POINT32HEALTH FOUNDATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
POINT32HEALTH FOUNDATION INC (EIN 26-1374263)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201123199349305937
Schema version
2010v3.4
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)
Timestamp2011-11-15T12:52:13-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE STE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN261374263EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Tufts Health Plan Foundation IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTUFTNameControl
Phone6179729400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1705 MOUNT AUBURN STREETAddressLine1
CityWATERTOWNCity
StateMAState
ZIP Code02472ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameUMESH KURPADName
TitleCFOTitle
Date Signed2011-11-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJames Roosevelt JrNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1705 Mount Auburn StreetAddressLine1
CityWatertownCity
StateMAState
ZIP Code02472ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26310819GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Siten/aWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2007YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTHE FOUNDATION'S MISSION IS TO PROMOTE HEALTHY LIFESTYLES AND THE DELIVERY OF QUALITY HEALTHCARE IN OUR COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year62500ContributionsGrantsPriorYear
Contributions Grants Current Year10062500ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year923863InvestmentIncomePriorYear
Investment Income Current Year807095InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year986363TotalRevenuePriorYear
Total Revenue Current Year10869595TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2387447GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2328940GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year341218SalariesEtcPriorYear
Salaries Etc Current Year355273SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year241080OtherExpensePriorYear
Other Expenses Current Year303996OtherExpensesCurrentYear
Total Expenses Prior Year2969745TotalExpensesPriorYear
Total Expenses Current Year2988209TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1983382RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7881386RevenuesLessExpensesCY
Total Assets BOY49431813TotalAssetsBOY
Total Assets EOY57583228TotalAssetsEOY
Total Liabilities BOY110230TotalLiabilitiesBOY
Total Liabilities EOY103596TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY49321583NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY57479632NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSee Schedule OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2339827Expense
Grants1925801Grants
Revenue0Revenue
DescriptionSee Schedule ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense413431Expense
Grants340639Grants
Revenue0Revenue
DescriptionSee Schedule ODescription
FieldValueIRS element (for citing)
Total Program Service Expense2815758TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryBDNameOfForeignCountry
Name Of Foreign CountryNTNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonUMESH KURPADNamePerson
Telephone Number6179729400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1705 MOUNT AUBURN STREETAddressLine1
CityWATERTOWNCity
StateMAState
ZIP Code02472ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
James Roosevelt
President & CEO2.0XX01293094157461
John Baackes
DIRECTOR1.0X200000
David Green
DIRECTOR1.0X2500340000
Jackie Jenkins-Scott
DIRECTOR1.0X1500270000
Barbara Shattuck Kohn
DIRECTOR1.0X100000
Thomas P O'Neill III
DIRECTOR1.0X1500260000
Vincent Mor
DIRECTOR1.0X100000
George A Russell Jr
DIRECTOR1.0X150000
Steven A Tolman
DIRECTOR1.0X200000
Elizabeth A Walker
DIRECTOR1.0X100000
Lois Cornell
Clerk & Director1.0X055610445942
Roland Price
Treasurer5.0X022793358977
David Abelman
Executive Director13.0X039843749079
Umesh Kurpad
CHIEF FINANCIAL OFFICER1.0X0544126120179
AnnMarie Boursiquot-King
Director of Grants50.0013789919684X
FieldValueIRS element (for citing)
Total Reportable Comp From Org14000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3244593TotalReportableCompFrmRltdOrgs
Total Other Compensation451322TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonNoneNamePerson
FieldValueIRS element (for citing)
Address Of ContractorAddressOfContractor
FieldValueIRS element (for citing)
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations10000000RelatedOrganizations
All Other Contributions62500AllOtherContributions
Total Contributions10062500TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column814146TotalRevenueColumn
Exclusion$814,146ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities15434173Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities15441224Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-7051Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-7051TotalRevenueColumn
Exclusion-$7,051ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10869595TotalRevenueColumn
Exclusion$807,095ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2328940Total
Program Services2328940ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total14000Total
Program Services14000ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total265758Total
Program Services265758ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total35164Total
Program Services35164ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total40351Total
Program Services40351ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total30500Total
Management And General30500ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total105983Total
Management And General105983ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total85736Total
Program Services85736ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total5769Total
Management And General5769ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1319Total
Program Services1319ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total4282Total
Management And General4282ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2884Total
Management And General2884ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total18640Total
Program Services18640ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total4400Total
Management And General4400ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Software dues2585025850
Annual report68666866
Training59005900
All other expenses58675867

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2988209Total
Program Services2815758ProgramServices
Management And General172451ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3250836BOY
EOY7990176EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY46180265BOY
EOY49592850EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY712BOY
EOY202EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY49431813BOY
EOY57583228EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY64921BOY
EOY77533EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY45309BOY
EOY26063EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY110230BOY
EOY103596EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY49321583BOY
EOY57479632EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49321583BOY
EOY57479632EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49431813BOY
EOY57583228EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses7881386ReconcilationRevenueExpenses
Reconcilation Other Changes276663ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN042674079EIN
Type Of Organization0TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts
General ExplanationNO MONETARY SUPPORT IS PROVIDED TO THE SUPPORTED ORGANIZATION. THE SUPPORTING ORGANIZATION (THE FOUNDATION) PERFORMS SERVICES FOR THE SUPPORTED ORGANIZATION WHICH ARE GRANTMAKING, PROGRAM SUPPORT AND EDUCATIONAL ACTIVITIES. FURTHER MONETARY SUPPORT IS NOT REQUIRED.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionPOOLED INVESTMENTSDescription
Book Value49592850BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities49592850TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$26,063Amount
FieldValueIRS element (for citing)
Total Of Amounts26063TotalOfAmounts
Total Revenue10869595TotalRevenue
Total Expenses2988209TotalExpenses
Excess Or Deficit For Year7881386ExcessOrDeficitForYear
Net Unrealized GL On Investments276663NetUnrealizedGLOnInvestments
Total Adjustments276663TotalAdjustments
Excess Or Deficit Per FS8158049ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11040275TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments276663NetUnrealizedGainsInvestments
Revenue Not Rptd F990276663RevenueNotRptdF990
Revenue Subtotal10763612RevenueSubtotal
Investment Expenses Not Included105983InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt105983RevenueNotRptdOnFinStmt
Total Revenue Per Form99010869595TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2882226TotExpensesEtcAuditedFinclStmt
Expenses Subtotal2882226ExpensesSubtotal
Investment Expenses Not Included2105983InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt105983ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902988209TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationIn 2010, the audited financial statements for the Foundation did not disclose an ASC 740 footnote.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (62 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ACTION FOR BOSTON COMMUNITY DEVELOPMENT
178 TREMONT STREETBOSTONMA02111042304133501(C)(3)52194StayStrong Initiative
AIDS ACTION COMMITTEE OF MASSACHUSETTS
75 AMORY STREETBOSTONMA02119222707246501(C)(3)40229Positive Aging/Lasting Strength
ALL OUT ADVENTURES INC
184 NORTHAMPTON ST SUITE HEASTHAMPTONMA01027043559633501(C)(3)17295Outdoor Recreation for Seniors
ARTHRITIS FDN NORTHERN & SOUTHERN NE CHAPTER
2348 POST RD SUITE 104WARWICKRI02886060672782501(C)(3)16058Walk with Ease
AVAILABLE POTENTIAL ENTERPRISES LTD
PO BOX 61WILLIAMSBURGMA01096042685501501(C)(3)14000Williamsburg Intergeneratioal Gardening Program
BROCKTON NEIGHBORHOOD HEALTH CENTER
63 MAIN STREETBROCKTONMA02301043165044501(C)(3)45000Managing Chronic Diseases in the Elderly
CAMBRIDGE COMMUNITY FOUNDATION
99 BISHOP ALLEN DRIVECAMBRIDGEMA021393428046012492501(C)(3)10000Matching Grant Program: Healthy Aging ROCS (Reaching out to Cambridge Seniors)
CAPE COD HEALTHCARE FOUNDATION
27 PARK STREETHYANNISMA026015230043475950501(C)(3)25000Fall Prevention and Safety for Seniors and Caregivers
CENTURY HEALTH SYSTEMS
209 WEST CENTRAL STREET SUITE 316NATICKMA01760043566661501(C)(3)16434Caregiver Care
COMMUNITY ACTION COMMITTEE OF CAPE COD
115 ENTERPRISE ROADHYANNISMA026012212042396835501(C)(3)25000Skill Building Supports For Caregivers
COMMUNITY HEALTH CENTER OF CAPE COD
107 COMMERCIAL STREETMASHPEEMA026490000043370560501(C)(3)41250Case Management for Healthy Seniors
COMMUNITY HEALTH CHARITIES OF NE
30 LAUREL STREETHARTFORDCT061061361066079596501(C)(3)6499ThP Workplace Giving match - 2010
COMMUNITY MUSIC CENTER OF BOSTON
34 WARREN AVEBOSTONMA021166104042437973501(C)(3)30000Una Voce - "One Voice" - Intergenerational Choru
CORNERSTONE ADULT SERVICES INC
140 WARWICK NECK AVENUEWARWICKRI028895308050429500501(C)(3)43150Enhanced Fall Prevention
DEVELOPMENTAL EVALUATION & ADJSTMNT FACILITIES
215 BRIGHTON AVENUEALLSTONMA021342013042628350501(C)(3)40000Healthy Lifestyles for Deaf Seniors
DISCOVERING WHAT'S NEXT REVITALIZING RTMNT
225 NEVADA STREETNEWTONMA02460203044597501(C)(3)45000Transition to Encore Careers: Building Pathways to
EDUCATIONAL DEVELOPMENT CENTER INC
55 CHAPEL STREETNEWTONMA024581060042241718501(C)(3)50000Chronic Care Community Corps
EDWARD M KENNEDY INSTITUTE
400 ATLANTIC AVENUEBOSTONMA02110020705535501(C)(3)20000Planning Grant for Developing H/C Curriculum
ELDER SERVICES OF THE MERRIMACK VALLEY INC
360 MERRIMACK STREET BLDG 5LAWRENCEMA01843042545136501(C)(3)42953Evidenced-Based Programs: Impact on Healthy Aging
FRANKLIN COUNTY HOME CARE CORPORATION
330 MONTAGUE CITY ROAD STE 1TURNERS FALLSMA013762530042542539501(C)(3)58884Take Steps to Healthy Aging Falls
GENERATIONS INCORPORATED
25 KINGSTON ST 4TH FLRBOSTONMA021112200043227007501(C)(3)25000Reading Coaches
HEALTH CARE FOR ALL
30 WINTER STREET 10TH FLOORBOSTONMA021084753043071598501(C)(3)35000Health Care For All HelpLine Connecting Older Adults to Coverage
HEALTH RESOURCES IN ACTION
95 BERKELEY STREETBOSTONMA02116042229839501(C)(3)86692Development of Greater Boston ITN Affiliate Curriculum
HEALTH SERVICES IN ACTION
95 BERKELEY STREETBOSTONMA02116042229839501(C)(3)25000Mass in Motion Municipal Wellness and Leadership Grant Program
HEARTH INC
1640 WASHINGTON STREETBOSTONMA021183380043206820501(C)(3)40000Housing as the Key to Healthy Aging and Vibrant Living: Finding and Securing Housing and Resources for Homeless Elders through Hearth's Outreach Program
HEBREW SENIORLIFE
1200 CENTRE STREETBOSTONMA021311011900183119501(C)(3)150000Prevention Through Action: Culturally Inclusive Training and Education for Seniors
JEWISH COMMUNITY HOUSING FOR THE ELDERLY
30 WALLINGFORD ROADBRIGHTONMA021354708042607197501(C)(3)25000Generations Together
JEWISH FAMILY & CHILDREN'S SERVICE
1430 MAIN STREETWALTHAMMA024511623042104356501(C)(3)45000Steps for LIfe
KIT CLARK SENIOR SERVICES INC
1500 DORCHESTER AVENUEBOSTONMA02122460516856501(C)(3)68676Fit-4-Life
LA ALIANZA HISPANA
409 DUDLEY STREETROXBURYMA021193366237121158501(C)(3)30000La Alianza Hispana's Expressive Arts Therapy and Physical Exercise Program
LITTLE BROTHERS-FRIENDS OF THE EDERLY
3305 WASHINGTON STREETJAMAICA PLAINMA021302639042681294501(C)(3)10000Intergenerational Matching Program
MASSACHUSETTS PUBLIC HEALTH ASSN
434 JAMAICAWAYJAMAICA PLAINMA021302009042326503501(C)(3)15000Act FRESH Senior
MERRIMACK VALLEY FOOD BANK
735 BROADWAY STREETLOWElLMA018543129223241609501(C)(3)10000Mobile Pantry Program
NEWTON COMMUNITY SERVICE CENTER INC
492 WALTHAM STREETNEWTONMA024651920042232418501(C)(3)49958Volunteering: A Pathway to Vibrant Aging
NORTHEAST HOSPITAL CORPORATION
298 WASHINGTON STREETGLOUCESTERMA01930042121317501(C)(3)31000Safe Steps for Seniors
OCEAN STATE CENTER FOR INDEPENDENT LIVING
1944 WARWICK AVEWARWICKRI028892448050439495501(C)(3)50000"Home Sweet Accessible Home"
OPERATION ABLE OF GREATER BOSTON INC
131 TREMONT STREETBOSTONMA021111317042761871501(C)(3)35000ABLE Volunteer Services
OVERLOOK VISITING NURSE ASSOCIATION
88 MASONIC HOME ROADCHARLTONMA01507043515687501(C)(3)25000Medication Management Neighborhood Programs
PARTNERS IN HEALTH
888 COMMONWEALTH AVENUE 3RD FLOORBOSTONMA02215043567502501(C)(3)8812THP Employee Match for '10 Haiti Earthquake
PARTNERS IN HEALTH
888 COMMONWEALTH AVENUE 3RD FLOORBOSTONMA02215043567502501(C)(3)20000Stand With Haiti (Earthquake Relief)
RHODE ISLAND FREE CLINIC INC
655 BROAD STREETPROVIDENCERI029071444050501276501(C)(3)72225Healthy Lifestyles for Today and Tomorrow
ROGERSON COMMUNITIES
1 FLORENCE STREETBOSTONMA021313638042104319501(C)(3)50000Healthy Rogerson
ROOT CAUSE INSTITUTE
ONE CANAL PARK 3RD FLOORCAMBRIDGEMA02141200703238501(C)(3)450002011 Social Issue Track on Healthy Aging
SAMARITANS INC
41 WEST STREET 4TH FLOORBOSTONMA021111209042643466501(C)(3)10000Wellness Approach to Senior Suicide Prevention (Outbound Call Project)
SCM COMMMUNITY TRANSPORTATION
167 HOLLAND STREETSOMERVILLEMA021442401042743790501(C)(3)70000SCM and the Arts
SCM COMMMUNITY TRANSPORTATION
167 HOLLAND STREETSOMERVILLEMA021442401042743790501(C)(3)6558Seniors See the Red Sox
SOMERVILLE-CAMBRIDGE ELDER SERVICES INC
61 MEDFORD STREET 2ND FLOORSOMERVILLEMA021430000042515020501(C)(3)35000A Collaborative Effort Between Somerville-Cambridge Elder Services and the Cambridge Health Alliance to Prevent Falls Among Seniors
SOUTHWEST BOSTON SENIOR SERVICES INC
555 AMORY STREETJAMAICA PLAINMA021302652237304163501(C)(3)63000Vibrant Aging at Home and in the Community
SPRINGWELL INC
125 WALNUT STREETWATERTOWNMA024724052042616064501(C)(3)51378Healthy Aging Initiative
THE GREATER BOSTON FOOD BANK
70 SOUTH BAYBOSTONMA021180000042717782501(C)(3)15000Brown Bag Program
THE PROVIDENCE CENTER
528 NORTH MAIN STREETPROVIDENCERI029045757050316969501(C)(3)52300In Shape Seniors Unemployed Professionals
THIRD SECTOR NEW ENGLAND
555 AMORY STREETJAMAICA PLAINMA02130042261109501(C)(3)37682Healthy Aging in the LGBT Community
TUFTS HEALTH CARE INSTITUTE
136 HARRISON AVENUEBOSTONMA021111817043289926501(C)(3)20000Practicing Medicine in a Changing Health Care Environment The Challenges of Caring for Complex and Chronically Ill Patients
UNITED WAY OF MASS BAY INC
51 SLEEPER STREETBOSTONMA022101208042382233501(C)(3)14642ThP Workplace Giving match - 2010
URBAN LEAGUE OF EASTERN MASSACHUSETTS
88 WARREN STREETBOSTONMA02210237349132501(C)(3)35000Community Service Give Back Program for Mature Workers Program
VNA & HOSPICE OF COOLEY DICKINSON INC
168 INDUSTRIAL DRIVENORTHAMPTONMA010602379222617175501(C)(3)50000Strength in Numbers Falls Prevention Education for Seniors
WATER WAY ARTS FOR HEALTH AND ENERGY INC
1615 BEACON STREETBROOKLINEMA024464602202332178501(C)(3)50000Tai Chi for Healthy Aging
WESTBAY COMMUNITY ACTION INC
224 BUTTONWOODS AVEWARWICKRI028867541050311985501(C)(3)40000Elder Safety
WHITTIER STREET HEALTH CENTER COMMITTEE INC
1125 TREMONT STREETROXBURYMA021202178042619517501(C)(3)47560Geriatric Chronic Care Case Management Program
WINCHESTER HOSPITAL
41 HIGHLAND AVEWINCHESTERMA018901446043399570501(C)(3)17611Family Caregiver Program
YMCA OF GREATER BOSTON
316 HUNTINGTON AVENUEBOSTONMA021155019042103551501(C)(3)50000Get Fit, Stay Fit for Life
YWCAGRI
324 BROAD STREETCENTRAL FALLSRI02863050310596501(C)(3)9935GEM - Gentle Easy Movement
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants62TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDescription of Organization's Procedures for Monitoring the Use of GrantsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationFOR ALL GRANTS THE FOUNDATION REQUIRES A SITE VISIT BY OUR STAFF, ONGOING MONITORING, ONE INTERIM PROGRESS REPORT WITH FOLLOW-UP AS NEEDED AND ONE POST-GRANT FINAL REPORT. THE FOUNDATION ALSO CHECKS THE GRANTEES 501(C)(3) STATUS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
James Roosevelt
07085810462703012181001426260148350145055500
Lois Cornell
03491420159593047369028950016992060204600
Roland Price
018297203780707154048712010265028691000
David Abelman
0270300097078031059032356016723044751600
AnnMarie Boursiquot-King
01136730287500-45240997009714015758300
Umesh Kurpad
037500001714130-22870103824016355066430500

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Supplemental Compensation InformationSCHEDULE J, PART I, LINE 3THE FOUNDATION USES THE COMPENSATION POLICIES OF ITS SOLE MEMBER, TUFTS ASSOCIATED HEALTH MAINTENANCE ORGRANIZATION, INC. (TAHMO). Supplemental Compensation Information SCHEDULE J, PART I, LINE 4B The related organization maintains an Executive Savings Plan (ESP) for its Senior Managers with the title Director and above. The numbers listed on Schedule J, Part II, Column C, reflect both the employee deferrals as well as the employer contributions to the ESP.
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 6BThe officers of Tufts Associated Health Maintenance Organization, Inc. are eligible to participate in an executive incentive plan, paid by the related organization for services provided to the related organization. The incentive plan is based on the overall annual success of the organization. The organization's goals are established early in the year and approved by its independent board of directors. One of the components of the plan is based on meeting targeted net earnings. In 2010, this component amounted to 25% of targeted bonus compensation. The employees who participate in this plan are: - David Abelman - Roland Price - Lois Cornell - James Roosevelt

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Organization's MissionForm 990, Part III, Line 1IN ORDER TO PROVIDE BENEFITS TO THE COMMUNITY OUTSIDE OF ITS REGULAR LINES OF BUSINESS, TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. (TAHMO) CREATED THE TUFTS HEALTH PLAN FOUNDATION, A 501(C)(3) CHARITABLE AND SUPPORTING ORGANIZATION OF TAHMO. THE MISSION OF THE FOUNDATION IS TO PROMOTE HEALTHY LIFESTYLES AND THE DELIVERY OF QUALITY CARE. THE FOUNDATION ACHIEVES THIS MISSION PRIMARILY THROUGH GRANTMAKING TO CHARITABLE, SERVICE-PROVIDING ORGANIZATIONS, PROGRAM SUPPORT AND EDUCATIONAL ACTIVITIES. THE FOUNDATION'S FOCUS IS HEALTHY AGING - IMPROVING THE LIVES OF OLDER ADULTS 60 AND OVER. THE TUFTS HEALTH PLAN FOUNDATION HAS CHOSEN TO FOCUS ON HEALTHY AGING IN ORDER TO ADDRESS THE NEEDS OF OUR COMMUNITIES IN MASSACHUSETTS AND RHODE ISLAND, AND TO HELP MEET THE CHALLENGES AND OPPORTUNITIES OF AN AGING SOCIETY. THE FOUNDATION MAKES GRANTS THROUGH THE FOUR AREAS OF CAREGIVER SUPPORT, FALL PREVENTION, INTERGENERATIONAL COLLABORATION AND VIBRANT LIFESTYLES.
Program Service AccomplishmentsForm 990, Part III, Line 4Form 990, Part III, Line 4a IN 2010, THE TUFTS HEALTH PLAN FOUNDATION COMPLETED ITS SECOND YEAR FOCUSING ON HEALTHY AGING FOR OLDER ADULTS 60-PLUS AND OVER TO ENSURE THAT OLDER ADULTS SPEND MORE YEARS IN GOOD HEALTH AND ENGAGED AS VITAL MEMBERS OF OUR COMMUNITIES. THE FOUNDATION WORKS WITH PROGRAMS THAT ADDRESS THE DEVELOPMENT AND MAINTENANCE OF OPTIMAL PHYSICAL, MENTAL AND SOCIAL WELL-BEING AND FUNCTION IN OLDER ADULTS THROUGH FOUR AREAS: 1. CAREGIVER SUPPORT - TRAINING, EDUCATION AND RESOURCES TO SUPPORT CAREGIVERS AND CARE RECIPIENTS. 2. FALL PREVENTION - EXERCISE AND EDUCATION FOR OLDER ADULTS THAT WILL REDUCE FEAR OF FALLS AND INCREASE MOBILITY, STRENGTH AND BALANCE. 3. INTERGENERATIONAL COLLABORATION - OLDER ADULTS AND YOUNGER GENERATIONS ENRICHING EACH OTHER'S LIVES THROUGH MENTORING, TUTORING AND VOLUNTEER ACTIVITIES. 4. VIBRANT LIFESTYLES - EXERCISE, NUTRITION AND EVIDENCE-BASED CHRONIC DISEASE MANAGEMENT, SOCIAL AND RECREATIONAL ACTIVITIES, AND PROGRAMS THAT PROMOTE CIVIC AND COMMUNITY ENGAGEMENT. Form 990, Part III, Line 4b COMMUNITY SUPPORT GRANTS: IN ADDITION TO ITS HEALTHY AGING FOCUS, THE FOUNDATION ALSO SUPPORTS WORTHY COMMUNITY PROGRAMS SUCH AS THE GREATER BOSTON FOOD BANK'S BROWN BAG PROGRAM THAT PROVIDES HEALTHY, NUTRITIOUS FOOD TO INDIVIDUALS IN NEED. Form 990, Part III, Line 4c In 2009, the Tufts Health Plan Foundation (THPF) was chosen as one of 19 foundations nationwide to receive funding from the Robert Wood Johnson Foundation Partners Investing in Nursings Future, a national initiative to help address the long-term shortage of nurses across the country. The two-year, $250,000 matching grant funded a three-state collaboration in Massachusetts, New Hampshire and Rhode Island titled "Creativity and Connections: Building a Regional Nursing Education Framework." THPF is the lead foundation in this three-state initiative in partnership with the Massachusetts Hospital Research and Education Association (MHREA), which is the fiscal agent for this grant. This collaborative effort focuses on increasing nursing faculty through scholarships, increasing nursing program capacity through the use of a computerized centralized clinical placement (CCP) system and redesigning nursing education to meet future needs in health care. 2010 marked the second year of this matching grant. By the end of 2010, 36 scholarships have been awarded to masters and doctoral nursing students in partnership with MHREA. In addition, 104 health care facilities and 92 nursing programs were participating in the CCP program, filling 2,837 placements. Lastly, a gap analysis was conducted in the three states to examine nursing school curricula and the education of nurses, and where curricula would need to be redesigned to ensure that nursing education is preparing nurses to meet the demands of the current and future health care environment.
Description of RelationshipsForm 990, Part VI, Line 2Two directors of the foundation also serve as directors of another unrelated organization. The unrelated organization does not have a business relationship with the foundation.
Description of Management ArrangementFORM 990, PART VI, LINE 3The Foundation is a supporting organization of Tufts Associated Health Maintenance Organization, Inc. (TAHMO). TAHMO and its subsidiary, Tufts Associated Health Plan, Inc. (TAHP), provide administrative and management services to the Foundation.
MEMBERSFORM 990, PART VI, LINES 6 AND 7ATUFTS ASSOCIATED HEALTH MAINTENANCE ORGRANIZATION, INC. (TAHMO) as the sole corporate member of the Foundation, elects the members of the Foundation's governing body.
Descr Classes of Persons, Decisions Requiring Appr & Type of Voting RightsForm 990, Part VI, Line 7bTAHMO, as the sole corporate member of the Foundation, has the right to make certain decisions regarding the Foundation, and is required to approve any changes to the Foundation's bylaws.
Process used by Governing Body to Review 990Form 990, Part VI, Line 11BThe Form 990 is prepared in our finance department, with assistance from our external accountants, Ernst & Young. This preparation began in June 2011. Some information is provided by our Director of Grants, and sections of the form are reviewed by our inside legal counsel. Certain sections of the form are reviewed by a number of senior managers; our chief financial officer reviews the form in its entirety. Once the form is complete, in November 2011, it is forwarded on to our board of directors and it is then submitted for filing.
Description of Process to Monitor Transactions for Conflicts of InterestFORM 990, PART VI, LINE 12COn an ongoing basis and before any grants were awarded, all board members, staff and internal review committee members were asked to disclose any relationships or potential conflicts of interest with any grantees or business partners. Any person with an actual or potential conflict was permitted to make a presentation to the reviewing body, but was not allowed to vote on the particular matter.
Offices & Positions for Which Process was Used, & Year Process was BegunFORM 990, PART VI, LINES 15A AND 15BThe Foundation does not have any employees. The employees of related organizations provide services to the Foundation. The President is compensated solely for his duties performed in his capacity as Chief Executive Officer and President of TAHMO and TAHP. There is no remuneration for duties related to the Tufts Health Plan Foundation. The Executive Director of the Foundation is compensated solely for his duties performed in his capacity as the Vice President and Deputy General Counsel of TAHMO and TAHP. There is no remuneration for duties related to the Tufts Health Plan Foundation. The Compensation Committee (the "Committee") of the Board of Directors (the "Board") of Tufts Associated Health Maintenance Organization (Tufts or the "Company") reviews and administers total remuneration opportunities, policies, programs and major changes in Tufts' benefit plans that are applicable to the officers and executives of the Company (the "executives" - these include the CEO, COO, and all senior vice presidents), as well as to any other individual or groups the Committee deems appropriate based on its interpretation of the definition of "disqualified persons" in Section 4958 of the Internal Revenue Code of 1986. The Committee is comprised of independent directors of the Company. It is the Board's intention that the Committee will perform its duties in a manner that will establish a presumption that the total remuneration offered to executives and other "disqualified persons" are reasonable. Comparability Data and Reasonableness The total compensation opportunities provided to executives of the Company are intended to be competitive with, and in reasonable comparison to, those opportunities provided by organizations in those business sectors with which the Company competes for executive talent. The Board believes that such competitors are not limited to other healthcare institutions and that comparisons should be made to the compensation practices of a cross section of business sectors in both for-profit and not-for-profit organizations, when appropriate. The Committee retains independent compensation consultants to provide data as necessary, and also uses available sources of independent data on compensation. Peer organizations and published survey sources will be approved by the Committee based on its reasonable determination. The Committee may also rely on members of management and outside advisors, consultants, and counsel to provide market data reports, analysis, and opinions with respect to compensation-related matters. The data reviewed consists of comparable, relevant market data for the Company's positions from published surveys, and other available sources, of health and managed care institutions and the general industry. Other surveys of specialized skill sets or employee attributes critical to the success of the Company, e.g., actuarial, legal, etc., are also incorporated as needed, along with geographic references to the Boston and New England labor markets. The Committee will rely on this market data to assess, determine and validate compensation levels for the Company's executives. The Committee uses this data in its review of: - Setting base salaries - in light of market data and the individual's performance, background, experiences and personal skills. Base salary will be set so that the targeted positioning of an Executive is at the 50th percentile for each position. Actual base salary may vary based on skills, background and experience. - Annual incentive compensation - the Company's goal is to provide competitive and reasonable opportunities under the terms of an executive annual incentive plan for selected positions which are responsible for achieving performance goals that reflect the overall mission of the Company, the strategic direction of the Company for the performance year and the individual's performance during that year. The Committee makes every effort to establish a presumption that the total remuneration opportunities provided to executives are reasonable, as such presumption is contemplated in Section 4958 of the Internal Revenue Code of 1986, as amended from time to time. In establishing the presumption of reasonableness, the Committee may engage the professional services of independent legal counsel, compensation experts, accountants and other experts and advisors. Timing Executive benchmarking is completed on an annual basis. Benchmarking is completed by the external consultant engaged by the Compensation Committee every two years, and by the internal Compensation team on alternating years. The analysis completed in Q4, 2010 was completed by the internal Compensation team. Compensation survey data (as described above) was reviewed, compiled, and summarized in report form by the Senior Compensation Consultant for each individual executive/job based on a match of the internal job function to the survey job function. Each job match was validated to ensure that the same/similar market matches as used by the external consultant in the prior year were used by the internal team to ensure consistency with the prior analysis methodology. A report was provided to the Compensation Committee for discussion and deliberation. Documentation A summary of the discussions and deliberations of the Committee are documented in the meeting minutes, which are reviewed and approved by the Committee. Copies of all meeting materials distributed prior to and during the meeting are maintained in the corporate records along with the meeting minutes.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen PublicFORM 990, PART VI, LINE 19The governing documents, conflicts of interest policy and financial statements of the Foundation are available at its headquarters in Watertown, MA. All requests can be made to the Corporate Communications or Finance departments.
HOURS WORKED FOR RELATED ORGANIZATIONFORM 990, PART VIIHOURS LISTED BELOW ARE FOR TUFTS ASSOCIATED HEALTH PLANS (TAHP), TUFTS BENEFIT ADMINISTRATORS, INC. (TBA), TOTAL HEALTH PLAN, INC. (THP), AND TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. (TAHMO). 1) JAMES ROOSEVELT: 5 HOURS WITH TAHP, 8 HOURS WITH TBA, 3 HOURS WITH THP AND 32 HOURS WITH TAHMO. 2) DAVID GREEN: 5 HOURS WITH TAHMO. 3) JACKIE JENKINS-SCOTT: 4 HOURS WITH TAHMO. 4) THOMAS O'NEILL, III: 3 HOURS WITH TAHMO. 5) LOIS CORNELL: 5 HOURS WITH TAHP, 8 HOURS WITH TBA, 3 HOURS WITH THP AND 33 HOURS WITH TAHMO. 6) ROLAND PRICE: 5 HOURS WITH TAHP, 3 HOURS WITH TBA, 3 HOURS WITH THP AND 34 HOURS WITH TAHMO. 7) DAVID ABELMAN: 17 HOURS WITH TAHP, 3 HOURS WITH TBA, 3 HOURS WITH THP, AND 14 HOURS WITH TAHMO. 8) UMESH KURPAD: 3 HOURS WITH TAHP, 3 HOURS WITH THP, 5 HOURS WITH TBA, AND 39 HOURS WITH TAHMO. ALL DIRECTORS' COMPENSATION FOR TUFTS HEALTH PLAN FOUNDATION, INC. IS PAID THROUGH TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. (EIN:04-2674079, ADDRESS: 705 MOUNT AUBURN STREET, WATERTOWN, MA 02472). TUFTS HEALTH PLAN FOUNDATION, INC. REIMBURSES TUFTS HEALTH MAINTENANCE ORGANIZATION, INC. FOR THE DIRECTORS' COMPENSATION. ALL OFFICERS' COMPENSATION FOR TUFTS HEALTH PLAN FOUNDATION, INC. IS PAID THROUGH TUFTS ASSOCIATED HEALTH PLANS, INC. (EIN: 04-2985923, ADDRESS: 705 MOUNT AUBURN STREET, WATERTOWN, MA 02472). THE STAFF OF TUFTS HEALTH PLAN FOUNDATION, INC. IS PAID THROUGH TUFTS HEALTH MAINTENANCE ORGANIZATION, INC. BUT IS THEN REIMBURSED THROUGH TUFTS HEALTH PLAN FOUNDATION, INC.
Other Changes in net assets or fund balancesForm 990, Part IX, Line 5In 2010, net assets were increased by an unrealized gain on investments of $276,663.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1TUFTS ASSOC HEALTH MAINTENANCE ORG INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1705 MOUNT AUBURN STREETAddressLine1
CityWATERTOWNCity
StateMAState
ZIP Code02472ZIPCode
FieldValueIRS element (for citing)
EIN042674079EIN
Primary ActivitiesHMOPrimaryActivities
Legal Domicile StateMALegalDomicileState
Exempt Code Section501(c)(4)ExemptCodeSection
Public Charity StatusN/APublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1TUFTS ASSOCIATED HEALTH PLANS INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1705 Mount Auburn StAddressLine1
CityWATERTOWNCity
StateMAState
ZIP Code024721508ZIPCode
FieldValueIRS element (for citing)
EIN042985923EIN
Primary ActivityMANAGEMENT SVCSPrimaryActivity
Legal Domicile StateMALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CorpTypeOfEntity
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Percentage Ownership0.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierREIMBURSEMENT PAID TO OTHER ORGANIZATIONIdentifier
Return ReferenceSCHEDULE R, PART V, LINE 1OReturnReference
ExplanationTHE FOUNDATION REIMBURSES TAHMO FOR ALL PAYMENTS DIRECTLY RELATED TO THE FOUNDATION.Explanation

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