2017-11-15T10:33:30-06:00 2016-12-31 PricewaterhouseCoopers LLP 101 SEAPORT BOULEVARD BOSTON MA 02210 990 2016-01-01 042708004 HARVARD PILGRIM HEALTH CARE FOUNDATION INC % BETH CREAVIN HARV 7812636000 93 WORCESTER STREET WELLESLEY MA 024819181 ELIZABETH CREAVIN TREASURER 7812636000 2017-11-14 true GWEN SPENCER P00641463 6175305000 155.201.188.2 04363820173195000009 2017-11-15 P BF1FE25100CDBE53BD0118B5B753D4D4D69E51B4 00C87E99527E2332A8997F658CF042F3B5F40496 2016 2017-02-10 21:41:12Z KAREN VOCI 93 WORCESTER STREET WELLESLEY MA 024819181 6380125 false X WWW.HARVARDPILGRIM.ORG/FOUNDATION X 1980 MA SEE SCHEDULE O 13 12 0 12 0 6223744 6337206 0 0 68407 42919 0 0 6292151 6380125 3807583 3882248 0 0 1178221 1169146 0 0 0 1109673 1174220 6095477 6225614 196674 154511 2874723 2703313 502767 184985 2371956 2518328 X SEE SCHEDULE O false false 5903557 3882248 0 HARVARD PILGRIM HEALTH CARE FOUNDATION, INC., (THE FOUNDATION), OPERATES EXCLUSIVELY IN CONNECTION WITH HARVARD PILGRIM HEALTH CARE, INC. IN 2016, 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. 5903557 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 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 ERIC H SCHULTZ CHAIRMAN/DIRECTOR 5.0 45.0 X X 0 2077902 310060 RUTH ELLEN FITCH DIRECTOR 2.0 0.0 X 0 0 0 ELINOR GOLDBERGLSW 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 24900 0 PATRICIA A WALRATH DIRECTOR 2.0 0.0 X 0 0 0 MARTIN COHEN DIRECTOR 2.0 0.0 X 0 0 0 MARIANNE E FELICE MD DIRECTOR 2.0 0.0 X 0 0 0 HEIDI BROOKS DIRECTOR 2.0 0.0 X 0 0 0 CHARLES DEUTSCHE SCD DIRECTOR (UNTIL 6/16) 2.0 0.0 X 0 0 0 THOMAS BOUCHER DIRECTOR 2.0 0.0 X 0 0 0 LISA DESISTO DIRECTOR 2.0 0.0 X 0 0 0 CHRIS KNOPF DIRECTOR (AS OF 6/16) 2.0 0.0 X 0 0 0 LEN FISHMAN DIRECTOR (AS OF 11/16) 2.0 0.0 X 0 0 0 KAREN VOCI PRESIDENT 40.0 0.0 X 0 243925 38500 ELIZABETH CREAVIN TREASURER 5.0 45.0 X 0 212841 50384 SUZANNE M FINN CLERK 5.0 45.0 X 0 138666 34924 THOMAS F MALONEY FORMER CLERK 0.0 50.0 X 0 274888 50324 MICHELLE J CLAYMAN FORMER TREASURER 0.0 50.0 X 0 354396 50018 0 3327518 534210 0 true true false SEE SCHEDULE O 0 6333505 3701 6337206 0 42919 42919 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6380125 42919 3882248 3882248 0 0 0 282392 225914 56478 0 0 632902 573589 59313 0 253852 221738 32114 0 0 0 0 0 0 0 128802 128802 0 21931 21615 316 0 0 51233 48699 2534 36888 35390 1498 0 26342 22558 3784 0 0 0 0 MANAGEMENT SERVICE EXPENSE 794180 635344 158836 VOLUNTEER EVENT EXPENSE 78928 78928 BUSINESS EXPENSE 28337 22670 5667 MEMBERSHIPS AND DUES 2760 2208 552 4819 3854 965 6225614 5903557 322057 0 0 0 155335 302941 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2700907 2381871 0 0 0 0 0 0 18481 18501 2874723 2703313 158508 19071 0 0 0 0 0 0 0 0 0 0 0 0 0 0 344259 165914 502767 184985 X 2371956 2518328 0 0 0 0 2371956 2518328 2874723 2703313 154511 -8139 X false true X true X X 1 HARVARD PILGRIM HEALTH CARE INC (HPHC) 042452600 10 true 3882248 0 1 3882248 0 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. 165914 165914 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") 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, 2016 AND 2015. true AIDS ACTION COMMITTEE OF MASSACHUSETTS 75 ARMORY ST BOSTON MA 02119 222707246 501(C)(3) 11000 N/A N/A AIDS PREVENTION PROGRAMS AMERICAN CANCER SOCIETY 30 SPEEN STREET FRAMINGHAM MA 01701 131788491 501(c)(3) 8000 N/A N/A CANCER DETECTION AND PREVENTION PROGRAMMING AMERICAN HEART ASSOCIATION 51 US ROUTE 1 SCARBOROUGH ME 04074 135613797 501(C)(3) 63150 N/A N/A HEART DISEASE PREVENTION AND DETECTION ARC OF MASSACHUSETTS PO BOX 541603 WALTHAM MA 02454 042223502 501(C)(3) 15000 N/A N/A LIFE SKILLS ASSISTANCE FOR DISABLED ASSOCIATED INDUSTRIES OF MASS INC ONE BEACON ST 16 FL BOSTON MA 02108 041045830 501(C)(6) 6000 N/A N/A SMALL BUSINESS ASSOC SUPPORT BACKYARD GROWERS 269 MAIN STREET GLOUCESTER MA 01930 743101523 501(c)(3) 10000 N/A N/A TO BUILD GARDENS AT OLDER ADULT CENTERS BASE THE 11 WALNUT PARK ROXBURY MA 02119 461856641 501(c)(3) 6000 N/A N/A YOUTH DEVELOPMENT THROUGH BASEBALL BAY COVE HUMAN SERVICES INC 66 CANAL STREET BOSTON MA 02114 042518575 501(c)(3) 15000 N/A N/A HUMAN SERVICE AND MENTAL HEALTH SUPPORT BIG SISTER ASSOC OF GREATER BOSTON 20 PARK PLAZA SUITE 1420 BOSTON MA 02116 042150651 501(C)(3) 13250 N/A N/A POSITIVE DEVELOPMENT FOR YOUNG GIRLS BOSTON AREA GLEANERS 240 BEAVER STREET WALTHAM MA 02452 300434755 501(C)(3) 50000 N/A N/A FOOD RECOVERY PROGRAM BOSTON BUSINESS JOURNAL COLLECTION CENTER DR CHICAGO IL 60693 042710233 5750 N/A N/A SUPPORT CHARITABLE COMPANIES PROGRAM BOSTON CHILDREN'S MUSEUM 308 CONGRESS STREET BOSTON MA 02210 042103993 501(C)(3) 31200 N/A N/A POSITIVE YOUTH DEV. PROGRAMMING BOSTON CHINATOWN NEIGHBORHOOD CENTER INC 885 WASHINGTON STREET BOSTON MA 02111 237209691 501(C)(3) 5500 N/A N/A GRANTS SUPPORT FOR ARTS PROGRAM BOSTON CLUB PO BOX 1126 MARBLEHEAD MA 01945 042605110 501(C)(7) 9000 N/A N/A WOMENS DEVELOPMENT PROGRAMMING BOSTON MEDICAL CENTER 801 MASS AVE1ST FL BOSTON MA 02118 043314093 501(C)(3) 11000 N/A N/A SUPPORT HEALTH CARE FOR THOSE IN NEED BOSTON SENIOR HOME CARE 89 SOUTH STREET SUITE 501 BOSTON MA 02111 042546251 501(C)(3) 10261 N/A N/A IMPROVE HEALTHY FOOD ACCESS FOR SENIORS BOTTOM LINE 500 ARMORY STREET SUITE 3 JAMAICA PLAIN MA 021302775 043351427 501(C)(3) 6500 N/A N/A COLLEGE ASSISTANCE FOR AT-RISK YOUTH BOYS AND GIRLS CLUBS OF BOSTON 50 CONGRESS STREET BOSTON MA 02109 042103922 501(c)(3) 115050 N/A N/A FARM TO FAMILY PROGRAM BRASS CITY HARVEST 86 BANK STREET WATERBURY CT 06703 753263005 501(C)(3) 44697 N/A N/A INCREASE HEALTHY FOOD FOR LOW INCOME PEOPLE BROOKWOOD COMMUNITY FARM PO BOX 870093 MILTON MA 02187 204234872 501(c)(3) 6500 N/A N/A HEALTHY FOOD ACCESS FOR OLDER ADULTS CAREGIVERS INC THE 19 HARVEY ROAD BEDFORD NH 03110 020395429 501(c)(3) 10000 N/A N/A PROVIDE FOOD FOR OLDER ADULTS CENTER FOR GRIEVING CHILDREN 555 FOREST AVE PORTLAND ME 04101 010431501 501(C)(3) 12500 N/A N/A SUPPORT PROGRAMS FOR CHILDREN GOING THROUGH EMOTIONALLY DIFFICULT TIMES CENTRAL MAINE MEDICAL CENTER 300 MAIN STREET LEWISTON ME 04240 010211494 501(C)(3) 12500 N/A N/A SUPPORT HEALTH SERVICES FOR LOW-INCOME PEOPLE CITY OF BOSTON ONE CITY HALL PLAZA ROOM 271 BOSTON MA 02201 043290071 115 7500 N/A N/A COOKING ED PROGRAMS FOR OLDER ADULTS CITY OF NEW BEDFORD 608 PLEASANT STREET NEW BEDFORD MA 02740 046001402 115 14548 N/A N/A HEALTHY FOOD ACCESS PROGRAMS CITY YEAR INC 287 COLUMBUS AVE BOSTON MA 02116 222882549 501(c)(3) 30000 N/A N/A PROGRAMS TO PREVENT SCHOOL DROP OUTS CITY YEAR NEW HAMPSHIRE 848 ELM STSUITE 201 MANCHESTER NH 03101 222882549 501(C)(3) 32500 N/A N/A PROGRAMS TO PREVENT SCHOOL DROP OUTS COASTLINE ELDERLY SERVICES INC 1646 PURCHASE STREET NEW BEDFORD MA 02740 042622121 501(c)(3) 9371 N/A N/A INCREASE HEALTHY FOOD FOR OLDER ADULTS COMMUNITY ACTION PROGRAM 2 INDUSTRIAL PARK DRIVE PO BOX 1 CONCORD NH 03302 020270376 501(c)(3) 8820 N/A N/A INCREASE HEALTHY FOODS TO OLDER ADULTS COMMUNITY CONCEPTS INC 240 BATES STREET LEWISTON ME 04240 010424969 501(c)(3) 5500 N/A N/A INCREASE HEALTHY FOOD TO OLDER ADULTS COMMUNITY HARVEST PROJECT INC 37 WHEELER ROAD NORTH GRAFTON MA 01536 043424018 501(C)(3) 39307 N/A N/A INCREASE HEALTHY FOOD TO OLDER ADULTS CONNECTICUT FOOD BANK INC 2 RESEARCH PARKWAY WALLINGFORD CT 06492 061063025 501(C)(3) 40000 N/A N/A INCREASE HEALTHY FOOD TO OLDER ADULTS CONNECTICUT FORUM INC THE 750 MAIN STREET SUITE 200 HARTFORD CT 06103 061343149 510(c)(3) 20500 N/A N/A SPONSORSHIP FOR EDUCATIONAL PROGRAMS CRADLES TO CRAYONS 155 NORTH BEACON STREET BRIGHTON MA 02135 043584367 501(C)(3) 22500 N/A N/A PROGRAMS TO SUPPORT LOW-INCOME CHILDREN CULTIVATING COMMUNITY PO BOX 3792 PORTLAND ME 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ASIAN COMMUNITY ON HEALTH INC 257 NORTHAMPTON STREET UNIT 510 BOSTON MA 02118 472130807 501(c)(3) 10000 N/A N/A HEALTHY FOOD EDUCATION FOR OLDER ADULTS FALMOUTH FOOD PANTRY INC 271 FALMOUTH ROAD FALMOUTH ME 04105 264005067 501(c)(3) 6945 N/A N/A HEALTHY FOOD EDUCATION FOR OLDER ADULTS FENWAY HEALTH 1340 BOYLSTON ST BOSTON MA 02215 042510564 501(C)(3) 10500 N/A N/A SPONSORSHIP FOR GLBT HEALTH PROGRAMMING FOUNDATION FOR HEALTHY COMMUNITIES 125 AIRPORT ROAD CONCORD NH 03301 020275078 501(C)(3) 15000 N/A N/A GRANT FOR HEALTHY FOOD PROGRAMMING GATE CITY STRIDERS PO BOX 3692 NASHUA NH 03061 020427572 501(C)(3) 9000 N/A N/A SPONSORSHIP OF ANNUAL ROAD RACE GOOD SHEPHERD FOOD BANK 3121 HOTEL ROAD PO BOX 1807 AUBURN ME 042111807 222986809 501(c)(3) 11500 N/A N/A HEALTHY FOOD EDUCATION FOR OLDER ADULTS GRANITE STATE INDEPENDENT LIVING 21 CHENELL DRIVE CONCORD NH 03301 020350170 501(c)(3) 8859 N/A N/A HEALTHY FOOD EDUCATION FOR OLDER ADULTS GRANITE YMCA THE 117 MARKET STREET MANCHESTER NH 03101 020222248 501(c)(3) 10000 N/A N/A MULTI-GENERATIONAL HEALTH FOOD EDUCATION GREATER BOSTON CHAMBER OF COMMERCE 265 FRANKLIN STREET BOSTON MA 021103113 041103090 501(C)(6) 14900 N/A N/A SPONSORSHIP BUSINESS EDUCATION PROGRAMS GREATER MANCHESTER CHAMBER OF COMMERCE 54 HANOVER STREET MANCHESTER NH 031012000 020161920 501(C)(6) 5650 N/A N/A SPONSORSHIP OF BUSINESS EDUCATION PROGRAMMING GREATER NEW HAVEN CHAMBER OF COMMERCE 900 CHAPEL STREET 10TH FL NEW HAVEN CT 065102811 060468900 501(c)(6) 6500 N/A N/A SPONSORSHIP OF BUSINESS EDUCATION PROGRAMS GREEN VILLAGE INITIATIVE INC 325 LAFAYETTE STREET UNIT 9101 BRIDGEPORT CT 06604 271439954 501(c)(3) 50000 N/A N/A GRANT TO SUPPORT GARDENING PROGRAMS GROUNDWORK LAWRENCE INC 60 ISLAND STREET LAWRENCE MA 01841 043546770 501(c)(3) 50000 N/A N/A SUPPORT HEALTHY FOOD ACCESS PROGRAMMING GROW FOOD NORTHAMPTON INC 245 MAIN STREET NORTHAMPTON MA 01060 010959428 501(C)(3) 50000 N/A N/A TO SUPPORT HEALTHY FOOD ACCESS PROGRAMS GROWING PLACES GARDEN PROJECT INC 325 LINDELL AVE LEOMINSTER MA 01453 100004885 501(C)(3) 50000 N/A N/A TO SUPPORT GARDENING PROGRAMMING HARTFORD FOOD SYSTEM ONE CONGRESS STREET HARTFORD CT 06114 060991880 501(C)(3) 40000 N/A N/A TO SUPPORT HEALTHY FOOD ACCESS PROGRAMS HARTFORD MARATHON FOUNDATION INC 41 SEQUIN DR GLASTONBURY CT 06033 061415320 501(C)(3) 15000 N/A N/A SPONSOR ANNUAL ROAD RACE HEALTH RESOURCES IN ACTION INC 95 BERKELEY STREET SUITE 208 BOSTON MA 02116 042229839 501(c)(3) 40000 N/A N/A GRANT FOR THE NH HEALTHY FOODS PROGRAM HEALTHY COMMUNITIES OF THE CAPITAL AREA 36 BRUNSWICK AVENUE GARDINER ME 04345 412097383 501(C)(3) 50000 N/A N/A SUPPORT FOR FOOD RECOVERY PROGRAMMING HOME FOR LITTLE WANDERERS 10 GUEST STREET BOSTON MA 02135 042104764 501(c)(3) 11000 N/A N/A SPONSOR LOW-INCOME YOUTH PROGRAMMING HOPE HOUSE INC 8 FARMHAM STREET BOSTON MA 02119 042448579 501(c)(3) 6130 N/A N/A GRANT TO SUPPORT ADDICTION SERVICES INSTITUTE FOR FAMILY-OWNED BUSINESS PO BOX 3364 PORTLAND ME 04104 262428220 501(c)(3) 7500 N/A N/A SPONSORSHIP OF FAMILY BUSINESS FORUM JIMMY FUND - DANA FARBER CANCER INSTITUTE 10 BROOLINE PLACE WEST BROOKLINE MA 02445 042263040 501(c)(3) 7000 N/A N/A GRANT SUPPORT FOR CANCER PREVENTION KLINGBERG FAMILY CENTERS 370 LINWOOD STREET NEW BRITAIN CT 06052 060688316 501(c)(3) 6000 N/A N/A HELPING YOUTH WITH SOCIAL/EMOTIONAL DISABILITIES LAKES REGION PARTNERSHIP FOR PUBLIC HEALTH INC 67 WATER STREET LACONIA NH 03246 202713484 501(c)(3) 50000 N/A N/A SUPPORT HEALTHY FOOD ACCESS PROGRAMMING MAINE FARMLAND TRUST INC 97 MAIN STREET BELFAST ME 04915 010528014 501(C)(3) 50000 N/A N/A SUPPORT HEALTHY FOOD ACCESS PROGRAMMING MAINE QUALITY COUNTS PO BOX 16 MANCHESTER ME 04351 024935972 501(C)(3) 25000 N/A N/A PROGRAMS TO SUPPORT QUALITY HEALTH CARE MAINE STATE CHAMBER OF COMMERCE 125 COMMUNITY DRIVE SUITE 101 AUGUSTA ME 043308010 010021545 501(c)(6) 5700 N/A N/A SPONSOR BUSINESS EDUCATION PROGRAMS MARCH OF DIMES 112 TURNPIKE ROAD SUIT 102 WESTBOROUGH MA 01581 131846366 501(c)(3) 7500 N/A N/A SUPPORT BIRTH DEFECTS PREVENTION MARION INSTITUTE INC THE 202 SPRING STREET MARION MA 02738 043206583 501(c)(3) 29095 N/A N/A SUPPORT HEALTHY FOOD ACCESS PROGRAMMING MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DRIVE LEBANON NH 03756 020222140 501(c)(3) 10000 N/A N/A PROGRAMS SUPPORTING LOW-INCOME PATIENTS MASSACHUSETTS HEALTH QUALITY PARTNERS 42 PLEASANT STREET STE 3 WATERTOWN MA 02472 043542817 501(c)(3) 10000 N/A N/A SPONSORSHIP OF QUALITY HEALTH PROGRAMS MASSACHUSETTS WOMENS POLITICAL CAUCUS 89 SOUTH STREET BOSTON MA 02111 042738443 501(c)(3) 12500 N/A N/A SPONSOR WOMEN'S ADVOCACY PROGRAMMING METROHARTFORD ALLIANCE 31 PRATT STREET 5TH FLR HARTFORD CT 06103 061614518 501(C)(6) 11500 N/A N/A SPONSOR ECONOMIC ADVANCEMENT PROGRAMS MILFORD REGIONAL HEALTHCARE FOUNDATION 14 PROSPECT STREET MILFORD MA 01757 200773697 501(c)(3) 15000 N/A N/A HEALTH PROGRAMS FOR LOW-INCOME POPULATIONS MILL CITY GROWS PO BOX 7133 LOWELL MA 01852 472096070 501(C)(3) 50500 N/A N/A SUPPORT HEALTHY FOOD ACCESS PROGRAMMING MUSEUM OF SCIENCE SCIENCE PARK BOSTON MA 021141099 042103916 501(C)(3) 50000 N/A N/A SPONSORSHIP OF SCIENCE EDUCATION PROGRAMS NATIONAL MULTIPLE SCLEROSIS SOCIETY 101A FIRST AVE WALTHAM MA 02451 042178884 501(c)(3) 6500 N/A N/A GRANT SUPPORT FOR MS RESEARCH NEW ENGLAND BAPTIST HOSPITAL 125 PARKER HILL AVE BOSTON MA 02120 042103612 501(C)(3) 10000 N/A N/A SPONSORSHIP OF HEALTH PROGRAMS NEW ENGLAND COUNCIL 98 NORTH WASHINGTON ST BOSTON MA 02114 041661090 501(C)(6) 41697 N/A N/A REGIONAL BUSINESS DEVELOPMENT EDUCATION NEW ENGLAND VETERANS LIBERTY HOUSE 599 CANAL STREET LAWRENCE MA 01841 455239196 501(c)(3) 10000 N/A N/A SUPPORT HEALTHY FOOD FOR VETERANS NEW HAVEN FARMS PO BOX 8953 NEW HAVEN CT 06532 451794893 501(C)(3) 50000 N/A N/A SUPPORT HEALTHY FOOD ACCESS PROGRAMMING OLD COLONY YMCA PLYMOUTH 320 MAIN STREET BROCKTON MA 02301 042125014 501(c)(3) 11000 N/A N/A SUPPORT HEALTHY FOODS FOR OLDER ADULTS PAN MASS CHALLENGEJIMMY FUND 77 FOURTH AVE NEEDHAM MA 02494 042746912 501(c)(3) 5500 N/A N/A GRANTS FOR CANCER PREVENTION PROGRAMS PARTNERS FOR A HEALTHIER COMMUNITY INC PO BOX 1228 FALL RIVER MA 02722 043409125 501(c)(3) 10000 N/A N/A SUPPORT HEALTHY FOODS FOR OLDER ADULTS PORTLAND REGIONAL CHAMBER OF COMMERCE 433 CONGRESS STREET PORTLAND ME 04101 010043280 501(c)(6) 10000 N/A N/A SPONSORSHIP OF BUSINESS EDUCATION PROGRAMS RANDOLPH BOARD OF HEALTH 1 TURNER LAND RANDOLPH MA 02368 046001275 115 10000 N/A N/A SUPPORT HEALTHY FOODS FOR OLDER ADULTS REGIS COLLEGE 235 WELLESLEY ST WESTON MA 024931571 042104451 501(C)(3) 12500 N/A N/A SPONSORSHIP OF HEALTH LECTURE SERIES RELIANT MEDICAL GROUP FOUNDATION 100 FRONT STREET WORCESTER MA 01608 222912515 501(C)(3) 17000 N/A N/A PROGRAMS BENEFITTING LOW INCOME POPULATIONS RIVERSIDE COMMUNITY CARE 450 WASHINGTON ST DEDHAM MA 02026 043097170 501(C)(3) 5500 N/A N/A SUPPORT FOR MENTAL HEALTH PROGRAMS ROCKPORT MUSIC 37 MAIN STREET ROCKPORT MA 01966 222479696 501(C)(3) 5050 N/A N/A SUPPORT FOR MUSIC EDUCATION PROGRAMS ROSIES PLACE 889 HARRISON AVENUE BOSTON MA 02118 042582187 501(C)(3) 13150 N/A N/A SUPPORT FOR HOMELESS PREVENTION PROGRAMS ROXBURY TENANTS OF HARVARD ASSOC INC 11 NEW WHITNEY STREET BOSTON MA 02115 042555987 501(c)(3) 9487 N/A N/A SUPPORT HEALTHY FOODS FOR OLDER ADULTS SAINT ANSELM COLLEGE 100 SAINT ANSELM DRIVE MANCHESTER NH 031021310 020222182 501(c)(3) 10000 N/A N/A SUPPORT FOR EDUCATIONAL PROGRAMS SALVATION ARMY PO BOX 3575 PORTLAND ME 041043575 010211556 501(C)(3) 7500 N/A N/A SUPPORT FOR LOW-INCOME PROGRAMS SAMARITANS INC 41 WEST STREET 4TH FLOOR BOSTON MA 02111 042643466 501(c)(3) 5500 N/A N/A SUPPORT FOR SUICIDE PREVENTION PROGRAMS SCHWARTZ CTR FOR COMPASSIONATE CARE PO BOX 417597 BOSTON MA 02241 041564655 501(C)(3) 50000 N/A N/A SPONSOR SUPPORTIVE HEALTH CARE PROGRAMS SEACOAST EAT LOCAL INC PO BOX 1590 PORTSMOUTH NH 03833 452547575 501(c)(3) 40000 N/A N/A SUPPORT HEALTHY FOOD ACCESS PROGRAMMING SENIORPLUS 8 FALCON ROAD LEWISTON ME 04240 010317103 501(c)(3) 10000 N/A N/A SUPPORT HEALTHY FOODS FOR SOMALI OLDER ADULTS SEWA INTERNATIONAL INC 38 HEMINGWAY STREET SHREWSBURY MA 01545 200638718 501(c)(3) 5200 N/A N/A SPONSORSHIP OF RESCUE AND RELIEF PROGRAMMING SPECTRUM GENERATIONS PO BOX 2589 AUGUSTA ME 04338 010318051 501(c)(3) 10000 N/A N/A SUPPORT HEALTHY FOODS FOR OLDER ADULTS ST JOSEPH HOSPITAL 172 KINSLEY STREET NASHUA NH 03061 010212435 501(c)(3) 10625 N/A N/A SPONSORSHIP OF HEALTH PROGRAMS FOR LOW-INCOME PATIENTS ST MARY'S REGIONAL MEDICAL CTR PO BOX 7291 LEWISTON ME 04243 010211551 501(C)(3) 60000 N/A N/A SUPPORT HEALTHY FOOD ACCESS PROGRAMMING STRENGTHEN ORLANDO INC 400 S ORANGE AVE ORLANDO FL 32801 271964941 501(c)(3) 6126 N/A N/A SUPPORT FOR LGBT PROGRAMS TAMWORTH COMMUNITY NURSE ASSOCIATION INC 84 MAIN STREET TAMWORTH NH 03886 020235235 501(C)(3) 28175 N/A N/A SUPPORT HEALTHY FOOD ACCESS PROGRAMMING THE OPEN DOOR 28 EMERSON AVE GLOUCESTER MA 01930 222513482 501(c)(3) 10550 N/A N/A SUPPORT HEALTHY FOODS FOR OLDER ADULTS THEATRE OFFENSIVE THE 565 BOYLSTON STREET 3RD FL BOSTON MA 02216 043039900 501(c)(3) 15000 N/A N/A SUPPORT LGBT THEATRE PROGRAMMING THIRD SECTOR NEW ENGLAND INC 89 SOUTH STREET SUITE 700 BOSTON MA 02111 042261109 501(C)(3) 50833 N/A N/A SUPPORT HEALTHY FOOD ACCESS PROGRAMMING TOWN OF LANCASTER 695 MAIN STREET LANCASTER MA 01523 046001194 115 10000 N/A N/A SUPPORT HEALTHY FOODS FOR OLDER ADULTS UMASS MEMORIAL FOUNDATION INC 333 SOUTH STREET SHREWSBURY MA 01545 043108190 501(c)(3) 22250 N/A N/A SUPPORT FOR HEALTH CARE PROGRAMS UNITED WAY OF CENTRAL MASSACHUSETTS 484 MAIN STREET SUITE 300 WORCESTER MA 01608 042104017 501(c)(3) 9750 N/A N/A SUPPORT FOR HUMAN SERVICE ORGANIZATIONS UNITED WAY OF NEW ENGLAND 51 SLEEPER STREET BOSTON MA 02210 042382233 501(c)(3) 8000 N/A N/A SUPPORT FOR HUMAN SERVICE ORGANIZATIONS UNIVERSITY OF MASSACHUSETTS BOSTON 100 MORRISSEY BLVD BOSTON MA 02125 043167352 501(c)(3) 300750 N/A N/A SUPPORT FOR LOW-INCOME STUDENT EDUCATION PROGRAMS VIETNAMESE AMERICAN INSTITUTE FOR DEVELOP 42 CHARLES STREET BOSTON MA 02112 043289039 501(C)(3) 15000 N/A N/A HEALTH CARE PROGRAMS FOR VIETNAMESE POPULATION VISION INC 8 VINE BROOK ROAD LEXINGTON MA 02421 201344017 501(c)(3) 15000 N/A N/A SUPPORT PROGRAMS FOR VISUALLY IMPAIRED WELLSPRING MULTI-SERVICE CENTER 814 NANTASKET AVENUE HULL MA 02045 042969215 501(c)(3) 10000 N/A N/A SUPPORT HEALTHY FOODS FOR OLDER ADULTS WOLFES NECK FARM FOUNDATION 184 BURNETT ROAD FREEPORT ME 04032 222586116 501(C)(3) 50000 N/A N/A SUPPORT HEALTHY FOOD ACCESS PROGRAMMING WOMENS RURAL ENTREPRENURIAL NETWORK PO BOX 331 BETHLEHEM NH 03574 020492339 501(C)(3) 39330 N/A N/A SUPPORT HEALTHY FOOD ACCESS PROGRAMMING WORCESTER COUNTY FOOD BANK 474 BOSTON TURNPIKE ROAD SHREWSBURY MA 01545 043071457 501(c)(3) 8500 N/A N/A SUPPORT HEALTHY FOOD ACCESS PROGRAMMING WORCESTER FIREFIGHTERS 6K 87 MARK BRADFORD DR HOLDEN MA 01520 200329974 501(C)(3) 6000 N/A N/A SUPPORT FIRE FIGHTER EDUCATION WORCESTER PUBLIC LIBRARY FOUNDATION 3 SALEM SQUARE WORCESTER MA 01608 200066770 501(c)(3) 14723 N/A N/A GRANT TO SUPPORT ELEMENTARY EDUCATION YALE UNIVERSITY 135 COLLEGE STREET SUITE 210 NEW HAVEN CT 06510 060646973 501(c)(3) 17500 N/A N/A SUPPORT OPIOD PREVENTION RESEARCH YOU AND MAINE 93 FALMOUTH RD FALMOUTH ME 04105 128601350 6000 N/A N/A ROAD RACE SPONSORSHIP YWCA GREATER NEWBURYPORT 13 MARKET STREET NEWBURYPORT MA 01950 042123678 501(C)(3) 50000 N/A N/A SUPPORT HEALTHY FOOD ACCESS PROGRAMMING 115 11 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 REVIEWS 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 ERIC H SCHULTZ CHAIRMAN/DIRECTOR 0 956950 0 1098050 0 22902 0 283700 0 26360 0 2387962 0 639600 KAREN VOCI PRESIDENT 0 183778 0 39750 0 20397 0 16531 0 21969 0 282425 0 0 ELIZABETH CREAVIN TREASURER 0 186862 0 24750 0 1229 0 16743 0 33641 0 263225 0 0 SUZANNE M FINN CLERK 0 137348 0 900 0 418 0 9488 0 25436 0 173590 0 0 THOMAS F MALONEY FORMER CLERK 0 227218 0 45531 0 2139 0 21200 0 29124 0 325212 0 0 MICHELLE J CLAYMAN FORMER TREASURER 0 286743 0 62043 0 5610 0 18065 0 31953 0 404414 0 0 SCHEDULE J, PART I, LINE 3 THE FOUNDATION RELIED ON HARVARD PILGRIM HEALTH CARE, INC. (HPHC, INC.), A RELATED ORGANIZATION OF THE FOUNDATION, TO ESTABLISH ITS PRESIDENT AND EXECUTIVE DIRECTORS 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 HARVARD PILGRIM HEALTH CARE FOUNDATION, INC., 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 HUMAN RESOURCES OFFICER FOR 2013-2015 AND FOR 2016-2018. THE PLANS ARE 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 THESE PLANS MAY OR MAY NOT BE PAID TO THE EXECUTIVES BASED ON THE ACTUAL RESULTS OF THE PERFORMANCE MEASURES AS DETERMINED AT THE END OF THE APPLICABLE THREE YEAR PERIOD. THE FOLLOWING INDIVIDUAL WAS PAID THE FOLLOWING AMOUNT FROM THE 2013-2015 PLAN DURING CALENDAR YEAR 2016: ERIC H. SCHULTZ - $639,600 SCHEDULE J, PART II, COLUMN F COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990 FOR CERTAIN INDIVIDUALS LISTED ON SCHEDULE J, PART II, AMOUNTS CREDITED UNDER HPHCS 2016 2018 LONG TERM INCENTIVE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). AMOUNTS CREDITED AND DISCLOSED ON THE FORM 990 IN PRIOR YEARS THAT VESTED WERE PAID OUT IN CALENDAR YEAR 2016 FOR HPHCS 2013-2015 LONG-TERM INCENTIVE PLAN ARE REPORTED IN COLUMN (B) (III) AND IN COLUMN (F). 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 Foundaton provides the tools, training and leadership to help build healthy communities throughout Connecticut, Maine, Massachusetts, and New Hampshire. In 2016, the Foundation awarded approximately $3.9 million in grants to more than 900 not-for-profit organizations in the region. Since its inception, the Foundation has granted approximately $140 million in funds and resources throughout the four states. $1.4 million of the $3.9 million in grants went to the Foundation's Healthy Food Fund initiatives within the region during 2016. 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 ERIC H. SCHULTZ - 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 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 CONFLICT 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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