(3) 10500 N/A N/A FOOD ACCESS SUPPORT GREATER HARTFORD COMMUNITY FOUNDATION INC 90 STATEHOUSE SQ 11 FL HARTFORD CT 06103 421684133 501(C)(3) 5810 N/A N/A EVENT SPONSORSHIP GREEN VILLAGE INITIATIVE INC 325 LAFAYETTE STREET BRIDGEPORT CT 06604 271439954 501(c)(3) 25000 N/A N/A FOOD ACCESS SUPPORT GROUNDWORK LAWRENCE INC 50 ISLAND STREET LAWRENCE MA 01840 043546770 501(c)(3) 25149 N/A N/A FOOD ACCESS SUPPORT GROW FOOD NORTHAMPTON INC 221 PINE STREET FLORENCE MA 01062 010959428 501(C)(3) 25000 N/A N/A FOOD ACCESS SUPPORT GROWING PLACES GARDEN PROJECT INC 325 LINDELL AVE LEOMINSTER MA 01453 100004885 501(C)(3) 25200 N/A N/A FOOD ACCESS SUPPORT HANOVER THEATRE INC 2 SOUTHBRIDGE STREET WORCESTER MA 01608 061415320 501(C)(3) 10000 N/A N/A THEATRE ARTS SUPPORT HARBOR HOMES INC 77 NORTHEASTERN BLVD NASHUA NH 03062 020351932 501(C)(3) 13000 N/A N/A FAMILY SUPPORT SERVICE HARC INC 900 ASYLUM AVE HARTFORD CT 06105 060710289 501(C)(3) 5500 N/A N/A DISABILITY SUPPORT HARTFORD FOOD SYSTEM 190 WETHERSFIELD AVENUE HARTFORD CT 06114 060991880 501(C)(3) 51025 N/A N/A FOOD ACCESS SUPPORT HARTFORD MARATHON FOUNDATION INC 41 SEQUIN DRIVE GLASTONBURY CT 06033 061415320 501(C)(3) 17500 N/A N/A PHYSICAL EDUCATION HARTFORD PROMISE 750 MAIN STREET HARTFORD CT 06103 810924703 501(C)(3) 15500 N/A N/A SCHOLARSHIP SUPPORT HARTFORD STAGE COMPANY INC 50 CHURCH STREET HARTFORD CT 06103 060790484 501(C)(3) 12275 N/A N/A THEATRE ARTS SUPPORT HEAD OF THE CHARLES REGATTA INC PO BOX 380052 CAMBRIDGE MA 02238 043317489 501(C)(3) 115000 N/A N/A RACE SPONSORSHIP HEALTHY COMMUNITIES OF THE CAPITAL AREA 11 MECHANIC STREET GARDINER ME 04345 412097383 501(C)(3) 25000 N/A N/A FOOD ACCESS SUPPORT HOME FOR LITTLE WANDERERS 10 GUEST STREET BOSTON MA 02135 042104764 501(c)(3) 10750 N/A N/A FOSTER CHILD SUPPORT HORACE BUSHNELL MEMORIAL HALL CORPORATION 166 CAPITOL AVENUE HARTFORD CT 06106 060662112 501(C)(3) 12197 N/A N/A THEATRE ARTS SUPPORT JEWISH ALLIANCE FOR LAW AND SOCIAL ACTION 18 TREMONT STREET 320 BOSTON MA 02108 010563874 501(C)(3) 5500 N/A N/A COMMUNITY DEVELOPMENT JIMMY FUND - DANA FARBER CANCER INSTITUTE 32 WILDEWOOD DRIVE CANTON MA 02021 042263040 501(c)(3) 5500 N/A N/A CANCER PREVENTION JOBS FOR MAINE'S GRADUATES 65 STONE STREET AUGUSTA ME 04330 010482628 501(C)(3) 10000 N/A N/A ECONOMIC DEVELOPMENT LAHEY CLINIC HOSPITAL INCORPORATED 41 MALL ROAD BURLINTON MA 01805 042704686 501(C)(3) 5500 N/A N/A HEALTH CARE SUPPORT LAKES REGION PARTNERSHIP FOR PUBLIC HEALTH INC 67 WATER STREET LACONIA NH 03246 202713484 501(c)(3) 25000 N/A N/A FOOD ACCESS SUPPORT MAINE ASSOCIATION OF NONPROFITS 565 CONGRESS ST PORTLAND ME 04101 010488538 501(C)(3) 33050 N/A N/A NONPROFIT DEVELOPMENT MAINE FARMLAND TRUST INC 97 MAIN STREET BELFAST ME 04915 010528014 501(C)(3) 25000 N/A N/A FOOD ACCESS SUPPORT MAINE PUBLIC BROADCASTING 1450 LISBON STREET LEWISTON ME 04240 223171529 501(C)(3) 20000 N/A N/A EDUCATION AND INFORMATION MAINE QUALITY COUNTS PO BOX 16 MANCHESTER ME 04351 204935972 501(C)(3) 7500 N/A N/A HEALTH CARE QUALITY MAINE STATE MUSIC THEATRE 22 ELM STREET BRUNSWICK ME 04011 010355212 501(C)(3) 6250 N/A N/A MUSIC APPRECIATION MARCH OF DIMES 112 TURNPIKE ROAD WESTBOROUGH MA 01581 131846366 501(c)(3) 5500 N/A N/A BIRTH DEFECTS PREVENTION MARION INSTITUTE INC THE 202 SPRING STREET MARION MA 02738 043206583 501(c)(3) 14548 N/A N/A COMMUNITY DEVELOPMENT MASSACHUSETTS HEALTH COUNCIL INC 200 RESEVIOR ST STE 101 NEEDHAM MA 02494 042296739 501(C)(3) 6000 N/A N/A HEALTH PROMOTION MASS IMMIGRANT & REFUGEE ADVOCACY COALITION 105 CHAUNCY ST SUITE 901 BOSTON MA 02111 223115048 501(C)(3) 5500 N/A N/A REFUGEE ADVOCACY MASSACHUSETTS WOMENS POLITICAL CAUCUS 89 SOUTH STREET STE 603 BOSTON MA 02111 042738443 501(c)(3) 35000 N/A N/A WOMENS DEVELOPMENT MENTAL HEALTH CENTER OF GREATER MANCHESTER 401 CYPRESS STREET MANCHESTER NH 03103 020258994 501(C)(3) 11700 N/A N/A MENTAL HEALTH SUPPORT MILFORD REGIONAL HEALTHCARE FOUNDATION 14 PROSPECT STREET MILFORD MA 01757 020773697 501(c)(3) 15000 N/A N/A HEALTH CARE SUPPORT MILL CITY GROWS INC PO BOX 7133 LOWELL MA 01852 472096070 501(C)(3) 61550 N/A N/A FOOD ACCESS SUPPORT MOVING ME FORWARD 30 BELGRADE AVE STE A AUBURN ME 04210 462547818 501(C)(3) 15000 N/A N/A HEALTH AND FITNESS EDUCATION MUSEUM OF SCIENCE SCIENCE PARK BOSTON MA 02114 042103916 501(C)(3) 6000 N/A N/A SCIENCE EDUCATION NATIONAL MULTIPLE SCLEROSIS SOCIETY 101A FIRST AVENUE STE 6 WALTHAM MA 02451 135661935 501(C)(3) 10500 N/A N/A MS PREVENTION AND EDUCATION NESSP 290 LITTLETON RD CHELMSFORD MA 01824 205288174 501(C)(3) 5250 N/A N/A CULTURAL ORGANIZATION NETWORK FOR EXCELLENCE IN HEALTH INNOVATION 133 FEDERAL ST 9TH FL BOSTON MA 02210 010624865 501(C)(3) 7500 N/A N/A HEALTH PROMOTION NEW ENGLAND BAPTIST HOSPITAL 125 PARKER HILL AVE BOSTON MA 02120 042103612 501(C)(3) 10000 N/A N/A HEALTH CARE SUPPORT NEW ENGLAND EMPLOYEE BENEFITS COUNCIL 561 VIRGINIA RD STE 217 CONCORD MA 01742 042725284 501(C)(3) 8500 N/A N/A HR TRADE ORGANIZATION NEW ENGLAND PATRIOTS CHARITABLE FOUNDATION ONE PATRIOT PLACE FOXBORO MA 02035 043244069 501(C)(3) 15000 N/A N/A COMMUNITY DEVELOPLMENT NEW HAMPSHIRE CENTER FOR NONPROFITS 194 PLEASANT ST STE 14 CONCORD NH 03301 810555176 501(C)(3) 7500 N/A N/A NONPROFIT DEVELOPMENT NEW HAVEN FARMS PO BOX 8953 NEW HAVEN CT 06532 451794893 501(C)(3) 28000 N/A N/A FOOD ACCESS SUPPORT NORTHEAST ARC 6 SOUTHSIDE ROAD DANVERS MA 01923 042232416 501(C)(3) 5500 N/A N/A SPONSORSHIP OGUNQUIT PLAYHOUSE FOUNDATION PO BOX 1510 OGUNQUIT ME 03907 010490316 501(C)(3) 12000 N/A N/A THEATRICAL ENTERTAINMENT OLYMPIA SNOWE WOMENS LEADERSHIP INSTITUTE ONE CANAL PLAZA PORTLAND ME 04101 461398374 501(C)(3) 10000 N/A N/A GIRLS EDUCATION AND LEADERSHIP OPPORTUNITY ALLIANCE 50 LYDIA LANE SOUTH PORTLAND ME 04106 473933977 501(C)(3) 6000 N/A N/A COMMUNITY DEVELOPMENT PALACE THEATER 100 E MAIN ST WATERBBURY CT 06702 020620399 501(C)(3) 5500 N/A N/A THEATRE ARTS SUPPORT PAN MASS CHALLENGE PO BOX 415590 BOSTON MA 02241 042746912 501(c)(3) 6500 N/A N/A CANCER SUPPORT FUNDRAISER PERKINS SCHOOL FOR THE BLIND 175 NORTH BEACON ST WATERTOWN MA 02472 042103616 501(C)(3) 5500 N/A N/A EDUCATION FOR THE BLIND PORTLAND SYMPHONY ORCHESTRA 50 MONUMENT SQ 2ND FL PORTLAND ME 04101 016006058 501(C)(3) 7000 N/A N/A MUSIC ARTS SUPPORT PROJECT NEW HOPE PO BOX 91 LEICESTER MA 01611 274555998 501(C)(3) 10000 N/A N/A VETERAN SUPPORT SERVICES REGIONAL ENVIRONMENTAL COUNCIL INC PO BOX 255 WORCESTER MA 01613 046364350 501(C)(3) 62600 N/A N/A FOOD ACCESS SUPPORT RELIANT MEDICAL GROUP FOUNDATION 100 FRONT STREET WORCESTER MA 01608 222912515 501(C)(3) 15000 N/A N/A HEALTH CARE SUPPORT RIVERBEND COMMUNITY MENTAL HEALTH INC PO BOX 2032 CONCORD NH 03302 020264383 501(C)(3) 12000 N/A N/A MENTAL HEALTH SUPPORT ROSIES PLACE 889 HARRISON AVENUE BOSTON MA 02118 042582187 501(C)(3) 9000 N/A N/A HOMELESSNESS PREVENTION SANFORD SCHOOLS LEGACY FOUNDATION 917 MAIN STREET STE 200 SANFORD ME 04073 812245784 501(C)(3) 10000 N/A N/A EDUCATION SUPPORT SCHWARTZ CTR FOR COMPASSIONATE CARE PO BOX 417597 BOSTON MA 02241 041564655 501(C)(3) 25000 N/A N/A HEALTH CARE SUPPORT SEACOAST EAT LOCAL INC PO BOX 1590 PORTSMOUTH NH 03833 452547575 501(c)(3) 60200 N/A N/A FOOD ACCESS SUPPORT SECOND START 17 KNIGHT STREET CONCORD NH 03301 020302477 501(C)(3) 5232 N/A N/A DOMESTIC VIOLENCE SUPPORT SOUTHERN MAINE AGENCY ON AGING 136 US ROUTE 1 SCARBOROUGH ME 04074 010360259 501(C)(3) 16600 N/A N/A AGING ASSISTANCE SAINT ANSELM COLLEGE 100 SAINT ANSELM DR MANCHESTER NH 03102 020222182 501(C)(3) 10000 N/A N/A EDUCATION SUPPORT ST MARY'S REGIONAL MEDICAL CTR PO BOX 291 LEWISTON ME 04243 010211551 501(C)(3) 50000 N/A N/A FOOD ACCESS SUPPORT SWEETSER 50 MOODY STREET SACA ME 04072 010211807 501(C)(3) 7000 N/A N/A MENTAL HEALTH SUPPORT TAMWORTH COMMUNITY NURSE ASSOCIATION INC 84 MAIN STREET TAMWORTH NH 03886 020235235 501(C)(3) 14088 N/A N/A FOOD ACCESS SUPPORT TD BEACH TO BEACON 10K PO BOX 9540 PORTLAND ME 04112 010514334 501(C)(3) 15000 N/A N/A PHYSICAL EDUCATION THIRD SECTOR NEW ENGLAND INC 89 SOUTH STREET STE 700 BOSTON MA 02111 042261109 501(C)(3) 30392 N/A N/A NONPROFIT DEVELOPMENT UNIVERSITY OF MASSACHUSETTS 100 MORRISSEY BLVD BOSTON MA 02125 043167352 501(C)(1) 6000 N/A N/A EDUCATION SUPPORT WEATHERVANE THEATRE PLAYERS INC PO BOX 127 WHITEFIELD NH 03598 020327698 501(C)(3) 6000 N/A N/A THEATRE ARTS SUPPORT WINTERKIDS 506 MAIN ST STE 10 WESTBROOK ME 04092 010535175 501(C)(3) 15250 N/A N/A PHYSICAL EDUCATION WOLFES NECK FARM FOUNDATION 184 BURNETT ROAD FREEPORT ME 04032 222586116 501(C)(3) 25000 N/A N/A FOOD ACCESS SUPPORT WORCESTER COUNTY FOOD BANK BOSTON TURNPIKE ROAD SHREWSBURY MA 01545 043071457 501(c)(3) 5500 N/A N/A FOOD ACCESS SUPPORT YMCA OF GREATER BOSTON 316 HUNTINGTON AVE BOSTON MA 02115 042103551 501(C)(3) 7500 N/A N/A EVENT SPONSORSHIP YWCA GREATER NEWBURYPORT 13 MARKET STREET NEWBURYPORT MA 01950 042123678 501(C)(3) 25000 N/A N/A FOOD ACCESS SUPPORT 127 3 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 (AS OF 6/18) 0 619122 0 222960 0 20882 0 395043 0 32157 0 1290164 0 0 KAREN VOCI PRESIDENT 0 188392 0 57056 0 32702 0 21535 0 25031 0 324716 0 0 ELIZABETH CREAVIN TREASURER 0 242353 0 66960 0 2123 0 22000 0 9235 0 342671 0 0 SUZANNE M FINN CLERK 0 151203 0 2853 0 726 0 12679 0 29618 0 197079 0 0 ERIC H SCHULTZ CHAIRMAN/DIRECTOR (UNTIL 6/18) 0 711210 0 541800 0 20951 0 16500 0 16887 0 1307348 0 0 MICHELLE J CLAYMAN FORMER TREASURER 0 242111 0 83003 0 6092 0 18423 0 36830 0 386459 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 COMMITTEE - 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 ITS CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF LEGAL OFFICER, CHIEF INFORMATION OFFICER, CHIEF INNOVATION AND STRATEGY OFFICER, AND CHIEF PEOPLE OFFICER FOR 2016-2018. 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). NO PAYMENTS WERE MADE FROM THE PLAN DURING 2018. 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 2018, the Foundation awarded approximately $3.6 million in grants to more than 850 not-for-profit organizations in the region. Since its inception, the Foundation has granted approximately $150 million in funds and resources throughout the four states. In 2018, more than $0.9 million in grants was distributed to the Foundations Healthy Food Fund initiatives within the region, with funds supporting programs that grow and distribute fresh food for families and communities across the region. 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 (AS OF 06/18) ELIZABETH CREAVIN - TREASURER SUZANNE M. FINN - CLERK ERIC H. SCHULTZ - CHAIR (UNTIL 06/18) 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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