2014-11-13T10:24:31-06:00 2013-12-31 043037870 BOLLUS LYNCH LLP 89 SHREWSBURY STREET WORCESTER MA 01604 990 2013-01-01 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 2014-11-12 1 DAVID G EATON CPA P00545132 5087557107 2014-10-29 2013 2015-11-30 17:44:51Z JANICE B YOST EDD 446 MAIN STREET 20TH FLOOR WORCESTER MA 01608 21593745 0 X HFCM.ORG X 1977 MA TO IMPROVE THE HEALTH STATUS OF THOSE WHO LIVE OR WORK IN CENTRAL MASSACHUSETTS. 14 14 5 0 0 0 0 0 0 0 3352283 3681480 139684 172142 3491967 3853622 2229549 2228068 0 0 613235 640813 0 0 0 703027 789741 3545811 3658622 -53844 195000 64111552 70966121 676519 665442 63435033 70300679 TO IMPROVE THE HEALTH STATUS OF THOSE WHO LIVE OR WORK IN CENTRAL MASSACHUSETTS. 0 0 2756426 2228068 TO PROVIDE FUNDING TO NON-PROFIT ORGANIZATIONS FOR THE PURPOSE OF IMPROVING THE HEALTH AND WELFARE OF THOSE WHO LIVE AND WORK IN CENTRAL MASSACHUSETTS. 2756426 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 4 0 1 5 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X THE FOUNDATION 5084380009 446 MAIN STREET 20TH FLOOR WORCESTER MA 01608 HENRY L FERGUSON III JD DIRECTOR 1.50 X 0 0 0 LISA R FORTUNA MD 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 MICHAEL J MUTCHLER MD DIRECTOR 1.50 X 0 0 0 LUIS G PEREZ JD DIRECTOR 1.50 X 0 0 0 BRIAN J PERRY DIRECTOR 1.50 X 0 0 0 DEBORAH L PLUMMER PHD 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 GEORGE ABRAHAMMDMPH IMMEDIATE PAST CHAIR 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 235717 0 25388 ELAINE CINELLI VICE PRESIDENT OF PROGRAMS 37.50 X 126877 0 13238 362594 0 38626 2 0 1 0 0 700675 700675 20720928 17740123 2980805 2980805 2980805 OTHER INCOME 900099 172142 172142 172142 3853622 172142 0 3681480 2228068 2228068 235717 161389 74328 272160 186341 85819 19398 13281 6117 81038 55485 25553 32500 22252 10248 2770 2770 20500 20500 612419 612419 5228 2887 2341 65603 39362 26241 22188 13834 8354 5527 3316 2211 7144 4286 2858 OUTSIDE SERVICES 29159 16329 12830 OFFICE SUPPLIES 8668 5201 3467 PUBLICATIONS AND SPECIA 6575 3735 2840 OTHER EXPENSE 3960 660 3300 3658622 2756426 902196 0 124591 58303 94240 164569 6034 7081 189465 170895 13762 18570 40048247 46693062 23253352 23462062 404958 382376 166368 180098 64111552 70966121 88753 98397 421398 386947 166368 180098 676519 665442 X 63435033 70300679 63435033 70300679 64111552 70966121 195000 6670646 0 X 0 1 X 1 0 63665366 9850435 2228068 639078 156458 70492197 59783196 6962985 2229549 698240 153026 63665366 61935980 368941 2149125 219054 153546 59783196 56996509 7298261 1911087 298924 148779 61935980 49252271 10135553 1788998 463601 138716 56996509 1.00000 0 0 189465 170895 18570 18570 INVESTMENT LIMITED PARTNERSHIPS 23462062 F 23462062 DEFERRED COMPENSATION PLANS 180098 180098 X 10030223 6670646 6670646 3359577 494045 494045 3853622 3164577 0 3164577 494045 494045 3658622 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 2010. 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 NATIONAL ALLIANCE ON MENTAL ILLNESS 529 MAIN STREET SUITE 1M17 BOSTON MA 02129 042777012 501(C)(3) 25000 BOOK CRIMINAL JUSTICE DIVERSION PROJECT MSPCC 99 SUMMER STREET 6TH FLOOR BOSTON MA 01220 421035960 501(C)(3) 25000 BOOK CHILDREN'S MENTAL HEALTH CAMPAIGN SAINT VINCENT HOSPITAL EDUCATION & RESEARCH FUND 123 SUMMER STREET WORCESTER MA 01608 043473367 501(C)(3) 10000 BOOK ST. VINCENT HOSPITAL EDUCATION & RESEARCH FUND (ABRAHAM) THE HEALTH FOUNDATION FUND INC 446 MAIN STREET 20TH FLOOR WORCESTER MA 01608 043521743 501(C)(3) 5000 BOOK THE HEALTH FOUNDATION FUND (FERGUSON) WORCESTER HOUSING AUTHORITY 40 BELMONT STREET WORCESTER MA 01605 046004472 501(C)(3) 525295 BOOK A BETTER LIFE: HELPING FAMILIES FIND THEIR WAY COMMUNITY LEGAL AID 405 MAIN STREET 4TH FLOOR WORCESTER MA 01608 042446242 501(C)(3) 5000 BOOK COMMUNITY LEGAL AID (FERGUSON) TRI-COMMUNITY YMCA 43 EVERETT STREET SOUTHBRIDGE MA 01550 042105872 501(C)(3) 5000 BOOK TRI-COMMUNITY YMCA (LOSAVIO) LUK INC 545 WESTMINSTER STREET FITCHBURG MA 01520 042483679 501(C)(3) 450000 BOOK THE COMPASS PROJECT ADVOCATES INC ONE CLARKS HILL SUITE 305 FRAMINGHAM MA 01702 237451423 501(C)(3) 474500 BOOK WORCESTER INITIATIVE FOR SUPPORTED REENTRY COMMUNITY HEALTHLINK INC 72 JACQUES AVENUE WORCESTER MA 016102480 042626179 501(C)(3) 31000 BOOK HOME AGAIN CENTER FOR LIVING AND WORKING 484 MAIN STREET SUITE 345 WORCESTER MA 01608 042564426 501(C)(3) 50000 BOOK MASSACHUSETTS DUALS DEMONSTRATION PROJECT FAMILY CONTINUITY 76 CHURCH STREET SUITE 301 WHITINSVILLE MA 01588 042867023 501(C)(3) 38720 BOOK SCHOOL-BASED BEHAVIORAL HEALTH CLINIC FAMILY HEALTH CENTER OF WORCESTER 26 QUEEN STREET WORCESTER MA 01610 042485308 501(C)(3) 86825 BOOK VISION CLINIC EMK COMMUNITY HEALTH CENTER 2000 CENTURY DRIVE WORCESTER MA 01606 042513817 501(C)(3) 260000 BOOK IMPROVING ACCESS TO HEALTH MONTACHUSETT PUBLIC HEALTH NETWORK 166 BOULDER DRIVE SUITE 108 FITCHBURG MA 01420 046001388 501(C)(3) 66300 BOOK SHARPS AND MEDICINES DISPOSAL PROJECT SPECTRUM HEALTH SYSTEMS 10 MECHANIC STREET SUITE 302 WORCESTER MA 01608 042478978 501(C)(3) 46376 BOOK A RAY OF LIGHT HABITAT FOR HUMANITY 11 DISTRUBUTOR ROAD WORCESTER MA 01608 222583590 501(C)(3) 40000 BOOK RESTORE DONATIONS PROJECT 17 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 0 0 0 0 0 0 0 0 JANICE B YOST EDD PRESIDENT/CEO 203493 0 10000 0 22224 0 8106 0 17282 0 261105 0 11754 0 PART I, LINE 1A THE FOUNDATION PAYS FOR HEALTH CLUB MEMBERSHIP FOR THE PRESIDENT. 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, 2013 AND 2012 TOTALED $382,376 AND $404,958, 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 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 THE HEALTH FOUNDATION FUND INC N 65603 STANDARD ACCOUNTING PROCEDURES THE HEALTH FOUNDATION FUND INC O 17071 STANDARD ACCOUNTING PROCEDURES THE HEALTH FOUNDATION FUND INC B 5000 STANDARD ACCOUNTING PROCEDURES