2015-11-13T13:00:39-06:00 2014-12-31 043037870 BOLLUS LYNCH LLP 89 SHREWSBURY STREET WORCESTER MA 01604 990 2014-01-01 042633274 THE HEALTH FOUNDATION OF CENTRAL MASSACHUSETTS INC HEAL 5084380009 446 MAIN STREET 20TH FLOOR WORCESTER MA 01608 JANICE B YOST EDD PRESIDENT AND CEO 5084380009 2015-11-12 1 DAVID G EATON CPA P00545132 5087557107 2015-10-30 2014 2016-02-25 16:41:14Z JANICE B YOST EDD 446 MAIN STREET 20TH FLOOR WORCESTER MA 01608 47569159 0 X HFCM.ORG X 1977 MA TO IMPROVE THE HEALTH STATUS OF THOSE WHO LIVE OR WORK IN CENTRAL MASSACHUSETTS. 13 13 5 0 0 -6323 0 0 0 0 3681480 6150710 172142 61582 3853622 6212292 2228068 2593569 0 0 640813 689654 0 0 0 789741 721783 3658622 4005006 195000 2207286 70966121 71502913 665442 1235613 70300679 70267300 TO IMPROVE THE HEALTH STATUS OF THOSE WHO LIVE OR WORK IN CENTRAL MASSACHUSETTS. 0 0 3185271 2593569 TO PROVIDE FUNDING TO NON-PROFIT ORGANIZATIONS FOR THE PURPOSE OF IMPROVING THE HEALTH OF THOSE WHO LIVE AND WORK IN CENTRAL MASSACHUSETTS. 3185271 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 8 0 1 5 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X THE HEALTH FOUNDATION OF CENTRAL MASSACHUSETTS INC 5084380009 446 MAIN STREET 20TH FLOOR WORCESTER MA 01608 X DAVID N GRENIER DIRECTOR 1.50 X 0 0 0 JAY S HIMMELSTEINMDMPH DIRECTOR 1.50 X 0 0 0 JENNIFER J HYLTON PSYD DIRECTOR 1.50 X 0 0 0 DEBORAH L PLUMMER PHD DIRECTOR 1.50 X 0 0 0 FRANCIS M SABA MHSA DIRECTOR 1.50 X 0 0 0 ANN K TRIPP MBA DIRECTOR 1.50 X 0 0 0 BARENT W WALSH PHD DIRECTOR 1.50 X 0 0 0 BRIAN J PERRY DIRECTOR 1.50 X 0 0 0 MICHAEL J MUTCHLER MD EXECUTIVE COMMITTEE 2.00 X 0 0 0 LUIS G PEREZ JD EXECUTIVE COMMITTEE 2.00 X 0 0 0 JOHN P GUSHA DMD CHAIR 2.00 X 0 0 0 JEFFREY W HILLISJDMBA TREASURER 2.00 X 0 0 0 LYNDA M YOUNG MD SECRETARY 2.00 X 0 0 0 JANICE B YOST EDD PRESIDENT/CEO 37.50 X 400878 0 25558 ELAINE CINELLI VICE PRESIDENT OF PROGRAMS 37.50 X 130080 0 12435 530958 0 37993 2 0 1 0 0 974054 974054 46533523 41356867 5176656 5176656 5176656 OTHER INCOME 900099 61582 61582 61582 6212292 61582 0 6150710 2593569 2593569 246288 178113 68175 313949 227045 86904 19277 13941 5336 71771 51904 19867 38369 27748 10621 1224 1224 20500 20500 540692 540692 6004 3315 2689 69652 41791 27861 20402 12721 7681 8110 4866 3244 7581 4549 3032 OUTSIDE SERVICES 22111 12382 9729 OFFICE SUPPLIES 15281 9169 6112 PUBLICATIONS AND SPECIA 6324 3592 2732 OTHER EXPENSE 3902 566 3336 4005006 3185271 819735 0 58303 102285 164569 36680 7081 7538 175687 165228 18570 10459 46693062 46719123 23462062 24227104 382376 359454 180098 40270 70966121 71502913 98397 110941 386947 1084402 180098 40270 665442 1235613 X 70300679 70267300 70300679 70267300 70966121 71502913 2207286 -2240665 0 X 0 1 X 1 0 70492197 3488570 2593569 811358 164264 70411576 63665366 9850435 2228068 639078 156458 70492197 59783196 6962985 2229549 698240 153026 63665366 61935980 368941 2149125 219054 153546 59783196 56996509 7298261 1911087 298924 148779 61935980 1.00000 0 0 175687 165228 10459 10459 INVESTMENT LIMITED PARTNERSHIPS 24227104 F 24227104 DEFERRED COMPENSATION PLAN 40270 40270 X 3557316 -2240665 -2240665 5797981 414311 414311 6212292 3590695 0 3590695 414311 414311 4005006 PART X, LINE 2: THE HEALTH FOUNDATION OF CENTRAL MASSACHUSETTS, INC. QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE (IRC). THE AFFILIATE IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE IRC. ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAX IS REQUIRED. MANAGEMENT ANNUALLY REVIEWS FOR UNCERTAIN TAX POSITIONS ALONG WITH ANY RELATED INTEREST AND PENALTIES AND BELIEVES THAT THE FOUNDATION AND THE AFFILIATE HAVE NO UNCERTAIN TAX POSITIONS THAT WOULD HAVE A MATERIAL ADVERSE EFFECT, INDIVIDUALLY OR IN THE AGGREGATE UPON THE COMBINED STATEMENTS OF FINANCIAL POSITION, OR THE RELATED COMBINED STATEMENTS OF ACTIVITIES, OR CASH FLOWS. BOTH THE FOUNDATION AND THE AFFILIATE FILE INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. THE FOUNDATION AND AFFILIATE ARE NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 MASS LEAGUE OF COMMUNITY HEALTH CENTERS 40 COURT STREET 10TH FLOOR BOSTON MA 02108 042507409 501(C)(3) 28462 BOOK CMOHI DENTAL RESIDENCY PROGRAM SOUTH MIDDLESEX OPPORTUNITY COUNCIL 300 HOWARD STREET FRAMINGHAM MA 01702 042389659 501(C)(3) 30000 BOOK TRANSITION AGE YOUTH PILOT PROGRAM MSPCC 99 SUMMER STREET 6TH FLOOR BOSTON MA 01220 042103596 501(C)(3) 25000 BOOK CHILDREN'S MENTAL HEALTH CAMPAIGN NATIONAL ALLIANCE ON MENTAL ILLNESS 529 MAIN STREET SUITE 1M17 BOSTON MA 02129 042777012 501(C)(3) 25000 BOOK CRIMINAL JUSTICE DIVERSION CENTRAL MASS REGIONAL PLANNING COMMISSION 2 WASHINGTON SQUARE UNOIN STATION WORCESTER MA 01604 042318872 501(C)(3) 25000 BOOK CENTRAL MASSACHUSETTS DATACOMMON - PHASE 2 STRAIGHT AHEAD MINISTRIES 791 MAIN STREET WORCESTER MA 01608 043103694 501(C)(3) 10000 BOOK STRAIGHT AHEAD MINISTRIES (FORTUNA) HUDSON PUBLIC SCHOOLS 155 APSLEY STREET HUDSON MA 01749 046001188 501(C)(3) 10000 BOOK HUDSON PUBLIC SCHOOLS (HILLIS) TRI-VALLEY INC 10 MILL STREET DUDLEY MA 01571 042594201 501(C)(3) 10000 BOOK TRI-VALLEY, INC. (PERRY) THE BRIDGE OF CENTRAL MASSACHUSETTS 4 MANN STREET WORCESTER MA 01602 042701581 501(C)(3) 5000 BOOK THE BRIDGE OF CENTRAL MA (MARTISKA) THE SHINE INITIATIVE 9 LEOMINSTER CONNECTOR LEOMINSTER MA 01453 043537449 501(C)(3) 5000 BOOK THE SHINE INITIATIVE (MANZI) ADVOCATES INC ONE CLARKS HILL SUITE 305 FRAMINGHAM MA 01702 237451423 501(C)(3) 786587 BOOK WORCESTER INITIATIVE FOR SUPPORTED REENTRY EMK COMMUNITY HEALTH CENTER 2000 CENTURY DRIVE WORCESTER MA 01606 042513817 501(C)(3) 120000 BOOK IMPROVING ACCESS TO HEALTH WORCESTER HOUSING AUTHORITY 40 BELMONT STREET WORCESTER MA 01605 046004472 501(C)(3) 567933 BOOK A BETTER LIFE: HELPING FAMILIES FIND THEIR WAY ADVOCATES INC ONE CLARKS HILL SUITE 305 FRAMINGHAM MA 01702 237451423 501(C)(3) 375000 BOOK WISER MEN (WORCESTER COUNTY SHERIFF'S OFFICE) CENTRAL MASS REGIONAL PLANNING COMMISSION 2 WASHINGTON SQUARE UNOIN STATION WORCESTER MA 01604 042318872 501(C)(3) 50000 BOOK WORCESTER COUNTY DATACOMMON HEYWOOD HOSPITAL 242 GREEN STREET GARDNER MA 01440 042104246 501(C)(3) 80000 BOOK MEN'S SUICIDE PREVENTION PROJECT WORCESTER COUNTY HORTICULTURAL SOCIETY 11 FRENCH DRIVE PO BOX 598 BOYLSTON MA 01505 041988945 501(C)(3) 54505 BOOK THE GARDEN WITHIN REACH PROJECT (TOWER HILL BOTANIC GARDEN) COMMUNITY HEALTH CONNECTIONS FHC 326 NICHOLS ROAD FITCHBURG MA 01420 043452697 501(C)(3) 100000 BOOK IMPROVING ACCESS TO PRIMARY MEDICAL CARE RCAP SOLUTIONS 205 SCHOOL STREET PO BOX 159 GARDNER MA 01440 042454675 501(C)(3) 60000 BOOK SMALL WATER SYSTEM FINANCIAL SUSTAINABILITY WORCESTER STATE FOUNDATION 486 CHANDLER STREET WORCESTER MA 01602 223248067 501(C)(3) 42400 BOOK CHIPS IN ACTION GVNA HEALTHCARE INC 34 PEARLY LANE GARDNER MA 01440 042104246 501(C)(3) 99000 BOOK BABY'S BREATH EDWARD M KENNEDY COMMUNITY HEALTH CENTER 650 LINCOLN STREET WORCESTER MA 01605 042513817 501(C)(3) 50000 BOOK ENHANCING VISION CARE 22 PART I, LINE 2: THE HEALTH FOUNDATION AND THE GRANTEE SIGN A CONTRACT OUTLINING THE DELIVERABLES, PAYMENT, AND REPORTING REQUIREMENTS FOR THE PROJECT. TYPICALLY, PROJECT PROCESS EVALUATION REPORTS ARE SUBMITTED TO THE FOUNDATION MIDWAY THROUGH THE CONTRACT YEAR. A PROJECT SUMMARY REPORT IS ALSO REQUIRED TO BE SUBMITTED TO THE FOUNDATION APPROXIMATELY TWO MONTHS AFTER THE CONTRACT END DATE, OUTLINING THE RESULTS AND EXPENSES. IN ADDITION, MULTI-YEAR GRANTEES ARE REQUIRED TO MEET WITH FOUNDATION STAFF ON A QUARTERLY BASIS TO ASSESS PROJECT PROGRESS. X 1 1 X X X 0 1 0 0 0 0 0 0 0 JANICE B YOST EDD PRESIDENT/CEO 211196 0 12500 0 177182 0 8387 0 17171 0 426436 0 154591 0 PART I, LINE 1A THE FOUNDATION PAYS FOR HEALTH CLUB MEMBERSHIP FOR THE PRESIDENT. PART I, LINE 4B JANICE B. YOST, ED.D, PRESIDENT/CEO RECEIVED A DEFERRED COMPENSATION PAYMENT OF $154,591 DURING 2014 IN ACCORDANCE WITH THE VESTING SCHEDULE OUTLINED WITHIN THE DEFERRED COMPENSATION AGREEMENT. THE FULL AMOUNT WAS ACCRUED IN PRIOR YEARS WHEN CONTRIBUTIONS WERE MADE. FORM 990, PART VI, SECTION B, LINE 11 THE HEALTH FOUNDATION STAFF EMAILS THE DOCUMENTS TO THE BOARD FOR REVIEW, QUESTIONS, AND COMMENTS. THE 990 IS THEN FILED AFTER THE BOARD HAS REVIEWED IT. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL DISCLOSURE BY STAFF AND DIRECTORS, WITH A REVIEW OF THE POLICY EVERY THREE YEARS. FORM 990, PART VI, SECTION B, LINE 15 NO OFFICER OR DIRECTOR RECEIVES COMPENSATION EXCEPT FOR THE PRESIDENT/CEO. THE EXECUTIVE COMMITTEE REVIEWS SALARY DATA COMPILED BY THE "COUNCIL ON FOUNDATIONS" IN SETTING AND RECOMMENDING TO THE FULL BOARD FOR APPROVAL THE PRESIDENT/CEO'S SALARY AND BENEFITS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS UPON REQUEST. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE ALSO AVAILABLE ON THE WEBSITE OF THE COMMONWEALTH OF MASSACHUSETTS. FORM 990, PART X, LINE 13 DURING 2008, THE FOUNDATION LOANED $492,000 TO AN INTERMEDIARY FOR A PROGRAM-RELATED INVESTMENT. THE FUND IS TO BE USED FOR ACQUIRING AND DEVELOPING AFFORDABLE HOUSING FOR THE ADULT CHRONICALLY HOMELESS IN THE WORCESTER AREA. THE FUND IS ADMINISTERED BY AN INTERMEDIARY. THE BALANCE IN THIS FUND AT DECEMBER 31, 2014 AND 2013 TOTALED $359,454 AND $382,376, RESPECTIVELY. THE HEALTH FOUNDATION FUND INC 446 MAIN STREET 20TH FL WORCESTER MA 01608 043521743 TO SUPPORT THE PURPOSE AND MISSION OF ITS MEMBER, THE HEALTH FOUNDATION. MA 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 THE HEALTH FOUNDATION FUND INC N 69652 STANDARD ACCOUNTING PROCEDURES THE HEALTH FOUNDATION FUND INC O 23810 STANDARD ACCOUNTING PROCEDURES