HEALTH FOUNDATION OF CENTRAL MASSACHUSETTS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HEALTH FOUNDATION OF CENTRAL MASSACHUSETTS INC (EIN 04-2633274)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201243199349301204
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-14T08:19:57-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN043037870EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BOLLUS LYNCH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line189 SHREWSBURY STREETAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01604ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042633274EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE HEALTH FOUNDATION OF CENTRALBusinessNameLine1
Business Name Line2MASSACHUSETTS INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlHEALNameControl
Phone5084380009Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1446 MAIN STREET 20TH FLOORAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01608ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJANICE B YOST EDDName
TitlePRESIDENT AND CEOTitle
Phone5084380009Phone
Date Signed2012-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID EATONName
PTINP00545132PTIN
Phone5087557107Phone
Date Prepared2012-11-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJANICE B YOST EDDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1446 MAIN STREET 20TH FLOORAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01608ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14976935GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteHFCM.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE HEALTH STATUS OF THOSE WHO LIVE OR WORK IN CENTRAL MASSACHUSETTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees5TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1332502InvestmentIncomePriorYear
Investment Income Current Year3094299InvestmentIncomeCurrentYear
Other Revenue Prior Year142157OtherRevenuePriorYear
Other Revenue Current Year356019OtherRevenueCurrentYear
Total Revenue Prior Year1474659TotalRevenuePriorYear
Total Revenue Current Year3450318TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1911087GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2149125GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year537811SalariesEtcPriorYear
Salaries Etc Current Year591945SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year532031OtherExpensePriorYear
Other Expenses Current Year626117OtherExpensesCurrentYear
Total Expenses Prior Year2980929TotalExpensesPriorYear
Total Expenses Current Year3367187TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1506270RevenuesLessExpensesPriorYear
Revenues Less Expenses CY83131RevenuesLessExpensesCY
Total Assets BOY62508004TotalAssetsBOY
Total Assets EOY60409777TotalAssetsEOY
Total Liabilities BOY783711TotalLiabilitiesBOY
Total Liabilities EOY968353TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY61724293NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY59441424NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE THE HEALTH STATUS OF THOSE WHO LIVE OR WORK IN CENTRAL MASSACHUSETTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2634367Expense
Grants2149125Grants
DescriptionTO PROVIDE FUNDING TO NON-PROFIT ORGANIZATIONS FOR THE PURPOSE OF IMPROVING THE HEALTH AND WELFARE OF THOSE WHO LIVE AND WORK IN CENTRAL MASSACHUSETTS.Description
Total Program Service Expense2634367TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees5NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5084380009TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1446 MAIN STREET 20TH FLOORAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01608ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
HENRY L FERGUSON III JD
DIRECTOR1.50X000
LISA R FORTUNA MDMPH
DIRECTOR1.50X000
JAY S HIMMELSTEINMDMPH
DIRECTOR1.50X000
ROBIN B MCFEEDOMPH
DIRECTOR1.50X000
MICHAEL J MUTCHLER MD
DIRECTOR1.50X000
LUIS G PEREZ JD
DIRECTOR1.50X000
BRIAN J PERRY
DIRECTOR2.00X000
DEBORAH L PLUMMER PHD
DIRECTOR1.50X000
ANN K TRIPP MBA
DIRECTOR1.50X000
GEORGE ABRAHAMMDMPH
CHAIR2.00000X
JOHN P GUSHA DMD
VICE CHAIR2.00000X
JEFFREY W HILLISJDMBA
TREASURER2.50000X
LYNDA M YOUNG MD
SECRETARY2.00000X
JANICE B YOST EDD
PRESIDENT/CEO37.50208461035148X
ELAINE CINELLI
VICE PRESIDENT OF PROGRAMS37.50120807011719X
FieldValueIRS element (for citing)
Total Reportable Comp From Org329268TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation46867TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column882425TotalRevenueColumn
Exclusion$882,425ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13738491Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities11526617Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2211874Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2211874TotalRevenueColumn
Exclusion$2,211,874ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column356019TotalRevenueColumn
Related Or Exempt Function Income356019RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue356019TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3450318TotalRevenueColumn
Related Or Exempt Function Income356019RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,094,299ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2149125Total
Program Services2149125ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total208461Total
Program Services143129ProgramServices
Management And General65332ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total260406Total
Program Services178795ProgramServices
Management And General81611ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total17447Total
Program Services11979ProgramServices
Management And General5468ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total73308Total
Program Services50333ProgramServices
Management And General22975ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total32323Total
Program Services22193ProgramServices
Management And General10130ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2191Total
Management And General2191ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19000Total
Management And General19000ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5540Total
Program Services3125ProgramServices
Management And General2415ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total64066Total
Program Services38440ProgramServices
Management And General25626ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total14614Total
Program Services9274ProgramServices
Management And General5340ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4019Total
Program Services2411ProgramServices
Management And General1608ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6811Total
Program Services4087ProgramServices
Management And General2724ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
INVESTMENT FEES468955468955
OUTSIDE SERVICES1787980899790
OFFICE SUPPLIES1329053167974
PUBLICATIONS AND SPECIA673731383599

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3015Total
Program Services113ProgramServices
Management And General2902ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3367187Total
Program Services2634367ProgramServices
Management And General732820ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY105232BOY
EOY98837EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY128556BOY
EOY178842EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6460BOY
EOY5770EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis188702LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec170273LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15848BOY
EOY18429EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY43356139BOY
EOY39412749EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY18316941BOY
EOY20127904EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY449127BOY
EOY427207EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY129701BOY
EOY140039EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY62508004BOY
EOY60409777EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY88833BOY
EOY87168EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY565177BOY
EOY741146EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY129701BOY
EOY140039EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY783711BOY
EOY968353EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY61724293BOY
EOY59441424EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY61724293BOY
EOY59441424EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY62508004BOY
EOY60409777EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses83131ReconcilationRevenueExpenses
Reconcilation Other Changes-2366000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance61935980BeginningOfYearBalance
Investment Earnings Or Losses368941InvestmentEarningsOrLosses
Grants Or Scholarships2149125GrantsOrScholarships
Other Expenditures219054OtherExpenditures
Administrative Expenses153546AdministrativeExpenses
End Of Year Balance59783196EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance56996509BeginningOfYearBalance
Investment Earnings Or Losses7298261InvestmentEarningsOrLosses
Grants Or Scholarships1911087GrantsOrScholarships
Other Expenditures298924OtherExpenditures
Administrative Expenses148779AdministrativeExpenses
End Of Year Balance61935980EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance49252271BeginningOfYearBalance
Investment Earnings Or Losses10135553InvestmentEarningsOrLosses
Grants Or Scholarships1788998GrantsOrScholarships
Other Expenditures463601OtherExpenditures
Administrative Expenses138716AdministrativeExpenses
End Of Year Balance56996509EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance65137195BeginningOfYearBalance
Contributions4670933Contributions
Investment Earnings Or Losses-18023302InvestmentEarningsOrLosses
Grants Or Scholarships2239539GrantsOrScholarships
Other Expenditures174170OtherExpenditures
Administrative Expenses118846AdministrativeExpenses
End Of Year Balance49252271EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis188702OtherCostOrOtherBasis
Depreciation170273Depreciation
Book Value18429BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings18429TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENT LIMITED PARTNERSHIPSDescription
Book Value20127904BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities20127904TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED COMPENSATION PLANDescription
Amount$140,039Amount
FieldValueIRS element (for citing)
Total Of Amounts140039TotalOfAmounts
Total Revenue3450318TotalRevenue
Total Expenses3367187TotalExpenses
Excess Or Deficit For Year83131ExcessOrDeficitForYear
Net Unrealized GL On Investments-2366000NetUnrealizedGLOnInvestments
Total Adjustments-2366000TotalAdjustments
Excess Or Deficit Per FS-2282869ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt733933TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2366000NetUnrealizedGainsInvestments
Revenue Not Rptd F990-2366000RevenueNotRptdF990
Revenue Subtotal3099933RevenueSubtotal
Investment Expenses Not Included350385InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt350385RevenueNotRptdOnFinStmt
Total Revenue Per Form9903450318TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3016802TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal3016802ExpensesSubtotal
Investment Expenses Not Included2350385InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt350385ExpensesNotRptdOnFinStmt
Total Expenses Per Form9903367187TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (21 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationPurpose Of GrantPurposeOfGrant
MASS HOUSING & SHELTER ALLIANCE
25 KINGSTON STREET 3EBOSTONMA02111223068653501(C)(3)5000BOOKHOME FOR GOOD:SOLUTIONS START HERE, HOMELESSNESS
AMERICAN RED CROSS OF CENTRAL MA
2000 CENTURY DRIVEWORCESTERMA016061256530196605501(C)(3)10000BOOK2011 DISASTER RELIEF EFFORTS
MASS LEAGUE OF COMMUNITY HEALTH CENTERS
40 COURT STREET 10TH FLBOSTONMA02108042507409501(C)(3)150000BOOKCMOHI DENTAL RESIDENCY PROGRAM
CHILDREN'S HOSPITAL BOSTON
300 LONGWOOD AVENUEBOSTONMA02115042774441501(C)(3)25000BOOKCHILDREN'S MENTAL HEALTH CAMPAIGN
ST PETER'S PARISH
929 MAIN STREETWORCESTERMA01610042130851501(C)(3)5000BOOK"BABY AND ME" PROGRAM
PERNET FAMILY HEALTH SERVICE
237 MILLBURY STREETWORCESTERMA01610042453851501(C)(3)5000BOOKHEALTH SERVICES
WORCESTER COUNTY FOOD BANK
474 BOSTON TURNPIKESHREWSBURYMA01545043071457501(C)(3)259894BOOKHUNGER-FREE AND HEALTHY
WINCHENDON PUBLIC SCHOOLS
175 GROVE STREETWINCHENDONMA014751162046001370501(C)(3)247754BOOKCHILDREN'S MENTAL HEALTH
BOYS & GIRLS CLUB OF WEBSTER DUDLEY
55 OXFORD AVEDUDLEYMA01571042238069501(C)(3)50000BOOKYOUTH DEVELOPMENT
WORCESTER HOUSING AUTHORITY
40 BELMONT STREETWORCESTERMA01605046004472501(C)(3)155950BOOKPUBLIC HOUSING RESIDENTS ACHIEVE SELF-SUFFICIENCY
DISMAS HOUSE OF MASSACHUSETTS INC
POB 3012530 RICHARDS STJAMAICA PLAINMA02130542075825501(C)(3)138413BOOKPRISONER RE-ENTRY
MILFORD REGIONAL MEDICAL CENTER
14 PROSPECT STREETMILFORDMA01757042103602501(C)(3)124500BOOKACCESS TO CARE/CREATING COMMUNITY HEALTH CENTER
LUK INC
545 WESTMINSTER STREETFITCHBURGMA01520042483679501(C)(3)120000BOOKYOUTH HOMELESSNESS
HENRY LEE WILLIS COMMUNITY CENTER
119 FOREST STREETWORCESTERMA01609043124067501(C)(3)373641BOOKPRISONER RE-ENTRY
CITY OF WORCESTER-DIVISION OF PUBLIC HEALTH
25 MEADE STREETWORCESTERMA016102715046001418501(C)(3)25000BOOKPUBLIC HEALTH REGIONALIZATION PROJECT AMENDMENT
WORCESTER STATE FOUNDATION
486 CHANDLER STREETWORCESTERMA016022597223248067501(C)(3)73460BOOKEXPAND AUDIOLOGY SERVICES
EMPLOYMENT OPTIONS
82 BRIGHAM STREETMARLBOROUGHMA01752237089596501(C)(3)104200BOOKMENTAL HEALTH FAMILY OPTIONS MANUAL AND TOOLKIT
WENDALL P CLARK MEMORIAL YMCA
155 CENTRAL STREETWINCHENDONMA014751162042173363501(C)(3)50000BOOKYOUTHFIT PROGRAM
COMMUNITY HEALTH CONNECTIONS
275 NICHOLS ROADFITCHBURGMA01420043452697501(C)(3)99000BOOKPHARMACY PROGRAM DEVELOPMENT
QUINSIGAMOND COMMUNITY COLLEGE
670 BOYLSTON STREETWORCESTERMA01606042897624501(C)(3)48000BOOKHEALTHCARE CAREER LADDER EXPANSION PROJECT
HENRY LEE WILLIS COMMUNITY CENTER
119 FOREST STREETWORCESTERMA01609043124067501(C)(3)50000BOOKIMPROVE THE HEALTH OF BLACK MEN/MOSAIC CULTURAL COMPLEX CAPACITY BUILDING
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants21TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonJANICE B YOST EDDNamePerson
Base Compensation Filing Org198461BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org10000BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org18928DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org16220NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org243609TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org18200CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 1AReturnReference
ExplanationTHE FOUNDATION PAYS FOR HEALTH CLUB MEMBERSHIP FOR THE PRESIDENT.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION'S FORM 990 IS REVIEWED BY THE BOARD AND IS FILED UPON RECEIVING BOARD MEMBER APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL DISCLOSURE BY STAFF AND DIRECTORS, WITH A REVIEW OF THE POLICY EVERY THREE YEARS.
FORM 990, PART VI, SECTION B, LINE 15THE PRESIDENT'S SALARY IS APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE 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 XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -2,366,000.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PART X, LINE 13DURING 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, 2011 AND 2010 TOTALED $427,207 AND $449,127, RESPECTIVELY.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1THE HEALTH FOUNDATION FUND INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1446 MAIN STREET 20TH FLAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01608ZIPCode
FieldValueIRS element (for citing)
EIN043521743EIN
Primary ActivitiesTO SUPPORT THE PURPOSE AND MISSION OF ITS MEMBER, THE HEALTH FOUNDATION.PrimaryActivities
Legal Domicile StateMALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 7PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
THE HEALTH FOUNDATION FUND INC
M64066STANDARD ACCOUNTING PROCEDURES
THE HEALTH FOUNDATION FUND INC
N15902STANDARD ACCOUNTING PROCEDURES

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